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Northern California Backflow Prevention Association
Backflow Prevention Assembly Tester /
CrossConnection Specialist
Consolidated Certification Application
(Version Date 09/20/2010)Instructions:
A.
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How to fill out norformrn california backflow prevention
How to fill out norformrn california backflow prevention
01
To fill out the Norform California Backflow Prevention Form, follow these steps:
02
Start by providing your personal information such as name, address, and contact details.
03
Indicate the type of property or facility for which the backflow prevention is being installed.
04
Specify the source and type of water system that the backflow prevention device is being installed on.
05
Fill in the details of the licensed and certified tester who conducted the backflow prevention device test.
06
Include the test results, including the backflow prevention device's make, model, and serial number.
07
Attach any necessary supporting documentation, such as test reports or certifications.
08
Sign and date the form to certify that the information provided is accurate and complete.
09
Submit the filled-out form to the relevant authority or department responsible for backflow prevention in your area.
Who needs norformrn california backflow prevention?
01
Norform California Backflow Prevention is needed by property owners or facilities where there is a risk of backflow contamination of the water supply.
02
This includes but is not limited to:
03
- Residential properties with private water sources (wells, septic systems, etc.)
04
- Commercial and industrial facilities that use potentially hazardous substances or processes
05
- Public buildings, schools, and hospitals
06
- Recreation areas or parks with water features
07
- Any property or facility that is connected to a municipal water system
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What is norformrn california backflow prevention?
Norformrn California backflow prevention is a system designed to prevent contaminated water from flowing backwards into the main water supply.
Who is required to file norformrn california backflow prevention?
Businesses and facilities with potential hazards to the water supply are required to file norformrn California backflow prevention.
How to fill out norformrn california backflow prevention?
Norformrn California backflow prevention form must be completed with details about the backflow prevention system in place.
What is the purpose of norformrn california backflow prevention?
The purpose of norformrn California backflow prevention is to ensure the safety and integrity of the public water system.
What information must be reported on norformrn california backflow prevention?
Information about the type of backflow prevention system, maintenance schedule, and test results must be reported on norformrn California backflow prevention.
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