NEW_615MinyardDr__75019_84432 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-68891
Test Date: 12/6/2019
Result: Passed
Reason for Test: Replacement
Previous Serial No.: unknown
Account Name : CISD Cottonwood Creek Elementary
Address of Assembly : 615 Minyard Dr. : 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 :Double Check Valve Frequency :Annual What does this serve? Irrigation
Manufacturer :Febco ByPass : Model No :850 ByPass : Size :2 ByPass : Serial No :H45932 ByPass :
Location At:Front of school
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:12/6/2019
Time:8:00 AM
Held at 2.2 psid
Closed Tight
Leaked
Held at 2.6 psid
Closed Tight
Leaked
Opened at psid
Did not open
Held at psid
Closed Tight
Leaked
Opened at psid
Did not open
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 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: Combraco Model: 40 Serial No.: 258000
Date Tested for Accuracy: 9/24/2019
Remarks :
Firm Name : Coppell ISD Licensed Tester : David Bailey
Firm Address : 1303 Wrangler Cir BPAT License # : BP0006758
Firm Phone No : 214-496-8040 License Expiration Date : 02/07/2020
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.