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Backflow Assembly Plan Review Form External Domestic and Irrigation Colorado Springs Utilities Backflow Prevention Program 1521 S. Hancock Expressway Colorado Springs, CO 80903 Phone: (719)6684388

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How to fill out backflow prevention assembly form

01

Begin by gathering all the necessary information and documents required for the backflow prevention assembly form.

02

Start by filling out the header section of the form, which usually includes the name of the property owner, address, and contact information.

03

Move on to the backflow prevention assembly section of the form. Provide detailed information about the type of assembly, its location, and any associated serial numbers or identification codes.

04

Make sure to accurately describe the assembly installation, including details such as pipe sizes, materials, and any other relevant specifications.

05

If there are multiple backflow prevention assemblies on the property, repeat steps 3 and 4 for each assembly.

06

Proceed to the testing and maintenance section of the form. Include the dates of the last test and maintenance performed on the assembly.

07

If any repairs or replacements were conducted, provide the necessary details in the repair/replacement section.

08

Finally, review the completed form for accuracy and completeness before submitting it to the appropriate authority.

09

Keep a copy of the filled-out form for your records.

Who needs backflow prevention assembly form?

01

Property owners or managers who have backflow prevention assemblies installed on their premises need to fill out the backflow prevention assembly form.

02

Additionally, individuals or companies responsible for maintaining and testing backflow prevention assemblies may also be required to complete this form.

03

The specific regulations and requirements for submitting the form may vary depending on local or regional authorities.

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What is backflow prevention assembly form?

The backflow prevention assembly form is a document that provides information about the backflow prevention device installed in a water system.

Who is required to file backflow prevention assembly form?

Property owners or water system operators are typically required to file the backflow prevention assembly form.

How to fill out backflow prevention assembly form?

The backflow prevention assembly form can be filled out by providing detailed information about the installed backflow prevention device, including location, type, size, and test results.

What is the purpose of backflow prevention assembly form?

The purpose of the backflow prevention assembly form is to ensure that the backflow prevention device is properly installed and maintained to protect the water system from contamination.

What information must be reported on backflow prevention assembly form?

Information such as the location of the device, type of device, size, test results, and maintenance records must be reported on the backflow prevention assembly form.

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