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Home ››
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Public Works

Backflow Prevention Survey 2024

City of O'Fallon
Public Works Department
Engineering Group
255 S. Lincoln Ave.
O'Fallon, IL 62269
[email protected]

Please complete this survey in its entirety.
Please DO NOT leave any question unanswered.
If you have any questions call us at 618-624-4500 Ext. 3

Service Address

Street Address *

Street Address Line 2

City *

State *

Zip Code *

Date *

Month

Day

Year

Customer Contact *

Business? *

Yes

No

Residence? *

Yes

No

Do you Rent or Own? *

Rent

Own

Phone Number *

DOES THE PROPERTY / BUILDING HAVE:

1. Fire Sprinkler System? *

Yes

No

If yes, are chemicals added to the sprinkler system? *

Yes

No

N/A

2. Lawn Sprinkler system with heads installed below or flush to the ground? *

Yes

No

If yes, is a Backflow Prevention Device in place currently? *

Yes

No

N/A

3. Swimming Pool? *

Yes

No

If yes, is the pool directly connected to the City's water supply? *

Yes

No

N/A

If yes, is a Backflow Prevention Device in place currently? *

Yes

No

N/A

4. Is the home/business heated by Steam Heat or a Hot Water System incorporating a boiler? *

Yes

No

If yes, are chemicals added to the heating system? *

Yes

No

N/A

5. Water Softener or other water treatment equipment/soft drink dispenser? *

Yes

No

6. Operating Well or Cistern? *

Yes

No

7. Any Lawn Hydrants with the tops mounted flush to or below the ground level? *

Yes

No

Leave this field blank

Backflow Prevention Survey 2024
Consumer Confidence Report (CCR) - Water Quality Report
Contact Us
Permits
Stormwater
Street Division
Wastewater Division
Water Division

Contact Info

Phone:

(618) 624-4500 ext. 3
(618) 622-1555

Fax:

618-624-4534

After Hours Phone:

618-624-4545

Emergency Numbers:

618-624-4545

Address:

City Hall

255 S Lincoln Ave.

2nd Floor

O'Fallon, IL 62269

United States

See map: Google Maps

City of O'Fallon, 255 South Lincoln, O'Fallon, IL 62269 Tel: (618) 624-4500 Fax: (618) 624-4508
City Hall Hours: Monday - Friday, 8:00 a.m. - 4:30 p.m.
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