
Get the free Affidavit of Chlorination - Cape Coral, Florida
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City of Cape Coral
AFFIDAVIT OF CHLORINATION
As required by 2017 Florida Building Code Section 610.1
New or repaired potable water systems shall be purged of deleterious matter and where required
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How to fill out affidavit of chlorination

How to fill out affidavit of chlorination
01
Start by obtaining a blank affidavit of chlorination form.
02
Fill in your personal information, such as your name, address, and contact details.
03
Provide the details of the water system or well that you want to chlorinate.
04
Include the date when the chlorination took place and the exact procedure used.
05
Sign the affidavit in the presence of a notary public or authorized witness.
06
Make sure to keep a copy of the completed affidavit for your records.
Who needs affidavit of chlorination?
01
Individuals or organizations who have a water system or well that requires chlorination may need an affidavit of chlorination.
02
This document is often required by health departments, regulatory agencies, or any other authority overseeing water quality and safety.
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What is affidavit of chlorination?
Affidavit of chlorination is a legal document signed under oath that certifies a chlorination process has been completed.
Who is required to file affidavit of chlorination?
Property owners, managers, or operators of facilities with water storage tanks are typically required to file affidavit of chlorination.
How to fill out affidavit of chlorination?
Affidavit of chlorination can be filled out by providing details of the chlorination process, date of completion, and signatures of responsible parties.
What is the purpose of affidavit of chlorination?
The purpose of affidavit of chlorination is to ensure that water storage tanks are properly treated with chlorine to maintain water quality and safety.
What information must be reported on affidavit of chlorination?
Information such as date of chlorination, concentration of chlorine used, method of chlorination, and names/ signatures of individuals involved must be reported on affidavit of chlorination.
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