Backflow Test Report
I. Introduction
This Backflow Test Report has been prepared by [YOUR COMPANY NAME] for the backflow prevention device located at [YOUR COMPANY ADDRESS]. The testing was conducted on June 1, 2050, by [YOUR NAME], who is certified in backflow prevention testing.
II. Test Details
Detail | Information |
|---|
Test Date: | June 1, 2050 |
Tester: | [YOUR NAME] |
Certification No: | BCPT-08428 |
Test Equipment: | Digital Pressure Gauge, Flow Meter |
III. Site Information
Detail | Information |
|---|
Site Name: | [SITE NAME] |
Site Address: | [SITE ADDRESS] |
Site Contact Person: | Eula Green |
Contact Email: | eula@email.com |
Contact Phone: | +1 (541) 590-4579 |
IV. Backflow Prevention Device Details
Detail | Information |
|---|
Device Type: | Double Check Valve Assembly (DCVA) |
Manufacturer: | [MANUFACTURING COMPANY NAME] |
Model: | DCVA-631-219-1852 |
Serial Number: | DCVA-718-392-6412 |
Installation Date: | March 15, 2048 |
Location: | Utility Room, Basement |
V. Test Procedure
The backflow prevention device was tested according to local regulations and standards. The test procedures included:
Visual Inspection: No visible signs of damage or wear observed on the device body, valves, or fittings.
Pressure Test: The device was pressurized to 10 psi and maintained this pressure for 5 minutes without any pressure drop, indicating no leaks or internal defects.
Flow Test: Water flow was varied between normal and peak flow rates (5 GPM), and the device successfully prevented backflow in both scenarios.
VI. Test Results
The backflow prevention device passed the test based on the following observations:
Test Type | Results and Observations |
|---|
Visual Inspection | The device exhibited no signs of corrosion, damage, or deterioration. |
Pressure Test | The device held pressure at 10 psi consistently without any pressure drop. |
Flow Test | During flow variations, the device maintained integrity and prevented backflow effectively. |
VII. Recommendations
Based on the test results, the following recommendations are provided:
Maintenance: Schedule annual maintenance checks to ensure all components remain in good condition.
Monitoring: Implement a monitoring schedule to regularly check the device's functionality between annual tests.
Education: Provide training for on-site staff regarding the importance of maintaining the backflow prevention device and recognizing signs of potential issues.
VIII. Conclusion
This Backflow Test Report confirms that the backflow prevention device at [SITE NAME] meets the required standards as of the test date. The device demonstrated effective operation during all phases of the test, including visual inspection, pressure testing, and flow testing.
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