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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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How to fill out backflow preventer assembly test

01
Start by turning off the water supply to the backflow preventer assembly. This can usually be done by closing a valve connected to the main water line.
02
Open all the test cocks or valves on the backflow preventer assembly to relieve any pressure or water trapped inside.
03
Connect a pressure gauge to one of the test cocks to measure the pressure. Make sure the gauge is securely attached and read the pressure value.
04
Close all the test cocks except for one and turn on the water supply to the assembly. Check the pressure gauge to ensure that the pressure is within the acceptable range.
05
Repeat step 4 for each remaining test cock, closing the previous one before opening the next.
06
Inspect the assembly for any visible signs of damage or leaks. Ensure that all valves and fittings are tight and secure.
07
After completing the test, turn off the water supply and open all the test cocks to drain any remaining water or pressure.
08
Record the test results and any observed issues in the backflow preventer assembly test report.

Who needs backflow preventer assembly test?

01
Backflow preventer assembly tests are typically required for properties with a high risk of backflow contamination.
02
This includes commercial buildings, industrial facilities, and properties with irrigation systems or fire sprinkler systems.
03
Municipal regulations or water authorities may also require regular backflow preventer assembly tests to ensure the safety of the public water supply.
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Backflow preventer assembly test is a process of testing the backflow preventer device to ensure it is working properly and preventing the reverse flow of contaminated water into the clean water supply.
Certain industries and businesses are required by law to perform and file backflow preventer assembly tests, typically those that pose a higher risk of backflow contamination.
To fill out a backflow preventer assembly test, one must follow the guidelines provided by the local water authority, which typically include recording test results, device information, and the tester's information.
The purpose of backflow preventer assembly tests is to ensure the backflow preventer device is in proper working order and is effectively protecting the potable water supply from contamination.
Information required on a backflow preventer assembly test typically includes testing date, results, make and model of the device, tester's information, and any necessary certifications.
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