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Home My WebLink AboutPLIRR2015-3044CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION PWS I.D.# 2200013 OTHER 4101,1 NAME OF BUSINESS WHERE DEVICE IS LOCATED: ADDRESS OF SITE SERVICED: C n G r'L" PLUMBING PERMIT IF APPLICABLE: TESTER LICENSE NUMBER: DATE OF LAST TEST GAUGE CALIBRATION: EXPIRES: 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 REDUCED PRESSURE PRINCIPLE —PRESSURE VACUUM BREAKER V DOUBLE CHECK ATMOSPHERE VACUUM BREAKER MANUFACTURER: P.CI) SIZE: r� //,l MODEL: ` l SERIAL NUMBER: �/ � (O �. I PHYSICAL LOCATION OF METER: AIIIIII& Slir k InI�, (r„ ,A4 dt,� �s the above is certified to be true. TESTERS FIRM NAME: ADDRESS: �r,G rhodjr �A _ CITY /STATE /ZIP: �a ��i.5, T✓ 7T.�y2 DATE: jol lc.h R PHONE NUMBER: PRINT NAME: fJ4t-5,i SIGNATURE: DOUBLE CHECK VAL VE IN, a CTION MUST BE CALL D FOR INSPECTION AT (817) 410 -3010 11.-, Ma.. 4106, 1.6 vta REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE ASSEMBLY RELIEF VALVE AIR INLET CHECK VALVE 1sT CHECK 2 "o CHECK Open at psid _ psid DC -Close Tight Closed Tight Initial RP a. psid r� - �` � Opened at Did not open Leaked Test Leaked Leaked — psid Repair Materials Used Test DC- Closed Tight Opened at Opened at After Closed Tight _ psid Repair RP psid psid _psid the above is certified to be true. TESTERS FIRM NAME: ADDRESS: �r,G rhodjr �A _ CITY /STATE /ZIP: �a ��i.5, T✓ 7T.�y2 DATE: jol lc.h R PHONE NUMBER: PRINT NAME: fJ4t-5,i SIGNATURE: DOUBLE CHECK VAL VE IN, a CTION MUST BE CALL D FOR INSPECTION AT (817) 410 -3010 11.-, Ma.. 4106, 1.6 vta OCT 192015 14 IRRI- TECH,LLC Irrigation System Check List Licensed Irrigator Number: L10007068 Site Address: 2040 Enchanted Way Licensed Irrigator Name: Jose Ran el Owner /Re .Name: The Laurel Wedding Center Company Name: Irri -Tech, LLC Address: 2040 Enchanted Way Address: 12650 Schroeder Road City, State, Zip: Grapevine, TX 76051 City, State, Zip: Dallas, TX, 75243 Phone: 817- 617 -7400 Phone: 972 - 231 -5151 Permit Number PLIRR -15 -3044 ,E-Mail: Service@lrri-Tech.com Water Purveyor:. City of Grapevine System Components and Suggested Maintenance Period: Schedule S rin Summer Fall Sprays 10m- ixweek Component g 10m- ixweek Rotors Component o 15m- ixweek Drip 20 min -lx week a 4 ff3x c 20 min - ixweek a Smin - ixweek a` Spray Heads x Smin -1x week Check Controller /Schedule x Rotors x Dri line Tubing & Filters x Bubblers N/A "Y" Filter at Backflow x Nozzles & Filters x Pum Filter N/A Rain /Freeze Sensors x Trim around emitters x Items Reviewed (please check): Fx Operation and Location of the controller(s) and controller manual(s) M 0 Operation and Location of system zones Seasonal watering schedule based on historical data, plants, seasons, and site conditions (Check City's water restrictions) Suggested Watering Schedule S rin Summer Fall Sprays 10m- ixweek 10m- ixweek Rotors 15m- ixweek 15m- ixweek Drip 20 min -lx week 4 ff3x 20 min - ixweek Bubblers Smin - ixweek 1 Smin -1x week Q Permanent Sticker attached to each controller ❑ x Copy of Irrigation plan received Fx Location of water meter, isolation valve, and backfow prevention device Qx Warranty Period This irrigation system has been installed in accordance with all applicable state and local laws, ordinances, rules, regulations or orders. I have tested the system and determined that it has been installed according to the Irrigation Plan and is properly adjusted for the most efficient application of water at this time." Licensed Irrigator Seal: Si nat re / Date 7068