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This document is a survey for property owners to indicate the presence of specific plumbing equipment and systems in their residential properties to assess the need for backflow prevention measures.
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How to fill out residential cross-connection survey
How to fill out residential cross-connection survey
01
Review the survey form for understanding and required information.
02
Identify all water sources on the property, including wells, ponds, or irrigation systems.
03
List all plumbing fixtures and appliances that use water, such as sinks, toilets, irrigation systems, and washing machines.
04
Check for any potential cross-connections between potable water supply and non-potable sources.
05
Complete the survey by providing truthful and accurate information to each question.
06
Submit the survey to the designated authority or local water utility for review.
Who needs residential cross-connection survey?
01
Homeowners with private wells or alternative water sources.
02
Property owners with irrigation systems or pools.
03
All residential properties to ensure compliance with local water regulations.
04
Landlords and property managers overseeing multiple rental units.
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What is residential cross-connection survey?
A residential cross-connection survey is an assessment conducted to identify any possible cross-connections in a residential plumbing system that could allow contaminants to enter the potable water supply.
Who is required to file residential cross-connection survey?
Homeowners or tenants who have a residential property that contains potential cross-connections are typically required to file a residential cross-connection survey.
How to fill out residential cross-connection survey?
To fill out a residential cross-connection survey, individuals must accurately provide information about their plumbing system, including the location of all fixtures, potential cross-connections, and any backflow prevention devices in place.
What is the purpose of residential cross-connection survey?
The purpose of a residential cross-connection survey is to protect public health by identifying and preventing contamination of the drinking water supply through improper cross-connections.
What information must be reported on residential cross-connection survey?
The information that must be reported on a residential cross-connection survey includes the property's address, details of the plumbing fixtures, descriptions of any cross-connections, the type of water service, and any backflow prevention methods in use.
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