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BACKFLOW PREVENTION ASSEMBLY TEST REPORT Name of Premise: Street Address: Location of Assembly: Type of Assembly: (Circle One) PBA PDA DIVA CDA PBA AG Assembly: Make Model Serial # New Test: Line
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How to fill out backflow prevention assembly test

How to fill out backflow prevention assembly test:
01
Gather necessary tools and equipment for the test, such as a test kit, test gauges, and a backflow prevention assembly test form.
02
Locate the backflow prevention assembly that needs to be tested. It is usually found near the main water supply point of a building or property.
03
Close any valves leading to the backflow prevention assembly to isolate it from the rest of the water system.
04
Follow the manufacturer's instructions to properly connect the test gauges to the test cocks on the backflow prevention assembly. Ensure the connections are secure.
05
Open the test cocks on the backflow prevention assembly to allow water to flow into the test gauges. Make sure there are no leaks.
06
Use the test gauges to check the pressure readings of both the inlet and outlet sides of the backflow prevention assembly. Compare the readings to the manufacturer's specified tolerances.
07
Record the test results on the backflow prevention assembly test form. Include information such as the date, tester's name, and the property or building where the assembly is located.
08
If the backflow prevention assembly passes the test within the specified tolerances, document it as a successful test. If it fails, mark it as a failed test and take appropriate measures for repair or replacement.
09
Submit the completed backflow prevention assembly test form to the appropriate authority or organization responsible for maintaining records of backflow prevention tests.
Who needs backflow prevention assembly test:
01
Property owners or managers who are responsible for the maintenance of buildings or properties with a water supply system.
02
Contractors or plumbers who install backflow prevention assemblies in new constructions or renovations.
03
Local authorities, such as water departments or health departments, who enforce regulations and ensure the safety of public water supplies.
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What is backflow prevention assembly test?
Backflow prevention assembly test is a procedure used to ensure that backflow prevention devices are working correctly and preventing contaminated water from flowing back into the main water supply.
Who is required to file backflow prevention assembly test?
Property owners and businesses that have backflow prevention assemblies installed on their water systems are typically required to file backflow prevention assembly tests.
How to fill out backflow prevention assembly test?
To fill out a backflow prevention assembly test, the tester must physically check the assembly, perform the necessary tests, record the results, and submit the paperwork to the appropriate regulatory agency.
What is the purpose of backflow prevention assembly test?
The purpose of backflow prevention assembly test is to ensure that backflow prevention devices are functioning properly and maintaining the integrity of the water supply by preventing contamination.
What information must be reported on backflow prevention assembly test?
The information typically reported on a backflow prevention assembly test includes the location of the assembly, the date of the test, the tester's information, and the test results.
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