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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