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Backflow Device Test Results Form INSPECTOR INFORMATION Inspector Name Certification Number CUSTOMER INFORMATION Customer Name Customer Address TEST RESULTS Account Number Work Order Number Backflow
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How to fill out backflow device test results

How to fill out backflow device test results:
01
Start by gathering all necessary information such as the date and location of the test, the type of backflow device being tested, and the technician's name.
02
Begin with the basic details, such as the name and address of the property where the test was conducted.
03
Clearly indicate whether the backflow device passed or failed the test. If it failed, provide details on the specific issues found.
04
Include a description of the backflow device, including its make, model, and serial number.
05
Record the test results, including the test pressure, flow rate, and any other relevant measurements.
06
Document any repairs or maintenance performed on the device during the test.
07
Make sure to sign and date the form, indicating that the test was conducted and the results are accurate.
Who needs backflow device test results:
01
Plumbing professionals and technicians may need backflow device test results to determine the overall performance of the device and identify any potential issues that may need to be addressed.
02
Local and state regulatory authorities often require backflow device test results to ensure compliance with water safety and backflow prevention regulations.
03
Property owners or managers may need backflow device test results as part of their regular maintenance and safety documentation to ensure the continued protection of their water supply.
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What is backflow device test results?
Backflow device test results are the results of testing to ensure that backflow prevention devices are functioning properly.
Who is required to file backflow device test results?
Property owners or water utility providers are often required to file backflow device test results.
How to fill out backflow device test results?
Backflow device test results are typically filled out by a certified tester who performs the necessary tests and records the results.
What is the purpose of backflow device test results?
The purpose of backflow device test results is to protect the quality of drinking water by ensuring that backflow prevention devices are working effectively.
What information must be reported on backflow device test results?
Backflow device test results typically include information such as the date of the test, the results of the test, and the signature of the certified tester.
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