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This document serves as a formal report for the testing of backflow prevention devices. It outlines necessary details such as account information, device specifications, test results, and certifications related to the functioning and maintenance of water and sewer systems.
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How to fill out backflow prevention test report

01
Gather all necessary information: Address of the property, owner's name, and contact information.
02
Indicate the type of backflow prevention device being tested (e.g., double check valve assembly).
03
Record the manufacturer's name and model number of the device.
04
Fill in the size of the device as required on the report.
05
Document the location of the backflow device on the property.
06
Perform the test according to the manufacturer's instructions and industry standards.
07
Record the test results for each test port, including readings and whether they passed or failed.
08
Note any repairs conducted or issues found during the test.
09
Complete any additional required sections of the report, including signature lines.
10
Submit the completed test report to the relevant local authority or water department.

Who needs backflow prevention test report?

01
Property owners with irrigation systems or fire protection systems.
02
Commercial property owners to comply with local regulations.
03
Municipal water suppliers to ensure safe drinking water supply.
04
Plumbing professionals who are required for testing and certification.
05
Regulatory agencies monitoring public health and safety standards.
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A backflow prevention test report is a document that certifies the performance and functionality of backflow prevention devices, ensuring they are effective in preventing contaminated water from flowing back into the clean water supply.
Property owners or operators who have backflow prevention devices installed are required to file a backflow prevention test report, usually through a licensed plumber or certified tester.
To fill out a backflow prevention test report, gather the necessary information such as device details, test results, tester information, and signature. Each section of the report must be accurately completed according to the reporting guidelines provided by local authorities.
The purpose of a backflow prevention test report is to ensure that backflow prevention devices are functioning correctly and to protect public health by preventing the contamination of the potable water supply.
The report must include the type of device, location, test results including any failures, tester's name and certification number, and the date of testing.
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