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SELF ASSESSED CROSS CONNECTION SURVEY TO BE COMPLETED BY PROPERTY OWNERS CROSS CONNECTION SURVEY PW-WW-CS-F-013-004 - Rev 4 Date of Survey mm/dd/yy 330 Wentworth Street North City of Hamilton Ontario L8L-5W2 Backflow Prevention Program Hamilton Ontario L8L 5W2 It is an offence under the Backflow Prevention By-law to submit a Self Assessed Cross Connection Survey form that contains inaccurate or false information. Please Pleasecomplete completethe theinformation informationbelow belowas...
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What is self assessed cross connection?
Self assessed cross connection is a process where individuals assess and report any potential cross connections within their plumbing system.
Who is required to file self assessed cross connection?
Any property owner or occupant with a water supply connection is required to file self assessed cross connection.
How to fill out self assessed cross connection?
To fill out self assessed cross connection, individuals must conduct a thorough assessment of their plumbing system to identify any potential cross connections and report them to the relevant authorities.
What is the purpose of self assessed cross connection?
The purpose of self assessed cross connection is to prevent contamination of the public water supply by identifying and eliminating potential cross connections within private plumbing systems.
What information must be reported on self assessed cross connection?
Information such as the location of potential cross connections, details of the plumbing system, and any corrective actions taken must be reported on self assessed cross connection.
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