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Orange County Utilities Water Division Backflow Preventer Field Test Report 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Customer Name and Service Address. Ensure all details are accurate for proper identification.
- Fill in the Account Number, Meter Number, and Reading as these are required fields for processing.
- Provide Company Name/Contractor information along with Mailing Address, Phone, Fax, and Email to ensure communication is seamless.
- Complete the Gauge Manufacturer, Serial Number, and Calibration Date fields to document equipment specifics.
- Indicate the type of assembly being tested (e.g., Reduced Pressure Device) and its status (Existing or New).
- In the Assembly Test section, check off each valve's performance during testing. Record any leaks or failures accurately.
- 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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Related links
Early field testing of sewers/utility tunnels is recommended for higher risk sites while conventional VI investigation (including indoor air testing) isRead more
Testing is to be performed by an Orange County Health Care Agency certified tester that is currently licensed to do business in the City of Fountain Valley.Read more
This notice is to advise you that the backflow prevention device(s) included in this mailing are due for annual testing. Per.Read more