ANNUAL BACKFLOW PREVENTER TEST REPORT 2026

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  1. Click ‘Get Form’ to open the ANNUAL BACKFLOW PREVENTER TEST REPORT in the editor.
  2. Begin by entering the Facility Name and Address at the top of the form. This information is crucial for identifying the location of the backflow preventer.
  3. Fill in the Assembly Location and Line Pressure fields. Ensure that you accurately record the pressure in psi.
  4. Select the appropriate test date and check off the type of assembly being tested (e.g., DCVA, RPDA). Specify its orientation as well.
  5. Complete details about the assembly type, including Serial No and Make. Indicate if it has been serviced or relocated.
  6. Document test results for each check valve, including pressure readings and whether they passed or failed. Be thorough in noting any repairs needed.
  7. Finally, fill in tester information, including name, certification number, and company details. Don’t forget to sign!

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If any of these checkpoints, valves, or gaskets fail, the entire system could fail, resulting in possible water contamination to potable water sources. Thats why an annual inspection of these devices is so important.
Average cost of testing: $150-250 Usually, testing out backflow preventers happen annually apart from when it is installed right then. It is also needed to be tested when a newly installed irrigation system in a commercial or residential space is being set up.
Customers are responsible for installing backflow prevention devices. They must have testable backflow devices tested every year.

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