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Water Operations / Backflow Prevention Program 20 Royal Park side Drive, P.O. Box 400, Barrie, ON L4M 4T5 Tel: 7057394220 Ext. 4890 Fax: 7057927921 Email: backflow@barrie.caAPPLICATION FOR QUALIFIED
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How to fill out backflow prevention fact sheet

01
Gather all necessary information such as make, model, and serial number of backflow prevention device.
02
Fill out the contact information section with your name, address, and phone number.
03
Provide details of the property where the backflow prevention device is installed.
04
Answer all questions regarding maintenance and testing of the device.
05
Sign and date the fact sheet to certify the accuracy of the information provided.

Who needs backflow prevention fact sheet?

01
Anyone who has a backflow prevention device installed on their property needs to fill out a backflow prevention fact sheet.
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The backflow prevention fact sheet is a document that outlines the procedures and equipment used to prevent the contamination of drinking water from non-potable sources.
Property owners, businesses, and facilities that have backflow prevention devices installed are typically required to file a backflow prevention fact sheet.
The backflow prevention fact sheet is usually filled out by providing information about the backflow prevention devices, their maintenance schedule, and any testing or inspections that have been conducted.
The purpose of the backflow prevention fact sheet is to ensure that backflow prevention devices are properly maintained and functioning to protect the quality of drinking water.
Information such as the type of backflow prevention device, its location, maintenance records, and testing results must be reported on the backflow prevention fact sheet.
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