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Cross Connection Control Program Survey File Name: For City Use Only File Number: Date Stamp PERMIT CENTER EXISTING COMMERCIAL STRUCTURE/TENANT IMPROVEMENT SURVEY For in premise protection at fixtures,

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What is cross connection control program?

Cross connection control program is a program designed to prevent the backflow of contaminated water into the potable water supply.

Who is required to file cross connection control program?

Certain businesses and facilities that pose a higher risk of cross connections are required to file a cross connection control program.

How to fill out cross connection control program?

To fill out a cross connection control program, businesses must identify potential cross connections, assess the associated risks, and implement appropriate control measures.

What is the purpose of cross connection control program?

The purpose of a cross connection control program is to protect the public water supply from contamination.

What information must be reported on cross connection control program?

A cross connection control program must include a list of potential cross connections, risk assessments, control measures, and a maintenance plan.

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