Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Enter the name of the public water supplier (PWS) in the designated field to identify the organization responsible for the backflow prevention assembly.
3. Fill in the PWS ID number, mailing address, and contact person's details, ensuring all information is accurate to facilitate effective communication.
4. Complete the address of service where the backflow prevention assembly is installed.
5. Specify the type of backflow prevention assembly being tested by selecting the appropriate checkbox from the options provided.
6. Provide details about the manufacturer, model number, and serial number of the backflow prevention assembly.
7. Fill in the size of the assembly and its location, as well as the area the assembly serves.
8. Indicate the reason for testing the assembly by selecting the appropriate checkbox for new, existing, replacement or old model/serial number.
9. Determine whether the assembly is installed in accordance with manufacturer recommendations and local codes by checking the corresponding box.
10. Document the test results, including pressures measured at various checkpoints, noting any repairs or materials used.
11. Include remarks or additional comments as necessary in the designated section for a comprehensive record.
12. Enter the licensed tester's name and company information, ensuring the signature field is completed where required.
13. Save your changes, then proceed to download, print, or share the form as needed.

Complete your backflow prevention assembly testing documents online today.