Get Backflow Prevention Assembly Test Report - Co Fairfield Oh

This guide provides step-by-step instructions for filling out the Backflow Prevention Assembly Test Report for the City of Fairfield, Ohio. Completing this form accurately is essential to ensure compliance and to avoid delays in processing.

Follow the steps to complete the report effectively.

1. Click ‘Get Form’ button to access the Backflow Prevention Assembly Test Report and open it for editing.
2. Begin by filling out the Customer and Property Information section. Provide the property address, business name, contact person's name, and their phone and fax numbers. Ensure all details are legible and complete.
3. Move to the Device Information section. Indicate whether it is a new installation, existing, or a replacement by selecting the appropriate option. fill in the old assembly serial number if applicable and specify the type of assembly used by circling one of the options provided.
4. Record the make, model, size, and serial number of the assembly. Describe the hazard being isolated and the location of the assembly in detail to give helpful context.
5. Proceed to the Initial Test section, where you will input test results for various check valves and the relief valve. Record whether each passed or failed the tests and their respective pressure measurements.
6. If repairs are needed, fill out the Repairs & Materials Used section and document the results after re-testing the valves, just as done in the first test.
7. In the Air Gap Inspection, indicate whether the required air gap separation was provided. Confirm if the assembly passed or failed, and include any comments or notes if necessary.
8. Finally, complete the Certified Tester Information section by filling in your printed name, certification number, test equipment details, company name, phone number, signature, and the date. Ensure all information is true and accurate.
9. Once all fields are completed, review the document for accuracy. After verifying all information, you can save your changes, download, print, or share the completed form as needed.

Start filling out the Backflow Prevention Assembly Test Report online today to ensure compliance and timely submission.