WPC`k )QWJunDTu \<c{s{{HOG҄.g\0IΑ~~B#>rBBEŅ˻mo~N:gwO .H~3h]m x `v1=`3w~#aYXX 9khHjJ,Rٔ<[y׍/Ubė>%m)!+P}# 4]Kش=NFyk܍@4Fyؠ'GnGuCzdi 9>dٯ6.Z4OmN&#R> F\`O-60v_ڡBbW'luݑ ltxUV?ۥt?W+Oz}eՁ=3/Fb6mڶsv.!^h緺tF_c\V ] 9k*D0K[R&> @(*2h|$_#!2121 %S2 0 (Y2U,2U<2U:22222U:#3#3#3 0c]3 1u3^ 54w@A4444444 m4 14 0D55 0e66 16 0Ax7 0T7 8 0h88 D3;9;9;9 Bn9n9 0D99 0D99 0D:: 0 LW:W: AQ:: 0D;;;;; 0D< 0l= 0Dt=t==~>~> AD?D?D?D?D?D?D????? 0C@@@ 1J@ C@ 1@ CrA 1AA CBB 0[-B CB 0DBBBBBB D+BBB 1CC CC CC 0CCCC 1UDDDDDD D3E B*LELELE CvEvEvEvEvE 1EEE CF A1FMF 0KFFFFFFFFFFFFFFFF BG 1:G CG CGGGG CGG CHHHHHHHHHHHHHf)H)H)H)H)H 1+H+H+H 0|HHa.I.IfBIaDIDIDIfXIXIXIXIaZIZIfnIapIfIaIIfIaI 1III D57J7J D-lJlJlJlJ D;JJfJaJ B-JJJJJJJJJJJJJJJJJJJ D3K D3JKJKJK B}K}K}K 0wK 0L 0L 0;M 0MMM 0N 0O 1PPPP D3 Q Q Bc$"Small Circle"0 2+)3nC<<CLevel 1Level 2Level 3Level 4Level 5($$   1  Level 1Level 2Level 3Level 4Level 5(3$ !  ((3$ !      0  (#$  0  Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5!)}]&OLE 2.0 Box <=8C HKKKKmultilingual(2C$ !  (hCEKQW]cioAutoList91.1.1.1.1.1.1.1.d ,CEKOU[agmAutoList71."1.1.1.1.1.1.d(EGMSY_ekqAutoList111.1.1.1.1.1.1.1.(d(3$ !    0  . d($$  0  'dxd(EGMSY_ekqAutoList121.1.1.1.1.1.1.1.2d"0    NOLEDEESTAAGUAABEBES.Bebesmenoresdeseis(6)mesesqueingieranagua ,  connitratosenexcesodelnivelmximodecontaminaci;n(NMC)sepuedenenfermarseriamentey,denosertratados,puedenmorir.Lossntomasincluyendificultadenrespirarysndromedebebazul. Elsndromedebebazulserefierealcolorazuladoque  tomalapieldelbeb.Lossntomasenlosbebespuedendesarrollarseconrapidez,coneldeteriorodesusaludenlosdassubsiguientes.Silossntomasocurreneninfantesmenoresdeseis(6)mesesdeedad,busqueatenci;nmdicainmediatamente./co>>݌ (#(# Ќ  /c  /cyA"0    Agua,jugoolecheenpolvoparabebsmenoresdeseis(6)mesesdeedadnodebeprepararse | conaguadelgrifo.Debeemplearaguaembotelladauotraaguabajaennitratoshastapr;ximoaviso./cyAA݌ (#(# Ќ  /c  /cB"0    Nohiervaelagua. Hervir,congelar,filtrarodejarelaguaenreposonoreduceelnivelde  nitratos.Dehecho,alhervirelaguapuedeaumentaranmslaconcentraci;ndenitratos,debidoaquelosnitratospermanecencuandopartedelaguaseevapora./cBB݌ (#(# Ќ  /c  /c}D"0    Adultoseinfantesmayoresdeseis(6)mesesdeedadpuedentomarelaguadelgrifo.(Los $ nitratossonpeligrososparalosbebesdebidoaqueellosnopuedenprocesarlosnitratosdelamismamaneraquelosadultos).Sinembargo,siustedestembarazadaotienealgnproblemadesaludenparticular,puedeoptarporhacerunaconsultaconsumdico./c}DD݌ (#(# Ќ  Qupas;?Quseesthacindoalrespecto?   " Nitratosenelaguapuedenprovenirdefuentesnaturales,industrialesordelaagricultura(incluyendodescargasdetanquesspticosylluvias).Lasconcentracionesdenitratosenelaguapotablevaranalolargodelao.Nosotroslesavisaremoscuandolosnivelesdenitratosestnnuevamentedebajodellmite.[Describecorrectiveaction,seasonalfluctuations,andwhenthesystemexpectstoreturntocomplianceinSpanish.]Paramayorinformaci;n,favorcontactara[nameofcontact]altelfono[phonenumber]oescribiendoa[mailingaddress].0  Porfavorcompartaestainformaci;nconotrosquepuedentomardeestaagua,colocandoeste (l&- avisoenlugaresvisibles,oremitindoloporcorreo,oentregandolomanualmente.Esdeparticularintersdistribuiresteavisoampliamentesiustedloreciberepresentandounnegocio,unhospitaluhogardeinfantesuhogardeancianosocomunidadresidencial."