
Get the free 2017 backflow assembly test report - The City of Medical Lake
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2017 BACKFLOW
ASSEMBLY TEST
REPORTED
EXISTING
REPLACEMENTPREMISE
OWNER:
MAILING
ADDRESS:PHONE:CITY, ST, Zip
ASSEMBLY
ADDRESS:
ASSEMBLY
TYPE:ASSEMBLY
LOCATION:MAKE:
WATER
PURVEYOR:MODEL:SIZE:
SERIAL
NUMBER:City
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01
To fill out the 2017 backflow assembly test, follow these steps:
02
Start by gathering all the necessary documents and tools.
03
Read the instructions provided with the test form thoroughly.
04
Begin filling out the test form by entering the required information, such as the testing date and location.
05
Next, record the type and model of the backflow assembly being tested.
06
Proceed to document any observations made during the test, including any repairs or adjustments made.
07
Use the provided checklist to ensure all the necessary elements of the backflow assembly are properly inspected.
08
Fill out any additional sections or reports as required by your local jurisdiction.
09
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10
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Who needs 2017 backflow assembly test?
01
The 2017 backflow assembly test is typically needed by professionals or organizations involved in the maintenance and testing of plumbing systems. This includes plumbers, inspectors, and water utilities. Additionally, certain regulations or building codes may require specific individuals or businesses to conduct regular backflow assembly testing.
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What is backflow assembly test report?
The backflow assembly test report is a document that certifies that a backflow prevention assembly has been tested and is functioning properly to prevent the flow of contaminated water back into the clean water supply.
Who is required to file backflow assembly test report?
Property owners, businesses, and utility companies that have backflow prevention assemblies are required to file backflow assembly test reports.
How to fill out backflow assembly test report?
To fill out a backflow assembly test report, one must provide information about the location of the assembly, the testing date, the results of the test, and the signature of a certified tester.
What is the purpose of backflow assembly test report?
The purpose of the backflow assembly test report is to ensure that backflow prevention assemblies are properly maintained and functioning to protect the water supply from contamination.
What information must be reported on backflow assembly test report?
The backflow assembly test report must include the location of the assembly, the testing date, the results of the test, the signature of the certified tester, and any necessary maintenance or repairs.
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