Get Tceq Backflow Test Form

The Tceq Backflow Test Form is essential for documenting the results of backflow prevention assembly testing. This guide provides detailed instructions on completing the form online, ensuring you can accurately record your findings.

Follow the steps to complete the Tceq Backflow Test Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred electronic device.
2. Begin by filling in the ‘Name of PWS’ and ‘PWS ID#’ fields at the top of the form. These sections identify the public water supplier responsible for the assembly being tested.
3. Next, enter the ‘Mailing Address’ and ‘Contact Person’ details. This information will help in communication and record-keeping.
4. Specify the ‘Location of Service’ where the backflow prevention assembly is installed, which ensures accuracy in record management.
5. Indicate the ‘Type of Assembly’ by selecting the appropriate checkbox. Options include Reduced Pressure Principle, Double Check Valve, and others as applicable. This selection is crucial for categorizing the assembly type.
6. Fill in the ‘Manufacturer,’ ‘Model Number,’ and ‘Serial Number’ associated with the assembly. Accurate details here are important for maintenance records.
7. Confirm whether the assembly is installed according to the manufacturer’s recommendations and local codes by checking ‘Yes’ or ‘No.’ This assessment is vital for compliance.
8. Document the test results for the ‘Reduced Pressure Principle Assembly,’ ‘Pressure Vacuum Breaker,’ or ‘Double Check Valve Assembly’ by entering pressure readings as required, including ‘Held at psid’ and ‘Leaked’ options.
9. If there were any repairs, record details in the ‘Repairs and Materials Used’ section. If repairs were made, complete the ‘Test After Repair’ rows similarly.
10. Complete the ‘Remarks’ section as necessary. This area is expandable, allowing for additional comments or notes regarding the testing process.
11. Finally, ensure all fields are completed, save your changes, and print the form for signing. The signed original must be submitted to the public water supplier for record-keeping purposes.

Complete your Tceq Backflow Test Form online today to ensure accurate documentation and compliance.