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BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE Recording of Bethlehem Water Bureau THIS FORM MUST BE COMPLETED BY A CERTIFIED BACKFLOW ASSEMBLY TECHNICIAN I. GENERAL INFORMATION Job Number Return
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How to fill out backflow prevention assembly test

01
To fill out a backflow prevention assembly test, follow these steps:
02
Start by gathering all the necessary tools and equipment, including a backflow tester, test gauge, and a backflow prevention assembly test form.
03
Locate the backflow prevention assembly that needs to be tested. This is usually found near the water meter or main shut-off valve.
04
Inspect the backflow prevention assembly for any signs of damage or wear. If any issues are found, it may need to be repaired or replaced before proceeding with the test.
05
Connect the backflow tester to the assembly following the manufacturer's instructions. Ensure a proper seal is formed to prevent leaks during the test.
06
Open all the test cocks on the assembly to allow water to flow through. This will help remove any debris or contaminants that may affect the test results.
07
Start the test by slowly increasing the water pressure using the test gauge. Monitor the gauge readings to determine if there is any backflow occurring.
08
Record the pressure readings at each test point on the backflow prevention assembly test form. Be sure to include the date, tester's name, and any additional required information.
09
Once the test is completed, close all the test cocks and disconnect the backflow tester.
10
Review the test results to determine if the backflow prevention assembly passed or failed. If it failed, further repairs or adjustments may be necessary.
11
Submit the completed backflow prevention assembly test form to the appropriate authorities or certification agency, as required.
12
Remember to always follow local regulations and guidelines when conducting backflow prevention assembly tests to ensure proper compliance.

Who needs backflow prevention assembly test?

01
Various individuals and establishments may need a backflow prevention assembly test, including:
02
- Residential properties: Homeowners or tenants who have backflow prevention devices installed.
03
- Commercial buildings: Restaurants, hotels, hospitals, shopping malls, and other businesses that have water supply systems.
04
- Industrial facilities: Manufacturing plants, factories, and warehouses that handle hazardous materials or chemicals.
05
- Municipalities: Local government agencies responsible for maintaining the public water supply.
06
- Irrigation systems: Farms, golf courses, parks, and other areas that use water for irrigation purposes.
07
- Fire protection systems: Buildings equipped with fire sprinkler systems that require regular testing to ensure proper functionality.
08
It is essential to consult with local authorities or water management agencies to determine specific requirements for backflow prevention assembly tests in a particular area.

What is BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE RECORD Form?

The BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE RECORD is a Word document that should be submitted to the relevant address in order to provide certain information. It must be completed and signed, which may be done manually, or with the help of a particular solution e. g. PDFfiller. It allows to complete any PDF or Word document directly in your browser, customize it depending on your needs and put a legally-binding e-signature. Right after completion, user can send the BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE RECORD to the relevant recipient, or multiple individuals via email or fax. The editable template is printable as well thanks to PDFfiller feature and options proposed for printing out adjustment. In both digital and physical appearance, your form should have a neat and professional outlook. You can also turn it into a template for further use, so you don't need to create a new document again. Just edit the ready document.

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Backflow prevention assembly test is a procedure to ensure that the backflow prevention device is in proper working condition to prevent the contamination of potable water.
Property owners or water utility companies are typically required to file the backflow prevention assembly test.
To fill out the backflow prevention assembly test, one will need to provide information about the location of the device, the type of device, the test results, and the technician who performed the test.
The purpose of the backflow prevention assembly test is to ensure that the device is functioning correctly and is preventing the backflow of non-potable water into the potable water supply.
The backflow prevention assembly test report typically includes details such as the location of the device, the type of device, the test results, and the technician who performed the test.
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