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HomeMy WebLinkAboutbackflow preventer test reports NewMech DECEIVED COMPANIES, INC. UP 6 2001 .A I r ter- tirIU,vo TO ORONO MIDDLE SCHOOL DIST#278 DATE: 9/05/01 ATTN: JOHN OSTLUND PROJECT: BFP'S"01" 685 NORTH OLD CRYSTAL BAY ROAD LOCATION: SAME ORONO, MN. 55356 OUR PROJECT NO. 315309 WE ARE SENDING YOU: ®Attached ❑Change Order ❑Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ITEM REFERENCE NO.OF i TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 EA. BACKFLOW PREVENTER TEST REPORTS FOR SERIAL# 143088, 3 #415449, #501319-1, &# 143091. TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order. 5. For Review and Comment 10. Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: 1. Project Manager File 2. Follow-up Ftlq NeWMeCh COMPANIES,INC. CITY OF ORONO ATTN: LYLE OMAN P. O. BOX 66 Doug Dudeck CRYSTAL BAY, MN. 55323 Doug DUdeck Project Manager 1633 Eustis Street VeMeCh Saint Paul,Minnesota 55108-1288 Commies,kv— (651) 645-0451 FAX(651)642-5591 75 Years of Excel/ence httpJNvwwjwvi wwch•com 1633 Eustis Street 4715.ZM Saint Pari MN 55108-1288 BACKFLOW PREVEHTER TEST REPORT Anrural Testing of (612)645-0451A© © R.PZ Valves DATE: / Site Name: o Z✓b S C bWL Job# / D Clyo vo code: AQ, ' Phone#: Oma; Phone M Owner Address: Ciyl: Zip code: Make and SIZE: SEWAL#:MOM Of - --mss r LOCATION OF DEVICE: n,are dro'41 SERVES WHAT SYSTEM: Check VWM#1 Check Valve#2 Pres.DW Pres.M Straw Aaoss#1 When Relief Check Test Leaked( ) Leaked( ) ._ PSI _ PSI Nona Before close Close 1, 2 ( ) R 7 Describe Repair T� cLeaked Leaked i i ci i _ Mid_ PSI { ) materials Used CERTIFICATM I hereby certify the for W tg data to be oared and that the tested dovice Is fimcdoift wthin the Wilts of the standawds. FIRM NAME: CO.W, ADDRESS: 1633 EUSTIS STREET ST PAUL MN 55106 BY: J4 CERMCATION#. / PHONE: to 67 yS^—0f/9 DATE• REMARKS:' O INSTALL YTEST11 REBUILD ORIG14AL INSTALLATION DATE: O� DATE OF LAST REBUILD- BFPTR REV. 9/3199 1633 Eustis Street Saint Paul.Minnesota 55108-1288 kr— (651)645-0451 FAX:(651)642-5591 7S Years of EneUence httpJ/www.newnwch.com 1633 Eustis Street 4716.2M saw Pau!MN 65108-12288 BAC KF—L—OW P emn nER TEST REM RT AmA Testing of (612)645-0451 R.PZ valves DATE 918 O l Site Name: ® © 0 0 L C% S C leo L Job# A AS O Sfte Aadvess: '' A)© zip code: — z, ti Phone A. Oma: Phone#: Owner Address: City: zip code: Makeandmodelot- s¢E: SERIAL : .y Dw1w. W f} ...5 C� G'� lI 8 © � c7 19 - LOCATION OF DEVICE: L SERVES WHAT SYSTEM: L Check Valve#1 Check Valve#2 Pres.DW. Pres.Dff. Stt Across#1 When Relief Check Onem _ Test Leaked( Leaked( — PSI — PSI Clad ( ) Rep* pose Ob we Dew&* R Prow Leaked( ) �( ) PSI CW ( ) Test Cbse ( ) Materials Used CERTIMCATION: I hereby mW the foregoing data to be corned and that tris tested device is Amobrft%**I the Iffft of the standards. FRM NAME; NEWMECH CO WC ADDRESS:, 1633 EUSTIS STREET ST PAUL MN 56108 BY: CERTIFICATION#: ®^ PHONE.- DATE• REMARKS: O WSTALL WTESTO REBUILD ORIGINAL WSTALLATION DATE: DATE OF LAST REBUIIA: BFPTR REV. WM 1633 Eustis Street NewMec 1 Saint Paul,Minnesota 55108-1288 CCmpanks,kv– (651)645-0451 FAX:(651)642-5591 75 Years of Eacce//eme http:ltwwwjwwmech.com 1633 Eustis Street 47152260 Saint Paul MN 65106.1288 BA O 1=VENTER T S REFOOff- Annual Testing of (612)645-0451 ,q O © � R.PZ Valves DATE: b Site Name: S G aBo� 'lob 0 Sle Address: %9cS� Li � E zip code: Oma; Phone Owner Address: City zip code: Make and Sm- SERIN.#: - mom of. 4 LOCATION OF DEVICE: L C 60 SERVES WHAT SYSTEM: Sys ?L/►'i Check Valve#1 Check Valve#2 Pres.DI Pres.DI Stns Across#1 When Aelef Check Test Leaked( ) Leaked( ) ._ PSI — PSI � Before Close Close 8, �7 ?. 0 R Describe Repak Leaked( ) — PSI — PSI None nd 1 Final liked( ) Close ( ) Test Close ( ) Materials Used CERTIFlCATK*t 1 hereby cer*the foregoing data IOD be wrtect and that the tested devite is f xmllorft within the knks of the standards. FIRM NAME; NEWME CO ADDRESS: 1ti33 EUSfIS STREET ST PAUL.MN 65108 BY: CERTMATION#: 91710630-- PHONE:DATE- REMARKS:' D INSTALL WTESTO REBUILD ORIGINAL INSTALLATION DATE-- DATE ATE:DATE OF LAST REBUILD: BFPTR REV. 9/3!'99 1633 Eustis Street A\I- ' Q Saint Paul,Minnesota 55108-1288- (651) 5108-1288(651)645-0451 'FAX:(651)642-5591 7S Years of F�ccellerxe http:Nwww-newrned'•c°n' 1633 Eustis Street 4T15 X260 Saint Paul MN 65108-1288 BACKFLOW Eff)NIM T S T' Annual Testing of (612)645-0451 DATER.PZ Valves : Site Name: b to L E S co L Job# lc - SRe A s- C 7 L 6h go. Tip Dods: s owner: Phone O*Tw Ad&e= CiIY: Zp code: Make and SIM_ SERIAL.