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This document serves as a report for testing backflow prevention devices, detailing the device information, test results, and certified tester information.
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How to fill out backflow prevention test report
How to fill out Backflow Prevention Test Report
01
Obtain the Backflow Prevention Test Report form from your local water authority or governing body.
02
Fill in the date of the test at the top of the report.
03
Enter the name and address of the property where the backflow prevention device is installed.
04
Provide the name and contact information of the certified tester.
05
List the type of backflow prevention device being tested.
06
Record the make, model, and serial number of the device.
07
Document the initial testing results, including pressure readings for both the relief valve and the shut-off valves.
08
Indicate any repairs or maintenance performed during the test.
09
Sign and date the report by the tester once all data is completed.
10
Submit the report to the local water authority as required.
Who needs Backflow Prevention Test Report?
01
Property owners with backflow prevention devices installed.
02
Commercial facilities that are connected to a public water supply.
03
Local water authorities that regulate the safety and compliance of water systems.
04
Plumbers and contractors who perform tests on backflow prevention devices.
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What is Backflow Prevention Test Report?
A Backflow Prevention Test Report is a document used to certify that a backflow prevention device has been tested for proper function to ensure that contaminated water does not flow back into the public water supply.
Who is required to file Backflow Prevention Test Report?
Property owners or managers who have installed backflow prevention devices are required to file a Backflow Prevention Test Report, typically through a certified tester.
How to fill out Backflow Prevention Test Report?
To fill out a Backflow Prevention Test Report, include information such as the location of the device, the type and size of the device, the date of testing, the results of the test, and the name and license number of the certified tester.
What is the purpose of Backflow Prevention Test Report?
The purpose of the Backflow Prevention Test Report is to document compliance with safety regulations, ensure the functionality of backflow prevention devices, and protect public health by preventing contaminated water from entering the potable water supply.
What information must be reported on Backflow Prevention Test Report?
The report must include the device location, make and model, test results, any repairs made, the tester's contact information, and the date of the test.
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