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WAS E R D I S T R I B U T I ON Backflow Assembly, Test & Retest Form Company Name: Name of Applicant: Mailing Address: City:State:Zip:Phone:SERVICE REQUESTED: Retest: Please provide company name &

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What is water distribution backflow assembly?

Water distribution backflow assembly is a device used to prevent the reverse flow of contaminated water back into the clean water supply.

Who is required to file water distribution backflow assembly?

Property owners or managers of buildings with designated cross-connections are required to file water distribution backflow assembly.

How to fill out water distribution backflow assembly?

Water distribution backflow assembly can be filled out by providing detailed information about the assembly, its location, and maintenance records.

What is the purpose of water distribution backflow assembly?

The purpose of water distribution backflow assembly is to protect the public water supply from contamination by ensuring that water flows in one direction only.

What information must be reported on water distribution backflow assembly?

Information such as the type of assembly, its location, testing results, and maintenance records must be reported on water distribution backflow assembly.

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