The Gen 236 form serves as a crucial document for any facility in New York City that needs to install, replace, or make any modifications to backflow prevention devices. This form, required by the New York City Department of Environmental Protection, is meticulously designed to gather comprehensive details about the facility, the specific backflow prevention devices being considered, and the justification for their installation based on the assessed degree of hazard. Facilities must provide information ranging from the exact location and contact details to specifics about the devices such as the manufacturer, model number, and size. Additionally, the form delves into the nature of the work being carried out – whether it's an initial installation, a replacement, or a new service – and requires insights into the system pressure, the estimated cost of installation, and the degree of hazard. This detailed documentation is essential for ensuring that water supplies remain uncontaminated by preventing backward flow which could potentially introduce hazardous materials. The task of filling out the Gen 236 form, thus, not only complies with regulatory measures but significantly contributes to public health and safety by maintaining the integrity of the water system.
| Question | Answer |
|---|---|
| Form Name | Form Gen 236 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 9 backflow prevention device nycdep form |