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BACKFLOW PREVENTION DEVICE INSPECTION REPORT Date Test Completed: MM/DD/YYY For Office Use Only: Date Test Report Received ALL DEVICES MUST BE TESTED UPON INITIAL INSTALLATION, YEARLY, WHEN REPAIRED
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How to fill out backflow prevention device inspection

01
To fill out a backflow prevention device inspection, follow these steps:
02
Begin by gathering all the necessary information such as the device type, location, and serial number.
03
Inspect all the components of the device including the valves, check valve assemblies, and pressure gauges.
04
Note down any damages or issues found during the inspection process.
05
Record the test results for each component, ensuring they meet the required standards.
06
Fill out the inspection form with the collected information and test results.
07
Review the completed form for accuracy and completeness.
08
Submit the filled-out inspection form to the appropriate authority or organization.
09
Keep a copy of the inspection form for your records.
10
By following these steps, you can successfully fill out a backflow prevention device inspection form.

Who needs backflow prevention device inspection?

01
Backflow prevention device inspection is needed by anyone who has a water supply system that is connected to a potentially polluted or contaminated source. This includes:
02
- Residential properties with irrigation systems or swimming pools
03
- Commercial buildings with fire sprinkler systems or cooling towers
04
- Industrial facilities with chemical or hazardous material storage
05
- Municipal water systems that supply water to a large area
06
Regular backflow prevention device inspection ensures the safety and quality of the water supply, preventing any cross-contamination and potential health hazards.
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Backflow prevention device inspection is a process to evaluate and ensure that devices installed to prevent the backward flow of water in plumbing systems are functioning properly.
Property owners or managers of facilities with installed backflow prevention devices are typically required to file inspections.
To fill out a backflow prevention device inspection, one must complete a designated form that includes details like the device type, location, inspection results, and the inspector's information.
The purpose of backflow prevention device inspection is to ensure safety and prevent contamination of the drinking water supply by checking that backflow prevention devices are operational.
The reported information typically includes the type of device, installation details, inspection date, results, and the signature of the inspector.
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