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- Fill out the test report completely, write legible and in ink
- Test reports can be picked up at our office.
- Start at top with the: Business/Building, Service Address, Contact Person, Phone#.
- Manufacturer, Model#, Serial#, Assembly Type, Use (DCV, PVB, RP), Size of Assembly. (If a test fails, write in repairs made to the assembly. 'Example-Rebuilt assembly.' We want parts used, removed, passed and failed reports.)
- Location of the assembly is very important. BE SPECIFIC. (Example-Boiler room NE Corner, Basement-Room 117.)
- On Replacement Assemblies, write down existing serial# and complete new assembly information.
- Review where to write the readings on the test report. The readings need to fall within the test procedure's guidelines. (LWS manually reads the reports before we enter them into our computer. LWS personnel will not adjust your readings, you will be asked to review your records, or retest the assembly in the event that you transferred the wrong readings). Do not forget to mark the box that applies to what the assembly supplies.
- A) Print your Name; B) Sign Test Report; C) Your Grade VI Certification #; D) Date Tested; E) Signature from Customer, Guard, Secretary, etc.
- Test Reports will require gauge serial#, date gauge was calibrated and checked, and name of company that certified your gauge.
- Report must be returned within 30 days of test.
- Three copies of your reports: White Copy-sent to Lincoln Water System, Yellow Copy-keep for your records, Pink Copy-Business.
- Do not hesitate to call; we will supply you with the number of assemblies in a building, their location, serial number, etc. if you are unable to obtain this information from the customer.
*If you suspect a cross-connection, call us immediately, and we will investigate.
