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BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT Name of PCs: PCs I.D. #: Mailing Address: Contact Person: Phone: CITY OF FORMER 1290002 P.O. Box 826, Lorna, Texas 75126 Water System Official
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How to fill out backflow test formdoc:

01
Start by providing your personal information in the designated fields, such as your name, address, and contact information.
02
Indicate the date and time of the backflow test, as well as the location where it took place.
03
Specify the type of backflow prevention assembly being tested and provide relevant details about its make, model, and serial number.
04
Document the test results accurately by recording the initial and final pressures, as well as any observed leaks or abnormalities.
05
Sign and date the form to certify that the information provided is accurate and true.

Who needs backflow test formdoc:

01
Individuals or businesses that own or occupy properties with backflow prevention assemblies.
02
Plumbing or irrigation professionals responsible for conducting periodic backflow tests.
03
Regulatory authorities or water management agencies that enforce backflow prevention measures.
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Backflow test formdoc is a document used to record the results of a backflow test, which is conducted to ensure that the water supply is protected from any potential contamination.
Businesses and properties with backflow prevention devices are typically required to file backflow test formdoc. This requirement may vary depending on local regulations and water authorities.
To fill out the backflow test formdoc, you will need to provide information about the location, type of backflow prevention device, test results, and the signature of the certified tester. Detailed instructions may vary depending on the specific form used.
The purpose of the backflow test formdoc is to ensure that backflow prevention devices are tested regularly and that the water supply remains protected from potential contamination or cross-connections.
The backflow test formdoc typically requires information such as the location of the backflow prevention device, its type, test results including pressure readings, the date the test was conducted, the name of the certified tester, and their signature.
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