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Massachusetts Department of Environmental ProtectionBureau of Resource Protection Drinking Water Program BRP WS10 Cross Connection Certification or Cross Connection Certification Renewal REQUIRED
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What is Cross Connection Certificationor Form?

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Cross connection certification is a process to ensure that water supply systems are protected from contamination by properly installing and maintaining backflow prevention devices.
Property owners, businesses, and institutions that have backflow prevention devices installed on their water supply systems are required to file cross connection certification.
To fill out cross connection certification, you need to provide information about the location of backflow prevention devices, maintenance records, and contact information.
The purpose of cross connection certification is to protect public health by preventing the contamination of water supply systems.
Information such as the location of backflow prevention devices, maintenance records, and contact information must be reported on cross connection certification.
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