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2014_0512CHIRCK ONS.- I[I R1[GATIOF r DOMESTIC FIRKUN - RAC ULOW PREVEM70N ASSEMBLY TEST AND MAIIdiT CE REPORT NAIM OF PWS: CITY OF COPPELL P4 PPS I.D. LOCAITON OF SERVICE: a Ob 1P6# The bacicflow prevection atsserably detailed below bm been tesW ad makaimed As regWrW by TNRCC MguL16ons ad is cadfiod to be operating w thin ac x ptable palr=etas. TYPE OF ASSEMBLY M Rcduc ed Pore Principle a Pmsswe Va== Bra 0 Do ble Ch=: Valve Arm c osph re 'Vacuum Brea1 � ,1OZ11 MoM Nvabcr _ COS, ��1'T Located At Serial Nember �.9 o� l 3 The Above is cad6od to be Um. Fi 1. Nam Fxm- A&fma 16 DO 6i4 °�Lo LA 'Or-, C,. s t Tic -1 5A3 D' %tc Awt accuracy tested ( ;/ gv-?20o White - C t cff"Od6;r Cart. TMW ETA. DO Z,2 4 L4 aN ®aeaer-5 Copy Yelosa — city Cnpy IE — Testers Copy