HomeMy WebLinkAboutRPZ tests ,7O�ct. 14. 2014:12:46P _ Wenzel Plumbing ysAo. 2610— 'P. 16
RPZ TEST/REBUILD REPORT
1959 ShawneeRoad, Suite 130,Eagan,MN 55122
(1-n2 .
EVICE ADDRESS I Woo raid di7'54,( P., ea I
SERVICE NAME 1 tt 4 $ ;i7h L 67q• CONTACT PERSON [lad d joy .�
TELEPHONE I 647-446z -HSL fe 1
BILLING ADDRESS ( 3410 Al Q"6.4-71 II `,i' Wk., (
CITY1611-e)kwl
STATE,ZIP CODE I ►f
DEVICE LOCATION 1 42,4,0./f & - (
DEVICE SERVES WHAT SYSTEM I // _ -
SERIAL NUMBER I .3 F6 4/57-` 1 TEST YEAR
MAKE I iii/.' A.4/5 ( 1st
' $ODBCiizE L 77 -.-,Y4J I 2nd
3rd
r
� a - I I
INSTALL DATE I /o/e/9eW - ( � 4th
rRECK VALVE#174-1REBUILD
CIRCE VALVE#21— z,/(New Install
PRESS. DIFF.ACROSS #1 6
PRESS.DIFF.ACROSS#21 j ( Test Date: /9// ,c5/9
PRESS. Dlkk'. RET.TET+ OPEN1.5.
Describe Repair: "i'et A0
FREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT TEE TESTED DEVICE IS
VIINCTIONING WITHIN TEE LIMITS OF THE STANDARDS
r- BY: Brook Danner CERT.# 32901BF
j
May. 7. 2015 2:32PM Wenzel Plumbing No. 4442 P. 2
WENZ[ L
L 0 1. RPZ TEST/REBUILD REPORT
PLtJMMF I NG
1959 ShawneeRoad,Suite 130,Eagan,MN 55122
TWICE ADDRESS 11000 Old Crystal Bay Road, Orono
SERVICE NAME LIFT STATION/INTERCEPTOR
CONTACT PERSON ITODD JONES,ENVIRONMENTAL SERVICES
TELEPHONE (651) 6024528
BILLING ADDRESS 390 NORTH ROBERT STREET
CITY ST. PAUL
STATE,ZIP CODE MINNESOTA, 55101
DEVICE LOCATION 1L59 --_J
DEVICE SERVES WHAT SYSTEM �ju,L.1,144
SERIAL NUMBER 3898 TEST YEAR
MAKE _ W i 1(ci 9 / 1st
-,LODEL q75 XLI 2nd
SIZE -'la " 3rd
INSTALL DATE I 4th
CHECK VALVE#11 / I I REBUILD
CHECK VALVE#21-741 I New Install
PRESS.DIFF.ACROSS#1 EMII
PRESS.DIFF.ACROSS#2 APE Test Date: i/. 1(15--
PRESS.
(fPRESS. DIFF. RELIEF OPEN 3.
Describe Repair:
HEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING WITHIN THE LIMITS OF THE STANDARDS
BY: Brook Danner CERT.# 32901BF