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Texas Commission on Environmental Quality
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The following form must be completed for each assembly tested. A signed and dated original must be
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What is a signed and dated?
A signed and dated document is a form, agreement, or any other written material that has been signed by the relevant parties and dated to indicate when it was signed.
Who is required to file a signed and dated?
Any individual or organization that is required to submit a document or form may be required to file a signed and dated copy.
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To fill out a signed and dated document, simply complete all the required fields, sign your name, and include the date on which the document is being signed.
What is the purpose of a signed and dated?
The purpose of signing and dating a document is to indicate that the parties involved have agreed to the contents of the document on the specified date.
What information must be reported on a signed and dated?
The information that must be reported on a signed and dated document will vary depending on the type of document being signed.
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