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CITY OF FORT SMITH CROSS-CONNECTION CONTROL PROGRAM Revision 1, January 2009 Utility Department 3900 Kelley Highway Fort Smith, Arkansas 72904 City of Fort Smith Cross-Connection Control Program TABLE

How to fill out cross-connection control program pdf

How to fill out cross-connection control program pdf:

1. Open the cross-connection control program pdf on your computer or device.
2. Review the instructions provided at the beginning of the document to familiarize yourself with the requirements and purpose of the program.
3. Begin by entering the name of your organization or agency in the designated field.
4. Provide contact information such as address, phone number, and email address for your organization.
5. In the next section, specify the type of water system your organization operates (e.g., public water system, private well, etc.).
6. Enter the identification number or name associated with your water system, if applicable.
7. Review the list of potential cross-connections provided in the pdf. Check the boxes next to the ones that are relevant to your water system.
8. For each checked cross-connection, provide additional details such as location, purpose, and any protective measures currently in place to prevent backflow.
9. If there are any additional cross-connections not listed in the pdf, include them in the designated space and provide necessary information.
10. Answer any questions or provide additional information as required in the remaining sections of the cross-connection control program pdf.
11. Review all the information you have entered to ensure accuracy and completeness.
12. Save the completed pdf document or print out a copy for your records.

Who needs cross-connection control program pdf?

A cross-connection control program pdf is needed by organizations or agencies responsible for managing water systems. This includes public water systems, private well owners, and anyone involved in the distribution or supply of potable water. The program is crucial for identifying and mitigating potential cross-connections, which can lead to backflow and contamination of the water supply. By implementing a cross-connection control program, these organizations can ensure the safety and quality of their water systems, protecting public health and complying with regulatory requirements.

For pdfFiller’s FAQs

What is cross-connection control program pdf?

The cross-connection control program pdf is a document that outlines the measures taken to prevent contamination of water supply through cross-connections.

Who is required to file cross-connection control program pdf?

Water utilities and facilities that are at risk of cross-connections are required to file the cross-connection control program pdf.

How to fill out cross-connection control program pdf?

The cross-connection control program pdf can be filled out by detailing the cross-connection control measures in place, conducting a risk assessment, and submitting the document to the relevant authorities.

What is the purpose of cross-connection control program pdf?

The purpose of the cross-connection control program pdf is to ensure that water supply remains uncontaminated by identifying and mitigating the risks of cross-connections.

What information must be reported on cross-connection control program pdf?

The cross-connection control program pdf must include details of the cross-connection control measures implemented, results of risk assessments, and contact information for responsible parties.

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