+(0(#(# #E<# Esteavisohasidoenviadoaustedpor[system].0  (#(#(#NumerodeIdentificaci;n:___________.Fechadedistribuci;n:򀀀# J#  z _     ,^*2  z   XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !PL  Instructionsfor  FecalColiformorE.ColiNotice!Template12M#XX\L# MXX1'%d   1#XX-N#uME  TemplateonReverse #EN#E N N#EO#XX#XX|O#ESinceexceedingthefecal#EO#EԀcoliformorE.colimaximumcontaminantlevelisaTier1violation,youmust  providepublicnoticetopersonsservedassoonaspracticalbutwithin24hoursafteryoulearnoftheviolation(141.202(b))#EP#E.Duringthistime,youmustalsocontacttheDivisionofDrinkingWater.Youshould   alsocoordinatewithyourlocalhealthdepartment.YoumayalsohavetomodifythetemplateifyoualsohavehighnitratelevelsorothercoliformMCLviolations.Youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers(141.202(c))#ECQ#E: ~   /c  /c(S"0    Radio/c(SCS݌ (#(# Ќ  /c  /cS"0    Television/cSS݌ X (#(# Ќ  /c  /cOT"0    Handordirectdelivery/cOTjT݌" (#(# Ќ  /c  /cT"0    Postinginconspicuouslocations/cT U݌p (#(# Ќ     `     h     Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradioorTVnotice.Ifyoudo,youmuststillincludeallrequiredelementsandleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory(141.205(d))#ER#E.See < Chapter8foranoticedesignedforposting.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifyouhaveit. #E3X#PopulationServed E d Makesureitisclearwhoisservedbyyourwatersystemyoumayneedtolisttheareasyouserve. #E$Y#CorrectiveActionE   Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytaken   bywatersystemswithfecalcoliformorE.coliviolations.Useoneormoreofthefollowingactions,if j! appropriate,ordevelopyourown: /c  /cU["0    Wearechlorinatingandflushingthewatersystem./cU[p[݌ D$(#(# Ќ  /c  /c\"0    Weareswitchingtoanalternatedrinkingwatersource./c\.\݌!%(#(# Ќ  /c  /c\"0    Weareincreasingsamplingforcoliformbacteriatodeterminethesourceofthecontamination./c\\݌\"&(#(# Ќ  /c  /c]"0    Wearerepairingthewellheadseal./c]]݌&#'(#(# Ќ  /c  /cp^"0    Wearerepairingthestoragetank./cp^^݌#l ((#(# Ќ  /c  /c_"0    Wearerestrictingwaterintakefromtheriver/lake/reservoirtopreventadditionalbacteriafrom $6!) enteringthewatersystemandrestrictingwaterusetoemergencies./c_9_݌ (#(# Ќ  #EY#AfterIssuingtheNotice E '#, SendacopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementstotheDivisionofDrinkingWaterwithintendaysfromthetimeyouissuethenotice(141.31(d))#E`#E. t)%/ Itisrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetapwaterduringtheirproceduresandneedtoknowofcontaminationsotheycanusebottledwater.Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.SeeTemplate1-6. .v+6  #Ea#E#EEd# h !  