301SNorthpoint_75019_44082 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-22422
Test Date: 5/17/2018
Result: Failed
Reason for Test: Existing
Account Name : Stream Realty
Address of Assembly : 301 S Northpoint
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 Detector Assembly Frequency :Annual What does this serve? FireLine
Manufacturer :Watts Model No :774 Size :8 Serial No :100349
Location At:in vault at street
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
Spilled-Resistant Vacuum BreakerDoubleCheckValveAssembly
1st check 2nd check Relief Valve Air Inlet Check Valve
Initial Test
Date:5/17/2018
Time:8:50 AM
Held at 0 psid
Closed Tight
Leaked
Held at psid
Closed Tight
Leaked
Opened at 0 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: MacArthur G Model: 845-5-0006 Serial No.: 03050223
Date Tested for Accuracy: 10/11/2017
Remarks :#1 control valve needs to be replaced.
Firm Name : Fire &Life Safety America Licensed Tester : Jeremy Daugherty
Firm Address : 2821 W Euless Blvd BPAT License # : BP0017079
Firm Phone No : 469-964-2353 License Expiration Date : 09/30/2019
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.