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Service Ticket No. :ST00371802 <br /> Relief Valve opened at (PSI) 3.2 <br /> "Assembly Inspection Results Passed <br /> Testing Equipment Manufacturer Midwest <br /> Testing Equipment Serial No. 06221150 <br /> Testing Equipment Model No. 845 <br /> Testing Equipment Calibration Date 07/01/2024 <br /> Tester Certification Number B7565 <br /> Tester Certification Expiration 12/31/2024 <br /> SIGNATURE <br /> This report was reviewed with: Pye-Barker Fire & Safety <br /> Print Name Justin S Technician Blaine McCoy <br /> Signature °s,°mef °s°,s9° Signature <br /> ST003)1802- <br /> Date 12/17/2024 Date 12/17/2024 <br /> •735 E Fairhaven Ave•Burlington WA•98233-1914 <br /> Backflow Inspection Page 3 of 3 <br />