DRINKINGWATERWARNING # ! hd# h ! N # ! hd# h ![System]wateriscontaminatedwith[fecalcoliform]or[E.coli] N BOILYOURWATERBEFOREUSING# ! hGe# h ! V  d# ! hf#%Q-%Fecalcoliform[orE.coli]bacteriawerefoundinthewatersupplyon[date].Thesebacteriacan  V makeyousick,andareaparticularconcernforpeoplewithweakenedimmunesystems. WhatshouldIdo? n  L &y3L  3   3g2&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil, &  letitboilforoneminute,andletitcoolbeforeusing,orusebottledwater.Boiledorbottledwatershouldbeusedfordrinking,makingice,brushingteeth,washingdishes,andfoodpreparation untilfurthernotice .Boilingkillsbacteriaandotherorganismsin 6 thewater.3gg݌ (#(# Ќ  /c  /cj"0    FecalcoliformsandE.coliarebacteriawhosepresenceindicatesthatthewatermaybe N contaminatedwithhumanoranimalwastes.Microbesinthesewastescancausediarrhea,cramps,nausea,headaches,orothersymptoms.Theymayposeaspecialhealthriskforinfants,youngchildren,andpeoplewithseverelycompromisedimmunesystems./cj0j݌ (#(# Ќ   3   3l2&3  0    Thesymptomsabovearenotcausedonlybyorganismsindrinkingwater.Ifyou v experienceanyofthesesymptomsandtheypersist,youmaywanttoseekmedicaladvice.Peopleatincreasedriskshouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3l.l݌ (#(# Ќ  L &yyL Whathappened?Whatisbeingdone? >  Bacterialcontaminationcanoccurwhenincreasedrunoffentersthedrinkingwatersource(for z  example,followingheavyrains).Itcanalsohappenduetoabreakinthedistributionsystem(pipes)orafailureinthewatertreatmentprocess.[Describecorrectiveaction.]Wewillinformyouwhentestsshownobacteriaandyounolongerneedtoboilyourwater.Weanticipateresolvingtheproblemwithin[estimatedtimeframe].Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.#%%Q-jf#E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho )j&* maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#ESq#%Q-%L,(-(#(# #%%Q-r#EThisnoticeisbeingsenttoyouby[system].#EUs#%Q-%nn (##%%Q-s#E State WaterSystemID#:___________#Et#E.Datedistributed:򀀀#Et#%Q-%Ԉ  -n*/ #%%Q-t#   XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !Mu  #XXYu#InstructionsforSpanishFecalColiformorE.ColiNotice!Template12A~vXX1'%d   1#XXw#rvE  TemplateonReverse #Ew#E & w#Ew# E ThetemplateonreverseisaSpanishtranslationofTemplate12forfecalcoliformorE.coli.Allthe > instructionsofTemplate12apply.IfyoumodifytheEnglishtemplate,youshouldmodifythistemplateaccordingly.Schoolsoruniversitiesmaybeabletoprovidelowcosttranslations.Seepage)Fmultilingual)12  Հforsuggestionsonmultilingualnotices.     #Egx#  h !  AVISOSOBRESUAGUAPOTABLE# ! hlz# h ! B  # ! hz#E#E3{#ElAguadelSistema[systemname]estacontaminadocon[bacterias N coliformesfecales][E.coli]#v{#E f  #E1|# h !HIERVANELAGUAANTESDEUSARLA# ! h|#E   H z#E|#Bacteriascoliformesfecales(oE.coli)fueronencontradasensuserviciodeaguaeldia[dateofviolation  T inSpanish(daymonthyear)].Estasbacteriaspuedenenfermarle,ysonespecialmentepeligrosasparapersonasconlasdefensasbajasosistemasimunol;gicosdbiles. Quedebohacer?  t  /c  /c~"0    NOBEBAELAGUASINANTESHERVIRLA .Hiervatodaelagua,djelahervirporunminuto,   ydjelareposarantesdeusarla,outilizeaguaembotellada.Aguahervidaoembotelladadebeserusadaparabeber,hacerhielo,lavarselosdientes,lavarlosplatosyparaprepararlacomidahastapr;ximoaviso.Hierviendomortaabacteriayotrosorganismosenelagua./c~~݌ (#(# Ќ  /c  /cĀ"0    ColiformesfecalesoE.colisonbacteriascuyapresenciaindicaqueelaguaestacontaminada p condesechoshumanosodeanimales.Microbiosdeesosdesechospuedencausardiarrhea,c;licos,nausea,doloresdecabezauotrossntomas.Puedenrepresentarunpeligroparalasaluddebebs,niosyniasdecortaedadypersonasconsistemasimmunol;gicosenaltoriesgo./cĀ߀݌ (#(# Ќ  /c  /c"0    Lossntomasdescritosarribanoocurrensolamentedebidoalosmicrobios.Tambinpuedenser   causadosporotrosmotivos.Siustedsienteestossntomasyestospersisten,ustedpuedeoptarporhacerunaconsultaconsumdico.Personasensituacionesdealtoriesgodebenconsultarconsusproveedoresdeserviciosmdicos./c݌ (#(# Ќ  Qupas;?Quseesthacindoalrespecto?   