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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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232