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Alleged Fraudulent Backflow Assembly Test Report
Please complete the form below.

If you have additional questions please contact

Jim Poff - Georgia Water and Waste Water Institute - Backflow Program Administrator  (770) 618-8690

Water Purveyor/Water Utility Information:
Alleged Fraudulent Testing Event Information:
Please describe what happened during this alleged fraudulent test:
Was any action taken against the Company/Tester