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DR9601-LR 961002
0CT-07-1996 13:37 SUPERIOR UTILITIES 2143523968 P.02 T~e bac~low pr~ven~oa assembly d~tiil~d b~ow l~s ~ ~ ..a ..,~.,.;.~ ~ teq~red ~ TNRCC Ma~ufaeture~ Model Number SePal Number R~b;ced Pressul~ PPm~i~le D~ubl¢ Ch~k Valve TY!~E OF ASSEMBLY REDUCED PRESSURE PRZNCIPLE A..qSEM~L Y PI~F. SSURE VACUU~ B~ Double C'hec~ Valve A.ss~nbly Imual Test DC-Closed ~Clos~d Ti_~, ~/ ~ at Opea~l ~ psid KP- ~sid T~t ~ DC-¢Io~ Closed Tight [] Opted at ~ ~t psid R~mr Ti~l~ ~ ~usid prod The above i~ c~ed to be true. t le,V-'x..75o White - Customer's Copy Yellow - Cit~ C, opy ~ - Tester~ Copy 0CT-07-i996 i3:37 SUPER]OR UTIL]T]ES 2143523968 P.03 ..... ~-~ ~-~ L~ ~.~ v' TYPE OF ASSEVlBLY Vacuum Breal= Anno~pM= Vacuum ich" REDUCED PRESSURE PRIN~.trLE ASSEMBLY P~~ VA Double ~ V~e ~ Ti~t ~ ~ 0 psid pnd - rim~Address ~ .t,J, ~%~L-~1 Cert. TcsmrNo. ,: Date. L~e~u;~ v; t toFFY-. Wh/te - Customer's Copy Yellow - City Copy Pink - Testetas Cogy 0CT-07-1996 1~:58 SUPERIOR UTILITIES BACK:FLOW PREVENTION AS.q~L¥ TEST AND ~ag RKPORT PW$ ID. # / ~¢ ba~ow p~ ~b~ d~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~CC ~ ~ ~ ~ ~ be ~g ~a~ ~le p~. ' TYPE OF ASSEMBLY n / P~iurad Press=~ h-inciplc ~ Doable Ch~.k Val~ S~ N~ ~ REDU~D PRESSURE PRII~LE ASS£1~iBLY PRESSURE VA~ B~R Double ~ V~e ~ ~ Znd ~ ~!~V~e ~ I~t~ ~b V~ve ~e~ ~ T~ DC.Ci~ , Clo~ Ti~ ~ ~ a ~ ~ . psid Ti~ ~ ~ o ~ _ ' p~d ~- ~id ~d M~ U~ .T~ DC~los~ CI~Ti~ ~ ~a ~ ~ Ti~t ~ - psffi ~ ~,,, White - Customer's Copy Yellow - Cit7 Copy Pink - Testetas Copy 0CT-07-1996 13:~8 SUPERIOR UTILITIES 214~52J968 P.05 - ,,,/. I.D. IT~d~ P.~sur~ Principle Double Check Valve I I REDUCED PRESSURE PRINCIPLE A~$EI~LY' PRESSURE VACUUM BRF~R Double Check Valve Assembly 1st Check !ad Cher, k Rpl~f Valve Air l.l~ i'"~L- VaJve In/rial Test DC-Closed 'Clor~/Tisht ~/ Opm~i at Opened at psid Ti/fit ~/ LeahxI r~ _ . psid p$id R.P-_..~psid Le. ak~ C~ Did not Op~m ~ ~ [] Materials Used T~st Attar VC-Clos~l Clos~ Tight P,2, psid ,, ,. White - Customer's Copy Yellow - City Copy Pink - Tester~ Copy 0CT-07-1996 13:58 SUPERIOR UTILITIES 2143523968 P.06 BACKFLOW PREVENTION A~EM~Ly TEb~ AND MAINTENANCE REPORT PW5 I.D. ~ / TYPE OF ASSEMBLY ~,/ R~duc~t Pr~sur~ Prmcipl~ ~ l~ssu~ V~mm Bm~r Double Ch~.k Valv~ n Am~O~h~ Vacuum Bm~k~ M~l~l Number C)(~ -7 Locamt At Serial Number ~ REDU~D PRE~UKE PRI-NCIPLE A~EMBLY PI~$SURE VACUUM BReak'eR Double Che~k Valve Assm~bly ' 1~ Check lad Chc. e.k i~.l~,f Valve Air T.h., ~.-~---~ V~lve Test A/t~r DC-Closed {los~d Tight ~' Opted at Olga~ ia ~sid P--pair Tight u/ ~sid .__.~psid RP psid White - Customer's Copy Yellow - City Copy Pink - Tester's Copy ~a~ons ima a ccr~ to be op~g within ~,'¢_-~t~bW par'amirs. TYPE OF ASSEMBLY [] [] A m~_ _,~-ph~r~ :Vac~m. Bm, aim. REDUCrO PRE~ Double ~ V~e Ti~ White - C~stomer's Copy YeHow- Ci~Copy Pink - Testers Oopy TOTAL P, 07