TX Backflow Prevention Assembly Test Report - Mansfield 2004-2025 free printable template
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Existing New Replacement Backflow Prevention Assembly Replaces Serial # Test Report 1200 East Broad Street Serial # Mansfield, Texas 76063 (817) 2764200
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How to fill out TX Backflow Prevention Assembly Test Report
How to fill out TX Backflow Prevention Assembly Test Report
01
Obtain the TX Backflow Prevention Assembly Test Report form.
02
Fill in the name and contact information of the tester.
03
Record the date of the test.
04
Provide the location of the backflow prevention assembly.
05
Fill in the type and model of the backflow prevention assembly being tested.
06
Conduct the test according to the manufacturer's instructions and record results in the designated sections.
07
Note any repairs or maintenance that were performed.
08
Sign and date the report at the bottom.
09
Submit the completed report to the appropriate local authority or agency.
Who needs TX Backflow Prevention Assembly Test Report?
01
Property owners with irrigation systems.
02
Commercial buildings that have water supply systems.
03
Plumbing contractors performing backflow prevention assembly testing.
04
Municipal water authorities needing compliance documentation.
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People Also Ask about
What is a backflow prevention assembly?
Backflow prevention assemblies can reduce or eliminate backflows by segregating drinking and non-potable water piping. This is done either by providing an air gap or by installing a backflow prevention assembly (BPA) between the two plumbing systems.
How often must backflow preventers be tested?
To ensure the device is functioning properly, a certified backflow tester must test all backflow prevention devices annually.
What is backflow assemblies?
A backflow prevention assembly is a means or mechanism to prevent backflow. The basic means for preventing backflow is an air gap, which either eliminates a cross-connection or provides a barrier from backflow.
What does a backflow preventer assembly do?
The reduced pressure backflow assembly (RPBA) is designed to prevent backflow caused by backpressure or backsiphonage and may be installed on either low- or high-hazard connections. Backsiphonage is when water moves in the direction opposite its regular flow.
What is an example of a backflow prevention device?
An atmospheric vacuum breaker, also known as an atmospheric antisiphon, is one type of backflow prevention device. Two common examples are household hose bib vacuum breakers and frostproof wall hydrant faucets.
Why does my house have a backflow preventer?
Plumbing codes require all water outlets to be equipped with a backflow prevention device to prevent contamination or pollution of the drinking water. Therefore, all sinks have a space between the end of the faucet and the flood level of the sink called an air gap.
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What is TX Backflow Prevention Assembly Test Report?
The TX Backflow Prevention Assembly Test Report is a document used to certify that backflow prevention assemblies are functioning correctly to prevent the reverse flow of water, ensuring the safety of the drinking water supply.
Who is required to file TX Backflow Prevention Assembly Test Report?
Facility owners with backflow prevention assemblies are required to file the TX Backflow Prevention Assembly Test Report, typically completed by a licensed tester after performing inspections and tests on the assemblies.
How to fill out TX Backflow Prevention Assembly Test Report?
To fill out the TX Backflow Prevention Assembly Test Report, include the facility's information, details of the assembly tested, the results of the tests conducted, and the tester's certification information and signature.
What is the purpose of TX Backflow Prevention Assembly Test Report?
The purpose of the TX Backflow Prevention Assembly Test Report is to document the testing and maintenance of backflow prevention devices, ensuring compliance with safety standards and regulations.
What information must be reported on TX Backflow Prevention Assembly Test Report?
The report must include the location and identification of the assembly, test results (including values for specific tests), the tester's details, the date of the test, and whether the assembly passed or failed.
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