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S.S. Water Supply Corporation PO Box 1000 La Hernia, Texas 78121 Phone 8307792837 Fax 8307795122 BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT Public Water Supplies Identification Number
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How to fill out backflow prevention assembly and

How to fill out backflow prevention assembly:
01
Start by gathering all the necessary information and paperwork required for filling out the backflow prevention assembly form. This may include the assembly serial number, location of the assembly, and any relevant maintenance records.
02
Carefully read through the form instructions provided by the local water authority or regulatory agency. Make sure you understand all the requirements and any specific fields that need to be completed.
03
Begin filling out the form by providing basic information about the property where the backflow prevention assembly is installed. This may include the property owner's name, address, and contact details.
04
Specify the type of backflow prevention assembly being used. This may include the make, model, and size of the assembly. If unsure, consult the manufacturer's documentation or seek assistance from a certified plumber.
05
Document any required test results or inspection details. This may involve providing the dates when the assembly was last tested, the name of the certified tester, and the results of the tests. Ensure that the testing meets the local regulations and requirements.
06
Include any additional information or comments that may be relevant to the backflow prevention assembly. This could include any repairs or maintenance performed, changes to the assembly's components, or any other pertinent details.
07
Review the completed form to ensure accuracy and completeness. Double-check that all required fields have been properly filled out and that any supporting documentation is attached as necessary.
Who needs backflow prevention assembly:
01
Property owners with irrigation systems: Backflow prevention assemblies are crucial for properties that have irrigation systems to ensure that contaminated water does not flow back into the main water supply.
02
Commercial and industrial facilities: Buildings like restaurants, hospitals, factories, and commercial laundries often require backflow prevention assemblies to safeguard against cross-contamination and protect the drinking water supply.
03
Residential properties with alternative water sources: Homes with wells, rainwater harvesting systems, or alternative water sources may need backflow prevention assemblies to prevent backflow and ensure the quality of the water supply.
Note: The specific requirements for backflow prevention assemblies may vary depending on local regulations and codes. It is important to consult with the local water authority or a certified professional for accurate and up-to-date information.
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What is backflow prevention assembly?
Backflow prevention assembly is a device used to prevent the backflow of contaminated water into the potable water supply.
Who is required to file backflow prevention assembly?
Property owners and managers are typically required to file backflow prevention assembly.
How to fill out backflow prevention assembly?
To fill out backflow prevention assembly, you must provide information about the assembly, when it was installed, maintenance records, and any testing results.
What is the purpose of backflow prevention assembly?
The purpose of backflow prevention assembly is to protect the public water supply from contamination due to backflow.
What information must be reported on backflow prevention assembly?
Information such as the make, model, size, and location of the assembly, as well as testing results and maintenance records must be reported.
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