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Cross-connection control / backflow survey form Please complete the form below to the best of your ability or consult a licensed plumber for assistance.
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Cross-connection control backflow survey is a survey conducted to identify potential hazards in a water system where non-potable and potable water may come into contact.
Property owners, businesses, and institutions are required to file cross-connection control backflow surveys.
To fill out a cross-connection control backflow survey, you must provide information about potential cross-connections, backflow prevention devices, and water usage on the property.
The purpose of a cross-connection control backflow survey is to protect the public water supply from contamination and ensure that backflow prevention devices are properly installed and maintained.
Information such as potential cross-connections, backflow prevention devices, and water usage must be reported on a cross-connection control backflow survey.
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