WPCNj O-,9{Xxf~&Ax[+\8FN#?ȧPa{('Yj̑ g/Rq";4aH ؔM}jWa%G\UNCn/7ja!B̅"/:ccih\_Tb`ʪ D( D(I>SWoI8QhP>*4oo6y*j@Uqމ=%t xB" !s!i.Iޛ`za!kkR1ٖmw4j0(I]BlG @9e,)yvSg6ՖFt)):u#O6˪>;w}kax0E3.OD_N:KwK+e^fhh·RAm4WVN=8y)7◙Hm5VP!K+ zIWDw73]0|_#!2121 %S2 0 (Y2U,2U<2U;:22222U:#3#3#3 0c]3 1u3^ 54w@A4444444 m4 14 0D55 0e66 16 0Ax7 0T7 8 0h88 D3;9;9;9 Bn9n9 0D99 0D99 0D:: 0LW:W: AQ:: 0D;;;;; 0D< 0l= 0Dt=t==~>~> AD?D?D?D?D?D?D?D?D?D?D? 0C??? 10@ C@ 1@ CXA 1rArA CAA 0[B CnB 0DBBBBBB D+BBB 1BB C~C CC 0CCCC 1UDDDDDD D3D B*2E2E2E C\E\E\E\E\E 1vEvEvE CE AFMF 0KFFFFFFFFFFFFFFFF BG 1 G CG CGGGG CGG CGGGGGGGGGGGGGGGGGG 1HHH 0|HHHHHHHHHHHHHHHHHHHfIaI 1(I(I(I D5II D-IIII D;JJJJ B-LJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJ D3yJ D3JJJ BJJJ 0wJ 0sK 0K 0L 0QMQMQM 0N 0N 1OOOO D3kPkP BP D3PP BP D/ Q Q D3:Q B*mQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQMQQQQQNQQQQQQQ 1QQQQQQQQQQQQQQQQQQQQQQQQQQQ 1$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R$R 1RRRRRRRRRRRRRRRRRRRR2S2S2S 1,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i AMiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii 0Nj\\UTSTATE\DW-HP5SI.PRINTERS.EQ.UT,,,,,,0($(\ Y`Symbol\  `$Times NewRoman-kAZ"Arial Regular+ AZ"Arial Regular(;3$2#  0  .3  0  ##37=CIQYag1.a.i.(1)(a)(i)1)a), 4[56E789D:D;<D=Ď,:i+003|x=U(uhCEKQW]cioAutoList51.1.1.1.1.1.1.1.@! 0Level 3Level 3            1, 2, 3,Level 1Level 2Level 3Level 4Level 54#.2Quick 1.  .0 (5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.(Vm$0   (,!$0  0` (#(#  Level 1Level 2Level 3Level 4Level 5(@$0  0` (#(#0 ` (#` (# ` '''''dxd d(3$ !  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(hCEKQW]cioAutoList91.1.1.1.1.1.1.1.d ,CEKOU[agmAutoList71."1.1.1.1.1.1.d(EGMSY_ekqAutoList111.1.1.1.1.1.1.1.(d(3$ !    0  . d($$  0  'dxd(EGMSY_ekqAutoList121.1.1.1.1.1.1.1.2d (#(# Ќ  /c  /c "0    Handordirectdelivery/c  ݌  (#(# Ќ  /c  /c "0    Postinginconspicuouslocations/c ݌ (#(# Ќ  Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifyouhaveit.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradioorTVnotice.Ifyoudo,youmuststillincludeallrequiredelementsandleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory_(R309_220_Ԅ8(4)#= #=____)._   #=#%X=AlternativeSourcesofWater#=%X#=  3& Ifyouaresellingorprovidingbottledwater,yournoticeshouldsaywhereitcanbeobtained.#=#=Rememberthat  bottledwatercanalsobecontaminatedorbehighinchlorinedioxideifthebottlerusesmunicipalwater#=#=.Make yl surethebottledwatermeetsthestandardbycontactingthebottlerandaskingforthemostrecenttestresults.#=#= 7*  #=o#%X=PopulationatRisk#=%X#=  ! Thelanguageonthereverselists youngchildrenasoneofthegroupsatincreasedrisk.Becausethepotentialhealtheffectsofchlorinedioxidearebasedontestsonlaboratoryanimals,thereisnowaytodetermineatexactlywhatagethewaterissafetodrink.Ifyourconsumershavequestions,encouragethemtoerronthesideofcaution. #=#%X=CorrectiveAction#=%X#=  (  Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenby y"l * watersystemswithchlorinedioxideviolations.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:/c  /cg"0    Weareresettingthegeneratortogeneratethecorrectamountofchlorinedioxide./cg݌q%d#.