436ParkviewPlace_75019_66849 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-44206
Test Date: 3/29/2019
Result: Passed
Reason for Test: Replacement
Previous Serial No.: Unknown
Account Name : Current Water Customer
Address of Assembly : 436 Parkview Place
Address Type : Residential
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 :Only on Installation What does this serve? Irrigation
Manufacturer :Watts Model No :LF007M1QT Size :1 Serial No :061421
Location At:East of garage
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:3/29/2019
Time:11:21 AM
Held at 2 psid
Closed Tight
Leaked
Held at 2.2 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 MaterialsUsed**
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.: 01190486
Date Tested for Accuracy: 1/7/2019
Remarks :
Firm Name : Bishop Backflow Service,Inc.Licensed Tester : Steve Bishop
Firm Address : P.O.Box 293641 BPAT License # : BP0003704
Firm Phone No : 214-675-9983 License Expiration Date : 05/01/2020
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.