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ANNUAL BACKFLOW PREVENTER TEST REPORT 2026
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- Click ‘Get Form’ to open the ANNUAL BACKFLOW PREVENTER TEST REPORT in the editor.
- 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.
- Fill in the Assembly Location and Line Pressure fields. Ensure that you accurately record the pressure in psi.
- Select the appropriate test date and check off the type of assembly being tested (e.g., DCVA, RPDA). Specify its orientation as well.
- Complete details about the assembly type, including Serial No and Make. Indicate if it has been serviced or relocated.
- Document test results for each check valve, including pressure readings and whether they passed or failed. Be thorough in noting any repairs needed.
- Finally, fill in tester information, including name, certification number, and company details. Don’t forget to sign!
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