Get Backflow Certificationdoc - Amarillo

The Backflow Certificationdoc - Amarillo is an essential document for ensuring the safety and functionality of backflow prevention assemblies. This guide will provide clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the 'Type of Installation' section. Indicate whether it is a new installation or an annual test by marking the appropriate checkbox.
3. Next, provide the 'Name of Service' and 'Customer Account Number' in the designated fields.
4. Complete the 'Service Address' and 'Mailing Address' fields with accurate information.
5. Select the 'Type of Assembly' applicable to your installation by marking the appropriate checkbox.
6. Fill in the 'Manufacturer', 'Size', 'Model Number', and 'Serial Number' fields with details pertaining to the assembly.
7. Answer whether the assembly is installed according to manufacturer recommendations and/or local codes by marking 'Yes' or 'No'.
8. Describe the reason for installation and any associated hazards in the space provided.
9. Indicate the 'Degree of Protection' by checking either 'Containment' or 'Internal'.
10. Proceed to the 'Initial Test' section. Fill in the results of the first and second checks, the pressure settings, and whether there were any leaks.
11. If repairs were made, document them in the 'Repairs and Materials Used' section. Indicate if parts were replaced, cleaned, or other actions taken.
12. In the 'Test After Repair' section, record the results of the follow-up tests.
13. The final section is reserved for certified tester information. Fill in the tested by name, firm, test gauge information, date, and signature of the licensed tester.
14. After you have completed all sections of the form, review the information for accuracy. Save your changes, and choose to download, print, or share the form as necessary.

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