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2016_0824 C�IECK ONE: IRRIGATION DOMESTIC FIRELINB BACI�LOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPOR? NAI�OF PWS: CITY OF COPPELL PWS I.D.# 51ne1� C-x��e.��,y LOCATION OF SERVICE: IO�� R4�IAI � • , Co�I. T�C �T S�1� T'Se bacl�low preveation asscmbly detailed below has bem usud and main(ain� � �� by TNRCC regulauons and is certified to be operating withia acceptable parameters. / TYPE OF ASSEMBLY L� Reduced Pressure Principle C Pressure Vacu�Breaker ❑ Dauble Check Valve ❑ A�osphere Vacuum Breaker ,-r Y�. Maaufacz�er W'�� Size Modei Ivumber � o��� Lacated At li�e.c dc��k s��-i o� i/l lo��/ Serial N�ber 1 1'�/�c�� REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAI�R Double Check Valve Assembly lst Check 2nd Checl: Relief Vaive Air Inlet Check Vaive Iniaal Test DGClosed Closed Tight o �at Opened ac osid $-1?-1 b Tigi�t ❑ Leaked o �i i�l sid nsid � � R.p-__,psid q� i � o �a no�op� o r�:�a � g�pairs i � 0. ( ��- �� � c�con ec �tv; 5;�e. a�a 'lo�ck o� �o � Co�'� "�{� Mataials Used T DC-Closed Closed Tight O�ened si Opmai at nsid � T;� g � �3 g psid nsid S S � . �a The above is artified to be true. Firm Name Allied Flow Specialists, inc. Ccrtified Testa Christopher L. Coffman ' Fi�mAddnssPo BoX 1i5o M�diotn�ar,,TX 76065 ��,TestcNo. BP0016261 D� ��y-f� I Gauge # 05141063 Date last accuracy tested 7-21-16 White- Customer's Copy Yellow - City Copy Pink-Tester's Copy C�IBCK ONE: / / IxRIGATTON DOMESTIC �� FIRELINE BACI�LOW PREVENTION ASSEMBLY'TES'T AND MAINI'ENANCE REPOR? NAIv�OF PWS: CITY OF COPPELL PWS I.D.# �heil �ewav LOCATION OF SERVICE: I�O� Roya� L�. , Co �e�Tf C '7�O1 g The bacl�low prevention assembly c3erailed below has beea usud and maintainod as required by TNRCC regularions aad is cerdfied to be operating withia acceptable parameters. / TYPE OF ASSEMBLY L�� Rcduced Pressur�c Principle e Pmsure Vacu�Breaker � Double Check Valve ❑ A�aosphae Vacuum Bnaker YV� •` Maaufacturer S� � ModelIv�ber 0���� LocatedAt � fEr+C o� ����`� C9c� Serial N�ber !'1'D ow�?0 REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUTJM BREAI�R Double Check V alve Assembly lst Check 2nd Checl+ Relief Valve Air Inlet Check Valve Initial Test DC-Closcd Closed Tight ❑ at Opeaed at osid ��'7 j(o Tight ❑ Leal:ed C �7 ..psid ,osid �� � RP• �•�psid {�.p � � �;� Did not Opea o Leal:ed gtpaire i�n5�� g e�1o�; aad Mataials Used Test � DC-Closed Closed Tight at Opeaod at nsid air Tight c� O��sid csid 5 s RP '� sid o'� The above is catified to be fiu. Firm Name �Ilied Flow Specialists, �nc. Certified Tester Christopher L. Coffman I FIT�iA�CSSPO Box 1150 Midlothian,TX 76065 C�,'I'atQrjO. BP0016261 D� $2Y 1G Gauge # 05141063 Date last accuracy tested �-21-16 White-Customer's Copy Yellow - City Copy Pink-Tester's Copy