Contaminaci;nbacterianapuedeocurrircuandoexcesodeaguasrebasansuscaucesyentranalasfuentesdeaguapotable(porejemplo,luegodeunalluviafuerte).Tambinpuedenocurrircuandoserompeunsistemaderecolecci;ndeaguasnegras,ocuandohayunafallaeneltratamientodeagua.[DescribecorrectiveactioninSpanish]Leinformaremoscuandolaspruebasdemuestrenquenohaybacteriasyqueustedyanonecesitahervirsuagua.Anticipamosqueresolveremoselproblemael[dateofexpectedresolutioninSpanishdaymonthyear].Paramayorinformaci;n,porfavorp;ngaseencontactocon[contactname]al[phonenumber]oescribiendoa[mailingaddress].E0  Porfavorcompartaestainformaci;nconotrosquepuedentomardeestaagua,colocandoeste 0'#+ avisoenlugaresvisibles,oremitindoloporcorreo,oentregandolomanualmente.Esdeparticularintersdistribuiresteavisoampliamentesiustedloreciberepresentandounnegocio,unhospitaluhogardeinfantesuhogardeancianosocomunidadresidencial.#ELJ#) &.(#(#  Esteavisohasidoenviadoaustedpor[system].0  (#(#(#NumerodeIdentificaci;n:___________.Fechadedistribuci;n:򀀀# #Ԉ   +'0    XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !Ê  InstructionsforWaterborneDiseaseOutbreak#XXϊ#XXNotice!Template13E#XXx#XX1'%d   1#XX#E  TemplateonReverse #Eg#E N #E̍# SinceawaterbornediseaseoutbreakisaTier1situation,youmustprovidepublicnoticetopersonsservedas d soonaspracticalbutwithin24hoursafteryoulearnofthesituation(141.202(b)).YoumustalsocontacttheDivisionofDrinkingWaterduringthistime.Youshouldcoordinatewithyourlocalhealthdepartmentaswell. Youmustissueapublicnoticeifyouareexperiencingawaterborneemergencyotherthana   waterbornediseaseoutbreak,suchasonecausedbyfloodingortreatmentfailure.Insuchcases,youmaybeabletomodifythistemplatetoapplytoyoursituation. CheckwiththeDivisionofDrinkingWater    formoredirection.MoreinformationonwaterbornediseaseoutbreaksandemergenciesisavailablefromtheCentersforDiseaseControlandPrevention(4^O  5  www.cdc.gov/health/diseases.htm6^O  7^#:#,1(800)3113435).##Fora    waterbornediseaseoutbreakorotheremergency,youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers(141.202(c)):Ug  /c  /cǓ"0    Radio/cǓ݌% (#(# Ќ  /c  /cX"0    Television/cXs݌_ (#(# Ќ  /c  /c"0    Handordirectdelivery/c ݌ (#(# Ќ  /c  /c"0    PostinginconspicuouslocationsU0_  h      p      x   @ /c݌0(#(# Ќ  Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifavailable.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradio,TVnotice,orposting. DescribingtheOutbreak U;b ; Ifknown,listanyorganismsdetected,thenumberofaffectedpeople,anywatertreatmentproblemscontributingtothewaterbornediseaseoutbreak,andanysourcesofcontamination,suchasflooding. PotentialHealthEffects U3  Nomandatoryhealtheffectslanguageexistsforwaterbornediseaseoutbreaks.Youmaywishtousethesentencebelow,ifappropriate,orcontacttheDivisionofDrinkingWaterorhealthdepartment.Thesesymptomsarecommontomanydiseasescausedbymicroscopicorganisms:U>/c  /c"0    Symptomsmayincludenausea,cramps,diarrhea,jaundice,andassociatedheadachesandfatigue./c2݌Q (#(# Ќ  PopulationatRisk U"Q "" Somepeoplewhocontractwaterbornediseasescanbeaffectedmoreseverelythanothers,asdescribedonthereversepage.Thespecificlanguageonthereverseisnotmandatory,butyoumustprovideinformationonthepopulationatrisk.Inaddition,makesureitisclearwhoisservedbyyourwatersystemyoumayneedtolisttheareasyouserve. CorrectiveActionUo$ $   o$ ( Inyournotice,describethecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenbywatersystemswithwaterbornediseaseoutbreaks.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:U&z#&%#/c  /c"0    Wearerepairingourfiltrationsystem./c݌'8$,(#(# Ќ  /c  /c"0    Weareincreasingsamplingfordiseasecausingorganisms./c݌z($-(#(# Ќ  MakesuretosendacopyofeachtypeofnoticeandastatementcertifyingthatyouvemetallpublicnotificationrequirementstotheDivisionofDrinkingWaterwithintendaysafterissuingthenotice(141.31(d)).Itisagoodideatoissuea problemcorrectednoticewhenthewaterbornediseaseoutbreakisundercontrol.SeeTemplate1-6.Itisrecommendedthatyounotifyhealthprofessionalsintheareaoftheoutbreak.Peoplemaycalltheirdoctorswithquestionsabouthowthesituationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetap (/+6 waterduringtheirproceduresandneedtoknowofcontaminationsotheycanusebottledwater.##E    #E#E#E# h !  DRINKINGWATERWARNING N  # ! h6### h !BOILYOURWATERBEFOREUSING $ U# ! h# h !  Diseasecausingorganismshaveentered[systems]water ,  supply.# ! hy#%Q-% n  'Theseorganismsarecausingillnessinpeopleservedby[system].Welearnedofawaterbornediseaseoutbreakfrom[agency]on[date]. WhatshouldIdo?    L &yyL  3   3d2&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil, T  letitboilforoneminute,andletitcoolbeforeusing,orusebottledwater.Boiledorbottledwatershouldbeusedfordrinking,makingice,brushingteeth,washingdishes,andfoodpreparationuntilfurthernotice.Boilingkillsbacteriaandotherorganismsinthewater.3d݌ (#(# Ќ   3   32&3  0    [Describesymptomsofthewaterbornedisease.]Ifyouexperienceoneormoreofthese | symptomsandtheypersist,contactyourdoctor.Peoplewithseverelycompromisedimmunesystems,infants,andsomeelderlymaybeatincreasedrisk.#%%Q-#%Q-%Thesepeople 4 shouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3݌ (#(# Ќ  Whathappened?Whatisbeingdone? L  [Describetheoutbreak,correctiveaction,andwhentheoutbreakmightend.]Wewillinformyouwhenyounolongerneedtoboilyourwater.Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.S  #%%Q-#E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho "`" maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#E#EB%!%(#(# #E#%Q-%#%%Q-#EThisnoticeisbeingsenttoyouby[system].