HomeMy WebLinkAbout05-05-2023 Backflow Test Report AQUAPR .
Sprinklers
Job #14497590 � � 7
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JUN 09 2023
Backflow Test Report p
CITY OF ®NO
Location & Customer Information
Complete Job Address Location Contact Name (Owner)
1690 Concordia Street, Wayzata, MN 55391 Rick Palm
USA
Location Contact Phone Number
(612) 877-2727
Were you able to complete the Backflow
Test Today?
Yes
Device Information
Test Date Device Type
2023-05-05 PVB
Device Manufacturer Device Model
Wilkens 720A
Device Serial Number Device Size
T438988 1.0"
Device Location
Front
Test Results
Test: Pass OR Fail Shut-Off Valve #1
Passed Closes Tightly
Shut-Off Valve #2 Check Valve #1: Tightness
Closes Tightly Closes Tight
Check Valve #1: Spring Pressure Air-Inlet Valve OR Relief Valve Opened at
Differential PSI
PSI 2.50
1.90
Did you tag device?
Yes
Tester Information
Technician's License Number Test Completed By:
BT693475 Dillon
Tester
Signature