Get the free Backflow form and list of providers

Rates and Rules 2730 Country Club Road Lucas, Texas 75002 9724426875 WWW.SLED.US Original Adoption: December 2006 Most Recent Update: October 01, 2022, Adopted: August 22, 2022, Order Number: 08222022This

How to fill out backflow form and list

How to fill out backflow form and list

1. Gather all the necessary information and documentation for the backflow form, such as the location of the backflow assembly, its make and model, and any previous test results.
2. Start by filling out the basic information section of the form, including the name of the property owner, address, and contact information.
3. Proceed to fill out the specific details about the backflow assembly, including its location, size, and installation date.
4. Provide any additional information required in the form, such as the type of hazard being protected against and any special circumstances.
5. Make sure to include the certification of the tester who performed the backflow assembly test, including their name, license number, and contact information.
6. Double-check all the provided information for accuracy and completeness.
7. Sign and date the form, and ensure that it is submitted to the appropriate authority or organization responsible for backflow prevention.
8. Keep a copy of the filled-out form for your records and reference in the future.

Who needs backflow form and list?

1. Anyone who owns or manages a property with a backflow prevention assembly installed needs to fill out a backflow form.
2. This applies to both residential and commercial properties, as backflow prevention is crucial for protecting the quality of the water supply.
3. Additionally, various organizations, such as water utility companies, local authorities, or regulatory agencies, may require individuals or businesses to submit backflow forms to ensure compliance with regulations and maintain public health and safety.

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What is backflow form and list?

A backflow form and list is a document used to report backflow prevention devices installed within a plumbing system to ensure they are functioning properly and prevent contaminated water from flowing back into the clean water supply.

Who is required to file backflow form and list?

Property owners, plumbing contractors, and certified testers responsible for backflow prevention devices are typically required to file a backflow form and list with the appropriate regulatory authority.

How to fill out backflow form and list?

To fill out the backflow form and list, one must provide details such as the property address, type and model of the backflow prevention device, installation date, test results, and the contact information of the certified tester.

What is the purpose of backflow form and list?

The purpose of the backflow form and list is to document the status and maintenance of backflow prevention devices, ensuring they are regularly tested and maintained to protect the public water supply from contamination.

What information must be reported on backflow form and list?

Information to be reported includes the device's make and model, serial number, installation location, test results, maintenance records, and the name and certification number of the tester.