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Cross Connection - Commercial Accounts
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A “cross connection” is an unprotected actual or potential piping or plumbing arrangement between a customer's piping system and the public water system through which a substance other than potable water could flow back into the public system.
In 2010 the Cross Connection Control & Backflow prevention program was approved by the Virginia Department of Health Office of Drinking Water and adopted by the City of Norton. Under the program the City of Norton is required by the Virginia Department of Health Office of Drinking water to to ensure the proper backflow prevention device(s) are in place to protect the water supply of contamination. Our first step in implementing the Cross Connection Control Program is to survey our customers. Your cooperation is needed in order to reduce the chance of contaminating our water system. You are asked to complete and return the survey form within 30 days.
If further information is needed please contact: Andrew Greear by phone: 679-1205, by email: email@example.com or Winfred Collins by phone: 679-1160.
Please check any item category that may apply to your premises:
Hospital, Mortuary, Clinic, Veterinary, Nursing Home, Dental, Medical Building
Sewage Treatment, Sewage Pumping, or Storm Water Pumping
Food/Beverage Processing Plant
Chemical Plants, Dyeing Plants and Pharmaceutical Plants
Metal Plating Industries
Petroleum or Natural Gas Processing or Storage Plants
Radioactive Materials Processing Plants or Nuclear Reactors
Car Washes and Laundries
Water Loading Station
Lawn Care Companies and Their Vehicles with Storage or Mixing Tanks
Slaughter Houses, Poultry Processing Plants and Other Food Processing Operations
Farms Where the Water is Used for Other than Household Purposes
Commercial Greenhouses and Nurseries
Health Clubs with Swimming Pools, Therapeutic Baths, Hot Tubs, or Saunas
Paper and Paper Products Plants and Printing Plants
Pesticide or Extermination Companies and Their Vehicles with Storage/Mixing Tanks
Schools or Colleges with Laboratory Facilities
High-Rise Buildings (4 or more stories)
Multi-Use Commercial, Office, or Warehouse Facilities
High Density, Multi-Use Residential Complexes Served through a Master Meter
Fire Protection Sprinkler System
Lawn Irrigation System
Please check any backflow prevention devise(s) that may apply to your premises:
RP or RPZ
Pressure Vacuum Breaker
Double Gate – Double Check Valve
Total Number of Backflow Devises:
Date of Last Inspection or Testing:
Inspector/Tester License Number:
* indicates required fields.
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