NEW_731Plaza_75019_38096 BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
Name of PWS:Coppell
PWS I.D.:0570040
Address:816 S.Coppell Road
Coppell,Texas 75019
Phone:972-462-5150
Contact Person:Jerry Davis
Catalog No: TXTCOP-28262
Test Date: 1/12/2018
Result: Passed
Reason for Test: New
Account Name : Current Water Customer
Address of Assembly : 731 Plaza
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 :Reduced Pressure Principle Frequency :Annual What does this serve? Domestic
Manufacturer :Watts Model No :009m3 Size :3/4 Serial No :165291
Location At:scope processor work room 125
Is the assembly installed in accordance with manufacturer recommendations and/or local codes?Yes
Is the assembly installed on a non-potable water supply (auxiliary)?No
Reduced Pressure Principle Assembly Pressure Vacuum Breaker
Double Check Valve Assembly
1st check 2nd check Relief Valve Air Inlet Check Valve
Initial Test
Date:1/12/2018
Time:3:00 PM
Held at 7.8 psid
Closed Tight
Leaked
Held at 7.6 psid
Closed Tight
Leaked
Opened at 4 psid
Did not open
Opened at psid
Did it fully open
Yes No
Held at psid
Leaked
Repairs and Materials
Used **
Test After Repair
Date:
Time:
Held at psid
Closed Tight
Leaked
Held at psid
Closed Tight
Leaked
Opened at psid Opened at psid Held at psid
***2nd check:numeric reading required for DCVA only
Test gauge used: Potable Make: WATTS Model: TK-99E Serial No.: 0087813
Date Tested for Accuracy: 3/14/2017
Remarks :
Firm Name : MECHANICAL PARTNERS Licensed Tester : ROBERT TEETERS
Firm Address : 10217 PLANO RD BPAT License # : BP0012791
Firm Phone No : 214-600-9270 License Expiration Date : 01/28/2019
The above is certified to be true at the time of testing.
* Test Records must be kept for at least three years.[30 TAC §290.46(B)]
** Use only manufacturer's replacement parts.