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Commercial Cross Connection Control SurveyPLEASE COMPLETE THIS FORM AND RETURN IT AS SOON AS POSSIBLE YOU MAY ALSO COMPLETE THIS FORM ONLINE AT Jacksonville.gov UNDER THE UTILITIES DEPARTMENT YOU
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How to fill out commercial cross connection control

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Step 1: Collect all necessary information about the commercial cross connection control form.
02
Step 2: Start by filling out the basic information section, which includes the name of the business, address, contact information, and type of business.
03
Step 3: Proceed to the cross connection control section, where you will need to identify all potential cross connections within the building. This may include connections with the water supply system, boilers, irrigation systems, fire suppression systems, and more.
04
Step 4: For each cross connection identified, provide detailed information about the backflow prevention device installed or proposed to be installed. Include information such as the make, model, size, and location of the device.
05
Step 5: Ensure that the form is signed and dated by the responsible person or authorized representative.
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Step 6: Submit the completed commercial cross connection control form to the appropriate regulatory agency or department for review and approval.

Who needs commercial cross connection control?

01
Commercial establishments that have potential cross connections with the public water supply system are required to have a commercial cross connection control. This includes businesses such as hospitals, restaurants, hotels, industrial facilities, laundries, car washes, and any other establishment that poses a risk of contamination to the water supply.
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Commercial cross connection control is a program designed to prevent the backflow of contaminated water into a public drinking water supply.
Businesses and commercial properties that have potential cross connections are required to file commercial cross connection control.
Commercial cross connection control forms can be filled out by providing information about the property's water systems, potential cross connections, and backflow prevention devices.
The purpose of commercial cross connection control is to protect public health by preventing the contamination of drinking water.
Information such as property address, water system diagrams, potential cross connections, and backflow prevention devices must be reported on commercial cross connection control.
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