Form MO780-0804 Backflow Prevention Assembly Test Data and Maintenance Report - Missouri

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Form MO780-0804 Backflow Prevention Assembly Test Data and Maintenance Report - Missouri

What Is Form MO780-0804?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MO780-0804?
A: MO780-0804 is the form for the Backflow Prevention Assembly Test Data and Maintenance Report in Missouri.

Q: What is a Backflow Prevention Assembly?
A: A Backflow Prevention Assembly is a device that prevents the reverse flow of water from a potentially contaminated source into the public water supply system.

Q: What is the purpose of MO780-0804?
A: The purpose of MO780-0804 is to report the test data and maintenance information of a Backflow Prevention Assembly to the relevant authorities in Missouri.

Q: Who needs to fill out MO780-0804?
A: Certified backflow prevention assembly testers are responsible for filling out MO780-0804 after conducting tests on the assembly.

Q: What information is included in MO780-0804?
A: MO780-0804 includes information about the backflow prevention assembly, its location, test results, maintenance records, and the name and certification number of the tester.

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Form Details:

  • Released on January 1, 2006;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MO780-0804 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

Download Form MO780-0804 Backflow Prevention Assembly Test Data and Maintenance Report - Missouri

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  • Form MO780-0804 Backflow Prevention Assembly Test Data and Maintenance Report - Missouri, Page 1
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