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Form Effective Jan, 2018.CROSSCONNECTION QUESTIONAIREFor new Commercial Water Accounts to comply with Rule 62550.200, F.A.C. Completion of this form is a condition for water service! This CrossConnection
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Step 3: Begin by filling out the personal details section, including name, address, contact information, and any relevant identification numbers.
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Who needs cross-connection questionaire?

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Cross-connection questionnaire is needed by individuals, businesses, and institutions that have plumbing systems connected to a public water supply.
02
This includes homeowners, commercial property owners, industries, hospitals, schools, and any other establishment that may pose a potential risk of contamination to the public water system.
03
The questionnaire helps identify potential cross-connections and assess the level of backflow protection measures in place to prevent the contamination of drinking water.
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Cross-connection questionnaire is a survey or form used to gather information about potential water contamination risks in a plumbing system.
Property owners, businesses, and individuals with plumbing systems that are connected to a public water supply may be required to file a cross-connection questionnaire.
The questionnaire can usually be filled out online or in person, following the instructions provided by the local water utility or regulatory agency.
The purpose of the questionnaire is to assess and mitigate the risk of backflow incidents, which can contaminate the public water supply.
Information such as the type of plumbing system, potential contaminants, and backflow prevention measures must be reported on the questionnaire.
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