600SMacArthurBlvd_75019_38922 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-22497
Test Date: 1/29/2018
Result: Passed
Reason for Test: Existing
Account Name : Riverchase Apartments
Address of Assembly : 600 S MacArthur Blvd
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 What does this serve? FireLine
Manufacturer :Febco Model No :805 Size :1 1/2 Serial No :BK4083
Location At:26RR
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:1/29/2018
Time:11:00 AM
Held at 2.3 psid
Closed Tight
Leaked
Held at 2 psid
Closed Tight
Leaked
Opened at 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: midwest Model: 845-5 Serial No.: 09151245
Date Tested for Accuracy: 9/21/2017
Remarks :seriel number that is there is bk-3956 NOT THE ABOVE BK4083
Firm Name : Total Fire &Safety Licensed Tester : Michael McClellan
Firm Address : 7909 Carr Street BPAT License # : BP0014917
Firm Phone No : 214-578-5713 License Expiration Date : 10/09/2018
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.