Get the free Cross Connection Form - Otter Lake Water Commission
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Otter Lake Water Commission 6475 W Montgomery Road, PO Box 468, Video, IL 62690 phone: (217) 965-1566 email: otter lake otterlakewater.net fax: (217) 965-1530 website: www.otterlakewater.net 2014
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How to fill out cross connection form
How to fill out a cross connection form:
01
Start by obtaining a copy of the cross connection form from your local water utility or the relevant authority.
02
Read through the instructions provided on the form to understand the requirements and gather all the necessary information.
03
Begin filling out the personal details section, including your name, address, contact information, and any other information requested.
04
Move on to the section that requires specific details about the cross connection, such as the location, type of connection, and any relevant equipment or devices.
05
Provide a detailed description of the purpose of the cross connection and how it will be used.
06
If there are any plumbing fixtures, appliances, or equipment involved, clearly list and describe them on the form.
07
Include any relevant diagrams or sketches that can help illustrate the cross connection setup.
08
If applicable, provide information about backflow prevention devices being used and their maintenance schedule.
09
Ensure that you have completed all the required fields, double-checking for any mistakes or missing information.
10
Sign and date the form, and make a copy for your records before submitting it to the appropriate authority.
Who needs a cross connection form?
01
Individuals or businesses that have a cross connection between their plumbing system and a public water supply.
02
Contractors or plumbers installing or working on plumbing systems that may include cross connections.
03
Institutions or facilities that use water for various purposes, such as hospitals, schools, manufacturing plants, or commercial establishments.
Note: The specific requirements for needing a cross connection form may vary depending on the local regulations and guidelines established by the water utility or regulatory authority in your area.
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What is cross connection form?
Cross connection form is a document used to identify potential cross connections in plumbing systems that could contaminate the public water supply.
Who is required to file cross connection form?
Property owners, businesses, and individuals responsible for maintaining plumbing systems are typically required to file cross connection forms.
How to fill out cross connection form?
Cross connection forms are typically filled out by providing information about the plumbing system, potential cross connection points, and backflow prevention devices.
What is the purpose of cross connection form?
The purpose of the cross connection form is to prevent contamination of the public water supply by identifying and addressing potential cross connections.
What information must be reported on cross connection form?
Information such as details of the plumbing system, potential cross connection points, and backflow prevention devices must be reported on the cross connection form.
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