#: Model of. � CV 4 LOCATION OF DEVM �1 Al SERVES WHAT SYSTEM S®k I J K L E OZ Check Value#1 Chea Valve#2 Pres.DK Pres.DK Strainer Across#1 Wben Relief Check Opens Test Leaked( Leaked( ) — PSI — PSI Before Gose Cbse �� cm Repair Dew" 7, ReDair Fb-ml I.Aaked Leaked PSI PSI None Test Close O Close O Mod ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested d@vioe is f rKftfg whin the WAS of the stwidards. FIRM NAME: NEWN N.55108 BY: CERTIFICATION#: /�� d/r PHONE: DATE: REMARKS-.' - 13 INSTALL STD REBUILD ORIGINAL INSTALLATION DATE: c� DATE OF LAST REBUILD: BFPTR REV. 913199 s �1ewmech r%x COMPANIES, INC. TO ORONO HIGH SCHOOL DATE: 8/22/02 ATTN: JOHN OSTLUND PROJECT: BFP'S "02" 685 NORTH OLD CRYSTAL BAY ROAD LOCATION: SAME ORONO, MN. 55356 OUR PROJECT NO. 321010 WE ARE SENDING YOU: NAttached ❑Change Order ❑Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ITEM REFERENCE NO.OF TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 EA. BACKFLOW PREVENTER TEST REPORTS FOR SERIAL# 143088, 3 415449, 501319-1, & 143091. TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order. 5. For Review and Comment 10. Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: 1.,-Pr6je tc Manager File �2. Follow-up File J/^ NeWMech COMPANIES,INC. CITY OF ORONO ATTN: LYLE OMAN P.O. BOX 66 Doug Dudeck CRYSTAL BAY MN. 55323 Doug Dudeck Project Manager -ML ewmech COMES,N. 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLO REVENTER TEST REPORT Annual Testing of (651)645-0451 R.P.Z.Valves DATE: —CjZ Site Name:ORONO MIDDLE SCHOOL Job# 32 Site Address:685 OLD CRYSTAL BAY ROAD City:ORONO Zip code: 55356 Contact: JOHN OSLUND Phone# 952-449-8314 Owner.SAME Phone# Owner Address: City: Zip code: Make and SIZE: `( SERIAL P. Model of WATTS 102 Device: v LOCATION BOILER ROOM OF DEVICE: SERVES WHAT /I / SYSTEM: � tOA �f k l� [�' Check Valve#1 Check Valve#2 Pres.Dif. Pres.Dif. Strainer Across#1 When Relief Check opens Test Leaked( Leaked( _ PSI _ PSI None( ) Before Close Close (� Q 7 '�} Clnd ( ) Repair Describe Repair Final Leaked( ) Leaked( ) _ PSI _ PSI None ` ) Test Close O Close ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. FIRM NAME: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY:. __XjMA CERTIFICATION#: �r PHONE: 651-645-0451 DATE• REMARKS• ❑ INSTALL L TEST 0 REBUILD ORIGINAL INSTALLATION DATE: DATE OF LAST REBUILD: BFPTR REV. 2/12/02 r**%VeuFech OM ,NG 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 ^ ^ R.P.Z Valves DATE: Site Name:ORONO HIGH SCHOOL Job# Site Address:795 CRYSTAL BAY ROAD City: d Zip code:55356 Contact: JOHN OSLUND Phone# 952449-8314 I Owner.SAME Phone#: Owner Address: City: Zip code: Make and SIZE: SERIAL P. Model of WATTS 909 %" 415449 Device: LOCATION BOILER ROOM OF DEVICE: SERVES WHAT HEATING SYSTEM SYSTEM: Check Valve#1 Check Valve#2 Pres.Dif. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( ) Leaked( ) _ PSI _ PSI None( ) Before Close ( Close ((r� !� Clnd ( ) Repair ` Describe Re-pair Final Leaked( Leaked( ) _ PSI _ PSI None ( ) Test Close O Close O Clnd ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: G ��f CERTIFICATION#: PHONE: 651-6454)451 DATE: �� REMARKS: ❑ INSTALL &--,C ST ❑ REBUILD ORIGINAL INSTALLATION DATE: �?600 DATE OF LAST REBUILD: BFPTR REV. 2/12/02 "1�1ech , NG 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 R.PZ Valves DATE: ' Site Name:ORONO MIDDLE SCHOOL Job# Site Address:685 OLD CRYSTAL BAY ROAD City:ORONO Zip code: 55356 Contact: JOHN OSLUND Phone P 952-449-8314 Owner.SAME Phone P. Owner Address: City: Zip code: Make and SIZE: SERIAL# Model of WATTS / �® Device: LOCATION BOILER ROOM OF DEVICE: SERVES WHAT SYSTEM: Check Valve#1 Check Valve#2 Pres.Ulf. