IAAM-LR000330 97~317558
031301?000 08~35 9722317S58 AMT CONSTRUCTION
PAGE 0i
A.M.T. CONSTRUCTION, INC.
605 S. Sherman Street Suite 605-K
Richardson, Texas 75081
(972) 231-4773 Office (972) 231-7558
FACSIMILE TRANSMITTAL SHEET
DATE:
TO:
NUMBER OF PAGES _~ INCLUDING THIS PAGE
83/~8/2888 88~35 9~2231~5~8
~HECK ONE:
IRRIGATION
DOMI~TIc
AMT CONSTRUCTION
PAGE
~2
BACKFLOW PREVENTION ASSEMBLY TEST AND MA~ ~ANCE REPORT
PWS I.D. #
T~ b,~,ldiow prev~io~ essmebly dadlcd below b~s been tes~f md ,.,,a,,.~...a ~s ~ by TN'R. CC
Double Chcck Valve
TYPE OF ASS~LY
o l~e~re Vecuum Breaker
Mocl~ Numb~
~ At
I~DUCED pRF-~uRE PRINCIPL~ ASSEIV~LY P~S$~ VA~ B~R
Double ~ V~e ~ly ~ ~
Ti~t C psid
White - Customer's Copy
Yellow - Cit~ Ccvy
JAN 5 2~00
I~- Te~t~ Cepy
IRRIGATION__ ~
DOM~k~rlC
ANT CONSTRUCTION
FIRELINE
RACIGeLOW PREVENTION AS,qIiM:RLY TF=XT AND MAIIV"I'~d'qAN~ REPORT
NAM]/OF PWS:
PWS I.D, ~
LOCAT~O~ OF SER~CE: ~,~
PAGE 83
:~ons an~ ts ~"ti~ed to be a~g w~th~ acceptable p~n~-~rs. '
Loca~d At
The above is cc~LG~ to be m~
Date lsat accuracy tested
White - Customer's Copy
Yellow - City Copy
CHECK OHS:
IRRIG&TION
9?2231755@
ANT CONSTRUCTION
DOM]~rlC FIRELINE ~
PAGE 84
BACJCFLOw ]~V]:NTION A~$EMBL¥ TEST AND MAINTENANCE REPORT
I¢ R"r T"~ _
Model
S~ial N~b~r
Double ~ Valv=
TYPE OF ASSEMBLY
lh~re Vacu~ Breaker
Amolphere Vacuum
_
Located At
REDUCED PRESSURE PRINCIPLE A3SEI~BLY PRESSURE VACULrM BREAKER
J~.+kl, tl(e ,'IT 7&oqZ
Date last accu~cy te~ted ~-~'~
White = Customer~ Copy
Yellow - City
JAN 5 ?000
Pink - Teater~ COp~
03/30/2000 08:3S 9722917558
CflECK ONI~
IRRIGATION
.., DOMESTIC
AMT CONSTRUCTION
PAGE 05
I~'IRKIJ. NK., ~'-
BACKFLOW ~ON ASSEMBLY ~ AND MAINTEN~CE REPORT
PWS LD. #
LOCATION O~ S~tViCE:./-3,5 F¢;
D,~bl~ ¢l~.k Vaiv~
T'~{~ OF ASSEMBLY
$iz~
~ At
JAN 5 ~000
White - Customer's Cogy Yellow - City Cogy Pink - Test~ C~py