The URL can be used to link to this page

Home My WebLink Aboutbackflow preventer tests , A RECEIVED • :; MECHANICAL JUN 29 2012 -i' 4 CONTRACTORS CITY OF ORONO __....._M,_- 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: 110 Orono Orchard Rd. City: Orono State: MN Zip: Device Location:L-60 (by meter tank) Serve what system: Potable water Account Number: Serial Number: 28241 Type: RP Make: Watts Model: 009 Size: 1 1/4" Install Date: Unknown Air Gap Installation Date: Rebuild Date: 6/5/2013 Test Date. 6/22/12 Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve Report Pressure 8.0 Pressure 5.2 tight Opened at 4.4 psid reduced pressure. Did not open❑ ❑ C• leaned Cleaned ❑ Cleaned ❑ R• eplaced ❑ Replaced ❑ Replaced R Disc ❑ Disc ❑ Disc, Upper E ❑ Spring ❑ Spring ❑ Disc, Lower P Guide ❑ Guide ❑ Spring A Pin Retainer ❑ Pin Retainer ❑ Diaphragm, Large 1 n Hinge Pin ❑ Hinge Pin [ Lower R ❑ S• eat 0 Seat ❑ Upper Diaphragm TI Diaphragm ❑ Diaphragm, Small S _ Other, describe ❑ Other, describe ❑ Lower ❑ 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) Sween Pearson' Certification Number 063817BF License Number 058169PM 520 Front Avenue RECF/ � i) O O LSJ)f' St. Paul, MN 55117 JUNE, Pe Ph: 651-487-1061 Cir), 2ZD09 MECHANICAL SERVICE Fax: 651-489-0141 °FOR°,ro BACKFLOW PREVENTER TEST REPORT Address City Zip 071_000 Ox 0-16,1,4-D ie 0 crnv/00 Owner Contact Name Telephone AE-r- cOe)ielt Location Syst m Served Make Model Serial Si e1/ LJ kZrS 6cfjM-2 "?Vi- Install Date Rebuild Due Date `LOO& 20/ RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at 3'(f, psid Leaked Closed �,(O Did not open Closed 1,9 m a a. w cc Final Closed (6 • c" Opened at `3: Cr psid Closed 7• 4 Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cc a w cc Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc a Cl_ w cc Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signed Date Tested: 4 570 Tested by (Print Name) 4.4.-1 A-1(.44- Certification Number 472-4 S ( '"-1--- White-City Yellow-Customer Pink-Office 1301 L'Orient St, DooDy St, Paul, MN 55117 Ph;651-487-1061 MECHANICAL SERVICE Fax:851-4890141 BACKFLOW PREVENTER TEST REPORT Address City Zip f 10 c k o cstcCN'-4,,_0 20 6"x UN0 Owner Contact Name Telephone MET Co v u C f L Location System Served (-- toe) Make Model Serial Sz��e LOA Tr, cgot.,tcZ 2_g7q / / y Ins ll DV R� V gue Date OU RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at 3,I psid Leaked Closed g ,fp Did not open Closed w(`/ cc o_ w cc Final Closed O -CP Opened at 3 , 1' psid Closed 6, € / Test reduced pressure Double Check Valve#1 I Check Valve#2 Check Leaked Leaked Valve Closed Closed cc a a w o= Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc Tc a Lu cc Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signed Date Tested: 4/ /o Tested by (Print Name) if✓`-4C. Certification Number 6145/ " White-City Yellow-Customer Pink-Office