Get the free Backflow Prevention Testing Form - Town of Fuquay-Varina - fuquay-varina

180.02.03 ? BACKFLOW PREVENTION DEVICE TESTING FORM Initial Test Date: Public Utilities Department 401 Old Honeycomb Road Fuquay-Varina, NC 27526 Phone: 919-753-1028 Fax: 919-552-7481 Final Test Date:

How to fill out backflow prevention testing form

How to fill out backflow prevention testing form:

1. Obtain the backflow prevention testing form from your local water authority or plumbing department.
2. Fill out all required personal information, such as name, address, and contact details.
3. Provide details about the property where the backflow prevention device is installed, including the address, type of building, and any specific instructions or requirements.
4. List the backflow prevention device(s) installed on the property, including their make, model, and serial numbers if available.
5. Include information about the date of the last backflow prevention testing and whether it was successful or not.
6. Fill in the date of the upcoming backflow prevention testing and include the name and contact information of the licensed tester who will perform the test.
7. Sign and date the form, certifying that the information provided is accurate to the best of your knowledge.
8. Submit the filled out form to the appropriate water authority or plumbing department.

Who needs backflow prevention testing form:

1. Property owners or managers who have installed backflow prevention devices on their premises.
2. These can include residential homeowners, commercial property owners, and public institutions like schools, hospitals, or government buildings.
3. Backflow prevention testing forms are typically required by local water authorities and plumbing departments to ensure that the devices are functioning properly and preventing the contamination of the public water supply.
4. It is important for those who own or manage properties with backflow prevention devices to maintain compliance with local regulations and schedule regular testing to protect the health and safety of their occupants and the community.

For pdfFiller’s FAQs

What is backflow prevention testing form?

The backflow prevention testing form is a document used to record and report the results of testing backflow prevention devices.

Who is required to file backflow prevention testing form?

Any individual or organization that is responsible for maintaining and testing backflow prevention devices is required to file the form.

How to fill out backflow prevention testing form?

To fill out the backflow prevention testing form, you need to provide the necessary information regarding the tested devices, test results, and any repairs or maintenance performed.

What is the purpose of backflow prevention testing form?

The purpose of the backflow prevention testing form is to ensure that backflow prevention devices are properly maintained and tested to prevent the contamination of drinking water.

What information must be reported on backflow prevention testing form?

The form typically requires information such as the device location, device type, test date, test results, repairs or maintenance performed, and the name of the testing technician.

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