Get Backflow Prevention Assembly Test Report - Ci Bremerton Wa

Filling out the Backflow Prevention Assembly Test Report is a crucial step in ensuring the safety and compliance of plumbing systems. This guide will provide clear, step-by-step instructions on how to complete the form accurately and effectively online.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling out the 'Name of Premise' field with the appropriate details. Indicate whether the premise is commercial or residential by selecting the respective box.
3. Enter the service address, city, and ZIP code in their respective fields. Assign a contact person and provide their phone number and fax number.
4. Indicate the location of the assembly by selecting the appropriate option from the available types: DCVA, RPBA, PVBA, or other.
5. Describe whether the assembly is a new install, existing, or a replacement. If it is an existing assembly, provide the old serial number and confirm proper installation by selecting 'Yes' or 'No.'
6. Provide information about the make of the assembly, including model and serial numbers for the check valves, specifying sizes as necessary.
7. Conduct the initial test and record the responses regarding the check valves. Indicate whether they passed or failed, and whether they leaked or closed tightly.
8. If repairs or new parts are necessary, provide details for each component that was cleaned or replaced, alongside the results from subsequent tests.
9. Perform the air gap inspection, ensuring the required minimum air gap separation is provided, and record the detector meter reading.
10. Fill in the remarks section with additional relevant information and provide the line pressure.
11. The tester must sign the report, include their certification number, and print their name along with their contact information.
12. Lastly, ensure that any repairs made are noted, and indicate if service has been restored. Check that all fields are completed before saving changes, downloading, printing, or sharing the form.

Complete your BACKFLOW PREVENTION ASSEMBLY TEST REPORT online today for compliance and safety.