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NEWWA Backflow Prevention Device Assembly Test free printable template

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NE WWA Backflow Prevention Device Assembly Test Report Form Owner of PropertyDate Time Mailing AddressTested by Certificate # (City, Town)(Zip)RPM contact PersonDCVAoPVB orb make Model No. Device
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How to fill out NEWWA Backflow Prevention Device Assembly Test

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How to fill out NEWWA Backflow Prevention Device Assembly Test Report

01
Begin by identifying the backflow prevention device that is being tested.
02
Enter the name and address of the facility where the device is installed.
03
Provide details of the backflow prevention assembly, including the manufacturer, model number, and serial number.
04
Document the type of assembly being tested (e.g., double check valve, reduced pressure zone).
05
Specify the date of the test and the name of the tester.
06
Conduct the necessary tests according to NEWWA standards and record the results for each test.
07
Note any repairs or adjustments made during the testing process.
08
Confirm that the assembly passed or failed the test and document accordingly.
09
Sign and date the report to certify its accuracy.

Who needs NEWWA Backflow Prevention Device Assembly Test Report?

01
Property owners with backflow prevention devices installed.
02
Plumbing contractors responsible for the installation and maintenance of backflow assemblies.
03
Local water authorities and agencies requiring compliance documentation.
04
Health departments to ensure public health and safety standards are met.
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People Also Ask about

It's also essential to note that both types of backflow preventers reduce available downstream water pressure.
Backflow preventers are devices that are installed on your home's water pipes that only allow water to flow in one direction and not the opposite. Their purpose is to prevent drinking water from being contaminated with other sources because of backflow.
0:13 2:37 What is a Backflow Preventer & How Does it Work? - YouTube YouTube Start of suggested clip End of suggested clip The check valves are normally closed. Until there's low going through the device. Now if there's anMoreThe check valves are normally closed. Until there's low going through the device. Now if there's an issue with the valve.
On a fire protection system, backflow preventers rely on two one-way valves, or check valves, assembled in a series to prevent water from backing up into the supply line. Think of the check valves as one-way gates, only allowing water to flow through them in one direction.
0:13 2:37 What is a Backflow Preventer & How Does it Work? - YouTube YouTube Start of suggested clip End of suggested clip The check valves are normally closed. Until there's low going through the device. Now if there's anMoreThe check valves are normally closed. Until there's low going through the device. Now if there's an issue with the valve.
A backflow preventer valve is designed to prevent the water in your main water supply lines from flowing in a reverse direction. The valve will distribute the sanitary water from the main supply pipes to the water lines beneath your foundation.

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The NEWWA Backflow Prevention Device Assembly Test Report is a document used to record the testing and results of backflow prevention devices, ensuring they are functioning properly to protect the public water supply from contamination.
Individuals or entities responsible for the installation and maintenance of backflow prevention devices, including certified testers and property owners, are required to file the NEWWA Backflow Prevention Device Assembly Test Report.
To fill out the NEWWA Backflow Prevention Device Assembly Test Report, provide details such as the location of the device, date of testing, tester's information, and the results of the test, along with any necessary compliance declarations.
The purpose of the NEWWA Backflow Prevention Device Assembly Test Report is to document the operational integrity of backflow prevention assemblies and ensure compliance with local plumbing and health regulations.
The report must include information such as the type and model of the backflow device, test results, details of the testing individual, date of testing, and any repairs or maintenance performed.
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