Get Newport News Waterworks Backflow Test Form

Filling out the Newport News Waterworks Backflow Test Form accurately is essential for the proper assessment and management of backflow prevention devices. This guide aims to provide comprehensive, step-by-step instructions for users to complete the form online with ease.

Follow the steps to accurately complete your backflow test form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the BP# or Meter # at the top of the form. This information is critical for identifying the specific device being tested.
3. Fill in the Name of Premises and Service Address where the backflow prevention device is installed.
4. In the Use & Location of Device section, provide details on how and where the device is utilized within the premises.
5. Complete the Original Device section by entering the Manufacturer/Model, Type, Size, and Serial Number of the original device.
6. Fill in the Replacement Device details, similar to the original device, if applicable.
7. Record the Line PSI at the Time of Test, circling whether the device is existing, a replacement, or new. Include the retest pressure if necessary.
8. For Reduced Pressure Device Requirements, check Valve #1 and report the Pressure drop across it. Circle Yes or No indicating if it closed tight and fill in the psid.
9. Repeat the same for Check Valve #2, ensuring all required parameters are recorded.
10. Move to Differential Pressure Relief Port section and complete the requirements for minimum pressure opening and record the reading.
11. Continue documenting the Pressure Buffer conditions and ensure the results adhere to the stated requirements.
12. Complete the Double Check Valve Device section by checking the tightness of both Check Valves and documenting results.
13. Fill in the Air Inlet, Check Valve, and any repairs needed, ensuring to circle Yes or No as appropriate.
14. Add any remarks that may be significant regarding the test or device performance.
15. Provide the Testing Company information, including Phone #, Cell #, and Company Address.
16. Complete the Tester information with VA Plumbing License #, Backflow Certification License #, and indicate their expiration date.
17. Certify the completion of the test by signing and dating where indicated for both INITIAL TEST and RETEST, if applicable.
18. Finally, once all sections are completed and verified, save the changes, download, print, or share the form as required.

Complete your Newport News Waterworks Backflow Test Form online today to ensure compliance.