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Describe the PWS\'s CCC Program plan, policies, or procedures at the end of the reporting year ___.Part 1: Public Water System (PWS) IdentificationPWS ID:PWS Name:County:Part 2: CrossConnection Control
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How to fill out cross-connection control program annual

01
Identify all potential cross-connections in the water supply system.
02
Implement appropriate backflow prevention devices or methods at each cross-connection.
03
Develop a comprehensive cross-connection control program including regular inspections and maintenance of backflow prevention devices.
04
Document all cross-connections and backflow prevention measures in an annual report.
05
Submit the annual report to the relevant authorities for review and approval.

Who needs cross-connection control program annual?

01
Any facility or property with potential cross-connections in their water supply system needs to have a cross-connection control program annual.

What is Cross-Connection Control Program Annual Summary Report - doh wa Form?

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The cross-connection control program annual is a report that documents the evaluation and management of cross-connection risks within a water supply system to ensure public health and safety.
Entities that operate a public water system or are responsible for cross-connection inspections are typically required to file the cross-connection control program annual.
To fill out the cross-connection control program annual, you need to gather data on cross-connections, complete the designated forms with accurate information, and submit them according to the guidelines provided by the relevant authority.
The purpose of the cross-connection control program annual is to prevent contamination of drinking water supplies by identifying and mitigating potential cross-connection hazards.
The report should include details such as the number of cross-connections surveyed, corrective actions taken, test results of backflow preventers, and any incidents of contamination if they occurred.
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