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Lost Hills Utility District P.O. Box 246 21331 Highway 46 Lost Hills, CA 93249 Telephone: 6617972903 Fax: 6617972010 Email: LHutilitydistrict@exede.net ___ Backflow Prevention Assembly Field Testing
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How to fill out lhud backflow test formpdf

01
Download the LHUD Backflow Test Form PDF from the designated website or source.
02
Fill out the top section of the form with your personal information such as name, address, contact details, etc.
03
Provide detailed information about the backflow prevention device being tested, including make, model, location, and installation date.
04
Record the test results accurately, including the date of the test, the tester's name and certification number, and the results of the test including any necessary repairs or adjustments.
05
Sign and date the form to certify its accuracy and completeness before submitting it to the appropriate authorities.

Who needs lhud backflow test formpdf?

01
Anyone who has a backflow prevention device installed on their property may need to fill out the LHUD Backflow Test Form PDF.
02
This form is typically required by local water authorities to ensure that backflow prevention devices are functioning correctly and protecting the public water supply from contamination.
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The LHUD Backflow Test Form is a document used to report the results of backflow prevention tests to local health or water utility authorities.
Any property owner or business that has a backflow prevention device installed is required to file the LHUD Backflow Test Form.
To fill out the LHUD Backflow Test Form, you need to provide details such as the property address, the type of backflow prevention device, test results, and the tester's information.
The purpose of the LHUD Backflow Test Form is to ensure that backflow prevention devices are functioning properly and to prevent contamination of the water supply.
The form must report the property address, backflow device type, test results (passing or failing), tester qualifications, and the date of the test.
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