Orange County Utilities Water Division CERTIFIED BACKFLOW PREVENTION ASSEMBLY FIELD TEST REPORT * PLEASE PRINT or TYPE Service Name: Service Address: City: State: Zip: Account #: Meter Number: Reading:.
Loading
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the Backflow Test Form - OrangeCountyFl.net - Orangecountyfl online
Filling out the Backflow Test Form accurately is essential for ensuring compliance with local water safety regulations. This guide provides a step-by-step process to help you complete the form efficiently and correctly.
Follow the steps to complete the Backflow Test Form online.
- Press the ‘Get Form’ button to access the form and open it in your preferred digital platform.
- Begin by entering the service name and service address in the designated fields. Make sure to fill in the city, state, and zip code accurately.
- Provide your account number and meter number where indicated, along with the current reading of the meter.
- Input the name of the contractor backflow tester, including their mailing address, city, state, and zip code.
- Enter the phone number of the contractor and their Orange County Tester ID number, along with the PSI gauge number used for the test.
- Select the applicable areas by checking the boxes next to Point of Use, Irrigation, and Fire.
- Specify whether the assembly is existing or new, and provide details regarding the manufacturer, model number, size, and serial number of the device.
- Describe the location of the device where the test was conducted.
- Complete the device test section including details about check valves and relief valves, indicating whether they passed or failed the test.
- Once you have completed all sections, review the form for accuracy. You can then save your changes, download, print, or share the form as necessary.
Complete and submit your Backflow Test Form online to ensure compliance with water safety regulations.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
What is a double check valve assembly? What is a residential dual check valve? Why do...
Jan 31, 2020 — (a) Title Sheet clearly labeled and dated indicating “50% ... A/E to...
Get answers to your most pressing questions about US Legal Forms API.
How do I get backflow certification in Florida?
Becoming a backflow tester in Florida is a relatively straightforward process. You have to get your plumber's license, then pass the backflow tester exam to get your backflow certification. Once you are certified, you must take a recertification course to maintain your license.
Who can a backflow prevention in Texas?
A Texas State Board of Plumbing Examiners (TSBPE) licensed Plumbing Inspector. A TSBPE-licensed plumber with a Water Supply Protection Specialist endorsement.
Does Texas require backflow testing?
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.
How much does backflow testing cost in California?
of the Backflow Tester Certification Competency Exam is $215.00. The annual renewal fee is $135.00.
What is a test backflow preventer?
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.
How much does a backflow test cost in Texas?
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]
What does it mean if your backflow test fails?
If your backflow preventer fails the test, it needs to be cleaned or repaired and in some cases it may need to be completely replaced and a successful re-test performed. These backflow devices fail at a rate of 10-15% after one year.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.