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Backflow preventer test reports
CORVAL GROUP`M 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 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 ( ) Leaked ( ) None ( ) Test before Repair Close ( ) Close ( ) PSI PSI Clnd ( ) Describe Repair Final Test Materials Leaked ( ) Leaked ( ) None (4. Used Close O Close V.) 7 6( PSI 3.O 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: I eid CERTIFICATION#: 0 G'‘,;23S-- PHONE: 651-645-0451 DATE: I b / 3 REMARKS: ( ) INSTALL (3 TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: '21396-, 7-/7—(96)V CORVAL 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 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 Ciiaotve 4-0 Make/Model of Device: Wattp C1 C' /17 Ov 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 Closelb,.4 Close 0e) O•(PSI 0.5 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: 1 • ' CERTIFICATION#: e)6��3,( PHONE: 651-645-0451 DATE: )0 c9c2— l3 REMARKS: ( )INSTALL (*-TEST ( )REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: " 565' 7-/ " 0 CORVAL GROUPT^' ose �� BACKFLOW PREVENTER TEST REPORT DATE: 7- iy Site Name: Orono Middle School Job# /l/ 36 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 l Ji7.z Make/Model of Device: Watts989'QT 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 //2PSI 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: i ,, CERTIFICATION#: 06,e2:: PHONE: 651-645-0451 DATE: 7-22, REMARKS: ( ) INSTALL ST () REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 — �d/O CORVAL GROUP' ^BACKFLOW PREVENTER TEST REPORT DATE: / Z-,4/ Site Name: Orono Middle School Job# / 2 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 ( ) Leaked ( ) None ( ) Test before Repair Close ( ) Close ( ) PSI PSI Clnd ( ) Describe Repair Final Test Materials Leaked ) Leaked ( ) /�_ None*s)-- Used Close ,( Close ,�}"' I ' SI 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: 4i# / ERTIFICATION#: e2.1" 1/439®tom=- PHONE: 651-645-0451 DATE: 7-22 �V REMARKS: ( ) INSTALL ST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2006 "2eVO CORVAL GROUPT°" BACKFLOW PREVENTER TEST REPORT DATE: 7-2_2— 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 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 Used Close < Close Ali s, 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 Ed,VA-- CERTIFICATION #: 7649O " PHONE: 651-645-0451 DATE: 2-.a--//z/ REMARKS: ( ) INSTALL (LEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: 2005 RO P'"' 100 CORVAL G U 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 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 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 openp Strainer Leaked ( ) Leaked ( ) � ` i-t cNone ( ) Test before Repair Close ( ) Close ( ) PSI PSI Clnd ( ) CI r+eg0 Describe Repair re/,rt" Final Test Materials Leaked ( ) Leaked ( ) None ('j Used Close (1) Close ( 4 7, I PSI 3,OPSI 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: J T.'Qc0 CERTIFICATION#: L 66,,;23 S PHONE: 651-645-0451 DATE: J C) _ ? — 1 J REMARKS: C I-ect n e rt) i, ( )INSTALL WEST ( )REBUILD ORIGINAL INSTALLATION DATE: 2000 DATE OF LAST REBUILD: -2005 7-)q -10 �e� h 1633 Eustis Street �S St Paul, Minnesota 55108-1219 (651)642-5585 Fax: (651) 642-5892 TO: Orono Middle School DATE: 8/21/06 ATTN: John Ostlund PROJECT: BFP'S"2006" 800 Old Crystal Bay Road LOCATION: Same Orono, MN 55356 OUR PROJECT NO.: 361202 WE ARE SENDING YOU: ®Attached ['Change Order ['Specifications ❑Shop Drawings DUnder Separate Cover ['Copy of Letter ['Prints ['Request for Change ❑Thru Messenger ['Plans ❑Samples ['Purchase Order No. ase P d ^ ) � fig¢` a 3 a 1q 3 a 1 1 Backflow Preventer Test Reports for Serial#143091, 143088& 3 501319 at 800 Old C stal Ba Road 1 1 Backflow Preventer Test Report for Serial#415449 at 795 Old Crystal 3 Ba Road 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 ArD11 COMPANIES, INC. City of Orono Attn: Plumbing Inspections Jeff Glasenapp P.O. Box 66 jglasenapp@newmech. com Crystal Bay, MN 55323 Project Manager An Affirmative Action, Equal Opportunity Employer & NowMoth 1633 Eustis Street • Saint Paul MN 55108-1219 • BACKFLOW PREVENTER TEST REPORT 47152 (651)645-0451 / Annual Testing260 or DATE: �'—{0 0 6 R.PZ Valves Site Name: 0AOA/0 /'1 ZO IE -.S CLHOO 1 .,ob# . Site Address: It, 00 O(V cry sj 1 64y RO, ab D R ONO Zip code:S - . 