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BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT This form must be completed for each assembly tested. A signed and dated original must be submitted to the City of Troy for record keeping
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How to fill out backflow test report 9-1-14

How to fill out backflow test report 9-1-14:
01
Begin by entering the date of the test, which should be 9-1-14, at the top of the report form.
02
Fill in the name and contact information of the person or company conducting the test.
03
Provide the address and any other relevant location details where the backflow test is being performed.
04
Indicate the type of backflow device being tested, such as a reduced pressure principle assembly or a double check valve assembly.
05
Note the manufacturer and model number of the backflow device being tested.
06
Check the appropriate box that identifies whether the backflow device passed or failed the test.
07
If the device failed the test, provide details of the reason for failure and any necessary repairs or maintenance required.
08
If the backflow device passed the test, make sure to include the test results, including the flow rate and pressure measurements.
09
Sign and date the report to confirm its accuracy and completion.
Who needs backflow test report 9-1-14:
01
Property owners or managers who are responsible for ensuring the safety and compliance of their plumbing systems typically require a backflow test report.
02
Municipalities and water authorities may also request backflow test reports to ensure the protection of the public drinking water supply.
03
Plumbing contractors or certified backflow testers who perform the tests should also keep a record of the backflow test report for their records and to provide to the relevant parties upon request.
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What is backflow test report 9-1-14?
Backflow test report 9-1-14 is a document that records the results of testing backflow prevention devices to ensure they are functioning properly.
Who is required to file backflow test report 9-1-14?
Property owners or managers who have backflow prevention devices installed on their water systems are required to file backflow test report 9-1-14.
How to fill out backflow test report 9-1-14?
Backflow test report 9-1-14 can be filled out by providing information about the property, the backflow prevention devices, and the results of the testing conducted.
What is the purpose of backflow test report 9-1-14?
The purpose of backflow test report 9-1-14 is to ensure that backflow prevention devices are functioning properly and to prevent the contamination of drinking water.
What information must be reported on backflow test report 9-1-14?
Information such as the property address, the type of backflow prevention devices installed, the results of testing, and the date of testing must be reported on backflow test report 9-1-14.
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