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This version of the form is not currently in use and is provided for reference only. Download this version of
Form MO780-0804
for the current year.
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.
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;
- Fill out the form in our online filing application.
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.
