2015_1014 C�IECK ONE:
IR.RIGATION DOMESTIC FIRELINE
BACT�'LOW PREVENTTON ASSEMBLY TEST AND MAINTENANCE REPORT
NAIv�OF PWS: CITY OF COPPELL
PWS I.D. #
LOCATIQI�'OF SERVICE: P�- �����`
The bacl�low preveation assembly detailod below has baa tested aad maiatained as nquir�d by TNRCC
regulanons aad is certified to be operating within acceptable parameters.
TYPE OF ASSEMBLY
C Rcduced Pressune Priaciple � Pressure Vacui�Breaker
�e�Double Check Valve ❑ Amiosphere Vacuum Breaker
�' 3�y
Maaufacnaer ��� Siu
Model Ivumber �� Located At �"� �����
Serial Nimmber �'� t�" � �9
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACULJM BREAI�R
Double Check v alve Assembly
lst Check 'nd Checl: Relief Valve Air Inlet Check Valve
Inidal Test DC-Closed Closed Tight Opeaed at Opeaed at osid
Tight Leal:ed o �Dsid _�osid
RP-�•1 �sid ��
I,�;� ❑ Did aot Opea O Leat:ed O
�P�
and
Materials
Used
Test After DC-Closed Closcd Tight o Opeaed at Opeaad at �sid
Repair Tighi o nsid nsid
RP sid
The above is certi6ed to be true.
,� �'�D,��
Fum Name��DA-�P �-K Certifiied Tester ��
Firm Address � l G �-�`� ��Cert. Taster No.rl�3�� Date �b "'f ��
� � �Y.. ��.�Z
Gauge # C'O�/��� 3 f Z 6S�
llate last accuracy tested �Z —(
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
822 PREAKNESS
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 ir�stallation.
Sincerely E oF
EDWARD GANDARA 5"���"""''•TF+
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