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Backflow Inspection Report Submission

  1. Tester Information

  2. Backflow Location Information

  3. Physical Address Only

  4. Type a number 1 - 5

  5. Instructions

    If a business has more than one backflow you may submit up to 5 at a time. If there are multiple businesses, please submit separately.

  6. PDF Format is Preferred

  7. Need a backflow form?

    Feel free to use this one. Electronic signatures are accepted. Click here for more information about e-signing pdf documents.

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