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nErF 8 M�DD <br /> SAC?-FLOW ASS EMSLY TEST REPORT JUT. <br /> 0 , 75- �� .86167— <br /> MAKE <br /> MODi✓(_ size SERI.4!_NO. F+-R. AW. <br /> Looatizv,: r <br /> C-1 O�zmll <br /> ❑ TL�upora �Pervkawewt ❑ New, old s/N J <br /> Billiwg Device <br /> r <br /> �tddre55: Address: <br /> Water Pkrveld.Or: �RP ❑SVS <br /> 0 WO PRINCIPC- .ASSEMSL`r ❑ DC ❑ ACD,4 <br /> f .�- _ _ .. - - - --- _ ------ _— ❑ P -- ❑... A <br /> lot <br /> DOUBLE CI-tECIC V�4LVE.455EM$LY <br /> cher,)?VaLve#2 checie VaLve#2 Relief Valve PVS/sVg <br /> t teLd at—Z-1-IL PsID H-eLd at PSIA Opemol at 3.2 PsiD A&v-f wlet cpeKtoi <br /> i <br /> TNI ALTEST � at PSID. <br /> U <br /> ❑ LEaI?ed Closed -rG0kt ❑ Did Not Opew ckec)k,,valve keLd <br /> ❑ L Eal?Ed at PSID. <br /> ❑ Aid Not Opew <br /> ❑ Cleaved ❑ Cleaved ❑ cleaved ❑ CLEaKed <br /> ❑ RepLar,Ed ❑ Replaced ❑ Replaced ❑ RepLacEd <br /> ❑ Aisc ❑ D%sc ❑ DLr, ❑ O-r%wg <br /> ❑ Disc holder ❑ Disc f-FoLder ❑ Aisc Molder ❑ Ar Iwlet Disc <br /> RIrP�f RS <br /> ❑ Spriw ❑ spr%w ❑ spr%wg ❑ A4 r f wLet spYiwg <br /> Cl O-riw ❑ O-rLw ❑ O-Yi ❑ Che?)?Disc <br /> ❑ Module Cl Mod kLe ❑ ModkLe ❑ Disc HvLder <br /> ❑ Other ❑ otker ❑ ULLows Cl cher,)?Spr%wg <br /> ❑ Other ❑ other <br /> FfNAL TEST }-held at ASID I-teLd at PSID f OPPAtd at ASID A° r(wLEt PSID <br /> GLo-seol T't.ght ❑(RP) ckeGi?VaLve ASIA <br /> C-OVVL M.ewtS: <br /> pats Stgrt-rtKt/C-Vd-rtwx Prf. tNamt,§. AWWA Testerstgwature Passed T=ailed <br /> Iw%tial <br /> Test Z Jug 06 ' �. as�,� �L:`° 10 6 ❑ <br /> Repairs <br /> Iowa L <br /> Test ❑ ❑ <br /> STE,4D'9ACKFLOW McVENTTON SERVICES, INC. * 4555 M.PERSFJINc:;AVe., ST'OOW-TON,Cfk_q5=0 -6,-40 <br /> earl A r[.w AVA-VA cert.#?&-,U BettU AmKm AVVVVA Cert.#t00i,AWWA SperEat;st cert.#2i9 * cowtr. Lie.#949490 <br /> c,RlU cel.: 209-SY.5-Y.s26 f= X6 PFt: 900-&+0-15172 FAX- 209-333-0943 * Bett0 cel..: so0yio-6sys <br />