MO 780-0804 form - dnr mo-2026

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  1. Click ‘Get Form’ to open the MO 780-0804 form in the editor.
  2. Begin by entering your Customer Number and Customer Name at the top of the form. This information is essential for identifying your report.
  3. Fill in the Mailing Address and Service Location fields accurately to ensure proper communication regarding your backflow prevention assembly test.
  4. Input the Meter Number, Date of Test, and Time (A.M. or P.M.) in their respective fields. This data is crucial for record-keeping.
  5. Complete the Manufacturer and Type of Assembly sections, including height off floor and supply pressure details. Ensure all measurements are precise.
  6. Indicate whether protection from freezing and flooding is required by selecting 'Yes' or 'No'.
  7. Document the results of both initial and final tests after repair, including any comments regarding performance or issues encountered.
  8. Finally, ensure that all signatures are collected from testers and owners before submitting the completed form.

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Under Section 64764 of the regulations, backflow prevention devices must be tested annually by certified testers.
In short, annual backflow testing is essential for maintaining the safety, legal compliance, and reliability of water systems in condominium buildings. It helps avoid health risks, protects residents, and ensures that the water system operates as it should.
Key Indicators Your Property Needs Testing If you notice sudden drops in water pressure, it might be due to a malfunctioning backflow preventer. Discoloration or an unusual taste in your water is a red flag that dirty water might contaminate your supply. Frequent, unexplained leaks can also point to backflow issues.
Without proper testing, harmful substances could enter the water system and affect many people. Waterborne illnesses can spread quickly through compromised systems. A single backflow failure can lead to neighborhood-wide contamination incidents.
Some public water system customers are required to have and maintain backflow assemblies on certain types of water lines according to the Missouri Department of Natural Resources ( MoDNR ) Drinking Water Program regulation. The regulation also requires annual inspections by a certified backflow inspector.

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Certification is obtained by successfully passing both a comprehensive written and a hands-on performance examination provided by either the American Backflow Prevention Association or the American Society of Sanitary Engineering.

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