3Oh n o STI vrk g Phone#: h i a- R I i- !i 6 Owner: - S 4. , Phone#: gcam- iii i c eo31 Owner Address: S Ain E CRY: ©RQ NO Zip code: - Make and • sly � � SERIAL#:o aA� QT it tte.e/ - .1 -30 t 1 LOCAYION OF OEYK:E: r & Ie( oeo SERVES WHAT -1 L (. ../n 7 e r 1 g ct+ h. SYS1T=Ik Check Valve#1 I Check Valve#2 Pres.DK Pry,pif. Steer Acnes#1 When Relief Check . OPens BBefore Close est LeakedO Close LeakedO -- PSI — PSI None( ) and Repair ( ) Describe Repair - final Leaked( ) - ) Close ( ) Close Leaked( ) — PSI PSI None(( ) ) MaterialsCktd Used - CER1IF9CATION: I hereby cel*the foregokv data to be correct and that the tested device is funcioning vain the Nnits of the standards. FIRM NAME: NEWMECH CO.INC. - ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 BY: t tliVl. 13 o U dive 'J-y CERTIFICATION#:-1 6,T PHONE: 651-645-0451 DATE Cd•.,.t•o—O C7 REMARKS: kulier i e v71 --d—k-.4- o INSTALL S.-TEST )(RFBUILD ORIGINAL INSTAi1ATION DATE -r-/ ,zs-"o2 O O 6 - . . - . . DATE OF LAST REBUILD: _ /0-,00 6 BFPTR REV. 917/04 - • &% NowMoth OON' ,m 1633 Eustis Street Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT 47152260 (651)645-0451 '�/ DATE: ` 37-0 - R V of alves Site Name: ORO, i /0/4' (e s Job# 361 _oa... t� . Site Address: 500 6 /t CP ,QQ� city: �� Rd 04'0 h 0 Zip code: Zo A. 05/OA .. Phone#: 15 —111q ` f3/ y Owner: • Phone it: Owner Address: City: Make and • Zp code: SIZE: SERIAL#: s 9O? QT • a `t . . PI 3 0 ' OF DEVICE: '/er (oo" I OF oEv�cE 4` SERNES WHAT , SYSTEM r `� 60 . Check valve#1 Check Valve#2 Pres.DX Pte,DiL Strom • Across#1 When Relief Tes! Checks Leaked Leaked Before Close - ._ PSI None O Repair 3 . $ ( ) : . Final Leaked • Test . . () Cl () — ._ Psl aria ( ) Used - -:ERtIFiCATIOR . hereby moi+the g data to be correct and that the tested device is functioning within the limits of the stands*. IRM NAME: NEWMECH CO.INC. - ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 Y: w x'11 C@ v jA erfy CERTIFICATION#: -7 6 i T PI : 651.645-0451 ATE - REMARKS: INSTALL - ST 0 Rpm') ORIGINAL INSTALLATION DATE ZO 0 - - - - DATE OF LAST REBUILD: 00.5--- PTR REV. i/7/04 & NowMoth COMP�I�S,m 1633 Eustis Street Saint Paul MN 55103.1219 BACKFLOW PREVE TEST REPORT 4715.2260 (651)645-0451 _ Annual Testing of DATE: W. 3 ° 6 R Valves Site Name: 0h0476 i`t e S'cAOO Job# 36/ RO . Site Address: V© 010 Cr s1 _ bci Rd Cly: Qron O Zip code: Z—o iin OS /vn Planed': - Owner: ' Phone#- • Owner Address: e and bp code: SIZE: SERIAL#: fiodel of kis 7o QT. • I `` Sol 31 LOCATION OF DEVICE: a f f ib() SERVES WHAT SYSTEM: 0 1 ' 1 Au . • U 4 L✓k e r Check Valve#1 Check Valve*2 Pres.DX P esj*. Strainer Across#1 When Relief Check I . - Before Close O Cbse AO PSI • Describe Final Leaked( ) T� . Close ( ) Close Leaked( ) '_ _ PSI ( )) Materialsand Used - . ERTIFICATION . herebY cerfrfy the foregoing data to be correct and that the tested device is func6onit0 mein the emits of the standards. _IRM NAME: NEWMECH CO.INC. • ADDRESS: 1633 EUSTIS STREET ST.PAUL INN.55108 A ��11 .i :Y: 'EAR/Oov e0`fx CERTIFICATION#: 6 G r PHONE: 651-645-0451 V ATE; `3 `O REMARKS: I INSTALL 'ST ❑ REBUILD ORIGINAL INSTALLATION DATE oZO Q 0 • DATE OF LAST REBUILD: o2OO�� PTR REV. 117/04- &% NowMoth 1633 Eustis Street Saint Paul MN 55108-1219 BACKFLOW PREVENTER TEST REPORT 4715.2260 A (651)645-0451 — Testing of DATE: . 3-0 6 RP-Z Valves Site Name: OP OA/0 i / ' S CAO• 'lob# 3 z0 Site Address: `l S o hd cry.5 ill d sy 1&, `lb': 0(=Zoi1/o zip code: .c«>tac So h h OsS [ v n J Ph.ii: q,oZ.- l l 9 - 3 4t Owner: • Phone#: Owner Address: Ckr: Make and code: SVE: ytt( SERIAL#: , - ...., LOCATION < < �( ` OF DEVICE: oder , coop-, SERVES WHAT . SYSTEM: t, ` e i .4 ' ♦ - V / K/ `t.1-e r - Check Valve#1 Check ante#2 Pres.Did Pres..Dif. Strainer • Amoss#1 When ReIlef Check Test Leaked( ) Leaked ) PSI OPens Before Gose ( ) .7,6 c .L__ P31None( ) �1 o cha ( ) Describe . R • Falai Leaked• () Close () — _ PSI allone d ( ) used - ( ) MaterialRTIFIGATIOR hereby certify the ng data to be and that the tested device is functlor ing within the tints of the standabs. IRM NAME NEWMECH CO.INC. - ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 Y: _ 3_ 0 6 CERTIFICATION#: 7 6 67- PHONE: 651-645-0451 • • A •TE t —3--ob-6 REMARKS: INSTALL TEST 0 REBUILD ORIGINAL INSTALIATION DATE 2_0 C) 0 • _ - • _ DATE OF LAST REBUILD: eZ G O s • PTR REV. 9/7104