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NEW_721Johns_75019_71796 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-45969 Test Date: 6/11/2019 Result: Passed Reason for Test: New Account Name : Current Water Customer Address of Assembly : 721 Johns 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 :Wilkins ByPass : Model No :350 ByPass : Size :3/4 ByPass : Serial No :A814727 ByPass : Location At:Front yard 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 Type II Assembly Pressure Vacuum Breaker Spilled-Resistant Vacuum BreakerDoubleCheckValveAssembly 1st check 2nd check Relief Valve Bypass Check Air Inlet Check Valve Initial Test Date:6/11/2019 Time:5:10 PM Held at 2.7 psid Closed Tight Leaked Held at 2.8 psid Closed Tight Leaked Opened at psid Did not open Held at psid Closed Tight Leaked Opened at psid Did it fully open Yes No Held at psid Leaked Repairs andMaterialsUsed ** Test After Repair Date: Time: Held at psid Closed Tight Leaked Held at psid Closed Tight Leaked Opened at psid Held at psid Closed Tight Leaked Opened at psid Held at psid ***2nd check:numeric reading required for DCVA only Test gauge used: Potable Make: MidWest Model: 845-3 Serial No.: 08171887 Date Tested for Accuracy: 8/3/2018 Remarks : Firm Name : SB Irrigation Inc.Licensed Tester : Loren Burke Firm Address : 6622 Eastview Drive BPAT License # : BP0018648 Firm Phone No : (972)980-3734 License Expiration Date : 08/08/2021 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.