(#(# Ќ  /c  /cE"0    Wearerepairingthegenerator./cE`݌/&"$/(#(# Ќ  /c  /c"0    Wehavealreadyfixedtheproblembutitwilltakeadditionaltimefortheextrachlorinedioxidetobe &$0 flushedfromthedistributionsystem(pipes)./c ݌ (#(# Ќ  #=1#%X=AfterIssuingthe_Notice#=%XD#= 0  __0h(#(#__0h(#h(#__0(#(#__0p(#(#__0p(#p(#__0 (#(#__0x (# (#_')'3x(#x(# MakesuretosendtheDivisionofDrinking_Water__(PO__Box__144830,__SLC,__UT841144830)a_Ԁcopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementswithintendaysafterissuingthenotice_(R30910516(3))#=#=._ԀYoushouldalsoissueafollowupnoticeinadditiontomeetinganyrepeatnotice +,*7 requirementstheDivisionofDrinkingWatersets.Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.__Itrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformation_they_needtorespondappropriately.#=`#%X=  ]1P/>  #=%X!#%X=   #V # @a !VDRINKINGWATERWARNING   PREGNANTWOMENANDYOUNGCHILDRENI[NSHOULDNOTDRINKTHEWATER#V ! @a6!#V  !#V!#Samplingresultsreceived[date]showedchlorinedioxidelevelsof[levelandunits].Thisisabovethe  standard,ormaximumresidualdisinfectantlevel(MRDL)of0.8milligramsperliter.Chlorinedioxideisusedfordisinfection,buttoomuchofitoverashortperiodoftimemayharmthedevelopmentofchildren,infants,andfetuses. WhatshouldIdo?    /c  /c#"0    DONOTUSETHISWATERIFYOUAREPREGNANTORGIVEITTOYOUNGCHILDREN. j]   Bottledwatershouldbeuseduntilfurthernotice.Someinfantsandyoungchildrenwhodrink 2%  watercontainingchlorinedioxideinexcessoftheMRDLcouldexperiencenervoussystemeffects. Similareffectsmayoccurinfetusesofpregnantmotherswhodrinkwatercontaining  chlorinedioxideinexcessoftheMRDL.Somepeoplemayexperienceanemia./c#$݌ (#(# Ќ  0  ThechlorinedioxideviolationsreportedtodayincludeexceedancesoftheEPAstandardwithinthedistributionsystemwhichdeliverswatertoconsumers.Violationsofthechlorinedioxidestandardwithinthedistributionsystemmayharmhumanhealthbasedonshorttermexposures.Certaingroups,includingfetuses,infants,andyoungchildren,maybeespeciallysusceptibletonervoussystemeffectsfromexcessivechlorinedioxideexposure.Therearenoobvious :- symptoms,butchlorinedioxidecanaffectdevelopmentofthenervoussystem. (#(# /c  /c("0    Water,juice,andformulaforyoungchildrenandforpregnantwomenshouldnotbepreparedwith  tapwater./c((݌ (#(# Ќ  /c  /c)"0    Adultswhoarenotpregnantandolderchildrencandrinkthetapwaterbecausetheirnervous  systemsarealreadydeveloped.However,ifyouhavespecifichealthconcerns,youmaywishtoconsultyourdoctor./c))݌ (#(# Ќ  Whathappened?Whatisbeingdone?   ! Chlorinedioxideisusedinsmallamountseverydaytokillbacteriaandotherorganismsthatmaybeinyourdrinkingwater.Aproblemoccurredwithourchlorinedioxidegenerator,andtoomuchchlorinedioxidewasreleased.[Describecorrectiveactionandwhenyouexpecttoreturntocompliance.]Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].V0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho J$=") maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#V,#&$,(#(# VThisnoticeisbeingsenttoyouby[system]. (#WaterSystemID#:_____________.Datedistributed:򀀀#V.#Ԉ :(-&.