1201WranglerCir__75019_130512 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-68889
Test Date: 12/9/2020
Result: Passed
Reason for Test: Existing
Account Name : CISD 9th Grade Campus (CHS9)
Address of Assembly : 1201 Wrangler Cir. : 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 :957 ByPass : Size :4 ByPass : Serial No :QH0526 ByPass :
Location At:9th Grade Center @ 1201 Wrangler
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:12/9/2020
Time:7:30 AM
Held at 7.6 psid
Closed Tight
Leaked
Held at psid
Closed Tight
Leaked
Opened at 3
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 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: Combraco Model: 40 Serial No.: 258000
Date Tested for Accuracy: 11/3/2020
Remarks :location is in the fire riser room of the gym
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 : 02/07/2023
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.