Question 5 Attach. - AF FORM 848.docx

This file is AF Form 848, a standardized survey template used to document cross-connection and backflow prevention devices at Air Force installations. The form captures comprehensive technical data on water system hazards and protective equipment, including installation identification information (host base name, installation name, area ID, facility ID, and date), cross-connection classifications (back pressure or back siphonage), hazard types (hose bibbs with hose, chemical makeup, boiler systems, fire sprinkler systems, irrigation), device types (reduced pressure, double check, double check detector assembly, pressure vacuum breaker, atmospheric vacuum breaker, air gap), and device specifications (manufacturer, model number, size, serial number, air gap measurements in inches). The form also requires geographic information system (GIS) coding, contaminant/pollutant identification, location sketches, and installation sketches to provide a complete inventory and assessment of backflow prevention infrastructure.

This survey document directly supports the Air Force's CES Cross-Connection Survey solicitation (FA462026QA210) issued by the Department of the Air Force Air Mobility Command. The form serves as the data collection instrument for contractors to systematically identify and catalog cross-connections and backflow prevention devices across Air Force facilities, enabling compliance with water safety regulations and proper maintenance of potable water system protection.