Get Backflow Prevention Inspection And Test Record - The City Of Waco

Completing the Backflow Prevention Inspection And Test Record for The City Of Waco is essential for ensuring compliance with local water safety regulations. This guide will help you navigate the process of filling out the form online, so you can provide the necessary information accurately and efficiently.

Follow the steps to complete the form successfully.

1. Use the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Fill in the customer information section, including the business or service name, contact name, service address (including city, state, and ZIP code), and meter number.
3. In the backflow device information section, select the assembly type from the provided options, including reduced pressure principle, double check valve, or pressure vacuum breaker. Fill in the manufacturer, serial number, and model. Indicate the size and location of the device, and note if it is a new or existing device.
4. Answer the question regarding whether the assembly is installed in accordance with manufacturer recommendations and local codes.
5. Document the results of the initial test for the backflow prevention assembly. Record the readings for each component such as the relief valve, air inlet, and check valves, including whether they passed or failed.
6. If repairs are made, fill out the repairs and materials section followed by testing after repair results in a similar manner as the initial test.
7. Provide backflow inspector information, including the make and model of the test gauge used, its serial number, and the last calibrated date. Additionally, fill in the certified tester's name and certification number.
8. Ensure that the certified tester signs the document, certifying that the information provided is true.
9. Enter the date of the inspection and retention information, noting that test records must be kept for at least three years.
10. Save your changes, and select the option to download, print, or share the completed form as needed.

Take action today and complete your Backflow Prevention Inspection And Test Record online to ensure compliance and help protect the community.