Nyc Dep Backflow Form – Fill Out and Use This PDF

Nyc Dep Backflow Form PDF Details

NYC DEP's Bureau of Water and Sewer Operations uses form GEN215B (Rev 1/2019) to record the test and maintenance of a containment backflow prevention assembly, one form per assembly. Part A names the public water supply, the block and lot, the facility and the assembly's make, model, size, serial number and location. Part B, completed by a New York State certified backflow prevention assembly tester, records the check valve and relief valve readings before repair and at the final test, any repairs, the water meter and the type of service, and certifies whether the assembly meets the requirements. For an initial test, Part C is signed by the professional engineer or registered architect and Part D by the licensed master plumber; an annual test completes Parts A and B only.