Get Backflow Test And Maintenance Form - City Of Bastrop - Cityofbastrop
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How to fill out the Backflow Test And Maintenance Form - City Of Bastrop - Cityofbastrop online
Completing the Backflow Test And Maintenance Form is an essential step in ensuring the proper maintenance of your backflow prevention assembly. This guide will provide you with clear guidance on how to fill out the form accurately and efficiently online.
Follow the steps to complete the form correctly.
- Use the ‘Get Form’ button to obtain the Backflow Test And Maintenance Form. This will open the form where you can begin entering your details.
- Fill in the 'Name of Water Customer' field with the appropriate person's name. Ensure you provide the full name to avoid any processing delays.
- Enter the 'Address' of the water customer in the designated field. This should include the street address, city, state, and zip code.
- Provide the 'Telephone' number of the water customer for contact purposes. Include area codes where applicable.
- Input the 'Meter #' and 'Account*' details as requested. This information should match the utility account to streamline processing.
- Select the 'Type of Assembly' being tested by checking the applicable box next to the description.
- Fill in the 'Manufacturer', 'Size', 'Location', 'Model#', and 'Serial#' of the backflow prevention assembly. Accurate details are crucial for certification.
- Indicate whether the assembly is installed according to manufacturer recommendations or local codes.
- Complete the testing details by filling in data regarding the checks performed (1st Check, 2nd Check) including 'Held at', 'Opened at', and pass/fail status.
- Document any repairs made, materials used, and the calibration of the test gauge. This should include make and model of the test gauge.
- Certify the report by entering the license tester's name, signature, and company details at the end of the form.
- Once all fields are filled, save your changes. You may also download, print, or share the form as needed.
Complete your Backflow Test And Maintenance Form online today to ensure compliance and proper maintenance.
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Fill Backflow Test And Maintenance Form - City Of Bastrop - Cityofbastrop
The following form must be completed for each assembly tested. The backflow prevention assembly detailed below has been tested and maintained as required by. The original calibration form must be submitted to the city within five (5) working days after calibration. (6).
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