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BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT Double Check Valve Assembly/Pressure Vacuum Breaker CITY OF NARNIA ***PLEASE INDICATE(circle) BEFORE CONTINUING***: PREMISE FIRE SUPP. IRRIGATION
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How to fill out backflow prevention programcity of

01
Contact the city's water department to inquire about the backflow prevention program requirements.
02
Submit a backflow prevention program application form to the city along with any necessary fees.
03
Schedule an inspection of your backflow prevention device by a qualified tester approved by the city.
04
Ensure that your backflow prevention device is properly installed and maintained according to city regulations.
05
Submit annual test results of your backflow prevention device to the city to remain in compliance with the program.

Who needs backflow prevention programcity of?

01
Commercial properties such as restaurants, industrial facilities, and medical buildings that have potential hazards to the water supply.
02
Residential properties with irrigation systems or private wells that could pose a risk of backflow contamination.
03
Any property with a cross-connection between the public water supply and a potentially contaminated source.
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Backflow prevention program is a program aimed at preventing the reverse flow of contaminated water into the public water supply.
Property owners and businesses that have backflow prevention devices installed are required to file the program.
The program can be filled out by providing necessary information about backflow prevention devices, maintenance schedule, and testing results.
The purpose of the program is to protect the public water supply from contamination by ensuring that backflow prevention devices are properly installed and maintained.
Information such as the location of backflow prevention devices, testing results, and maintenance records must be reported.
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