#E=#%Q-%nn (##%%Q-#EԀWaterSystemID#:___________#E#E.Datedistributed:򀀀#Eo#%Q-%Ԉ  &d#' #%%Q-ڱ#   XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !5  #XXA#Instructionsfor  NoticeforTurbiditySingleExceedanceasTier1!Template1-4f Ԁ XX1'%d   1#XXA#ZE  TemplateonReverse #EĴ#E & #E)# E #E#IftheDivisionofDrinkingWaterhasdesignatedthisturbiditysingleexceedanceasaTier1violation > (141.202(a)),youmustprovidepublicnoticetopersonsservedwithin24hoursafterithasbeendesignatedTier1(141.202(b)).TurbidityviolationsareTier2bydefault,butmayfrequentlybeelevatedtoTier1bytheDivisionofDrinkingWater.Inaddition,violationsareautomaticallyelevatedifyouareunabletoconsultwiththeDivisionofDrinkingWaterwithin24hours. Insuchcases,youmustissueanoticewithinthenext24 6  hours. YoumayelevatetheviolationtoTier1yourselfaswell.Youshouldalsocoordinatewithyourlocal  p  healthdepartment.Oneorbothagenciesshouldtellyouwhethertoinstructconsumerstoboilwater.Youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers(141.202(c)):/c  /c"0    Radio/c݌ h (#(# Ќ  /c  /c "0    Television/c ;݌& (#(# Ќ  /c  /c"0    Handordirectdelivery/cѺ݌h (#(# Ќ  /c  /cY"0    Postinginconspicuouslocations/cYt݌& (#(# 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  /c{"0    Weareaddingchemicalsthatreduceturbidity./c{݌z$(#(# Ќ  /c  /c5"0    Wearesamplingbothuntreatedandtreatedwaterforthepresenceofcoliformbacteria./c5P݌8%(#(# Ќ  /c  /c"0    Wearemonitoringchlorinelevelsandwilladjustthemasneededtocompensateforfiltration z & problems./c3݌ (#(# Ќ  /c  /c"0    Weareinspectingandcleaningthefilters./c2݌!r((#(# Ќ  SourceoftheProblem  r#* Ifyouknowwhytheturbidityishigh,explainitinyournotice.Forinstance,unusualconditions,suchasheavyrainsandflooding,canoverburdenthewaterplant,andtreatedwatermaythereforenotmeetthestandards.Inaddition,runofffrompartsofthewatershedcouldcontainincreasedconcentrationsofsedimentandanimalwaste. AfterIssuingtheNotice  ( %1 SendacopyofeachtypeofnoticeandacertificationthatyouhavemetpublicnoticerequirementstotheDivisionofDrinkingWaterwithintendaysafteryouissuethenotice(141.31(d)).Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.SeeTemplate1-6.Itrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.Inaddition,healthprofessionals,includingdentists,usetapwaterduringtheir .+9 proceduresandneedtoknowofpotentialmicrobiologicalcontaminationsotheycanusebottledwater.#ٵ#E    #E#E#E# h !  DRINKINGWATERWARNING N  # ! hE#[system]hashighturbiditylevels N ## h !BOILYOURWATERBEFOREUSING  ~ d# ! h<#%Q-%Weroutinelymonitoryourwaterforturbidity(cloudiness).Thistellsuswhetherweare   effectivelyfilteringthewatersupply.Awatersampletaken[date]showedturbiditylevelsof[number]turbidityunits.Thisisabovethestandardof[standard]turbidityunits.Becauseofthesehighlevelsofturbidity,thereisanincreasedchancethatthewatermaycontaindiseasecausingorganisms. WhatshouldIdo? *  L &yyL  3   32&3  0    DONOTDRINKTHEWATERWITHOUTBOILINGITFIRST. Bringallwatertoaboil, f 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 F withseverelycompromisedimmunesystems,infants,#%%Q-#%Q-%Ԁand#%%Q-0#%Q-%Ԁsomeelderlymaybeat " increasedrisk.Thesepeopleshouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.3݌ (#(# Ќ  L &yyL 3   32&3  0    Thesymptomsabovearenotcausedonlybyorganismsindrinkingwater.Ifyou  experienceanyofthesesymptomsandtheypersist,youmaywanttoseekmedicaladvice.3݌ (#(# Ќ  Whathappened?Whatisbeingdone? !~   [Describereasonforthehighturbidity,correctiveaction,andwhenthesystemexpectstoreturntocompliance.]#%%Q-v#Wewillinformyouwhenturbidityreturnstoappropriatelevelsandwhenyounolongerneedtoboilyour N%!% water.Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromtheEPASafeDrinkingWaterHotlineat1(800)4264791.  E#E#E0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho *D', maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#E#E&-)/(#(# #E#%Q-%#%%Q-#EThisnoticeisbeingsenttoyouby[system].#E0#%Q-%nn (##%%Q-#EԀWaterSystemID#:___________.Datedistributed:򀀀#E#EԈ  .H+1 #E# 9  X    XX*u $''''ddxdd x$(#(#u, dd ,xdd +  !  !8  InstructionsforChlorineDioxideMRDL(Tier1)Notice!Template1-5i#XXD#XX1'%d   1#XX#]E  TemplateonReverse #Ey#E N #E#XX#XXE#SinceexceedingthechlorinedioxideMRDLwhenoneormoreofthesamplestakeninthedistributionsystem  onthedayafterexceedingtheMRDLattheentranceofthedistributionsystemorwhenrequiredsamplesare J nottakeninthedistributionsystemisaTier1violation,youmustprovidepublicnoticetopersonsservedas   soonaspracticalbutwithin24hoursafteryoulearnoftheviolation(141.202(b)).##(Exceedingthechlorine  B dioxideMRDLattheentrypointtothedistributionsystemonlyisaTier2violation##;modifythistemplateor   Template23tocreateaTier2notice.)YoumustalsocontacttheDivisionofDrinkingWaterwithin24hoursoflearningoftheviolationorsituation.Youshouldalsocoordinatewithyourlocalhealthdepartment.Youmustuseoneormoreofthefollowingmethodstodeliverthenoticetoconsumers#x#EԀ(141.202(c))#E#:  :  /c  /c"0    Radio/c݌F (#(# Ќ  /c  /c+"0    Television/c+F݌ (#(# Ќ  /c  /c"0    Handordirectdelivery/c݌> (#(# Ќ  /c  /cd"0    Postinginconspicuouslocations/cd݌ (#(# Ќ  Youmayneedtouseadditionalmethods(e.g.,newspaper,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings),sincenoticemustbeprovidedinamannerreasonablycalculatedtoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifyouhaveit.Thenoticeonthereverseisappropriateforhanddeliveryoranewspapernotice.However,youmaywishtomodifyitbeforeusingitforaradioorTVnotice.Ifyoudo,youmuststillincludeallrequiredelementsandleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory(141.205(d))#d#. p  ##EAlternativeSourcesofWater#E#  h Ifyouaresellingorprovidingbottledwater,yournoticeshouldsaywhereitcanbeobtained.#[#Rememberthat t bottledwatercanalsobecontaminatedorbehighinchlorinedioxideifthebottlerusesmunicipalwater##.Make 2 surethebottledwatermeetsthestandardbycontactingthebottlerandaskingforthemostrecenttestresults.## l  ##EPopulationatRisk#E #  l  Thelanguageonthereverselists youngchildrenasoneofthegroupsatincreasedrisk.Becausethepotentialhealtheffectsofchlorinedioxidearebasedontestsonlaboratoryanimals,thereisnowaytodetermineatexactlywhatagethewaterissafetodrink.Ifyourconsumershavequestions,encouragethemtoerronthesideofcaution. #`#ECorrectiveAction#E # !&'  Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenby 2#) watersystemswithchlorinedioxideviolations.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:/c  /c"0    Weareresettingthegeneratortogeneratethecorrectamountofchlorinedioxide./c݌*&"-(#(# Ќ  /c  /c"0    Wearerepairingthegenerator./c݌&d#.