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Get AR Backflow Assembly Test Form

TESTED (AS SHOWN ON CUSTOMERS LETTER)  CONTAINMENT HEIGHT OF ASSEMBLY MANUFACTURER MODEL DISCHARGE PRESSURE AT ASSEMBLY SIZE OF SERVICE LINE _________________ PSI _________________ IN.  / ISOLATION / ____________ ASSEMBLY NO. SIZE ABOVE SURFACE _____ IN. 1 SUPPLY PRESSURE AT ASSEMBLY ___________________ PSI AIR GAP ( RP DISCHARGE ) YES  TYPE OF ASSEMBLY RPZA  PVB  DCVA  AVB  FIRE CHECK  AIR GAP REDUCED PRESSURE ZONE ASSEMBLY (RPZA) ST NO  "Y".

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