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St Joseph-LR040301
C~mCK IRRIGATION DOM]L~TIC FI_RELINE Mam~ Mod~l Number S~l Number TYPE OF ASSEMBLY Pmsswe Vac,-,~ Br~mk~r Almosph~r~ Vacuum REDUCED PRESSUR~ PRINCIPLE ASSEMBLY PRESSUR~ VACUUM BREAI~R Double Check Vsive Ass~bly 1st Check 2ad Check Relief Vsive Air Inlet Check Vslve Initial Test DC-Closgd Closed Tight ~/ Opgaed at Opened at _..__.~psid Tight s{/ c~ Leaked psid ps'id RP- psid L~aked m Did not Opm ~ I.~aked ~ Mat~'ials Used T~st ~ DC-Closed Closat Tight o Opim~ a~ Opmcd at psid R~air Ti~h~ El psid psid RI' psid c~a.ge # q qCxSq& Date last accuracy tested White - Customer's Copy Yellow - City Copy Pink - Testers Copy