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Gen215b 2026

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  1. Click ‘Get Form’ to open gen215b in the editor.
  2. Begin with Part A, filling in the facility's name and address, block and lot numbers, and details of the backflow prevention assembly including make, model, size, and serial number.
  3. In Part B, ensure a NYS Certified Backflow Prevention Assembly Tester completes this section. They should document the pressure readings and conditions of check valves, along with any repairs made.
  4. For Initial Tests, complete Parts C and D by having a licensed Professional Engineer or Registered Architect certify the installation. Include necessary approvals and any minor changes.
  5. Finally, ensure all signatures are in original ink along with required seals before submitting the completed form to NYC DEP.

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NEW YORK STATE DEPARTMENT OF HEALTH

INSTRUCTION FOR COMPLETION OF. Report on Test and Maintenance of Containment Backflow Prevention Assembly. (FORM GEN215B). Use a separate form for eachRead more

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