Fresno County, CA · Fresno County
Water Test Certification Form
Fresno County uses this form to document a residential well yield pumping test, completed by the well owner and testing company.
At a glance
- Issued by
- City of Fresno County · Fresno County, Fresno County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- fresnocountyca.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form records the results of a residential well yield pumping test and certifies that the report is complete and accurate. It asks for well owner and location details, well and test equipment information, pumping and recovery measurements, and the testing company’s certification. Required pumping and recovery data sheets are listed as attachments, and the related test notification must reach the building official at least 48 hours before testing begins.
Who needs it
Well owners and testing companies use this form to document a residential well yield test and provide the test information to Fresno County.
How to submit it
The notification says to send it by fax, email, or regular mail to the Department of Public Works and Planning Development Services Division, 2220 Tulare Street, 6th Floor, Fresno, CA 93721; fax (559) 442-6700 or email [email protected]. The completed notification must be received at least 48 hours before the test.
About notarization
This document is signed and dated without a notary; the pumping and recovery data sheets are listed as required attachments, and the signer certifies the report’s accuracy.
How to submit this form
- 1
Download the Form
Download the Water Test Certification Form and its test data sheets.
- 2
Complete the Form
Enter the well, owner, equipment, and test details, then complete the certification.
- 3
Gather Attachments
Include the pumping data sheet and recovery data sheet listed as required attachments.
- 4
Send the Notification
Fax, email, or mail the test notification to the county office named on the form at least 48 hours before testing.
Frequently asked questions
- What does the Water Test Certification Form record?
- It records well, equipment, pumping, and recovery information for a residential well yield test, along with a certification from the testing company.
- Who completes this form?
- The form collects information from the well owner and testing company, including company license and contact details, test data, and a signed certification.
- Do I need a notary for the Water Test Certification Form?
- No. The document is signed and dated without a notary. It lists pumping and recovery data sheets as required attachments.
- How do I submit the test notification?
- Send the notification by fax, email, or regular mail to the Fresno County Department of Public Works and Planning Development Services Division. It must be received at least 48 hours before testing begins.