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Environmental Management DepartmentDivisions Environmental Compliance Environmental Health Marie Wooden, DirectorSUBJECT:APPLICATION FOR ANNUAL REGISTRATION AS A BACKFLOW PREVENTION ASSEMBLY TESTERBackgroundSacramento
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How to fill out cross connection control program

01
Identify potential cross connections in your water distribution system. This includes any points where there is a possibility of contamination entering the drinking water supply.
02
Conduct a thorough survey to determine the level of risk posed by each cross connection. This may involve evaluating the type of contaminants that could enter the system, the likelihood of backflow occurring, and the potential impact on public health.
03
Develop a plan to control and prevent cross connections. This may include implementing backflow prevention devices, establishing regular inspection and maintenance procedures, and providing appropriate training for staff.
04
Implement the control measures outlined in the plan. This may involve installing backflow prevention devices, conducting regular inspections and testing, and ensuring that staff are following proper procedures.
05
Monitor and evaluate the effectiveness of the cross connection control program. Regularly review the program to identify any areas for improvement and make necessary adjustments to ensure ongoing protection of the drinking water supply.

Who needs cross connection control program?

01
Any organization or individual involved in the supply, distribution, or use of drinking water needs a cross connection control program. This includes water utilities, public water systems, commercial and industrial facilities, hospitals, schools, and private residences.
02
Cross connection control programs are essential for maintaining the safety and quality of drinking water by preventing contamination from entering the water supply. It is a legal requirement in many jurisdictions and is considered a best practice for ensuring public health and safety.
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A cross connection control program is a set of policies and procedures designed to prevent contaminants from entering the public water supply through backflow.
Certain facilities, such as businesses, industrial sites, and multi-family residential buildings, are required to file a cross connection control program.
To fill out a cross connection control program, you must identify potential cross connections, assess the risks, and implement appropriate backflow prevention measures.
The purpose of a cross connection control program is to protect the public water supply from contamination and ensure the safety of drinking water.
Information such as facility details, potential cross connections, backflow prevention measures, and maintenance schedules must be reported on a cross connection control program.
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