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CrossConnection Control Program BACKFLOW INCIDENT REPORT Footnote: Use this form to comply with WAC 246290490(8)(g). Part 1: Public Water System (PCs) Information ID:PCs Name:County:Part 2: Backflow
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How to fill out backflowgrouporglibraryformscross-connection control program backflow

01
Obtain a copy of the backflow cross-connection control program form from backflowgroup.org/library/forms.
02
Fill out all the required information accurately on the form, such as contact details, project information, and any other relevant details.
03
Provide details about the backflow prevention assembly being installed or tested, including make, model, serial number, and location.
04
Complete any additional sections or questions on the form as needed, ensuring all information is clear and concise.
05
Review the completed form for accuracy and completeness before submitting it to the appropriate authorities for approval.

Who needs backflowgrouporglibraryformscross-connection control program backflow?

01
Anyone involved in the installation, testing, or maintenance of backflow prevention assemblies may need to fill out the backflow cross-connection control program form.
02
This can include plumbers, contractors, building owners, and facilities managers who are responsible for ensuring water safety and compliance with regulations.

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backflowgrouporglibraryformscross-connection control program backflow is a form used to report information about cross-connection control measures and backflow prevention devices.
Certain businesses, industries, and facilities that have cross-connections and require backflow prevention devices are required to file backflowgrouporglibraryformscross-connection control program backflow.
To fill out the form, you need to provide information about the backflow prevention devices installed, maintenance schedules, test results, and any cross-connections present.
The purpose of the form is to ensure that proper backflow prevention measures are in place to protect public water systems from contamination.
Information such as the location of backflow prevention devices, test dates and results, maintenance records, and details about any cross-connections must be reported on the form.
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