WPCj Fxq,ƃF,nl4pQuXo RtB݀.A|;Kǿcg&A@41tF^oeCӂz*o9r^g"΂ؔ䎷~ҕo#T/\/$j8 q)1'-lG.!<sA`h"rTNX&X3:VʆVn%IP*WZcmG)8~WNAC=< kzSX`đ~ )lpFzH@MYmu`ҺHv;Y`zOMS5ly*~^1Xѩ_Fs>0ߞLLQHXI0[tQ7fTh}k)h]ӆfW:-Tc{ 5Ѽ6'1/W9x hiC>rx WX_#!2121 %S2 0 (Y2U,2U<2U#:22222U:#3#3#3 0c]3 1u3^ 54w@A4444444 m4 14 0D55 0e66 16 0Ax7 0T7 8 0h88 D3;9;9;9 Bn9n9 0D99 0D99 0D:: 0 ZLW:W: AQ:: 0D;;;;; 0D< 0l= 0Dt=t==~>~> AD?D?D?D?D?D?D?D?D?D?D? 0C??? 10@ C@ 1@ CXA 1rArA CAA 0[B CnB 0DBBBBBB D+BBB 1BB C~C CC 0CCCC 1UDDDDDD D3D B*2E2E2E C\E\E\E\E\E 1vEvEvE CE AFMF 0KFFFFFFFFFFFFFFFF BG 1 G CG CGGGG CGG CGGGGGGGGGGGGGGGGGG 1HHH 0|HHHHHHHHfIIIIaIIf(Ia*If>Ia@I@IfTIaVI 1jIjIjI D5II D-&J&J&J&J D;SJSJfJaJ B-JJJJJJJJJJJJJJJJJJJ D3J D3KKK B7K7K7K 0wTK 0K 0UL 0L 0MMM 0pN 0KO 1:P:P:P:P D3PP BP D3QQ BFQ D/cQcQ D3Q B*QQQQQQQQQQQQQQQQQQQQQQQQQQMQQQQQNQQQQQQQ 1QQQQQQQQQQQQQQQQQQQQQQQQQQQ 1|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R|R 1SSSSSSSSSSSSSSSSSSSSSSS 1iiiiiiiiiiiiiiiiiiiiiiiiiiiii AM j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j jBXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXjXj 0Nj\\UTSTATE\DW-HP5SI.PRINTERS.EQ.UT,,,,,,0($(\ Y`Symbol\  `$Times NewRoman-kAZ"Arial Regular+ AZ"Arial Regular(;3$2#  0  .3  0  ##37=CIQYag1.a.i.(1)(a)(i)1)a)\,  E!"#E$% &'(̌,: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#XX1'%d   1#XXǪ#E  TemplateonReverse #E-#E N L#E# SinceawaterbornediseaseoutbreakisaTier1situation,youmustprovidepublicnoticetopersonsservedas  soonaspracticalbutwithin24hoursafteryoulearnofthesituation(141.202(b)).YoumustalsocontacttheDivisionofDrinkingWaterduringthistime.Youshouldcoordinatewithyourlocalhealthdepartmentaswell. Youmustissueapublicnoticeifyouareexperiencingawaterborneemergencyotherthana   waterbornediseaseoutbreak,suchasonecausedbyfloodingortreatmentfailure.Insuchcases,youmaybeabletomodifythistemplatetoapplytoyoursituation. CheckwiththeDivisionofDrinkingWater F   formoredirection.MoreinformationonwaterbornediseaseoutbreaksandemergenciesisavailablefromtheCentersforDiseaseControlandPrevention(4^O  5  www.cdc.gov/health/diseases.htm6n^O  7^##,1(800)3113435).#U#Fora    waterbornediseaseoutbreakorotheremergency,youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers(141.202(c)):U > /c  /c"0    Radio/c݌Q (#(# Ќ  /c  /c"0    Television/c9݌_ (#(# Ќ  /c  /c"0    Handordirectdelivery/cϔ݌ (#(# Ќ  /c  /cW"0    PostinginconspicuouslocationsU0  h      p      x   @ /cWr݌0(#(# Ќ  Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifavailable.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradio,TVnotice,orposting. DescribingtheOutbreak Ugb g Ifknown,listanyorganismsdetected,thenumberofaffectedpeople,anywatertreatmentproblemscontributingtothewaterbornediseaseoutbreak,andanysourcesofcontamination,suchasflooding. PotentialHealthEffects U_  Nomandatoryhealtheffectslanguageexistsforwaterbornediseaseoutbreaks.Youmaywishtousethesentencebelow,ifappropriate,orcontacttheDivisionofDrinkingWaterorhealthdepartment.Thesesymptomsarecommontomanydiseasescausedbymicroscopicorganisms:UC>/c  /cݚ"0    Symptomsmayincludenausea,cramps,diarrhea,jaundice,andassociatedheadachesandfatigue./cݚ݌Q (#(# Ќ  PopulationatRisk U "}   "" Somepeoplewhocontractwaterbornediseasescanbeaffectedmoreseverelythanothers,asdescribedonthereversepage.Thespecificlanguageonthereverseisnotmandatory,butyoumustprovideinformationonthepopulationatrisk.Inaddition,makesureitisclearwhoisservedbyyourwatersystemyoumayneedtolisttheareasyouserve. CorrectiveActionU% F%   % ( Inyournotice,describethecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenbywatersystemswithwaterbornediseaseoutbreaks.