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Cross Connection Control Program For Engineering Use Only Removed Backflow Preventer Verification Form Engineering Department City of Surrey 13450 104 Avenue Surrey, BC V3T 1V8 Attention: Water Section
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How to fill out removed bbackflowb preventer verification

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How to fill out a removed backflow preventer verification:

01
Begin by gathering all the necessary information and documentation related to the removed backflow preventer. This may include the reason for its removal, details about the removal process, and any maintenance or repair work performed on the preventer.
02
Ensure that you have a copy of the relevant inspection or testing form required for the verification process. These forms may vary depending on the jurisdiction or organization requesting the verification, so make sure you have the correct one.
03
Start by providing general information about the backflow preventer. This may include the manufacturer, model number, installation date, and any other relevant details.
04
Indicate whether the backflow preventer has been completely removed from the plumbing system or if it has been relocated to a different location. Include details about the new location if applicable.
05
If the backflow preventer has been reinstalled in a different location, provide information about the new installation site. This may include the address, contact person, and any additional details needed for proper verification.
06
Describe the removal process, including the reason for removal and any necessary repairs or maintenance performed. If any parts of the backflow preventer were replaced or fixed during this process, make sure to mention them.
07
Include any test results or certification related to the backflow preventer's removal. This may involve pressure testing the plumbing system to ensure proper functioning and compliance with regulations.
08
Sign and date the verification form, ensuring that all the information provided is accurate and complete.

Who needs removed backflow preventer verification?

01
Building owners or property managers who are required to comply with local regulations and codes regarding backflow prevention may need to undergo removed backflow preventer verification.
02
Municipalities or water authorities may request this verification to ensure that the plumbing systems within their jurisdiction are properly maintained and pose no risk of backflow contamination.
03
Certification organizations or inspection agencies that oversee backflow prevention compliance may require removed backflow preventer verification as part of their routine inspections.
04
Plumbing contractors or professionals who perform the removal and installation of backflow preventers may need to provide the verification documentation to comply with legal and safety requirements.
05
Any entity or individual involved in the plumbing industry who wants to ensure proper documentation and compliance may opt for removed backflow preventer verification as a preventive measure.
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Backflow preventer verification is a process to ensure that the device is working correctly to prevent contaminated water from flowing back into the clean water supply.
Property owners or businesses that have backflow preventers installed on their water systems are required to file backflow preventer verification.
To fill out backflow preventer verification, the property owner or business must provide details about the device, perform required tests, and submit the paperwork to the appropriate authorities.
The purpose of backflow preventer verification is to ensure the device is functioning properly and to protect the quality of the water supply.
The information reported on backflow preventer verification includes details about the device, test results, maintenance records, and contact information for the property owner.
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