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BACKFLOW PREVENTION ASSEMBLY TEST REPORT Please return report to: City of Conover P.O. Box 549 Conover N.C. 28613 Attn: Mr. Blake Residential Commercial NAME OF PREMISE : CITY: SERVICE ADDRESS: CONTACT.

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How to fill out the Conover N - Conovernc online

Filling out the Conover N - Conovernc form is essential for documenting backflow prevention assembly tests. This guide provides step-by-step instructions to assist users in completing the form accurately and efficiently, ensuring compliance with local regulations.

Follow the steps to complete the Conover N - Conovernc form online.

  1. Click the ‘Get Form’ button to obtain the form and access it in an online editor.
  2. Indicate whether the form is for a commercial or residential premise by selecting the appropriate checkbox.
  3. Fill in the 'Name of premise' and 'City' fields to specify the relevant location.
  4. Provide the 'Service address,' including ZIP code, to give the exact location of the backflow assembly.
  5. Enter the contact person's name and their phone and fax numbers for communication regarding the assembly.
  6. Specify the 'Location of assembly' to indicate where the backflow prevention device is situated.
  7. Select the 'Backflow prevention assembly type' by checking the appropriate options (DCVA, RPBA, PVBA, or other).
  8. Indicate whether this is a 'New installation' or 'Existing' assembly by checking the corresponding option.
  9. Fill in the results of the testing performed ('Passed' or 'Failed') and provide details for the corresponding check valves including whether they leaked or closed tight.
  10. Document any repairs or new parts required by checking the respective boxes.
  11. For check valve performance, record pressures using PSID where requested.
  12. Complete the air gap inspection data, confirming if the required minimum air gap separation was provided.
  13. Fill in 'Remarks' to document any additional notes concerning the test or assembly.
  14. Ensure to sign the form using the tester's name and certification number, and include the final test dates.
  15. After reviewing all fields for accuracy, save changes, download the completed form, print it, or share it as necessary.

Encourage your peers to also complete their documents online for seamless processing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232