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:U*(z#'%#/c  /c"0    Wearerepairingourfiltrationsystem./cȞ݌(8$,(#(# Ќ  /c  /c`"0    Weareincreasingsamplingfordiseasecausingorganisms./c`{݌)$-(#(# Ќ  MakesuretosendacopyofeachtypeofnoticeandastatementcertifyingthatyouvemetallpublicnotificationrequirementstotheDivisionofDrinkingWaterwithintendaysafterissuingthenotice(141.31(d)).Itisagoodideatoissuea problemcorrectednoticewhenthewaterbornediseaseoutbreakisundercontrol.SeeTemplate1-6. .j)3 _Itisrecommendedthatyounotifyhealthprofessionalsintheareaoftheoutbreak.Peoplemaycalltheirdoctorswithquestionsabouthowthesituationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetapwaterduringtheirproceduresandneedtoknowofcontaminationsotheycanusebottledwater.##E  :  #Eo#E#Eɣ# l !  DRINKINGWATERWARNING z  # ! l ### l !BOILYOURWATERBEFOREUSING $ +# ! lˤ# l !  Diseasecausingorganismshaveentered[systems]water X  supply.# ! lO#%^%   'Theseorganismsarecausingillnessinpeopleservedby[system].Welearnedofawaterbornediseaseoutbreakfrom[agency]on[date]. WhatshouldIdo? L  L &y3L  3   3:2&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil, T  letitboilforoneminute,andletitcoolbeforeusing,orusebottledwater.Boiledorbottledwatershouldbeusedfordrinking,makingice,brushingteeth,washingdishes,andfoodpreparationuntilfurthernotice.Boilingkillsbacteriaandotherorganismsinthewater.3:e݌ (#(# Ќ   3   3a2&3  0    [Describesymptomsofthewaterbornedisease.]Ifyouexperienceoneormoreofthese ,| symptomsandtheypersist,contactyourdoctor.Peoplewithseverelycompromisedimmunesystems,infants,andsomeelderlymaybeatincreasedrisk.#%%^#%^%Thesepeople 4 shouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3a݌ (#(# Ќ  Whathappened?Whatisbeingdone? x  [Describetheoutbreak,correctiveaction,andwhentheoutbreakmightend.]Wewillinformyouwhenyounolongerneedtoboilyourwater.Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.)  #%%^#E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho $`" maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#Eƭ#En&!%(#(# #Ei#%^%#%%^ʯ#EThisnoticeisbeingsenttoyouby[system].#E#%^%nn (##%%^#EStateWaterSystemID#:___________#Eְ#E.Datedistributed:򀀀#EE#%^%Ԉ  (d#' #%%^#   XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !   #XX#Instructionsfor  NoticeforTurbiditySingleExceedanceasTier1!Template1-4< ԀXX1'%d   1#XX#0E  TemplateonReverse #E#E & #E# E #Ei#IftheDivisionofDrinkingWaterhasdesignatedthisturbiditysingleexceedanceasaTier1violation j (141.202(a)),youmustprovidepublicnoticetopersonsservedwithin24hoursafterithasbeendesignatedTier1(141.202(b)).TurbidityviolationsareTier2bydefault,butmayfrequentlybeelevatedtoTier1bytheDivisionofDrinkingWater.Inaddition,violationsareautomaticallyelevatedifyouareunabletoconsultwiththeDivisionofDrinkingWaterwithin24hours. Insuchcases,youmustissueanoticewithinthenext24 b  hours. YoumayelevatetheviolationtoTier1yourselfaswell.Youshouldalsocoordinatewithyourlocal  p  healthdepartment.Oneorbothagenciesshouldtellyouwhethertoinstructconsumerstoboilwater.Youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers(141.202(c)):/c  /ce"0    Radio/ce݌h (#(# Ќ  /c  /c"0    Television/c݌& (#(# Ќ  /c  /c"0    Handordirectdelivery/c݌ (#(# Ќ  /c  /c/"0    Postinginconspicuouslocations/c/J݌R (#(# Ќ     `     h      p   Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifyouhaveit.