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St Joseph-LR030213
TYPE OF ASSEMBLY ~ l~,_,e~ Presswe Pri~:iple ~ Pmss~e V~ B~ ~ ~ C~ V~ a ~ V~ B~ ~ ~)~ s~ ~'/ ,,, Inili~l T~st EF~UCED P-~F~-sURE PRINCIPLE ~_~5~-~-- ~Y ~oubb Chec~ V~e l~t Ch~k ~ud ~ Relief ValveAir lnlei Check Valve o~n~ .~i~ p.3 DC~losed c~ Opined at Opened at. psid Ti~t Cl ~ Oo ~- ~ Date last accuracy tested White - C~tomer~ Cog~j Yello~ - City Cogy Pink - Tcat~rts Cogy Stag Number ~ ~ TYPE OF A~$EIVlBLY Siz~ Lo~a~d At Pressur~ Vacumn Bneakcr Auaospbcre Vacuum Breal~r REDUCED PRESSURE PK[NCIPLE ASSEMBLY 'PRE$$URE VACTJUM BREAg~g Double Caeck Valv~ Assembly ls~ (~eck t 2nd ~ Relief Valve Air ~ Te~ DC.Ck~ Ck~4 Ti~hl X' ~ at Opined ri~t /, ~ ~ L~d c= mid U~ T~t~ ~.C~ ~Ti~ ~ ~at ~at ~ Ti~ 0 ps~ ~sid The above is certified to be Uue. Gauge White - Customer's Copy Yellow - Citb' Copy Pink - TesteMs Copy