Cross-Connection Control Survey

 

Please complete and submit this survey, regardless of your potential for cross-connections.

The following common household fixtures could cause a hazard to drinking water.  Please check all the  boxes pertaining to fixtures you have on your property and we will contact you to discuss what can be done to protect you and your neighbors!

Common Outdoor Fixtures

Irrigation system

Decorative pond

Spa/hot tub

Greenhouse

Hose faucet

Swimming pool

 

Common Indoor Fixtures

Boiler

Hot water heating system

Aquarium

Janitorial/utility Sink

 

Other Fixtures

Dialysis equipment

Dye vats and tanks

Fire sprinkler system

Radiator flushing equipment

Livestock troughs

Pump priming lines

Film developing equipment


Questions or Comments?

Name: Phone: E-mail:

Address:

City:   State:   Zip:

 

Thank you for taking the time to fill out this online survey.  If you need immediate attention, please contact Tiffney Ihly at (360) 754-4150 or via e-mail.

 

Cross Connection Home      Water Resources Home     City of Tumwater Home