Correspondence - 4787 Shoreline Drive - 3/24/2025WENZEL RM-TESUREBUILD REPORT
PLUMBING • HEATING • COOLING
1959 ShaWneeRoad, Suite 130, Eagan, MN 55122
DEVICE ADDRESS
SERVICE NAME
CONTACT PERSON
TELEPHONE
BILLING ADDRESS
CITY
STATE, ZIP CODE
a
DEVICE LOCATION, .; .
DEVICE SERVES WHAT SYSTEMS F.
SERIAL NUMBER
MAKE
MODEL
SIZE
INSTALL DATE
CHECK VALVE #1 k
CHECK VALVE #2
PRESS. DIFF. ACROSS 41
PRESS. DIFF. ACROSS #2
PRESS. DIFF. RELIEF OPEN, J_
LINE PRESSURE
Describe Repair:
DEVICE
REBUILD
New Install
DBL CK
RPZ
PVB
—I FIRE CK
Test Date:
Guage Callibration Date: Z`
HEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING' WITHIN THE LIMITS OF THE STANDARDS
BY:�►®A ��(itL CERT. #
WENZEL RMTESUREBUILD REPORT
PLUMBING • HEATING * COOLING
1959 SbawneeRoad, Suite 130, Eagan, MN 55122
DEVICE ADDRESS
SERVICE NAME G ' o e- t
CONTACT PERSON (> s
TELEPHONE
BILLING ADDRESS
CITY (—
STATE, .ZIP CODE
DEVICE LOCATION
DEVICE SERVES WHAT SYSTEM
SERIAL NUMBER
MAKE
MODEL
SIZE
INSTALL DATE
CHECK VALVE #1
CHECK VALVE #2 LZ "
PRESS. RIFF. ACROSS #1 ._.
PRESS. DIFF. ACROSS #2,;
PRESS. DIFF. RELIEF OPEN
LINE PRESSURE
Describe Repair:
DEVICE
REBUILD
New _Install
D DBL CK
RPZ
PVB
FIRE CK
Test Date: 11)
Guage Callibration Date: Z
EIEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING WITHIN THE LIMITS OF THE STANDARDS
BY:E$Te4ftL- CERT. #^ �F�
WENZEL RM-TESUREBUILD REPORT
PLUMBING • HEATING • COOLING
1959 ShawneeRoad, Suite 130, Eagan, MN 55122
DEVICE ADDRESS i z- , ; ,--
SERVICE NAME VAL 1 l z�- a
CONTACT PERSON
TELEPHONE Z e'5-12
BILLING ADDRESS
CITY
STATE, ZIP CODE
DEVICE LOCATION POLL 2C t v
DEVICE SERVES WHAT SYSTEM,
SERIAL NUMBED.
MAKE
MODEL
SIZE
INSTALL DATE
CHECK VALVE #1
CHECK VALVE #2
PRESS. DIFF. ACROSS #1,
PRESS. DIFF. ACROSS #2
PRESS. DIFF. RELIEF OPEN...3
LINE PRESSURE
Describe Repair:
DEVICE
REBUILD
New Install
DBL CK
RPZ
PVB
—I FIRE CK
Test Date:
k
Guage Callibration Date: :Z
FIEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING WITHIN THE LIMITS OF THE STANDARDS
BY: �- 'Afc%A W E:Sr fTI� CERT. #� ISF6 -18 1 i