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This document is a report form used for testing and maintaining backflow prevention assemblies in accordance with public water supply regulations. It requires information about the property, the backflow
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How to fill out backflow prevention assembly test

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How to fill out Backflow Prevention Assembly Test and Maintenance Report

01
Start with the title section: Clearly state 'Backflow Prevention Assembly Test and Maintenance Report'.
02
Fill in the date of the test.
03
Enter the name and contact information of the facility or property owner.
04
Provide the address of the installation site.
05
Include details about the Backflow Prevention Assembly, such as manufacturer, model number, and serial number.
06
Document the test results for the individual assembly, including readings from the test gauges.
07
Note any repairs or maintenance performed on the assembly.
08
Sign and date the report, and include the tester’s certification number.
09
Make sure to provide a copy to the necessary regulatory authority.

Who needs Backflow Prevention Assembly Test and Maintenance Report?

01
Property owners to ensure compliance with local regulations.
02
Commercial businesses with water connections to municipal systems.
03
Water utility companies requiring proof of testing for safety.
04
Plumbers and maintenance personnel responsible for these systems.
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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.
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.
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.
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.

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The Backflow Prevention Assembly Test and Maintenance Report is a document used to record the testing and maintenance of backflow prevention assemblies, ensuring they function correctly to prevent contaminated water from flowing back into the potable water supply.
Typically, property owners or managers of facilities equipped with backflow prevention assemblies are required to file the Backflow Prevention Assembly Test and Maintenance Report, along with certified testers who perform the tests.
To fill out the report, provide details such as the location of the assembly, the type of assembly, the results of the test, the date of the test, the name and certification number of the tester, and any maintenance actions taken.
The purpose of the report is to document the compliance of backflow prevention devices with local regulations and to ensure that they are functioning correctly, thereby protecting public health.
The report must include the assembly's location, type, date of test, test results, name and certification number of the tester, maintenance performed, and any necessary follow-up actions required.
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