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Doc 075B1219Backflow Preventer Test ReportCertified backflow testers and installers can submit online at https://duluthmn.gov/csi/permitsapplications/applyonpaperoronline/. Or, complete this form

How to fill out backflow preventer test report

How to fill out backflow preventer test report

1. To fill out backflow preventer test report, follow these steps:
2. Start by gathering all the necessary information, such as the name of the backflow preventer, its location, and the date of the test.
3. Record the test results for each test point. This includes noting the pressure readings, flow rates, and any anomalies or issues encountered.
4. Make sure to accurately describe any repairs or maintenance performed during the test.
5. Include your contact information and the name of the testing company or technician.
6. Review the completed report for accuracy and completeness.
7. Submit the filled-out report to the appropriate authority or organization that requires it.
8. Note: It is important to follow any specific guidelines or regulations provided by your local governing body or water authority when filling out the backflow preventer test report.

Who needs backflow preventer test report?

1. Various individuals and organizations may need a backflow preventer test report, including:
2. - Building owners or property managers
3. - Plumbing contractors
4. - Water supply companies
5. - Municipalities or government agencies
6. - Health departments or regulatory bodies
7. - Insurance companies
8. These reports are typically required to ensure that backflow preventers are functioning properly and compliant with regulations. They help identify any potential hazards or issues that may pose a risk to the water supply system.

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What is backflow preventer test report?

A backflow preventer test report is a document that verifies the functionality and compliance of a backflow prevention device, ensuring that it is properly keeping contaminated water from flowing back into the clean water supply.

Who is required to file backflow preventer test report?

Typically, property owners or facility managers who have installed backflow prevention devices are required to file a backflow preventer test report with their local water authority.

How to fill out backflow preventer test report?

To fill out a backflow preventer test report, you need to include details such as the test date, the name and license number of the tester, the type of device, serial number, results of the test, and any necessary repairs or maintenance performed.

What is the purpose of backflow preventer test report?

The purpose of the backflow preventer test report is to document the testing of the backflow prevention device, ensuring it operates effectively to protect the public water supply from contamination.

What information must be reported on backflow preventer test report?

The report must include the test date, tester's information, type and serial number of the device, test results, and any repairs or maintenance performed on the device.