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradioorTVnoticeorposting.Ifyoumodifythenotice,youmustleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory(141.205(d)). PopulationServed   Makesureitisclearwhoisservedbyyourwatersystemyoumayneedtolisttheareasyouserve. CorrectiveAction   Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenbywatersystemswithturbiditysingleexceedance.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:/c  /cQ"0    Weareaddingchemicalsthatreduceturbidity./cQl݌* z$(#(# Ќ  /c  /c "0    Wearesamplingbothuntreatedandtreatedwaterforthepresenceofcoliformbacteria./c &݌ 8%(#(# Ќ  /c  /c"0    Wearemonitoringchlorinelevelsandwilladjustthemasneededtocompensateforfiltration !& problems./c ݌ (#(# Ќ  /c  /c"0    Weareinspectingandcleaningthefilters./c݌"#r((#(# Ќ  SourceoftheProblem  $* Ifyouknowwhytheturbidityishigh,explainitinyournotice.Forinstance,unusualconditions,suchasheavyrainsandflooding,canoverburdenthewaterplant,andtreatedwatermaythereforenotmeetthestandards.Inaddition,runofffrompartsofthewatershedcouldcontainincreasedconcentrationsofsedimentandanimalwaste. AfterIssuingtheNotice  ) %1 SendacopyofeachtypeofnoticeandacertificationthatyouhavemetpublicnoticerequirementstotheDivisionofDrinkingWaterwithintendaysafteryouissuethenotice(141.31(d)).Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.SeeTemplate1-6. -(6 Itrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetapwaterduringtheirproceduresandneedtoknowofpotentialmicrobiologicalcontaminationsotheycanusebottledwater.##E  :  #E~#E#E# l !  DRINKINGWATERWARNING z  # ! l#[system]hashighturbiditylevels N ## l !BOILYOURWATERBEFOREUSING . ~ :# ! l#%^%Weroutinelymonitoryourwaterforturbidity(cloudiness).Thistellsuswhetherweare   effectivelyfilteringthewatersupply.Awatersampletaken[date]showedturbiditylevelsof[number]turbidityunits.Thisisabovethestandardof[standard]turbidityunits.Becauseofthesehighlevelsofturbidity,thereisanincreasedchancethatthewatermaycontaindiseasecausingorganisms. WhatshouldIdo? *  L &yyL  3   32&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil,  letitboilforoneminute,andletitcoolbeforeusing,orusebottledwater.Boiledorbottledwatershouldbeusedfordrinking,makingice,washingdishes,brushingteeth,andfoodpreparationuntilfurthernotice.3݌ (#(# Ќ   3   32&3  0    Turbidityhasnohealtheffects.However,turbiditycaninterferewithdisinfectionand . provideamediumformicrobialgrowth.Turbiditymayindicatethepresenceofdiseasecausingorganisms.Theseorganismsincludebacteria,viruses,andparasites,whichcancausesymptomssuchasnausea,cramps,diarrhea,andassociatedheadaches.People r withseverelycompromisedimmunesystems,infants,#%%^#%^%Ԁand#%%^#%^%Ԁsomeelderlymaybeat N increasedrisk.Thesepeopleshouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3݌ (#(# Ќ  L &yyL 3   32&3  0    Thesymptomsabovearenotcausedonlybyorganismsindrinkingwater.Ifyou  experienceanyofthesesymptomsandtheypersist,youmaywanttoseekmedicaladvice.3݌ (#(# Ќ  Whathappened?Whatisbeingdone? ."~   [Describereasonforthehighturbidity,correctiveaction,andwhenthesystemexpectstoreturntocompliance.]#%%^L#Wewillinformyouwhenturbidityreturnstoappropriatelevelsandwhenyounolongerneedtoboilyour z&!% water.Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.  