Appendix D AF Form 848.pdf

PDF 30 KB Posted Mar 11, 2025

Attached to: Potable Water Backflow Prevention Survey Federal contract opportunity
Solicitation number: FA462625Q0017
Issued by: Department of the Air Force Global Strike Command

About this file

Written by GovTribe AI · Mar 11, 2025

The file is an Air Force Form 848, a survey document for Cross-Connection Control and Backflow Prevention Devices. The form provides a detailed template for documenting cross-connection hazards, device types, and installation locations across various facilities. It includes specific codes for cross-connection types (such as Back Pressure, Back Siphonage) and device types (Reduced Pressure, Double Check, Pressure Vacuum Breaker), with fields for capturing device details like serial numbers, installation locations, and potential contaminants. The form is designed to comprehensively catalog and track backflow prevention equipment, supporting the Air Force's water system safety protocols.

The associated federal contract opportunity (Solicitation FA462625Q0017) seeks a contractor to conduct a cross-connection control survey at Malmstrom Air Force Base in Montana, including the main base and 15 remote Missile Alert Facilities. The contractor will be responsible for providing labor, hardware, equipment, and incidentals to perform a full survey of the potable water system, with the Department of the Air Force Global Strike Command as the sponsoring agency. The survey aims to identify and document potential water system cross-connection risks and backflow prevention measures.

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Other files for this federal contract opportunity

Other files attached to Potable Water Backflow Prevention Survey, newest first.
File	Type	Posted
Appendix E Baseside List Updated March2025.xlsx	XLSX spreadsheet	Mar 11, 2025
Combo Amendment 0002 - FA462625Q0017.pdf	PDF	Mar 11, 2025
Appendix Aa Base Map (2025).pdf	PDF	Mar 11, 2025
Solicitation Q and A for FA462625Q0017.pdf	PDF	Mar 11, 2025
Appendix Ab Base Map (2018).pdf	PDF	Mar 11, 2025
Solicitation Amendment FA462625Q00170001 SF 30.pdf	PDF	Feb 28, 2025
Appendix E Baseside List Feb2025.xlsx	XLSX spreadsheet	Feb 27, 2025
Appendix A Base Map 11x17.pdf	PDF	Feb 27, 2025
Appendix D AF Form 848.pdf	PDF	Feb 27, 2025
Appendix C Contractor Entry Authorization List.xlsx	XLSX spreadsheet	Feb 27, 2025
Solicitation - FA462625Q0017.pdf	PDF	Feb 27, 2025
Appendix G AFMAN 32-1067.pdf	PDF	Feb 27, 2025
Appendix F Missile Zone BPDs Feb2025.xlsx	XLSX spreadsheet	Feb 27, 2025
Appendix B MAF Map 34x22.pdf	PDF	Feb 27, 2025
Potable Water Backflow Survey SOW - Feb2025.pdf	PDF	Feb 27, 2025

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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

COMMENTS

DEVICE

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

Enter date as YYYYMMDD. This format is Y2K compliant.:

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File details come from the government source that posted it. Updated Mar 11, 2025.