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1 Backflow Preventer Inspection and Field Test Report 2025

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The document is a Backflow Test Sheet that outlines the procedure for property owners to report backflow prevention device testing. It includes sections for property owner information, device details, test results, and payment instructions. The form requires signatures from both the tester and the property owner, along with a payment of $25 per device to be sent to Hamilton County Public Health.

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Click ‘Get Form’ to open the Backflow Preventer Inspection and Field Test Report in our editor.
Begin by entering the property owner's information, including their name, email address, and physical address. Ensure all details are printed clearly.
Next, provide the device's street address and zip code, along with a description of its location and serial number.
Indicate the manufacturer and water line size. Answer whether the device is part of an irrigation system and specify its type (Isolation or Containment).
Fill in the test date and select the device type from the options provided. Complete the test information for each valve as required.
Document any repairs made and include tester details such as name, certification number, company, and contact information.
Select your payment type, fill in credit card details if applicable, and ensure to sign the form before submission.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (180 Votes)
2011	4.7 Satisfied (27 Votes)

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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?

Mechanical backflow prevention devices protect municipal water systems from potential contamination. However, wear and debris can limit a devices effectiveness. Backflow testing ensures the devices can keep contaminated liquids from flowing back into local clean water systems.

What is the purpose of a backflow?

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.

What is a backflow preventer inspection?

Backflow testing costs $30 to $300 per device, depending on the location and whether the test finds any 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.

1 Backflow Preventer Inspection and Field Test Report 2025

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How to use or fill out 1 Backflow Preventer Inspection and Field Test Report

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Got questions?

What do they do during a backflow test?

How do I know if I need backflow testing?

What is a backflow test report?

What is the purpose of a backflow?

What is a backflow preventer inspection?

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What happens if you dont get your backflow tested?

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1 Backflow Preventer Inspection and Field Test Report 2025

Here's how it works

How to use or fill out 1 Backflow Preventer Inspection and Field Test Report

See more 1 Backflow Preventer Inspection and Field Test Report versions

Complete this form in 5 minutes or less

Got questions?

What do they do during a backflow test?

How do I know if I need backflow testing?

What is a backflow test report?

What is the purpose of a backflow?

What is a backflow preventer inspection?

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People also ask

What happens if you dont get your backflow tested?

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