Gen215B Form PDF Details

The Gen215B form, integral to maintaining the integrity of New York City's public water supply, serves as a comprehensive report on the test and maintenance procedures of containment backflow prevention assemblies. This document is a requisite tool employed by the NYC Department of Environmental Protection (DEP) to ensure that the water supply remains uncontaminated by potential backflows. The form caters to various scenarios, including initial tests for newly installed assemblies and annual tests for existing ones, thus requiring meticulous completion of its multiple parts by different certified professionals. Part A, which needs to be filled out in all cases, captures basic information about the facility and the backflow prevention assembly. Part B is tailored for NYS certified backflow prevention assembly testers, detailing the assembly's operational metrics and any repairs undertaken. In situations warranting initial testing, Part C demands the expertise of a NYS licensed professional engineer or registered architect to certify the installation's compliance with approved plans. Finally, Part D requires a NYC licensed master plumber's certification, ensuring the assembly adheres to the Building Department's requirements. Together, these sections work in tandem to fortify NYC’s water system against contamination, highlighting the form's pivotal role in safeguarding public health.

QuestionAnswer
Form NameGen215B Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesgen215b, gen215b dep, nyc dep gen 215b, gen 215b

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example of gaps in dep gen 215 test report form

Enter the demanded details in the area Closed tight, Meter Reading, Water Meter Number, Type of Water ServiceSystem Please, Completion Time of Test eg pm, other deficiencies NO YES If, CERTIFICATION This assembly meets, CERTIFICATION This assembly does, acceptable containment assembly at, Signature, Date, Signature, Date, PRINT NAME, and Telephone No.

stage 2 to finishing dep gen 215 test report form

It's essential to put down certain information in the section PERA Printed Name, Company, Address, Plumbers Printed Name, Telephone, Plumbers License, Signature Seal Date, Telephone, Minor Installation Changes describe, Attach additional sheets if, Signature Seal and Date, NOTE Send one completed form, NYCDEPBWSO CrossConnection Control, and Rev.

dep gen 215 test report form PERA Printed Name, Company, Address, Plumbers Printed Name, Telephone, Plumbers License, Signature Seal  Date, Telephone, Minor Installation Changes describe, Attach additional sheets if, Signature Seal and Date, NOTE Send one completed form, NYCDEPBWSO CrossConnection Control, and Rev fields to fill out

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