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PCs ID# 4100130By Cross Connection at 9:49 am, Aug 28, 2020CITY OF BOARDMAN ORDINANCE NO. ___2020 ADOPTING A CROSS CONNECTION CONTROL PROGRAM OF THE CITY OF BOARDMAN AND REPEALING ORDINANCE NO. 22001

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How to fill out cross connection survey form

01

To fill out the cross connection survey form, follow these steps:

02

Start by entering the date and location of the survey.

03

Provide information about the water source being surveyed.

04

Indicate the type of cross connection being surveyed for (e.g., plumbing fixtures, irrigation systems, industrial processes).

05

Evaluate each cross connection for potential hazards and mark them accordingly.

06

Provide additional details or comments for each identified hazard.

07

Complete the form by signing and dating it.

08

Review the form for accuracy before submitting it.

Who needs cross connection survey form?

01

Various stakeholders may need the cross connection survey form, including:

02

- Water utilities or service providers

03

- Plumbing contractors

04

- Environmental health agencies

05

- Building owners or managers

06

- Facility maintenance personnel

07

- Regulatory authorities

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What is cross connection survey form?

The cross connection survey form is a document used to identify and assess potential sources of contamination in a water supply system.

Who is required to file cross connection survey form?

It is typically required for property owners or water utility companies to file the cross connection survey form.

How to fill out cross connection survey form?

To fill out the cross connection survey form, one must provide accurate information on potential cross connections and backflow prevention devices.

What is the purpose of cross connection survey form?

The purpose of the cross connection survey form is to ensure the safety and quality of the water supply by identifying and addressing any potential contamination risks.

What information must be reported on cross connection survey form?

Information such as the location of potential cross connections, types of backflow prevention devices in place, and maintenance records must be reported on the cross connection survey form.

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