1895 Plaza Dr - RPZ Test ReportsCITY OF EAGAN
"-IANDAI-'()RY INSPECTION OF BACKFLOW PRF.VENTER
Test Reduced Pressure Zone Backflow Presenter
BACKFLOW PREVENTF.,R INFORMATION
Type
Assembly
Serial Number
Model
Size
Manufacturer
6 ZR
AV 4rri
3
Responsi*ble Company Phone # Date of Last Rebuild
4LA?!rn� gZ-Scq- .. toqP-/%0 P I
Next Scheduled Rebuild Device Location Device Serves What System
AteVA(C.-- AV141 �*i ` �
BACK -FLOW PREVENTS
Check Valve 1 O Leaked
Check Valve 2 O Leriked
R ASSEMY TEST
Clo�ed "Ci�ht
O ClosedTi'ght
Press Diff Across Check Valve # I PSI
Press Di IT Across Check Valve #2 PSI
Press Diff Relief Opci� 47� 8 PS[
Describe Repairs
fti
I hereby certify the forgoing data to be correct and that the tested devi*ce
is functioni'll" within the limits of the stai�dar��s.
firm Name: Northland Meclianical Contractors, Inc.
License Number 0592,'.?..5-pm
MEWM
Test By-,
Printed Name:
( )New install
, gaIAI UT
Mike Calverle
int
Vest
Address: 9001 Science Center'Drive
New Hope, M'inncsot�i.55428
Cert)"fication BF708175
Date Tested: 5'1;z-d lZe ? r..
rebuild ( ) Replaced UniE
PLUMBING P[-,R\1lJ- IS RFQUIRED FOR ALL REPAIRS AND RFRt-11T I L D S
Date _Copy to C'it