Get Vccdd Water System Cross-connection Survey Form - Village ... - Districtgov

Filling out the Vccdd Water System Cross-connection Survey Form is an essential step for ensuring safe water service. This guide provides clear instructions for completing the form online, making the process simple and efficient.

Follow the steps to accurately complete the survey form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Fill in your account number and the date of completion at the top of the form. Provide the facility name, contact person’s name, address, and phone number. Ensure all details are accurate for effective communication.
3. Complete the owner information section. Include the owner's name, contact name (if different), address, and phone number. This information is critical for any follow-ups or questions.
4. Indicate the type of facility and describe the activities conducted at the facility. This helps to understand the potential risks associated with the water service.
5. Enter the water meter size and the water service line size in inches. Accurate measurements are important for assessing your water service needs.
6. Answer the survey questions regarding additional water sources, irrigation systems, and any facilities that might affect water pressure. Use 'Yes' or 'No' as appropriate and provide details for any answers marked 'Yes.'
7. If any chemicals are used or stored at the facility, indicate this in the respective sections. Provide detailed descriptions for better evaluation.
8. Include information about equipment like ejectors or pumps and any recycling processes within your facility. This is important for cross-connection risk assessment.
9. Sign and date the acknowledgment section, affirming that you have received the Cross Connection Control Program Handbook. Ensure your information is correct and complete, as incorrect information may lead to additional requirements.
10. Once the form is fully completed, save your changes. You can then download, print, or share the form as necessary, ensuring you maintain a copy for your records.

Complete your Vccdd Water System Cross-connection Survey Form online today to ensure safe water service for your facility.