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Click ‘Get Form’ to open the backflow prevention assembly test and maintenance report in the editor.
Begin by filling in the 'CUSTOMER' field with your name, followed by the 'PROPERTY ADDRESS' and 'CUSTOMER MAILING ADDRESS'. Ensure that your contact information, including 'PHONE #' and 'PWS I.D. #', is accurate.
In the section for the type of assembly, select one of the options: Reduced Pressure Principle, Double Check Valve, or Pressure Vacuum Breaker. If applicable, indicate if it’s a detector type.
Fill in details such as 'Manufacturer', 'Model #', 'Size', and 'Serial Number'. This information is crucial for compliance.
Document the initial and final test results by entering values for pressure readings. Indicate whether each check valve closed tight or leaked.
Complete the repairs and materials used section if any repairs were made during testing. Include remarks as necessary.
Finally, ensure that all fields are filled out correctly before saving your document. You can easily export or share it directly from our platform.
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Jun 11, 2021 BC BACKFLOW CO., 994 BURNING BUSH TR., CRYSTAL LAKE, IL 60012 DUPAGE COUNTY EDP 421 COUNTY FARM RD., WHEATON, IL 60187-. 058-127291.Read more
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