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2014_0613RPZ CIIECK ONE: IRRIGATION DOMESTIC ,----)c- FIRELINE gY-7-. BACICFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL 92 , PWS I.D. # LOCATION OF SERVICE: /G'S - r, ./4"r /l �i-/ , /7 ,4": fi - � / i' - -/ SC/5 7 /"./ / ,-l� s^ The baclilow prevention assembly detailed below has been tested and rrmwinrained as required by TNRCC regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY ,1� Reduced Pressure Principle 0 Pressure Vacuum Breaker - Double Check Valve 0 Atmosphere Vacuum Breaker Manufacturer i i./`f�5- Size � , Modes Number 6 5' •--" 7- Located At .i�c�r��a �- - . 1 7zr�,,i� Serial Number ✓1,-.2.�3 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BRF ASR Double Cheek Valve Assembly 1st Cheek 1 2nd Cheek Relief Valve Air Inlet Check Valve _ - --- - -- - -- - --- --- - -. _ - - - - -- -, I Initial Test DC- Closed Closed Tight o Opened at Opened at _psid /., �/ Tight 0 Leaked �IsE _ -- psid ____psid ,�-- RP psid ��i / Leaked -9- ,,,</r4.,./1" �° / Did not Open o Leaked rJ' Repairs �y'�, // , - 1'« Z -rte / /�1 ,- �,f 4 //,--eis,- and ?X1 / '-' . ,f1 l�i�e4 jZv, frsi� �� Materials Used Test Agar DC- Closed Closed Tight ,¢1 Opened at Opened at vsid Repair Tight - 7®' c % -" psid ______psid �S RP � psid The above is certified to be true. / / Firm Name .- 7‘ • �•�y //• 75:-- , ��i Certified Tester -- f/ r .7��ri_r,-' <- ,,,- - s �i fio / �J/ `-'„ Firm Address - i/ /ri.-A- - . � .'�• Gio Cert. Tester No. A''' /f2/ - Date / /� - /l Gauge # - j " G --' yC� Date last accuracy tested �- "s v :.., q White - Customer's Copy Yellow - City Copy Pink - Tester's Copy w :.:, `.f.�, �:` dai..zaW"_ ri+hT n1' ., : plc s w e . .n,. rv�.,un}.?:k�.r5'bn+� . +�SidF.r axn-�5: o.✓�,� tR<..6.* "5i.z""^°"�` , xTnr - ^43.,. .erg ge`i#SFd � , � .,..BRA` - ..- 1+5Y4A�+.� � +:. -�7i .:+!C... , ..k".°� ra „•�- =.P .. CIIECK ONE: IRRIGATION DOMESTIC / PIRELINE gP7---- BACICFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT (.9 NAME OF PWS: CITY OF' COPPELL 1 PWS I.D. # LOCATION OF SERVICE: /G %1 f` ...9;`�f./i .�� r� l��r// i� S /i' C1 T /x.71 < /1�(-The bacidlow prevention assembly detailed below has been tested and rnainra;ned as required by TNRCC regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY Reduced Pressure Principle 0 Pressure Vacuum Breaker o Double Check Valve 0 Atmosphere Vacuum Breaker Manufacturer /,-c f/i Size •/ Model Number dU5' >" Located At /� / � //1�---_, «ii.- Serial Number / 7 �- -2 REDUCED PRESSURE PRINCIPLE ASSEMBLY PR.ESSUTRE VACUUM BRF AICER Double Cheek Valve Assembly 1st Cheek 1 2nd Cheek Relief Valve Air Inlet Cheek Valve Initial Test DC- Closed Closed Tight 0 Opened at Opened at _psid /j -/j Tight o Leaked ja — nsid nsid RP-_____psid /" .."