The course will cover topics on: cross connection terminology; where they are found and why do they . Write ID #s on your test forms to make online data entry even easier! AquaAudit is the preferred backflow testing service of building owners and property management companies in the tri-state area and currently provides annual testing throughout the 5 boroughs of New York, The City of White Plains, all of Westchester and Rockland Counties, Long Island and New Jersey. Box 62751 Virginia Beach, VA 23466 Riley Fire Protection, LLC 804-335-8257 P.O. Backflow occurs when a drop in water pressure causes your water to flow in the opposite direction. Aqua Backflow - Cross Connection Control Operations. At Aqua Backflow and Chlorination, Inc, our priority is to protect public health by managing cross-connection prevention, device maintenance and distribution system . Disconnecting and Capping Irrigation Systems. Irrigation Inspection Form. Phone: (260) 427-1234. as they can allow contaminants or pollutants to enter the public water system through what is called "backflow". Property owners are responsible for owning and maintaining the backflow devices while PWC is responsible for ensuring that the backflow device is in working condition. Access To On-Line Maps. Enter your official contact and identification details. 24 HOUR EMERGENCY SERVICE FOR BACKFLOWS. We are based out of the Chicagoland area and provide services for the entire states of lllinois, Indiana, and Southern WIsconsin. Your cooperation and courtesy is appreciated as we perform the required tasks to . COMMERCIAL. Test & Maintenance Report. Preventing backflow situations in your home and business. Cross Connection and Backflow Prevention. Testing of the device(s) must be performed by a Certified Tester, and results must be submitted online to Aqua Backflow by the test due date. Backflow occurs when a drop in water pressure causes your water to flow in the opposite direction. These preventers shut off valves so that contaminated water cannot reverse flow due to a loss of water pressure, and they must be tested annually by a certified backflow testing company. FREE ESTIMATES. 200 E. Berry Street, Suite 130. 50+ years' experience. Aqua Backflow will contact water customers when backflow testing is due and will also notify them of the new online program. All other containment assembly test reports may be submitted two . ADA-compliance Note. The Village of Tequesta maintains an active Cross-Connection Control program following Florida statutes to protect the potable water system from contaminants and pollutants at the point of connection and to ensure that proper backflow preventers are installed where hazards exist. "Mr. Backflow" Is Ready To Solve Any Backflow Need We're Specialists In Inspecting, Testing, Repairing & Installing Backflow Preventers and Backflow Prevention Devices. For more information on Fairfield's backflow program, including access to blank test report forms Email: Gina Enriquez. The Cross Connection Program is responsible for ensuring potable water provided by the City remains safe throughout the water distribution system and is protected from "backflow events." (an undesirable reversal of potentially contaminated water from a customer to the City's system.). AquaResource is a web-based Backflow Management Software for water purveyors wanting a robust cross-connection program. Fax. Company News Hear the most up to date information from about our company. Click the tab below to schedule a Test and we contact . E-mail. on or available to the property need to comply with backflow prevention codes and complete this form. 18927 Hickory Creek Dr. Suite 220. By mail: ACO Attention: Collections Department 762 W. Lancaster Avenue Bryn Mawr, PA 19010. NCRWA Backflow Cross Connection Training. Website. All containment assemblies are to be tested upon installation, replacement and annually thereafter on or before annual test due date according to zip code. New Testing Company Signup. Fort Wayne, Indiana 46802. (Form BF-1) I. Download Aqua Illinois' Medical Certificate Form here Backflow Test Form Download Backflow Test Form Texas Service Application The below application is for new customers needing to transfer existing services into their name. Individuals that need to obtain the services of a certified . . Be aware of cross connections, eliminate or isolate them. BOX 568, Albuquerque, NM 87103-0568 Office Phone: Inspector's Phone: Fax: (505) 289-3417 (505) 289-3465 (505) 289-3503 Email: backflow@abcwua.org Philosophy and Mission. Waterloo Waterloo ON N2J 4A8 T 519-886-2310 x 30231 F 519-886-5788 Email: backflowprevention@waterloo.ca Kent Film Permit Application (PDF) Film Regulations. Title (inspection.form.1000x1193.jpg \(1000\3271193\)) Author: BSI is fully devoted to helping public water systems with the development, implementation, and maintenance of cross-connection control programs. Services. 598-7251 or request a service using our online form. Choose My Signature. Survey Form Backflow Solutions 2022-03-02T12:47:15-05:00. . Aqua Backflow - Cross Connection Control Operations. Once received by Aqua, a valid medical certificate gives the customer 30 days to pay the bill or to make payment arrangements. Backflow Prevention Device Test Form MUST BE COMPLETED BY CERTIFIED BACKFLOW DEVICE TESTER Please return completed form by mail or fax to Pennsylvania American Water: Fax: 570-341-3296; Email: paw.cc@amwater.com; or Mail: Attention: Cross Connection Department 2699 Stafford Ave Scranton, PA 18505 Fax: (909) 481-4688. Backflow Prevention Assembly Test Report Return Legible and Satisfactory Reports to: WATER UTILITY AUTHORITY - COMPLIANCE DIVISION CROSS CONNECTION CONTROL OFFICE - SOUTHSIDE WATER RECLAMATION PLANT P.O. Test & Maintenance Report; For Water Customers. Use hose bib vacuum breakers on fixtures (hose connections in the basement, laundry room, and on outside . 