Your System Request Services
logo
 
557 Salmon Brook St. ,Granby, CT. 06035
Tel: (860) 844-0004
        (800) 529-6770

Backflow Prevention Device Form
 
 

Request a test for your backflow prevention device.
The State of Connecticut Department of Public Health requires that your backflow prevention device be tested annually. This service requires special training and equipment and therefore will be billed separately from any other service. Grass Helper currently employs several state certified testers. For more information on cross connections, check out the following links.

http://www.ct.gov/dph/LIB/dph/drinking_water/pdf/cross_connect.pdf

http://www.ct.gov/dph/lib/dph/drinking_water/pdf/CT_
Cross_Connection_Control_Regulations.pdf

Note: All of our testers are certified by the State of Connecticut and The New England Water Works Association, however your local water provider may refuse to accept our results. The following water providers require “in-house” testing by their own agents.

*Aquarian Water Co. ph. 203-445-7362
*Salmon Brook
*Tariffville Water
*Groton Utilities


Request for backflow device test
Please fill out all 7 spaces in the form below.
 
Please test my backflow prevention device. This service is required by local codes for devices that protect the public water supply. This service includes testing the device and filing of the required paperwork. The price listed is for each test. Testing is required annually for Connecticut jobsites. Massachusetts jobsites require 2 tests annually.
Name: 
Job Address: 
Telephone No.: 
Date: 
Water Provider: 
   
Please check one or both:  
   
YesNo  
Please test my backflow device for a cost of $50.00 per device (most residential systems have one).
   
YesNo  
At this time, I am approving up to $25.00 worth of replacement parts if needed. We strongly suggest this option. It will allow our technician to make minor repairs at the time of the inspection, therefore saving you additional labor charges.
   
  

If your service agreement with Grass Helper Lawn Care inc. is ongoing, then so too will this agreement. You will be notified of any changes via e mail

 


    Grass Helper Lawn Sprinklers | All Rights Reserved