HomeMy WebLinkAboutREA2024-001814 - ENERGY1��
Texas Commission on Environmental Quality °�
Customer Service Inspection Certificate 04�v
Name of PVVS: City of Grapevine
PVVS|D#: 2200013
Location of Service: 4(50
Reason for Inspection: New construction. .------------------------- �T
Existing service where contaminant hazards are suspected ............ []
Major renovation or expansion of distribution facilities .... __ ........... � 0
| V e/ . upon inspection of the private vvote[ distribution facilities
connected +6the aforementioned public water supply do hereby certify that, to the best of my
Compliance Non -Compliance
/1) NVdirect connection between the public drinking water supply
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and a potential source of contamination exists, Potential
sources nfcontamination are isolated from the public water
system byanair gap 0raDappropriate b8okMnvvprevention
assembly iOaccordance with Commission regulations.
(2) NVcross-connection between the public drinking water supply and
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a private water system exists. Where an actual air gap is not
maintained between the public water supply and 8private water
supply, oOapproved reduced pressure principle b8CkMOvv
prevention assembly isproperly installed and oservice agreement
exists for annual inspection and testing byacertified baCkf|ovv
prevention assembly tester.
/3\ No connection exists which would allow the return ofwater used
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for condensing, cooling V[industrial processes back <o the public
water supply.
(4) No pipe 0rpipe fitting which contains more than 8.0% lead exists
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in private water distribution facilities installed on or after July 1.
1BO8and prior toJanuary 4,2D14.
(5) Plumbing installed after January 4.2O14bears the expected
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labeling indicating :50,25% lead content- If not properly labeled,
please provide written comment.
(6) NO solder V[flux which CVOboinS more than 0.2Y& lead exists in
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private water distribution facilities installed On D[after July
1. 1988.
| further certify that the following mV\ena|y were used irLAP&-tristallation of.1be private water distribution facilities:
Service lines; Lead []
Copper �_T- PVc E!r Other O
Solder; Lead []
LeadFnee O So|ventVVe|dO Other []
l recognize that this document shall become a permanent record of the aforementioned Public Water System and
that | um legally responsible for the validity of the information | have provided.
Remarks: | Existing plumbing may have been installed without permits / inspections and therefore cannot be verified
It is impossible to verify compliance of existing plumbing which is covered by building construction.
Signature ofInspector: | License Number: I? -7