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ID#EMAIL TEST REPORT TO:CITY OF BUCKLEY PO BOX 1960 BUCKLEY, WA. 98321C R O H N E R @ CITYOFBUCKLEY.COMPOSE: 3607617888 FAX:BACKFLOW ASSEMBLY TEST REPORT FORM PHONE NUMBERNAMECITYSERVICE ADDRESSSTATEBuckleyZIPWA98321ASSEMBLY
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How to fill out backflow assembly test report

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How to fill out backflow assembly test report

01
Gather the necessary information such as assembly type, location, and test results.
02
Fill out the top section of the report with general information like the tester's name and contact information.
03
Record the test results for each device on the report.
04
Include any additional comments or information as needed.
05
Sign and date the report to indicate completion.

Who needs backflow assembly test report?

01
Property owners with backflow prevention devices installed on their property.
02
Businesses that are required by local regulations to have backflow prevention devices tested regularly.
03
Public water systems to ensure the safety of the water supply.
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A backflow assembly test report is a document that verifies the proper functioning of backflow prevention devices, ensuring that potable water supplies are protected from contamination.
Typically, property owners or water system operators who have backflow prevention devices installed are required to file a backflow assembly test report.
To fill out a backflow assembly test report, you need to provide details such as the location of the device, type of assembly, test results, tester's information, and any maintenance performed.
The purpose of a backflow assembly test report is to document that backflow prevention devices are functioning correctly, thereby protecting water supply systems from contamination.
The report must include the location of the assembly, type and model of the assembly, test results, date of testing, tester's name and certification number, and any repairs made.
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