Annual Backflow Preventer Test Report - City of Chilliwack 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 Test Date. Ensure that these details are accurate as they are essential for record-keeping.
  4. Indicate the Line Pressure and select the appropriate assembly type from options like DCVA, PVBA, RPDA, or DCDA. Specify if it’s for Sprinkler, Boiler, Irrigation, or Domestic use.
  5. Complete sections regarding Serial No., Type of Test, Make, and Test Equipment used. This information helps in tracking and verifying testing equipment.
  6. Document results for each check valve under Fixture Isolation and Premise Isolation sections. Record pressures and whether valves passed or failed tests.
  7. Finally, ensure both Tester Name and Owner's Signature fields are filled out before submitting your report to certify compliance with regulations.

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Backflow preventers are required by law in many states and must be tested annually to ensure they are working correctly. Understanding backflow preventers and annual testing requirements will help you prevent avoidable accidents and meet code requirements in your area.
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.

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