3949 Cedar Grove Pkwy - Backflow Preventer Tests 2021-05-05Budget Plumbing Corporation
855 Highway 169 North
Plymouth, MN. 55441
(763) 531- 2000 Office
(763) 537- 4730 Fax
Back flow prevention certificate for RPZ
Owner/Occupant Contact person Fairfield Inn Contact Ph#
Address of Device:3949 Cedar Grove Pkwy - Eagan, MN 55122 952-931-9300
Device location: Pool equipment Floor #: Room #:
Serves what system: Pool fill
MAKE Watts MODEL 919 SIZE 1"SERIAL # 73167
INSTALL DATE OVERHAUL DATE TEST DATE
04/15/2021 04/15/2021
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST 7.4 4.2 closed
DESCRIBE REPAIRS IF ANY:
TEST DONE BY (PLEASE PRINT FIRST AND LAST NAME):CERTIFICATION NUMBER: 61363BF
SCOTT GREENWOOD
COMPANY NAME: BUDGET PLUMBING CORP. CONTRACTOR LIC. #:MPLS 595 ST. PAUL 1079
COMPANY ADDRESS: 855 HWY 169 COMPANY PHONE#:763-531-2000
CITY: PLYMOUTH STATE: MN ZIP: 55441 CONTACT PERSON:TOM MURULT
ATTACH COMPLETED TEST REPORT TO PLUMBING/GAS FITTING/RPZ PERMIT APPLICATION AND
SUBMIT WITH FEE.
Budget Plumbing Corporation
855 Highway 169 North
Plymouth, MN. 55441
(763) 531- 2000 Office
(763) 537- 4730 Fax
Back flow prevention certificate for RPZ
Owner/Occupant Contact person Fairfield Inn Contact Ph#
Address of Device:3949 Cedar Grove Pkwy - Eagan, MN 55122 952-931-9300
Device location: Riser room Floor #: Room #:
Serves what system: Irrigation
MAKE Watts MODEL 919 SIZE 1"SERIAL # 74687
INSTALL DATE OVERHAUL DATE TEST DATE
04/15/2021 04/15/2021
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST 7.2 4.2 closed
DESCRIBE REPAIRS IF ANY:
TEST DONE BY (PLEASE PRINT FIRST AND LAST NAME):CERTIFICATION NUMBER: 61363BF
SCOTT GREENWOOD
COMPANY NAME: BUDGET PLUMBING CORP. CONTRACTOR LIC. #:MPLS 595 ST. PAUL 1079
COMPANY ADDRESS: 855 HWY 169 COMPANY PHONE#:763-531-2000
CITY: PLYMOUTH STATE: MN ZIP: 55441 CONTACT PERSON:TOM MURULT
ATTACH COMPLETED TEST REPORT TO PLUMBING/GAS FITTING/RPZ PERMIT APPLICATION AND
SUBMIT WITH FEE.