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Figure: 30 TAC 290.47(f) The following form must be completed for each assembly tested. A signed and dated original must be submitted to the public water supplier for recordkeeping purposes: BACKFLOW
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A sample backflow prevention assembly is a device or system designed to prevent the reverse flow of water or other substances from a hazardous source back into the potable water supply, ensuring safe drinking water.
Typically, property owners or operators of facilities that use backflow prevention systems are required to file the sample backflow prevention assembly to maintain compliance with local regulations.
To fill out a sample backflow prevention assembly, you usually need to provide information such as the property address, type of backflow prevention device, installation date, and test results, along with the signatures of the responsible parties.
The purpose of the sample backflow prevention assembly is to safeguard public health by preventing contaminants from entering the drinking water supply through backflow.
The information that must be reported includes location details, type of backflow prevention device, test results, date of testing, and name and contact information of the certified tester.
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