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City of Fairfax, Virginia FIRE DEPARTMENT / CODE ADMINISTRATION 10455 Armstrong Street Room 208 Fairfax, VA 220303630 P 703.385.7830 www.fairfaxva.gov/codeBACKFLOW PREVENTION DEVICE TEST REPORT In
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How to fill out back-flow prevention device test

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How to fill out back-flow prevention device test

01
To fill out a back-flow prevention device test, follow these steps:
02
Start by locating the back-flow prevention device. It is usually located near the main water supply line or at the entry point of the building.
03
Ensure that the water supply to the device is turned off before starting the test.
04
Remove any covers or access panels to gain access to the device.
05
Depending on the type of device, you may need to connect a test kit or gauge to the device for accurate measurements. Follow the manufacturer's instructions for proper attachment.
06
Open the test cocks or valves on the device to allow water to flow through it.
07
Use the test kit or gauge to measure the water pressure, flow rate, and check for any back-flow.
08
Record the test results on a back-flow prevention device test form. Include the date, device information, and any observations or notes.
09
Once the test is complete, close the test cocks or valves and remove any attachments from the device.
10
Turn the water supply back on and check for any leaks or abnormalities.
11
Finally, submit the test form to the appropriate authority or keep it for your records.
12
Remember to always consult local regulations and guidelines regarding back-flow prevention device testing.

Who needs back-flow prevention device test?

01
Back-flow prevention device tests are typically required for:
02
- Commercial buildings, such as offices, factories, and retail stores
03
- Residential buildings with multiple units
04
- Healthcare facilities, including hospitals and clinics
05
- Educational institutions, such as schools and universities
06
- Industrial and manufacturing facilities
07
- Public buildings, such as government offices and libraries
08
- Restaurants, bars, and food service establishments
09
- Any building where there is a potential risk of back-flow contamination into the potable water supply
10
It is important to check with local authorities or regulatory agencies to determine specific requirements for back-flow prevention device testing in your area.
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Back-flow prevention device test is a procedure that is done to ensure that the device is functioning properly and preventing contaminated water from flowing back into the clean water supply.
Certain businesses, such as restaurants, medical facilities, and industrial plants, are required to file back-flow prevention device tests to comply with water safety regulations.
To fill out a back-flow prevention device test, you need to follow the specific instructions provided by the water regulatory agency in your area. This may involve hiring a certified tester to conduct the test and submit the results.
The purpose of a back-flow prevention device test is to ensure that the device is working properly and protecting the public water supply from contamination.
The back-flow prevention device test report must include details such as the date of the test, the name of the tester, the results of the test, and any necessary follow-up actions.
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