Denver Water Backflow Assembly Test and Maintenance Report - denverwater 2026

1. Click ‘Get Form’ to open the Denver Water Backflow Assembly Test and Maintenance Report in the editor.
2. Begin by filling in the 'Assembly Serial #' and 'Test Date / Time' fields at the top of the form. Ensure accuracy as this information is crucial for record-keeping.
3. In the 'Facility Name' and 'Facility Address' sections, provide complete details using BLOCK LETTERING for clarity. Include the contact person's name and phone number for any follow-up.
4. Select the appropriate options for 'Make', 'Type', and 'Size' of the assembly. Indicate whether it is a new or existing installation by checking the corresponding box.
5. Fill out the testing results section, including initial test results for each check valve. Mark whether they are leaking or tight, and provide any necessary comments regarding repairs.
6. Complete the tester certification section at the bottom, ensuring that all required signatures are obtained before submission.

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