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QLD Form 9 Backflow Test Report

Sections

Description of Land Owner/Occupier Contact Details Test Criteria Device Location, Mains Pressure and Time of Test Main Device By-Pass Device Pressure Type Vacuum Breakers Air Gap Test Kit Details Authorised Tester Details Authorised Tester's Results

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By-Pass Device

Bypass device test results on QLD Form 9

Complete this section only when a bypass device is fitted. Enter device details, valve readings, and isolating valve results the same way as the main device section.

Main Device

Main backflow device test results on QLD Form 9

Pressure Type Vacuum Breakers

PVB test results on QLD Form 9