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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, as well as the make and model of the assembly. Ensure all fields are completed accurately.
  3. Proceed to Part B, where a NYS Certified Backflow Prevention Assembly Tester must document the test results. Include pressure readings and conditions of check valves. Describe any repairs made.
  4. For Initial Tests, complete Parts C and D by having a licensed professional engineer or registered architect certify the installation details. Ensure all required signatures and seals are included.
  5. Finally, review all entries for accuracy before submitting the form within 30 days to NYC-DEP-BWSO.

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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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