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Registration For Backflow Testing Form - Nfrastructure Operations And Services Departmen

INFRASTRUCTURE OPERATIONS AND SERVICES DEPARTMENT

ATTN: BACKFLOW – ROBERT TREVINO 972-450-2827

rtrevino@addisontx.gov

16801 WESTGROVE RD. ADDISON, TX 75001-9010

PHONE: 972-450-2871 FAX: 972-450-2837

INFORMATION FOR BACKFLOW TESTING IN THE TOWN OF ADDISON

The Town of Addison requires all backflow prevention assembly testers to register. Test results from

testers not registered will not be accepted.

To register as a backflow prevention assembly tester with the Town of Addison, a registration form

must be completed and submitted with the following documentation:

TCEQ BPAT License

Current testing gauge calibration report

Certificate/License if you are a licensed plumber

Certificate/License if you are a licensed lawn sprinkler contractor

Confined space Training Certificate (If applicable)

Photo identification

Registration forms can be completed in person at the Infrastructure Operations and Services

Department, located at the Town of Addison Service Center 16801 Westgrove Drive, Addison, Texas

75001. You may also print the registration from our website

(

under the

Infrastructure Operations and Services Department section). An annual non-refundable registration

fee of $75.00 (payable by check, money order, cash or credit card) is required. Town of Addison

Backflow Prevention Assembly Test and Maintenance Report must be used and are available for

$25.00 for a pack of 30 test forms in triplicate.

Upon submission and approval of the registration form by a Town Official, the tester will be added to

the approved Backflow Assembly Tester List which is available to all Utility customers unless tester

requests to be left off of the list.

Backflow Prevention Assembly Testers may test and repair assemblies on firelines only if they are

permanently employed by an Approved Fire Sprinkler Contractor. The State of Texas Fire Marshall’s

Office requires that any person performing maintenance on firelines must be employed by an

Approved Fire Sprinkler Contractor.

It is the responsibility of the tester to ensure that all documentation submitted is current. If the

documentation is not up to date, test reports will not be accepted. Tester registration is good for one

calendar year from the date of the registration.

Registration For Backflow Testing Form - Nfrastructure Operations And Services Departmen