4.5.23KRAFT
MECHANICAL L.L.C.
Locr-
Owner
Address
Make r � � � l oS
Install Date i
Check Valve #1
RP
LClosedeaked 7 q
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w
Cr
Final
Closed
Test
Check Valve F
Double
Check
Leaked
Vale
Closed
E
w
2
Final
Closed
Test
Check Valve
Presaurs
Vacuum
Leaked
Breaker
Closed
m
cc
nw.
°w
Final
Closed — -
Test
Comments/
Notes: _
S I ( G
q
Rebuild Due Date
System Served
psid
Did not open
Closed, -
leaked _
Closed
2441 VENTURA DRIVE • SurrE 100
WOODBURY, MN 55125
MAIN: 651-773-90O FAx: 651-773-9010
It
lue Check Valve *2
Leaked
Closed
Opened at ! psid
reduced pressure
Closed
Air Inlet
Did Not Open
Opened At
Opened At ,.
,6��'% % ' /J Sign and Date tag
Certified Correct. Signed ! ' ;e f rr�
Date Tested:
Tested by (Print Name) r ' ' �` �� "edification Nuriiber'
Pink —Office
Whit - City
Yellow,-, Customer