415NFreeportPkwy_75019_29583 BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
City:Coppell
PWS I.D.:0570040
Address:816 S.Coppell Road
Coppell,Texas 75019
Phone:972-462-5150
Contact Person:Jerry Davis
Catalog No: TXTCOP-23051
Result: Passed
Account Name : Prologis Park
Address of Assembly : 415 N Freeport Pkwy
Address Type : Commercial
Inspection
The backflow prevention assembly detailed below has been tested as required by TCEQ regulations and is certified to be
operating within acceptable parameters.
Type of Assembly :Double Check Valve Frequency :Annual
Manufacturer :Watts Model No :LF007M1QT Size :2 Serial No :030754
Location At:at meter on Freeport at Suburn entrance
What does this serve? Irrigation
Is the assembly installed in accordance with manufacturer recommendations and/or local codes?Yes
Reduced Pressure Principle Assembly Pressure Vacuum Breaker
Double Check Valve Assembly
1st check 2nd check Relief Valve Air Inlet Check Valve
Held at 2.1 psid
Closed Tight
Leaked
Held at 2 psid
Closed Tight
Leaked
Opened at psid
Did not open
Opened at psid
Did not open
Held at psid
Leaked
Repairs and Materials Used
Test Results after Repair
1st check 2nd check Relief Valve Air Inlet Check Valve
Held at psid
Closed Tight
Leaked
Held at psid
Closed Tight
Leaked
Opened at psid Opened at psid Held at psid
Remarks :Incorrect address this device is at 220 N Freeport Pkwy
Test gauge used : Potable
Make : Watts Model : TK-99E Serial No. : 0111698 Date Tested for Accuracy : 6/9/2017
The above is certified to be true at the time of testing.
Firm name : Advanced Backflow Certified Tester : Rick Alexander
Firm Address : PO Bx 381327 Certified Tester No. : BP 5256 Exp.Date : 08/30/2017
Firm Phone No : 214-801-4774 Test Date : 7/26/2017
*Test Records must be kept for at least three years.
**Use only manufacturer's replacement parts.
The following form must be completed for each assembly tested.