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BACKFLOW ASSEMBLY TEST REPORT REGIONAL DISTRICT OF NORTH FLANAGAN 9848 Aberdeen Road Cold stream, BC V1B 2K9 Date: Name of Premise: Service Address: Location of Assembly: Services: Premise / Area/Zone

How to fill out backflow assembly test report

How to fill out a backflow assembly test report:

1. Begin by filling out the header information, including the date of the test, the name and contact information of the tester, the address where the test was conducted, and any other relevant details.
2. Move on to the section for the backflow assembly information. This should include the make, model, and serial number of the assembly, as well as any other identifying information.
3. Next, document the test procedure. This should include a description of the testing equipment used, the test methods employed, and any specific instructions or guidelines followed during the testing process.
4. Record the test results accurately. This includes documenting the pressure measurements, flow rates, and other relevant data collected during the test. Be sure to follow any specific reporting requirements or standards set by the governing authority.
5. If any issues or discrepancies are found during the test, document them in the appropriate section. Explain the problem and note any necessary repairs, adjustments, or actions taken to address the issue.
6. Finally, sign and date the report to certify its accuracy and completeness. Make sure to include any necessary credentials or certifications required by the governing authority.

Who needs a backflow assembly test report:

1. Building owners: Backflow assembly test reports provide crucial information about the integrity and functionality of the plumbing systems in a building. Building owners need these reports to ensure compliance with local regulations and to prioritize any necessary repairs or maintenance.
2. Plumbers and testing professionals: It is the responsibility of plumbers and testing professionals to conduct regular backflow assembly tests and provide accurate reports. These reports are essential for their own records, as well as for sharing with building owners and any relevant authorities.
3. Regulatory agencies: Municipal and regulatory agencies may require backflow assembly test reports to ensure that water systems are protected from potential contamination. These reports help authorities monitor compliance and make informed decisions regarding water safety measures.

For pdfFiller’s FAQs

What is backflow assembly test report?

The backflow assembly test report is a document that verifies the proper functioning of backflow prevention devices in a water system.

Who is required to file backflow assembly test report?

Property owners, building managers, and water utility companies are required to file backflow assembly test reports.

How to fill out backflow assembly test report?

The backflow assembly test report should be completed by a certified backflow assembly tester, documenting the test results and any necessary repairs.

What is the purpose of backflow assembly test report?

The purpose of the backflow assembly test report is to ensure that backflow preventers are working correctly and protecting the water supply from contamination.

What information must be reported on backflow assembly test report?

The backflow assembly test report should include details such as the location of the backflow device, test results, date of the test, and any corrective actions taken.

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