Get the free Cross Connection Control Manual - City of Sioux Falls

Must be completed in ink DEVICE INFORMATIONCity of Sioux Falls Water Division 1201 North Western Avenue PO Box 7402 Sioux Falls, SD 571177402 Phone: (605) 3736971 Fax: (605) 3677341 CUSTOMER INFORMATIONBACKFLOW

How to fill out cross connection control manual

How to fill out cross connection control manual

1. To fill out the cross connection control manual, follow these steps:
2. Start by reviewing the specific guidelines and requirements provided by your local regulatory authority.
3. Begin with the cover page and include details such as the facility name, address, and contact information.
4. Provide a comprehensive description of the water supply system being protected.
5. Include an inventory of all water sources and describe their uses and potential hazards.
6. Document the existing backflow prevention devices, their types, locations, and testing schedules.
7. Fill out the inspection and testing forms for each device and ensure they are properly maintained.
8. Include a plan for conducting annual inspections and tests, and maintaining accurate records.
9. Describe any planned modifications or additions to the water supply system and how they will be protected.
10. Include a contingency plan in case of emergencies or failures in the backflow prevention system.
11. Review the completed manual for accuracy and completeness before submitting it to the appropriate authority for approval.

Who needs cross connection control manual?

1. Various entities and individuals may need a cross connection control manual, including:
2. - Water utilities and providers
3. - Industrial or commercial facilities
4. - Hospitals and healthcare facilities
5. - Educational institutions
6. - Municipalities and local governments
7. - Plumbing contractors and professionals
8. - Environmental health departments
9. - Any entity responsible for public water supply and ensuring safe drinking water

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What is cross connection control manual?

Cross connection control manual is a document that outlines the procedures and systems put in place to prevent contaminated water from flowing back into the public drinking water supply.

Who is required to file cross connection control manual?

Cross connection control manual must be filed by the public water systems and facilities that are deemed to be at risk of cross connections.

How to fill out cross connection control manual?

Cross connection control manual can be filled out by following the guidelines provided by the local water authority or regulatory agency.

What is the purpose of cross connection control manual?

The purpose of cross connection control manual is to ensure the safety and quality of the public drinking water supply by preventing backflow of contaminated water.

What information must be reported on cross connection control manual?

Cross connection control manual must include information on the facility's backflow prevention devices, inspection schedules, maintenance procedures, and emergency response plans.