Get Nc Cross Connection Control & Backflow Prevention Device Test And Maintenance Report - Town Of Cary 2017-2025
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How to fill out the NC Cross Connection Control & Backflow Prevention Device Test And Maintenance Report - Town Of Cary online
This guide provides detailed instructions on completing the NC Cross Connection Control & Backflow Prevention Device Test And Maintenance Report for the Town of Cary online. Users of all experience levels can follow these steps to ensure accurate and efficient form completion.
Follow the steps to fill out the report correctly.
- Start by clicking the ‘Get Form’ button to access the report and open it in your online editor.
- Fill in the 'Date' field with the appropriate date of the test.
- In the 'Customer' section, provide the name of the customer or entity for which the report is being completed.
- Enter the complete address of the customer in the 'Address' section, including street, city, and zip code.
- Document the 'Name of Tester,' and ensure that the tester’s information is accurate.
- Include the 'Company Name' of the testing entity.
- Fill in the 'Testing Gauge Serial No.' as well as the 'Model No.' to ensure proper documentation.
- Provide the 'Tester Certification No.' to confirm qualification.
- List the 'Calibration Date' of the testing gauge.
- For the 'Location of Assembly,' specify where the assembly is situated.
- Select the type of backflow assembly by marking the appropriate box (RP or DC).
- Input the 'Serial No.' and 'Water Meter No.' when applicable.
- Indicate 'Line Pressure' by providing the PSI value.
- Select the appropriate condition of the device: 'New Install', 'Existing Device', or 'Replacement Old Assembly Serial No.' if applicable.
- Choose the service type of the assembly, such as 'Domestic,' 'Fire,' or 'Lawn Irrigation.'
- For the 'Initial Test,' indicate if it’s a 'New Test' or 'Recertification Test.'
- Record the performance of 'Relief Valve' and 'Check Valve #1' and '#2,' including measurements for PSID as needed.
- Fill in the status of 'Shut Off Valve #1' and '#2,' ensuring to record if they closed tightly.
- Submit 'Final Test' results including the PSID readings.
- Document any 'Repairs' made, including options like 'Cleaned Only,' 'RV Assembly,' or 'Replaced Rubber Kit' if applicable.
- Write any additional comments in the provided space to clarify any necessary details.
- Ensure the tester signs the report in the 'Signature' section.
- After completing all fields, you can save the changes, download, print, or share the form as required.
Take action now and complete your report online for prompt processing.
The basic means of preventing backflow is an air gap, which either eliminates a cross-connection or provides a barrier to backflow. The basic mechanism for preventing backflow is a mechanical backflow preventer, which provides a physical barrier to backflow.
Fill NC Cross Connection Control & Backflow Prevention Device Test And Maintenance Report - Town Of Cary
The Town of Cary conducts an annual program that coordinates and manages all residential irrigation backflow assembly testing throughout Cary and Morrisville. The document is a Cross Connection Control and Backflow Prevention Device Test and Maintenance Report for the Town of Cary. Customers can view their backflow inventory, see the status of each backflow, and access and print their test reports. Cross connection control, backflow prevention assemblies required, program established. (a) Application, purpose, authorization. Making It Rain provides backflow prevention device inspections, annual certifications, repairs, and replacements in the Cary, Apex, and Morrisville areas. Union County Water requires testing and inspects backflow prevention devices, implements an enforcement response plan, and issues penalties for violations. Backflow Prevention Assembly Field Test. Procedures. The purpose of the Cross Connection Control Program is to define the authority of Hoke County as the water purveyor in the elimination of all cross connections. Backflow Prevention Assembly Field Test. Procedures.
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