730NDentonTapRd_75019_78839 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: 9/29/2019
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 ByPass : Model No :009QT ByPass : Size :1/2"ByPass : Serial No :363496 ByPass :
Location At:By multiplex
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:9/29/2019
Time:3:00 PM
Held at 7.8 psid
Closed Tight
Leaked
Held at 7.8 psid
Closed Tight
Leaked
Opened at 4
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: Mid-West Model: 845-5 Serial No.: 02191941
Date Tested for Accuracy: 2/27/2019
Remarks :Device was rebuilt with Watts replacement parts,Ck1,Ck2 and RV replaced
Firm Name : Barron Irrigation Repair Licensed Tester : Ron Barron
Firm Address : 132 Chambers Creek Cir BPAT License # : BP0018940
Firm Phone No : (817)507-8316 License Expiration Date : 02/21/2022
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.