2015_1006 C�IECK ONE:
IRRIGATION DOMESTIC FIRELINE
BACI�'LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
N�OF Pws: CITY OF COPPELL
PWS I.D. #
LOCATION OF SERVICE: �� Z R�S�C C7 l fi L/V
The bacl�low prevmtion asscmbly detailed below has bxa tested and maint�in� � nq� by 'I'NRCC
reguladons and is certified to be operating within acceptable parameters.
TYPE OF ASSEMBLY
C Reduced Pressure Principle C Pressure Vacu�Breaker
�� Double Check Valve o Atmosphere Vacuum Breaker
� r
Maaufact�er �� � � S� 3
Modei Iv�ber Located At �_� ��
Serial N�ber I�� � � `��v-1 o
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R
Doubie Check Valve Assembly
lst Check 2nd Chec.l: Relief Valve Air Inlet Cbeck Valve
Inival Test DGClosed osed Ti,Pht Opened at Opened at nsid
Tight Leal:ed O asid _osid
RP- �Pz� sid
I,�;� ❑ �� Did not Opea D Lea1►e� �
�P�
and
Materials
Used
Test ARer DC-Closed Closed Tight o Opeaod at Opeaod at �sid
Rtpair Tight ❑ �sid �sid
RP sid
The above is catified to be true.
N f�- �2`� . c�ar� � ��N/��1/2�i'�
Fum Na�� �O �
Firm Address �GI�( �-�1 f�°'� Cert. Tester No.��0�3� S�Date Q"6/S
Gauge # ��� �Q-� ,�f � �v 5�
Date last accuracy tested � I�`Z ���l l�
White - Customer's Copy Yellow - City Copy Pink-Tester's Copy
GANDARA IRRIGATION INC.
3901 Clifton Dr. Richardson TX 75082
Office: 972-671-3776
Fax: 972-664-9158
Cell: 972-467-3918
Email: eddiegan1@sbcglobal.net
832 PRESCOTT LN
BELMONT LANDING
COPPELL TX
To Whom it May Concern;
An irrigation system was installed at the property described above. In accordance with
the city of Coppell inspection requirements, we are providing the following information.
This irrigation systemhas been installedin accordance with all applicable
State and local laws,ordinances,rules,regulations and orders.
I have tested the system and determined that it has been installed according
to the irrigation plan and is properly adjusted for the most efficient
application of water at this time.
1 year warranty from the day of installation.
Sincerely
EDWARD GANDARA
S�PtE'��.Tc�
� • �-
� :.�
••• �cA
.
, ���..�+h�.*
, �� � 3,7''��qRA
IC�-6 ��y'� .,�
, ��RRIGP��