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Cross Connection Control 2000 10423 101 Street NW Edmonton, AB T5H 0E8 Phone: (780) 4127840 Fax: (780) 4127835 epcorwaterCCC epcor.com BACKFLOW PREVENTION ASSEMBLY TEST REPORT EPCOR Water Services.

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How to fill out the . CCC Testing & Inspection Reports online

Filling out the . CCC Testing & Inspection Reports is essential for the proper documentation of backflow prevention assemblies. This guide provides clear and supportive instructions to help you accurately complete each section of the form online.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in your browser.
  2. Begin by entering the facility name and service address in the designated fields. Be sure to include the postal code for accurate identification.
  3. Fill in the owner's or customer's name and contact information, including a phone number and, if applicable, a fax number.
  4. Indicate whether this is an initial test, a replacement, or a repair test by selecting the appropriate option. If you selected 'yes' for replacement, provide details for both the existing and replacement assemblies.
  5. In the remarks section, provide the reason for installation, testing, or repair. This information is important for documentation purposes.
  6. Specify the assembly location and the protection type by selecting from options like domestic, fire, or other types. Fill in any additional fixtures involved if necessary.
  7. Enter the static inlet line pressure at the time of the test, installation date, and specific readings for the relief valve and any pressure drops across check valves.
  8. Complete the retest sections only if the initial test was not successful, detailing any repairs made and the static pressure readings again.
  9. At the end of the form, ensure all information is accurately entered. Save changes, download the completed document, and consider printing or sharing the form if required.

Complete your . CCC Testing & Inspection Reports online today to ensure compliance and documentation accuracy.

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