
Lete entire form Part A- TO BE COMPLETED IN ALL CASES Annual Test For the Year . Complete Parts A & B Only Public Water Supply: NYC-DEP County: Name & Address of Facility: Block: Lot: Department Use Only Make & Model # of Assembly Size & Serial # of Assembly Location (Floor) of Assembly: Part B- TO BE COMPLETED BY NYS CERTIFIED BACKFLOW PREVENTION.
Loading
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the NYC GEN215B online
This guide provides step-by-step instructions for completing the NYC GEN215B form online. Whether you are new to this process or have some experience, this information is designed to help you accurately fill out the form with confidence.
Follow the steps to complete the NYC GEN215B form effectively.
- Click the ‘Get Form’ button to access the NYC GEN215B online form and open it for entry.
- In Part A, complete all fields with the current address, block and lot numbers, the make and model of the backflow prevention assembly, its size and serial number, and the specific location of the assembly.
- In Part B, the New York State Certified Backflow Prevention Assembly Tester must fill in their information, indicating the line pressure and the pressure drop across the first check valve. They should also assess the conditions of both check valves and record any repairs or materials used.
- Ensure that the type of water service/system is checked (domestic, fire, combined, or internal water main) and include the completion time of the test, followed by a response to Question 1 regarding connections.
- For Initial Tests, completion of Parts C and D is required. Part C must be filled by a New York State Licensed Professional Engineer or Registered Architect, including relevant certifications and details about the installation.
- Part D must be completed by a New York City Licensed Master Plumber who will indicate their credentials and provide a signature, seal, and date.
- Review all filled information for accuracy. Once completed, you can save changes, download, print, or share the form as needed.
Complete your NYC GEN215B form online today to ensure compliance with local regulations.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
INSTRUCTION FOR COMPLETION OF. “Report on Test and Maintenance of Containment Backflow...
Mar 12, 2012 — permission to travel to Washington , D.C.; New York City, New York;...
INSTRUCTION FOR COMPLETION OF. “Report on Test and Maintenance of Containment Backflow...
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.