Ca cross connection control 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Applicant Information section. Enter your name, parcel number, service address, phone number, and account number accurately.
3. Proceed to answer all questions on the form. For each question, select 'Yes' or 'No' as applicable. Ensure you provide truthful responses regarding any wells, chemical systems, or connections that may affect water safety.
4. In the section asking for chemicals or toxic materials, list any substances stored on your property that could contaminate the water supply.
5. Complete the final questions regarding agricultural plans and existing backflow prevention assemblies. If applicable, provide details about the type and serial number of any installed assemblies.
6. Finally, sign and date the questionnaire to confirm that all information is accurate before submitting it through our platform.

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