Backflow Prevention Device Test Form MUST BE COMPLETED BY CERTIFIED BACKFLOW DEVICE TESTER Please return completed form by mail or fax to Pennsylvania American Water: Fax: 5703413296; Email: paw.cc.
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How to fill out the PA American Water Backflow Prevention Device Test Form online
Completing the PA American Water Backflow Prevention Device Test Form online is a straightforward process that ensures your backflow prevention device is tested and certified by a qualified professional. This guide will walk you through each section of the form, providing clear instructions to help you successfully submit your application.
Follow the steps to fill out the form accurately and efficiently.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the location information. Fill in the account number and premise number as required. Specify the service type by selecting either Domestic, Fire, or Irrigation, and provide the service address details.
- In the device information section, input the type of assembly and its serial number. Indicate the size of the backflow device and provide the manufacturer/model number along with the water meter number.
- Proceed to the 'To Be Completed By Tester' section. Record the results of the initial test by noting the date and time. Fill out the performance details of check valves and pressure differential relief valve, indicating whether they held pressure, leaked, or did not open.
- Repeat the process for the final test results, entering the date, time, and the performance details as you did for the initial test.
- In the air gap section, measure and note the vertical inches above the overflow rim, along with the supply size diameter.
- Complete the comments section if necessary. Then, fill in the tester information for both the initial and final tests, marking whether each test passed or failed, and providing the tester's name, company, phone number, calibration date, equipment serial number, and certification testing number.
- Finally, ensure the tester signs and dates the report after confirming the information is true. Review all sections for accuracy, then save changes, download, print, or share the completed form as required.
Complete your PA American Water Backflow Prevention Device Test Form online today for efficient processing.
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Are backflow preventers required in PA?
Under the 1974 Pennsylvania Safe Drinking Water Act, the Pennsylvania Department of Environmental Resources requires that customers eliminate cross-connections or backflow prevention devices. This regulation applies to individual homes, businesses, and commercial and industrial establishments.
When should backflow prevention devices be tested?
An owner of an installed testable backflow prevention device must: (a) Register the device with the local government; and (b) Have the device inspected or tested for operational functioning at least once each year by a person who is licensed to carry out the work (s.
What if backflow Cannot be installed?
In instances where a backflow prevention assembly or method cannot be installed, the owner must approved backflow prevention devices or methods at all cross-connections within the owner's water supply system. The notice and order will give a date by which the owner must comply with the order.
Is backflow testing required in Pennsylvania?
Testing Requirements Property owners are responsible to test existing backflow prevention devices every 12 months at a minimum. You must also test the device after any repairs are made. If PWSA does not receive test results, water service may be terminated.
Why is a backflow prevention device required?
Backflow is water that flows backwards into our pipes after a property has used it. It may carry contaminants that can harm people's health. That's why all connections to our water and recycled water pipes – including fire service connections – must be protected with devices for backflow prevention containment.
Are backflow preventers required in Pennsylvania?
Under the 1974 Pennsylvania Safe Drinking Water Act, the Pennsylvania Department of Environmental Resources requires that customers eliminate cross-connections or backflow prevention devices. This regulation applies to individual homes, businesses, and commercial and industrial establishments.
How often will a testable backflow prevention device have to be tested?
An owner of an installed testable backflow prevention device must: (a) Register the device with the local government; and (b) Have the device inspected or tested for operational functioning at least once each year by a person who is licensed to carry out the work (s.
What is a testable backflow prevention device?
Testable backflow devices are valves and air gaps fitted to a water supply with a low to high risk of cross contamination. Backflow devices are designed to keep our potable water supply safe and remove the risk of contamination.
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