730NDentonTapRd_75019_49804 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-22019
Test Date: 8/30/2018
Result: Passed
Reason for Test: Existing
Account Name : Whataburger #1010
Address of Assembly : 730 N Denton Tap Rd
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 :009M3QT Size :3/4 Serial No :304243
Location At:By mutiplex
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:8/30/2018
Time:10:30 AM
Held at 7.9 psid
Closed Tight
Leaked
Held at 7.5 psid
Closed Tight
Leaked
Opened at 2 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: Conbarco Model: 40-200-TK5 Serial No.: 372447
Date Tested for Accuracy: 11/30/2017
Remarks :
Firm Name : Prime Landscape Services Licensed Tester : Rigoberto Hernandez
Firm Address : PO BOX 171626 BPAT License # : BP0010421
Firm Phone No : 817-461-4000 License Expiration Date : 03/30/2019
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.