The URL can be used to link to this page

Home My WebLink AboutBackflow preventer tests MECHANICAL CONTRACTORS ST. PAUL, MN 122 S.Wabasha St.Suite 101, St.Paul,MN 55107 Office 651-777-0001 Fax 651-602-9296 REDUCED PRESSURE BACKFLOW PREVENTER TEST REPORT AND TESTABLE DOUBLE CHECKS Service Name: Met Council Contact Person/Tele: Chuck Lamere Address: 1000 Old Crystal Bay Rd. City: Orono State: MN Zip: Device Location:L59 (main room) Serve what system: Well Account Number: Serial Number: 1229419 Type: RP Make: Watts Model: 909 Size: 1 1/2" Install Date: Unknown Air Gap Installation Date: Rebuild Date: 6/21/2017 Test Date: 6/21/2012 rebuilt Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve Report Pressure 7.6 Pressure 5.2 tight Opened at 3.6 psid reduced pressure. Did not open❑ ❑ Cleaned ❑ Cleaned ❑ Cleaned ❑ Replaced ❑ Replaced ❑ Replaced R ❑ Disc ❑ Disc ❑ Disc, Upper E ❑ Spring ❑ Spring ❑ Disc, Lower P ❑ Guide ❑ Guide ❑ Spring A ❑ Pin Retainer ❑ Pin Retainer ❑ Diaphragm, Large I ❑ Hinge Pin n Hinge Pin ❑ Lower R ❑ Seat ❑ Seat E Upper ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small S _ ® Other, describe ® Other, describe _ Lower 5-Year Rebuild Kit ❑ Upper ❑ Seat: ❑ Lower ❑ Upper ❑ Spacer, Lower ❑ Other, describe [ ] Sign and date Tag The above is certified correct. Signed DateTested 6/21/2012 Tested by (Print Name) SWwV Pei .rSOn' Certification Number 063817BF License Number 058169PM C.:k FCFiv eb * REDUCED PRES UR BACKFLOW PREVENTER TEST REPORT d ESTABLE DOUBLE CHECKS 0/i � czritikm If Service Name: ` - € l Contact Person/Tele: 1 ?.s S J-__1222_ -/ Address: /UQQ) v/I CSS 4,111,7((City: (9 c dState: /Clii)M Zip: Device Location: Z-, Serve what system: Account No: Serial Number: / r A / L//I Type: Make: Model: 9f 1j C.i 1 Size: / 1.2- Rebuild 2Rebuild Due Date: 2' 0 /•°1— Test Due Date: Annual Check Valve#1 Check Valve#2 cc// Differential Pre ure Relief Valve Report Pressure 7- .2. Pressure T• Opened at j psid reduced pressure. Did not open Cleaned Cleaned Cleaned Replaced Replaced Replaced R Disc Disc Disc E Spring Spring Spring P Guide Guide Guide A Pin Retainer Pin Retainer Diaphragm, Large I Hinge Pin Hinge Pin Lower R Seat Seat Upper S Diaphragm Diaphragm Diaphragm, Small Other, describe Other, describe Lower Upper Spacer, Lower Other, describe f ,' ] Sign and date Tag The above is certified correct. Signed y......./< ,� k-__ - DateTested: 5--- 3- // Tested by (Print Name) t � 1 , `(�aCertification Number a✓t2C1 T1sic Company Name: G\C ( kLt II Q.i/t,. '10,„�- License Number 0 606 ! LIPel/ Company Telephone Number 3\ Q-. 01 a-T All sections of this report must be completed. Return to: Saint Paul R- ; nal Water Services • ATTN: Lynda -re '•do- Production ',AL 1900 Rice Saint Pau , MN 55113 Return with fee: Payable to the Board of Water Commissioners 520 Front Avenue ii) 0 0 LS) 9 St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City Zip pee) Ott) Cittc-rer-f Ulf 40 Owe Na Owner Contact Name Telephone /V161- eAclreIt Location Sys em Served L- 59 frT* C-c- opt Makedel Serial Siz Atm o� l 122`3t/fq g'/Z Install Date Rebuild ue Date -2_0°? /012 RP Check Valve#1 Differential Pressure Relief Valve ( Check Valve#2 Assembly Leaked Opened at '/, Z- psid Leaked Closed S./ Did not open Closed /, Z co cc a a w cc '/ — Final Closed S,-I Opened at ', Z 4 psid Closed , - Test reduce pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cc a a w cr Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at co CC CL w o= Final Closed Opened at Test Comments/Notes: Sign and Dat- tag i7 Certified