2015_1101 C�IECK �NE:
IRRIGATION � DOMESTIC FIRELINE
BACI�LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAN�OF PWS: CITY OF COPPELL
PWS I.D. #
LOCATION OF SERVICE: � �s��� �
The bacl�low prevmtion assembly detailod below has beea tested and maintained as nquired by TNRCC
re�lations aad is cectified to be operating within acceptable parameters.
TYPE OF ASSEMHLY
e ��educed Pressurc Principle e Pressare Vacuimi Breaker
� Double Check Valve ❑ Atmosp ere Vacuum Brealcer
Manufactzaer
�`�� Siu /'
4 � �
Modei Number Locaud At "�I'��� /�
Scrial Nimmber �� v � � � � �
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R
Double Check Valve Assembly
lst Check 2nd Chec�: Relief Valve Air Inlet Check Valve
Inidal Test DGClosed Closed Tight Opeaed at Opened at nsid
Tight eal:ed ❑ __Dsid _osid
RP-� I Dsid
�;� p ``� Did not Opea o Leal;ed o
�P�
and
Materials
Usod
Test After DC-Closed Closed Tight o Opeaed at Opeaed at �sid
Repair Tight ❑ nsid _osid
RP sid
The above is�ernfied to be tcue. ���
Firm Nam�e �O A-�1A-(�-Rf ��(�, Catified Tata _�� ���
Firm Address �� �'' ��'" �!'t— Cat Testa No.� � �5 L-Date �=
(�suge # �O ti/3 fLP-� � (Z���
Date ]ast 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
Ceil: 972-467-3918
Emaii: eddiegan 1 @sbcglobal.net
820 PRESCOTT LN 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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