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Home My WebLink AboutPLIRR2014-4655CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION ✓ PWS 1.D,# 2200013 OTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: Vineyard Creek Estates ADDRESS OF SITE SERVICED: 4301 Vineyard Creek DR, Grapevine, TX 76051 PLUMBING PERMIT IF APPLICABLE: # TESTER LICENSE NUMBER: SPOO13306 EXPIRES: 9/13/2016 DATE OF LAST TEST GAUGE CALIBRATION: 1115/2014 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 DOUBLE CHECK MANUFACTURER: Febco • i M PRESSURE VACUUM BREAKER ATMOSPHERE VACUUM BREAKER SIZE: SERIAL NUMBER: HD42844 PHYSICAL LOCATION OF METER: At Vineyard Creek & Hughes The above is certified to be true. TESTERS FIRM NAME: A & A Active Backflow ADDRESS: 1411 Lemay Dr #403 CITY /STATE /ZIP: Carrollton, TX 75007 DATE: 10/12/2015 PHONE NUMBER: 972 - 242 -2229 - PRINT NAME: Christopher T Gafford SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010 O:IFORMIBACKFLOW 1/9199 Revised: 01 /11,06 °i\ Reduced Pressure Principle Assembly Pressure Vacuum Broaker Double Check Valve Assembly Relief Valve Air Inlet Check Valve 1st Check 2nd Check Open at _ paid paid Initial OC- Closed Tight Closed Tight Opened at Did not open Leaked Test RP- _22 paid 1.6 Paid Leaked Leaked Teat Closed Tight Opened at Opened at Psid per' d aid sid P P The above is certified to be true. TESTERS FIRM NAME: A & A Active Backflow ADDRESS: 1411 Lemay Dr #403 CITY /STATE /ZIP: Carrollton, TX 75007 DATE: 10/12/2015 PHONE NUMBER: 972 - 242 -2229 - PRINT NAME: Christopher T Gafford SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010 O:IFORMIBACKFLOW 1/9199 Revised: 01 /11,06 °i\ CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION ✓ PWS LD.# 2200013 OTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: Vineyard Creek Estates ADDRESS OF SITE SERVICED: 4301 Vineyard Creek DR, Grapevine, TX 76051 PLUMBING PERMIT IF APPLICABLE: # TESTER LICENSE NUMBER: BPOO13306 EXPIRES: 9/13/2016 DATE OF LAST TEST GAUGE CALIBRATION: 11/5/2014 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 DOUBLE CHECK MANUFACTURER: Febco MODEL: 850 _ PRESSURE VACUUM BREAKER ATMOSPHERE VACUUM BREAKER SIZE: SERIAL NUMBER: HD42847 PHYSICAL LOCATION OF METER: Northeast entrance, at meter The above is certified to be true. TESTERS FIRM NAME: A & A Active Backflow ADDRESS: 1411 Lemay Dr #403 CITY /STATEIZIP: Carrollton, TX 75007 DATE: 10/1212015 PHONE NUMBER: 972- / 242 -2229 PRINT NAME: Christopher T Gafford _ SIGNATURE: LCl DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3070 O:IFORMIBACKFLOW 119196 Revised: 07 11 ti06 Reduced Pressure Principle Assembly Pressure Vacuum Breaker Doubts Check Valve Assembly Relief Valve Air Inlet Check Valve 1 at Check 2nd Check Open at psi, Initial DC- Closed Tight Closed Tight Opened at Did not open ELeaked Test RP -_U Paid 1.8 paid Looked Leaked teat DC- Closed Tight Closed Tight ( Opened at Opened at Paid aw aaoao RP paid paid paid The above is certified to be true. TESTERS FIRM NAME: A & A Active Backflow ADDRESS: 1411 Lemay Dr #403 CITY /STATEIZIP: Carrollton, TX 75007 DATE: 10/1212015 PHONE NUMBER: 972- / 242 -2229 PRINT NAME: Christopher T Gafford _ SIGNATURE: LCl DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3070 O:IFORMIBACKFLOW 119196 Revised: 07 11 ti06