Orange County Utilities Water Division Backflow Preventer Field Test Report 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Customer Name and Service Address. Ensure all details are accurate for proper identification.
3. Fill in the Account Number, Meter Number, and Reading as these are required fields for processing.
4. Provide Company Name/Contractor information along with Mailing Address, Phone, Fax, and Email to ensure communication is seamless.
5. Complete the Gauge Manufacturer, Serial Number, and Calibration Date fields to document equipment specifics.
6. Indicate the type of assembly being tested (e.g., Reduced Pressure Device) and its status (Existing or New).
7. In the Assembly Test section, check off each valve's performance during testing. Record any leaks or failures accurately.
8. Certify the test results by filling in your name, signature, certification number, and issue date at the bottom of the form.

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