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2016_0622 C�IE K DNE: ' I ; � , IRRI ATION �_ DO�`ESTIC F:[ftEL� E�� , _� , � � � � `��';� �� BACK�'L,OW'PRE'i�NT�ON'�,tiSEMB�Y�ST,AN�11Vf�iTEjvA1Y � pCE�'Cl;�t'T N OF PWS: .�� . � � . F � . ��. S . � . � . � �� 1 . ��':- � . . PW I.D. # `� � � i� � �` � � � � LO �� TION��F S�RVICE�: ��, ��_ ' � !� ��;� � � � � � � � i The ackflow prevention assembly detail�d below has been tested and maintaine as requiff,d by TCEQ 4 reg ations and is certified ta be op�ratin��vithin acceptable paramete�s. � ,, � '� � � '�P�E OF ASSEMBLY � � � � � � � � � � ❑ �� Rcduccd Pressure�+riacip�lo . ` �� ❑ F'res'surc V�a�um��B � �� ' o�uble Cheek Valve j o �►taiosphere'V�ctxum°B� aloer ;,� � / , � � �, t� Man acturer { �; Size _ ` �� , � Mod l Number �� `� ; Lncated At � i � , — �.:.... �/�} e� �, � Seri �Ntmiber�� l7�C/��_I�� ; I � � �� REDUCED PRES�URE�Rt°1N �.E ASSEMBL'Y P ��U12� � C;`t1U1Vtt �R .� , � : , , �' Doub[e C}�eck Valve Ass�mbl� j � ' � lst Chieek '�nd Che�l; ' � Tdeiief Valve: Air> nlet Che' �'�ve _ _.._.= Inia Ttst DC-Closed Closed Ti�t� ❑ Opcned at Oper�ed at ,__,,,�,,,�psid � Ti,ht o Leal:ed ❑ _�psid �sid RP-�psid Z (� -L�I�� y I T _`�. � . . .. �� . a^ � , . �r� �� y�1�.-.«. � i� � �and � :� r � � � � �{ � � �'Ma "als � � � � �� i � � � Us � � , � , � , � �. � �� '�� Test � DC-Closed � � �losed�`Ti��_� o Opeaed�at , Opea�d at ,�_,;:�,,,,,,,,psid � � � RtP Tight � __�nsid ��sid , � . , , t<RP si ,; , e � The a ve is ` ' ed to bc true. � - ,, i , � � � � � � � � � � s � I � %�� • � �� F'irm ame �' ,'ertifirti Tester _�.�"""� � „ �....,.:.wr. , : _� Finm dress .�/ /yZL�i� tit.�-�� * CZrt. Tester No��„�I)ate ; �Z�GG ; ; t�aug # f20 S'�Yt�� , � llate t accuracy tested �-' J'� � � I , � . t.. . , i , , . . .. . . .. . .. � i.. . . r . .. � Whit - Customer's Copy '��;ellt�w - City Cop3/ f Pu1 - 'CestE�'s Copy �