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PA American Water Backflow Prevention Device Test Form 2015 free printable template

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Pennsylvania American Water Fax: 5703413296 * Phone: 8772901769 * email: paw.cc amwater.com Mail: Attention: Cross Connection Department, 2699 Stafford Ave, Scranton PA 18505 Account No. Premise No.
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How to fill out PA American Water Backflow Prevention Device Test

01
Obtain the PA American Water Backflow Prevention Device Test form from the official website or customer service.
02
Fill in your personal information, including your name, address, and contact details.
03
Enter the location of the backflow prevention device, including any relevant account numbers.
04
Provide details about the type of backflow prevention device being tested.
05
List the date of the test and the name of the certified tester performing the test.
06
Ensure that all fields are accurately completed to avoid delays.
07
Sign and date the form to certify that the information is correct.
08
Submit the completed form via the preferred method (online, mail, or in person) to PA American Water.

Who needs PA American Water Backflow Prevention Device Test?

01
Property owners with a backflow prevention device installed.
02
Businesses that use water sources posed to contamination.
03
Irrigation systems or fire protection systems connected to the water supply.
04
Any entity required by local regulations to maintain safe drinking water standards.
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When testing the device, the backflow certified plumber will first turn off the downstream shut-off valve and wait for a few minutes, and then he'll test the pressure in the system by hooking up test kit hoses. The plumber is basically looking for areas where the pressure isn't what it should be.
If a major pressure change occurs and homes are not equipped with backflow preventers, water can flush backwards into municipal water lines, potentially contaminating the water with soap from sinks or dishwashers, human waste from toilets, chlorine from pools, fertilizers, pesticides, and any number of other dangerous
Testing the backflow preventer and inspecting the premises normally takes 30 minutes.
Every commercial property waterline must be equipped with a backflow prevention device. The device is to be tested every twelve months at a minimum.
This regulation applies to individual homes, businesses, and commercial and industrial establishments. This regulation requires that backflow prevention devices be tested at least once a year. Protect your Water Supply.
Backflow testing is a plumbing service that checks your backflow preventer device by assessing its pressure levels. When backflow is present, untreated or contaminated water can be back-siphoned into your clean water. For this reason, testing guarantees the water you use for drinking and showering is safe and sterile.
Open the high "A" valve. Slowly open the low "B" valve no more than ¼ turn. Hold the valve at this position and observe the gauge reading at the first moment the first discharge is noted from the relief valve. Record this as the opening differential pressure of the relief valve on the test report form.
TESTABLE ASSEMBLIES: For the protection of your drinking water supply the backflow prevention assembly, as described on the reverse-side of this form, shall be tested at least annually pursuant to the requirements outlined in the California Code of Regulations, Title 17 § 7605, Los Angeles County Code, Title 11 § 11.38
By law, these systems must have backflow prevention devices installed and they must be tested annually.
One backflow assemblies their are two shut-offs that are required for testing. Both of these valves need to completely close in order to do a test on your device. If during the test we find that water continues to flow through the these shut-offs, the test cannot be completed and it would result in a failed test.
11:34 12:18 RPZ - Field Test - YouTube YouTube Start of suggested clip End of suggested clip The no flow test of the device. Create demand by opening a valve downstream of the device. Watch forMoreThe no flow test of the device. Create demand by opening a valve downstream of the device. Watch for any flow. From the open valve. And observe the test kit needle.
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.
All secondary sources of water, such as wells or plumbing systems that are exposed to potential contamination or poorer quality water, require a backflow prevention device.
Backflow test kits provide the capability for testing all brands of reduced pressure principle, pressure vacuum breaker, spill resistant vacuum breaker and double check valve backflow prevention assemblies. Over 30 years of input from Backflow technicians. Specially designed for testing backflow prevention assemblies.
There are two types of backflow–back pressure and back siphonage.
The MAWC is required to implement and enforce a backflow prevention program in ance with Pennsylvania's Safe Drinking Water Act. Specifically, 25 PA Code Chapter 109 mandates that: No person may introduce contaminants into a public water supply through a service connection of a public water system.
Backflow test kits come equipped with several items to help workers fix or repair a backflow preventer. Most kits include a relief valve, hose, O-ring, and lubricant. People might need to find instructions on how to replace a relief valve before beginning the process.
1:31 4:41 Backflow Devices - YouTube YouTube Start of suggested clip End of suggested clip They're. Very common on the main line to the home from the meter. This is also very very common. TheMoreThey're. Very common on the main line to the home from the meter. This is also very very common. The underground irrigation. Systems. So if your backflow assembly is not located on this mainline.

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The PA American Water Backflow Prevention Device Test is a procedure to evaluate and ensure that backflow prevention devices are functioning correctly to protect the public water supply from contamination.
Typically, property owners or facility managers who have backflow prevention devices installed are required to file the PA American Water Backflow Prevention Device Test.
To fill out the PA American Water Backflow Prevention Device Test, you must provide details like the type of device, installation location, test results, and the tester's information, following the form's guidelines.
The purpose of the PA American Water Backflow Prevention Device Test is to ensure the proper functioning of backflow prevention devices, preventing contamination of the municipal water supply.
The information that must be reported includes the device details, test results, next test due date, and contact information of the tester.
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