/ Leaked 571' l� =/-/- Did not Open O Leaked rJ' Repairs ,-;:; � .S. // . -1 - /,- ,27, 45 // �/17 � fa /�. , tirG. and ,r/_ - �? � A��/ X i / ---XJ /--' AC Materials Used Test After DC- Closed Closed Tight )2t' Opened at Opened at nsid Re p,,�ttrr Tight ket -5 2' psid paid /Gff RP e‹ " psid �• / The above is certified to be true. Firm Name �� .Z. , �'�,�oii4-/ -/ �1i. -� >� Certified Tester ( / �� ri1�� - - �`l� �c is +fd/ �hju y Firm Address 1/% ice r� S-G" Cert. Testa No. �f'L /%� /s Date ,,,./--,/' �% Gauge # / , /G ` G Date last accuracy tested _7 S /% White - Customer's Copy Yellow - City Copy Pink - Tester's Copy CHECK ONE: (�`� IRRIGATION DOMESTIC ,,,, FIRELINE g i V L--- BACKFZ.OW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF CORRELL P 9 WS I.D. # LOCATION OF SERVICE: /�'P5` s �r�7`,.,- � - /. r,>>: c� ,-,� // 7� , !,,,-/`� 6; 7 4- ' /, jam, The bacldlow prevention assembly detailed below has been tested and maintained as required by TNRCC regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY ,ISiv._ Reduced Pressure Principle 0 Pressure Vacuum Breaker 0 Double Check Valve 0 Atmosphere Vacuum Breaker Manufacturer ! � -' //f Size / 1 Modes Number -'G 9 /r_ % Located At =� /.ice A- -,--/,/ Serial Number -7 � .. //2 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Cheek 1 2nd Check Relief Valve Air Inlet Check Valve - - -- - Initial Test DC- Closed Closed Tight 0 Opened at Opened at nsid e s' /9 -,7 Tight o Leaked o nsid nsid RP-___ nsid = - - - %2,-/-- f ,, Leake d o /! / � -� --� Did not Open o Leaked Repairs .. , /I fj // :!i / -. ../, 7,i �/ / �./ - ....7....//, // / t" -Y4 and -27 -'� --li --/i �2 , /� --/ ,(-7t-' siir.),/ Materials Used Test After DC- Closed Closed Tight ta Opened at Opened at nsid R epai�arr Tight nsid nsid /�rS RP % psid S The above is certified to be true. Firm NOme■ . /, �p ��•�i�� e > Certified Tester / /),!' r f(cfJ' /S ° <. - -71 /�ii/�.�.- 7t .7-',"---- � Firm Address o Cert. Testa No. /-; Date // /' Gauge # G " %o SFj Date last accuracy tested � _ S= / j µ,^' White - Customer's Copy Yellow - City Copy Pink - Testers Copy 2a vn,.. 4'. +Mt�9F r?T+3tA�WtN.;�f1 hi•lw /...ds 'h *n*4h`.',aVR"9 yn- <.4�!!:.' : a n' �brvT3f* ror!' E'+ Y' ' N4x" 6' A.^. A" gi.+. P+ Y. '.m..x^nc�•• -e raa'.Rb.'S, a '-- s�'%Y^' .3 s'6. kTq. fl.....m'.b .Y avg' s,c+e � .. CHECK ONE: IRRIGATION DOMESTIC /C FIRELINE RilIZ--- BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: /Oil S ///,----,.-- / / //��x� �� // T� =1'� /5' L::5? T /-,f, 71�l -ix The bac Blow prevention assembly detailed below has been tested and mainrained as required by TNRCC reaulationss and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY -) Reduced Pressure Principle 0 Pressure Vacuum Breaker rJ" Double Check Valve a Atmosphere Vacuum Breaker Manufacturer 4 /�S S ize Model Number C.- 9_ %//1 �i T Located At ./i /X <� // Serial Number - -1 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BRE-AICER Double Cheek Valve Assembly 1st Cheek 1 2nd Check Relief Valve Air Inlet Check Valve - �■■■■ Initial Test DC- Closed Closed Tight ..IEL Opened at Opened at nsid /X /y Tight ,..e Leaked o - psid sid RP- �' osid s s Leaked p �" 2 Did not Open o Leaked o Repairs and Materials Used Test Attar DC- Closed Closed Tight O Opened at Opened at _psid Repair Tight 0 nsid nsid RP psid The above is certified to be true. / Firm Name �,e / , �,/� , - / / /C% - - - !f Certified Tester (------;‘-__/- ,....