WPCj $"ǟQ,|q y!G.O[dC-OF&D]\ G%`&=T;%1:yFJB6- OPd`bػb;g~ZUAqI⒔8ꔞL# Ʉ.~R28/d-X|ǴVMD_C\ GJGI~> AD?D?D?D?D?D?D?D?D?D?D? 0C??? 10@ C@ 1@ CXA 1rArA CAA 0[B CnB 0DBBBBBB D+BBB 1BB C~C CC 0CCCC 1UDDDDDD D3D B*2E2E2E C\E\E\E\E\E 1vEvEvE CE AFMF 0KFFFFFFFFFFFFFFFF BG 1 G CG CGGGG CGG CGGGGGGGGGGGGGGGGGG 1HHH 0|HHHHHHHHHHHHHHfIaIIIIII 1(I(I(I D5II D-IIII D;JJJJ B-LJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJLJ D3yJ D3JJJ BJJJ 0wJ 0sK 0K 0L 0QMQMQM 0N 0N 1OOOO D3kPkP BP D3PP BP D/ Q Q D3:Q B*mQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQmQMQQQQQNQQQQQQQ 1QQQQQQQQQQQQQQQQQQQQQQQQQQQ 1$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$R 1RRRRRRRRRRRRRRRRRRRR2S2S2S 1,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i,i AMiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiBjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj 0NBj\\UTSTATE\DW-HP5SI.PRINTERS.EQ.UT,,,,,,0($(\ Y`Symbol\  `$Times NewRoman-kAZ"Arial Regular+ AZ"Arial Regular(;3$2#  0  .3  0  ##37=CIQYag1.a.i.(1)(a)(i)1)a){,  D!D"#$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(@$0  0` (#(#0 ` (#` (# ` '''''dxd d(3$ !  (3$ !  (3$ !  >c$"Small Circle"0 2+)3nC<<CLevel 1Level 2Level 3Level 4Level 5($$   1  Level 1Level 2Level 3Level 4Level 5(3$ !  ((3$ !      0  (#$  0  Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5!)}]&OLE 2.0 Box <=8C HKKKK(2C$ !  (hCEKQW]cioAutoList91.1.1.1.1.1.1.1.d ,CEKOU[agmAutoList71."1.1.1.1.1.1.d(EGMSY_ekqAutoList111.1.1.1.1.1.1.1.(d(3$ !    0  . d($$  0  'dxd(EGMSY_ekqAutoList121.1.1.1.1.1.1.1.2d/c  /c"0    Symptomsmayincludenausea,cramps,diarrhea,jaundice,andassociatedheadachesandfatigue./c݌^Q (#(# Ќ  PopulationatRisk U/" /"" Somepeoplewhocontractwaterbornediseasescanbeaffectedmoreseverelythanothers,asdescribedonthereversepage.Thespecificlanguageonthereverseisnotmandatory,butyoumustprovideinformationonthepopulationatrisk.Inaddition,makesureitisclearwhoisservedbyyourwatersystemyoumayneedtolisttheareasyouserve. CorrectiveActionU" "   " ( Inyournotice,describethecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenbywatersystemswithwaterbornediseaseoutbreaks.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:U%z#2%%#/c  /c"0    Wearerepairingourfiltrationsystem./c݌E&8$,(#(# Ќ  /c  /ci"0    Weareincreasingsamplingfordiseasecausingorganisms./ci݌'$-(#(# Ќ  MakesuretosendacopyofeachtypeofnoticeandastatementcertifyingthatyouvemetallpublicnotificationrequirementstotheDivisionofDrinking_Water__(PO__Box__144830,__SLC,__UT841144830)within_Ԁtendaysafterissuingthenotice_(!d!R30910516(#3#$2$) 141.31(d) !d!)._ԀItisagoodideatoissuea problemcorrectednoticewhenthewaterbornediseaseoutbreakisundercontrol._"SeedTemplate1-6.d"_Itisrecommendedthatyounotifyhealthprofessionalsintheareaoftheoutbreak.Peoplemaycalltheirdoctorswithquestionsabouthowthesituationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetapwaterduringtheirproceduresandneedtoknowofcontaminationsotheycanusebottledwater.#3K #j3  o.b,7  #3j!#j3#Uj%;# f !Uj  DRINKINGWATERWARNING   #Uj ! fQ# Uj#Uj # f !UjBOILYOURWATERBEFOREUSING 1$ p#Uj ! f# f !Uj  Diseasecausingorganismshaveentered[systems]water  supply.#Uj ! f#% %Uj  'Theseorganismsarecausingillnessinpeopleservedby[system].Welearnedofawaterbornediseaseoutbreakfrom[agency]on[date]. WhatshouldIdo?   L &y#L  3   32&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil, aT  letitboilforoneminute,andletitcoolbeforeusing,orusebottledwater.Boiledorbottledwatershouldbeusedfordrinking,makingice,brushingteeth,washingdishes,andfoodpreparationuntilfurthernotice.Boilingkillsbacteriaandotherorganismsinthewater.3݌ (#(# Ќ   3   3!2&3  0    [Describesymptomsofthewaterbornedisease.]Ifyouexperienceoneormoreofthese | symptomsandtheypersist,contactyourdoctor.Peoplewithseverelycompromisedimmunesystems,infants,andsomeelderlymaybeatincreasedrisk.#Uj %%9#% %UjThesepeople A4 shouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3!!݌ (#(# Ќ  Whathappened?Whatisbeingdone?   [Describetheoutbreak,correctiveaction,andwhentheoutbreakmightend.]Wewillinformyouwhenyounolongerneedtoboilyourwater.Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.n  %#Uj %%9##%;Uj0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho m!`" maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#Uj%; &#%;Uj#!%(#(# #Uj%;'#% %Uj#Uj %%(#%;UjThisnoticeisbeingsenttoyouby[system].#Uj%;X(#% %Ujnn (##Uj %%(#%;UjԀWaterSystemID#:___________#Uj%;)#%;Uj.Datedistributed:򀀀#Uj%;{)#Ԉ q%d#'