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PUBLIC HEALTH DIVISION Center for Health Protection, Drinking Water Services2023 ANNUAL SUMMARY REPORT CROSS CONNECTION & BACKFLOW PREVENTION Please fill out the Annual Summary Report accurately and

How to fill out backflow prevention and cross-connection

How to fill out backflow prevention and cross-connection

1. Identify the type of backflow prevention device needed based on the degree of hazard present in the cross-connection.
2. Locate the backflow prevention device on the water line at the appropriate point where it can protect against backflow.
3. Follow the manufacturer's instructions for installing and testing the backflow prevention device.
4. Regularly schedule maintenance and testing of the backflow prevention device to ensure it is functioning properly and effectively.

Who needs backflow prevention and cross-connection?

1. Any property with a cross-connection between the potable water supply and a potential source of contamination, such as a sprinkler system or chemical injector, needs backflow prevention.
2. Businesses, industrial facilities, public buildings, and residential properties with irrigation systems or other potential cross-connections are required by law to have backflow prevention devices.

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What is backflow prevention and cross-connection?

Backflow prevention is a method used to stop the reverse flow of water, ensuring that contaminated water does not enter the clean water supply. A cross-connection is any actual or potential connection between a public water system and a source of contamination.

Who is required to file backflow prevention and cross-connection?

Typically, property owners with irrigation systems, fire suppression systems, or any connection that could potentially introduce contaminants into the public water supply are required to file backflow prevention and cross-connection documentation.

How to fill out backflow prevention and cross-connection?

To fill out backflow prevention and cross-connection forms, you should provide relevant details about the plumbing system, identify potential cross-connections, and complete any required inspections or certifications as mandated by local regulations.

What is the purpose of backflow prevention and cross-connection?

The purpose of backflow prevention and cross-connection control is to protect the public water supply from contamination and maintain the safety and integrity of drinking water.

What information must be reported on backflow prevention and cross-connection?

Information that must be reported includes details about the type of backflow prevention device, its location, installation date, results of backflow testing, and any maintenance performed.