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City of Central
CrossConnection Control Survey 2015
TO BE RETURNED WITHIN 30 DAYS
In order to ensure the safety of the water supply at the most affordable cost, the city is required by the
Environmental
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How to fill out city of centralia cross-connection

How to fill out city of centralia cross-connection:
01
Obtain the necessary forms: Start by obtaining the appropriate cross-connection form from the City of Centralia. This form can usually be found on the city's official website or at the local water department office.
02
Provide contact information: Begin filling out the form by providing your contact information. This usually includes your name, address, phone number, and email address. Make sure to write legibly and accurately to ensure communication can be established if needed.
03
Describe the property: Indicate the property details for which the cross-connection is being requested. Include the address, type of property (e.g., residential, commercial), and any relevant information about its usage or purpose.
04
Identify the water source: Specify the water source that will be connected to the property. This could be the municipal water supply, a private well, or any other source relevant to the specific situation.
05
Provide plumbing details: Describe the plumbing system that will be in place or is already installed. This may include the presence of backflow prevention devices, water meters, or other related equipment.
06
Include a diagram: If required or recommended by the city, provide a diagram of the proposed or existing plumbing system. This can help illustrate the flow of water and any potential connections that need to be addressed.
07
Submit the form: Once you have completed filling out the form, submit it according to the instructions provided by the city. This may involve mailing it, delivering it in person, or submitting it electronically.
Who needs city of centralia cross-connection?
01
Homeowners: Homeowners who wish to connect their property's plumbing system to a water source in the City of Centralia may need to fill out the cross-connection form. This ensures that proper measures are taken to prevent backflow and contamination in the water supply.
02
Business owners: Business owners, whether operating in a commercial or industrial setting, may also need to complete the city's cross-connection form before connecting their plumbing system to the municipal water supply. This ensures compliance with safety regulations and protects the integrity of the water system.
03
Contractors or plumbers: Contractors or plumbers working on projects that involve water connections within the City of Centralia may be required to fill out the cross-connection form on behalf of their clients. This helps ensure that all necessary information is provided and that the plumbing work is performed in accordance with local regulations and guidelines.
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What is city of centralia cross-connection?
City of Centralia cross-connection refers to the connection between a drinking water supply and a potential source of contamination, which can pose a risk to public health.
Who is required to file city of centralia cross-connection?
All property owners, businesses, and residents connected to the city's water supply are required to file a city of Centralia cross-connection form.
How to fill out city of centralia cross-connection?
The city of Centralia cross-connection form can be filled out online on the city's official website or obtained from the water department and submitted by mail or in person.
What is the purpose of city of centralia cross-connection?
The purpose of the city of Centralia cross-connection program is to protect the public water supply from contamination and ensure the safety of drinking water.
What information must be reported on city of centralia cross-connection?
The cross-connection form requires information about the property address, water usage, backflow prevention devices, and any potential hazards on the property.
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