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BACKFLOW ASSEMBLY TEST FORM CUSTOMER NAMEACCOUNT UNDERWATER METER NUMBER(AS SHOWN ON CUSTOMERS LETTER)SERVICE ADDRESSABLE OF INSTALLATIONDATE OF TEST TIME TESTED(what address does the backflow valve
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How to fill out backflow testing report form

01
Start by gathering all necessary information such as the client's name, address, and contact information.
02
Identify the type of backflow prevention device that was tested and fill in this information on the form.
03
Record the test results accurately, including the date and time of the test, as well as the technician's name and certification number.
04
Make sure to include any additional comments or observations related to the test, such as any repairs that were needed or recommendations for future maintenance.
05
Review the completed form for accuracy and completeness before submitting it to the appropriate regulatory agency.

Who needs backflow testing report form?

01
Plumbers
02
Water utility companies
03
Property owners
04
Regulatory agencies
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A backflow testing report form is a document used to record the results of backflow prevention device tests to ensure they are functioning properly and preventing contaminated water from entering the public water supply.
Typically, property owners or facility managers who have backflow prevention devices installed are required to file the backflow testing report form.
To fill out a backflow testing report form, provide information about the property, the backflow prevention device, the testing results, the tester's name and certification, and the date of the test.
The purpose of the backflow testing report form is to document compliance with local and state regulations regarding backflow prevention and to ensure public safety by preventing water contamination.
The report must include details such as the location of the device, type of device, test results, tester's credentials, and any repairs made or required.
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