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2016_1114 CfI�G� �7Id�:: II�.ft�GATIC)l�tY� DOME3TIC�_�_� FiRELINE�_— ���Q4V PRE�EN'I'I�JN ASSEMBLY TEST APID Mt�INTENANCE REPORT NA��""C)F P�S: �.1'T/ C' t�' �_t°��,�-t1 � PWS I.�.� LflCATIt7N UF SERVICE: 600 Freeport Pkwy, Coppell, Tx. 1�he b��ck�lc���� },reve��ticj�� a,sembly �le4ailc�bel�}�� l�as been tt:st4� and maintained as rec�uirec�by TCEQ re�,�ilatio��s and is certified t� be opet'atin���-itl�in ���c�ptable paramiters. TYPE QF LY Re��ze�Pressure Princroie �'ressure Vacuim7 Brcakcr � Double Chcck Valvc Atmc�sphere Vacuum Breal:er �� Manufac:urer atts Sizr Mocie:�iu�ber 774 �a��z SW Vault ������� 1002100330 � �tEDUCED PRESSURE PRINCIPLE ASSE':�iBLY � F�ZESSURE VACUt1M BRF..A�'ER Dau�sie Ghesk Valve Assembiv � lst Checl: 2nd Checi: �ttf V3IvC Air Inlet Cheeic Valve Initia�Tcst DC-Gosod Closed Tight � {�peaed at Opcned at nsid � Ti�ht Lc�rt gsid nsid ��� RP- �► 1�asi� � � L.eal:ed ' I?id nat Opcn ❑ I,eai;ai ❑ �� and Maurials liscd Test Af�cr UC-Closcd CIosed Tight ❑ apcned at flpes�ad at nsid Rcpair Tie,,�t c nsid nsid R.P sid Tho ab�vc is c�rti6ad�o be truc. �,���� Action Fire Pros ���T� Allen Stevens ��A�s PO Box 797 Waxahachie C��.��a BP0009860 ��� 11-14-16 Uauge # 07090476 llate l�.s� accuracy tested 9-23-16 White-Customer's Cc>py Yellvw - City Copy Pink-Tester's Copy C�I�G�3 �Id�: I��RIG�iTIUNT�___ �OMES�'IC � FIR�LINE�� �A ��Y�'RE�i�'I'IOt��iiSSL�MBLY?EST t�f'L?MAINT'ENANCE REI�C}RT T1A,.`M.�Q�'��IS: �-r 7;,� G' �' A„�(-�G}�,(1 PWS I.D.# L�7CATION 4F S�RVICE: 600 Freeport Pkwy, Coppell, Tx. `�`rlc l�ac��ilc���� �,t-�ve��tic�n tis::e���Y�ly d�tailed beltnG l�as been ti�s?e.] and mait�tained as renuii•ed���'TCEQ re��;ulatic���� ��n� is certified ts�l�e c���er��tin`���.itl�it� a�c�ptah3e ��ara�i�etea-s. TYPE QF M.BLY 8 Re�uc�:�':essure Principie Pressurc Vacui�Brcak�r �/ �ouble Cbeci�Vaive �►�osphcre Vacuum$rea�:�r M����� Watts ��� 3/4 �� 007M1 SW Vault M�del�tiumbcr Lacated At ������� 49366 � R��U��Pf�S5UI�PRI�i�LE�SE:4�LI� � PRESSURE VACUUM B�R �oubie Chetic t%a��e Asse�etbly f� Ist Checl: 2ad Chec.k �,eiicf�alve 4ir Inlex Cbcck�'alve 3xsiaal Test I)C-Ctasai �losc�Tiahc Upeae.d at apened at Dsid Ti�t Lca�:•cd �sid gsid g55� �- l� I �sr �, y �;;� I3id not C?pen fl Lea�:ai ❑ Rep�irs aud 'vtat.a�ials Used Test Af�.cr D�-Clos�d Ciosed Ti�at o Qpcued at OgCIICd 3t DSid R�air Tight � osid r�sid RF sid "I"nc above is ccrt�cd to bc true. �,���C Action Fire Pros ���T�, Allen Stevens ����� PO Box 797 Waxahachie ���.