Miami-Dade backflow test report form (WASD)

What the form asks for

• Section 1: address of the device, owner, owner contact, phone, fax, owner’s address and ZIP
• Section 2: tester name, certification number and expiration date, business name and address
• Section 3: test kit make, model, serial number, date last calibrated, and whether a sight tube was used
• Section 4: assembly make, model, serial, size and type (RP, DC or PVB), location, hazard or service, meter number and reading, date of test, initial or annual test
• Shut-off valves 1 and 2 closed tight or leaked, line pressure and whether it was stable
• The test: each check valve closed tight or leaked with the pressure differential; the relief valve failed to open or opened at; the PVB air inlet and check
• If the assembly fails: reason for failure, parts cleaned or replaced, and a retest in the same grid
• A certification that the test followed the AWWA Cross Connection Control Manual, the tester’s signature and date

Filing online

WASD gives each tester a username and password for its online test reporting site. Testers find the assembly by serial number and house number, or by the hazard number printed at the top of the county’s test report form, confirm or correct the details, enter the initial test (pass or fail, date, values), any repairs and the final test, pick the test kit and check the required statements. The site can print a completed report for the customer and a receipt.

Who can test

A certified tester completes a 40-hour course in backflow assembly testing and passes a proficiency test. To be listed with WASD, a company sends the tester information form with copies of its business license, liability insurance, test kit calibration certificate, tester certificates and contractor licenses. WASD does not endorse testers.

How often

WASD’s page says certain assemblies are tested on installation and every year. Florida rule 62-555.360 sets at least yearly tests at non-residential connections and at least every 2 years at residential ones.

How Stampario fills it

• The standard backflow report records the form’s values: tester certification and expiry, test kit and calibration date, assembly details, meter number and reading, shut-off valves, line pressure and whether it held stable, readings, repairs and the retest.
• A "Utility device / hazard #" field holds the hazard number from the county’s form, the number the portal searches by.
• A "filed with the utility on" date records when you submitted the test online.