
Get the free Backflow Prevention Certification Form - City of Pasadena
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CrossConnectionControlProgram 150S. LosRoblesAvenue#200 Pasadena,CA91101 Webpage:PWPweb.com/backflow Email:backflow cityofpasadena.netBackflowPreventionCertificationForm Serial No: *Manufacturer:
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How to fill out backflow prevention certification form
01
Start by gathering all the necessary information and documents needed to fill out the backflow prevention certification form.
02
Read and understand the instructions provided with the form to ensure proper completion.
03
Fill in your personal information such as name, contact details, and address.
04
Provide details about the specific backflow prevention system being certified, including its location and any unique identification numbers.
05
Answer all the questions regarding the installation, maintenance, and testing of the backflow prevention system.
06
Attach any relevant supporting documents, such as test reports or certification documents.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form to certify that the information provided is true and accurate.
09
Submit the completed form to the appropriate authority or organization as specified in the instructions.
Who needs backflow prevention certification form?
01
Anyone involved in the installation, maintenance, or testing of backflow prevention systems may need to fill out the backflow prevention certification form. This includes plumbers, contractors, facility managers, and certain businesses or industries that are required to have a functioning backflow prevention system to protect public water supplies.
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What is backflow prevention certification form?
Backflow prevention certification form is a document that verifies that a backflow prevention device is installed and working properly to prevent the flow of contaminated water back into the public water supply.
Who is required to file backflow prevention certification form?
Property owners, businesses, and individuals with backflow prevention devices installed on their property are required to file the backflow prevention certification form.
How to fill out backflow prevention certification form?
The backflow prevention certification form must be completed with information about the property, the backflow prevention device, and contact information for the person responsible for the device.
What is the purpose of backflow prevention certification form?
The purpose of the backflow prevention certification form is to ensure that backflow prevention devices are properly installed and maintained to protect the public water supply from contamination.
What information must be reported on backflow prevention certification form?
The information required on the backflow prevention certification form includes details about the property, the backflow prevention device, and contact information for the responsible person.
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