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Community CU-LR021227
06/24/2003 ii: 19 9725625i80 Jun 24 03 O~:Sfta BLUERIDGE CO PAGE ~ACKFLOW PP.,EYe. ON ASSI~d~LY T~T ~ blAINT~NANC~ RIJ~ORT NAM~ OF PWS: PWS LD. # ~.oc^'no~' o~ slmwca: Co,-.,-,. ,. ix, ~ C,-~&'-~ ~ 1~ ~o~ (~%_D:,%o~-?*~, T~c back. ow pr~m~n -,scmbly de~ii~t bclow h~ be~ ~ ~=~ ,,,-~,,;-,~ ~ z:q~red by 'rN~CC Tir~E OF ASSEMBLY ~ Pr~,ma'~ V ~:a.mm ltu:alm' Double Ch~ Valve 009 m ~ Mamffam.m~' Size Mo8~t Number I,oca~d At $chl N~"ml~r ~ White - Customers Copy Yellow - City C~y Pi~k - Teste~ Copy 06/24/2003 ].:1:19 9725625].80 BLUERTDGE CO PAGE 03 Jun ~ 03 l~luc.~ Pmssu~ Pdnc~pl~ Do~le Ch~:k Va~v~ TYPE OF A~$I~BLY [] A,~csph~e V~cu~,~ ]~fl~r White - Custom~'~ Copy Yellow - City COpy Pi~k,- Te~ter~ Co~ 06/24/2003 11:19 972562S180 BLUERIDGE CO PAGE 04 Jun E~ 03 09:59m p.1 ~AC~LOW pREVENTION ASSembLY ~ AND MAINTENANCE REPORT NAME OF PW$: TYPE OF ASSEMBLY ~ Va=mm Bre~'r A~osph~'e Vacuum Br~r ~bite - Customer% C, ogy Yeuo~ - clt~ co~ Pink- Testers Copy 0B/24/2003 11:19 972562S180 BLUERIDGE CO PAGE BA(~II~OW pR.KVKN'IION ASSEMBLY TEST A.ND l~'t'~C~ REPORT N~ OF PW$: A~zmsp~re Vacuum White Yellow - Cit~ ~ Pink - Tester~s Copy Phone: (972) 562-0323 Fax: (972) 562-5]80 TO: Caw of Coppell AT, T~.: Rick O'dell RE: Co~murlit¥ O'edjLUnjon Urgent l°l~as~ COMMENTS: Backflow Test Rick, P.O. BOX 488 BLUE RIDGE, TX 75424-0238 COLLIN, COUNTY F~.OM: Matt P~ty DATE: 6/24/03 FAX: 972-304-3570 PAGES INCLUDING COVE. R SHEET: 5 Please ]~ly .... X F.Y.I. Attached is a copy the Backflow Preventioa Assembly Tests, that where submlffed ~o the City of Coppell back in December. thanks, MATT 1~2Ry BLUE llllg;E CON~lg(TCTION