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CITY OF MERCER ISLAND 9611 SE 36th Street, Mercer Island, WA 98040-3732 Phone (206) 275-7782 Fax (206) 275-7787 www.mercergov.org/backflow Backflow Prevention Form NAME OF FACILITY: SERVICE ADDRESS:
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How to fill out mercergov org backflow reports:

01
Access the mercergov org website and navigate to the backflow report form.
02
Provide your contact information, including your name, address, and phone number.
03
Identify the location where the backflow device is installed and provide relevant details such as the address and type of property.
04
Specify the type of backflow device installed and its serial number, if available.
05
Indicate the date when the last backflow test was conducted and provide the name of the company or individual who performed the test.
06
Upload any supporting documents or test results if required.
07
Review the information entered for accuracy and completeness before submitting the report.

Who needs mercergov org backflow reports:

01
Property owners who have a backflow prevention device installed on their premises.
02
Businesses that are required to have backflow prevention systems as part of their regulatory obligations.
03
Plumbers or certified professionals who conduct backflow testing and need to submit the reports to the relevant authorities.
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The mercergov org backflow reports are documents that report information about backflow prevention devices and systems within the jurisdiction of the mercergov organization.
Any individual, business, or property owner who has a backflow prevention device or system installed within the mercergov jurisdiction is required to file mercergov org backflow reports.
Mercergov org provides an online form or a downloadable PDF form that can be filled out with the necessary information about the backflow prevention device or system.
The purpose of mercergov org backflow reports is to monitor and ensure the proper functioning of backflow prevention devices and systems to protect the public water supply from contaminants.
The mercergov org backflow reports require information such as the location of the backflow prevention device or system, its type, installation date, testing results, and the contact information of the responsible party.
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