Get the free Backflow Annual Test Sheet - warrenchd.com
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WARREN COUNTY COMBINED HEALTH DISTRICT DIVISION OF PLUMBING 416 S. East Street, Lebanon, Ohio 45036 Phone: (513) 6951476 Middletown (513) 2611476OFFICE USE ONLY RECERTIFICATION Permit: Fee:$25.00Date:
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How to fill out backflow annual test sheet
How to fill out backflow annual test sheet
01
Start by gathering all necessary information and documents, including the backflow annual test sheet, the backflow prevention device specifications, and any relevant maintenance and repair records.
02
Carefully review the instructions provided on the test sheet and familiarize yourself with the required testing procedures.
03
Begin filling out the test sheet by entering the date of the test, the name and contact information of the tester, and the location of the backflow prevention device.
04
Record the make, model, and serial number of the backflow prevention device, as well as any identifying markings.
05
Check the appropriate box to indicate whether the device has a bypass or relief valve, and provide details if applicable.
06
Carry out the required physical tests on the backflow prevention device, such as checking for leaks, verifying proper operation of valves, and testing pressure readings.
07
Record all measurements and test results accurately on the test sheet.
08
If any issues or problems are found during the testing process, note them down on the test sheet and consider appropriate maintenance or repairs.
09
Complete the test sheet by signing and dating it, as well as providing any additional required information or certifications.
10
Make a copy of the completed test sheet for your records, and submit the original to the relevant authorities or organization responsible for backflow prevention.
11
Keep a copy of the test sheet and all supporting documents in a safe and easily accessible location.
Who needs backflow annual test sheet?
01
Backflow annual test sheets are typically needed by licensed plumbers or certified backflow prevention device testers.
02
Property owners or managers who are required to comply with local plumbing codes and regulations may also need backflow annual test sheets for their records.
03
Additionally, government agencies, water utilities, and health departments may request or require backflow annual test sheets to ensure the proper functioning of backflow prevention devices and reduce the risk of contamination in the water supply.
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What is backflow annual test sheet?
Backflow annual test sheet is a document used to record the results of testing backflow prevention devices to ensure they are functioning properly.
Who is required to file backflow annual test sheet?
Property owners or managers with backflow prevention devices installed are typically required to file the backflow annual test sheet.
How to fill out backflow annual test sheet?
The backflow annual test sheet should be completed by a certified backflow tester who will perform the required testing and fill out the necessary information.
What is the purpose of backflow annual test sheet?
The purpose of the backflow annual test sheet is to document that backflow prevention devices are being tested regularly to protect the water supply from contamination.
What information must be reported on backflow annual test sheet?
The backflow annual test sheet should include details such as the date of testing, results of the test, device information, and the signature of the tester.
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