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TO:City of NewberryCity of Newberry PO Box 538 Newberry, SC 29108Utility Department Backflow Prevention Test Deportation: Utility Department/BackflowDate: Customer Name/Business Name: Customer File
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How to fill out backflow test form1

How to fill out backflow test form1
01
To fill out a backflow test form1, follow these steps:
02
Start by entering the date and time of the test at the top of the form.
03
Provide the tester's information, including their name, company, contact number, and certification number.
04
Indicate the location of the backflow assembly being tested, including the address and any relevant details.
05
Specify the make, model, and serial number of the backflow assembly.
06
Note down the test results for each test port, including the pressure readings and any observations.
07
If any repairs or adjustments are made during the test, document them accordingly.
08
Finally, both the tester and the property owner should sign and date the form to certify its accuracy and completion.
Who needs backflow test form1?
01
Backflow test form1 is typically needed by property owners, plumbers, or testers who are responsible for conducting backflow testing.
02
It is important for anyone who has a backflow assembly installed in their property, such as residential, commercial, or industrial sites, to have this form filled out for compliance and record-keeping purposes.
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What is backflow test form1?
Backflow test form1 is a document used to record the results of testing backflow preventers to ensure that the devices are working properly and preventing contaminated water from flowing back into the main water supply.
Who is required to file backflow test form1?
Property owners or managers who have backflow preventers installed on their property are required to file backflow test form1.
How to fill out backflow test form1?
Backflow test form1 should be filled out by a certified tester who has conducted the test on the backflow preventer. The form typically requires information such as the tester's contact information, the test results, and any necessary repairs or maintenance.
What is the purpose of backflow test form1?
The purpose of backflow test form1 is to document that the backflow preventer has been tested and is functioning properly, in order to protect the main water supply from contamination.
What information must be reported on backflow test form1?
Information that must be reported on backflow test form1 includes the tester's contact information, the test results, any repairs or maintenance performed on the backflow preventer, and the date of the test.
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