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CrossConnection Control Questionnaire This CrossConnection Control Questionnaire must be submitted with your application for water service. Failure to complete this questionnaire may delay the installation.

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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.

A cross connection is any actual or potential connection between the drinking water lines and potential sources of pollution or contamination such as a piping arrangement or equipment that allows the drinking water to come in contact with non-potable liquids, solids, or gases hazardous to humans in the event of a ...

The best method of preventing backflow is an air gap which either eliminates a cross- connection or provides a barrier to backflow. If an air gap is not practical, a mechanical backflow preventer, which provides a physical barrier to backflow, is the next best approved method.

The purpose of the cross-connection control program is to reduce the hazard of contamination of the public water system by identifying actual and potential cross-connections and taking action to protect the system from these hazards.

This helps ensure contamination cannot enter the system through points of connection or leaks. Though difficult to detect, water pressure can sometimes be disrupted causing water to accidentally flow backwards. This can result in siphoning of unknown materials into the drinking water.

(e) "Cross-Connection" is an unprotected actual or potential connection between a potable water system used to supply water for drinking purposes and any source or system containing unapproved water or a substance that is not or cannot be approved as safe, wholesome, and potable.

The degree of hazard is a commonly used phrase utilized in cross connection programs and is simply a determination on whether the substance in the non-potable system is toxic (health hazard) or non-toxic (non-health hazard). There are three degrees of hazard; severe, moderate and minor.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232