Get Approved Backflow Prevention Tester Criteria - Alameda County ... - Acwd

Filling out the Approved Backflow Prevention Tester Criteria form is an essential step for those seeking certification in backflow prevention testing in Alameda County. This guide will provide clear instructions to ensure you successfully complete the application process online.

Follow the steps to effectively fill out the form.

1. Press the ‘Get Form’ button to access the application. This will allow you to open the form in your preferred editing program.
2. Begin by entering the name of the applicant or business in the designated field on the form.
3. Provide the complete address of the applicant or business, ensuring accuracy to avoid any processing delays.
4. Enter the contact phone number for the applicant or business. Verify that the number is correct and will be reachable.
5. Fill in the email address. This should be an active email, as it may be used for communication regarding your application.
6. List the names and pertinent details of individuals who will perform the tests and/or repairs. Ensure to attach additional sheets if necessary.
7. Provide details regarding the number of backflow prevention assemblies tested in the last two years, as well as the status of employment for each tester.
8. Attach copies of the AWWA general tester certificates and wallet cards for all individuals listed.
9. Document customer references by listing five customers for whom the applicant provided testing services during the last year, including their contact details.
10. Indicate whether the applicant or associated personnel have faced any disciplinary actions or investigations related to backflow prevention assembly testing. Provide details if applicable.
11. For businesses, confirm if they are in good standing and authorized to operate in California. Additional information regarding ownership may be required.
12. Complete the fee schedule section by marking the relevant option for the application type and including the appropriate fees.
13. Review the compliance statement carefully and provide the signature of the authorized representative of the applicant, along with their printed name, position, and date signed.
14. Once all the fields are completed, save your changes, and proceed to download or print the form if necessary.
15. Submit the application and fees to the Alameda County Water District Backflow Department using the provided address.

Complete your application online today to ensure your inclusion on the approved testers list.