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SAMPLE RPM ORDINANCE Date: In accordance with the Minnesota State Plumbing Code Section 4715.2161, reduced pressure zone backflow prevention devices (RPM) shall be inspected for proper operation on
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How to fill out a sample RPZ form:

01
Start by reading the instructions: Before filling out the sample RPZ form, it is important to carefully read and understand the instructions provided. This will ensure that you provide all the required information accurately.
02
Gather the necessary information: Collect all the information needed to complete the form. This may include personal details, such as name, address, and contact information, as well as specific details related to the purpose of the RPZ form.
03
Provide accurate information: Fill in the form with accurate and up-to-date information. Double-check the details before submitting to avoid any errors or inaccuracies that could cause delays or issues.
04
Follow any specific formatting or guidelines: Some RPZ forms may have specific formatting requirements or guidelines. Make sure to follow these instructions to ensure your form is filled out correctly.
05
Review and proofread: Once you have completed the form, take the time to review and proofread all the information you have provided. This step helps to catch any spelling mistakes, missing details, or other errors that may have been overlooked initially.

Who needs a sample RPZ form:

01
Property owners: Property owners who have installed a backflow prevention device, also known as a Reduced Pressure Zone (RPZ) device, may need to fill out an RPZ form. This form is used to document the installation, testing, and maintenance of the RPZ device.
02
Plumbing professionals: Plumbing professionals responsible for installing or servicing RPZ devices may also need a sample RPZ form. They use this form to record details about the installation, testing, and maintenance of the backflow prevention device.
03
Local government agencies: Local government agencies or water authorities may require property owners and plumbing professionals to submit RPZ forms for record-keeping and compliance purposes. These forms help the authorities ensure that all RPZ devices are properly installed and maintained to prevent backflow contamination in the water supply.
Note: The specific requirements for the use of an RPZ form may vary depending on local regulations and guidelines. It is essential to consult the relevant authorities or seek professional advice to ensure compliance with the specific requirements in your area.
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