��� BP0009860 D� 11-14-16 �,����, � 07090476 I��te ia.st�ccter�cy test�d 9-23-16 White-Cttstamer's Copy Yellvw - City Copy Fink-Tester�s CaPY CfIEC�i t�l�i�;: I�.:�IGATI�I��_�_ DOMESTIC��� FIRELINE ❑_ �— �A�O'i,�'PREvE�I"IO�t ASSEMBLY'FEST�MAINTENA1titCE REP4BT NA'N�Q�'P'�T�: �-�7� C` �'�(��,�t 1 � PWS LD.# LOCATIflIv pF SERVICE: 600 Freeport Pkwy, Coppell, Tx. , The b[t�:.�:[101� }�i'e�ei7tic,�� t�5�ci��hly cier,ailed l�elt7�t l�as 1�een t�:<,t�:�� and maii�t�iined as required by TCEQ r����tlalit�r�s and is certifiiec� t,� b� ����e1-�itin�t �tiithir� acceptahl� �ai-�im�ters. TYPE OF �VBLY Rc:iuc�Pressure Princic�ie Pr�ssure Vac�r�Brcaker � �ouble Checi:'Valve Atmosphere Vacuuin Breal:er ����� BttS S� �� M��&����, 007M1 �ated AI SW Corner @ meter S������, 95832 REIIL�CEU PRESSURE PRINCIPLE:�S�E:�LBLY � PRESSURE VACUiTM BREAI�R Doub6e Checic Vaive Rissembly � , lst Chetk Zad Cher3: Reliet`Valve :�ir Inles Chec.�c�alve Iaiti�l Test DC-Clostd Glas�d Ti;ht Ogcae�at Upened at flsid Ti�tl Le.�:esi �sid �sid _ / Ri'- /!�psi G�Sf G�' Leal:erl �� � Did not 4pc� o Lcal:e� ❑ �� �a �a�� USCd Test A#3er DC-Closcd Clost�Tight � Opcued at 4pcned at osid Rcpair Tig�t c osid �,�tsid RP sid Thc ab�vc is ccrtified to bc truc. �,�N� Action Fire Pros ���T� Allen Stevens �.�A� PO Box 797 Waxahachie C���N� BP0009860 De� 11-14-16 �;��g� � 07090476 '� - llate Iss� accuracy iested 9-23-16 White- Gustomer's Copy Yellow - City Copy Pisik -Tester's CoPY �fI�C� t�NE: IftR.IGATIf�I��_ DOMESTIG � PiRELINE BAC�t��PREVENTION ASSEhIBLY TEST At�1VIAINTENANCE REPORT N�2�t��'FVJ�: �-��� L` (-� �=..���� PWS i.D.# LflC�TIOhi OF SERVICE; 600 Freeport Pkwy, Coppell, Tx. �I'h�l�sG�ck 7c�«�}�t-evei�tiol7 as�embly cle?ailed belc�ti+ laas f�een t��stec� a��d maintained as re�uueci by TCEQ re�=ulatic>�ns and is ce�E-titi�d t€� bc o���r�ting ���ithin acceptable paran�eters. TYPF OF :vIBLY Re�ucai�':essure Prulci�fe Pressure Vacu�Breaker � Doubic Chcc�Vaivc AtmQspherc Vacu�Breakcr M���� atts S� 2 �� Madei Numb� 007M1 ��� gt SW Corner @ meter Sc:iai Ntiunber 96595 I REDLi�EU�'RESSITRE PRIN�'i.E:#.sS�:"KBLY � PRESSUI2E VACWM BREAKER Dou�►te Cherk Valve�ssembly � ist Check lad Checl: Relief Valvt :�i,ir Inlet Chcck Valve Iuitial T�st DC-Ciascd Closed Ti;hc C}pea«i at Opened at nsid Ti�z Leal:eti �,asid gsid P�s � ��F�' 02 ' Lea.�;ed �' Did not t}oen ❑ Lcal:cd � �� and '�daterials lised I Tcst A�er DG-Clcrscd Closed Ti�t � Opencd at {?pcaad at nsid Rcpair Tighi � nsid nsid R.P sid Thc above is certi6eti ts�be truc. F���� Action Fire Pros ���T� Allen Stevens p�A�� PO Box 797 Waxahachie Cat T�tc Na. BP0009860 D�� 11-14-16 r;auge � 07090476 "---- llate las��ccuracy fiested 9-23-16 White- Customer's Copy Yellow - City Capy Pink-Tester�s Copy cti�c� ���: IIi�..RIt�ATI(Jl��_ D03'�iESTICe���� PIRELINE �� BAt�FLO�V P�EVENTT�N ASSEMBLX TEST�'�D MAIriTENANCE REP4RT NA�C��'�'v;TS: L��,�'l C' t"'�c'=(��r' z PWS I.I�.