3-ATTACHMENT B.pdf

BACKFLOW PREVENTION ASSEMBLY TESTER ORIENTATION CHECK LIST

The backflow Tester is responsible for following proper installation procedures for new or replacement BPAs in accordance with the CCCPH, USCFCC approval, District Administrative Code, District standard drawings and Plumbing Code.

Backflow Testers must maintain their valid certification from an organization approved by the State Water Resources Control Board and test kit calibration. It is the Backflow Tester’s responsibility to provide the Cross-Connection Control Coordinator with proof of certification upon expiration, to remain on the District’s Tester List.

If a SWRCB approved organization removes a tester from their tester list, that tester will immediately be removed from the District Tester list.

The Backflow Tester may be subject to an audit to maintain the integrity of the Cross Connection

Control Program. Any tester refusing to perform testing in the presence of a District auditor will be subject to removal from the District’s Tester List.

If for any reason a Tester is removed from the District’s Tester List, such Tester will be required to repeat the Orientation process prior to being allowed back on the District’s tester list.

All backflow assemblies must be tested in accordance with the procedures outlined in the USC FCCCHR

Manual of Cross Connection Control (latest edition).

Only the District BPA Test Maintenance Report Form will be accepted.

At the time of the test, all information must be filled out clearly and legibly on the District BPA Test

Maintenance Report Form, including: customer and tester signatures, meter read, correct installation, and ALL appropriate pressure values.

All information on the backflow test report must be verified to the actual backflow assembly and water meter. (Remember to properly Notify, Identify, Inspect, and Observe).

When needed, the Backflow Tester is responsible to schedule the unlocking of water services at the meter with the Cross-Connection Control Coordinator at least 1 business day in advance.

If a shutdown is needed and the shut off valve is located in the street, a minimum of one week’s notice is required to schedule the shutdown with EMWD. EMWD will need the planned date for the shutdown, start time, duration, and scope of work.

No backflow assembly shall be tested after the FINAL due date without prior authorization of the Cross-Connection Control Coordinator.

All test reports, including failed tests, must be submitted by mail, email, or drop off to the Cross-

Connection Control Coordinator within 10 days of the test but, no later than the FINAL due date without prior authorization (Faxed test reports will not be accepted).

Do not cross out any information on the test report. Changes and corrections of test report information must be placed in the proper fields or in the comments section of the test report.

Changes to customer name, address, or account information must be made by the CUSTOMER through the EMWD Billing Department. The Cross-Connection Control Coordinator cannot make these types of changes.

Requests for grouping or separating backflow due dates can be made by the customer to the District’s

Cross-Connection Control Division, or the Tester can request to consolidate testing by documenting the change in the Comments portion of the District Form.

If the Tester is contacted by the District’s Backflow Division to request additional information regarding an account, or request a backflow device test report be corrected and resubmitted, follow-up is expected within a maximum of 2 business days

When a backflow device to be tested is found off at the #1 SOV upon arrival, if the test passes, the backflow must be left off at the #2 SOV only.

The Backflow Tester is not authorized to enforce the District’s Cross Connection Control Program, enforcement lies solely with the District. The Backflow Tester is responsible to report to the District any actual or suspected conditions that may pose a risk to public health.

The Backflow Tester must never knowingly falsify the results of a backflow test or the condition of a backflow assembly. Any tester found to have deliberately reported false information to the District will be subject to removal from the District’s Tester List and referral to the SWRCB approved certifying agency.

Cross Connection Control Division

BACKFLOW PREVENTION ASSEMBLY TESTER ORIENTATION CHECK LIST

I hereby certify that I have thoroughly read and understand the Best Management Practices for Backflow Assembly Testers and shall comply with Eastern Municipal Water District’s Administrative

Code as a backflow assembly tester in the District’s Cross Connection Control Program.

Printed Name Authorized Signature

Tester Certification Number Expiration Date

Test Kit Serial No. E-mail Address

Please mark this box if you’d like to be identified on the public list for backflow installations or replacements

Only Backflow Assembly Test Maintenance Report Forms which are signed with an

Authorized Signature will be accepted by EMWD.