HomeMy WebLinkAboutRPZ test report ° ;Jun. 6. 2016. 1,: 35PMI Wenzel Plumb I ng No. 7438 P. 1
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RPZ TEST/REBUILD REPORT
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19p,Shaw-neeRoact,Suite 130,Eagan,MN 55122
DEVICE ADDRESS I )0Q p 01-p gifaiSt4/
SERVICE NAME 1 4 air,.. .7/ b S° / /i1Jr G.t 4.,
CONTACT PERSON 1 Ocic t .-T-701').41 S. I
TELEPHONE I L-- 6,02-~ VS'2-g'
BILLING ADDRESS 1 3 Se, /fArrrii. p11
CITY I 9/.y,
STATE,ZIP CODE . 7 SO-70 1 _____I
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DEVICE LOCATION I G -. Siy
DEVICE SERVES WHAT SYSTEM, j ,lam. —1
SERIAL NUMBER 13094c/8/ TEST YEAR
MAKE w i L/GlxiS I I 1st
MODEL 97 S' 2nd
it 7_,) I / I I 3rd
INSTALL DATE I AM I I 4th
CHECK VALVE#1
I REBUILD
CHECK VALVE#2 —I New Install
PRESS.DIFF.ACROSS 41 CILIA
PRESS.DIFF.ACROSS#21-7,Q I Test Date: 7,*/,‘
PRESS.DIFF, RELIEF OPENS,y Guage Callibratioli Date:
LINE PRESSURE /)c).
Describe Repair: Iki. /zz.,,(ca
mREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FTINCTIOMNCY WITIIIN THE LIMITS OF THE STANDARDS
BY: Brook Danner CERT.# 29167 /4
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