Texas Commission on Environmental Quality BACKFLOW PREVENTION ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'NAME OF PWS' and 'PWS ID#' in the designated fields. Ensure accuracy as this information is crucial for recordkeeping.
3. Fill in the 'MAILING ADDRESS' and 'CONTACT PERSON' sections to provide clear communication channels.
4. Specify the 'LOCATION OF SERVICE' where the backflow prevention assembly is installed.
5. Select the appropriate 'TYPE OF ASSEMBLY' by checking one of the options provided, such as Reduced Pressure Principle or Double Check Valve.
6. Complete details about the assembly including Manufacturer, Size, Model Number, and Serial Number.
7. Indicate whether the assembly is installed according to manufacturer recommendations and local codes by selecting Yes or No.
8. Document test results for each component of the assembly, ensuring all fields are filled accurately regarding pressure readings and conditions.
9. Finally, have the Certified Tester complete their information and sign where indicated to certify that all details are true at the time of testing.

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