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2015_0622 .u, , , , ,. , . ; , � �� � , , ; ; , �, ,-. .. 1 C�IBCK ONB: ��� � ;.. �t IRRiGATIQN DOMESZ'IC ` FI1�:ELYNB� �►c�ow p�vErrriox�ss�sL��s�r�rr�►uvr�x�weE�+oRT � NAME OF PWS: CITY OF COPPELL ' PWS I.D.# � LOCATION OF SERVICE: '�� f� �t�``6"��r"�.� '�► The bac�low.'prevention assembly detailad below haa been tested and maiatai� as rdqu�d t�v ��C� - re�lado�s aad is cectified to be operaring withia acceptable parameoer�. TYPE OF ASSEr�IDLY � e � Reduced Pnss�me Pniaciple e Pressvre Vacu�an$realaer. ; , .� '�"-�' Dou�1t Check Vaive o Atmo�phere'Slacaum$re�er _ Maaufacuaer` � � �;� Siu ___�����" Model Ivumber �� ' Locaud At `���,�'�"` ��'� Serisl N�ber ' ��'� � , /`��� RE�UCED�P`RESSURE PRYNC'IPLE ASSEMBLY PR�SSURE V�C'[JT�M:BREAKER Daubk C3ecic Valve Asaembly : lst G3eck 2ad(�eck � Rdief Va�►e Air Ialet , Q�eic Va,h►e Inidal Test DC-Closed Closed Ti�ht Opeaed at Opmed at ' ��s-id Ti�t Lea�ed o _nsid _�d RP- __�sid � Leal:ed C '� Did'not Opea O LcakCd O RePairs aad, h�Ia�taials , Usod ' Test ARer DC-Closed Ctosed Tight o Opmed at ' Opeaed ac �aid Repair Tight o __nsid ;�nsid . RP 'd ?he above is catificd to be true. Firm Na�e ���+L'�o4 t'7�'+ �-�!� Certified Testa ��(� �� �� �,� Fi:m Addness�t`.� � C����;��+ . _ Cert.'Testc No. +��` �'�� Datie_��-�-�'� Ga� � +��v '� �r=�. �� �(� ��" Date last accuracy tested �' �� `� �� White- CustomeCs Copy Yellaw -CftY CopY Pink-Test�s Copy ,� , ; ; .., . : . . ::. . , : � :. _..... __ r � , ;