Appendix A - AF848 - Inventory of Cross-Connection Control and BFD.pdf
PDF 30 KB Posted
- Attached to
- CES Cross-Connection Survey
- Solicitation number
- FA462026QA210
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HOST BASE NAME
INSTALLATION NAME
SURVEY of CROSS-CONNECTION CONTROL AND BACKFLOW PREVENTION DEVICES
AREA ID NO.
FACILITY ID NO.
HAZARD
(CONTAMINANT
OR
COMMENTS
DEVICE
CROSS CONNECTION
CROSS CONNECTION
ID NO.
DEVICE TYPE
POLLUTANT)
CODES
TYPE
REQUIRED.
INSTALLED
LOCATION NO.
SERIAL NO.
CROSS CONNECTION TYPE: BP - Back Pressure, BS - Back Siphonage, CROSS CONNECTION CODES: HB - Hose Bibb with Hose, CM - Chemical Make Up, BM - Boiler System Make Up, FS-Fire Sprinkler System DEVICE TYPES: RP- Reduced Pressure, DC - Double Check, DCDA - Double check Detector Assembly, PVB - Pressure Vacuum Breaker, AVB Atmospheric Vacuum Breaker, Air Gap
AF FORM 848, 20071017
8.2.1.3158.1.475346.466429
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