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( ) Leaked( _ PSI _ PSI None( ) Before Close Close Clnd ( ) Repair Describe Repair Final Leaked( Leaked( PSI PSI None ( ) Test Close ( ) Close ( ) — — Cind ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. FIRM NAME: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: `// 2WK CERTIFICATION#:�����"r PHONE: 651-645-0451 DATE: ~�� REMARKS: �y�� ❑ INSTALL M,<0'2, ,/ST ❑ REBUILD ORIGINAL INSTALLATION DATE: �62Z DATE OF LAST REBUILD: BFPTR REV. 2/12102 VC ewmechNX OMPANIES, INC VSO S 2000) TO ORONO HIGH SCHOOL DATE: 7/22/03 C�TYUF.ORo— ATTN: JOHN OSTLUND PROJECT: BFP'S "03" 685 NORTH OLD CRYSTAL BAY ROAD LOCATION: SAME ORLONO, MN. 55356 OUR PROJECT NO. 331155 WE ARE SENDING YOU: ®Attached ❑Change Order ❑Specifications []Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ❑ ITEM REFERENCE NO.OF TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 EA. BACKFLOW PREVENTER TEST REPORTS FOR SERIAL#143088, 3 415449, 501319-1, & 143091. TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order. 5. For Review and Comment 10. Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: panagroject Mle 2. Follow-up File NewMech COMPANIES,INC. CITY OF ORONO ATTN: LYLE OMAN P.O. BOX 66 Doug Dudeck CRYSTAL BAY MN. 55323 Doug Dudeck Project Manager At 1633 Eustis Street St.Paul, MN 55108-1219 Cm*arde%.Im (651)645-0451 FAX:(651)642-5591 7S Years of Excelk Ke httpJ/www newmedi.com 1633 Ets6s Street 47152260 NmvMb& Saktt Patd MN 55108-1288 BACKFLOW PREVENTER TEST REPORT Annual Tesft of (651)646"1 DATE: R.P.Z Valves Site Name: D .bb 8 Sloe Address: ©Ab (kwdg R-44 nap-= zo code: . ' oee comm Phoma#. owner: Monet. Owner Address: Mace and SIZE: SERIAL.M Model O' — /" Device: LOCATION #Zq3-621 OF DEVICE: SERVES WHAT / SYSTEM: O � ,; U;w ` 1 R Chea Nal"81 V"82 D1L Pres.Df. sber Across#1 When Relief Check Opens .T (Leaked( ) Leaked( ) _ PSI _ PSI None( ) Descxbe Repair �� � Cind dr ( ) Repair Fktal Leaked( ) Leaked( ) _ PSI _ PSI NorteTest CIM Ckm CInd ( ) Materials Wed CERTIFICATION: I hereby certify the bregoi g data W be corned and that the Wsled device Is AmdbnbV wM*t the Ids of the sW dards. FIRM NAME: / b1p9mCO.M. ADDRESS- 1633 EUSTIS STREETT STT.PALL MN.55108 BY: G CERTIFICATION : '/ PHONE: DATE: S. O INSTALL "ST O REBUILD ORIGINAL INSTALLATION DATE: DATE OF LAST REBUILD: BFPTR REV. 1118102 J me& 1633 Eustis Street SL Paul, MN 55108-1219 Companies,ML (651)645-0451 PAX:(651)642-5591 75 Years of Excelk"m htttp:llwww newmech.com m hbw 1633 Eustis Street 4715.2260 Saint Pard MN 55108-1288 BACKFLOW PREVENTER TEST REPORT Annual Tesft of (651)645-0451 DATE: / � Q 3 R.P.Z es Vald�/ Site Name* Job 8 Site Address: 6c,.5A/ moi►: ZO Contact ` Phone#: Owner: Phone#: Owrnwpj& _. Citr: Zp code: Make and SIZE: SERIAL.M MOM Of LOCATION OF DEVICE: SERVE$ SYSTEM ® r Q �� M: /C Check Valle#1 Check Valla DIE Pres.DIL Strak" Across#1 When Rdd che,* Opens -Test Lealced Lealmd PSI PSI None( Before Close (t,)— pose f� _ (2nd ( ) 3 3, 9 Describe Repak_ Leaked Le*W NOW Test close () close () — PSI — PSI ClodMaterials ` } Used CERTIFICATION: I hereby M*the foregoing data to be correct and that the tested device Is fixctlonieg within the units of the standards. FIRM NAME: / NEWMECH CO.INC. ADDRESS: 1633 EU/STIS STREET/STl./�P�A✓UL MN.55108 BY: �G �IQ-&Z/� CERTIFlC M.#: �2 PHONE: (o �f © 7 J^ .9 elyl DATE: �" �.3 REMARKS: 0 INSTALL ®'TEST 0 REBUILD ORIGINAL INSTALLATION DATE.- DATE ATE:DATE OF LAST REBUM BFPTR REV. 1118102 NewMech 1633 Eustis Street St.Paul,MN 55108-1219 Compardes,hu. (651)645-0451 FAX:(651)642-5591 75 Years of Excellence httpJh vww newmech com 1633 Ems Street 4715.2260 Salt Paul MN 55108-1288 BACKFLOW PREVENTER TEST REPORT Annual Tes*g of (651)645-0451 /} R.P.Z.VaNm - DATE: G `��" �3 A.O .>ob# �l JL5 see Address: v �►: U �D ode: 553 .ContmtDS Phone M. Owner: Phone#: Owner Ate: CBT: Zip code: Make and SIZE: SERIAL.