Loading...
HomeMy WebLinkAbout933 SADDLEBROOK LN - SPECIAL INSPECTIONS - 5/15/2003-• .ni I C., I ril rUKI UULLINS UTILITIES ��avw�ce�n Water I Service CO JContractor. 9704162442 MOta aLcc.o_ant No. P, 01 Title: mate:, F) ZIP: Phone: "Contact Perna - v Ity:41 Title: slat.: ZIP:. �— E]cistlng] p New: Phone: A USE] Domestic: ❑ Replacement Fan Device Fit�i Irripatlon: isolation: CI type.. Reduced ❑ Doubf.,.�_ck p ContalnmeM, 0 Manufacture: ,Pressure-��� �-� Model: l�%" P ssure vacuum Breaker � Date Installed] " 9lzes _serial No: Location on Property Last ins ctlon/Test] ,�v Main Line Pressures 1O opal - Double Check Type Pressure va Zk Spring Look Breaker n•ss Spring Tension Tighum= i. T. `"; 7 Tight rwnr �e Pal ID Looked --_._PSI Ipht - :,' ': ❑Tight oan.�r ---_.. Leaked � PSI `' ❑ L•ek+d ---_Pal -Tight _ Looked —._..Pal b � DLiI-Chlck� Checks tested a]t min of 1.0 oei t-1 e im Device Mechanical Test: Peas Fail L; Installation: Meets StatdLocei Standards ` Explai Person not:fled of any tailure: Falls StatalLocal 8tand&rdsi Re -Test *nm••• TO"lon si Tight Looked PSI Tight Looked — PSI Aal —Pal Title:-- - r_...,,....v s-mP=Rment Notified: TLrnad oti: Dates Tema: --- This T•Maiclan CertiMs this D 1016 illmed on: Date: Timsl the angst Went Edition of 111e e111ea has ciao tooted fa ucordance with e Colorade Cros•.Connwman control Manual. � Tested ey] Compaµy; Cert. No. _Expireal ✓� 1 a street: Phone: Test Equiptme ed] Cl ] State: Zip: Technician: t.ast Calibration Date:1z"s% DOMcs Owner or Agent • te:�`� Tlmel_��'�,� Times