HomeMy WebLinkAbout1985-10-11 Test Certification for Underground PipingGENIAL INFORMATION
CONTRACTOR'S MATERIAL 8 TEST CERTIFICATE FOR UNDERGROUND
jiOCT 15 SRR
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Calv'ary Memorial Church
PROPERTY AGGRESS
2420 T)unw--AAvP
PLANS
City of nrcac, I N Tom Jacobs
D p C,. Box 'gib, Crystal Bav, MN 55323
ITALLATION CONFORMS TO ACCEPTED PLANS
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w UNO[ROAOUNO PIPING FLUSHED ACCORDING TO HL,STANDARD ®YM ❑NO
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IFNO.utrLAtN Wid.Ter Inc.
Ow FLU{H,NG LOW W I
'RICK PSH WHAT TYPE OPENfNG
FLUSHING
ffjPU&UCNl TANK OR RESSAVOIR E3ptFdF~
NYOMNT ouTT. 0 OPEN PIPE
LEAO-IHE FLUSHED ACCORDING TO STANDARD YES NO
TESTS
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FLUSHING FLOW WAS DETAIN O THROUGH WHAT TYPE OPENING
PVSLIC INATE11 JTANK I"- AESSRVOM /IRE ►IAr Y CONN. TO FLANGE A SPIGOT O OPEN ►M
ALL NEW UISOE.^GP^ UNO PIPING HYONCGTATICM.LY TESTED AT
HVDAGTTATIC
TEST
200 Fn /a+ 2 HOURS
TOTAL AMpUNT OF L[AHAGE MEASURED
GALS. 2 HOUR•
TEST
ALIixNAG L[AxAO
1
GAId. NOJRS
UME[R INSTALLED
TYPS MIO MARE
TI T V
HYDRANTS
1
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®YES ONO
WATER CONTROL VALVES L[PT WIDE OPEN Wyss Ljfto
or NO, STATE REASON
CONTROL
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S[THRtAOSOF PIRO DEPARTMENT CONNSCTMM AND HYDP'NTS INTSRCHANGEAKE
WITH THOSE OF FIR[ DEPARTMENT ANSW[P-0 ALAnu mYE• ONO
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NAM[ 00 INSTALLING CON ALTO
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TENS EEITNEl1•!O tTY i
SIONATL MS
FOR PROPERTY OWNER (T�SIONEC" TITLE
R ING LUNQ CONTIyACTOl1.{SION[O) TI
DATE
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