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HomeMy WebLinkAbout2302 Chandler St - Special Inspections/Backflow - 09/19/2003a0306 180 ALPS MECHANICAL - 970-581-4317 BACKFLOW PREVEINTION ASSFAMBLY TEST ANDIMAINTENANCE REPORT (Alstf.11110, 111LISt I'CIZIU1.1 CO))N: L)1'11)ls report 1,01- Of,three years Walul Di"InCtAillholltv: Ff SQ1.% let: Nank': a,_ -z4b,a& 4uyy ticl I, ice Address: aB 0 a �a ('1111tact Person: dwti Vide: Phone: zz6 4`4 7-5- NlaihnL, Address. Contact Persoll: New 2 L1 Replacclucill Fur: Use: D Firco 11-1-k-ullioll 54 -k%SCll1b1N TN I] C: RCdUcCd PrIcs.im-Q D DOLIhIC (*hCL:L El Pic"'llf-C Vacuum Rrcjkerw Other .\ I I' .: I &ZcQ Motivi No.: 74957 Sivv. Sei ial No.: Dille IIISILI]IC(I: _. ?/I jft03 Lasl Inspection:Line IJI-VSNIII C: PSI LOCZLIi011: ef � or 11116id I Q'it RCS1111 Re-fe%i 2Lsujls, icck, No I I,(. VV -11, N I Call. iAll lict III\ [it 3.0 cal, 0 1 Ii-I)[ Ix Nihit-iIII k:jhe Nil. vj I. F-1 hIthl -NSSE TEST I SED: iolo-1013_1 10- 1020-1 51) 10- Xcl-mils Assembly Mechanical T"t: Passed 13K Failed F� - r "'t 111 C" .1 11� 11 L 1 11 1 a,po"iblt, mcOm I I Ica 11, It It" I I" cchniciall ecl . lil - les this aNscillilk has been tested in accoIdjtIL:L! \x , ith •\Ssl.. ProcedIlIcs I'cslel Nance: Dem-d's Al s Ccrtllicalion Nu.: 1811 E x il 11 cs: 7115/04 I L-SICT SiLfjItIjj, Dale: mc:3, 61 7 p/;t FL-MV1 970-581-43 17 1 c"t 1 1 S 1 Kc)k)[: RC-CL-I I Dale: 5/1/04 q-d T6O13-LOIlp-OL6 ddnM anq din:ln rn T7 dOR