Get Backflow Prevention Assembly Test Report - City Of Auburn - Auburnwa

This guide provides clear instructions on how to complete the Backflow Prevention Assembly Test Report for the City of Auburn online. Following these steps will ensure you fill out the document correctly and efficiently, helping to maintain compliance with local regulations.

Follow the steps to complete the Backflow Prevention Assembly Test Report online.

1. Press the ‘Get Form’ button to access the Backflow Prevention Assembly Test Report and open it for editing.
2. Begin by filling out the account number and permit number in the designated fields. Ensure that these numbers are accurate to avoid processing delays.
3. In the ‘name of premise’ section, write the name of the property or business where the backflow assembly is installed.
4. Complete the service address section, including the city and zip code, ensuring all information is accurate.
5. In the customer’s name field, enter the name of the individual or organization responsible for the account. Include a contact phone number.
6. Indicate the location of the assembly by checking the appropriate box for the type of assembly being tested (e.g., DCVA, RPBA, PVBA/SVBA).
7. Identify the type of hazard that is isolated by selecting from the options: new installation, existing, or replacement.
8. Record the line pressure measured in PSI.
9. Provide details about the assembly’s make, model, serial number, and size.
10. Answer the air gap inspection question by selecting ‘Yes’ or ‘No’ to indicate if the required minimum air gap separation is provided.
11. Verify the proper installation by selecting ‘Yes’ or ‘No’.
12. Document the results of the checks on the valves, including pressure measurements and whether they passed or failed.
13. In the ‘remarks’ section, write any additional observations relevant to the inspection.
14. Ensure the tester's signature is included along with their certification number and date of testing.
15. Complete the sections for the person who repaired the assembly, including their license number and date.
16. Finalize by completing the calibration date and gauge serial number, verifying if service has been restored.
17. Save your changes and download a copy of the completed report for your records. You may also share or print the document as needed.

Complete your Backflow Prevention Assembly Test Report online today.