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How to use or fill out the Backflow Prevention Assembly Test Data and Maintenance Report online
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your HCWA Account Number and Account Name in the designated fields. These are required for identification.
- Fill in the Meter Number, Mailing Address, and Service Address to ensure accurate service records.
- Specify the Installation Date and Location of Assembly. This information is crucial for maintenance tracking.
- Select the Manufacturer and Type of Assembly from the dropdown options provided.
- Record the Test Date, Model Number, Size, and details regarding initial tests such as time and type (e.g., Semi-Annual).
- Complete sections for Check Valve No. 1 and No. 2 by indicating any leaks or repairs needed.
- Finally, certify that all data is accurate by providing signatures for testing and repair personnel at the bottom of the form.
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