Get the free Annual Backflow Test Report - City of Brentwood

City of Brentwood: BF PHONE: 6153710080 FAX: 6153712225 MAILING: P.O. BOX 788 BRENTWOOD, TN 37027Date FOR OFFICE USE ONLYANNUAL BACKFLOW TEST REPORT BRENTWOOD WATER SERVICES CROSS CONNECTION CONTROLStreet

How to fill out annual backflow test report

How to fill out annual backflow test report

1. Here is how you can fill out an annual backflow test report:
2. Start by gathering all the necessary information, such as the name and address of the property being tested, the type of backflow prevention device being used, and the test results from the previous year.
3. Fill out the top section of the report form, including the date of the test, the name of the tester, and the testing company's contact information.
4. Proceed to the section where you need to provide details about the backflow prevention device. Fill in the make, model, size, and serial number of the device. Also, include any additional information about the device if required.
5. Moving on, record the test results for each test point on the report. Include the test point number, the pressure at that point, and the test result (pass or fail).
6. If any test point fails, make sure to note the reason for the failure and any recommended actions to fix the issue.
7. Finally, sign and date the report, and provide any additional comments or observations if necessary.
8. Submit the completed report to the appropriate authorities or the property owner as per the local regulations.

Who needs annual backflow test report?

1. An annual backflow test report is typically required by regulatory authorities, water utilities, and property owners.
2. Property owners who have backflow prevention devices installed on their premises usually need to provide this annual report to ensure the proper functioning of their backflow prevention system.
3. Water utilities and regulatory authorities use these reports to monitor the performance of backflow prevention devices and to verify compliance with safety regulations.
4. Therefore, anyone who has a backflow prevention device installed and is responsible for its maintenance and testing needs an annual backflow test report.

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What is annual backflow test report?

Annual backflow test report is a document that includes information about the testing of backflow prevention devices to ensure they are functioning properly and meeting regulatory requirements.

Who is required to file annual backflow test report?

Property owners or businesses that have backflow prevention devices installed on their premises are typically required to file annual backflow test reports.

How to fill out annual backflow test report?

To fill out an annual backflow test report, you will need to provide information about the location of the backflow prevention devices, the dates of the tests, the name of the certified tester, and the results of the tests.

What is the purpose of annual backflow test report?

The purpose of the annual backflow test report is to ensure that backflow prevention devices are properly maintained and functioning correctly to protect the public water supply from contamination.

What information must be reported on annual backflow test report?

Information such as the location of the backflow prevention devices, dates of the tests, results of the tests, and the name of the certified tester must be reported on the annual backflow test report.