Affidavit
 
-RECERTIFICATION-

STEP 2: Verify that these objectives were covered in your course.

1. Types of cross-connections, definitions

-Historical background
-Plumbing water distribution
-Plumbing cross-connections
-Cross-connection incidents
-Industry and public health significance of cross-connections

2. Drinking Water Regulations

-Safe Drinking Water Act
-Primary and secondary standards and MCL's
-Toxicology

3. Cross connection programs

-Responsibilities (Purveyor, Tester, Surveyor, Repairer)
-Cross-connection control surveys
-Security for Backflow Prevention Assemblies

4. Definitions, vocabulary & terminology pertaining to:

-backflow preventers
-devices
-hydraulics
-plumbing & cross-connection control industry

5. Hydraulics & science pertaining to:

-backsiphonage
-backpressure
-atmospheric pressure
-absolute pressure
-gauge pressure
-backflow
-thermal expansion
-Venturi principle

6. Laws, rules, regulations, codes - federal, state & local levels:

-EPA
-City ordinances
-State or Model Plumbing Code
-State, County & City Ordinances

7. Knowledge & identification of the following:

-listing agencies
-testing laboratories
-professional associations

8. Assembly test gauge equipment - knowledge & operation

-Series 5000 qualifications

9. Parts, terminology & identification, and application & installation for the following:

-Air Gap
-Atmospheric Type Vacuum Breakers (ASSE 1001)
-Reduced Pressure Principle Backflow Preventers (ASSE 1013)
-Double Check Backflow Prevention Assemblies (ASSE 1015)
-Pressure Vacuum Breaker Assembly ( ASSE 1020)
-Reduced Pressure Detector Fire Protection Backflow Prevention Assembly (ASSE 1047)
-Double Check Detector Fire Protection Backflow Prevention Assemblies (ASSE 1048)
-Hose Connection Backflow Preventer (ASSE 1052)
-Spill Resistant Vacuum Breaker (ASSE 1056)
-Backflow Prevention Assembly Field Test Kits (ASSE 1064)

10. Test Procedures for Backflow Prevention Assemblies:

-Reduced Pressure Principle Backflow Preventers (ASSE 1013)
-Double Check Backflow Prevention Assemblies (ASSE 1015)
-Pressure Vacuum Breaker Assembly ( ASSE 1020)
-Reduced Pressure Principle Backflow Preventers (ASSE 1013)
-Double Check Backflow Prevention Assemblies (ASSE 1015)
-Pressure Vacuum Breaker Assembly (ASSE 1020)
-Reduced Pressure Detector Fire Protection Backflow Prevention Assembly (ASSE 1047)
-Double Check Detector Fire Protection Backflow Prevention Assemblies (ASSE 1048)
-Spill Resistant Vacuum Breaker (ASSE 1056)

11. Troubleshooting backflow prevention assemblies, failures & causes:

-Reduced Pressure Principle Backflow Preventers (ASSE 1013)
-Double Check Backflow Prevention Assemblies (ASSE 1015)
-Pressure Vacuum Breaker Assembly (ASSE 1020)
-Reduced Pressure Detector Fire Protection Backflow Prevention Assembly (ASSE 1047)
-Double Check Detector Fire Protection Backflow Prevention Assemblies (ASSE 1048)
-Spill Resistant Vacuum Breaker (ASSE 1056)
-Components
-Check valves
-Relief valve
-Air inlet
-Test cocks
-Shut-off valves

12. Documentation of information


13. Tester responsibilities


14. Safety



I verify that the above mentioned instructional objectives have been covered in my course of instruction.
YES NO