Vista Point II 3-7-LR051125I~G&TION
BA~W PI~¥?.~FIION ~:MBLY ~ AND ~C~ RE~ORT
NAM~ OF PW$:
PWS LD. #
LOCATION OF $]~RVIC~: (~' '-~ /
The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ
regulations and is certified to be operating within acceptable parameters.
TYPE OF ASSEMBLY
RKDUCED PRKSSUR~ PRINCIPLE A~SEMBLY PRESSURE VACUUM B~
Double Check Valve Asmably
1st Check 2nd Check Relie~ Yslve Air Inlet _r~,ck V~ve
IakialT~st DC-ClosmJ. Clos~'I'i~t: m Ol~m~at Op¢=~=
Tis3ht m :~ ,l~ ps/d psid
Lea~ ~ DidnotOp~ a Leaked
m, , ,
Date last ,ccamcy tested
Nldte - Customer~ Copy Yellow - City Copy Pink - Testers C,q~y
CHECK ONB~
IRRlrGA'~ON
Do~mmc ~ mss~mz ~
BACI~LOW PREVENTION ASSEMBLY TE~ AND MAINr.~kNCE REPORT
NAME OF PWS:
PWS IX). #
LOCAT/ON OF SERVICE:
The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ
regulations and is certified to bc operating within acceptable parameters.
TYPE OF ASSEMBLY
RF..DUC~D PRF.,SSURI[ PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
Double Check Valve Assembly
Isr Check :/ad ~ l~,.!~t Valve Air Inlet Check Valve
~ a DidnotOpen a ~
Date last accuracy tested ,~/,xg~//O ~-
White - Customer~ Cogy Yellow - Cit~ Copy Pink - Testetas Copy
CHECK ONE~
IRRIGATION
BACKII,OW pRrv'Ei~ON A.S,SF, I~LY TF~ AND MADrI'ID~CE REPORT
NAME OF PWS:.
Pws I.D. #
/
TYPE OF ASSEMBLY
~ Double Check Valve r~ ,a ,~Izre Vacuum Br~-
~BUCED PRF_.~URE PRINC~LE ASSEMBLY PRESSURE VACUUM BREAIQ~
Double ('~k,,,ck Vslve Assembly
Tight o ~ ~ psid psid
[..t-,~ ,~. Didnot Op~ o ~ o
and
Test At~ DC-Closed Cloud Ti~t ~ Opened ai Ope~i at psid
Date last aecurac~j t~t~!
White - Customer's Copy Yellow - City Copy Pink - Tester~ Copy
CHECK ON~
IKRIGATION
BACiCFLOW PREVENTION A3SEMBLY ~ AND MA~I'~CE REPORT
NAME OF l~'S:
PWS I.D. #
Loc r o orsmvm : fU/
TYPE OF ASSEMBLY
]avrr~UCED PRE,.~UR~ PRIN~L~ A~SEM~LY PF~sSURE VACUUM B~
White - Customer~ Copy Yellow - City Copy Pink - Testef*s C~py