Get Rpz Test Sheet

Filling out the Rpz Test Sheet is essential for documenting the testing and maintenance of backflow prevention devices. This guide will help you navigate each section of the form with clear, step-by-step instructions tailored to your needs.

Follow the steps to complete the Rpz Test Sheet online.

1. Click the ‘Get Form’ button to access the Rpz Test Sheet and open it in your preferred online editor.
2. Enter the year for which the testing is being reported in the designated field.
3. Fill in the SCWA Contract Account number and the location of the RPZ/DCV by entering the facility name and address, ensuring to provide a complete street address, city, state, and zip code.
4. Provide detailed device information, including the manufacturer, model, size in inches, and the serial number of the device. Specify whether it is an RPZ or DCV.
5. In the 'Test Before Repair' section, indicate whether check valve #1 leaked or was closed tight and repeat the process for check valve #2. Ensure to include the pressure drop across the first check valve and the opening pressure of the differential pressure relief valve.
6. Document the water system pressure in psi and the date of testing in the required format (m/d/y).
7. Describe any repairs and materials used and provide the name and license number of the person who performed the repairs along with the repair date.
8. If repairs were conducted, complete the 'Final Test' section by indicating whether the check valves closed tight and the opening pressure.
9. Fill in the water meter number if applicable and select the type of service by checking the appropriate box.
10. If there are any additional remarks regarding deficiencies or the condition of connections, enter them in the remarks section.
11. Complete the certification by indicating whether the device meets or does not meet the requirements, then provide the Master Plumber’s name, licensing jurisdiction, and license number.
12. Ensure that the signatures of the Master Plumber, Backflow Tester, and Customer are included, along with their respective registration numbers.
13. Finally, review all completed fields for accuracy. Save your changes, and you can download, print, or share the completed form as needed.

Take action now to complete your Rpz Test Sheet online.