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  • Ca Backflow Test Form Request - San Diego 2010

Get Ca Backflow Test Form Request - San Diego 2010-2026

THE CITY OF SAN DIEGO BACKFLOWTEST FORM REQUEST COMPLETE ONE FORM PER DEVICECUSTOMER INFORMATION CUSTOMER NAME MAILING ADDRESS PHONE# CELL# FAX# WATER METERBACKFLOW INFORMATION FIRE DEVICECITY.

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How to fill out the CA Backflow Test Form Request - San Diego online

Completing the CA Backflow Test Form Request online is a straightforward process. This guide will walk you through each section of the form to ensure that you provide all the necessary information accurately.

Follow the steps to complete the CA Backflow Test Form Request online.

  1. Click ‘Get Form’ button to access the CA Backflow Test Form Request and open it in your preferred editor.
  2. Fill in your customer information. This includes your name, mailing address, and contact details such as your phone number, cell number, and fax number.
  3. Locate the water meter section, and provide the relevant backflow information. Enter the city meter number and the water account number for the device you are requesting. Specify if it’s a fire device and any related water account numbers.
  4. Indicate the distance from the water meter in feet if applicable, and check the appropriate boxes for reissue, new installation, or replacement.
  5. In the manufacturer section, enter the manufacturer's name and serial number of the device. If this form replaces a previous serial number, make sure to indicate that as well.
  6. Specify the type of device by checking the relevant boxes: RP, DC, RPDA, or DCDA, and fill out the size and model number.
  7. In the site address and location section, confirm whether the installation meets city specifications by marking 'Yes' or 'No'. If 'No', provide a brief description of the problem.
  8. Complete the tester information section. This requires the company’s name, contact details including phone and fax numbers, the address, and the tester's printed name along with their gauge number and date submitted.
  9. Review the 'For Cross-Connection Use Only' section. Ensure the form is complete or be aware that it may be returned as incomplete.
  10. Once you have filled out all sections, save your changes, download the form, and choose to print or share it as necessary.

Take the next step and fill out your CA Backflow Test Form Request online today!

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OR DoR 40N 2015 OR DoR 40N 2014 OR DoR 40N 2009 OR DoR 41 2015

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Backflow preventer installation in San Diego The Uniform Plumbing Code requires all properties to have an adequate backflow preventer in order to eliminate accidental water supply contamination.

To ensure the device is functioning properly, a certified backflow tester must test all backflow prevention devices annually.

All secondary sources of water, such as wells or plumbing systems that are exposed to potential contamination or poorer quality water, require a backflow prevention device.

Yes. The City of San Diego requires that an approved tester check all backflow assemblies at the time of installation, annually after installation and after any relocation of the device.

480, California Health & Safety Code, section 116800 and California Plumbing Code, section 603.2: * Backflow prevention assemblies shall be tested at the time of installation, repair, or relocation and not less than on an annual schedule thereafter, or more often where required by the Authority Having Jurisdiction*.

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

Water backflow prevention is an aspect of plumbing that can sometimes get forgotten, but it is crucial. Without a water backflow preventer, water can flow in either direction, which is a significant hazard for contamination.

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