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Backflow Prevention Device Inspection and Testing Report Kitchener Utilities Cross Connection Control 5197412600 ext. 4840 5197412638 faxes To be completed clearly & submit by fax, email or mail to
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How to fill out a copy of backflow prevention:

01
Start by downloading or obtaining a copy of the backflow prevention form. This can usually be done online or by contacting your local water utility or plumbing authority.
02
Read through the form carefully to familiarize yourself with the required information and sections to be filled out. Pay special attention to any instructions or guidelines provided.
03
Begin by providing your personal information, such as your name, contact details, and address. This information is crucial for identification purposes.
04
Next, fill in the details of the property where the backflow prevention device is installed. This may include the address, type of property (residential, commercial, etc.), and any additional relevant information such as property owner or manager.
05
Proceed to provide information about the backflow prevention device itself. This may include the make, model, serial number, installation date, and any maintenance or testing history.
06
If applicable, you may need to include information about the certified plumber or technician who installed or serviced the backflow prevention device. This can include their name, license number, and contact details.
07
Double-check all the information you have entered to ensure its accuracy and completeness. Pay attention to any required signatures or certifications that may be necessary.
08
Once you have reviewed the form and are confident that all required fields are filled out correctly, submit the completed copy of the backflow prevention form to the appropriate authority, such as your water utility or plumbing department.

Who needs a copy of backflow prevention?

01
Property owners: It is essential for property owners to have a copy of the backflow prevention form to provide proof of compliance with local regulations and enable proper maintenance and testing of the backflow prevention device.
02
Plumbing authorities: Regulatory bodies or local plumbing departments may require copies of backflow prevention forms to monitor and enforce compliance with backflow prevention regulations and ensure the safety of the public water supply.
03
Certified plumbers or technicians: Professionals involved in the installation, maintenance, or testing of backflow prevention devices may need a copy of the form for their records, as they are responsible for ensuring proper compliance and functionality of the device.
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Copy of backflow prevention is a document that outlines the measures taken to prevent backflow of contaminated water into the main water supply.
Certain businesses and facilities that pose a risk of water contamination are required to file a copy of backflow prevention.
To fill out a copy of backflow prevention, detailed information about the backflow prevention measures in place must be provided.
The purpose of copy of backflow prevention is to ensure the safety of the water supply by preventing the contamination of water.
Information about the type of backflow prevention device used, maintenance schedule, and testing results must be reported on copy of backflow prevention.
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