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BACKFLOW ASSEMBLY TEST REPORTED EXISTING Replacement following form must be completed for each assembly tested. A signed and dated original must be submitted to the public water supplier for record

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How to fill out backflow assembly test report

01

To fill out a backflow assembly test report, follow these steps:

02

Start by providing the general information such as the date and location of the test.

03

Identify the type of backflow assembly being tested and check the appropriate box.

04

Record the assembly's serial number, size, and manufacturer in the designated fields.

05

Check the appropriate box to indicate whether the assembly passed or failed the test.

06

If the assembly failed, make note of the specific problems or reasons for the failure.

07

Provide any additional remarks or comments in the designated space.

08

Record the name, title, and contact information of the tester.

09

Finally, sign and date the report to certify its accuracy.

10

Make sure to follow any specific guidelines or requirements set by your local authorities or regulatory bodies while filling out the report.

Who needs backflow assembly test report?

01

Various parties may require a backflow assembly test report, including:

02

- Water supply authorities or municipalities responsible for maintaining the water system's integrity.

03

- Property owners or managers who want to ensure their properties comply with backflow prevention regulations.

04

- Plumbing contractors who need to document the testing of backflow assemblies they have installed.

05

- Certification agencies or inspectors who assess backflow prevention measures for compliance.

06

- Environmental agencies or organizations concerned with water quality and contamination prevention.

07

It is important to consult with the specific authorities or entities involved to determine who exactly requires the backflow assembly test report in your particular situation.

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