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Click ‘Get Form’ to open the New Jersey Backflow Test Form in the editor.
Begin by entering the date of the test in the designated field. Ensure accuracy as this is crucial for compliance.
Fill in the 'From' section with the name of the permit holder, ensuring it matches official records.
In the 'Description of Valve' section, specify details such as manufacturer, model number, size, and serial number of the backflow prevention device.
Indicate whether the initial test passed or failed. If repairs were made, document them in the 'Repairs & Materials Used' section.
Complete all pressure test results and internal inspection findings accurately. This includes recording pressures and any leaks observed during testing.
Finally, ensure that all signatures are collected from certified testers and witnesses before submitting your form to local authorities.
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