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Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT The following form must be completed for each assembly tested. A signed and dated original must be.

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How to fill out the Texas Commission On Environmental Quality Backflow Prevention online

Filling out the Texas Commission On Environmental Quality Backflow Prevention assembly test and maintenance report is crucial for ensuring compliance with regulations. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently, enhancing your understanding of each required section.

Follow the steps to complete the form online with confidence.

  1. Press the ‘Get Form’ button to retrieve the form and open it in the designated editor for completion.
  2. In the first section, enter the name of the public water supplier (PWS) and their corresponding PWS ID number. Make sure to provide accurate details to avoid any processing issues.
  3. Fill out the mailing address where the completed form should be sent. Include details such as street address, city, state, and zip code.
  4. Provide the name of the contact person associated with the water system, ensuring the contact information is valid for further correspondence.
  5. Indicate the location of service by describing where the backflow prevention assembly is installed, which is necessary for proper documentation.
  6. Select the type of assembly by checking the appropriate box. Options include reduced pressure principle, double check valve, or pressure vacuum breaker.
  7. List the manufacturer's name, model number, size, serial number, and location of the assembly to maintain compliance with manufacturer specifications.
  8. Indicate whether the assembly is installed according to manufacturer recommendations and local codes by selecting 'Yes' or 'No'.
  9. Complete the testing section by filling in the relevant parameters, such as pressure values and conditions during testing. Mark whether each component performed correctly.
  10. Document any repairs and materials used, as well as results from retesting after any repairs to maintain a thorough record.
  11. Complete the certification section with the certified tester's name, signature, firm information, and date of test for validation purposes.
  12. Finally, ensure all sections are reviewed for accuracy, save your changes, and download or print the form as necessary for submission.

Complete the Texas Commission On Environmental Quality Backflow Prevention assembly test and maintenance report online today.

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A Texas State Board of Plumbing Examiners (TSBPE) licensed Plumbing Inspector. A TSBPE-licensed plumber with a Water Supply Protection Specialist endorsement.

Because backflow-prevention assemblies are mechanical assemblies that can fail, the TCEQ requires testing of all backflow-prevention assemblies at installation by a TCEQ-licensed tester. Backflow-prevention assemblies installed to protect against any health hazard must be tested annually.

This test is to make sure there's no debris in the newly installed piping, or alterations to existing piping that could foul or affect the operation of the new backflow preventer. Annually: You must have your testable backflow preventers inspected and tested once a year, or more often if required by the City.

The Texas Commission on Environmental Quality requires all public water systems to maintain a cross-connection control program that protects the distribution system delivering drinking water to your home or business.

of the Backflow Tester Certification Competency Exam is $215.00. The annual renewal fee is $135.00.

The backflow test fee (administered through BSI) is $40 per device. For questions or to obtain a list of registered Backflow Prevention Assembly Testers contact: Water Customers: Call 888-966-6050 or email [email protected] Testing Companies: Call 800-414-4990 or email [email protected]

The Texas Commission on Environmental Quality strives to protect our state's public health and natural resources consistent with sustainable economic development. Our goal is clean air, clean water, and the safe management of waste.

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