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2014_06 CHECK ONE: IRRIGATION DOMESTIC X FIRELINE BACI FLOW PREVENTION ASSEMBLY TEST AND MA.INTENANCE REPORT NAME OF PWS: r - PWS I.D. # U LOCATION OF SERVICE: cS- R0 The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY Reduced Pressure Principle D Pressure Vacuum Breaker Double Check Valve a Atmosphere Vacuum Breal-er Manufacturer Size Oh- Model Number if.) Located AL L / / � /OTC S X2,14:9 Serial Number /2957 2_1 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Cheek 2nd Cheek Relief Valve Air Inlet Check Valve Initial Test DC- Closed 2. O Closed Tight )iQ Opened at Opened at vsid Tight jte Leaked ❑ vsid vsid RP vsid Z - Leaked Did not Open 0 Leaked Cr Repairs and Materials Llsed Test After DC- Closed Closed Tight o Opened at Opened at _vsid Repair Tight o vsid vsid RP • sid The above is certified to be true. A Firm Name � Certified Tester VQSo k itlsTonl Firm Address YD o x `J,4 7 I1An iaj u2. Cart Tester No. RPDO /2:fo CI Date TF -1 j 1 toc6 Gauge # GIh /0075 Date last accuracy tested 1/..57/-3 White — Customer's Copy Yellow — City Copy Pink — Tester's Copy iII:CK I�NE DOMESTIC >c FIRELINE BACKFLO Closed W PREVENTION ASSEMBLY TEST AND CE REPORT NAME OF PWS_ �: s'? �� e> r /'�I P // - PWS I.D. # 1 LOCATION OF SERVICE: 6 /I S- /�61 q / The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. P TYE OF ASSEMBLY O Reduced Pressure Principle o u Pressre Vacuum Breaker P( Double Check Valve 0 Atmosphere Vacuum Breaker Manufacturer /.c4,1- - S Size 2 " Model Number I9(,7/ / Located At le /bas � y k- SY/^�Q .C"1-& � Serial Number /x REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUJM BstFeICER Double Check Valve Assembly 1st Check 2nd Check Relief Valve Air Inlet Check Valve - -- -------- - - - - -- Initial Test DC- Closed Z• to Closed Tight -or Opened at Opened at _nsid Tight .r Leaked o psid nsid RP- psid 2 - 2 Leaked o Did not Open 0 Leaked ed Q Repairs and Materials Used R Q f IRRIC Tart G After ATION Closed Tight o Opeaed at Opened at _nsid 1 Repair Tight Paid nsid RP • sad The above is certified to be true_ / f Firm Name A/r frovi -r i v e PQp S Certified Tester 4 / 16 ° h Iry .S zo.�! Firm Address PO B b x 7 l Al a xcett ri Ck LL Cert. Testa No. /POO / n F S / Date - Tic ''15 i (12 0 Gauge # ®' / /on7S Date last accuracy tested 9/54,3 White - Customer's Copy Yellow - City Copy Pink - Tester's Copy CHECK ONEc IRRIGATION DOMESTIC FIRELINE X BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: t'.a' r P PWS I.D. # LOCATION OF SERVICE: �� A/ 6t, 4 I The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY ❑ Reduced Pressure Principle ❑ Pressure Vacuum Breaker Double Check Valve ❑ Atamosphere Vacuum Breaker Manufacturer 0J4 7S Size Id " Model Number 7 7 Located At /Ale C.7. bis7u ��- Serial Number /0 /.54:7 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER KER Double Check Valve Assembly 1st Cheek 2nd Cheek Relief Valve Air Inlet Cheek Valve Initial Test DC- Closed 0- V Closed Tight JP' Opened at Opened at Paid Tight Igr . Leaked ❑ _psid psid RP- a_ aid - 3 . o Leaked Did not Open ❑ Leaked ❑ Repairs and Materials Used Test After DC- Closed Closed Tight ❑ Opened at Opened at psid Repair Tight a psid psid RP psid The above is certified to be true. Firm Name /le Eve rr re � lP "S Certified Tester //trot, gs7a.✓ Firm Address PO ,e 79 7 Air, YG k a .¢ Cert. Testa No. 25/ f O ..0 / Date Tk `1 �$ Gauge # e f2 //0e Date last accuracy tested 9 J5h White - Customer's Copy Yellow - City Copy Pink - Tester's Copy CHECK ONE: IRRIGATION DOMESTIC FIRELINE �) BACIFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT { `J NAME OF PWS: • -7- r PWS I.D. # LOCATION OF SERVICE: G // cf /Loy r The back prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY a Reduced Pressure Principle o Pressure Vag*mn Breaker ? Double Check Valve o Atmosphere Vacuum Breaker Manufacturer Ov swey Size 8 Model Number 754 V.5 Located At /Oa /7 id C Si -9-Q7 "/,Y /. Serial Number �i '7 5i 909 7 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Check 2nd Check Relief Valve Air Inlet Cheek Valve Initial Test DC- Closed ••' o Closed Tight �1 Opened at Opened at nsid Tight ) 61 Leaked o psid psid RP- vsid . 3- Z Leaked Did not Open 0 Leaked Q Repairs and Materials Used [Test Amer DC- CIosed Closed Tight o Opened at Opened at nsid Repair Tight Q _ nsid. nsid RP nsid The above is certified to be truce_ !