#: Model of 35 Devim- S - LOCATION , ! OF DEME: (G SERVES WHAT SYSTEM �dQ -- Check #1 Check Valve#2 Pres.off. Pres.Ex Straite r Across#1 When Rem Check own TB&We Gose ((k Close (� _ PSI _ PSI cm ( ) Repalt Describe FW Leaked( ) Leaked( ) _ PSI _ PSI None ( ) Test Close ( ) Close ( ) cmmalleflals ( } Used CERTIFICATIM 1 hereby cm*the loregotng dais to be corned and that the testes device Is hww torfg wi tt the bft of the . HIM Wim: NEWMECH CO.M. ADDRESS: 1633 EUSTIS STREET ST.PAUL MK 55108 BY: � �� cmTIFICATION t 614;K- PHONE: 6 :s�( �s DATE: P 0PINAWCS• O INSTALL wk,'ST D REBUILD ORIGINAL INSTALLATION DATE D D DATE OF LAST REBUILD: -BFPTR P". ill= Me& 1633 Eustis Street . . St.Paul, MN 55108-1219 Companies,,.lm (651)645-0451 FAX:(651)642-5591 75 Years of Exteller" httpJ/wwwjmvnnech.com 1633 Eusft Shed 47152260 . Saint Paul MN 55108-9288 BACKFLOW PREVENTER TEST REPORT Annual of a fib%v (651)645.0451 ( / -3 R P.Z.y l DATE: Ir)OS I`C) Site Name: 6)qjo l) Job# SS sire Address: 6 � �, L `' © code: 5 s, cor> — Phone#: o- 9-- ow w. Phona#: owner Address: W. zip code: Make and SIZE: SERIAL#: Modelf r Device: LOCATION OF DEVICE: SERVES WHAT SYSTEM: Chec'kVaIve#1 Check awe#2 PreL DIE Pres.DIE stub r Across#1 When Relief Check Opens Ted Leaked LeakedBefore (Nose. (Q/� Close ( PSI Clnd ( ) Repair 3e Descrbe Final Leaked( ) Leaked( _ PSI _ PSI Nom ( ) Test Close ( ) Cl.se ( ) Clnd ( } Materials Used CERTIFICATION: I hereby cm*ft 9 data to be c"reot and that the tested device is firn ft ft v+ fire 1&rrits of the standards. FIRM NE,,.W^^N m CO.qr . ADDRESS: 1633 EIMIS STREET ST PAIR MN.55108 BY: DATE• t�7j REAAARICS• El INSTALLLEST 13 REBUILD ORIGINAL INSTALLATION DATE: DATE OF LAST REBUILD: -BFPTR REV. 1/18{02 1 C NewMech "9 SSP 2 0 2004 COMPANIES, INC. G►TY OF ORONO TO ORONO MIDDLE SCHOOL DATE: 9/17/04 ATTN: JONH OSTLUND PROJECT: BFP'S "04" 685 NORTH OLD CRYSTAL BAY ROAD LOCATION: SAME ORONO, MN. 55356 OUR PROJECT NO. 241070 WE ARE SENDING YOU: ®Attached ❑Change Order El Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ITEM REFERENCE NO.OF TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 EA. BACKFLOW PREVENTER TEST REPORTS FOR SERIAL#415449, 3 501319, 143088, & 143097. TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order. 5. For Review and Comment 10. Furnish changes in contract price,if affected, by 11. Other: REMARKS: Copy To: .,Project Manager File ! Follow-up File NewMech COMPANIES,INC. CITY OF ORONO ATTN: INSPECTIONS P.O. BOX 66 Doug Dudeck CRYSTAL BAY MN. 55323 Doug Dudeck Project Manager Ask Allik Alk ,toNslewmech r1% COMPANIES, INC 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 f R.P.Z.Valves DATE: faK Site Name: )kwo /" yCAM Job# Site Address: 2z� City: O)eo 4/0 Zip code: Contact: 19C Phone#: �P_ WP Owner. Phone#: Owner Address: City: Zip code: Make and SIZE: SERIAL#: Model ,, >,q �s �e) ? Device:: W LOCATION _ OF DEVICE: P SERVES WHAT SYSTEM: Check Valve#1 Check Valve#2 Pres.Dif. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( ) Leaked( — PSI _ PSI None( ) Before Close Close (v� Clnd ( ) Repair e Describe Repair Final Leaked( Leaked( _ PSI _ PSI None ( ) Test Close ( ) Close ( ) Clnd ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME:: NEWMECH CO. INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: (� 1 CERTIFICATION#:®� ��`�PHONE: 651-645-0451 DATE: 2-- RE MARKS: 0 INSTALL 9?TEST 0 REBUILD ORIGINAL INSTALLATION DATE: DATE OF LAST REBUILD: (� BFPTR REV. 1/7/04 f , AWL Allk 'IL ewmech COMPANIES, NG 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 DATE: R.P.Z.Valves �! � � 7 Site Name: O QI D �G Job# C Site Address: G &0 City: 61W&Q Zip code: 361 Contact: Phone#: <,-z _ _kA Ogen Phone#: Owner Address: City: Zip code: Make and SIZE: SERIAL#: Model W n Device: I�� LOCATION OF DEVICE: ` �o SERVES WHAT SYSTEM: 1�= l' Check Valve#1 Check Valve#2 Pres.Dif. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( Leaked( _ PSI _ PSI None( ) Before Close Close Clnd ( ) Repair Describe Repair Final Leaked( Leaked( _ PSI _ PSI None ( ) Test . Close O Close O Clnd ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. FIRM NAME: NEWMECH CO.INC. �ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 � � 'l P BY: �/�l CERTIFICATION#: / HONE: 651-645-0451 DATE: l�P' "( RE MARKS: ❑ INSTALL 0-4tST ❑ REBUILD ORIGINAL INSTALLATION DATE: I.LJI DATE OF LAST REBUILD: BFPTR REV. 1/7/04 'IL ewMech 't COMPANIES, NC 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 DATE: R.P.Z.Valves U Site Name: D,*eo ffn �G 4DD / Job# Site Address: 6 go1w City: 6fio&0 Zip code: Contact: Phone#: _ Owner. Phone M Owner Address: City: Zip code: Make and SIZE: SERIAL#: Model of 3 6 65 D Device: g, / LOCATION /,/� OF DEVICE: /L �i� SERVES WHAT _ SYSTEM: 4/ gal 'Check Valve#1 Check Valve#2 v Pres.DIf. