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backflow preventer test reports
47�5.225D , A�nual 7esting ♦ Of R.P.Z. Va)ves ,� BACKFIOW PREV�NTER T�ST REpORT AOORESS�.D ��Te.vli�o CITY ZIP �� �R avcv . 0�14tER�rce � �e►J� /fki.ye+vL�T TELEpHONE NQ. ,y7/- S78�ATE: � �� � MAKE AND MOOEL OF QEVICE �j�p,�/ 5IZE l �� SER1Al �O,l�.p,���� 14CA7i0N OF DEYiCE: p�i�Si�Je /3�c�. ,f>��� CHECK VAl,YE �►1 CHE�K YALYE N2 PRES. 11tF. PRES. �IF, STRAINER ACROSS NI WKEN REIIEF � CNECK OPENS 0 !, KE s� si BEFQRE � CL85E� CIOSED CLNO REFAIR � REPAiR t D L KED ,_,.,YpSi _��S • 1'fST ClO5E0 ) R ALS USEO � ti. CERTIFICAT1bN: . I hereby certify the forego9ng data to be correct and thaL the tested device is functioning within the limits of the standards. FI RM NAME�,Gv�R S/ �l�l�r�e3i�i�-- ADORE S S �� 8!�/�r tiA-�-� �.�l��.. . 6 � TESTER'S CERTIFICATION NO.�T'ffL. N0.�S�•'�►'�.�-&'yO3 OAIE REMARKS . . ; _ . . . . o . .. .�, ._ .. ._ . .... . . - . . ' : � . • ; . � - . � . s � � t.. � ... . v . � , . RECEIVED � AUG � 12011 6;:r.;��r Ann�,��� Test.r.�r CITYOFORONO of R,D,�. 1'a:;,�3 ;� —._...�.�„� BAC�l��,04� PR �.lir �t pBRT +I�DOi�SS�—�-�� ' �+►P.-�� �,.� �P rY AR.a�p zT p a�c�R r���aKa�+� rio �z- r�• .� ' � �� g�' tI lIA� �0 MQO�'l t�� �£Y�C£ 1✓-x��^"'s S I Z£ �� �� ��� � s��ct�u �,o.�c�a�l .�..,........._. .�.., L�'itT I�+t t�F D�Y Y C B:�►cr�.�-' ��.�D�•.� .w�j.,�,._�t- �,�e�,C, C��C� 1r�►iv� rl CHECk vAiv� �2 PaES. ��F. PR�B. ���. STRAi�Ea � �SS �� WIIEaI R�i.tEE � K ,Z. s s �.� 1�� 'CLQ3ED �i��S�� � I!�!►AiR q, z �� R$IMIR ..�....," �� �t.�dS�� { ..,.......3'3 ,.r...._�� ..,. .,..,...,. �.._.. U3f0 _.,.�.. �..• CERT3ftCATIl�i: i hee�by �+e�ti#�v ti+t Fc��aqoinq ssata t� �e carr�cx �nd th�t th� te�ted d�vtce is � t'un��t4niR1+� w1ti��fl the tlm�ts of t�he stand�rds. �`tik�f �!��1✓.�.,.,�,�,�,1�'c,,�,�_,.,.�„r���� � �� • �' L, o�rv �"'��'��d;�!L�......�.»���a���'�S ������tGA��� I�n�,�,�,�.J�"' j��. NO.�''J�"��}�l�J ..r�.._,.......---- �Y� ��� ' ........�........ .=�-�-I' �3a�:�- �� _ ' . ; . � � .., .__ .. .. . . . - ,j � , . IF' � '.c.. . . . . . . , . Y . � _ > . . . . , �.. � . ... . ,. .. �. / . . ., , r�. :_ .