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BARNETT REGIONAL WATER
BACKFLOW PREVENTION ASSEMBLY
TEST AND MAINTENANCE REPORTElectronically send to utilitybilling@harnett.org
Size: ___
Device: ___
Customer:___
Service Address:___
Mailing Address:___
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How to fill out backflow-prevention-test-and-maintenance-report
How to fill out backflow-prevention-test-and-maintenance-report
01
Check the type of backflow prevention assembly that was tested.
02
Fill out the name of the tester and their qualifications.
03
Provide the address of the property where the backflow prevention assembly is installed.
04
Record the test date and the next test due date.
05
Document the test results including any repairs or replacements that were made.
06
Sign and submit the report to the appropriate authorities.
Who needs backflow-prevention-test-and-maintenance-report?
01
Property owners with backflow prevention assemblies installed on their premises.
02
Businesses that are required by law to have annual backflow prevention tests.
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What is backflow-prevention-test-and-maintenance-report?
Backflow-prevention-test-and-maintenance-report is a document that records the results of tests and maintenance performed on backflow prevention devices to ensure they are functioning correctly.
Who is required to file backflow-prevention-test-and-maintenance-report?
Property owners or facility managers are typically required to file the backflow-prevention-test-and-maintenance-report with the appropriate governing body.
How to fill out backflow-prevention-test-and-maintenance-report?
The backflow-prevention-test-and-maintenance-report should be filled out by a certified tester or maintenance technician who has completed the necessary tests and maintenance on the backflow prevention device.
What is the purpose of backflow-prevention-test-and-maintenance-report?
The purpose of the backflow-prevention-test-and-maintenance-report is to ensure that backflow prevention devices are working properly to protect the public water supply from contamination.
What information must be reported on backflow-prevention-test-and-maintenance-report?
The backflow-prevention-test-and-maintenance-report typically includes the date of the test, the results of the test, any maintenance performed, and the signature of the certified technician.
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