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( Leaked( _ PSI _ PSI None( ) Before Close O Close OClnd ( ) Repair 21 -17 < 7 Describe Repair Final Leaked( Leaked( _ PSI _ PSI None ( ) Test . Close ( ) Close ( ) Clnd ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. FIRM NAME:: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: �L �� �7�i CERTIFICATION#: 0/64(Z PHONE: 651-645-0451 DATE! / ©`f RE MARKS: n ❑ INSTALL CT'TEST ❑ REBUILD ORIGINAL INSTALLATION DATE: "J ty//) DATE OF LAST REBUILD: C� BFPTR REV. 1/7/04 Amk AWL Ask xiewmech COMRN ES, we 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 DATE: x e; /�f� R.P.Z.Valves '� -� Site Name: �® o `�� C C Job# 6�141-1 Site Address C �� �' L City: Zip code: Contact: / Phone#: _ Owner C. Phone M Owner Address: City: Zip code: Make and SIZE: SERIAL#: MedalA A � Device:: Cid LOCATION OF DEVICE: SERVES WHAT SYSTEM: 0 r, Check Valve#1 Check Valve#2 res.Dif. Pres.Dif. Strainer Across#1 When Relief Check Opens Test Leaked( Leaked( _ PSI _ PSI None( ) Before Close �'� Close ( -6 Clnd ( ) Repair ` Describe Repair Final Leaked( Leaked( — PSI _ PSI None ( ) Test Close O Close O Clnd ( ) Materials Used CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. FIRM NAME: NEWMECH CO. INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: CERTIFICATION#: 0/0Zr PHONE: 651-645-0451 DATE: RE MARKS: ❑ INSTALL ®-TEST ❑ REBUILD ORIGINAL INSTALLATION DATE: DATE OF LAST REBUILD: BFPTR REV. 1M04 RECEIVED r%x �VewMech '\UG I 0 2005 1633 Eustis Street COMPANIES, INC. St Paul, Minnesota 55108-1219 CITY OF ORONG (651) 645-0451 Fax: (651) 642-5591 TO: Orono Middle School DATE: 8/8/05 ATTN: John Ostlund PROJECT: BFP'S 05 685 North Old Crystal Bay Road LOCATION: 795 &800 Old Crystal Bay Rd. Orono MN 55356 OUR PROJECT NO.: 351206 WE ARE SENDING YOU: ®Attached ❑Change Order ❑Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ITEM REFERENCE NO.OF TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 ea. Backflow Preventer Test Reports for Serial #415449, 143091, 143088 3 & 501319 TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery dated indicated on our Purchase Order 5. For Review and Comment 10. Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: 1. Project Manager File 2. Follow-up File AMVA4Blh COMPANIES, INC. City of Orono Att. Plumbing Inspections Jeff Glasenapp P.O. Box 66 jglasenapp@newmech. corn Crystal Bay, MN 55323 Project Manager An Affirmative Action, Equal Opportunity Employer ewme ' R OOMPANEB,NG 1633 Eustis Street 47152260 Saint Paul MN 55108-1218 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 -y r DATE: ;L88-Q r7 R.PZ Valves G V( Site Name: rQ ® S �� deal, Job# ZO SKeAddress: 5 o L er s��f3w Rp w- vrp�,ne0 tee: contac� t)9 Rn o 1,010'1. Phone#: Owner: Phone#: Oyaw Address: W. zip cwde. Make andSIZE: SERIAL.#. MOM°f �Device: wrfi 101 Li l.�rqq q LOCATION OF�cE: (3 ta, Le f Ko m SYTEMS WHAT ®` Le I pl-de, LO-P 1!✓ 'r¢✓ Check VaNe#1 Check Valve#2 Pres.Dif. Pres.M. Strallm Across#1 When Reef Check OPM _ Test Leaked Leaked Before (ase O close O — PSI — PSI CInd ( ) Rjxk Describe Repair Final Leaked( ) Leaked( ) — PSI PSI None- Test . Clow Close 2� 3.6_ CInd materials Used cERTIF�cAnav: • I hereby certify the foregoing data to be correct and that the tested device Is hindu ng within the limits of the standards. FIRM NAME: �NEOWMECH CO.INC. / ADDRESS: 1633 EUSTIS STREET ST PAUL MN 55108 BY. V J W" �r K CERTIFICATION#: a 6J PHONE: 651-645-045f DATE:, 2-5 J REMARKS: O INSTALL ;k-TEST 9REBUILD ORIGINAL INSTALLATION DATE �o® DATE OF LAST REBUILD: BFPTR REV. 117104 OO ■PAI YES!NG 1633 Eustis Street 4715.2260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 DATE: Z _ Q 5 R.PZ Valves Site Name: rV1 QJ6D®�.e �J C nT 01 Job# Site Address: ®Q ftp '�p crw= QY Q ® Zip code: contak� V obt Phone M. Owrher: Phone#: Owner Address: City: Zip code: Make and SIZE: SERIAL#: Model of 1,✓&,tT 5 of Dom: D,'Jef-- SERVES WHAT (� SYSTEM. Check Valve#1 Check Valve#2 Pres.Dif. Pres.m. Strah>er Across#1 When Relief Check Opens Test Leaked Leaked O _ PSI PSI Non� ( ) Betore Close () Close ( ) — Repair Describe Rep—airPSI PSI �� Fitted Leaked( Leaked( — — Test . Close - 9q close'� Materials -2. 