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MN Backflow Preventor (RPZ) Test Report - City of Minneapolis 2016-2025 free printable template

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Development Services Customer Service Center TH 250 South 4 Street Room 300 Minneapolis, MN 55415 1316 Office 6126733000 or 311 Fax 6123701416 TTY 6126732157 www.minneapolismn.gov/mdr BACKFLOW PREVENTER
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How to fill out MN Backflow Preventor RPZ Test Report

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How to fill out a backflow preventer test report:

01
Begin by gathering all the necessary information such as the address where the backflow preventer is located, the date of the test, and the name of the tester.
02
Inspect the backflow preventer to ensure it is in good working condition and properly installed. Take note of any visible issues or abnormalities.
03
Follow the testing procedure outlined by your local water agency or regulatory body. This typically involves performing various tests and measurements to check the functionality of the backflow preventer.
04
Record the results of each test in the test report form. Include details such as the pressure readings, flow rates, and any other relevant data. Make sure to clearly label each section and provide accurate information.
05
If any problems or issues are identified during the testing process, document them in the report and indicate the necessary actions to be taken to rectify the situation.
06
Cross-check the completed report for any errors or omissions. Ensure that all required fields are filled out accurately and completely.
07
Obtain the necessary signatures. This may include the signature of the tester, the property owner or manager, and sometimes the local authority or water agency representative.
08
Once the test report is completed and signed, submit it to the appropriate authority or agency as per the regulations in your area. Keep a copy for your own records.

Who needs a backflow preventer test report:

01
Property owners or managers: It is the responsibility of property owners or managers to ensure that backflow preventers are regularly tested and maintained. They may need the test report as proof of compliance with local regulations.
02
Plumbing contractors or testers: Professionals who specialize in backflow prevention testing and maintenance are often required to provide a test report to their clients. This report serves as a record of their services and the condition of the backflow preventer.
03
Local water agencies or regulatory bodies: These authorities oversee the implementation and enforcement of backflow prevention regulations. They may require property owners or plumbing contractors to submit test reports to ensure compliance and maintain the safety of the water supply.
In conclusion, filling out a backflow preventer test report requires careful attention to detail and adherence to local regulations. It is important for property owners, plumbing contractors, and regulatory bodies to have access to these reports in order to maintain the integrity of the water supply and ensure the proper functioning of backflow preventers.
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People Also Ask about

RP's must be installed above ground. Backflow preventers installed inside must be a minimum distance of twelve (12) inches above the floor, and no higher than four (4) foot above the floor, with adequate clearance around the backflow preventer for testing and/or repair.
Why is a Backflow Preventer Required on Lawn Sprinkler Systems? Lawn irrigation systems can backflow contaminated water into your drinking water. In order to prevent this, building codes require that these systems be protected with a backflow preventer: International Plumbing Code 2006 608.16.
Reduced pressure zone assemblies, also known as RPZ valves, are extremely important. They're used to keep contamination or pollution out of your water. Specifically, these devices are installed onto your plumbing system to help protect both drinking water and the city water supply.
check valves. And we clear up a misconception that's often inquired about in online forums: while check valves have other important applications, they cannot be considered a safe substitute for backflow preventers when it comes to protecting the purity of drinking water.
Per State of Minnesota Statute 4714, an approved backflow preventer assembly/device is required to be installed on an equipment connecting to potable water in order to protect our potable water supplies from contamination in an event of reduced water pressure which may allow contaminated water to backflow into our
However, it wasn't until 1974, when Congress established the Safe Drinking Water Act (SDWA), that unprotected cross-connections were required to be eliminated or protected in order to safeguard human health from contaminants in drinking water.
A reduced pressure zone device (RPZD, RPZ, or RPZ valve) is a type of backflow prevention device used to protect water supplies from contamination.

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The backflow preventer test report is a document that certifies that a backflow preventer device has been tested and is functioning properly.
Property owners or operators who have backflow preventer devices installed are required to file the test report.
The test report must be completed by a certified backflow preventer tester and submitted to the appropriate regulatory agency.
The purpose of the test report is to ensure that backflow preventer devices are properly maintained and functioning to protect the potable water supply.
The test report must include the date of the test, the results of the test, the make and model of the backflow preventer device, and the signature of the certified tester.
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