Get the free Backflow Sample Report - AAA Fire Safety & Alarm
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Backflow Assembly Report of Test×Inspection Date: November 1, 2011, Address: AAA Fire Safety & Alarm, Inc. 334 North Marshall Way Suite G Layton, UT 84041 Phone: 8015447345 Fax: 8015441411 www.aaafireutah.com
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How to fill out backflow sample report
How to fill out backflow sample report:
01
Start by carefully reading and understanding the instructions provided with the backflow sample report form.
02
Gather all the necessary information, such as the location and type of backflow preventer, the date and time of the test, and any specific requirements for the report.
03
Begin by filling out the header section of the report, which typically includes the property owner's name, contact information, and the address where the backflow preventer is installed.
04
Next, provide details about the backflow preventer, including its make, model, and serial number. If you are conducting a routine test, also note the last test date and who performed it.
05
Proceed to the actual test results section. Here, record the pressure readings and any other measurements as required by the form. Make sure to write legibly and provide accurate information.
06
If there are any observations or notes to be made, use the designated area on the form to document them. This could include any abnormalities noticed during the test or recommendations for maintenance or repair.
07
After completing the test results and observations section, sign and date the report to certify its accuracy. If you are a certified backflow tester, make sure to include your license or certification number.
08
Finally, submit the completed backflow sample report to the appropriate authority or organization responsible for backflow prevention in your area.
Who needs a backflow sample report:
01
Property owners who have a backflow preventer installed at their premises, especially if mandated by local regulations or plumbing codes.
02
Certified backflow testers who are responsible for testing and reporting on the functionality of the backflow preventer.
03
Municipal or regulatory authorities that oversee backflow prevention programs and require documentation to ensure compliance with safety standards and regulations.
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What is backflow sample report?
Backflow sample report is a document that records the results of testing backflow prevention devices to ensure they are functioning properly.
Who is required to file backflow sample report?
The water utility provider or the owner of the property where the backflow prevention devices are installed is required to file the backflow sample report.
How to fill out backflow sample report?
The backflow sample report should be filled out by a certified backflow tester who tests the backflow prevention devices and records the results of the tests.
What is the purpose of backflow sample report?
The purpose of the backflow sample report is to document that the backflow prevention devices are working as intended to protect the public water supply from contamination.
What information must be reported on backflow sample report?
The backflow sample report must include information such as the location of the backflow prevention devices, the date of testing, the results of the tests, and the signature of the certified backflow tester.
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