Correct. Signedf/( Date Tested: - 5 O G Tested by (Print Name) /4 e Certification Number 02-£(S 1 White-City Yellow-Customer Pink-Office RFc��V 520 Front Avenue D 0 0 D)Y' Rely Fp St. Paul, MN 55117 no , 1 ?00? Ph: 651-487-1061 MECHANICAL SERVICE pF oliaFax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address 1060 Old p City Zip C2r{,�„ ct i� �D O LDt v Owner 0 / Contact Name Telephone t 1 Cdr pct C Loc0oSys m Served LL �"j l C F (A"% Make Model Serial Size iwkfI5 909 122`0 4 9 1 �/z Install ate/ Rebuild Due Date 5 /$ ©? 'lo I Z R / Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at psid Leaked Closed Did not open Closed cc w c Final Closed ' =Z Opened at 1; 0 psid Closed 2 , Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed in cc a a Lu m Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc a a w cc Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signed Date Tested: 5 lig 0-7 Tested by (Print Name) ii;b4- JL- ° ' "'11-6 Certification Number 467 -r White-City Yellow-Customer Pink-Office 520 Front Avenue Li) O OjJ)f' St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City Zip /0 0' OLD C/1y57-A- r��4if KO a - la, _ Owner Contact Name Telephone /tier C00,0 C f C Location System Served L P0TAixe cd rn Make Model Serial Size. Gcl,47Ttj Jeq 12Z 95<<I/ /"2_ Install D to Rebuild Due Date �f,f/ r7 20/Z RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at psid Leaked Closed Did not open Closed - -- w // Final Closed cP r ( Opened at ; 0 psid Closed Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cccc w w Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at co cc w cc Final Closed Opened at Test Comments/Notes: Sign and Date tag /7 Certified Correct. Signed Date Tested: 'S1)9/0 Tested by (Print Name) 1:2A.3L Al4ite _ Certification Number 02'W-1-- White-City 2`W–TWhite-City Yellow-Customer Pink-Office )y 520 Front Avenue D O O D St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 I BACKFLOW PREVENTER TEST REPORT Address City OQOA)Q Zip j 0 Oxo allo 0l2CkI f1XQ RQ -C-444.--b-A4 Owner Contact Name Telephone /1/1&T. CG,,,NCl L Location Sy tem Served L (vv P6 c- w a x Make Model Serial Size 1.4.-)A Tr-544Z 282.4/ l ./ Inst�ILD�at�e Fjtbuill' Due Date RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at psid Leaked Closed Did not open Closed cc a w w Final Closed 6 r 6- Opened at L/ 2_- psid Closed '. 4 Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cc a a w m Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at 0) cc a a w cc Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signed Date Tested: 5/1/4 9 Tested by (Print Name) ler.4011 /4'- L6 Certification Number 4'2-V5Y-7 White-City Yellow-Customer Pink-Office 520 Front Avenue ii) it O LS)1/' St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City Zip /000 Ot/) ClotsTRt.. 13,44/ 21) Crn.v,,Jct Owner me-i CovPc/L Contact Name Telephone Location Syslprn Served L—5e7 f 7e-7 ,Lc- M�R TSde� Serial Size G IZZ75(/ 9 / 17z Install Date Rebuild.,D�eDate 7 20 G RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at 3 •' psid Leaked Closed 1 (o Did not open Closed (--/ co cc a w tr Final Closed 1, ,i, Opened at 3. psid Closed II, Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed 0D cr w 2 Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc a riw w I Final Closed_ Opened at Test Comments/Notes: C LLQ l" � CAL E Fncr //��r;^ /2 LL(C-P- Sign and Date tag Certified Correct. Signed Date Tested: 4' / /42 Tested by (Print Name) / -/YL / 1 $ ( Certification Number az-467"r White-City Yellow-Customer Pink-Office