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BACKFLOW PREVENTION DEVICE TEST REPORT Date Test Completed : MM/DD/BY TEN #For Office Use Only: Date Test Report Received. City of Hamilton Backflow Prevention Program 330 Wentworth Street North Hamilton
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The sample form of backflow is a document used to report the testing and maintenance of backflow prevention devices to ensure they are functioning correctly and to prevent contamination of the public water supply.
Property owners or managers who have backflow prevention devices installed on their premises are required to file the sample form of backflow.
To fill out the sample form of backflow, provide your details, including the property address, type of backflow device, test results, technician's information, and signature certifying that the information is accurate.
The purpose of the sample form of backflow is to document the testing and maintenance of backflow prevention devices to ensure compliance with health and safety regulations, thereby protecting the water supply from contamination.
The sample form of backflow must report information including the date of test, type of backflow device, test results, tester's license number, property location, and any necessary repairs or maintenance performed.
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