Get Backflow Test Report - Ashtabula County Oh

Filling out the Backflow Test Report is an essential step for ensuring the safety and compliance of water systems. This guide will provide you with a detailed, step-by-step approach to completing the report online, making the process easier for you.

Follow the steps to fill out the Backflow Test Report online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the water account number at the top of the form. This helps identify the specific water account associated with the backflow prevention assembly.
3. Next, fill out the facility name, date, and contact information, including the phone number. This provides necessary details about the location of the backflow assembly.
4. Specify whether the assembly is for containment or isolation by selecting the appropriate option. This indicates the function of the backflow prevention assembly.
5. In the backflow information section, enter details about the manufacturer, model, serial number, and size of the backflow prevention assembly. This information is crucial for record-keeping and compliance.
6. Indicate the physical location of the assembly (e.g., at meter, meter pit, mechanical room). This aids in future inspections.
7. Fill out the supply pressure and initial test results for each check valve and outlet valve. Include whether each part has passed or failed the test.
8. Document any repairs, replacements, or remarks as necessary. This provides a comprehensive history of the assembly's condition and any corrective actions taken.
9. If applicable, conduct a re-test after any repairs and fill out the new test results, again noting pass or fail for each component.
10. Complete the certification section by entering the tester's information, including name, signature, and certification number. This validates the accuracy and reliability of the test.
11. Finally, enter the test equipment details, including the test kit number and calibration date before submitting the form.
12. Once all sections are completed, save your changes, download, print, or share the form as required.

Complete your Backflow Test Report online today to ensure compliance and safety.