City of Fort Smith, Arkansas

Utility Department

Backflow Assembly Test Reports

BACKFLOW ASSEMBLY TEST REPORTS

 

The water customer shall cause the certified assembly testing technician to provide to the Approving Authority a copy of the certified test and inspection, on an approved form.  Test results shall be documented on the City of Fort Smith Backflow Prevention Assembly Test Report and a copy sent to the Approving Authority by means of electronic mail, fax, or U.S. mail.  A copy of the required Backflow Prevention Assembly Test Report is provided.

 

 

Backflow Prevention Assembly Test Report (PDF) >>