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2014_1114
C�iECK ONE: IRRIGATION DOMESTIC FIRELINE � BACT�'LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAI�OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: ��G' � �e �� � I►� The bacl�low prevmtion asscmbly detailed below has been tested aad maiatained as required by TNRCC regulations aad is cerdfied to be operating within acceptablc parameters. TYPE OF ASSEMBLY e Reduced Pressvre Priaciple C Pressure Vacu�Breaker � Double Chcck Valve o Amiosphere Vacuum Breaker Maaufact�er �/���1��,►�5 Siu ��`� Modei Ivumbcr �1�U X 1-- Z Located At � • � � ����'f� Serial N�ber 3�7 �3 O�`� REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Double Check v alve Assembly lst Check 2nd Checi: Reiief Valve Air Inlet C7�eck Valve Ininal Test DGClosed z�Z- Closed Ti,Qht L�' Opened at Opened at osid Tight .� Leal:ed ❑ �sid _osid RP-_�sid Leal;ed ❑ Did not Opea o Leal:ed o �P� and Materials Usod Test Aft�er DC-Closed Closed Tight o Opmcd at Opeaod at �sid Repair Tight o _�sid _osid R.P sid The above is certifiod to be we. Firm Name���✓►�e�,`�u�, �ac�rF�e�✓ Certified Testet�rr�n /'7Gi v��-� Firm Addrcss �� �3 �������� � Cert. Testa No. eoo��s 3 D��/-/'/-%� cauge # ��(� �z z '� llate last accuracy tested � / White - Customer's Copy Yellow - City Copy Pink-Tester's Copy C�IECK ONE: IRRIGATION DOMESTIC FIRELINE �� BACKFLOW PREVENTION ASSEMBLY T'EST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: ��C� �: �1 d . � I �� The bacl�low prevmtion asscmbly detailed below has beea t�ested aad ma�n ain� � nq� � �CC rceulazions and is certi5ed to be operating within ac,ceptablc parameters. TYPE OF ASSEMBLY C Reduced Pressure Principle e Pressurc Vacui�Breaker ,�' Double Check Valve o Atmosphere Vacuum Breal:er << Maaufacturer � ��<��,� 5 Siu �Q Modei Number �S O ��r Located At S• �- �rG� �� Serial Ntmibet l�l `-��(i 1 I REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Doubie Check Valve Assembly lst Check =nd Checic Rdief Valve Air Inlet Checic Valve a• Inival Test DGClosed �� 2 Closed Ti�t ,0' Opeaed at Opeaed at nsid Ti�t p' Leal:ed ❑ nsid _osid RP-_psid Leal;ed o Did not Opea � Leal►ed � �P� and Materials Used Test Aftet DC-Closed Closed Tight o ppeaed at ppeaad at �sid Repair TighL ❑ �sid nsid R.P sid The above is cerdfied to be true. Fi:m Name�� �nt e��'��,h ��c���la� Certifiad Tester .�-r'��.-, I�c�.��e.� Fitm Address ��r � �r:,�w���l' c�� Cert. Tester No. �Po c�oc�2 S� Date -� 1 I `i—I y Gauge # C�L U Z z�z �-! L� llate last accuracy tested -(Q-/ White - Customer's Copy Yellow - City Copy Pink-Tester's Copy C�IECK ONE: IRRIGATION DOMESTIC FIRELINE � BACI�'LOW PREVENTION ASSEMBLY TEST AND MAINI'ENANCE REPORT NAN�OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: � 3�� S ° �o �/c, I I �1 The bacl�low prcveation assembly detailed below has beea tesied aad ma�n a�n� � nq�� �, �CC regulations and is cac�dfied to be operating within ac�eptable parameters. TYPE OF ASSEMBLY C Rcduced Pressure Principle ❑ Pressure Vacu�Breaker ,e' Double Chxk Valvc o Atmosphere Vacuum Breaker Maaufacturer �,�l��s��:��1.S Siu 3�'� Modei Iv�ber �SU � �7- Locaud At �l� I�a v ��{� b�I �e v�� Scrial N�ber �� `1 3 i �`� REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Doubie Check Valve Assembly lst Check ?ad Checl: Relief Valve Air Inlet Checic Valve �•7 Inidal Test DGClosed�'`� Closed Tight � Opened at Opeaed at osid Ti�t ,ef Leal:ed 0 nsid _nsid R.P-_psid Leal:ed ❑ Did not Opea o I,eal:ed � �P� and Materials Used Test After DC-Closed Closed Tight o ppeaed at Opeaod at �sid Repair Tighi o _nsid __osid R.P sid The above is cerafiod to be t:ve. Firm Name�� I�+'Vt e r���u�, �����Ie� Certifiad Testa �r��I�c�,�r�e.,� Firm Address ���� �'3�;�r�.u��,( c�� Cat Testar No. �Paor�s��� Date //-l`f-/ (�auge # D 1 o z z z �{r� llate last accuracy tested �-� �/�/ White- Customer's Copy Yellow - City Copy Pink-TesteNs