Monthly Operational Reports

• MS EXCEL 97-2003 FORMAT

  • EW-103     Groundwater  Systems Form
  • EW-210     Purchase Systems Form
  • EW-90        Surface Water Series Form
  • EW-80        Fluoride Form

   

• PORTABLE DOCUMENT FORMAT (PDF)

  • EW-103     Groundwater  Systems Form
  • EW-210     Purchase Systems Form
  • EW-90        Surface Water Series Form
  • EW-80        Fluoride Form
   

Monitoring Guidance Form

• PORTABLE DOCUMENT FORMAT (PDF)

  • EW-141-A     Monitoring Guidance for Public Water Systems Form

 

Regulation Public Notice Form

• PORTABLE DOCUMENT FORMAT (PDF)

  • TIER 2/3 - PUBLIC NOTICE CERTIFICATION & "IMPORTANT INFORMATION" SHEETS

 

Public Notice Forms

• PORTABLE DOCUMENT  FORMAT

  • BOIL WATER NOTICE Form
  • HEALTH DEPARTMENT BOIL WATER NOTICE Form
  • HEALTH DEPARTMENT PUBLIC SERVICE ANNOUNCEMENT Form
  • 24 HOUR NOTIFICATION Form
  • DRINKING WATER PROBLEM CORRECTED Form

   

• MS WORD 97-2003  FORMAT
  • Lead result and  90^th percentile value below the lead action level of 15 parts per billion
  • Lead result below the lead action level of 15 parts per billion; 90^th percentile value above lead action level
  • Lead result is above the lead action level of 15 parts per billion; 90^th percentile value below the lead action level
  • Lead result and 90^th percentile value above the lead action level of 15 parts per billion

   

• PORTABLE DOCUMENT FORMAT (PDF)
  • LEAD TAP MONITORING NOTIFICATION CERTIFICATION

   

 

If you encounter any problems with the EW-80, EW-90, EW-103, or EW-210  please contact Russell Hicks at 304-558-6763.

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