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This document is used to propose changes to information stored in the Washington Suburban Sanitary Commission database regarding Cross-Connection Control.

How to fill out cross-connection control test report

How to fill out cross-connection control test report

1. Begin with the header section, including the name of the facility and contact information.
2. Fill in the date of the test and the name of the testing technician.
3. Provide details about the type of backflow prevention device being tested.
4. Record the location of the device and the service connection it protects.
5. Conduct the initial test and document the results for each test point, including the observed pressure readings.
6. If any issues are found, note down corrective actions taken or recommendations for repairs.
7. Include any additional comments or notes about the testing process.
8. Sign and date the report and have it reviewed by a supervisory authority if required.

Who needs cross-connection control test report?

1. Water utility companies that need to ensure compliance with safety regulations.
2. Property owners who are mandated to maintain plumbing safety standards.
3. Building inspectors who review and approve safety protocols.
4. Health departments monitoring public health and safety regarding water supply.
5. Any business or institution that uses backflow prevention devices to protect water systems.

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What is cross-connection control test report?

A cross-connection control test report is a document that verifies the compliance and functionality of backflow prevention devices that protect potable water systems from contamination.

Who is required to file cross-connection control test report?

Typically, licensed plumbers, certified backflow testers, or water utility companies are required to file cross-connection control test reports to ensure regulatory compliance.

How to fill out cross-connection control test report?

To fill out a cross-connection control test report, one must provide details such as the tester's information, location of the device, type of backflow prevention device, test results, and any corrective actions taken.

What is the purpose of cross-connection control test report?

The purpose of a cross-connection control test report is to document the testing and maintenance of backflow prevention devices to ensure safe drinking water and prevent contamination.

What information must be reported on cross-connection control test report?

The report must include the name and address of the premises, the type and location of the backflow prevention device, the results of the test, the date of testing, the tester's certification number, and any repairs or maintenance performed.