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Get Pawtucket Water Supply & NEWWA Backflow Prevention Device Assembly Test Report Form

P) RPZ  DCVA Contact Person/Phone PVB SRVB  Make ____________ Model No. ____________ Device Address Size _____________________________________________________________ Annual Test  Exact Device Location _____________________________________ Test After Installation  Test After Repairs  Test Kit Serial # ________________Calibration Date__________________ Serial No. _________ Device Replaced___________  Pressure Vacuum Breaker (PVB) Reduced Press.

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