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ANNUAL BACKFLOW PREVENTER TEST REPORT Facility Name: Address: Assembly Location: Test Date: Line Pressure: psi DCVA PVBA RPDA DCDA Orientation: SPRINKLER BOILER IRRIGATION DOMESTIC Assembly Type:.

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Mechanical backflow preventers have internal seals, springs and moving parts that are subject to fouling, wear or fatigue. Also, mechanical backflow preventers and air gaps can be bypassed. Therefore, all backflow preventers have to be tested periodically to ensure that they are functioning properly.

As long as a backflow assembly is installed, it is required to be tested annually. The longer non-potable water sits in an irrigation system, or any other non-potable water source, the greater the risk of pollutants or contaminants being introduced to those systems.

Check valve #1 must read 1.0 psi or higher on the gauge. 2. Check valve #2 must read 1.0 psi or higher on the gauge. Lawn irrigation systems must have either a RP or Pressure Vacuum Breaker for proper protection of your drinking water and the public water system.

The Undeniable Need for Backflow Device Testing Backflow prevention valves have an average life expectancy of 35 to 40 years.

An owner of an installed testable backflow prevention device must: (a) Register the device with the local government; and (b) Have the device inspected or tested for operational functioning at least once each year by a person who is licensed to carry out the work (s.

An owner of an installed testable backflow prevention device must: (a) Register the device with the local government; and (b) Have the device inspected or tested for operational functioning at least once each year by a person who is licensed to carry out the work (s.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232