Get Blank Backflow Report Form - City Of Defiance

Filling out the Blank Backflow Report Form is an essential task for maintaining water safety in the City of Defiance. This guide will provide you with clear, step-by-step instructions to help you complete the form online with ease.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to retrieve the form and open it in the designated editor.
2. Begin by entering the test due date, site ID, and service address information in the appropriate fields. Ensure accuracy to avoid processing delays.
3. Fill out the backflow prevention assembly details, including the serial number, manufacturer, model, type, size, and hazard level. Choose the correct assembly type from the provided options.
4. Document the initial test results for each check valve and relief valve, indicating if they leaked or closed tight. Record the pressure readings at which valves opened or held.
5. In the repairs section, note any actions taken for cleaning or replacing parts related to the backflow prevention assembly.
6. Complete the final test results similar to the initial test, ensuring all readings and status of valves are accurately captured.
7. Provide any additional comments regarding the testing process in the comments section to give further context to the report.
8. Conclude by entering the date and time, tester's name, signature, and tester number. Make sure all sections are appropriately filled.
9. Finally, save your changes and choose to download, print, or share the report as necessary.

Complete your documents online with confidence—start filling the Blank Backflow Report Form today!