N.H. Admin. Code § Env-Dw 505.10 - Required Records

(a) Each PWS that is required by Env-Dw 505.02(a) to have a cross-connection program shall maintain records pertaining to its cross-connection control program as specified in this section.

(b) A list of high degree of hazard cross-connection locations shall include:

(1) The name of the owner or business;

(2) The location of the backflow prevention device;

(3) The type of backflow prevention device installed;

(4) The size of the backflow prevention device;

(5) The manufacturer's name and model number;

(6) The cross-connection permit number;

(7) A description of the contaminant(s); and

(8) The testing and inspection frequency.

(c) A list of low degree of hazard cross-connection locations shall include the information identified in (b), above.

(d) Records of the frequency of inspection and testing of each backflow prevention device and the results of inspections and tests shall include the following and be on forms provided by the supplier:

(1) The name of the owner or business;

(2) The location of the backflow prevention device;

(3) The type of backflow prevention device;

(4) The size of the backflow prevention device;

(5) The manufacturer's name and model number;

(6) The date of the first inspection and test of the year for high hazard backflow prevention devices or the date of the annual inspection and test for low hazard backflow prevention devices;

(7) The name of the certified backflow prevention device inspector;

(8) Inspection and testing results from the first or annual test, as applicable;

(9) If the inspection or testing results from the first or annual test, as applicable, were unsatisfactory:

a. The measures taken to correct the deficiencies; and

b. The date the device was determined to be satisfactory;

(10) The date of the second inspection and test of the year for each high hazard backflow prevention device;

(11) Inspection and testing results from the second test for each high hazard backflow prevention device;

(12) If the inspection or testing results from the second test for a high hazard backflow prevention device were unsatisfactory:

a. The measures taken to correct the deficiencies; and

b. The date the device was determined to be satisfactory.

Notes

N.H. Admin. Code § Env-Dw 505.10

(See Revision Note at part heading for Env-Dw 505) #10615, eff 6-1-14