2015_1014 C�IECK ONE:
IRRIGATION DOMESTIC FIRELINS
BACKFLOW PREYENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: CITY OF COPPELL
PWS I.D. #
LOCATION+�F SERVICE: d �� ��� la K l�� S
The bacl�low prevmtion asscmbly detailed below has beea tested aad mainC�Cd as required by TNRCC
reguladons and is cerdfied to be operating within acceptable paramtters.
TYPE OF ASSEMBLY
c , Reduced Pnssure Principle e Pressure Vacu�Breaker
•� Double Chcck Valve o Atmosphere Vacuum Breaker
Manufactsaer ���iC�c Siu _�
Model Number ��� Located At ��dr�� /b���
Serial Nimmber �� ����
.
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE V�CUUM BREAI�R
Double Check Valve Ass�bly
lst Check 2ad Checl: Relief Valve Air Inlet Check Valve
Inival Test DC-Closed Closed Ti,Pht Opened at Opeaed at osid
Tight Leal:ed o �sid osid
RP- �D osid �
� ❑ Did not Opm D Leal:ed o
�P�
aad
Mataials
Used
Test After DC-Closed Closed Tight o Opened at Opeaed at __�sid
Repair Tight o csid ___,osid
RP sid
The above is catified to be true.
,4.ND� . � ��4�/�-�
flrm Name � �" �Q Cat�fiod Testa
Firm Address 3�l G����"`/�� Cert. Testa No. �3�SrL- Date ��^� �r�,�
Q�� h �. �1 S��'Z
Gauge # C�t/�fL�"� �3lZ C6�
llate last accuracy tested rr�Z�—f�'
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
827 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 installation.
Sincerely
EDWARD GANDARA
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