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BACKFLOW PREVENTION DEVICE TEST REPORT To be filled out by an OWWA CrossConnection Certified plumber registered with BSIAddressFacility ID:OccupantEmergency Contact PersonTelephone: Email:OwnerTelephone:Address

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How to fill out nysdoh approved backflow tester

01

Obtain the NYSDOH approved backflow tester application form.

02

Complete the application form with accurate personal and professional information.

03

Provide proof of required training or certification in backflow prevention.

04

Include documentation of any relevant work experience or prior testing certifications.

05

Pay the necessary application fee as specified by the NYSDOH.

06

Submit the completed application and supporting documents to the appropriate NYSDOH office.

07

Wait for approval and any further instructions from the NYSDOH.

Who needs nysdoh approved backflow tester?

01

Licensed plumbers who perform backflow testing.

02

Local water utilities that require testing for compliance.

03

Property owners of commercial or residential buildings with backflow prevention systems.

04

Contractors working on projects that involve the installation of backflow prevention devices.

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What is nysdoh approved backflow tester?

A NYSDOH approved backflow tester is a certified individual or entity authorized by the New York State Department of Health to test backflow prevention devices to ensure they are functioning properly and preventing contaminated water from entering the public water supply.

Who is required to file nysdoh approved backflow tester?

Individuals or entities responsible for the installation or maintenance of backflow prevention devices, such as property owners, facility managers, or certified plumbers, are required to file a NYSDOH approved backflow tester.

How to fill out nysdoh approved backflow tester?

To fill out a NYSDOH approved backflow tester form, you must provide the contact information of the tester, details about the backflow prevention device being tested, test results, and any corrective actions taken if applicable.

What is the purpose of nysdoh approved backflow tester?

The purpose of the NYSDOH approved backflow tester is to verify that backflow prevention devices are functioning correctly, thereby protecting public health by preventing the contamination of drinking water supplies.

What information must be reported on nysdoh approved backflow tester?

The information that must be reported includes the tester's certification details, the location and type of backflow device, test results, and any maintenance or repairs conducted.

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