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Five Elements - For Cross Connection Control Program
R309-105-12 requires that every public drinking water system establish and actively enforce a cross connection control program. An effective cross connection control program consists of components which when properly administrated are designed to prevent contamination from entering your water distribution system.
The FIVE components of an effective cross connection control system are:
The FIVE components of an effective cross connection control system are:
1. Local Authority Statement
2. Public Awareness
- Public Awareness Tracking Form
- WATTS Backflow Informative Packet
- Thermal Expansion Education Letter
- "CCC Protect Your Drinking Water Supply" Flyer
- YouTube Video - Welcome to Backflow City
- Chemical Dispensers Cross Connections Information Packet
3. Trained Staff
- Trained/Certified Staff Tracking Form
- Upcoming CCC Program Administrator Certification courses
- Upcoming CCC CEU Trainings for Renewal (0.6 required annually)
- DDW Certification Renewal Form
- DDW Payment Portal for annual renewal ($150)
4. Record Keeping
- Inventory Spreadsheet Template
- Containment Protection Spreadsheet
- Assembly Test Notification Letter
- Backflow Assembly Test Report Form
5. On-going Enforcement Program
- Cross Connection Hazard Assessments:
- Database of Certified Backflow Assembly Testers
- Backflow Incidents Reporting Template