Get Annual Backflow Preventer Test Form - Gardner - Gardnerkansas

This guide provides a comprehensive overview of how to accurately complete the Annual Backflow Preventer Test Form for Gardner, Kansas. By following the steps outlined below, users can ensure that all necessary information is filled in correctly to meet compliance standards.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the Annual Backflow Preventer Test Form. The form will open in an online editor for you to begin filling out.
2. Begin with the 'Name of Premises' section, where you will type or print clearly the name of the owner or the company responsible for the premises.
3. Fill in the 'Service Address' fields, including the city, state, and zip code where the backflow preventer is located.
4. Complete the 'Location of Device' section by specifying where the device is situated on the premises.
5. Indicate the 'Date Installed,' 'Date Repaired,' and 'Date Replaced' fields with the respective dates to document the device's maintenance history.
6. Choose the appropriate 'Device Type' by marking the box that corresponds to the backflow prevention device in use. Specify the size of the device if applicable.
7. In the 'Model No., Manufacturer, and Serial No.' fields, provide the respective details for your device.
8. Identify what the device prevents backflow from by checking all applicable options such as lawn irrigation, fire protection, or domestic usage, and provide details under 'Comments' as necessary.
9. Under 'Testing,' fill in the PSI for the line pressure at the time of the test, and the PSID for both the relief valve and the apparent pressure drop across the first check valve.
10. Document the results of the initial test, including pressure loss and the function of each check valve. Note if the device leaked or closed tightly.
11. In the 'Repairs' section, detail any repairs made during the testing process.
12. Complete the final sections by providing the name of the person who performed the test, their contact information, company details, certification number, date of testing, expiration date, and their signature.
13. Once all information has been entered correctly, you can save your changes, download the completed form, print it, or share it as needed.

Complete your Annual Backflow Preventer Test Form online today to ensure compliance and facilitate easier document management.