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In addition the City of Kingston requires a BUILDING PERMIT to be obtained before any backflow prevention installation begins. FACILITY AND OWNER INFORMATION Occupant/Company Facility Address Telephone City Email Postal Code Owner Owner Address LOCATION DETAILS AND HAZARD LEVEL Is this BFP device for premises isolation YES NO Does the facility have a fire system YES Is there a branch connection hose connection or YES a split between the water met.

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How to fill out the Blank Backflow Test Forms online

Filling out the Blank Backflow Test Forms online is a crucial step in ensuring compliance with backflow prevention requirements. This guide provides clear instructions to help you through the process efficiently and accurately.

Follow the steps to complete your form effectively.

  1. Press the ‘Get Form’ button to access the Blank Backflow Test Forms. This will allow you to open the document in an online format for easier completion.
  2. Begin by filling in the facility and owner information. Ensure you include details such as the occupant or company name, facility address, telephone number, city, email, postal code, and the owner’s information.
  3. In the location details and hazard level section, answer questions regarding the backflow prevention device's premises isolation and whether the facility has a fire system or a bypass line. Provide the water meter number if applicable.
  4. Complete the backflow prevention device details by entering the serial number, manufacturer, pipe size, model, location of assembly, installation date, and if it is tagged with a UK tag.
  5. Fill out the general test information section, including the successful test date, type of test, tester name, certification number, company information, and test kit serial number.
  6. Proceed to test details, documenting the performance of the check valves and relief valve. Indicate any failures, opened or closed statuses, and pressure differentials.
  7. If any device failed the test, proceed with the repair details. Indicate the parts that were replaced and ensure to complete the retest section following the repairs.
  8. Finalize by certifying the test results. Both the certified tester and the owner or representative must sign and date the form to validate the information provided.
  9. After completing the form, you can save changes, download, print, or share the form as needed.

Complete your Blank Backflow Test Forms online today to ensure compliance and proper documentation.

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TESTABLE ASSEMBLIES: For the protection of your drinking water supply the backflow prevention assembly, as described on the reverse-side of this form, shall be tested at least annually pursuant to the requirements outlined in the California Code of Regulations, Title 17 § 7605, Los Angeles County Code, Title 11 § 11.38 ...

3:14 6:02 Testing Procedure for Double Check Valves | Backflow Prevention YouTube Start of suggested clip End of suggested clip If a reading below seven kPa is indicated the upstream non-return valve shall be deemed to be faultyMoreIf a reading below seven kPa is indicated the upstream non-return valve shall be deemed to be faulty. The valve shall be repaired or replaced.

All secondary sources of water, such as wells or plumbing systems that are exposed to potential contamination or poorer quality water, require a backflow prevention device.

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

Annual backflow test are $110.00 per device.

An air gap is the most effective type of backflow prevention. This method utilizes a physical air space between the potable and non-potable systems. The most common example of this would be a faucet and a sink. This may be a backflow prevention method used to fill a water supply tank.

Section 7605. (c) Backflow preventers shall be tested at least annually or more frequently if determined to be necessary by the health agency or water supplier.

The simplest way to provide backflow prevention is to provide an air gap. An air gap is simply an open vertical space between any device that connects to a plumbing system and any place where non-potable water can collect. A simple air gap has no moving parts, other than the flowing water.

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