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CROSS CONNECTION SURVEY FORM N None Required AVB Atmospheric Type Vacuum Breaker DUE Dual Check Valve Type CAP Dual Check Valve Type with Atmospheric Port DIVA Double Check Valve Assembly Type Date:
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How to fill out a cross connection general survey:

01
Begin by carefully reading the instructions provided with the survey. This will help you understand the purpose of the survey and the information it seeks.
02
Gather all the necessary documents and information before starting the survey. This may include previous survey reports, plumbing diagrams, and other relevant documents.
03
Start by providing your personal or business information as requested in the survey. This may include your name, contact information, and the address of the property being surveyed.
04
Answer the survey questions accurately and to the best of your knowledge. If you are unsure about any question, consider seeking assistance from a professional plumber or the survey administrator.
05
Pay attention to any additional instructions or requirements specified in the survey. Some questions may require additional explanation or documentation to support your response.
06
Double-check your answers before submitting the survey to ensure accuracy and completeness.
07
Submit the survey within the specified deadline or as instructed by the survey administrator.

Who needs a cross connection general survey:

01
Water utilities: Water utilities need cross connection general surveys to identify potential sources of contamination within their distribution systems. This helps them ensure the safety and quality of the water being supplied to consumers.
02
Property owners and managers: Property owners and managers are responsible for maintaining the plumbing systems on their premises. Cross connection general surveys can help identify hidden health hazards and ensure compliance with local regulations.
03
Regulatory authorities: Regulatory authorities often require cross connection general surveys as part of their oversight and enforcement responsibilities. These surveys help them assess the level of compliance with cross connection control programs and identify areas for improvement.
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Cross connection general survey is a systematic evaluation of potential cross connections in a water supply system to prevent contamination of potable water.
Property owners, businesses, and municipalities are required to file cross connection general surveys.
Cross connection general surveys can be filled out by identifying potential cross connections, evaluating risks, and implementing control measures.
The purpose of cross connection general survey is to protect the public water supply from contamination and ensure the safety of drinking water.
Information such as the location of potential cross connections, risk assessment, and control measures must be reported on the cross connection general survey.
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