Gen215b 2026

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4.9 out of 5

42 votes

The document is a form for reporting the test and maintenance of containment backflow prevention assemblies, required by NYC-DEP. It outlines the necessary information to be filled out for both initial and annual tests, including details about the assembly, testing procedures, certifications from certified testers, professional engineers or registered architects, and licensed master plumbers. The form must be completed accurately and submitted within 30 days of installation and testing.

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Click ‘Get Form’ to open gen215b in the editor.
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.
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.
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.
Finally, review all entries for accuracy before submitting the form within 30 days to NYC-DEP-BWSO.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (42 Votes)
2018	4.3 Satisfied (64 Votes)
2008	4.2 Satisfied (53 Votes)

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nyc dep cross connection requirements

Gen215b reviews Backflow test form online submission DOH-1013 New YORK STATE Backflow Test form Cross Connection Control Program Cross Connection Form Nyc Backflow test Form online submission DEP