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Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT The following form must be completed for each assembly tested. A signed and dated original must be
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Cross-connection is a physical connection between a potable water system and a non-potable water system, which may lead to contamination of the drinking water supply. Backflow prevention refers to methods and devices used to stop the reverse flow of water, ensuring that contaminants do not enter the clean water supply.
Property owners, businesses, and facilities that have the potential for cross-connections, such as those using chemicals, irrigation systems, or having any non-potable water, are required to file cross-connection and backflow prevention measures.
To fill out cross-connection and backflow prevention forms, obtain the appropriate forms from the local water authority, provide information about the property's water connections, detail any potential hazards, and specify the type of backflow prevention devices installed.
The purpose of cross-connection and backflow prevention is to protect public health by ensuring that drinking water remains uncontaminated and safe from pollutants or hazardous substances entering the water supply.
The information that must be reported includes the location of cross-connections, types of backflow prevention devices used, inspection records, and any maintenance that has been performed on these devices.
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