Get Test Report Form.pdf - Bedfordtx

This guide provides clear instructions on how to complete the Test Report Form for backflow prevention assembly testing in Bedford, Texas. By following these steps, users can ensure the form is filled out accurately and efficiently online.

Follow the steps to complete the Test Report Form.

1. Click the ‘Get Form’ button to obtain the Test Report Form and open it in your preferred editor.
2. Begin by filling out the 'Business Name' and 'Physical Address' fields. Ensure that the information provided is accurate and complete.
3. Record the 'Install Date' in the format MM/DD/YYYY, specifying when the assembly was installed.
4. Indicate who performed the installation by filling in the 'Installed by' section with the name of the technician or company.
5. Fill in the 'Test Date' using the same date format for consistency.
6. State whether the assembly is installed according to manufacturer recommendations and local codes by marking 'Yes' or 'No' in the corresponding field.
7. Select the 'Type of Assembly' by checking the appropriate box for Reduced Pressure Principle Assembly, Double Check Valve Assembly, or other types as indicated.
8. Complete the testing section for each check valve and relief valve, documenting results such as 'Pass' or 'Fail', along with any specific pressures recorded during testing.
9. Make sure to fill in any repairs made during the testing process and specify if parts were cleaned or replaced.
10. Finally, ensure the form is signed and dated by the certified tester, providing their Bedford registration number, firm details, and the test gauge information.

Complete and file your Test Report Form online today to ensure compliance and proper records.