Get Nc Cross Connection Control & Backflow Prevention Device Test And Maintenance Report - Town Of Cary

Filling out the NC Cross Connection Control & Backflow Prevention Device Test And Maintenance Report is crucial for ensuring the proper management of backflow prevention measures. This guide will provide step-by-step instructions to help you accurately complete the form online.

Follow the steps to successfully complete the report.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the customer information in the designated fields, including the customer's name, street address, phone number, and fax number as needed.
3. Specify the location of the assembly by providing the exact details in the appropriate field.
4. Select the type of assembly from the given options: RP (Reduced Pressure), DC (Double Check), or PVB (Pressure Vacuum Breaker) by marking the corresponding checkbox.
5. Indicate the size of the assembly in the blank field provided.
6. Fill in the manufacturer's name and model number of the assembly in the respective fields.
7. Complete the sections related to test results for the relief valve and check valves, including the opening pressures and differential pressures measured.
8. Document whether each check valve leaked or closed tightly and provide the appropriate pressure readings.
9. If any components were cleaned or replaced, note this in the designated sections as specified.
10. Ensure you fill out all required identification numbers, including water meter number and tester ID.
11. Add any remarks or additional notes in the remarks section at the bottom of the report.
12. Once all fields are complete, ensure the data is accurate, then save your changes. You may also download, print, or share the form as needed.

Complete the NC Cross Connection Control & Backflow Prevention Device Test And Maintenance Report online today to ensure compliance and proper maintenance.