3-Lf Used CERTIFICATION: I hereby certify the foregoing data to be torted and that the tested device is fia> mft within the limits of the standards. FIRM NAME: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY.. �'9ll�e -�Ie CERTIFICATION#: � PHON€: 651-645.0451 DATE. r Q V REMARKS: ❑ INSTALL 1&ZEST BUILL3 ORIGINAL INSTALLATION DATE: ®® DATE OF LAST REBUILD: BFPTR REV. UT/04 t NemMech CON S,WU 1633 Eustis Street 47152M Saint Paul MN 55108-1219 BACKFLOW PREVENTER TE �S T REPORT Annual Testing of (651)645-0451 DATE 7 – 2-8 ✓ R.PZ Valves PkN siteNarnw. /® Q, a Job# Site Address: �QQ PLO C-9 Mp COQ: ,l coma ��� P 6 - u Owner: ' Phone#: Owner Address: City: Zip code: and SIZE: �� SERIAL#: Mom°f w�•t TS Q 0% MOW 3 W DevlmLOCATION of DEVICE: �Ld, Q(OM SERVES WHAT �.. SYSTEM: fCc /M Check aloe#1 Check Valve#2 Pres.ME Pres.Of. Strainer Across#1 When Relief Check Opens Test Leaked( Leaked( _ PSI _ PSI None( ) Before Close ( ) close ( ) and ( ) Repair Describe Repair Final Leaked( Leaked( PSI PSI None Test Close p$, Close — — Cind ( ) NhtWals Used CERhFicKnom I hereby certifjr the foregoing data to be correct and that the tested device Is fi wdmft within the bft of the standards. FIRM NAME: dN,EWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55106 BY: 4 ("`� CERTIFICATION#: PHONE: 651-645-045T DATE: ' REMARKS• qq ❑ INSTALL9 EST ATI UILIJ ORIGINAL INSTALLATION DATE d^� DATE OF LAST REBUILD: OS BFPTR REV. 117/04 o _ R Vc OMP y V B�� G 1633 Eustis Street 47152260 Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT Annual Testing of (651)645-0451 / R.PZ Valves DATE: �P�'�'�U Site Name: rone SGKQQL Job# c3 �I ;Wco Site Address: 0.Q Q Q L t9 C Jj1,a.G �Jc� 111 ' l"�i� ZIP cwe- .Contact Q K vt Q 5 cr"n p Phone#: owner: Phone M Owner Address: Cityy. ZO code: Make and Model Of we.,-.-f-r5Devlm 0 r SIDE: S Lf rWHON OF DEVICE: go,-wPP SERVES WHAT SYSTEM: U`W,( W? v,%vTaf Check Valle#1 Check valve#2 Pres.Mr. Pres.Dil SlnM Across#1 When Relief Check Opens Test Leaked( Leaked( _ PSI _ PSI None( ) Betore Close ( ) Close ( ) Cind ( ) RepaIr Res«MeOU.,Lp Final Leaked( ) Leaked( ) _ PSI _ PSI Nate 1.4 Tek . Close Close � J cind ( ) Materials tiled - CERTIFCAMM: I hereby certify fto forWft data to be coned and that ft tested device Is Uwft g within ft W&of the slandards. FIRM NAME: NEWyMQECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: r�� 6�'�UE�l CERTIFICATION#: �'��� PHON€: 651-64y-0451 DATE; o�-Qj—Q REMARKS• O INSTALL A-TEST BUILIJ ORIGINAL INSTALLATION DATE 2O00 DATE OF LAST REBUILD: BFPTR REV. 117/04 RECE,V�® 1633 Eustis Street AUG 4?049 NEWMECHSt Paul, Minnesota 551 0,tb, COMPANIES, INC. (651)645-0451 Fax: (651)642-559 ISO An Affirmative Action, Equal Opportunity Employer TO: Orono ISD#278 DATE: July 30, 2009 Justin McCoy PROJECT: Orono School RPZ 685 Old Crystal Bay Road N LOCATION: Orono, MN Long lake. MN 55356 OUR PROJECT NO.: 392928 WE ARE SENDING YOU: NAttached ❑Change Order ❑Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples ❑Purchase Order No. ITEMREFERENCE.. NO'd TRANSMITTED NO. SECTION NO. CbPI $ bts RkP QN AND REFERENCE DATA P'ER�bE 1 1 Bac'. REI:OW kflow Preventer Test Report for Serial#501319 3 2 1 Backflow Preventer Test Report for Serial#415449 3 3 1 Backflow Preventer Test Report for Serial#143091 3 4 1 Backflow Preventer Test Report for Serial#143088 3 TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order 5. For Review and Comment 10.Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: 1. Project Manager File 2. Follow-up File NewMech Companies, Inc. City of Orono Jack Zimney, Project Manager N E WE C H COMPANIES, INC. 1633 Eustis Street St. Paul, MN 55108-1219 51) 645-0451 Fax: (651) 642-5591 BACKFLOW PREVENTER TEST REPORT DATE: 9-0 9 Site Name: Orono Middle School Job# Zip Code: Site Address: 800 Old Crystal Bay Rd City: Orono 55356 Contact: John Ostlung Phone#: 612-919-1769 Owner: SAME Phone#: 952-449-8314 Owner Address: City: Zip Code: Serial#: Make/Model of Device:Watts 909 QT Size: 1" 501319 Serves What System: Boiler Make Up Water Location: Boiler Room Ck Valve Pres. Dif. Across Pres. Dif. when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked ( ) Leaked ( None ( ) Test before Repair