EZ#Ef#E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho +D', maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributing -(. copiesbyhandormail.#E#E(#(# #Ep#%^%#%%^#EThisnoticeisbeingsenttoyouby[system].#E#%^%nn (##%%^#EStateWaterSystemID#:___________.Datedistributed:򀀀#E#EԈ  V #Eu# 9  X    XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !"  InstructionsforChlorineDioxideMRDL(Tier1)Notice!Template1-5S#XX.#XX1'%d   1#XX#GE  TemplateonReverse #Ec#E N #E#XX#XX/#SinceexceedingthechlorinedioxideMRDLwhenoneormoreofthesamplestakeninthedistributionsystem  onthedayafterexceedingtheMRDLattheentranceofthedistributionsystemorwhenrequiredsamplesare v  nottakeninthedistributionsystemisaTier1violation,youmustprovidepublicnoticetopersonsservedas 4  soonaspracticalbutwithin24hoursafteryoulearnoftheviolation(141.202(b)).#r#(Exceedingthechlorine  B dioxideMRDLattheentrypointtothedistributionsystemonlyisaTier2violation##;modifythistemplateor   Template23tocreateaTier2notice.)YoumustalsocontacttheDivisionofDrinkingWaterwithin24hoursoflearningoftheviolationorsituation.Youshouldalsocoordinatewithyourlocalhealthdepartment.Youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers#b#EԀ(141.202(c))#E#:  :  /c  /c"0    Radio/c݌r (#(# Ќ  /c  /c"0    Television/c0݌0 (#(# Ќ  /c  /c"0    Handordirectdelivery/c݌> (#(# Ќ  /c  /cN"0    Postinginconspicuouslocations/cNi݌ (#(# Ќ  Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifyouhaveit.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradioorTVnotice.Ifyoudo,youmuststillincludeallrequiredelementsandleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory(141.205(d))#N#.   ##EAlternativeSourcesofWater#E#  h Ifyouaresellingorprovidingbottledwater,yournoticeshouldsaywhereitcanbeobtained.#E#Rememberthat  bottledwatercanalsobecontaminatedorbehighinchlorinedioxideifthebottlerusesmunicipalwater##.Make ^ surethebottledwatermeetsthestandardbycontactingthebottlerandaskingforthemostrecenttestresults.## l  ##EPopulationatRisk#E#    Thelanguageonthereverselists youngchildrenasoneofthegroupsatincreasedrisk.Becausethepotentialhealtheffectsofchlorinedioxidearebasedontestsonlaboratoryanimals,thereisnowaytodetermineatexactlywhatagethewaterissafetodrink.Ifyourconsumershavequestions,encouragethemtoerronthesideofcaution. #J#ECorrectiveAction#E # "&'  Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenby ^$) watersystemswithchlorinedioxideviolations.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:/c  /c"0    Weareresettingthegeneratortogeneratethecorrectamountofchlorinedioxide./c݌V'"-(#(# Ќ  /c  /cq"0    Wearerepairingthegenerator./cq݌(d#.(#(# Ќ  /c  /c"0    Wehavealreadyfixedtheproblembutitwilltakeadditionaltimefortheextrachlorinedioxidetobe ("$/ flushedfromthedistributionsystem(pipes)./c7݌ (#(# Ќ  #]#EAfterIssuingtheNotice#Ep#   +\&2 MakesuretosendtheDivisionofDrinkingWateracopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementswithintendaysafterissuingthenotice(141.31(d))##.Youshouldalso R-(5 issueafollowupnoticeinadditiontomeetinganyrepeatnoticerequirementstheDivisionofDrinkingWatersets. /*8 Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.SeeTemplate1-6.Itrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.##E    #ET#E   #E# l !DRINKINGWATERWARNING  z PREGNANTWOMENANDYOUNGCHILDRENIGNSHOULDNOTDRINKTHEWATER# ! l#E   #E#Samplingresultsreceived[date]showedchlorinedioxidelevelsof[levelandunits].Thisisabovethe   standard,ormaximumresidualdisinfectantlevel(MRDL)of0.8milligramsperliter.Chlorinedioxideisusedfordisinfection,buttoomuchofitoverashortperiodoftimemayharmthedevelopmentofchildren,infants,andfetuses. WhatshouldIdo?  }  /c  /c"0    DONOTUSETHISWATERIFYOUAREPREGNANTORGIVEITTOYOUNGCHILDREN.  ]   Bottledwatershouldbeuseduntilfurthernotice.Someinfantsandyoungchildrenwhodrink %  watercontainingchlorinedioxideinexcessoftheMRDLcouldexperiencenervoussystemeffects. Similareffectsmayoccurinfetusesofpregnantmotherswhodrinkwatercontaining e chlorinedioxideinexcessoftheMRDL.Somepeoplemayexperienceanemia./c݌ (#(# Ќ  0  ThechlorinedioxideviolationsreportedtodayincludeexceedancesoftheEPAstandardwithinthedistributionsystemwhichdeliverswatertoconsumers.Violationsofthechlorinedioxidestandardwithinthedistributionsystemmayharmhumanhealthbasedonshorttermexposures.Certaingroups,includingfetuses,infants,andyoungchildren,maybeespeciallysusceptibletonervoussystemeffectsfromexcessivechlorinedioxideexposure.Therearenoobvious - symptoms,butchlorinedioxidecanaffectdevelopmentofthenervoussystem. (#(# /c  /c"0    Water,juice,andformulaforyoungchildrenandforpregnantwomenshouldnotbepreparedwith 5 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].E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho &=") maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#E#K)$,(#(# EThisnoticeisbeingsenttoyouby[system]. (#WaterSystemID#:_____________.Datedistributed:򀀀#E#Ԉ *-&.   .*3  U  XX*u $''''ddxdd x$(#(#u, dd ,xdd +  ! x !  Instructionsfor  Tier1 ProblemCorrectedNotice!Template1-6#XXǜ# XX1'%,   1#XXn#E  TemplateonReverse #E#E  #EV#EItisagoodideatoissueanoticewhenaseriousviolationorsituationhasbeenresolved.AlthoughEPA X  regulationsdonotrequiresuchnotices,theDivisionofDrinkingWatermayrequireyoutoissueone.Youshouldcoordinatewithyourlocalhealthdepartmentaswell.Belowaresomerecommendedmethodsfora problemcorrectednotice.Youshouldusethesamedeliverymethodsyouusedfortheoriginalnotice./c  /c "0    Radio/c  ݌J  (#(# Ќ  /c  /c, "0    Television/c, G ݌d (#(# Ќ  /c  /c "0    Newspaper    h /c  ݌. (#(# Ќ  /c  /c| "0    Handordirectdelivery/c|  ݌ (#(# Ќ  /c  /c "0    Postinginconspicuouslocations/c : ݌r (#(# Ќ     ` Youmaywishtouseadditionalmethods(e.g.,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings)ifnecessarytoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifavailable.   `     h      p   Thenoticeonthereverseisverygeneralandcanbeusedforanyviolationorsituation.However,tohelprestoreconsumersconfidenceinthewatersystem,youshouldmodifythenoticetofityoursituation.Althoughthepublicshouldhaveseenyourinitialnotice,theremaybeadditionalinformationyoulearnedafterthenoticewasissued.Therefore,youshoulddescribetheviolationorsituationagainanddiscusshowtheproblemwassolved._   p  #E#E#EO# l !  DRINKINGWATERPROBLEMCORRECTED# ! l#E z  #E#Customersof[system]werenotifiedon[date]ofaproblemwithourdrinkingwaterandwereadvisedto  [describerecommendedaction].Wearepleasedtoreportthattheproblemhasbeencorrectedandthatitisnolongernecessaryto[describerecommendedaction].Weapologizeforanyinconvenienceandthankyouforyourpatience.[Addfurtherdetailsherewhenappropriate.]Asalways,youmaycontact[contactname]at[phonenumber]or[mailingaddress]withanycommentsorquestions.0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho V  maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail. (#(# EThisnoticeisbeingsenttoyouby[system].nn (#WaterSystemID#:___________#E#E.Datedistributed:򀀀#E#-,` XX-_