# LOCATIQN flF SERVICE: 600 Freeport Pkwy, Coppell, Tx. -I'��c bKickflol�� pi-e�e��ti.�n as,cmhlv d<:taile�i i�elc�til h��5 been t�;st�c�and maintained as requi;�cd by TCEQ rc�ulatic�c�� ai�d is ce►-titie+� t.� l�e o�eratin�r��itl�ir� ae����table p<ii-an�eters. TYPE OF 'vIBLY eRduc�P:�ssurc Princivie Pr�ssure Vacuum Brcak�r � Double Cbcc3:Valve ��osghere Vacuum Brea�:er �� Manufac�urcr attS Size ��`.����, 007M1 �a� qi NW Vault Se:ial Nt�b� 48777 I REDG'C`ED PRESSURE�RINC'IFLE:�.S�E'�LBLY � FRESSZJRE V�CWM BR.EAiL'ER Doubie Chefic V�ive Assembly Ist C3et3� '-acf Checl: Relitf�alvt ?ur In1tt Cheek V alve Ininai Test DC-C�os� Closed Ti;ht Qpca«i at Opened at vsid Ti�t Leal.�d asid nsid � R..p-�si � �� Lea�:e.3 /i Did not Qpcca O L,ca�:ct� Q �� � and Matenats I lisai j ?est A#3�r DC-C1a�ed Closed Ti�ht ❑ C7pcnai at C}pened at _nsid Rapair Ti�t a �sid r�szd RP sid 'I�c atsove i�c�tifrcd to bc crue. Fi�m,Namc Action Fire Pros ���.��, Allen Stevens ��A� PO Box 797 Waxahachie C�.���a BP0009860 �au 11-14-16 �;��g� � 07090476 Iaate ias� acc�racy tested 9-23-16 White- Customer;s Cc,py Yelleaw - City Copy Pink-Tester's Copy �;:.�I�C� �3i��: I�RIGATI�N__�_ l3t�ME�TICv�____ FIR�LINE�� BA�LOW I'REVEN'I'I(?N ASSEMBLY T'EST�NiAIl�TENANCE REPORT �+p�Q�'PWS: �-�?�„ �'' (_'��T,�1 PWS T.D.# LOCATIt}?v OF SER`�TICE: 600 Freeport Pkwy, Coppell, Tx. ��l�e bae.k�(1�,��� p�-e�.a�nti�i�assc:���bly deiailcc�belc�t�� I�as been te�tec� �nd maintained as required by TCEQ re��tzlaCiur�s an�l is ccrtitic� to t�c U��eratin:.r«ithirl acce��table par-t�rn�ters. TYPE OF '"�"vIDLY BRC��C�u PrBSSUYe PrinciAie Pressure Vacu�Brcakcr � �uble Chcck Valve Atmvsphere Vacuum Breal:cr ;vfanufac;urer attS ��M 8 �� ivfodel Number 774 �a��s NW Vault ������� 1001170301 I REDL10ED PRESSUR�PRINCIPLE�.SSE:6iBLY � PRESSURE VACULTM BREAI�R a Doubie Clxeck Valve Assembiy � Ist Checl: 2nc#Ch�r.�: Reliei Va1ve �ir F�et Check Valve Initiai Tcst DC-Ciosai Closed Ti�ht Opeaed at Ogened at osid Ti�t Lc�:ed psid osid R.�- 3' si ; �SS I,r.�i;ec� a� 9 Did not�?pcn � L,cai:ed o Re,��airs � ��d . ��Iaterials • Used Tcst A#ter DG-Cla�esi Closai Tight � O�aeuai at 4pcncd at nsid R�pair Tig�t G DStd nsid � St� �'i��b4v�1S C�'C31�1CXt i0 bC�Yt1C. ����e Action Fire Pros ���T� Allen Stevens ��A�� PO Box 797 Waxahachie ��rat�No. BP0009860 �� 11-14-16 ����� � 07090476 llate l�st �ccuracy tested 9-23-16 4Vhite-Cu.stomer's Copy Yellc�w - City Copy Pink-Tester's Copy