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Denver Water Backflow Assembly Test and Maintenance Report - denverwater 2026
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- Click ‘Get Form’ to open the Denver Water Backflow Assembly Test and Maintenance Report in the editor.
- 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.
- 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.
- 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.
- 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.
- Complete the tester certification section at the bottom, ensuring that all required signatures are obtained before submission.
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