
CROSS CONNECTION CONTROL TESTING AND INSPECTION REPORT MAILING ADRESS: WATERWORKS DEPARTMENT 8100 Warden Avenue MARKHAM, ON L6G 1B4 TEL: (905) 475-4862 FAX: (905) 479-7772 EMAIL: backflow markham.ca.
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How to fill out the Cross Connection Control Testing And Inspection Report online
Filling out the Cross Connection Control Testing And Inspection Report is essential for ensuring safe water systems. This guide will help you navigate the form step-by-step, ensuring all necessary information is accurately provided.
Follow the steps to complete the report effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the 'Mailing Address', which specifies the Waterworks Department's contact details. Ensure the address provided is accurate for any follow-up communications.
- In the section labeled 'Address of Device', enter the precise location of the backflow prevention device being tested.
- Complete the 'Occupant', 'Owner', 'Contact', and 'Address of Owner' fields with the relevant information pertaining to the property and its owners.
- Provide details about the device in the sections titled 'Serial Number', 'Make', 'Model', 'Size', and 'Install Date'. Be meticulous to ensure that all information is correct.
- Indicate whether the device is installed on a 'Domestic' or 'Fire' system by checking the appropriate option.
- Enter the 'Tester’s Equipment Number' along with the 'Tester’s Name' and their contact number to identify who conducted the testing.
- Specify the 'Type of Device' as either 'Annual' or 'Repair'. For repairs, indicate the replaced serial number if applicable.
- Fill out the testing results, noting if the device 'Passed' or 'Failed' the test. Include relevant pressure differential and failed component details where required.
- If the device failed, complete the sections detailing the repairs made. Document all checked valves and the type of repairs conducted.
- After finalizing the form, ensure you add signatures in the designated areas for both the owner/tenant and the certified tester to validate the information provided.
- Finally, save any changes, and choose to download, print, or share the completed document as necessary.
Complete your Cross Connection Control Testing And Inspection Report online today!
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What are the most common cross-connections?
The garden hose is the most common cross connection. Each of these common uses of a garden hose sets up a cross connection: forcing it into a clogged gutter, downspout, or sewer pipe to flush out the clog. connecting it directly to a hose-end sprayer to apply pesticide or fertilizer to your yard.
What is the most common cross connection?
The garden hose is the most common cross connection. Each of these common uses of a garden hose sets up a cross connection: forcing it into a clogged gutter, downspout, or sewer pipe to flush out the clog.
What are the different types of cross-connections?
There are two types of cross-connections – direct and indirect cross-connections. There are two types of backflow caused by these cross-connections – backsiphonage and backpressure backflow – and there are two types of backflow conditions – pollution (low hazard) or contamination (high hazard).
What are the five major elements of an effective cross connection control program?
Chapter 4, titled Elements of a Program, lays out the desired elements of a cross- connection control program: Authority, Backflow Preventers, Certified Tester and Specialists, Defensible and Detailed Records and Education and Training.
What is an example of a cross connection in plumbing?
A cross connection can occur in many places. One example is where a laundry tub has a faucet below the top of the laundry tub. If the faucet enters the tub through the wall, it is possible that when the tub is filled, the faucet will be submerged.
What is an example of a cross connection in a restaurant?
A cross connection is defined as a physical connection between drinkable water and a liquid or gas that could make the water unsafe to drink. The common sprayer hose is the most common cross connection within a food establishment.
What are the two types of cross-connections?
There are two types of cross-connections – direct and indirect cross-connections. There are two types of backflow caused by these cross-connections – backsiphonage and backpressure backflow – and there are two types of backflow conditions – pollution (low hazard) or contamination (high hazard).
What are some examples of a cross connection?
Common examples of cross-connections include a garden hose submerged in a pesticide mixture, a piped connection providing potable feed water to an industrial process, such as a cooling tower, or a submerged outlet of an irrigation system. Connections to firefighting equipment are other very common cross-connections.
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