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2016_0224
c�T�c� �►z��: IRRIGA'T`I�N DOMESTIC FIRELINE BAC�"L�W PREVENT�t4N ASSEMBLY TEST AND MAIN7"E�+IANCE REPORT NAME Q�'P'U6�S� �,1-�-� �;,�' PWS I.i7.� L�CA'�ION(?F SERVTCE: � 2-� ( �, �� ��� �-�.� Th�backf7ow prevention a�s�rnbly d�tailec�belaw has be�n tested and maintained as required by T�EQ reguiatic����and is certified to be operating v�rithin acceptable pa�ameters. TY�'E OF ASSE�ffiLY o R�ducad Prtssurc Fria�iple ❑ Pre�'Vac�nnn Breake,r � Dc�uble Chexl:Vatv� C A�ospher�Vacuum Bresker Maaufacturer �A1�.�-�'S S� � �, Model Numbtr -? �`I Locatai Ai V�-�/��� t..vt�h�-�l Sc.�S L�-�-� StrrcEai Ntnubcr �,()y U �� 4�^� S d-t r>� REDUCED PRESSURE PRiNCIPLE ASSEM$LY PRESSURE V4CUUM BREAKER Dauble Cbecic Valve ASsemb[y lst C3e�c 3nd Checi: Relief Vaive :�tir Ialtt L"�tetk Va1v� Snitial Test DC-Clv�ed Closcd Ti�ttr C)pa�ed at C3pared aE r�id Tight U. L�al`�d � ° �nsid �Tnsid --�- RP- 3„sKnsid 'L � Lea�al o Dia noc G�pea o Leaked o �� and Ntate�ials Used Test After I?C-Closrd Clasad Tight o Clpened at C?pzaai at nsid �Lepair Ti�*hi p fl � -..'� ,�.s �,,,�osid RP sid Thc a'bove is c�ni.f e�'ta'bc true. Firm Name,�c.�;n k ,�;;-�- P,� cati5c�"Testa _ J�i.t�e., l.�,�//,�� �"um Address Po go X� g � (,✓� l(���P t Cert. Testa Na. �G� �9 3 �( ���-(� �auge � � 2 2��S i7aie last secur�cy tested---� - �..�1 S White- Cu�stvrmer's Gvpy Yell�w -City Copy Pink-Tester's CaPY