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CITY OF FAIRBORN WATER DEPARTMENT BACKFLOW PREVENTER PERMIT 44 W. Hebble Avenue, Fairborn, Ohio 45324 9377543097 fax: 9378791308 This document must be completed and returned by a certified tester.

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How to fill out the Fairborn Water online

Filling out the Fairborn Water backflow preventer permit form is essential for maintaining safe water standards. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.

Follow the steps to complete the Fairborn Water backflow preventer permit form online.

  1. Press the ‘Get Form’ button to access the Fairborn Water backflow preventer permit form and open it in the designated editing tool.
  2. Begin by entering the facility name in the designated field. Ensure that the name is accurate and matches the official documents of your establishment.
  3. Fill out the contact person details, including their name, address, and phone number, to ensure the department can reach you if necessary.
  4. In the assembly information section, indicate the make and model of the backflow device. Choose the appropriate options for types of installation, such as containment or isolation.
  5. Provide the serial number of the backflow preventer, along with additional installation details, such as location (meter pit, basement, etc.) and floor number if applicable.
  6. Complete the protection provided section by selecting the appropriate testing methods used, such as double check assembly, reduced pressure assembly, or pressure vacuum breaker.
  7. Document the results of the initial tests by filling in the corresponding pressure readings and indicating whether each component passed or failed.
  8. If repairs were necessary, detail the materials used and re-test results. Make sure to record whether repairs passed or failed and include the respective pressure readings.
  9. Finalize the form by providing the tester certification information, including the printed name, company name, phone number, certification numbers, and signature.
  10. Ensure that the facility certification section is completed with the printed name of the owner or officer, their title, phone number, and signature along with the date.
  11. Once all fields are completed, you can save the changes, download, print, or share the form as required for submission.

Complete your Fairborn Water permit form online today to ensure compliance and safety in water management.

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