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2013_1118
r .7 a- RZ-202T, t77 rnDDI-T T C, ea. Llu i'xG OF ID7117:1: CI I! Vj- k- PWS LD. 1,C)CATION OF SERVICE: -3 by 7NRCC deL.j;ed be -;n =and as raquiedd below b?,, b= testad =d jhe p opmzring, within i=-Dtable -CT j,,a60nS gad is c=:ffied to be TYPE OF ASSEM3LY Raduc-ed Press= Principle C pressure Va== Breaker Double Check Valve . 0 Atmospham Vam= -Breaker Mandac=er S= 3/,�,.. Model Nmcr S=W N=ba REDUL70-FRESSURE FWCIFLE ASSEMBLY PRESSURE.VACM. BREAKER Double Check, V.;-Jve A-memablY St Check 2nd Che'ck- ref e fir Inlet Check VpJyy Initial Test DC-Closed Closed Tight 0 Op at sid id 7i-.ht LaaLcd of Open L=L-ed ❑ Upzirs and g= vials DC-Closed C, �psid Op= 0d.at.-. .Tight psid Repair R? sid -d Tilt C3 'De above is cer:i5ed to be t1lie. . . . . . . . . . . . . F= Ir= /_ j ---med Tc= Date ILI :—Lte- —e--- # Dote !as"