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BACKFLOW PREVENTION DEVICE FIELD TESTING MAINTENENCE REPORT 1717 E. Miraloma Ave. Placentia P. O. Box 309 Yorba Linda California 92885-0309 Phone 714 701-3100 Fax 714 701-3108 ACCOUNT NUMBER OWNER ADDRESS DEVICE LOCATION Manufacturer RP DC CHECK VALVE INITIAL TEST HELD AT LEAKED Type Size DCDA PVB PSID CLOSED TIGHT Serial DIFFERENTIAL RELIEF VALVE OPENED AT DID NOT OPEN AIR INLET VALVE RESULTS R E P A I S FINAL PASSED THIS DEVICE MUST BE TESTED ON OR BEFORE FAILED CLEANED REPLACED DISC SPRING...
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