Get Backflow Assembly Test Form - City Of Arlington

Filling out the Backflow Assembly Test Form is essential for maintaining water quality and compliance with local regulations. This guide will help you navigate the process of completing this form online with ease and confidence.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to access the Backflow Assembly Test Form and open it in your editing tool.
2. Indicate whether the assembly is new, existing, or under repair by checking the appropriate boxes provided on the form.
3. Select the type of usage for the assembly (e.g., commercial, residential, irrigation, fireline) by checking all applicable options.
4. Enter the property or business name in the designated field.
5. Provide the business street address along with the meter number, zip code, phone number, and email address in the respective fields.
6. Fill in the assembly location, manufacturer and model, serial number, and size in the appropriate sections.
7. Document the final test details, including results for check valves and relief valves, using the provided options to describe any issues or repairs made.
8. Complete the section for the test gauge make and model, along with the serial number and calibration due date.
9. Sign and date the form to confirm that the device has been tested in compliance with the Texas Commission on Environmental Quality and City of Arlington regulations.
10. Provide the tester’s name, TCEQ BPAT license number, company name, and company address in the designated sections.
11. Gather the signatures required from both the tester and the property owner representative, including their respective dates.
12. Once you have completed all necessary sections, ensure to save your changes, and then download or print the form for submission.

Complete your Backflow Assembly Test Form online today to ensure compliance and safeguard water quality.