2015_1006 C�iBCK ONE:
IRRIGATION � DOMESTIC
FIRELINE
BAC�'LOW PREVENTION ASSEMBLY TEST AND MAIIVTENANCE REPORT
NAME OF PWS: CITY OF COPPELL
PWS I.D. #
LOCATTON OF SERVICE: � !9' � ��� !� �J
'Ibe bacl�low prevmtion assembly detailed below has baa tested aad maintained as required by TNRCC
reguladons and is certified to be operating withia acceptable parameters.
TYPE OF ASSEMBLY
C Reduced Pressure Principle � Pressure Vacin�Breaker
�e� Double Check Valve o Atmosphere Vacuum Breaker
.�
Manufacnaer "�� � � Siu � GI
Model Ivumber � l _ Locaud At ��'�'�-_ /''�''t'�•v
Serial N�ber � � ����6 �
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R
Double Check v alve Assembly
lst Check 2nd Checi: Reiief Valve Air Inlet Check Va1ve
Inidal Test DC-Closed �ed Ti,Pht Opened at Opened at nsid
Ti ❑ eal:ed � _�sid _osid
x��s�a �3
L e a l:e d a D i a n a c o p e a o L e a l:e a o
�P�
aad
Mataials
Used
Test AR,er DC-Closed Closed Tight o Opeaed at Opeaed at _�sid
Repair Tight o nsid __,nsid
RP sid
T'he above is cvdfied to be true.
Fiim Name (�tf �D l��I P �� Catified Test� �.� ��N�/�Q/�
^ � Z Dace �d�G���
Firm Addre,ss I C� ��� .� Cert. Tester Na
cauge # C<lti��l,p..c:.� �l2 6' S�
Date last accuracy tested �� Z�{'—{ �(
I
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
916 SARATOGA WAY 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 ����,.»•:rn: �
EDWARD GANDARA �,�: '�'�''•''s''
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