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Cibola Service Form

Hello Cibola!

I will be in town to do the annual backflow testing August 1st thru November 30th. Please take advantage of this time frame as cost to test may be more if a special trip is required. Cost to test (pass or fail) will be $77.00 (16.95 BSI fee included) COD, or prepaid in advance. This includes filing paperwork with the water company and any follow up needed.

The new water company, Cactus State (CSWR AZ) uses BSI Online to manage their backflow program. BSI Online is a cross-connection control data management company that many water purveyors use to manage their cross connection control (backflow prevention devices) programs. This adds an additional $16.95 management fee to the backflow testing cost. BSI should be mailing (or emailing) you a notification letter stating testing is due by 8-31-26.

Please return or submit the online form with your payment & I’ll do the rest. To schedule your test with COD payment, contact 909 627-2697, email me at mike@d-r-plumbing.com or mail to D & R Plumbing 12726 Roswell Ave Chino, CA 91710. Be sure to provide the information below as it appears on your water bill, and payment.

The backflow preventers in Cibola are starting to need work. In an effort to keep costs down, expedite repairs and save you money, I have attached a price list on page 2 for repairs if needed at the time of testing. These prices are only valid at time of testing. If you choose not to pre- approve repairs, cost to repair will be higher. If the device is not serviceable, I will contact you for approval prior to replacement. 

Download a PDF form for print and mail

Approval

Pre-Approval: I hereby approve any repairs if deemed as needed by the test results of the initial test. Repair costs will be billed and due upon completion of repairs. I will contact you for approval prior to commencement of work if device needs to be replaced. Please provide payment method.

I decline pre-authorization of repairs at this time, which will cause an increased cost to repair if the device fails the initial test.

Common Repair Costs:
  • Clean & retest $90.00
  • Clean, rebuild, & retest 975XL 1" or 3/4 device $255.00
  • If seats are needed add $45.00 per seat
  • Brass Test cock replacement $28.00 ea
  • If 3/4 or 1" devices are not serviceable and needs replacement $1475.00. I will contact you for approval prior to replacement.