
TX Backflow Prevention Assembly Certified Test Report - City of Pasadena 2018 free printable template
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City of Pasadena, TX BACKFLOW PREVENTION ASSEMBLY CERTIFIED TEST REPORT Property Name: Property Address: City: State: Zip: Contact Name & Phone #: Mailing Address: City: State: Zip: The backflow prevention
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How to fill out TX Backflow Prevention Assembly Certified Test

How to fill out TX Backflow Prevention Assembly Certified Test Report
01
Begin by obtaining a TX Backflow Prevention Assembly Certified Test Report form.
02
Fill in the date of the test at the top of the report.
03
Enter the name and contact information of the certified tester.
04
Provide the location of the backflow prevention assembly being tested.
05
Record the model and serial number of the assembly.
06
Indicate the type of backflow prevention assembly (e.g., double check valve, reduced pressure zone).
07
Document the test results for each check valve, including the initial and final readings.
08
Note any repairs or maintenance performed on the assembly prior to the test.
09
Sign and date the report at the bottom, verifying that the information provided is accurate.
10
Submit the completed report to the appropriate local authority, typically the water utility.
Who needs TX Backflow Prevention Assembly Certified Test Report?
01
Licensed plumbers or backflow prevention specialists conducting tests.
02
Property owners or managers responsible for maintaining backflow prevention devices.
03
Local water utilities that require documentation of backflow prevention compliance.
04
Regulatory agencies overseeing public health and safety related to water supply.
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People Also Ask about
Is a backflow preventer required by code in Texas?
Texas Administrative Code. (-b-) Backflow preventers. Backflow preventers (vacuum breakers) shall be installed on hose bibs, laboratory sinks, janitor sinks, bedpan-flushing attachments, and on all other fixtures to which hoses or tubing can be attached.
Who can a backflow prevention in Texas?
A Texas State Board of Plumbing Examiners (TSBPE) licensed Plumbing Inspector. A TSBPE-licensed plumber with a Water Supply Protection Specialist endorsement.
Does Texas require backflow testing?
Because backflow-prevention assemblies are mechanical assemblies that can fail, the TCEQ requires testing of all backflow-prevention assemblies at installation by a TCEQ-licensed tester. Backflow-prevention assemblies installed to protect against any health hazard must be tested annually.
Is backflow testing required in Texas?
Because backflow-prevention assemblies are mechanical assemblies that can fail, the TCEQ requires testing of all backflow-prevention assemblies at installation by a TCEQ-licensed tester. Backflow-prevention assemblies installed to protect against any health hazard must be tested annually.
How often must backflow preventers be tested?
Once initial installation and testing are finalized, you are required to have your backflow prevention device tested every 12 months by a certified tester. You will receive a notification letter in the mail when your backflow prevention device is due for its annual test.
What does it mean if your backflow test fails?
If your backflow preventer fails the test, it needs to be cleaned or repaired and in some cases it may need to be completely replaced and a successful re-test performed. These backflow devices fail at a rate of 10-15% after one year.
What is a backflow prevention system?
Backflow prevention devices make sure no water flows back along the desired flow direction, ensuring that any chemicals, toxins, or debris won't make their way back into a clean water supply.
What is the minimum buffer pressure that must be maintained on a reduced pressure principle assembly?
The check valves in a DC must hold a minimum pressure (1.0 PSI minimum) in the direction of flow.
What is a backflow prevention assembly?
Backflow prevention assemblies can reduce or eliminate backflows by segregating drinking and non-potable water piping. This is done either by providing an air gap or by installing a backflow prevention assembly (BPA) between the two plumbing systems.
What is backflow assemblies?
A backflow prevention assembly is a means or mechanism to prevent backflow. The basic means for preventing backflow is an air gap, which either eliminates a cross-connection or provides a barrier from backflow.
How often is backflow testing required in Texas?
Because backflow-prevention assemblies are mechanical assemblies that can fail, the TCEQ requires testing of all backflow-prevention assemblies at installation by a TCEQ-licensed tester. Backflow-prevention assemblies installed to protect against any health hazard must be tested annually.
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What is TX Backflow Prevention Assembly Certified Test Report?
The TX Backflow Prevention Assembly Certified Test Report is a document that certifies the proper functionality and testing of backflow prevention assemblies to ensure they are working correctly to prevent contaminants from entering the potable water supply.
Who is required to file TX Backflow Prevention Assembly Certified Test Report?
Licensed testers who have conducted the testing of backflow prevention assemblies are required to file the TX Backflow Prevention Assembly Certified Test Report with the appropriate local or state authorities.
How to fill out TX Backflow Prevention Assembly Certified Test Report?
To fill out the TX Backflow Prevention Assembly Certified Test Report, provide the tester's information, the specifics of the assembly tested, the testing results, any maintenance performed, and the date of the test.
What is the purpose of TX Backflow Prevention Assembly Certified Test Report?
The purpose of the TX Backflow Prevention Assembly Certified Test Report is to document the successful testing of backflow prevention assemblies, ensuring compliance with safety standards and regulations to protect water quality.
What information must be reported on TX Backflow Prevention Assembly Certified Test Report?
The report must include the tester's name and license number, the location of the assembly, the manufacturer's name, model and serial number, the results of the tests performed, any repairs made, and the date of testing.
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