Get Backflow Device Test Report Form - Goddardksgov

Filling out the Backflow Device Test Report Form is essential for documenting backflow prevention device testing. This guide will provide you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Backflow Device Test Report Form and open it in the editor.
2. Start by entering the property information. Fill in the owner’s name and phone number, followed by the property address. Indicate whether this is a new installation, a re-test, related to a fire system, or contains a containment backflow device.
3. Next, provide the company information. Enter the company or tester's name, phone number, and address. Include the certified tester number as well.
4. Fill out the service information, indicating the date of the test and classifying the property as residential or commercial/industrial.
5. Specify the backflow device size, manufacturer, and serial number. Document the location(s) of the backflow device and the supply line pressure in PSI.
6. For the Reduced Pressure Principle Assembly section, complete the required fields such as rebuild date. Follow the prompts for both the initial test and final test results.
7. Complete the repairs section for each check valve and vacuum breaker, noting any leaks or repairs performed during the testing.
8. In the comments section, provide any additional notes or observations that may be relevant to the test or repairs.
9. Once all sections are completed, review your entries for accuracy. After ensuring all information is correct, save your changes, and utilize any available options to download, print, or share the form.

Complete your Backflow Device Test Report Form online now to ensure compliance and proper documentation.