HomeMy WebLinkAboutPLIRR2019-4666 DEC 0920M9 Name of PWS: Grapevine
PWS ID#: 2200013
I'msCo=u"iun""Ell,iZVnjM Ir`' Mailing Add: 501 Shad Brook
RACKhLOWPRECENTIOS �SSFVTRLYTKST 1ND 9 y
NAME
OF PWS,".•, , ...�.,w t � r, "+ ..,�v�< Contact: Backflow Coordinator
.CITY OF GRAPEVINE,_TEXAS
PNVS to#_ _ _--
P1VS%fAII-Ix(i ADDRFSSS __ 200 S MAIN ST. GRAPEVINE, TEXAS 76051
P)4'S CONTACT PARSON:. -
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ADDRHSSorSLRVICE: 909 VINTNERS
The backfivw prcrentiuri aswml), ds:railed below ha,hccr icsccd and maintained as required by cunurrissivt}re8uluinas
and m certified to tar uperatin;_witbin artxLri.'iblzQaramcrnx. _
TYPE OF RACKFLOW PREVENTION ANSF:MBLY I UPA)r
Reduced Preswre Prtncip:c-:RPR.Ai 1 ` _ Reduced PR stire Principle-Lkaectur(kPBA-D) Type II ❑
Lknrble Check Valve I DC A i ❑ poubir Check-Ljelector 4T)(7VA-D) T+,pc if ❑
PrKnvu�n V';u:uunr}?:esker rPL"B I - Spill-Resistant Prcssu-r Vacuum Breaker(SVB)
ManufaelurYr: ; Maul. i. L� ks•.j B:Pa,5: .__ - - .Sirc:1" ._ -_ . Main: - -Bspasc_
Heald\untber. I STau: i Cs Ryp;�..- HPA 1-cx:auon: FRONT YARD—T7 h
Serial`tiur»her i klaln.Aji,! ltio B*ry : 8Prt Serves: IRRIGATION
Rcax�a feu test. \c: X, _ Evicting ❑ - R.eplacrmrnt ❑ (--)id\l sJrVS"iaf# _ ._....
- Mhi:,sscatbly insllled,nac.unlancr with ruanufachurer recornmcndariorc a:td+nr local codes'! LYCa ❑ N,t
Is;he nssemhly installed na a Horn-pc+taiifc uatrr wppiv iaurrliary)' L1 Ye, K) No
TEST RESULT I I ype 11
�Roducrd Plv,U4ire Principle Assemhly iRPBAi Assembly PVB A SVR
PASS`F,99 DCVA --- -
-- -FAIL ❑ CIm 4•k "`Chrek'k�`
Relief Valve Bypass Cheek Air Inlet C7aeck vah-e
I"
Initial TCat 3arld a!_p.1.l 11eW at�;/:_.pcid t)puicd at pcid i Ie41 at
Dille:12/03l19 Cloxd Tight X t-Inved Tiy,M 4J_C1 fnid C1a oS T;;tt: ❑ Did not open ❑ Pod _---
t)id MM i [.eaktd
Q
lime: G-akcct ❑ irakaa I..! Did
I� L.c;.a.cd ❑ Dd it Cully�
Yes 2 fKo❑}
Repairs and Nfain: ..._ _.. _
(
Mazer als
[:sod'* Brlm.s.
'I'm Alter Hcld at p,.d Held, _r jd c rwried al Bold at pcid OpcnM at_mid ti.-are m
Repair Closrd'Iitltr ❑ Cloc xl Tight ❑ P*ill Closed psid
1 ,1W Tight ❑
t iane:
"*x 2W check numeric reading required fire DCVA nnly
Differcmiaf pressure sauce t:.a-d: ftywble- K No a-ponablc: ❑
I LlakePubcnic3 bAU ' 844 P SN 002013 Date tested for accuracy: : 03/03/1^9
Remarks-
Comp., Name: 001 PROFESSIONAL L.wG utel Tester Name
. ._ .._®.—__.BACKFLOW TESTING �PriwfTr Ie): SCOTT SDON
Corrpw,, Addre.': 5068 AVERY LANE, Licensed Testcr Name iSi 04���
THE COLONY,TX 75056o,mparty Phuae i<: 214-587-4616 BP.0.T l.icottsc—# 00
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License L;piratiur Dane: f I 04/01/2020 _
The ahovc is certified to be true at the tittle or testing-
TESTRK'ORDS WS'I HF KhI'T fOR AT LEAST THREE YEARS IV TAC p_9tl-fitly ll
`•USP.ONLY M A V t 11'A(-11 IRI;RS REPLACE-MEAT PARTS
T(FiQ-2U700 I Re%ision 04-(kt 2019) Page i of I