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Canada Backflow Assembly Test Report - Township of Langley 2016-2025 free printable template

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Print FormBackflow Assembly Test Report Send completed form and attachments to: backflow to.caInitialPremises name Test Gateposts coder or RPDAPremises address Owners homeowners emailProtection: Domestic
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How to fill out Canada Backflow Assembly Test Report

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How to fill out Canada Backflow Assembly Test Report - Township

01
Obtain a copy of the Canada Backflow Assembly Test Report - Township form.
02
Read the instructions carefully to understand the required information.
03
Enter the details of the backflow assembly, including its model and serial number.
04
Fill in the specific location where the assembly is installed.
05
Record the date of the test and the name of the testing technician.
06
Document the results of the test, indicating whether the assembly passed or failed.
07
Include any necessary notes about repairs or maintenance performed.
08
Sign and date the report at the bottom to verify its accuracy.
09
Submit the completed report to the relevant municipal authority.

Who needs Canada Backflow Assembly Test Report - Township?

01
Property owners with backflow prevention assemblies installed.
02
Businesses that require backflow testing to meet regulatory compliance.
03
Plumbers or technicians conducting the backflow assembly tests.
04
Local municipalities to ensure water safety and public health.
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People Also Ask about

The Cross Connection Control/Backflow Prevention program is a state-mandated program designed to protect the public's drinking water from contamination by identifying and eliminating cross connections.
Backflow prevention assemblies can reduce or eliminate backflows by segregating drinking and non-potable water piping. This is done either by providing an air gap or by installing a backflow prevention assembly (BPA) between the two plumbing systems.
Testable backflow devices are valves and air gaps fitted to a water supply with a low to high risk of cross contamination. Backflow devices are designed to keep our potable water supply safe and remove the risk of contamination.
Double check valve assembly They are not suitable for premises isolation because they are not testable or because they have limited protection levels (or both).
Testable backflow devices are valves and air gaps fitted to a water supply with a low to high risk of cross contamination. Backflow devices are designed to keep our potable water supply safe and remove the risk of contamination.
By law, NJAC 5:23-2.23(I)4 (PDF), testable backflow preventers are required to be field-tested when installed and then re-tested annually to ensure their working order.

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The Canada Backflow Assembly Test Report - Township is a document used to certify that backflow prevention assemblies are functioning properly to prevent contamination of the water supply.
Municipalities, property owners, and plumbing contractors are typically required to file the Canada Backflow Assembly Test Report - Township to ensure compliance with local regulations.
To fill out the report, complete sections detailing the location of the assembly, the type of assembly, the test results, the tester's information, and any maintenance performed. Ensure all fields are filled out accurately and sign where required.
The purpose of the report is to document the testing and maintenance of backflow prevention devices, ensuring they are operational and effectively safeguarding the water supply from contamination.
The report must include details such as the location of the backflow assembly, the type and model of the assembly, test results, date of testing, name and certification number of the tester, and any repairs or maintenance conducted.
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