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MN Backflow Preventer Installation/Test Report - City of St. Louis Park free printable template

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Backflow Preventer Installation/Test Report All information must be typed or clearly printed in black ink. Site Address: Owner/Occupant: Contact Name: Telephone #: Mailing Address of Contact: Device
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How to fill out backflow preventer test report

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How to fill out MN Backflow Preventer Installation/Test Report - City

01
Obtain the MN Backflow Preventer Installation/Test Report form from the city’s website or office.
02
Fill in the property owner's name and contact information at the top of the form.
03
Include the installation address of the backflow preventer.
04
Specify the type of backflow preventer being installed (model and manufacturer).
05
Document the installation date and the name of the certified installer.
06
Provide details of the testing procedure, including test results for each check valve.
07
Sign and date the report to certify that all information is accurate.
08
Submit the completed report to the appropriate city department, either electronically or by mail.

Who needs MN Backflow Preventer Installation/Test Report - City?

01
Property owners with irrigation systems and sprinkler systems that require backflow prevention.
02
Plumbers or contractors responsible for installing backflow preventers.
03
Municipal authorities to ensure compliance with local regulations regarding backflow prevention.
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The MN Backflow Preventer Installation/Test Report - City is a document used to confirm the installation and testing of backflow preventers in plumbing systems to ensure safe drinking water by preventing contamination from backflow events.
The property owners or authorized plumbing contractors are required to file the MN Backflow Preventer Installation/Test Report - City upon the installation or testing of backflow preventers.
To fill out the MN Backflow Preventer Installation/Test Report - City, you should provide details such as the property address, type and specifications of the backflow preventer, the date of installation or testing, testing results, and the name and certification of the tester.
The purpose of the MN Backflow Preventer Installation/Test Report - City is to document compliance with municipal regulations regarding backflow prevention and to ensure the safety and integrity of the water supply.
The report must include information such as the location of the device, the type of backflow preventer, installation date, test results, tester's certification number, and any required maintenance or repairs.
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