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How to fill out KS Topeka Water Backflow Assembly Test Report

1. Obtain the KS Topeka Water Backflow Assembly Test Report form from the appropriate city or utility website.
2. Fill out the top section with the property owner's name, address, and contact information.
3. Enter the type and model of the backflow assembly being tested.
4. Include the serial number and the installation date of the backflow assembly.
5. List the name and contact information of the tester performing the test.
6. Conduct the backflow test according to the appropriate procedures and document the results in the designated fields.
7. If any issues are identified, note the repairs or adjustments made during the testing process.
8. Sign and date the report at the bottom of the form.
9. Submit the completed report to the local water authority as required.

Who needs KS Topeka Water Backflow Assembly Test Report?

1. Property owners or managers with backflow prevention assemblies.
2. Licensed plumbers or certified testers conducting tests.
3. Local government or water authorities that require documentation for compliance.
4. Businesses and facilities that use water systems that could potentially backflow.

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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 records the results of tests conducted on backflow prevention assemblies to ensure they are functioning properly and preventing contaminated water from entering the potable water supply.

Who is required to file KS Topeka Water Backflow Assembly Test Report?

Certified testers who perform backflow prevention assembly tests for businesses, residential properties, or public facilities in Topeka, Kansas are required to file the KS Topeka Water Backflow Assembly Test Report.

How to fill out KS Topeka Water Backflow Assembly Test Report?

To fill out the KS Topeka Water Backflow Assembly Test Report, the tester must provide detailed information including the assembly type, location, test results, any repairs made, tester's certification information, and the date of the test.

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 document compliance with safety regulations, ensure the protection of the water supply from potential contaminants, and maintain records for municipal water authorities.

What information must be reported on KS Topeka Water Backflow Assembly Test Report?

The report must include information such as the location and type of backflow assembly, results of the tests (including any failures), corrective actions taken, tester's name and certification number, and the date of the test.