This Backflow Test Report template helps technicians and water utility teams record all details from backflow prevention assembly tests. Capture assembly type and serial number, gauge make, model, and calibration date, then document RP, DC, PVB, and SVB test results including check valve leakage, relief valve operation, and pressure readings in PSI/PSID. Mark pass or fail outcomes, add remarks, and complete tester certification with name, certification number, and date or time. Use this form to standardize inspections, maintain regulatory compliance, and ensure safe potable water systems across facilities and municipalities.
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