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Village of Vacaville
Water/Sewer Department
Service Address: ___
Billing Address: ___
Customer Name: ___CrossConnection Control Survey
Type of Use:ResidentialCommercialMedicalGovernmentalAgriculturalOther___1.
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How to fill out water department cross-connection control

How to fill out water department cross-connection control
01
Obtain the required forms from the water department.
02
Gather all necessary information about the plumbing system and any potential cross-connections.
03
Fill out the forms accurately and completely, making sure to include all relevant details.
04
Submit the completed forms to the water department for review and approval.
05
Schedule any required inspections or testing as instructed by the water department.
06
Make any necessary updates or changes to the plumbing system based on the feedback received from the water department.
Who needs water department cross-connection control?
01
Property owners
02
Plumbers
03
Any business or facility with a plumbing system
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What is water department cross-connection control?
Water department cross-connection control refers to the policies and procedures implemented by a water utility to prevent the contamination of drinking water by ensuring there are no unprotected connections between the potable water supply and non-potable sources.
Who is required to file water department cross-connection control?
Typically, property owners, business owners, and anyone who operates on a property served by public water supply are required to file water department cross-connection control documentation.
How to fill out water department cross-connection control?
To fill out the water department cross-connection control form, provide accurate information regarding the property's water usage, potential hazards, and any existing backflow prevention devices, along with the owner’s signature.
What is the purpose of water department cross-connection control?
The purpose of water department cross-connection control is to protect public health by preventing the contamination of the drinking water supply from potentially hazardous sources.
What information must be reported on water department cross-connection control?
Information that must be reported includes the name and address of the property, the type of water use, the presence of cross-connections, details of backflow prevention devices, and contact information for the property owner.
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