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2015_0824
C�ISCH ONE: IRRIGATd�� I?OB�dES�IC FIRELINE �� O�P���'AQN LY�T AND MAIl�'I'ENANCE REPORT N�OF PWS: CITY OF COPPELL �, Pws��.� �:.,cc� t�h'�s Nv�s;��, . LocArro�v oF s��c�: ���0 f>, SQ.N��r 1�� r�► :l� �� The baci�low prcvea�� asscmblv detaileti below has beea tes�ed aad maiaiained as required b;► I'NNRCC rer�lacons aad is certafie�to bc op�r�iag wiehi�.aecepeable param�aers. TYFE OF ASSEMBLY c �uced�ss-u��ciple e P�essune V�Br�alCer 5� Uonbl�Ch�k�Talve o Atmosphere Vactn�Brealxr M�,�� ]l�t��s s� 3�4'' ��N,�� ��m3 ��t �►, v�u�- o�� r�� s���t� �.�41��9 �uc�P��s€r�����,��,ss�n�sLx �xEssrnt�v�cirtrnt BItE-aa�R Double Ch��%�[ae ly lst Checi� 2ad Cl�s� R�iief i%abe 4ir Indei Check Valve Inival?est DC-Closed Closed Tight Opened at ppeae�at �_�es�d T'�t �,� m� LeaIbed � �nsid _��esid ��s ItP-�sid �,C � LeaIced ❑ Did not Opm o LesI:�d �7 �� aad Maresiats u�a � r�c a� nc-c��� c�o�r�c ❑ a�� o�a� �;d Rep�ir Ti�ht ❑ ��nsid __�sid ��-- RP sid The above is ce�eified Yo�ta�. Fia�Ida� �e�A� �.��. C�ified'T�ster ��G��.� ��(�E��1.� F� �qt�q c�-t �t ��,� ��c�.r�xo.���;�_7 n� .�U/�S 7��� cS� � 33 i ?b9 Date last acc�aracy tested� C► I`� white-Customer's Copy ��ow-city Copy P�nlc-Tester�C�y CFiBCH ONE: IRRIGATIOAT I)OMES�TTC V FIBBI,II�TL� ��, �V P���°d(DPT�SE1VdBY.��'E�T 11PTD MAINT'ENAN�RE�OR? N�OF PWS: CIT'Y Q�CO�'PELL 'A PWSLD.� `�;v��= n��S �1vcS�na., Loc.�.rro�•o�s�v�c�: ���C� (�, �.N��r 1.�� ('�,�11 �-� Tha baci�low pr�ven�oa asscmbly �tail�d below has beea trsted aad ffiaia�ned as r+equired be TNRCC reguladans and is cerdfied r�be ap�tiag�rit�ia.accepeable p�ters_ 'rYPE OF ASSEMBLY ❑ Reduced gress�P�mcinle e Pness�vacui�Breaker � Double Check Zlalve o Atimosphera Vacuum Brealxz Manufacta�r ��5 Size oZ►� h�todeiNuffibe� 40? MI LocatedAt �v� VfiV �� (�T �ng� S���a r���3� ������������,������� ��5�v��B�� ����e�������i� Ise Chec[c Zad Ches� gtelief Valve 4ir Inlet C'beck VaIve Initial?est DC-Closed Closed Ta�it Opeaed at Open�at ��flsid si 'I i� , ,$ Leal��d�,Q � ��sid �psid ��yc�- RP-_e�sid � LeaL-ed ❑ Did aoc Open ❑ Leai:sd !� �� aad Materials u�a � Test Atter DC-Cl�ed Closed T'i�hc o Op�aed at Opena�at �,�sid Rtpa� Ti�ht � ��nc,d _�asid RP id TI�e abave is c�eified 4o b��. Fiaffi Tia� ��:�A� �.c�- 'TatGr ��(���£.� �<<.�E�\,�l,D� F� �q o4 c�-� �t i'��� '��c Cert.Test�r No. 7 DBte � � 7��7 �� � �3i��9 Date Iast accurac� tested 7 3 C� j�j �Vhite-�Customer's CopY �ellow- City CoPY Pink-Tester�s Cc�Y c�cx axE: LRRIGATION ✓ DOMESTIC FIgEI,II�TE' BAC'I�LOW PItEVENTION ASSEMBLY TEST AND hLaIINT�NANCE REPORT' NAME OF PWS: CITY OF COPPE�L � PWSI.D.