Test and Maintenance of Backflow Device Form - Suffolk County 2026

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  1. Click ‘Get Form’ to open the Test and Maintenance of Backflow Device Form in the editor.
  2. Begin by filling in the year at the top of the form, followed by selecting whether it is an Annual Test.
  3. Complete the SCWA Contract Account number and provide the facility name, address, and specific location of the backflow device.
  4. In the Device Information section, indicate whether it is an RPZ or DCV device, along with its manufacturer, model, size, and serial number.
  5. Fill out the 'Test Before Repair' section by checking if Check Valve #1 and #2 leaked or closed tight. Record the differential pressure relief valve opening pressure.
  6. Document any repairs made in the designated area, including materials used and details about who performed them.
  7. If repairs were made, complete the 'Final Test' section with similar checks as before. Ensure all signatures are obtained from relevant parties.

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$30 to $300 Many cities mandate the installation and annual testing of these devices for homes with an irrigation system, septic system, or inground pool. Annual backflow testing verifies the proper functioning of these valves, ensuring ongoing water safety.
Backflow testing requires specialized knowledge and equipment, so its best left to certified professionals. Attempting to perform the test yourself could lead to inaccurate results and potential regulatory issues.
Under Section 64764 of the regulations, backflow prevention devices must be tested annually by certified testers.
If your existing backflow preventer requires repairs, the cost can vary widely based on the extent of the damage and the specific parts needing replacement. Repairs can cost anywhere from $50 to $100, depending on whether the fixes are minor or are complete overhauls or component replacements.
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