HomeMy WebLinkAbout06-07-2023 Backflow Test Report yam AQUAPR • 5
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30 2 2023
Job #14541962
Backflow Test Report (Appt 14541962-1)
Location & Customer Information
Complete Job Address Location Contact Name (Owner)
4035 Dahl Road, Mound, MN 55364 USA Elly Keegan
Location Contact Phone Number
(952) 200-4560
Were you able to complete the Backflow
Test Today?
Yes
Device Information
Test Date Device Type
2023-06-07 PVB
Device Manufacturer Device Model
Wilkens 720A
Device Serial Number Device Size
CAA42305 1.0"
Device Location
Back
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
5.00
3.50
Did you tag device?
No
Tester Information
Technician's License Number Test Completed By:
BT687208 Drew