HomeMy WebLinkAboutPLIRR2019-4518 Name of PWS: Grapevine
DEC 092019 PWS ID#: 2200013
rcxz�Commi-wort utt f n4'2rrm rntal l Mailing Add: 501 Shady Brook
RACKFLOW PRE IT-'s-nON,ASSE:AIRLY TE:4T A u a Contact: Backflow Coordinator
T1F rhno.•Gvn n,ui txnwxiadS - ..e,xN,s,nJ..4 scpnW uiC Sps,S aiemal mu+ twr vatw
I TrLME 6Ptvs: u S CITY OF GRAPEV1NE-TEXAS
1 MIS 11)t .. -.
P)V.S 4[AI1.Itx(i ADDRESS: -- -200 S MAIN ST. RAPEVINE, TEXAS 76051
PIVS C:ONTAC r PERSON- _-
AVMtLSSOI�SLRtICL: . .-..845 MEADOW.BEN QW__I_One
Tim It"flow Pre% tiLun as«emUl4 dr:taited belnw has tw-cn cs:ed and maintained its required by corium sioo regill3t'ir7ns
and is ceniGrd to be ut>mung wr(hua uccyjwjbk lx;rvnetm. _
T3"PE OF RAC'FLOW PRE:_VEN rION.Ati.SEMBLY(EPA),
Reduced Preaatre P:incip?c:RPR.y l _ R-=d»ccd Pressm Prtxlple-Lktcv:lur(RPBA-U) T}Iv If ❑ .
1C. Doubk Check Valxw lDC4 A _ F>uublr C'Ixxi..-[k1r4:(tx irX'V.A•D) pc
Pre wre l+a4:uunx Rru4kex lP�'RI ' Spill-Rcsixtant Pmxsvuc Vwuum Bmakcr tSVBY
}tarmtuc-turer: 41a�n. (,.J .\�ct.r•�Bypacs: _
•4iafrl tiwtrbrr: > Sfaen 3 a C B}'p,7ss: BP.A Loeaticn: FRONT YARD - Lc
.11 Nunkrcr:_jNfain_T F-I C -11y�•Kypa,,: - - UPA Scr•,es: IRRIGATION -
Rc a.rui fnt rest. -- - I -- --- -
Existing ❑ 1 Rrpl;(crmenl Q Ufd'4'lcxirUScrialr
l�the,yv9i m.'+.1,. ir.>Lallcd:n accordance mth ewnul aclnrrr twojnn)endatinr altd1nr i,xal codcti? �, 7'rs ❑ ti,r
1,nk assembly installed on a ntxt-potable n'atrr supply(auxrltxr4 0 (J Yes LX] Na
TEST RESULT t ypr It
IRrducrd Ptv,.w re Priircilk Asscmhly(RPBAI Assembly PVB fi.WEI
PANS w' DCVA
Rrlitf Val4•e Ry'pacc C'ttcck Air Inlet C7+ecd:Val+r
FAIL Chn:k""
Initial,rot field A, 5 P.nl Ile{d�{-__ _Psid Opewd at - Held at rsid OPp1 d z1_(+yid I Iekl at
tkue:12/03l19 Cleud 7;glu K t-lacrd Tight P"d C uwd Tight ❑ Did not open ❑ psid --
'Itntn: bid rrx Q bed it fully r-
k-e::krd ❑ !e.xl;."l LJ tsaketil i open Ltiaccd
open
Ly-
Rcpacv and .Ltain: _. .
Ntatcnak
Test At'ler Htld at Paid Held�i —
_e _tnid (IPtne`d at lirht as paid Opened at_pcW f trk),t_
R.4 Ck srd Ttglu ❑ Clowd Tip"m 7,— Paid i.loi;ed psid
Di Tight ❑
Time:
".**1" check. nunuric readine required t'ar OCVA only —"
Ditiiroluiai pi cssurc gaups used: -- Putablc: g Non-Potable: ❑
MCGAUGE 844 P t 11a1:c.Vtcxtri: , i SN' l OO2Q�•-_u Datc tested Ftx accuracy' 03/03/19
Rrtnarks: 4
Company Nam'.: .001 PROFESSIONAL ' Liceo(_scdTesterName SCOTT M DON
BACKFLOW TESTING Mnut(Tvpe).Company Addres,: 5068 AVERY LANE, Lker icd Tcstcr Nara fSignauw
THE COLONY,TX 750561
or Compt'Phone n: i RPAT License= _ _I 00- 2.
214-587-4616 License L•xpiration Da(c: 04(0172020 The above it certified to be tmr at the lime of i 41ng.
"MST RK-ORDS N1 L'S: Hh KFVI 1-OK AT LEAST THREE YEARS lu)TAC§:4/7.uW li)I
.0 t$p.ONLY MANCl.l(-111RP.K:S RhMACT-MEN-TPARTS
TCBQ-201fuu 1 Rrylsion 0»-04-2019'1 Page I of I