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Cross Connection Control Reporting Form 2022State law requires consumers of public water supplies to inspect their facilitiesnot less than once every five years. Completing this form fulfills that requirement!Completion of this form is a condition of water service!!REPORTING FORM FOR THE WATER SYSTEM OF THE CITY OF LOUISVILLEIf you have questions, please contact Sheryl Gaston @ 402-234-7605This form will help prevent the accidental contamination of our drinking water.Failure to complete this form puts your water system in violation of State HealthDepartment Regulations Title 179.Complete Your Survey Now!
