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COUNTY OF DUPLIN BUILDING INSPECTIONS DEPARTMENT PO BOX 950 KENANSVILLE, NC 28349 PHONE: (910) 2962124 FAX: (910) 2962166 Backflow Prevention Test Report Customer Name: Street Address: Location of.

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How to fill out the Backflow Prevention Test Report 2 .doc online

This guide provides clear instructions for completing the Backflow Prevention Test Report 2 online. By following the steps outlined below, you will ensure accurate and compliant documentation of backflow prevention testing.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Fill in the 'Customer Name' field with the name of the individual or organization requesting the test. Ensure accuracy for proper record-keeping.
  3. Enter the 'Street Address' where the backflow assembly is located. This information helps in identifying the service location.
  4. Provide the 'Location of Assembly' to specify where the backflow prevention device is installed. This section is critical for maintenance records.
  5. Select the 'Type of Assembly' from the options provided: RP, RPDA, DCVA, DCDA, or PVB, and specify the 'Size'. This identification is necessary for compliance purposes.
  6. Record the 'Manufacturer', 'Model', and 'Serial #' of the assembly. This data helps in inventory and service history tracking.
  7. Indicate the 'Type of Service' by circling the relevant option: Domestic, Lawn Irrigation, Relief Valve, or Fire Line. Also, specify if it is a New Test or Recertification Test.
  8. Fill out the pressure readings for 'Line Pressure (Testcock # 1)', and complete the checks for 'Check Valve #1' and 'Check Valve #2' both before and after repairs. Keep track of any leaks or tight closures.
  9. Complete the sections regarding the 'Shut Off Valve' and 'Pressure Vacuum Breaker', ensuring to note any leaks and pressures.
  10. Mark whether the test result is a 'Pass' or 'Fail'. This conclusion determines the next steps for compliance.
  11. Certify the data accuracy by filling in the names and certification numbers of the testers for the initial, repaired, and final tests, along with the respective dates.
  12. Document the 'Test Equipment Information' used during the testing process, including make, model, and serial number.
  13. Enter the time of day the test was conducted and ensure the 'Signature of Tester' is completed for validation.
  14. Once all fields are accurately filled, review the document for completeness, save the changes, and download, print, or share the form as necessary.

Complete your Backflow Prevention Test Report 2 online to ensure efficient and compliant documentation.

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During backflow testing, a certified plumber will open and close the valves of the backflow prevention device or assembly to make sure it is functioning as it should. The plumber will assess the valves for leakage, gauge movement and other telltale indicators of a malfunction.

An air gap is the only completely reliable method for preventing backflow. Unwanted reverse flow of contaminants through a cross-connection into a drinkable water system. It occurs when the pressure in the drinkable water supply drops below the pressure of the contaminated supply.

A backflow prevention assembly is an approved, testable assembly, which uses valves to prevent potential contaminants from flowing into the drinking water system. Two commonly required devices are the Double Check Valve Assembly (DCV) and the Reduced Pressure Zone Assembly (RPZ).

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