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opening pressure BACKFLOW PREVENTION ASSEMBLY TEST REPORT. You must use the WISC Water services portal found here: BACKFLOW PREVENTION ASSEMBLY TEST REPORT (for field use only) INSTALL/TESTER ID PERMIT.
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How to fill out backflow prevention test form

01
Gather necessary information such as location of backflow prevention device, date of test, tester's information, and any maintenance or repairs done since last test.
02
Fill out the top portion of the form with the property owner's information and the tester's information.
03
Fill out the sections related to the backflow prevention device including type, make, serial number, location, and size.
04
Document the test results including pressure readings, pass or fail status, and any additional comments.
05
Sign and date the form to certify the accuracy of the information provided.

Who needs backflow prevention test form?

01
Property owners with backflow prevention devices installed on their premises.
02
Certified testers who conduct backflow prevention tests.
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Backflow prevention test form is a document used to verify that a property's backflow prevention device is functioning properly.
Property owners or operators are required to file the backflow prevention test form.
To fill out the backflow prevention test form, provide information about the property, the backflow prevention device, and details of the test conducted.
The purpose of the backflow prevention test form is to ensure that the backflow prevention device is working effectively and preventing contamination of the water supply.
Information such as property address, device type, test results, tester information, and date of test must be reported on the backflow prevention test form.
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