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City of West Sacramento Department of Public Works Backflow Division 1951 South River Road West Sacramento, CA 95691 (916) 6174850 I FAX (916) 3711516ASSEMBLY INFORMATION TYPE:SIZE:MFG:MODEL:SERIAL
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To fill out the backflow prevention report formdoc, follow these steps:
02
Gather all the necessary information regarding the backflow prevention system, including its location and installation details.
03
Start by entering the name of the person responsible for completing the form, along with their contact information.
04
Provide the date when the form is being filled out.
05
Specify the type of backflow prevention device being reported.
06
Enter the device make, model, and serial number, if applicable.
07
Indicate the testing agency and technician responsible for conducting the backflow prevention test.
08
Record the date of the last test performed and the test results.
09
If any repairs or maintenance have been conducted, describe them in detail.
10
Sign and date the form to certify the accuracy of the provided information.
11
Submit the completed form to the appropriate authority for review and record-keeping.

Who needs backflow prevention report formdoc?

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Backflow prevention report formdoc is needed by professionals involved in the maintenance and testing of backflow prevention systems.
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This includes licensed plumbers, certified backflow prevention testers, and regulatory authorities responsible for overseeing water supply safety.
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Additionally, businesses and property owners who are required to comply with local regulations concerning backflow prevention may need to fill out this form.
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Backflow prevention report formdoc is a document that is used to report on the measures taken to prevent backflow of contaminants into the water supply.
All facilities that have backflow prevention devices installed are required to file the backflow prevention report formdoc.
The backflow prevention report formdoc can be filled out by providing information on the backflow prevention devices installed, maintenance schedules, testing results, and any issues or repairs made.
The purpose of the backflow prevention report formdoc is to ensure that backflow prevention measures are in place and functioning properly to protect the water supply from contamination.
The information that must be reported on the backflow prevention report formdoc includes details on the type of backflow prevention devices installed, maintenance records, testing results, and any repairs or issues encountered.
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