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OP129: Report on Testing of Internal (Secondary) Backflow Prevention Device Application must be typewritten. 1 Test Report Information Part 1 To be completed in full Public Water Supply County Block.

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How to fill out the Op129 online

This guide provides clear and detailed instructions for completing the Op129 form, which reports on the testing of internal backflow prevention devices. Designed for users with varying levels of experience, this guide aims to simplify the process of filling out the form online.

Follow the steps to complete the Op129 form effectively.

  1. Click ‘Get Form’ button to obtain the Op129 form and open it in your editor.
  2. Begin with Test Report Information Part 1. This section must be filled out completely. Provide details about the public water supply, including the county, block, state, zip, lot, permit number or LAA number, facility name, facility address, city, device manufacturer, device model, size of device, month of report, serial number of the device, specific location of the device, and the end use of the device.
  3. Proceed to Test Report Information Part 2. This section is to be completed by a certified backflow prevention device tester. Input the check valve numbers and their conditions—whether they leaked or closed tightly. Document the pressure drop across the first check valve in psi, the line pressure, and the opening pressures for any differential pressure relief valves. Include the date and describe any repairs made, along with the name, license number, and seal of the master plumber, along with the date of repair.
  4. Complete the final test results, documenting the pressure drop across each check valve again, their states of being closed tight or opened, and noted whether the device is new or a replacement. Provide the time of the test completion, the type of service, and the final test date.
  5. Include the certification section, indicating whether the device meets the required standards. Sign and date the form, including your printed name, telephone number, certified test number, and expiration date.
  6. Finally, the Statements and Signature section must be filled out by the licensed master plumber of record. Indicate if you are the licensed plumber and provide all necessary details, including name, seal, license number, telephone number, signature, and the date.
  7. Once all sections are accurately completed, save your changes. You may then download, print, or share the form as needed.

Complete the Op129 form online today for efficient processing of your backflow prevention device report.

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