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CITY OF COBOL 200 S. MAIN STREET / P.O. BOX 826, COBOL, TX 78108 Phone: (210) 658 4175 Fax: (210) 658 8065 BACKFLOW ASSEMBLY INITIAL TEST & ANNUAL MAINTENANCE REPORT Please print Illegible or incomplete
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Start by opening the backflow assembly reportxls file on your computer.
02
Fill in the required information such as the date of the report, your name, and contact information.
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Provide details about the backflow assembly, including its location and any relevant identification numbers.
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Indicate whether the assembly is being tested, repaired, or replaced.
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If the assembly is being tested, record the test date, the tester's name, and the test results.
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Who needs backflow assembly reportxls:

01
Plumbers and contractors who are responsible for testing, repairing, or replacing backflow assemblies.
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Municipalities or water utility companies that enforce backflow prevention regulations and need to keep records of maintenance and testing.
Overall, anyone involved in the maintenance and regulation of backflow prevention systems may need to use a backflow assembly reportxls to document the necessary information.
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