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Get TX Backflow Prevention Assembly Test and Maintenance Report - Waxahachie 2011-2024

Ice Installed: _________ (Address) Permit Number: _______________ (Bldg./Suite#) Name Of Business:________________________________________________ Annual Test / New Device Test (Circle Type of Test Performed) The backflow prevention assembly detailed below has been tested and maintained as required by TCEQ regulations and is certified to be operated within acceptable parameters. Type of Assembly ˆ Reduced Pressure Principle ˆ Double Check Valve ˆ Pressure Vacuum Breaker ˆ Reduced Press.

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