1265 Town Centre Dr - RPZ Test Reportst
PIumblng, lnc
9110 Crand Ave South o Bloomington, MN 55420
Phone (952) 935-9300 o Fax (952) 935-8910
E-Mai I : voson@vosonplumbi ng.com
BACKFLOW PREVENTER TEST REPORT
OWNERS NAME
Associated Bank
SITE ADDRESS:
1265 Town Centre Dr
CITY:
Eagan
STATE:
MN
ZIP
55122
PHONE
651-306-1601
CoNTACT PERSON (tF DTFFERENT THAN OWNER)
DEVICE MAKE AND MODEL
Watts 919
SIZE
112"
SERIAL NO
90470
DEVICE LOCATION
Mechanical Room
WHAT DOES DEVICE SERVE?
Boiler
CHECK
VALVE #1
CHECK
VALVE #2
PRESSURE
DIFFERENCE
ACROSS #1
CHECK VALVE
PRESSURE
DIFFERENCE
WHEN RELIEF
STRAINER
TEST BEFORE
REPAIRS
LEAKED
CLOSED
LEAKED
CLOSED PSI PSI NONE
CLND
FINAL TEST CLOSED CLOSED 7.8 8.8 PSI 4.6 PSI
DESCRIBE REPAIR
New lnstall
CERTIFICATION
I hereby certify the foregoing data to be correct and that the tested device is functioning within the
limits of the standards
DATE TESTED: OBl11l21 ADDRESS 9110 Grand Ave S
Bloominqton, MN 55420
CERT. NO 29938 TELEPHONE (952) 938-9300
TESTER NAME Jeremv Watkins
SIGNATURE OF CERTIFIED TESTER /avnqWdiliteo
An Equal Opportunity Employer
osorPlumblng, lnc
91 10 Crand Ave South o Bloomington, MN 55420
Phone (952) 938-9300 o Fax (952) 938-8910
E-M ai I : voson@vosonp I u mbi n g.com
BACKFLOW PREVENTER TEST REPORT
OWNERS NAME:
Associated Bank
SITE ADDRESS:
1265 Town Centre Dr
CITY:
Eagan
STATE:
MN
ZIP
55122
PHONE
651-306-1601
CoNTACT PERSON (lF DTFFERENT THAN OWNER)
DEVICE MAKE AND MODEL
Watts 919
SIZE
1 112"
SERIAL NO
27152
DEVICE LOCATION
Mechanical Room
WHAT DOES DEVICE SERVE?
lrrigation
CHECK
VALVE #1
CHECK
VALVE #2
PRESSURE
DIFFERENCE
ACROSS #1
CHECK VALVE
PRESSURE
DIFFERENCE
WHEN RELIEF
STRAINER
TEST BEFORE
REPAIRS
LEAKED
CLOSED
LEAKED
CLOSED PSI PSI NONE
CLND
FINAL TEST CLOSED CLOSED 7.0 8.4 PSI 3.4 PSI
DESCRIBE REPAIR
New lnstall
CERTIFICATION
I hereby certify the foregoing data to be correct and that the tested device is functioning within the
limits of the standards.
DATE TESTED: 08111t21 ADDRESS 9110 Grand Ave S
Bloominqton , MN 55420
CERT. NO 29938 TELEPHONE:(952) 938-9300
TESTER NAME Jeremv Watkins
SIGNATURE OF CERTIFIED TESTER /suncqWdiltu
An Equal Opportunity Employer