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MO Backflow Prevention Assembly Test Data free printable template

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Return to: CMO Water Services Department Backflow Unit ST. 2409 E. 18 Kansas City, MO 64130 816-513-0273; fax 816-513-8366 Backflow Prevention Assembly Test Data and Maintenance Report Customer Test
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How to fill out MO Backflow Prevention Assembly Test Data and

01
Obtain the MO Backflow Prevention Assembly Test Data form from the local water authority or relevant agency.
02
Fill in the date of the test at the top of the form.
03
Enter the name and contact information of the tester conducting the backflow prevention assembly test.
04
Provide the address where the backflow prevention assembly is installed.
05
Specify the type of assembly being tested (e.g., RPZ, DCVA).
06
Record the serial number and manufacturer information of the assembly.
07
Document the test results for the assembly, including initial and final readings for each check.
08
Include any remarks or additional notes regarding the performance of the assembly.
09
Sign and date the form to certify the accuracy of the test results.
10
Submit the completed form to the appropriate local water authority.

Who needs MO Backflow Prevention Assembly Test Data and?

01
Property owners with a backflow prevention assembly installed on their premises.
02
Plumbers and technicians who perform tests on backflow prevention assemblies.
03
Local water authorities to ensure compliance with water safety regulations.
04
Businesses that require regular backflow testing for regulatory compliance.
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People Also Ask about

How Do I Become a Certified Backflow Tester in Tennessee? Backflow Prevention Assembly Testers, especially those working with water purveyors in the state, are regulated by the Tennessee Department of Environment and Conservation, and they generally do their own classes at the Fleming Training Center.
Backflow testing is a plumbing service that checks your backflow preventer device by assessing its pressure levels. When backflow is present, untreated or contaminated water can be back-siphoned into your clean water. For this reason, testing guarantees the water you use for drinking and showering is safe and sterile.
To ensure the device is functioning properly, a certified backflow tester must test all backflow prevention devices annually.
An annual test ensures the backflow devices is in good working order and prevents unwanted water from entering the drinking water supply. Section 78 Article V of the Kansas City Code of ordinances requires annual operational rest and certified inspection of all backflow devices.
Backflow testing is a plumbing service that checks your backflow preventer device by assessing its pressure levels. When backflow is present, untreated or contaminated water can be back-siphoned into your clean water. For this reason, testing guarantees the water you use for drinking and showering is safe and sterile.
0:24 3:28 Installation of Backflow Prevention Devices - YouTube YouTube Start of suggested clip End of suggested clip And rpz D must be installed in the horizontal. Position some dcv can be installed eitherMoreAnd rpz D must be installed in the horizontal. Position some dcv can be installed either horizontally or vertically. So it is important not to get these confused.

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MO Backflow Prevention Assembly Test Data refers to the documentation and records maintained to ensure that backflow prevention devices are tested and functioning correctly to protect potable water supplies from contamination.
Individuals or entities that own or maintain backflow prevention assemblies, typically including property owners, plumbers, and water utility companies, are required to file this data.
To fill out MO Backflow Prevention Assembly Test Data, one must provide information such as the location of the assembly, the type of assembly, test results, the date of testing, and the tester's certification details.
The purpose of MO Backflow Prevention Assembly Test Data is to ensure that backflow prevention devices are properly functioning to prevent contamination of the drinking water supply and to comply with local regulations.
Reported information must include the test date, type of assembly, test results (pass/fail), location address, tester's name and certification, and any maintenance performed.
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