OH Backflow Prevention Assembly Test Report - City of Columbus 2015-2025 free printable template
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BACKFLOW PREVENTION ASSEMBLY TEST REPORT Approved testers must submit test report information using the City of Columbus online application and provide a test report to the owner or customer. This
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How to fill out OH Backflow Prevention Assembly Test Report
01
Obtain a copy of the OH Backflow Prevention Assembly Test Report form.
02
Fill in the date of the test at the top of the report.
03
Provide the name and contact information of the property owner or responsible party.
04
Enter the address of the location where the backflow assembly is installed.
05
Specify the type of backflow prevention assembly being tested (e.g., Reduced Pressure Zone, Double Check Valve, etc.).
06
Note the manufacturer's name and model number of the backflow assembly.
07
Record the serial number of the assembly.
08
Conduct the test as per state regulations and ensure proper methods are followed.
09
Document all test results, including the pressure readings before and after the test.
10
Provide any necessary comments or additional notes about the test or assembly condition.
11
Have the certified tester sign and date the report.
12
Submit a copy of the report to the appropriate local authority or water supplier.
Who needs OH Backflow Prevention Assembly Test Report?
01
Property owners who have backflow prevention assemblies installed.
02
Water utility companies that require proof of backflow prevention compliance.
03
Plumbing contractors and certified testers responsible for performing the tests.
04
Local government or regulatory agencies enforcing plumbing codes and safety standards.
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What is OH Backflow Prevention Assembly Test Report?
The OH Backflow Prevention Assembly Test Report is a document used to record the results of testing backflow prevention devices. These devices ensure that contaminants do not enter the potable water supply.
Who is required to file OH Backflow Prevention Assembly Test Report?
Typically, property owners or water system operators who have backflow prevention assemblies installed are required to file the OH Backflow Prevention Assembly Test Report after the devices are tested.
How to fill out OH Backflow Prevention Assembly Test Report?
To fill out the OH Backflow Prevention Assembly Test Report, you must provide details such as the location of the assembly, the type of assembly, test results, the tester's name and certification number, and the date of the test.
What is the purpose of OH Backflow Prevention Assembly Test Report?
The purpose of the OH Backflow Prevention Assembly Test Report is to ensure that backflow prevention assemblies are functioning properly and to maintain public health and safety by preventing contamination of the water supply.
What information must be reported on OH Backflow Prevention Assembly Test Report?
The information that must be reported includes the type of assembly, test results (pass or fail), the names and certifications of the testers, the date of testing, and the location of the assembly.
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