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OH Backflow Prevention Assembly Test Report - City of Marietta 2017-2025 free printable template

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How to fill out OH Backflow Prevention Assembly Test Report

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How to fill out OH Backflow Prevention Assembly Test Report

01
Obtain the OH Backflow Prevention Assembly Test Report form.
02
Fill in the name and address of the property where the backflow prevention assembly is installed.
03
Enter the date of the test.
04
Provide the name and license number of the tester performing the assessment.
05
List the type and serial number of the backflow prevention assembly being tested.
06
Document the static water pressure in the system before testing.
07
Conduct the required tests, recording the results for each specified test.
08
Indicate whether the assembly passed or failed each test.
09
If any repairs were made, describe the actions taken.
10
Sign and date the report to certify the accuracy of the information provided.

Who needs OH Backflow Prevention Assembly Test Report?

01
Property owners with backflow prevention assemblies installed.
02
Licensed plumbers or contractors performing the testing.
03
Local health departments or municipalities for compliance regulation.
04
Insurance companies that may require testing documentation.
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The OH Backflow Prevention Assembly Test Report is a document used to certify that backflow prevention assemblies are functioning correctly and preventing the reverse flow of water, which can contaminate the public water supply.
Certified backflow prevention testers are required to file the OH Backflow Prevention Assembly Test Report after testing the backflow prevention assemblies on commercial and residential properties that have them installed.
To fill out the OH Backflow Prevention Assembly Test Report, you must provide details such as the location of the assembly, the type of assembly, the results of the test, and the tester's information including their certification number.
The purpose of the OH Backflow Prevention Assembly Test Report is to ensure that backflow prevention devices are installed and functioning properly to protect the public water supply from contamination.
The report must include the location of the backflow prevention assembly, the type of assembly, test results (including pressure readings), date of the test, tester's name and certification number, and any repairs made or needed.
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