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05-05-2023 Backflow Test Report
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1690 Concordia Street - 17-117-23-22-0031
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05-05-2023 Backflow Test Report
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Last modified
8/22/2023 3:33:22 PM
Creation date
6/9/2023 11:43:09 AM
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x Address Old
House Number
1690
Street Name
Concordia
Street Type
Street
Address
1690 Concordia Street
Document Type
Misc
PIN
1711723220031
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AQUAPR . <br /> Sprinklers <br /> Job #14497590 � � 7 <br /> p <br /> JUN 09 2023 <br /> Backflow Test Report p <br /> CITY OF ®NO <br /> Location & Customer Information <br /> Complete Job Address Location Contact Name (Owner) <br /> 1690 Concordia Street, Wayzata, MN 55391 Rick Palm <br /> USA <br /> Location Contact Phone Number <br /> (612) 877-2727 <br /> Were you able to complete the Backflow <br /> Test Today? <br /> Yes <br /> Device Information <br /> Test Date Device Type <br /> 2023-05-05 PVB <br /> Device Manufacturer Device Model <br /> Wilkens 720A <br /> Device Serial Number Device Size <br /> T438988 1.0" <br /> Device Location <br /> Front <br /> Test Results <br /> Test: Pass OR Fail Shut-Off Valve #1 <br /> Passed Closes Tightly <br /> Shut-Off Valve #2 Check Valve #1: Tightness <br /> Closes Tightly Closes Tight <br /> Check Valve #1: Spring Pressure Air-Inlet Valve OR Relief Valve Opened at <br /> Differential PSI <br /> PSI 2.50 <br /> 1.90 <br /> Did you tag device? <br /> Yes <br /> Tester Information <br /> Technician's License Number Test Completed By: <br /> BT693475 Dillon <br />
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