MEC-TRIC CONTROL COMPANY
411 0 MONROE ROAD
P.O. BOX 221918
CHARLOTTE, N.C. 28222
(704) 376-8555
FAX (704) 375-1728
Control Number V/UV
As Found Test Report Dummy 2
Page 1 of 2
Repair Order
Sold To
Plant 1
Plant 1 Lane
City
Raleigh
State
North Carolina
Zip
12345
Cust. Order No.:
123456789
Ship To
Plant 2
Plant 2 Lane
City
Raleigh 2
State
North Carolina 2
Zip
12345-2
Date Shipped:
December 27, 2023
Shipped Via:
UPS
Order Date
1703610240
Customer ID
01-111111
Date Req.
December 28, 2023
Written By
Ben Simons
Contact:
Plant 1 Maintenance Manager
Phone Number:
919-919-9191
Valve Repaired Before:
Yes
Email:
plant1@yahoo.com
Repaired By:
test
Date:
February 16, 2020
DESCRIPTION CHECKED BY:
Make/Model:
Farris 27DA13-M40
Inlet Size:
1/2"
Inlet Connetion:
MNPT
Set Pressure (Note ChangeBelow):
100 PSIG
Service:
Liquid
Spring No. When Available :
C3030
Spring Range:
90-105 PSIG
0.P (%):
10%
Temp:
72 F
Outlet Size:
1"
Outlet Connetion:
MNPT
Serial Number
123456
Old Capacity:
12
New Capacity:
31 US GPM
Cert. Bore Dia.:
122
Actual Bore Dia.:
1234
*Seals Broken:
Yes
Remarks
Body
set
qqwe123
Bonnet/Yoke
set
qqqqqqqqqqqq1
Spring
set
wwwwww3
Stem
set
44444qqq
Disc Holder
unset
qweqweqw11123
Disc
set
qww0wq0e0w0
Ring(s)/Guide
set
q0w0e0qwe0
Nozzle
set
qlwem;qwm
MATERIAL REQUISITION
Description
MCC-C
Drawn From Stock
Date Ordered
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qwle;mq;
1
February 2, 2024
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akasdm
2
February 22, 2024
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askdoon
3
aksdkalsd
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4
February 15, 2024
TOTALS=
-8
Special Instructions:
test qwe qwe 123 qwe qweqw qweqweqweqweqwe test qwe qwe 123 qwe qweqw qweqweqweqweqwe
Repaired'VR' Stamp Applied To Valve: Yes
No (Reason):Test123
Test Only''T/O''Mark Applied To Valve: No
No (Reason): Test111
ORIGINAL NAME PLATE STAMP:
UV
Tester:
LD
C.I.:
LD
Date Completed:
December 29, 2023
Seals:
Larry Dennis
Tag:
Larry Dennis
Test Media:
Water
Cert. Lift In Inches :
11
Set:
100 PSIG
B.D.:
7
Back Presure:
22 No
Over Pressure:
10%
Leak Tight To:
90
Dyn Or Static
Dynamic
Gauge No:
DPG-22
Warn
92
CDTP@:
100 PSIG
Pop
101 PSIG
B.P. TEST @:
No in WC
Reseat
95 PSIG
Shop:
No
Blowdown
7 In WC
Field:
Yes
Number Of Notches
N/A
TAG NO:
PSV-1
Leak
No
Valve Status:
FAILED
Reason Valve Failed:
Popped early
MEC-TRIC CONTROL COMPANY
411 0 MONROE ROAD
P.O. BOX 221918
CHARLOTTE, N.C. 28222
(704) 376-8555
FAX (704) 375-1728
Control Number V/UV
M3-8425-1 (Copy-1)
Page 2 of 2
IMAGES
BEFORE
AFTER
TAG IMAGE