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SC Backflow Device Testing and Maintenance Report - City of Florence 2020-2025 free printable template

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CITY OF FLORENCE BACKFLOW DEVICE TESTING AND MAINTENANCE REPORT Date: ___ Service Type: (Check One) Domestic ___ Account/Business Name:___ Irrigation___ Account Address:___ Fire Line ___ Account Number:
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How to fill out SC Backflow Device Testing and Maintenance

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How to fill out SC Backflow Device Testing and Maintenance Report

01
Start by gathering all necessary equipment for testing.
02
Review the guidelines provided by local regulations for backflow testing.
03
Fill in the top section with details such as the date, location, and address of the property.
04
Record the type and model number of the backflow device being tested.
05
Document the names and licensing numbers of the certified testers.
06
Conduct the required tests for the backflow prevention device according to the manufacturer's instructions.
07
Record the results of each test accurately in the designated areas of the report.
08
Note any repairs or maintenance performed on the device, including dates and details.
09
Ensure both the tester and property owner sign the report at the conclusion.
10
Submit the completed report to the appropriate local agency or regulatory body.

Who needs SC Backflow Device Testing and Maintenance Report?

01
Property owners with backflow prevention devices.
02
Water utility companies requiring compliance documentation.
03
Local government authorities to ensure public health and safety.
04
Commercial establishments to maintain operational compliance.
05
Plumbing professionals who need to document testing services.
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The SC Backflow Device Testing and Maintenance Report is a document that records the testing and maintenance activities performed on backflow prevention devices to ensure they are functioning properly and to prevent contamination of the potable water supply.
Property owners or managers who have backflow prevention devices installed on their premises are required to file the SC Backflow Device Testing and Maintenance Report, typically through a certified tester.
To fill out the SC Backflow Device Testing and Maintenance Report, follow instructions provided on the form, including entering details about the device, test results, maintenance performed, date of service, and information about the certified tester.
The purpose of the SC Backflow Device Testing and Maintenance Report is to document compliance with regulatory requirements, ensure the proper function of backflow prevention devices, and protect public health by preventing water contamination.
The report must include information such as the location of the device, type of device, test results, date of the test, maintenance records, the name and certification number of the tester, and any issues identified during the inspection.
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