Backflow Prevention Device Test Report - Gloucester County Virginia - gloucesterva 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Name of Premises' and 'Service Address' in the designated fields. This information is crucial for identifying the location of the backflow prevention device.
  3. Fill in the 'Use & Location of Device' section, specifying how and where the device is utilized.
  4. Complete the device details including 'Manufacturer', 'Model', and 'Serial No.' Ensure you indicate whether it is an Existing, Replacement, or New Device.
  5. Record the 'Line Pressure at Time of Test' and check off whether it's an Initial Test, Repairs, or Retest as applicable.
  6. For each check valve, answer whether they closed tight and record pressure readings as required. Pay attention to minimum pressure requirements indicated on the form.
  7. In the remarks section, provide any additional comments or observations regarding the test results.
  8. Finally, ensure that all tester information is filled out accurately including name, signature, license number, and company details before submitting your report.

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Customers are responsible for installing backflow prevention devices. They must have testable backflow devices tested every year.
Backflow testing is a process that is used to test your plumbing system to make sure that drinking water is not being contaminated by dirty water or chemicals infiltrating the water supply.
The Virginia Construction Code requires backflow prevention assemblies to be tested by a certified tester.
Average cost of backflow testing Backflow testing costs $30 to $300 per device, depending on the location and whether the test finds any issues. Backflow preventers require testing annually to make sure theyre working properly and your water isnt contaminated.
$30 to $300 Many cities mandate the installation and annual testing of these devices for homes with an irrigation system, septic system, or inground pool. Annual backflow testing verifies the proper functioning of these valves, ensuring ongoing water safety.
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