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BACKFLOW PREVENTER TEST REPORT Cross Connection Control - 4693 Rochester Rd Troy MI 48085-4928 248-524-3398 Desk 248-524-1541 Fax 248-524-3370 Ofc Property Occupant Service Address Office Phone No. Contact Suite City Zip Fax TROY State MI Name Mailing Address Ext. St / Zip Assembly Manufacturer Model Serial Number Application Other I. D. No. Size of Assembly Type of Assembly Location Fire System Downstream Static Riser Pressure Before Testing - First Test Date Pass Test Gauge Make 1 Shutoff C L N/A 1 Check C 3-Hose BP PSID Check Valve Direction of Flow DOF Test DOF PSID Notes PM Supply Line Static Pressure Last Annual Certification Vacuum Breaker pvb or svb Double Check or Reduced Pressure Assembly DOF ASSE 1047-48 Bypass Single Check DOF psid Check Valve Backpressure BP Test Per ASSE 5000 testing standards Verify Proper Installation - Pass AM Serial Time of Test Fail Relief O M Air Inlet O Drip Test Only psid Relief Valve Flushed PSID BackPressure Test - Pass Returned to service - Val....

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The purpose of this test is to ensure that water can flow freely from the public water supply through the backflow preventer to the fire protection system. When a standard check valve was used to prevent backflow, the inspection and maintenance requirements in NFPA 25 were virtually the same as they are today.

There are two types of backflow: back-pressure and back-siphonage.

4:44 6:02 Testing Procedure for Double Check Valves | Backflow Prevention YouTube Start of suggested clip End of suggested clip And record the reading on the differential pressure gauge. If a reading below seven kPa is indicatedMoreAnd record the reading on the differential pressure gauge. If a reading below seven kPa is indicated. The downstream non-return valve shall be deemed to be faulty.

of the Backflow Tester Certification Competency Exam is $215.00. The annual renewal fee is $135.00.

Backflow preventers provide a critical interface between a building's fire protection system and the water supply that feeds it. A backflow preventer is a device designed to ensure that water inside a building's fire sprinkler system flows in one direction only -- from the water main to the system's pipes.

If your backflow preventer fails the test, it needs to be cleaned or repaired and in some cases it may need to be completely replaced and a successful re-test performed. These backflow devices fail at a rate of 10-15% after one year.

WHAT CAUSES BACKFLOW? Backflow is caused by cross-connections that have the potential of allowing contaminants into the drinking water system. Back siphonage can occur when the pressure in a tank or water trough is lower than the water system's pressure.

1:29 4:41 Backflow Devices - YouTube YouTube Start of suggested clip End of suggested clip They're. Very common on the main line to the home from the meter. This is also very very common. TheMoreThey're. Very common on the main line to the home from the meter. This is also very very common. The underground irrigation. Systems. So if your backflow assembly is not located on this mainline.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232