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Utilities Department Environmental Division Backflow Prevention Assembly Test Report Phone: (623)7738444 Fax: (623)7738490 Water Meter #: Water Purveyor: Peoria Sch. ID Device Type: Manufacturer:
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How to fill out revised Peoria backflow test:

01
Begin by gathering all necessary information and materials, including the backflow test form provided by the City of Peoria.
02
Start filling out the personal information section, which typically includes your name, address, contact details, and the name of the property owner.
03
Move on to the device information section, where you should provide details about the backflow prevention device being tested, such as its make, model, size, and location.
04
Ensure you accurately record the test date and the tester's name and certification number in the designated fields.
05
Conduct the necessary checks and measurements outlined in the form, such as verifying pressure differentials, inspecting valve operability, and conducting flow tests.
06
Record the results of each test, including specific readings and observations in the appropriate sections.
07
If any issues are identified during the test, make sure to note them down and provide recommendations for repairs or adjustments.
08
Finally, sign and date the completed form, indicating that the test was accurately performed and reported.

Who needs revised Peoria backflow test:

01
Property owners or tenants who have a backflow prevention device installed on their premises in the city of Peoria.
02
Plumbers or certified testers responsible for carrying out and documenting backflow tests in compliance with local regulations and guidelines.
03
Public utilities or municipal authorities who oversee the maintenance and safety of the drinking water supply to ensure that the backflow prevention devices are functional and prevent contamination.
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Revised Peoria backflow test is a test conducted to ensure the proper functioning of backflow prevention devices.
Property owners, businesses, and individuals responsible for maintaining backflow prevention devices are required to file the test.
To fill out the test, contact a certified backflow tester to conduct the test and provide the results for filing.
The purpose of the test is to prevent contamination of drinking water by ensuring backflow prevention devices are working correctly.
The test results, date of test, location of backflow prevention device, and tester information must be reported.
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