The URL can be used to link to this page

2015_1103 C�IECK ONE: IRRIGATION� DOMESTIC FIRELINE BACI�'LOW PREVENTION ASSEMBLY TES?AND MAINTENANCE REPORT NAIv�OF PWS: CITY OF COPPELL PWS I.D. # , LOCATION OF SERVICE: � " r i � , Q The bacl�low prevmtion asscmbly detailed below has beea testod aad maintain� � nq�� , �CC reguladons and is certified to be operating within acceptable paramcteis. TYPE OF ASSEMBLY e_ / Reduced Pressvre Priaciple � Pressurc Vacu�Breaker �f Double Check Valve ❑ Amoosphere Vacuum Breaker Maaufactsaer �,/i��'vn� Siu 3�`/ Modei Iv�mmber �✓�� Located At ��f�Y �•. Scrial N�ber ��1�1 Sl`� � REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Doubie Check Valve Assembly lst C3eck _ 2nd Checl:3,�Q Relief Valve Air Inlet Check Va1ve Inival Test DC-Closed Closed Ti,,p.ht Ot Optned at Opeaed at osid Tighi Rl Leal:ed ❑ �sid _�sid RP-_,psid Leal;ed ❑ Did not Opea o Leal:ed O �P� and Mataials Used Test After DC-Closed Closed Tight o ppeaed at ppmed at _�sid Rtpair Tighi ❑ _osid _�sid RP sid The above is catifiod to be we. Firm Name �i Aceuracy B�ckflow Catified Testa ,7J1�'h�l�h VAyI�'��/�1 � arton ircle Firm Address Frisco.TX 75035 Cat Tester Na � nac� -3-/�" 972-699-7156 (�auge � Date ]sst accuracy tested �' ' 's White- Customer's Copy Yellow - City Copy Pink-Tester's Copy