HomeMy WebLinkAboutPLIRR2023-002420 hris Byrne Landscaping
3853 Confidence Dr
Fort Worth, TX 76244
817-714-7007
1, Chris Bvrne LI 0020618, attest on this day Dec 4 2023 that the following
statement is true for the new irrigation installed at 2077 Holt Way Grapevine TX:
his irrigation system has been installed in accordance with all applicable State
and Local laws, ordinances, rules, regulations and 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.
Thank you,
rfiNOF
" 016*
t*i
Chris Byrne %'k
Texas Cortratission on Environmental Quality
BACKFLOW PREVENTION ASSEMBLY TESTA ND MAINTENANCE REPORT
T11C ftfflow nv form must In ccmAeted to each asscmbl,, te�tvd, A sipedand dined on,,,'mi must be submitted to the nablic ,Natcr sap Aierfur recoulkte[ iw^ ses:
NAME'OF PWS-,
PWs ILL
'PWS NIAUNG ADDRESS:
PWS CONTACT PERSON:
ADDW,"ISS OF SERVICF: Ho)_k
The bac : .Ilow prevention assembly, detailed below has been testedand maintained as required by commissionregulzitions
and is c�rdficd to be ol.'Teratim,, within acceptable parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA):
;,Zeduced Pressure Principle �RPBA) Reduced Pressure Principle -Detector (RPBA-D) Type 11 O�
0'
double Check, Valve (I CV Double Check -Detector (DCVA-D) Type 11 C3 Pressure Vacuum Weaker (PVB)
Spill -Resistant Pressure Vacuum Breaker (SVB)
13
A
Manufa-,:turer: Maim Bypass,,, 1 Size� Main,,� Bypass:
F
ModelNurnber: Main; !$ v B ypass:i BPA Location: vt_A,6,41
Bypass:j BPA Serves: 47rl
Serial Number:
Reason tor test; New Existing; Replacement 0 Old Model/Serial #
1 Is the asernbly installed in accordance with manufacturer reconunendations, and/or local codes? Yes Q No
Is the a�sembly installed on a non -potable water supply (auxiliuy)? Yes No
!Reduced Pressure Principle Assembly (RPBA)
PASS, DCVA
Relief Valve
FAII, Check***
I" Check
ItritialTest 8Held ata'a'P Held at2_01psid Opened art [_
Date: WRIA;1,3 i Closed Tight F f Closed Tight 'iOj Psid
Time: Did not
Wocf%M !Laked 7a LA-aked !0
open :13
Repairs <tnd main:
Materialll�l
Used"
Bypass:
Test Aftr iHeld at psid, Held at psid Opened at I
Re a* Closed Tigh, lClosedTight 0 i psid
Dare:
Time:.
Type H J�
Assembly I11VB & SVB
Check Valve
By. pass Check Air Air inlet
Held at
psid
bperted atpsid
I Held at!
Closed Tight 10'
Did not open
'psid
Leaked
Leaked
0
Did it fully open
(Yes, 1C] /No
Held at
psal Opened at f psid 111"He d at
Closed
(psid
Tight
*'1`1 2111 check: numeric reading reouired for DCVA onl,,
ifferential pressure gauije used: Non -Potable:
it: E�
LM,45dNfodel:
Date. te_ ted 1t�rpccurac
7kemaT_17:_`
Compaq Narne:A1111 reS+ Licensed'i-ester Name
Compayyy Address:;,f Licensed Tester Name (Signature),
izt,
Company Phone #: BPAT License
The above is certified to be true at the three of testing.
TEST kFICORDS MUST BE PT" FOR AT LEAST THREE YEzS (30 TAC §290A6(J3)j
** USE ONLY MANUFACTURER'S REPLACEMENT PARTS
TCEQ-10700 (Revision 04-04-2019) Page I of I