HomeMy WebLinkAbout6915 Avondale Rd - Special Inspections/Backflow - 04/22/2001Test Address:
Bill to:
6915 AVONDALE RD.
Fort Collins, CO
THEISEN SPRINKLER COMPANY
8567 W. 108TH AVE.
BROOMFIELD CO 80021
Supplier: City of Fort Collins
Installation: New
Permit#: $ 6 f Z 2 `1
Location: N. Side
Manuf.: Febco
Model: 765
Size: 3/4"
Serial#. BH8865
Usage: Isolation
ASSE Method: PVB-5010-1020-1
Mechanical Test: Passed
Test Date: 4/22/01
Time: 1:10 PM
Line(P):50
Comments: #2 ISOLATION VALVE FOUND AND LEFT OFF
Tested by: Kerrie Hilgefort
Certification #: 1812
Guage: Watts TK99E, calibrated 3/00
303-469-8279
PVB Inlet: 1.4
PVB Check: 1.4
RP Relief:
RP Check 1:
RP Check 2:
RP Buffer.
DC Iso.2:
DC Check 1:
DC Check 2:
Amount Due: $20.00
Please make checks payable to ACT
242 N. Hollywood St.
For` Collins, Co 80521
484-5909
Thank You!