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2014-0610 (2)
C�iECH ONB: IRI�IGATiON DOA�BSTIC FIRELINB � BAC�3,.O�V FREVENTiON ASSEMBLY T'EST AND MAINTF.NANCE REPORT NAME OF PwS: CITY OF COPPELL PWS I.D.# LOCATIaN 4F SERVICE: /// / ��-��-��. 'I� bacicflaw p�vmtion a�sembly derailod bcloa has bxa tested aa�d maiataiaod as rcquired by TNRCC regulaeams aad is cett�'tfied to bc operatiag withia accept�blc para�eters. TYPE QF A.SSEMBLY . �e Rcduced Pressvrie P:inciple e P�ue V�Brealoer Double Check Valve o Am�osphae Vaciu�m B�aloer Maaufacna�ec ��i Siz.� �» Mc�delNumber /��' g �L�c�� I.ocatadAt ��St S�� �``"'e'� Scrial Ntmmber ����x.�OC�.��- REDUCED PRESSURE PRINCIPLE AS.SEMBLY PRESSURE VACUUM BRFAiCFR Doable Cbecic Vahne Ass�mbly , lst Checic L� � 2nd Cueclt �, 9 Rdi�f Yalve Air ldet C;hed�Valve laival Test DC-Closed Closed Tight Opcn+ed at Opeaed at ,�d Tight Leal►od ❑ nsid _osid RP-�sid L,eal;ed a Did noc Opea o L,ealced o �� aad Ma�rials Uscd Test ARer DC-Closcd Closod Tig�t o Opene�at O�ca�od at _osid Repair Ti�t o �,�nsid _s,nsid RP The above is c�tified t4 be true. Fitm Name /-�f�..� Fr�z. �v�s _ CertiSod TCstCr /�'e�r���� Lc,o[�fl.,r �'� '6 a� ?�� Firm Addreaa ' �� Cat TestQ No.1��o a�'�I S'� Datc /�� � -l y� Gauge � O�c��10�1-8� Date lsst accuracy tested �-/v ' /� White-Customer's Copy Yellow - City Copy PiNc-Tester's Copy