# �'—��C� ��KS �1vcS�n�, LOCATIaN OF SERVICE: ���C) C, SAN�''� �Q.�� r�o�c�� �'� Thc bac�low preventioa asscmbiy decailod belaw has bxn testcd and maintained as required bv TNRCC re„8ulaaions aad is cerrifiad to be operating withia acceptable parameters. TYPE OF ASSEMBLY p Rtduced pressure Principle � Pressure Vacut�Br� � Double Check Valve ❑ A�osphere Vacuum Breaker M�,�a��a �P�� s� i�5 Model N�ber ��7 M� Lacated At �C7v 1/�AU��- P� Mt��K Scriat Iv�bcr �� ��dl� REDUCED PIdESSURE PRINC'IPLE ASSEMBLY PRESSURE V�CULTM BREAI�R Doubie Cbeek�%alve Assembfy lst C3eck Znd C�ect: Reiief'4alve Air Inlet Check Va1ve Initiai Tcst DC-Closcd Closed Ti;ht � Opcned at Opened ac osid Ti�t 1 �� � Leal:ed � ,� ❑ __nsid __�flsid —� Q�,5 RP�,psid Lcal:ed ❑ Did not Opm ❑ Leal:ed o � �� aad Materials Used � Test Attet DC-Clflsed Close�Tight � ppcned at Upcned at �d Repair TighL D _�nsid _�nsid RP sid ?hc above is cerufied to be uve. Firm Name ��.��A\ �.�F Cettified Tester M�C,��.` ��C.�E��,D� Firm Address �q�q c.r< S� i1�1�� "I��Cert.Testc No. Date `� •2 IS 7��7 Ga� � �317 69 Date last accuracy tested � �C� ��j White-Customer's Copy SCellow -City Copy Fink-Tester's CopY C�IECK ONE: r IRRIGATION DOMESTIC FIBELINE � BACT�ZOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: CITY OF COPPELL PWS I.D. # �.�ICC` Q�K-S LOCATION OF SERVICE: \S��` �� `x�N�v ��- C�PDe�� �� � � The bacl.�flow preveation asscmbly detailed bclow has beea tested and maintained as required by TNRCC regularions aad is cerdfied to be operating within acceptable paramctcrs. TYPE OF ASSEMBLY � Reduced Pressurc Principlc � Pressurc Vacu�Breaker � Double Check Valve ❑ A�osphere Vacuum Breal:er Maaufact�er 'l:v�"�� Siu �`1 Model N�ber 7� � Located At J�'�u�� Scrial Ni�ber rn C� - ��� � REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Double Cherk v alve Assembly lst Check 2nd Checl: Relief�alve :�ir Inlet Check Valve Inirial Test DGClosed Closed Ti;ht ❑ Opened at Opened at nsid Tisht ❑ Lcal:ed �sid nsid ��,��\ RP-_psid � I,ealced Did not Opea D Leal:ed � �� �E1�IvcE�� � � . C hfi� Materials Used Test Aft,er DC-Closed Closed Tight Opeaed at Opeaod at osid air Tighi 3�� L� � Dsid osid �, R.P sid The above is catifiod to be tnu. Firm Name �c�P� C-,=��� Certifiod Testa �l�C�a�� S`(�� `���"�� Firm Address,7�1 ���s� �'� ��.\�,Qs�'�ert. Testa No.��P��`�9 � 7 Date �`I I� �75.�-�7 , cauge # ��\� �9 llate last accuracy tested � �� White = Customer's Copy Yellow - City Copy Pink-Tester's Copy