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290.47(f) Appendix F. Sample Backflow Prevention Assembly Test and Maintenance Report. The following form must be completed for each assembly tested. A signed and dated original must be submitted
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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 the necessary tools and materials: a test kit, a backflow prevention assembly, and a test form.
03
Before starting the test, ensure that all water sources connected to the assembly are turned off.
04
Open the test cocks on the assembly to relieve pressure and release any trapped water.
05
Attach the test kit to the assembly using the appropriate fittings.
06
Follow the instructions provided with the test kit to conduct the test. This may involve running water through the assembly at different flow rates and checking for proper valve operation.
07
Record the results of the test on the test form, including any observations or notes.
08
Once the test is complete, close the test cocks on the assembly and remove the test kit.
09
Submit the completed test form to the appropriate authorities or the backflow prevention assembly testing organization.

Who needs backflow prevention assembly test?

01
Backflow prevention assembly tests are needed by anyone who has a backflow prevention assembly installed in their plumbing system.
02
This includes commercial buildings, industrial facilities, and residential properties where backflow can occur.
03
It is usually required by local plumbing codes and regulations to ensure the safety and integrity of the potable water supply.
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Backflow prevention assembly test is a test conducted to ensure that a backflow prevention device is working properly and preventing contaminated water from flowing back into the main water supply.
Property owners or businesses who have backflow prevention devices installed on their water systems are required to file backflow prevention assembly test.
Backflow prevention assembly test can be filled out by a licensed professional who is certified to conduct backflow prevention device testing.
The purpose of backflow prevention assembly test is to ensure the safety and quality of the water supply by preventing the reverse flow of contaminated water into the clean water system.
The backflow prevention assembly test must include information such as the date of the test, the location of the backflow prevention device, the results of the test, and the signature of the certified tester.
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