KS Topeka Water Backflow Assembly Test Report - City of Topeka 2006 free printable template
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TOPEKA WATER BACKFLOW ASSEMBLY TEST REPORT. Mail or fax to: CITY OF TOPEKA, WATER DIVISION, CROSS CONNECTION CONTROL Phone ...
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How to fill out KS Topeka Water Backflow Assembly Test
How to fill out KS Topeka Water Backflow Assembly Test Report
01
Begin by entering the date of the test at the top of the report.
02
Fill in the name and address of the property where the backflow assembly is installed.
03
Provide the account number associated with the property.
04
List the type and model of the backflow assembly being tested.
05
Enter the serial number of the assembly.
06
Fill in the name of the tester and their certification number.
07
Record the initial test results for each of the valves on the assembly.
08
Perform the necessary repairs if any test fails and retest the assembly.
09
Document the results of the retest and ensure all values meet required standards.
10
Sign and date the report at the bottom after completing all sections.
Who needs KS Topeka Water Backflow Assembly Test Report?
01
Property owners with backflow prevention assemblies installed.
02
Commercial facilities that require annual backflow testing.
03
Plumbing contractors and licensed testers responsible for conducting the tests.
04
Local health departments or water utilities for compliance and regulatory purposes.
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What is KS Topeka Water Backflow Assembly Test Report?
The KS Topeka Water Backflow Assembly Test Report is a document that certifies the testing of backflow prevention assemblies to ensure they are functioning correctly and preventing potential contamination of the drinking water supply.
Who is required to file KS Topeka Water Backflow Assembly Test Report?
Property owners or operators of facilities that have backflow prevention assemblies are required to file the KS Topeka Water Backflow Assembly Test Report following the annual testing of these assemblies.
How to fill out KS Topeka Water Backflow Assembly Test Report?
To fill out the KS Topeka Water Backflow Assembly Test Report, follow the provided guidelines which typically include inputs such as the location of the assembly, type of assembly, test results, tester's information, and signatures from both the tester and the property owner.
What is the purpose of KS Topeka Water Backflow Assembly Test Report?
The purpose of the KS Topeka Water Backflow Assembly Test Report is to ensure compliance with regulations regarding backflow prevention and to document that backflow prevention assemblies are functioning properly to protect public health.
What information must be reported on KS Topeka Water Backflow Assembly Test Report?
The KS Topeka Water Backflow Assembly Test Report must include information such as the serial number and location of the backflow assembly, test results for each check valve, date of the test, tester's name and contact information, and signatures confirming the accuracy of the report.
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