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Form for Backflow Prevention Device Exemption Jamestown Board of Public Utilities Water Division PO Box 700 Jamestown, NY 14702-0700 linemen jamestownbpu.com This is applicable for a facility with

How to fill out form for backflow prevention

How to fill out form for backflow prevention:

1. Fill in your personal information, including name, address, and contact details.
2. Provide the details of the property where backflow prevention is required, such as the property address and type of building.
3. Specify the type of backflow prevention device that needs to be installed or maintained.
4. Include any additional information or notes regarding the backflow prevention requirements or specific requests.
5. Sign and date the form to confirm its authenticity and completion.

Who needs form for backflow prevention:

1. Property owners or managers who are responsible for the maintenance and installation of backflow prevention devices.
2. Plumbing professionals or contractors who are hired to perform backflow prevention services.
3. Local authorities or regulatory agencies that oversee backflow prevention regulations and compliance.

For pdfFiller’s FAQs

What is form for backflow prevention?

Form for backflow prevention is a document that captures information about the measures taken to prevent the backward flow of potentially contaminated water into the public water supply system.

Who is required to file form for backflow prevention?

Property owners or operators of facilities that have backflow prevention devices installed are typically required to file the form for backflow prevention.

How to fill out form for backflow prevention?

To fill out the form for backflow prevention, you need to provide information about the facility, its address, contact details, details of the backflow prevention device installed, maintenance schedule, and any previous backflow incidents reported.

What is the purpose of form for backflow prevention?

The purpose of the form for backflow prevention is to ensure that appropriate backflow prevention measures are in place to protect the public water supply system from contamination and to maintain compliance with regulations and standards.

What information must be reported on form for backflow prevention?

The form for backflow prevention typically requires information such as facility details, backflow prevention device specifications, maintenance records, testing and inspection schedules, and any incidents or repairs related to backflow prevention.

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