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Henry County Water Authority Backflow Test Report 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the 'Account Contact Name and Number' at the top of the form. This ensures that all communications are directed to the right person.
- Fill in the 'Account Name' and 'Mailing Address' fields accurately, as this information is crucial for record-keeping.
- Provide your 'HCWA Account No' and 'Service Address'. These identifiers help streamline service requests.
- Complete the sections for 'Manufacturer', 'Type of Assembly', and 'Installation Date'. This data is essential for maintenance tracking.
- In the testing section, indicate the 'Test Date', select whether it's an Initial, Annual, or Other test, and fill in relevant details about check valves and repairs as needed.
- Finally, ensure you sign off on the certification statement at the bottom of the form to validate your entries before submission.
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Includes articles about the composition of backflow prevention detector assemblies and how to record their field test results.
Please send most current Backflow test report. 8. Size of water service connection: inch. Is service connection metered? □YES □NO. Page 48. Page
This report was prepared under contract to the Department of Defense Environmental. Security Technology Certification Program (ESTCP).Read more