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Backflow Assembly Removal Report
District of Lake Country
10150 Bottom Wood Lake Road
Lake Country, BC V4V 2M1
t: 2507666677 f: 2507660200
engineering@lakecountry.bc.ca
PREMISE AND ASSEMBLY INFORMATION
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How to fill out backflow assembly removal report

How to fill out backflow assembly removal report
01
Start by obtaining the backflow assembly removal report form from your local water authority or department responsible for managing backflow prevention.
02
Fill out the top section of the form with your personal information, including your name, address, contact details, and the date.
03
Identify the backflow assembly that needs to be removed and provide its specific details, such as the make, model, and serial number.
04
Indicate the reason for the removal of the backflow assembly, whether it is due to repairs, replacement, or any other specific cause.
05
If required, provide additional information or explanations in the designated section of the form.
06
Sign the form and submit it to the appropriate authorities or department as instructed.
07
Keep a copy of the completed backflow assembly removal report for your records.
Who needs backflow assembly removal report?
01
Backflow assembly removal reports are typically required by professionals or contractors involved in plumbing, irrigation, or building maintenance services.
02
Water authorities, local municipalities, or regulatory agencies may also request backflow assembly removal reports to document the proper removal and replacement of backflow prevention devices.
03
In some cases, property owners or managers may need to fill out a backflow assembly removal report to comply with local regulations or to ensure the safe and proper functioning of their plumbing systems.
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What is backflow assembly removal report?
A backflow assembly removal report is a document that indicates the removal of a backflow prevention assembly from a water supply system, ensuring compliance with regulations and preventing contamination.
Who is required to file backflow assembly removal report?
Property owners, plumbers, or authorized professionals who remove a backflow assembly are typically required to file the backflow assembly removal report.
How to fill out backflow assembly removal report?
To fill out a backflow assembly removal report, provide necessary details such as the location of the assembly, the reason for removal, the date of removal, and any relevant contact information.
What is the purpose of backflow assembly removal report?
The purpose of the backflow assembly removal report is to document the removal process for regulatory compliance, maintain water quality, and ensure that local water authorities are informed of any changes in backflow prevention systems.
What information must be reported on backflow assembly removal report?
Information required on the report typically includes the location of the assembly, the type of assembly removed, the reason for removal, the date of removal, and the parties involved in the removal.
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