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Cross Connection Control ProgramFor Engineering Use OnlyBackflow Preventer Removal Form Attention: Water SectionEngineering Department City of Surrey 13450 104 Avenue Surrey, BC V3T 1V8Name of Facility:
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How to fill out water department name cross-connection

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How to fill out water department name cross-connection

01
Begin by obtaining the cross-connection form from the water department.
02
Fill in the date at the top of the form.
03
Provide the name of the property owner or responsible party.
04
Enter the address where the cross-connection is located.
05
Specify the type of facility (e.g., residential, commercial, industrial).
06
Detail the specific type of cross-connection being addressed.
07
Include any previous inspection or maintenance dates, if applicable.
08
Sign and date the form to certify that the information is accurate.
09
Submit the completed form to the water department office either in person or via email.

Who needs water department name cross-connection?

01
Any property owner or tenant with a plumbing system that could potentially allow contaminants to enter the public water supply.
02
Businesses that use hoses or irrigation systems connected to the public water supply.
03
Property owners required by law to have backflow prevention devices installed.
04
Anyone performing maintenance on water systems that interface with public water lines.
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Water department name cross-connection refers to a system or process established by a municipality to prevent the backflow of contaminated water into the potable water supply by identifying and managing connections between clean and contaminated water systems.
Property owners, businesses, and any entities that have connections to both potable and non-potable water sources are typically required to file water department name cross-connection forms.
To fill out the water department name cross-connection form, provide details such as the property address, nature of the business or activity, descriptions of water connections, and any existing backflow prevention devices, along with contact information.
The purpose of water department name cross-connection is to safeguard public health by ensuring that contaminated water cannot flow back into the clean water supply, thus preventing potential health hazards.
Information that must be reported includes the type of water use, details about the cross-connection point, the presence of any backflow prevention devices, location of these devices, and maintenance records.
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