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BACKFLOW PREVENTION ASSEMBLY TEST & MAINTENANCE …

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BACKFLOW PREVENTION ASSEMBLY TEST & MAINTENANCE report Tucson Water must receive a correct BACKFLOW PREVENTION ASSEMBLY Test report by the compliance due date. Failure to comply with all requirements will result in assessment of compliance fees and discontinuance of water service. Responsibility for the BACKFLOW PREVENTION ASSEMBLY test is that of the water service's financially responsible party. Customer: ________________________________________ ______________________________ Phone No.: ____________________________ Customer: ________________________________________ ______________________________ Phone No.: ____________________________ Service Address: ________________________________________ _________________________ Water Meter No.

backflow prevention assembly test & maintenance report Tucson Water must receive a correct Backflow Prevention Assembly Test Report by the compliance due date. Failure to comply with all requirements will result in assessment of compliance fees and discontinuance of water service.

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