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LCRD Backflow Prevention Assembly Test Report Return no later than: May 31stOwner Of Device: Service Address: Location of Assembly:Confined Space Yes [ ] No [ ]Assembly: ManufacturerModelLine Pressure

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How to fill out backflow prevention assemblydevice testing

01

Locate the backflow prevention assembly device on the property.

02

Shut off the water supply to the device.

03

Open the test cocks on the device to release any trapped water.

04

Connect a test kit to the test cocks and follow the manufacturer's instructions for testing.

05

Record the test results and any necessary adjustments or repairs needed.

06

Close the test cocks and turn the water supply back on.

07

Submit the test results to the appropriate regulatory agency.

Who needs backflow prevention assemblydevice testing?

01

Property owners with irrigation systems

02

Property owners with fire sprinkler systems

03

Municipalities

04

Commercial and industrial facilities regulated by environmental agencies

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What is backflow prevention assembly device testing?

Backflow prevention assembly device testing is a procedure to ensure that devices installed in water supply systems function properly to prevent contaminated water from flowing back into the clean water supply.

Who is required to file backflow prevention assembly device testing?

Typically, property owners with backflow prevention devices are required to file for testing, along with certified testers who conduct the inspections.

How to fill out backflow prevention assembly device testing?

To fill out backflow prevention assembly device testing, you need to complete a specific form that usually includes details about the device, the inspection results, and the tester's credentials.

What is the purpose of backflow prevention assembly device testing?

The purpose of backflow prevention assembly device testing is to ensure public health and safety by preventing contamination of the drinking water supply through backflow events.

What information must be reported on backflow prevention assembly device testing?

Information required includes the type of device, location, inspection date, results of the test, any repairs made, and the tester's certification details.

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