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This document is a test report for backflow prevention assemblies, detailing the assembly information, test results, and necessary repairs and observations.

How to fill out backflow prevention assembly test

How to fill out Backflow Prevention Assembly Test Report

1. Obtain the Backflow Prevention Assembly Test Report form from the appropriate authority or organization.
2. Fill in the date of the test at the top of the form.
3. Provide the name and contact information of the tester.
4. Record the location of the backflow prevention assembly.
5. Indicate the type and model of the backflow prevention device being tested.
6. Fill in the manufacturer's details and the serial number of the device.
7. Conduct the test according to the specified procedures, noting any readings or results.
8. Document any issues found during the testing process.
9. Sign and date the report to certify that the testing has been completed.
10. Submit the completed form to the relevant water authority or organization.

Who needs Backflow Prevention Assembly Test Report?

1. Property owners with a backflow prevention device.
2. Water utilities and municipalities to ensure compliance with safety regulations.
3. Businesses and industries that use water systems to prevent contamination.
4. Testing companies responsible for conducting the inspections.

People Also Ask about

Shall backflow prevention assemblies be tested?

6 Testing and Maintenance of Backflow Prevention Assemblies. Assemblies that are designed to be field tested shall be tested prior to final inspection of the initial installation and once each year thereafter.

How do you test backflow preventers?

First, the number 2 shut off valve on the backflow is turned off. A test kit is placed on the device. The test kit uses the water left in the backflow. Once the test is complete, the kit is removed, and the water is turned back on slowly, which prevents pressure surges from occurring.

What is a backflow test report?

Backflow testing is a plumbing service that checks your backflow preventer device by assessing its pressure levels. When backflow is present, untreated or contaminated water can be back-siphoned into your clean water. For this reason, testing guarantees the water you use for drinking and showering is safe and sterile.

What is a backflow assembly test?

A backflow assembly usually has a check valve, which maintains the pressure needed to hold back wastewater. To pass an inspection, the valve must hold a minimum pressure. The inspector will also test the relief valves to ensure they open before the system reaches a certain pressure differential.

For pdfFiller’s FAQs

What is Backflow Prevention Assembly Test Report?

A Backflow Prevention Assembly Test Report is a document used to verify that backflow prevention devices are functioning properly to prevent contaminated water from flowing back into the potable water supply.

Who is required to file Backflow Prevention Assembly Test Report?

Licensed plumbers or certifiedBackflow Prevention Assembly testers are required to file a Backflow Prevention Assembly Test Report after testing backflow prevention devices.

How to fill out Backflow Prevention Assembly Test Report?

To fill out the report, provide details such as the tested device's location, type, and model; the test results; the tester's information; and any repairs made or recommendations if the device fails.

What is the purpose of Backflow Prevention Assembly Test Report?

The purpose of the report is to ensure that backflow prevention assemblies are operational, protecting the drinking water supply from contamination and meeting regulatory requirements.

What information must be reported on Backflow Prevention Assembly Test Report?

Information required includes the make and model of the backflow prevention device, location of the device, test results for each check valve, date of testing, tester's details, and any corrective actions taken.