backflow prevention device testing inc.

STATE CERT. #2708 CCB 167327

This is a family owned and operated business servicing the greater Portland area since 1988. We are licensed with the Oregon Health Authority and Oregon Construction Contractor’s Board (Residential Specialty and Commercial General Contractor Level 2).We are insured and bonded for service within the State of Oregon only.

PLEASE SEND IN THIS FORM TO INQUIRE ABOUT SCHEDULING. SCHEDULING IS DONE BY EMAIL ONLY. NO TEXT MESSAGES.

Name

First Name

Last Name

Phone

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FULL ADDRESS

TRAC NUMBER or LOCATION CODE

Many water purveyors now use a third party service to file results of each test. An unique number or code would have been assigned to your address that your tester will need to submit the results of your test.

LOCATION OF ASSEMBLY

Your tester will need to know where yours is so that it can be scheduled properly. If you do not know or are unsure just enter NOT SURE and we will research for you.

Special Instructions

Unless directed to no prepayment is required as prices for services may have changed.

Our terms for payment is “upon receipt” We accept personal and company checks as well as Venmo, Zelle and credit cards.

backflow prevention device testing inc.

backflow prevention device testing inc.

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