Copy C�iBCK ONE: IR.RIGATION DOMESTIC �� FIRELINE BACI�'LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: � j �' �� ��� � _ � ,L�� The bacl�low preveation asscmbly detailed below has beea tested aad maintained as required bv TNRCC re_$ulations aad is certified to be operating withia acceptable paramcters. TYPE OF ASSEMBLY C Reduced Presstae Priaciple ❑ Pressure Vacu�Breaker ,er pouble Check Valve o Amnosphere Vacuum Breaker Maaufactzaer �'�� ,��� ; ��1 � Siu 3 Model Iv�ber � � C� Located At � � ����� �" S r ►����%��:4-� s��N��a J y 'S � � �� REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Double C3eck v alve Assembly lst Check 2ad Checl: Relief Valve Air Inlet Check Va1ve Inival Test DGClosed 1 �7� Closed Ti,Qht � Opened at Opened at osid Ti�t -e� Leal:ed o _osid _�sid R.P-_psid Leal;ed o Did not Opea O Leai:ed o �P� and Mataials Used Test After DC-Closed Closed Tight o Opeaed at Opeaed at �sid Repair Tight � �sid __�osid RP sid T'he above is cerdfied to be tcue. Firm Name��I tt-m.e�,'c��� '�ac ' � � Certifiod Testes f�- .n r �.. ��-,,����2.�, Firm Address �S"13 ���u� c,vU�d c�! Cat Tester No. 000� D� -I'�-1 y (iauge # !�l U z z Z�/(a llate last accuracy tested �-(p-/c/ White - Customer's Copy Yellow - City Copy Pink-Tester's Copy C�IECK ONE: IRRIGATION DOMESTIC FIRELINE � BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REpORT' NaME OF PwS: CITY OF COPPELL PWS I.D. # LOCATION OF SERVICE: 3 3� � � �10�� � I I v� The bacl�low preveation assembly detailod below has beea testod aad maintain� � nq� bv TNRCC regulations aad is certified to be operating withia acceptable paramcters. TYPE OF ASSEMBLY e Reduced Pressure Principle e Pressure Vacu�mm Bnaker � Double Check VaIve o Atmosphere Vacuum Breaker Maaufactiaer �1�� � �� : �� � Siu �0 ,, M����ba 3 �� � � ��At �r� ���„�� b �; �a y�� i� s�;�N��a l�� �3�c�� REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Doubie Check Valve Assembly lst Check 2nd Checl: Relief v alve Air Inlet Check Valve Inival Test DGClosed C• y Closed Tight�m' Opened at Opeaed at csid Ti�t -0 Leal:ed o �sid �sid RP-__psid L,eal;ed o Did aot Open o Leal:ed � �P� aad Mataials Usod Test Aft,et DC-Closed Closod Tight o ppeaed at ppeaed at __nsid Rapair Tight � nsid _osid R.P sid The above is cati6od to be true. 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SI� @ � Sit� � � 3 ,�.a.� -�r�„��Ses � "r�i� � �2 - � � �1���i���45 , �t���'�. � �� � �'` ` ; - : , ., ; ,� f ' � ��' " ���� ��, - � �e � �` � � ��o g' _ . � }r ,F,�,o��t� `La��§�'� � --_...-_��_.��_.._��.a, �.g������:� ����.�����. ������ �����-�:�t�=s����� �c�� ������ � �.:��° �� � � � ��"� ���- �`�°��r�� � � C��BCK t3NE: l'.RRIGATIK)N DQMESTIG FIRELIN$ B�►�w p�v�x��rox�ss�LY�r�,sr�►r�in�,�rrn�vq��oRr NAME tJ�PWS: �.�TY C��CU�'PELL PWS I.D.# LOCAT��I�1 b�SE�'tVICE: 33 t7 �. 1?.r�v g� L.1� The b�k#1ow preve�Gica asscmE+ty detailod below �aas baa tcsud and maiataiaed as � � TNRCC rc�ans aad is ccr�afiad ta be . g within acecptable p�s. TYFE�?fi ASSENIDLY � ,,/''�Rcducxd Presstrre�'rinciple e Pressure Vactnmm Brcak�er �"'� Dau�lc�kccic�alve a Auncsph+t�e Vacuum Hreakr� lvtanufacttzrat t`�' �?E Ch S i;u �!1 Mtxiai N t�ber ��J t� Lac�ated At �. � �+c��� �i7 T. Scriall�itmabtr �.�SSC1 REDUCED PitE55 P1�I1�tC'II'LE ASSEMBLY PRESSURE V4CU'UM BREAKER Double Checic Va1ve Assembip Zst Chetk �nd Check kalve Air In1e# C'Itttk Vzlve Iai�ial Test DC-Clased Clased Ti�t Qpeae�az Upeaed at .asid ?i�t �.�I:ai a nsid �_nsid R.P-�`�.psid � o � . � i?id aac(� O � ❑ �� aad Mat�zials Uscd Te�t Atta I�C-Closcd Ctosed Tig�t a ()pca�d at C)peaed at �',cl Rcpair Tight o "es_id osid RP sid 'F�u abavc is certi6ec�to�e tnu. Fum N� M N C a1� Wt2.�"�' Cert�ed'T�stcr ��i�1"�9���� Firm � r 't'�,' � "� Cart.Te�tar�+Fo. ��'�_D�cc � L.;�#' �„£I�rvvt � �X �,� �g� � �28�``J�� D�te Isst e.ccuracy tesied �� �� Whit�-Cu�ta�taer's Copy Y�ll.ow- CitY CapY PiNc-Te�ster's CopPY