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TEST AND MAINTENANCE REPORT FORM RPZ Reduced Pressure Zone Assembly RPZ Company Name: Service Address: Contact Person: Manufacturer: Size: Model: Degree of Hazard: Location : Account No

TEST AND MAINTENANCE REPORT FORM RPZ Reduced Pressure Zone Assembly RPZ Company Name: Service Address: Contact Person: Manufacturer: Size: Model: Degree of Hazard: Location : Account No 2025

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The document is a Test and Maintenance Report Form for Reduced Pressure Zone (RPZ) Assemblies, used to record the testing and maintenance of RPZ devices. It includes sections for initial testing, maintenance actions, installation of new devices, final testing results, and certification by approved testers. The form requires detailed information about the device, including manufacturer, model, size, and test results, and must be returned to Cranberry Township Public Works.

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Click ‘Get Form’ to open the TEST AND MAINTENANCE REPORT FORM in the editor.
Begin by entering the Company Name and Service Address in the designated fields. This information is crucial for identifying the service location.
Fill in the Contact Person's name, Manufacturer, Size, Model, Degree of Hazard, and Location. Ensure accuracy as this data is essential for compliance.
Input the Account No., Phone No., Device Type, Serial No., and Meter No. These details help track the device's history and maintenance.
For the INITIAL TEST OF DEVICE section, record results for Check Valve #1 and #2 along with Differential PRV. Use 'Y' or 'N' for YES or NO questions as instructed.
Complete the MAINTENANCE OF DEVICE section by noting if each valve was cleaned or repaired. This ensures proper documentation of maintenance activities.
If a new device was installed, fill out that section with relevant details including Date, Device Type, Manufacturer, Size, Model, and Serial No.
Finally, complete the FINAL TEST OF DEVICE section to confirm whether it passed or failed testing. Include any additional comments as necessary.

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Versions	Form popularity	Fillable & printable
2009	4 Satisfied (27 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where is an RPZ required?

You need an RPZ device if you have any of the following in your home: A large boiler (more than 200,000 BTUh). Large boilers can present a hazard when the pressure inside gets too high and pushes dirty water inside back up into the clear water system. An irrigation system, including a lawn sprinkler system.

What is the purpose of the RPZ system?

Reduced pressure zone assemblies, also known as RPZ valves, are extremely important. Theyre used to keep contamination or pollution out of your water. Specifically, these devices are installed onto your plumbing system to help protect both drinking water and the city water supply.

What are the parameters of the RPZ test?

The RPZ testing parameters (t5TT21) are: t5 first check valve holds tight when no RPZ relief valve port discharge at minimum differential pressure of 5 PSID T second check valve holds Tight when no RPZ relief valve port discharge and differential pressure gauge steady against backpressure T downstream shut-off

What is the difference between a backflow preventer and a RPZ?

A Reduced Pressure Zone (RPZ) lets you know that the valve is working properly. RPZ backflow preventers consist of two independent check valves. They work like a double-check backflow preventer, but they also have an intermediate relief valve that opens to atmosphere if both check valves should fail.

What does a reduced pressure zone assembly do?

Reduced pressure zone (RPZ) backflow assemblies are extremely important. Theyre used to keep contaminated water out of the public supply and provide the highest level of protection.