Get Charmeck Water

This guide provides detailed instructions for completing the Charmeck Water backflow preventer test and maintenance report online. Follow these steps to ensure accurate and complete submission of your form.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin by filling out the 'Customer' section with your name, followed by the 'Address of Property' where the service is provided. Complete the 'Mailing Address' if it differs from the property address.
3. Enter your 'Meter Number or ERT#' along with the 'Service Number.' This information can typically be found on your water bill or account statements.
4. Select the type of service provided by marking the appropriate checkbox: 'Domestic', 'Irrigation', 'Fire Line', or 'Combination (Domestic & Fire Line)'.
5. Indicate the type of assembly used, choosing from the designated checkboxes: 'RP', 'DC', or 'PVB'.
6. Specify whether the test configuration is 'Containment (at meter)' or 'Isolation (at branch)'.
7. Fill in the 'Assembly Information' section, including details such as size, manufacturer, model, and serial number of the assembly.
8. Record the location of the assembly and its pressure readings in the provided fields.
9. Complete the testing results for check valves, relief valves, and pressure vacuum breaker, ensuring to indicate whether they leaked or held tight.
10. If repairs were conducted, indicate which components were cleaned or replaced and provide specific details in the accompanying fields.
11. Check the box indicating whether the assembly passed or failed the tests, providing additional remarks as needed.
12. Fill in the tester's signature, certification number, printed name, phone number, date, and time of the test.
13. After completing the form, save your changes, then download, print, or share the document as needed.

Complete your documents online for a smoother submission process.