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Click ‘Get Form’ to open the 2017 test report backflow form in the editor.
Begin by filling in the 'Backflow Assembly Information' section. Enter the serial number, manufacturer, model, and size of the assembly. Indicate whether it is a commercial property and provide a contact phone number.
Complete the 'Business/Customer Name' and 'Physical Address' fields accurately. Specify the assembly location on the property and select the type of device from options like DCVA or RPBA.
In the 'Reason for Installation' section, describe any hazards present that necessitate the assembly's installation. Ensure you check compliance with TCEQ and City of Lubbock requirements.
Fill out customer information if different from above, including property owner/agent details. Proceed to document test results under 'Reduced Pressure Assemblies' or 'Double Check Assemblies', marking whether tests passed or failed.
Finally, certify that all information is accurate by signing as a tester, providing your certification number, and entering gauge calibration details.
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How often must you test a testable backflow prevention device and submit a report?
A: Its not recommended. 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.
What happens if you dont get your backflow tested?
Ignoring backflow testing requirements can result in substantial penalties, and water providers can impose monetary fines that often increase with continued non-compliance. More seriously, water companies have the legal authority to disconnect your water service if you fail to comply with testing requirements.
What do they do during a backflow test?
During the testing process, the plumber will verify that the check valves prevent backflow, air ports open when theyre supposed to, and relief valves open before the pressure between the check valves is too low compared to that at the inlet device. You dont need to prepare for a backflow test.
How do I know if I need backflow testing?
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.
What is a backflow test report?
Customers are responsible for installing backflow prevention devices. They must have testable backflow devices tested every year.
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This serves to protect you and your home, keeping your drinking, bathing, and cleaning water safe. Backflow prevention systems are devices installed onto a pipe that only allow water to flow in one direction.
Related links
Cross-Connection Backflow Compliance
Form CR-100 Certified Backflow Assembly Technician Registration Form Form 79-770 Backflow Prevention Assembly Test and Maintenance Record. Frequently
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