Close -' Close PSI PSI Clnd Describe Repair t Final Test Materials Leaked ( Leaked ( ) None Used Close Close PSI PSI Ond CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: NewMech Companies ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY: CERTIFICATION#: PHONE: 651-645-0451 DATE: REMARKS: ( ) INSTALL TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 NEWMECH COMPANIES, INC. 1633 Eustis Street St. Paul, MN 55108-1219 (651) 645-0451 Fax: (651) 642-5591 BACKFLOW PREVENTER TEST REPORT DATE: r f -6" �11 , ry j"d Site Name: Orono Middle School Job# 3�12— Z 7w— Zip Code: to Address:$WOld Crystal Bay Rd City: Orono 55356 fWcls 4,12 - 9/`9 '/ ?;P,' Contact: Phone#: Owner: SAME Phone#: 952-449-8314 t Owner Address: City: Zip Code: Serial#: \ Make/Model of Device:Watts 909 Size: W 415449 Serves What System: Boiler Make Up Water Location: Boiler Room u%l Ck Valve Pres. Dif. Across Pres. Dif. when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked ( ) Leaked ( None ( ) Test before Repair Close Close PSI PSI Clnd Describe Repair \� Final Test Materials Leaked ( Leaked ( None �1 Used Close Close PSI PSI o Clnd VV CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: NewMech Companies ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY: CERTIFICATION#: Aa� PHONE: 651-645-0451 DATE: r®'IV REMARKS: lo,( ) INSTALL'XE ST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 Adik r*44%4*% NEwMECH COMPANIES, INC. 1633 Eustis Street St. Paul, MN 55108-1219 (651) 645-0451 Fax: (651) 642-5591 BACKFLOW PREVENTER TEST REPORT DATE: Site Name: Orono Middle School Job#26t2tT2'7 Zip Code: Site Address: 800 Old Crystat Bay Rd City: Orono 55356 Contact: John 0stlyng Phone#: 612-919-1769 Owner: SAME Phone#: 952449-8314 Owner Address: City: Zip Code: Serial#: Make/Model of Device: Watts 009 M2QT Size: 2" 143091 Serves What System: Lawn Irrigation Location: Boiler Room Ck Valve Pres. Dif. Across Pres. Dif. when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked ( ) Leaked ( None ( ) Test before Repair Close Close PSI PSI Clnd Describe Repair Final Test Materials Leaked ( Leaked ( GA None�— Used Close Close PSI 1, PSI Clnd CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NM AME: NewMech Companies ADDRESS: 1633 Eustis Street St. Paul N 55108 BY: At> CERTIFICATION#: M(,,? PHONE: 651-645-0451 DATE: ? Q REMARKS: ( ) INSTALL (TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2006 Ak r#t'% NEWMECH COMPANIES, INC. 1633 Eustis Street St.Paul,MN 55108-1219 (651) 645-0451 Fax: (651) 642- 5591 BACKFLOW PREVENTER TEST REPORT DATE: Site Name: Orono Middle School Job# �J Zip Code: Site Address: 800 Old Crystal Bay Rd City: Orono 55356 Contact: John Ostlung Phone#: 612-919-1769 Owner: SAME Phone#: 952-449-8314 Owner Address: City: Zip Code: Serial#: Make/Model of Device: Watts 909 QT Size: 2" 143088 Serves What System:Irriation Location: Boiler Room Ck Valve Pres. Dif. Across Pres. Dif. when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked ( ) Leaked ( None ( ) Test before Repair Close Close PSI PSI Clnd 7-- Describe Repair delt Final Test Materials Leaked ( Leaked ( None ( ) Used Close Close PSI d— PSI Cind CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: NewMech Companies ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY:� �N�f-z CERTIFICATION#: &Z�t;. PHONE: 651-645-0451 DATE: - REMARKS: ( ) INSTALL TEST ( )REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 ` COR VA L GROUP RECEIVED dul 30 2010 CITY OF ORONO 1633 Eustis Street, St Paul, Minnesota 55108-1219 (651)645-0451 Fax: (651)642-5591 An Affirmative Action, Equal Opportunity Employer TO: Justin McCoy DATE: July 28, 2010 ISD 278 Orono Schools PROJECT: RPZ Testing 685 Old Crystal Bay Road LOCATION: Orono H.S. & Orono M.S. Orono, MN 55356 OUR PROJECT NO.: 131048 WE ARE SENDING YOU: ®Attached ❑Change Order ❑Specifications ❑Shop Drawings ❑Under Separate Cover ❑Copy of Letter ❑Prints ❑Request for Change ❑Thru Messenger ❑Plans ❑Samples []Purchase Order No. ITEM REFERENCE NO.OF TRANSMITTED NO. SECTION NO. COPIES DESCRIPTION AND REFERENCE DATA PER CODE BELOW 1 1 Backflow Preventer Test Report for Serial # 501319 3 2 1 Backflow Preventer Test Report for Serial #415449 3 3 1 Backflow