Get Backflow Test & Maintenance Form.xlsx - Ci Temple Tx

Filling out the Backflow Test & Maintenance Form is an essential task for maintaining compliance and ensuring the safety of your water system. This guide will walk you through the necessary steps to accurately complete the form online.

Follow the steps to effectively complete the form online.

1. Click the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Start by filling in the 'Customer Information' section. This includes providing the name of the property owner or agent, mailing address, city, state, zip code, and phone number. Ensure all information is printed clearly.
3. Proceed to the 'Backflow Assembly Information' section. Indicate whether the assembly is 'New' or 'Existing.' Provide the serial number, manufacturer, model, and the size of the assembly. Also, specify if the property is commercial.
4. In this section, include the occupant or business name and the physical address. Describe the assembly's location on the property, as well as the reason the assembly is installed.
5. Select the appropriate type of assembly from the options provided, such as Reduced Pressure Principle or Double Check Valve, ensuring accurate descriptions.
6. Answer the question regarding whether the assembly is installed according to manufacturer recommendations and local codes, marking 'Yes' or 'No' accordingly.
7. Complete the 'Initial Test' section by providing readings for all relevant check valves and any applicable pressure measurements. Document if the assembly leaked or closed tight after testing.
8. If any repairs were made, fill out the 'Repairs' section and then results for 'Test After Repairs,' including new pressure measurements.
9. Sign and date the form at the end. The backflow technician should also include their certification number, signature, and contact information to ensure the report is valid.
10. Once all sections are completed, save the changes made to the document. You may choose to download, print, or share the completed form as needed.

Complete your forms online today to ensure compliance and safety.