2015_0930 C�iBCK ONE:
IRItIGATION DOMESTIC FIRELINB
BACI�'LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPOR?
rr�►1v�OF Pws: CITY OF COPPELL
PWS I.D. #
LOCATTON OF SERVICE: `"/ S-� �J'� 1��'� �l�— l..tJ' !�}t�/
The bacictlow preveation asscmbly detaile� below has beea tested aad maintained as requircd by TNRCC
regulations aad is ce:tified to be operating within acceptable paramttets.
TYPE OF ASSEMBLY
C Reduced Pmsure Principle C Pressure Vacu�Breaker
� Double Check Valve o Amnosphere Vacuum Breaker
�
Maaufact�er ��"-- ��� Siu � 'e7
�
Modei N�ber � � Located At �2�'�'�—
Serial Nimmba � � � Z �lo �
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R
Double Checic Val�e Assembly
lst Check ?nd Checl: Relief Valve Air Inlet Check Valve
Inival Test DGClosed Closed Ti�t Opened at Opened at �id
Tight�,, Leal:ed z� ❑ �sid osid
RP-�sid
�;� o Did not Opea o Leal:ed O
�P�
and
Materials
Usod
Test After DC-Closed Closed Tight o Opeaed at Opmed at _osid
Repair Tight ❑ osid _,osid
R.P sid
The above is catifiod to be we.
Firm Name �i4 U��I�F� '���r Catifiod Testa ��J ���C��!�
Firm Address � �81 � �'" �� Cert. Testa No. P� j Date 9;��;�'
�1.�c�f�--rd-c�.� �
Gauge # �!2 � 5� C��,� �
Date last accuracy tested l �— Z e�!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
956 SARATOGA WAY
BELMONT LANDING
COPPELL TX
To Whom it May Concem;
An irrigation system was installed at the property described above. In accordance with
the city of Coppell inspection requirements, we are providing the following inforrriation.
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 S�a?�•��
'K �''•�F.�-
EDWARD GANDARA ++•� '�.�
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