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Re: Online Reporting of Backflow Assembly Tests and Updates to Backflow Tester Recorder Backflow Assembly Tester:Please note that there have been significant changes to the City of Mercer Island\'s

How to fill out backflow and cross connection

How to fill out backflow and cross connection

1. To fill out backflow and cross connection forms, follow these steps:
2. Obtain the necessary forms from your local water supplier or regulatory authority.
3. Read the instructions carefully to understand the requirements and guidelines for filling out the forms.
4. Provide accurate information about the property where the backflow or cross connection is present. Include details about the location, type of connection, and any existing backflow prevention devices.
5. Describe the specific cross connections present, such as irrigation systems, fire sprinklers, or other potential sources of contamination.
6. Document the backflow prevention measures already in place, including make, model, and installation date of any devices.
7. If no backflow prevention devices are installed, explain why and provide plans for future installations.
8. Ensure all required fields are filled out correctly and legibly.
9. Review the completed forms for accuracy and make any necessary corrections.
10. Submit the forms to the appropriate authorities or water supplier within the specified timeframe.
11. Keep a copy of the completed forms for your records.

Who needs backflow and cross connection?

1. Backflow and cross connection prevention is necessary for any property that has the potential for contaminated water to flow back into the public water supply. This includes:
2. - Residential properties with irrigation systems, swimming pools, or private wells.
3. - Commercial properties with fire sprinkler systems, cooling towers, or industrial processes that use chemicals.
4. - Public facilities such as hospitals, schools, restaurants, and parks that have potential cross connections.
5. By implementing backflow prevention measures and regularly filling out backflow and cross connection forms, these properties can help protect the public water supply from contamination and ensure the safety of the community.

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What is backflow and cross connection?

Backflow is the undesirable reversal of flow of non-potable water or other substances through a cross-connection and into the piping of a public water system or consumer's potable water system.

Who is required to file backflow and cross connection?

Certain businesses and property owners are required to file backflow and cross connection to ensure the safety of the public water supply.

How to fill out backflow and cross connection?

To fill out backflow and cross connection, you need to provide relevant information about your property, the type of backflow prevention devices installed, and any potential cross connections.

What is the purpose of backflow and cross connection?

The purpose of backflow and cross connection is to prevent the contamination of the public water supply by ensuring that non-potable water or other substances do not flow back into the water system.

What information must be reported on backflow and cross connection?

The information reported on backflow and cross connection typically includes the location of backflow prevention devices, the type of devices installed, and any potential cross connections on the property.