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CITY OF BELMONT UTILITY DEPARTMENT BACKFLOW PREVENT OR TEST AND MAINTENANCE REPORT CITY OF BELMONT CROSSCONNECTION CONTROL SECTION BELMONT, NC 28012 REVISED 1×28/15 MAIL TO or FAX TO: DERRICK STACEY
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How to fill out backflow testing form pdf?

01
Start by downloading the backflow testing form pdf from a reliable source or the official website of your local water authority.
02
Open the downloaded form using a pdf reader software or application.
03
Carefully read through the instructions, header, and any guidelines provided on the form to understand the required information and how to fill it out correctly.
04
Begin by entering the date of the backflow testing in the designated field. Make sure to use the correct format as indicated on the form.
05
Provide your contact information, such as your name, phone number, and email address, in the appropriate fields.
06
Identify and enter the location/address where the backflow testing is being conducted. This could be a residential or commercial property.
07
If applicable, provide the name and contact information of the property owner or manager.
08
Next, you need to indicate the type of backflow prevention assembly being tested. This may include devices like reduced pressure zone (RPZ) valves, double-check valves, etc.
09
Follow the instructions on the form to record the test results accurately. This typically includes documenting the test date, initial and final pressure readings, and any observations or comments related to the test.
10
If the backflow prevention assembly fails the test, make sure to note the reasons for the failure and any necessary actions to be taken for repairs or replacements.
11
Finally, sign and date the form to certify that the information provided is accurate and true to the best of your knowledge.
12
Keep a copy of the filled-out backflow testing form for your records and submit the original form to the appropriate authorities or water authority as instructed.

Who needs backflow testing form pdf?

01
Plumbers and certified backflow testers: These professionals are responsible for testing the backflow prevention assemblies and ensuring they comply with local regulations and standards. They need the backflow testing form pdf to record and report the results of the tests.
02
Property owners: Individuals or companies who own properties where backflow prevention assemblies are installed are often required by law to perform regular backflow testing. They need the backflow testing form pdf to document the testing process and submit it to the relevant authorities.
03
Water authorities: Municipalities, water districts, or other governing bodies that oversee the water supply system may require backflow testing for specific properties. They need the backflow testing form pdf to enforce compliance, maintain accurate records, and assess potential risks to the water supply network.
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The bbackflowb testing form pdf is a document used to record and report the results of backflow testing to ensure the safety of water supply.
Property owners or managers responsible for water supply systems are required to file the backflow testing form pdf.
The backflow testing form pdf must be completed by a certified backflow tester with accurate information about the testing results.
The purpose of the backflow testing form pdf is to document and ensure that backflow prevention devices are functioning properly to protect the water supply from contamination.
The backflow testing form pdf must include details about the backflow prevention device, testing methods, testing results, and any necessary repairs or maintenance.
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