Get Mn Backflow Preventer Installation/test Report - City Of St. Louis Park 2022-2025

Completing the MN Backflow Preventer Installation/Test Report is essential for ensuring the safety and compliance of backflow prevention systems. This guide will walk you through each section of the form, offering clear and helpful instructions to support you as you fill it out online.

Follow the steps to correctly complete the report.

1. Press the ‘Get Form’ button to acquire the document and open it in your designated editing program.
2. Begin by entering the site address in the provided space to specify the location of the backflow device.
3. Fill in the current owner or occupant's details to ensure proper record-keeping.
4. Provide the contact full name along with their phone number to facilitate communication regarding the installation.
5. Input the mailing address of the contact to receive any necessary correspondence.
6. Enter the device's make and model to identify the specific backflow preventer.
7. Indicate the device's location for future reference or inspection.
8. Describe the system that the device serves, including its size and serial number.
9. Mark the appropriate checkboxes to indicate the device's status (plugged off, out of service, in use, test before repairs, final test).
10. Fill in the pressure differential when the relief valve opens and the strainer status (none or closed).
11. Complete the check valve sections with the relevant pressure differentials and leakage statuses.
12. Describe any repairs made to the device in the provided space.
13. Record the date of installation and the date of testing to maintain an accurate timeline.
14. Certify the information by signing and providing necessary firm name and contact details, including email and address.
15. Lastly, ensure to have the city plumbing inspector approval along with the date noted before finalizing the report.

Complete your documents online to ensure compliance and safety.