Get City Of Stow Backflow Prevention Program

Filling out the City Of Stow Backflow Prevention Program form online is a straightforward process designed to ensure that backflow prevention measures are properly documented. This guide will provide you with clear, step-by-step instructions to successfully complete the form.

Follow the steps to fill out the backflow prevention program form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the facility name and phone number in the designated fields. Ensure the information is accurate and complete as it is crucial for identification.
3. Fill in the address of the facility in the address section. This allows for proper record-keeping and correspondence.
4. Record the test date in the appropriate field. This date is important for tracking and scheduling future tests.
5. Provide the device make/model number and serial number in the specified fields. This information helps in identifying the specific device being tested.
6. Enter the pump rating in gallons per minute (gpm). Accurate readings are essential for assessment purposes.
7. For the initial test section, fill in the corresponding answers to the questions about the pump's functionality and the installation of the minimum pressure sustaining valve. These answers include whether the pump cut off automatically and if the valve operated correctly.
8. In the final test section, indicate the pressure readings and provide yes/no responses to the questions regarding the pump's operation. This section validates the effectiveness of the installed devices.
9. If any repairs were made, provide a description in the given field. This step ensures transparency and proper documentation of maintenance activities.
10. Have the tester sign in the designated area and include their Ohio certification number. This signature is necessary for legitimacy.
11. Print the tester's name, certification expiration date, and company contact information. Complete the facility certification statement with the owner's/officer's signature, title, printed name, and date to finalize the report.
12. After completing all sections, save the changes to the document. You may then download, print, or share the form as needed.

Complete your City Of Stow Backflow Prevention Program form online today for efficient documentation.