Get Regional Backflow Assembly Test Form - City Of Post Falls - Postfallsidaho

Filling out the Regional Backflow Assembly Test Form is essential for ensuring compliance with water safety regulations. This guide provides you with clear, step-by-step instructions to successfully complete the form online, ensuring that all necessary information is accurately provided.

Follow the steps to fill out the form correctly and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the customer or business name in the designated field.
3. Fill in the date of the test, ensuring it reflects the actual testing date.
4. Provide the assembly service address, which is where the backflow assembly is located.
5. Specify the type of hazard controlled using the available options. Select one of the assembly types: RPDA, DCVA, RPBA, DCDA, or PVB.
6. Indicate whether the installation is horizontal or vertical by circling 'Y' for yes or 'N' for no.
7. Complete the assembly information which includes details like serial number, size in inches, and line pressure in PSI.
8. Document any replacements by entering the serial numbers of the components that were replaced during the test.
9. Record the results of the initial test for check valves, relief valves, and shut-off valves, indicating whether they leaked or closed tightly.
10. Detail the cleaning or replacement of components as necessary, including discs, springs, guides, and O-rings.
11. Fill in the test results, indicating whether the assembly passed or failed the test.
12. Provide your name, ID BAT license number, and company information to certify the test was conducted according to protocol.
13. Sign the form to confirm the information is accurate and represent that the service has been restored.
14. At the final step, save your changes, download a copy, print the form, or share it as required.

Complete your Regional Backflow Assembly Test Form online now for efficient processing.