/ Firm Name fir .irnn core ge, .c• Certified Tests t/// /t4SMAI Film Address ePdx 7 /4/a.. "cc, ac-i• La_ Cert. Tester No. On /ht -.T/ Date 75ito ff.) Gauge #k GYe7//0075 Date last accuracy tested q Ht3 White — Customer's Copy Yellow — City Copy Pink — Tester's Copy CHECK ONE: IRRI DOMESTIC FIRELINE > C . BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: 4 :/ -7- 1 e r- f-,:p pr //' r PWS I.D. Al LOCATION OF SERVICE: 067/ S ` - P n y 4 The backflow prevention assembly detailed below has been tested and maintained as required by TC.EQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY o Reduced Pressure Principle ❑ Pressure Vacuum Breaker >r Double Check Valve ❑ Atmosphere Vacuum Breaker Manufacturer /-k!'l Sf7, / Size ��/� f Model Number Located At / - - sor ' • 0 Qy) Serial Number 79A 5i62 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BRtF s CER Double Check Valve Assembly 1st Check 2nd Check Relief Valve Air Inlet Check Valve Initial. Test DC- Closed A 8 Closed Tight � Opened at Opened at Psid I Tight Leaked ❑ rsid psid RP- psid 2 -o Leaked o Did not Open ❑ Leaked ke d ❑ Repairs and Materials Used Test After DC- CIosed Closed Tight t7 Opened Op _psid Repair Tight Q ___ psid RP psid The above is certified to be true. Firm Name Action -Fite fl oc Certified Tester ar'o - i• �is - ..,J Firm Address Po L3�x "7Qi (AM K4 u 4 eGile Cart. Testa No. 13/ /l hS/ Date - Tsc ''I 5i ilc@ Gauge # 04, pc)075 Date last accuracy tested gist? 3 White - Customer's Copy Yellow - City Copy Pink - Tester's Copy CHECK ONE: IRRIGATION DOMESTIC /t- FIRELINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTE.NANCE REPORT 1 /, NAME OF PWS: G / 4 f c_13PP // ( L PWS I.D. # ,. LOCATION OF SERVICE: c.: I/ S. f3 kt q The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY ❑ Reduced Pressure Principle ❑ Pressure Vac-* urn Breaker Jir Double Check Valve o Atmosphere Vacuum Brealmr Manufacturer Fr�6co size 2" Model Num p ber C J 50 Located At /AP 5 (SlC e V -e el'i! Serial Number //4!) .//'/ 1 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Check el Relief Valve Air Inlet Check Valve - -- - Initial Test DC- Closed 2 -2 Closed Opened Opened Tight t2t- Leaked RP- nsia Leaked D Did not Open i Leaked 0 Repairs and Materials Used I Test Alter DC- Closed Closed Tight 0 Opened Opened f Repair Tight v RP • sid ■ The above is certified to be m true_ / ��// Fir Name Q t on Ft v� >D e7 S Certified Tester J Ow-. A2S rn.✓ Firm Address Aloes- 74'7 Llidt'c L Cert. Testa No. 13PO!?lO6S7 Date ° f>r `7 S i (Pei Gauge # 64 /70075 Date last accuracy tested / / White - Customer's Copy Yellow - City Copy Pink - Tester's Copy CHECK ONE: IRRIGATION DOMESTIC FIRELINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTE.NANCE REPORT (� NAME OF PWS: PWS LOCATION OF SERVICE: 6 / / S • Ko� a The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY Reduced Pressure Principle C Pressure Vacuum Breaker Double Check Valve Atmosphere Vacuum Br Manufacturer Ze../4 {7-S' size 2/' Model Number � / Located At _ S' ` al/ / i Serial Number ber 4 le ®/O REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Check 2nd Check Relief Valve Air Inlet Cheek Valve Initial Test DC- Closed Closed Tight 18[ Opened at Opened at Wald Tight 2 -51 JET Leaked o rsid osrd rtP- n sid 2 . � Leaked 0 Did not Open o Leaked p Repairs and Materials Used Test After DC- Closed Closed Tight o Opened a t Opened at __Tsid Repair Tight RP • sid The above is certified to be true_ Firm Name , Certified Tester Z /7C9 `4./STp"J Firm Address lDDfftve l./AraticEctgg Cert. Tester No, d /O1-iSy Date --rte '15 f to 8' Gauge # O a Il007 Date last accuracy tested e rfr // 3 White — Customer's Copy Yellow — City Copy Pink — Tester's Copy CHECK ONE: IRRIGATION DOMESTIC FIRELINE - BACICFI.OW PREVENTION ASSEMBLY' EST AND MAINTENANCE REPORT g 1 Y NAME OF PWS: L /?�/ e)r f'- „ flPr /l ✓� PWS I.D. ii LOCATION OF SERVICE: Go / i .”' • -- Poy a The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY O Reduced Pressure Principle 0 Pressure Vacuum Breaker 7at Double Check Valve o Atmosphere Vacuum Bna-Q ��TT' Size " Manufacturer Model Number Q7 7i`fZ Located At AjQS7' ` < S /rte Zioec l* Serial Number ®Y z7 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BRF'sKFR Double Check Valve Assembly Ist Cheek riff Relief Valve Air Inlet Check Valve _ Initial Test DC- Closed 2. Closed Tight _X Opened at Opened at -- - n sid s Tight 18( Leaked Z v nsid psid RP- psid Leaked o Did not Open O Leaked Q Repairs and Materials Used i Test After DC- Closed Closed Tight a Opened at Opms:x:1 at --psid Repair Tight CI osid nsid RP psid The above is certified to be true. Film Name _ ,ir.-hnrr. r ✓9 Pi�� Certified Teste 7 `e.�j Firm Address PQ,6dY 79 ✓fitlettill&C_AbeCert_ Tester No. 713/Z2/ 7 Dare T 'l s Gauge # (J 4, //007S Date last accuracy tested 1r4.49 White — Customer's Copy Yellow — City Copy Pink — Tester's Copy 47