Parkcity, KS - Home Page
Parkcity, KS - Home Page
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Parkcity, KS - Home Page

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Backflow Test Form

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The Kansas Department of Health & Environment and the City of Park City Municipal Code Chapter 15-231 requires annual inspection of all cross connect/backflow prevention devices. This form is provided for the convenience of Certified Testers. If you have any questions, call City Hall at 744-2026.

Information on the device

Information on the Contractor

Test Results
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  •  6110 N. Hydraulic  •  Park City, KS 67219-2499  •  Ph: (316) 744-2026  •  Fx: (316) 744-3865