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This document is used to report the testing and maintenance of backflow prevention devices, ensuring they operate correctly and prevent backflow contamination in water supply systems.
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How to fill out backflow prevention device test
How to fill out Backflow Prevention Device Test and Maintenance Report
01
Start by entering the date of the test at the top of the report.
02
Fill in the name and address of the property where the backflow prevention device is installed.
03
Record the type of backflow prevention device being tested.
04
Enter the manufacturer's name and model number of the device.
05
Provide the serial number of the device.
06
Document the name and license number of the tester performing the maintenance.
07
Conduct the test and record the results in the designated fields, including pressure readings.
08
Note any repairs or maintenance performed during the test.
09
Sign and date the report at the bottom, verifying the accuracy of the information provided.
10
Submit the completed report to the appropriate regulatory agency or property management.
Who needs Backflow Prevention Device Test and Maintenance Report?
01
Property owners who install backflow prevention devices.
02
Commercial property managers responsible for ensuring compliance with safety regulations.
03
Plumbers and maintenance professionals involved in testing and maintaining backflow prevention devices.
04
Local government agencies that require documentation for safety and compliance assessments.
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What is Backflow Prevention Device Test and Maintenance Report?
The Backflow Prevention Device Test and Maintenance Report is a document that records the testing and maintenance of backflow prevention devices, ensuring that these devices are functioning correctly to prevent contaminated water from flowing back into the public water supply.
Who is required to file Backflow Prevention Device Test and Maintenance Report?
Typically, property owners, facility managers, or certified backflow testers are required to file the Backflow Prevention Device Test and Maintenance Report with local water authorities or health departments, depending on local regulations.
How to fill out Backflow Prevention Device Test and Maintenance Report?
To fill out the report, the tester must provide information such as the address of the device, the date of testing, the results of the test, any repairs performed, the name and certification number of the tester, and signature. It's important to follow any specific guidelines provided by local authorities.
What is the purpose of Backflow Prevention Device Test and Maintenance Report?
The purpose of the Backflow Prevention Device Test and Maintenance Report is to ensure compliance with safety regulations, document the proper functioning and maintenance of backflow prevention devices, and protect the public water supply from contamination.
What information must be reported on Backflow Prevention Device Test and Maintenance Report?
The report must include details such as the location of the backflow device, the testing date, the results of the test, any repairs or maintenance performed, the tester's name and certification, and the signature of the individual conducting the test.
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