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Report (34) MST ;z C) - 0o.59Y n APkO( jrl EIRE FET Y SY$TEGt AQUAS Evu FLO TEST VE 11FIIEATION Aq aSAXE ` Flow Test Verification rm .... ....x-- ,.. .............. fog. to sonuilliftAo Company Dame: iA_c :,itssysftm wwrwdy.C--"*or ctd ftp Phone Fim Color of test ofike i+z n"e Jab Nam, ,...� A. Static Pressure fltav no at ittcomlng� - ftiect Muter: '� water�into home or at o s#uttoff: IoEs Addrem. �J1U leu w, e� � Ftssiclual premwe{fig) at incam` water Chy, s4*into home or at maim s state ZIP:, Of What time of day was the flow Calow ` For designs not proaided by Upo t,crzszplete the Flow test method used? t Q Flow Meter folowirtg ir�forrtaatotr. esigner' Name: liW 1st lam. How many gal OM of water did `e deskp predict as required? Di t t Did he r exceed.est o eacc d n owe: "J' No feat.. tt'.tet Which s itdder tid you mb erl� Is the warning sign permanently close to the location of he�u1: ,,_ i �,m mainshuto€fvalve? Cl Yes af4o Date left iris semice with all va open: 6 ' `0 a :Was this Systetra requited by cede?'�Y� a No Tog Wkr and and Vel by Nam r are flccupadtsn Date �j upon ,ltd. Tet MV1 AM r 59Z 144 Street West Fax:§52.',x'1.173'1 Apple Vey,heir 55124 USA: iAWX wwutte 00nOr—ue