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Center for Drinking Water Quality 2019 CrossConnection Control Program Annual Report 1. Water System Name:.2. PCs Identification Number:.3. Type of PCs: Community water system Nontransient noncommunity

How to fill out cross connection-control annual report

How to fill out cross connection-control annual report

1. To fill out the cross connection-control annual report, follow these steps:
2. Obtain a copy of the cross connection-control annual report form from your local water utility agency.
3. Read the instructions and guidelines provided with the form carefully.
4. Begin by providing your personal and contact information, including your name, address, phone number, and email.
5. Fill in the details of your water supply system, including the source of water, treatment process, and storage facilities.
6. Identify the potential cross connection hazards in your system, such as plumbing configurations, incompatible water uses, or industrial processes.
7. Assess the level of risk associated with each identified cross connection hazard.
8. Implement suitable cross connection control measures to minimize or eliminate the identified hazards.
9. Document the measures taken and provide supporting information, such as inspection records, test results, or maintenance logs.
10. Review the completed report for accuracy and completeness.
11. Sign and date the report.
12. Submit the filled-out cross connection-control annual report to your local water utility agency before the designated deadline.

Who needs cross connection-control annual report?

1. Any person or business entity that operates or owns a water supply system, including public water utilities, private water suppliers, industrial facilities, commercial buildings, and residential complexes, needs to complete and submit a cross connection-control annual report. The report helps the water utility agency to assess and ensure the safety and quality of the public water supply by identifying and addressing potential cross connection hazards.

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What is cross connection-control annual report?

The cross connection-control annual report is a document that water suppliers must file to demonstrate compliance with regulations designed to prevent contamination of the public water supply due to cross connections. It provides an overview of the cross-connection control programs in place.

Who is required to file cross connection-control annual report?

Water suppliers and utility companies that provide potable water to the public are typically required to file the cross connection-control annual report.

How to fill out cross connection-control annual report?

To fill out the cross connection-control annual report, suppliers should gather data regarding their cross-connection control program, including the number of inspections conducted, type of devices tested, and any incidents recorded. The form usually includes specific sections that need to be completed with this information.

What is the purpose of cross connection-control annual report?

The purpose of the cross connection-control annual report is to ensure that water suppliers are actively managing cross connections to protect public health and maintain the safety of the drinking water supply.

What information must be reported on cross connection-control annual report?

The report must typically include the number of cross-connection inspections, types and status of backflow prevention devices, system audits, corrective actions taken, and any incidents of contamination linked to cross connections.