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Mail or Deliver Original to:BACKFLOW DEVICE TEST REPORT Attn: Cross Connection Control City of Heston 115 E Smith St PO Box 100 Heston KS 67062Size: ___ Manufacturer: ___ Serial #: ___ Model #: ___
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How to fill out annual backflow prevention inspection

01
Start by gathering all necessary tools and equipment including a backflow prevention inspection form.
02
Inspect the backflow prevention assembly for any visible signs of damage or wear.
03
Check the pressure readings on the backflow prevention assembly to ensure they are within the appropriate range.
04
Test the backflow prevention assembly by using a gauge to ensure it is functioning properly.
05
Fill out the backflow prevention inspection form with all relevant information including test results and any necessary repairs or replacements.
06
Submit the completed backflow prevention inspection form to the appropriate authorities as required.

Who needs annual backflow prevention inspection?

01
Property owners with backflow prevention assemblies installed on their premises are required to conduct annual backflow prevention inspections.
02
Businesses such as restaurants, medical facilities, and manufacturing plants are often mandated by local regulations to have annual backflow prevention inspections to protect the public water supply.
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Annual backflow prevention inspection is a process where a licensed professional inspects and tests backflow prevention devices to ensure they are functioning properly and preventing the contamination of drinking water.
Property owners or businesses that have backflow prevention devices installed are typically required to file annual backflow prevention inspection.
To fill out annual backflow prevention inspection, a licensed professional must conduct the inspection, record the findings, and submit the report to the appropriate regulatory agency.
The purpose of annual backflow prevention inspection is to ensure that backflow prevention devices are functioning correctly and protecting the public water supply from contamination.
The inspection report typically includes details such as the location of the backflow prevention device, the results of the inspection and testing, any repairs or maintenance performed, and the signature of the licensed professional.
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