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  • Backflow Test Report Form - City Of Irving

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CITY OF IRVINGPWS#0570050BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT THE FOLLOWING FORM MUST BE COMPLETED FOR EACH ASSEMBLY TESTED. A SIGNED AND DATED ORIGINAL MUST BE SUBMITTED TO THE.

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How to fill out the Backflow Test Report Form - City Of Irving online

Filling out the Backflow Test Report Form for the City of Irving online is a straightforward process that ensures compliance with water safety regulations. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
  2. Begin by entering the assembly location. Provide the facility address where the backflow prevention assembly is installed. Include any relevant details about the contact person and their phone number.
  3. In the assembly information section, indicate the type of assembly being tested. Choose from options such as 'Pressure Vacuum Breaker,' 'Double Check - Detector,' or 'Reduced Pressure Principle,' and fill in the size as well.
  4. Next, fill out the manufacturer, model, and serial number of the assembly, as well as the specific equipment location and hazard description.
  5. State whether the assembly is installed according to manufacturer recommendations and local codes by marking 'yes' or 'no.' Provide details regarding the testing results for the first and second checks.
  6. In the repairs and materials used section, document any repairs made and the materials utilized. If any tests were performed after repairs, record those results as well.
  7. Enter the details of the test gauge used, including the make/model and serial number. Also, provide the date tested for accuracy.
  8. Certify that the information provided is accurate by having the tester print their name and include their BPAT number, company name, phone number, and address.
  9. Finally, ensure the tester signs and dates the form to certify the information. Review the form for any missing information or errors.
  10. Once completed, you can save your changes, download a copy, print the form, or share it as needed.

Complete the Backflow Test Report Form online today to ensure water safety compliance!

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A backflow prevention device is a device that prevents the reverse flow of water from a potentially polluted source into a potable water supply system. They are either testable or non-testable.

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 Manager shall inspect and approve all installations of the required backflow prevention devices. The costs for purchasing, installing, and maintaining a backflow prevention device shall be the responsibility and sole expense of the consumer. The consumer shall the backflow prevention device.

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.

Things you can do to prevent backflow: Be aware of and eliminate cross-connections. Maintain air gaps. Do not submerge hoses or place them where they could become submerged. Use hose bibb vacuum breakers on fixtures (hose connections in the basement, laundry room and outside).

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.

Residential Testing, Services and Pricing A residential Backflow Assembly Test* starts at $55.00 per device.

TESTABLE ASSEMBLIES: For the protection of your drinking water supply the backflow prevention assembly, as described on the reverse-side of this form, shall be tested at least annually pursuant to the requirements outlined in the California Code of Regulations, Title 17 § 7605, Los Angeles County Code, Title 11 § 11.38 ...

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

Backflow prevention systems are devices installed onto a pipe that only allow water to flow in one direction. Think of it as a one-way gate that allows water from the city's public water supply to flow into your home's piping but stops water if and when it ever tries to flow backwards into the main water supply.

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Fill Backflow Test Report Form - City Of Irving

All backflow test reports must be submitted online through SwiftComply within 5 days of the test date City Ordinance Sec. The followin form must be completed for each assembl tested. The City of Dallas transitioned to an online submission system for backflow test reports through SwiftComply. This approach increases on-time testing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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