253-297-4387 . Box 1150 Goochland, VA 23063 Backflow Test Pro, LLC 804-873-8061 3348 Medway Lane Powhatan, VA 23139 Annual Testing of Backflow Prevention Assemblies Backflow prevention assemblies are mechanical devices. TEST MEASUREMENTS a ve Held at Closed Tight Leaked Did Not Open #2 Shut Off Valve Closed Tight? backflow] to download the test report form and email the completed test form to DWQ@waterone.org . Please contact Gina Enriquez if interested. AquaResource is a key component to your cross-connection program and is accessible from any smartphone, tablet or computer, with no software to install. Certified Backflow Testers: To receive a login and password, please email a copy of your Tester Certification Card and Gauge Calibration Certificate to ccc@pawsc.com If you have any questions or require assistance, please contact us at 844-605-5213 Contractor License #. Complete Aqua Backflow in a couple of moments by following the guidelines listed below: Select the document template you want from the library of legal forms. Aqua backflow is prevented by the use of backflow preventers, or backflow devices. Fee's. Web Sites. Aqua Backflow will contact water customers when backflow testing is due and will also notify them of the new program. If you are ever unsure about which water utility serves the location where you are preforming a backflow preventer test or you need help finding a customer's location, you can find more information through City Utilities' GIS interactive mapping system.If it is your first time using the mapping system, you may call 260-427-2543 to receive basic instruction by phone or . If you have questions about registration or test submittal please contact Aqua Backflow at 847-742-2296 or toll-free at 866-777-2124. Backflow Prevention Assembly Test Report Return Legible and Satisfactory Reports to: WATER UTILITY AUTHORITY - COMPLIANCE DIVISION CROSS CONNECTION CONTROL OFFICE - SOUTHSIDE WATER RECLAMATION PLANT P.O. The City has contracted with Aqua Backflow for the past several years to track and sends out notices of when backflow devices (cross-connection) need to be tested. Test reports must be submitted to Fairfield's Water Division. There are three variants; a typed, drawn or uploaded signature. . Decide on what kind of eSignature to create. 06/25/22. Backflow Prevention Assembly Test Report Providence Water Supply Board 125 Dupont Drive Providence RI 02907 backflow@provwater.com - FAX: 401-464-8721 Submit completed Test Report: Mailing Address ServiceAddress Commercial Industrial Residential Municipal Domestic Irrigation Existing New Replaced Removed Fire Mokena, IL 60448 (708) 995-3019. Choose a certified tester - see list below - and schedule a backflow test. To ensure they work correctly, all backflow assemblies must be tested annually with the exception of atmospheric vacuum breakers. If you are needing to inquire about a new water/sewer tap, please reach out to customer service at 877-987-2782. If you need your Backflow Preventer tested and certified, please call us at (610) 909-0906 This course will cover the basic information needed to understand the concepts and fundamentals of cross connection control. We are offering proctor training. The advanced tools of the editor will direct you through the editable PDF template. Aqua Cross Connection Program; Customer Service Inspections; Endangered Species Compliance; Conservation Forms. For affordable backflow testing, give City Backflow Testing a call. Contractor License Exp Date (mm/dd/yyyy) Our staff will review your submission and contact you to request documentation. At Aqua Backflow and Chlorination, Inc, our priority is to protect public health by managing cross-connection prevention, device maintenance and distribution system . Backflow Assembly Test Form. Philosophy and Mission. This is done through our lawn irrigation testing program where a PWC contractor tests all residential backflow devices. as they can allow contaminants or pollutants to enter the public water system through what is called "backflow". Updates to Test Kit Calibrations/Testing Certifications Test kits are to be calibrated annually to ensure adequate gauge . Phone: (260) 427-1234. Backflow Tester Name: Company Name: Personnel Phone: . . Aqua Safe Backflow Service (559) 930-0619: Rudy Maldonado: Flow Tech (559) 936-6492: Natalie Travioli: Arrowhead T Water and Sewer . 07/30/22. Box 708, . (Non-Residential are required to test their own devices . +. For instructions on how to submit a backflow test/inspection, see On-Line Test Submittal User Guide or backflow test/inspection video. The City of Naperville has contracted with Aqua Backflow to manage the City's backflow inspection program. Phone. HEADQUARTERS. Irrigation Inspectors. 50+ years' experience. 3. Backflow Prevention Assembly Test Report Providence Water Supply Board 125 Dupont Drive Providence RI 02907 backflow@provwater.com - FAX: 401-464-8721 Submit completed Test Report: Mailing Address ServiceAddress Commercial Industrial Residential Municipal Domestic Irrigation Existing New Replaced Removed Fire