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Incorporated 1977 City of Flashier PH: 281-346-1796 FAX: 281-346-2556 -- P.O. Box 279/30603 FM 1093 Flashier, TX 77441 Backflow Prevention Assembly Certified Test Report Name of Property: Property
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How to fill out backflow prevention test report

01
To fill out a backflow prevention test report, you will need the following information:
1.1
The location and address of the property where the backflow preventer is installed.
1.2
The make, model, and serial number of the backflow preventer.
1.3
The date and time of the test.
1.4
The name and contact information of the person conducting the test.
02
Begin by completing the header section of the report, which typically includes the property information and the test date. This ensures that all the necessary details are recorded accurately.
03
Next, you will need to document the specific test results for each individual device or assembly. This includes recording the device's identification number, checking for proper operation, and measuring the pressure differentials.
04
If any defects or issues are found during the test, they should be clearly noted in the report. This may include issues such as leaks, improper installation, or signs of wear and tear.
05
It is essential to include your professional opinion on the condition of the backflow preventer. This can be expressed through a pass/fail designation or by providing further recommendations for repairs or maintenance.
Who needs a backflow prevention test report?
01
Property owners or managers: Backflow prevention test reports are often required by local authorities to ensure the safety of the drinking water supply. Property owners or managers are responsible for arranging and maintaining these tests to comply with regulations.
02
Municipalities and water authorities: They require backflow prevention test reports to verify that properties are adequately protecting the public water supply. These reports help in monitoring compliance with backflow prevention regulations and identify potential risks.
03
Plumbing or irrigation contractors: Traditionally, these professionals are responsible for conducting the backflow prevention tests and subsequently filling out the accompanying reports. They ensure that the backflow preventers are correctly installed, inspected, and maintained, and that the test results are accurately recorded.
In summary, filling out a backflow prevention test report requires attention to detail and accurate recording of test results and observations. It is essential for property owners, municipalities, and plumbing contractors to ensure compliance with regulations and maintain the safety of the drinking water supply.
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What is backflow prevention test report?
Backflow prevention test report is a document that certifies that a backflow prevention device is functioning correctly and preventing the reverse flow of water contaminants.
Who is required to file backflow prevention test report?
Property owners, businesses, and facilities that have backflow prevention devices installed are required to file the backflow prevention test report.
How to fill out backflow prevention test report?
The backflow prevention test report should be completed by a certified backflow prevention tester who will perform the necessary tests and inspections on the device, and record the results on the report form.
What is the purpose of backflow prevention test report?
The purpose of the backflow prevention test report is to ensure that backflow prevention devices are in proper working condition and are effectively safeguarding the water supply from contamination.
What information must be reported on backflow prevention test report?
The backflow prevention test report must include details such as the location of the device, the type of device, the test results, the date of testing, and the signature of the certified tester.
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