Get Backflow Preventer Report Existing Removed New Repaired ... - Pnws-awwa

Filling out the BACKFLOW PREVENTER REPORT is essential for ensuring compliance with water safety regulations. This guide provides step-by-step instructions to help you accurately complete the report online.

Follow the steps to effectively complete the report online.

1. Click ‘Get Form’ button to obtain the form and access it for completion.
2. Fill in the property name. This should reflect the name of the property where the backflow preventer is installed.
3. Enter your contact information, including your phone number and contact name, ensuring that all information is accurate.
4. Provide the mailing address of the property, including city, state, and ZIP code.
5. Input the preventer address where the backflow device is located.
6. Specify your water supplier's name, making sure it aligns with the service provider for the property.
7. Document the serial number of the backflow preventer and the specific location of the device.
8. Select the make, model, and size of the assembly, and indicate the type of backflow preventer being used.
9. Indicate the hazard protected status and installation type using the appropriate checkboxes provided.
10. Complete the initial test results, ensuring to note the minimum pressure drops and if the relief valve opened as required.
11. Fill out repairs made, listing any parts replaced and the results of the test after repairs, noting whether the assembly passed or failed.
12. Provide tester information, including signatures, names, addresses, and contact details.
13. Once all sections are filled accurately, review the document thoroughly to ensure all information is correct before submission.
14. Finally, save changes to the report. Users can choose to download, print, or share the completed form as needed.

Complete your reports online today for efficient document management.