2014_1008 C�IBCK ONE:
IRRIGATION DOMESTiC FIggLINg" X
BACKFLOW PREVENTI�N ASSEMBLY TEST AND MAIN'TENANCE REPOR?
NAIvME OF PWS: CITY OF COPPELL
PWS I.D.#
LOCATION OF SERVICE:_E_s�ates of Coppell 1007 Indet�endence
The baci�low prevmdon assembly detailed below has been testod aad maint�nCd as requi:zd bv TNRCC
regularioas aad is certi5ed to be operating within acceptablc paramesars.
TYPE OF ASSEN�LY
C Reduced Pressun Priaciple e Prassure vacu�Brezker
�[ Double Check Valve ❑ Atmosphere Vacuum Bnaker
Nt���a �e.t�co s;u 31�l
Modellv�ber �� LocatedAt �00 � �C�U.I.b �l.aU..�C,.
SaialN�mmber !�'� � 'J`� 1
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACLTUM BREAI�R
Double C3eck v alve Ass�bly
lst C6eck 2nd Cbecl: Reiief Valve Air ldet Check Va1ve
Inidal Test DGClosed Closcd Ti,Qht Opeaed at Opeacd at �sid
Tight �.<o Leal:ed� �, ❑ esid `�id
RP-_psid
L,eaked o Did not Opm o Leaked ❑ �
I
and� �
Maceriais �
' Used
Test After DC-Closed Closod Tight o Opened at Opmad at _T sid ,
Repair Tight a _,_osid osid �
RP sid
The above is cectified to be crue. �
F1tII�N�C1-AFire&Domestic meG''t_;ng CCRifitd Teste ' �
F�p�sPO Box 79548 CatTestcNo.aPooi53ss Date � �
Fort Worth Tx 76179
Gauge # 06070576
Date lest accuracy tested 12/3/13
White-Customer's Copy Yellow -City Copy Pink-TesteCs Copy