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City of calgary cross connection

City of calgary cross connection 2026

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The document is a Cross Connection Control Testing and Inspection Report for the City of Calgary's Water Services. It includes sections for recording details about the testing of various water control devices, including their condition, test results, repairs needed, and certification by a tester. The report ensures compliance with local bylaws and provides a structured format for documenting the testing process.

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Click ‘Get Form’ to open the city of Calgary Cross Connection Control Testing and Inspection Report in the editor.
Begin by entering the 'Address of Device' where the cross connection device is located. This ensures accurate documentation for inspection purposes.
Fill in the 'Occupant' and 'Owner' sections, including their respective contact information and telephone numbers. This helps maintain clear communication regarding testing results.
Complete the 'Type of Test' section by selecting whether it is a domestic, fire, or irrigation system. Specify any repairs made and include tester's AWWA number for verification.
Document test results in the appropriate fields, noting any leaks or failures. Ensure all pressure readings are accurately recorded to comply with regulations.
Finally, have both the certified tester and owner sign and date the form to validate the testing process before submitting it through our platform.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (85 Votes)
2008	4 Satisfied (43 Votes)

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What is a cross connection device?

Cross-connections are actual or potential connections between a potable water supply and nonpotable water plumbing. Backflow is the unintended reversal of water flow through a cross-connection, which can result in a potentially serious public health hazard.

What is a cross-connection link between?

A cross-connection is any temporary or permanent connection between the potable (e.g., drinking) water system and another source containing non-potable water or other substances that could contaminate your drinking water if a backflow condition occurs.

What are the 4Cs of the city of Calgary?

Calgarians count on us to develop and deliver services in an efficient, effective and ethical manner. Our behaviour matters because what we do reflects on all of us. We need to live by our 4Cs character, commitment, competence, collaboration.

What can cause a cross-connection?

When drinking water piping connects to various plumbing fixtures or water utilizing equipment a cross-connection is created. If improperly protected, contamination can result when a backflow event occurs; allowing contaminates to reverse flow from the fixture/equipment back into the drinking water piping.

What is an example of a cross-connection?

A cross-connection is an actual or potential link between a source of contamination and a drinking water supply. Cross-connections are fixtures with direct connections (swimming pools, fire sprinkler systems, boilers, etc.) or submerged inlets (lawn sprinklers, drinking fountains, utility sinks, etc.).

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