--...-/---,- -"--- -,---- �� s c�Af <i ��.;>- Firm Address /7 %".",,,-- _7,-1 /5 - G.ia Cert. Testa No. / l! /�? /l Date r"---- /_> /j Gauge # C.: "/" ' li Date last accuracy tested l . _/j White - Customer's Copy Yellow - City Copy Pink - Tester's Copy c m'�..«k.e..r dm�, e�isn'iv+'w.v[ X°"T of .r -. ,k. Ry�'a r.e.. +? , tebYM: e.av^'a• .. �xrF .-'^•: ,= .i -,,. y < " -cx. ^m p;yrb'ez Kt .• -yky^ .. .. m , n.o. • ue .. , : =i °ii° ,., .N"i - ,.. CHECK ONE= IRRIGATION DOMESTIC FIRELINE BACI FLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: /O ham _ r /fl>r .o / The backflow prevention assembly detailed below has been tested and rnAintained as required by TNRCC re and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY Reduced Pressure Principle a Pressure Vacuiml Breaker Double Check Valve a Atmosphere Vacuum Breaker Manufacturer S ize Model Number 6G%5 , 172 T Located At // Serial Number REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Check 1 2nd Check Relief Valve Air Inlet Check Valve Initial Test DC- Closed Closed Tight $ Opened at Opened at nsid Tight _to Leaked o / nsid nsid RP - .rpsid /ors L a - Did not Open o Leaked 0 Repairs and Materials Used Test After DC- Closed Closed Tight 0 Opened at Opened at nsid Repair Tight nsid nsid RP psid The above is certified to be true. Firm Name mss* - � �� Y� �r� ms' Certified Tester Firm Address _/ '/� ��y � -��io Cert. Tester No. / Date Gauge # Date last accuracy tested / — White - Customer's Copy Yellow - City Copy Pink - Tester's Copy ,a¢nr, :.::wu.x. �.Rh >,xer v!S re�':, R. v..a%rfn fR: pfi- a „iA'LY,?p nww+.,w awl .*A",awa ;wka.rr >wseaa_ ,�',.�`, xrn:rvy{ ;:.vb.�u .xt ,M.'ca m.�`.N4:' °c. I ,w&. a.t _. , 5. :,,n ...: R`.,., wv_ ,. CIIECK ONE. IRRIGATION DOMESTIC 2 FIRELINE gi? BACICF LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COR ELL PWS I.D. # LOCATION OF SERVICE: /mss_ f /r�li�. /�� /.cc �< // 7X i �G /5 �1 7 The bacidlow prevention assembly detailed below has been tested and maintained as required by TNRCC regulations and is certified to be operating within acceptable parameters. TYPE OF ASSEMBLY )1( Reduced Pressure Principle C Pressure Vacuum Breaker Double Check Valve a Atmosphere Vacuum Breaker .� Manufacturer /i � ff ' Size Model Number Located At /i /Ssu. .Lc-��. Serial Number , -rte REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAlECER Double Cheek Valve Assembly 1st Check 2nd Cheek Relief Valve Air Inlet Check Valve - -- - Initial Test DC- Closed Closed Tight -E1 Opened at Opened at osid Tight Leaked 0 1 S psid osid � RP - r1, 1 osid /(� SS Leaked o % Did not Open 0 Leaked Repair and Materials Used Test Agar DC- Closed Closed Tight o Opened at Opened at _psid Repair Tight 0 nsid osid RP psid The above is certified to be true. Firm Name � «` Certified Testa Firm Address i Cert. Tester No. {�/ /�� // Date Gauge # Date Last accuracy tested White - Customer's Copy Yellow - City Copy' Pink - Testers Copy