Preventer Test Report for Serial # 143091 3 4 1 Backflow Preventer Test Report for Serial # 143088 3 TRANSMITTAL CODES: 1. For Acknowledgment 6. Approved as Submitted 2. For Approval 7. Approved as Noted 3. For Your Use 8. Resubmit Copies for Approval 4. As Requested 9. Release for production as per delivery date indicated on our Purchase Order 5. For Review and Comment 10. Furnish changes in contract price,if affected,by 11. Other: REMARKS: Copy To: 1. Project Manager File 2. Follow-up File CityofOrono CorVal Group, Inc. '1ackZimney/P..X vJ . CORVA L GROUP BACKFLOW PREVENTER TEST REPORT DATE: Site Name: Orono Middle School Job# Site Address:800 Old Crystal Bay Rd City: Orono Zip Code: 55356 Contact:John Ostlyng Phone#:612.919.1769 Owner: ISD 278 Orono Schools Phone#: 952.449.8345 Owner Address:685 Old Crystal Bay Road City: Orono Zip Code: 55356 Make/Model of Device: Watts 909 QT Size: 1" Serial#: 501319 Serves What System: Boiler Make-up Water Location: Boiler Room Ck Valve Pres. Dif.Across Pres. Dif.when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked( ) Leaked( None( ) Test before Repair Close Close PSI PSI Clnd Describe Repair Final Test Materials Leaked( Leaked ( None_(X Used Close Close PSI PSI Cind CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY: CERTIFICATION#: PHONE: 651-645-0451 DATE: ' 19 , / 0 REMARKS: ( ) INSTALL ( ) TEST REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: een lO „ z BACKFLOW PREVENTER TEST REPORT DATE: Site Name: Orono High School Job# Site Address: 795 Old Crystal Bay Rd City: Orono Zip Code: 55356 Contact: Ed Glover Phone#:612.919.1778 Owner: ISD 278 Orono Schools Phone#:952.449.8345 Owner Address:685 Old Crystal Bay Road City: Orono Zip Code: 55356 Make/Model of Device: Watts 909 Size: %" Serial#: 415449 Serves What System: Boiler Make-up Water Location: Boiler Room Ck Valve Pres. Dif.Across Pres. Dif.when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked( ) Leaked( None( ) Test before Repair Close Close PSI PSI Cind Describe Repair Final Test Materials Leaked ( Leaked ( None( ) Used Close Close I PSI PSI TClnd CERTIFICATION: 0916 y- ;5.5 I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY: CERTIFICATION #: PRONE: 651-645-0451 DATE: REMARKS: ( ) INSTALL ( ) TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 O\ r. . BACKFLOW PREVENTER TEST REPORT DATE: Amw --c&- :F' /�) Site Name: Orono Middle School Job# Site Address: 800 Old Crystal Bay Rd City: Orono Zip Code: 55356 Contact: John Ostlung Phone#:612.919.1769 Owner: ISD 278 Orono Schools Phone#:952.449.8345 Owner Address: 685 Old Crystal Bay Road City: Orono Zip Code: 55356 Make/Model of Device: Watts 009 M2QT Size: 2" Serial#: 143091 Serves What System: Lawn Irrigation Location: Boiler Room Ck Valve Pres. Dif.Across Pres. Dif. when Ck Valve#1 #2 #1 Ck relief opens Strainer _ Leaked(4 Leaked None ( Test before Repair Close Close PSI PSI Clnd Describe Repair Final Test Materials Leaked ( Leaked( ) c,� Non Used Close Close PSI / Y� PSI Clnd ) CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St. Paul MN 55108 BY: CERTIFICATION#: PRONE: 651-645-0451 DATE: �r Z��6 REMARKS: ( ) INSTALL ST ,( EBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: -7`/'q `0 CORVALGROUP" BACKFLOW PREVENTER TEST REPORT DATE: Site Name: Orono Middle School Job# 1,31 L-M Site Address: 800 Old Crystal Bay Rd City: Orono Zip Code: 55356 Contact:John Ostlung Phone#:612.919.1769 Owner: ISD 278 Orono Schools Phone#:952.449.8345 Owner Address:685 Old Crystal Bay Road City: Orono Zip Code: 55356 Make/Model of Device: Watts IM OT ir� Size: 2° Serial#: 143088 Serves What System: Irrigation Location: Boiler Room Ck Valve Pres. Dif.Across Pres. Dif.when Ck Valve#1 #2 #1 Ck relief opens Strainer Leaked ( ) Leaked ( None( ) Test before Repair Close Close PSI PSI Clnd Describe Repair Final Test Materials Leaked ( Leaked ( ® None{ Used Close Close P I PSI PSI Clnd CERTIFICATION: I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. FIRM NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St.Paul MN 55108 BY: CERTIFICATION#: PHONE: 651-645-0451 DATE: ���� �� REMARKS: ( ) INSTALL ( ) TEST KREBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 20O5'-7'/,.F—/-0