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SERVICE AGREEMENT
I. PURPOSE.
WIEDENFELD WATER WORKS, INCORPORATED
(WWW, Inc.) is responsible for protecting the drinking water supply from
contamination or pollution which could result from improper private
water distribution system construction or configuration. The purpose of
this service agreement is to notify each customer of the restrictions
which arc in place to provide the protection. The utility enforces these
restrictions to ensure the public health and welfare. Each Customer must
sign this agreement before WWW, Inc. will begin service. In addition,
when service to an existing connection has been suspended or terminated,
the water system will not re-establish service unless it has a signed
copy of this agreement.
II. RESTRICTIONS. The following
unacceptable practices are prohibited by State regulations.
A. No direct connection between the
public drinking water supply and potential source of contamination is
permitted. Potential sources of contamination shall be isolated from the
public water system by an air-gap or an appropriate backflow prevention
device.
B. No truss-connection between the public drinking water supply and a
private water system is permitted. These potential threats to the public
drinking water supply shall be eliminated at the service connection by
the installation of an air-gap or reduced pressure-zone backflow
prevention device.
C No connection which allows water to be returned to the public drinking
water supply is permitted.
D. No pipe or pipe fittings which contains more (hart &0% lead may be
used for installation or repair of plumbing at any connection which
provides water fur human use.
F. No solder or flux which contains more than 0.2 % lead can be used for
installation or repair of plumbing at any connection which provides
water for human use.
III. SERVICE AGREEMENT. The following are the terms of the service
agreement between Wiedenfeld Water Works, Incorporated and (the customer)
______________________________________________.
A. The Water System will maintain a copy
of this agreement as long as the Customer and for the premises is
connected to the Water System.
B. The Customer shall allow his property to be inspected for possible
cross-connect ions and other potential contamination hazard. These
inspections shall be conducted by the Water System or its designated
agent prior to initiating new water service; when there is reason to
believe that cross-connections or other potential contamination hazards
exist; or after any major changes to the private water distribution
facilities. The inspections shall be conducted during the Water Systems
normal business hours.
C. The Water System shall notify the Customer in writing of any
cross-connection or other potential contamination hazard which has been
identified during the initial inspection or the periodic reinspection.
D. The Customer shall immediately remove or adequately isolate any
potential cross-connection or other potential contamination hazards on
his premises.
F. The Customer shall, at his expense; properly install, test, and
maintain any backflow prevention device required by the Water System.
Copies of all testing and maintenance records shall be provided to the
Water System.
IV. ENFORCEMENT. If the Customer
fails to comply with the term of the Service Agreement, the Water System
shall, at its option, either terminate service or properly install, test
and maintain an appropriate backflow prevention device at the service
connection. Any expenses associated with the enforcement of this agreement
shall be billed to the customer.
CUSTOMER’S SIGNATURE:
________________________________________________________________
DATE: ________________________ |