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Backflow Prevention Assembly Test Report

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Please use a separate form for each assembly

www1.nyc.gov

Report on Test and Maintenance of Containment Backflow Prevention Assembly” (FORM GEN215B) Use a separate form for each particular assembly Indicate Initial Test or Annual Test by checking the appropriate choice. Initial Test and Certification: Complete all 4 parts. Annual Test/Re-Certification: Complete parts A and B only

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Standard for NFPA 13 and 13R Fire Sprinkler Systems

www.marysvillefiredistrict.org

device to be used, and a location in the riser room. A certified backflow assembly tester shall test the backflow device for initial acceptance and for proper operation annually. After this test is complete and prior to the request for final system acceptance, the completed backflow assembly test report shall be submitted by email to:

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Regulation 61-58 State Primary Drinking Water Regulations

scdhec.gov

personal possession of or whose employer owns a backflow prevention assembly test kit. This person provides the service of testing backflow prevention assemblies to the general public. (b) Inspector Tester -any person with the same qualifications as the General Tester, except the

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