HomeMy WebLinkAboutPLIRR2019-3423 CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION_lam
PWS I.D.# 2200013 OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED:Te&-G.S
ADDRESS OF SITE SERVICED: 19 1 5 r t.n .Z,*
PLUMBING PERMIT IF APPLICABLE: #_
TESTER LICENSE NUMBER: 't bO I CAL'In` EXPIRES: Oaf
DATE OF LAST TEST GAUGE CALIBRATION: Sii— I L{ —I q
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 _PRESSURE VACUUM BREAKER
DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
MANUFACTURER: IF
,,Iouc SIZE:
MODEL: SERIAL NUMBER:
PHYSICAL LOCATION OF METER: L—A S;(k
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE
ASSEMBLY AIR INLET CHECK VALVE
1ST CHECK 2"o CHECK RELIEF VALVE
\V\ tI DC;Close Ti�� Closed Tight Open at_psid _psid
Initial _RP psid Opened at
Test
Did not open Leaked
�L,�oL4 Leaked Leaked —psid
Repair
Materials
Used
Test DC-Closed Tight Opened at Opened at
After Closed Tight _psid
Repair _RP psid _psid _psid
The above is certified to be true.
TESTERS FIRM NAME: 4&5K VJO'.ke'r—
ADDRESS: '--�O I W AoIoS try CITY/STATGEi/ZIP: { A TX 760;13
DATE: (,q ' I 11 \\ •• --^^PHONE NUMBER:
PRINT NAME: +TT)rxk/(ir� SIGNATURE: I
DOUBLE CHECK VALVE INSPECTION MUST BE CAL D FOR INSPECTION AT(817) 410-3010
G.CCCUME-1MheIle.LOCALS-1\TMPXP9g l5e CEQBrCKRO4JTE5TERREOISTRpTCNdo
Southern Legacy Landscapes
Owner: Lee Gandy
Address: PO Box 1675 Frisco,TX 75034
Irrigator: Cory Carroll
License: TXLI 22680
Completion items provided:
-The manufacturer's manual for the controller
-A permanent sticker has been attached to the controller with contractor information and
warranty period.
-As Built drawings detailing changes made to the system
-Zone description for all sprinkler zones on site
-Rain/Freeze sensor as to not water during inclement weather
This Irrigation system has been installed in accordance with all applicable state and local laws,
ordinances, rules, regulations or 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.
Sign Date 01 o?, I l g
�gE OF
0 /
I
10
CORY/ X CARROLL
i
22680