(#(# Ќ  /c  /c2"0    Wehavealreadyfixedtheproblembutitwilltakeadditionaltimefortheextrachlorinedioxidetobe '"$/ flushedfromthedistributionsystem(pipes)./c2M݌ (#(# Ќ  #s#EAfterIssuingtheNotice#E#  )\&2 MakesuretosendtheDivisionofDrinkingWateracopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementswithintendaysafterissuingthenotice(141.31(d))##.Youshouldalso &,(5 issueafollowupnoticeinadditiontomeetinganyrepeatnoticerequirementstheDivisionofDrinkingWatersets.Itisagoodideatoissuea problemcorrectednoticewhentheviolationisresolved.SeeTemplate1-6. /X,: Itrecommendedthatyounotifyhealthprofessionalsintheareaoftheviolation.Peoplemaycalltheirdoctorswithquestionsabouthowtheviolationmayaffecttheirhealth,andthedoctorsshouldhavetheinformationtheyneedtorespondappropriately.##E  |  #Ej#E   #E# h !DRINKINGWATERWARNING  N PREGNANTWOMENANDYOUNGCHILDRENINSHOULDNOTDRINKTHEWATER# ! h#E ] #E#Samplingresultsreceived[date]showedchlorinedioxidelevelsof[levelandunits].Thisisabovethe i  standard,ormaximumresidualdisinfectantlevel(MRDL)of0.8milligramsperliter.Chlorinedioxideisusedfordisinfection,buttoomuchofitoverashortperiodoftimemayharmthedevelopmentofchildren,infants,andfetuses. WhatshouldIdo?  Q  /c  /c"0    DONOTUSETHISWATERIFYOUAREPREGNANTORGIVEITTOYOUNGCHILDREN. ]   Bottledwatershouldbeuseduntilfurthernotice.Someinfantsandyoungchildrenwhodrink %  watercontainingchlorinedioxideinexcessoftheMRDLcouldexperiencenervoussystemeffects. Similareffectsmayoccurinfetusesofpregnantmotherswhodrinkwatercontaining 9 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 a 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#($,(#(# EThisnoticeisbeingsenttoyouby[system]. (#WaterSystemID#:_____________.Datedistributed:򀀀#E#Ԉ )-&.   -*3  U  XX*u $''''ddxdd x$(#(#u, dd ,xdd +  ! L !  Instructionsfor  Tier1 ProblemCorrectedNotice!Template1-6#XX# XX1'%,   1#XX#E  TemplateonReverse #E#E  &#El#EItisagoodideatoissueanoticewhenaseriousviolationorsituationhasbeenresolved.AlthoughEPA , regulationsdonotrequiresuchnotices,theDivisionofDrinkingWatermayrequireyoutoissueone.Youshouldcoordinatewithyourlocalhealthdepartmentaswell.Belowaresomerecommendedmethodsfora problemcorrectednotice.Youshouldusethesamedeliverymethodsyouusedfortheoriginalnotice./c  /c "0    Radio/c  ݌  (#(# Ќ  /c  /cB "0    Television/cB ] ݌ d (#(# Ќ  /c  /c "0    Newspaper    h /c  ݌ . (#(# Ќ  /c  /c "0    Handordirectdelivery/c  ݌| (#(# Ќ  /c  /c5 "0    Postinginconspicuouslocations/c5 P ݌F (#(# Ќ     ` Youmaywishtouseadditionalmethods(e.g.,deliveryofmultiplecopiestohospitals,clinics,orapartmentbuildings)ifnecessarytoreachallpersonsserved.Ifyoupostorhanddeliver,printyournoticeonletterhead,ifavailable.   `     h      p   Thenoticeonthereverseisverygeneralandcanbeusedforanyviolationorsituation.However,tohelprestoreconsumersconfidenceinthewatersystem,youshouldmodifythenoticetofityoursituation.Althoughthepublicshouldhaveseenyourinitialnotice,theremaybeadditionalinformationyoulearnedafterthenoticewasissued.Therefore,youshoulddescribetheviolationorsituationagainanddiscusshowtheproblemwassolved._  p  #E#E#Ee# h !  DRINKINGWATERPROBLEMCORRECTED# ! h#E N  #E#Customersof[system]werenotifiedon[date]ofaproblemwithourdrinkingwaterandwereadvisedto Z [describerecommendedaction].Wearepleasedtoreportthattheproblemhasbeencorrectedandthatitisnolongernecessaryto[describerecommendedaction].Weapologizeforanyinconvenienceandthankyouforyourpatience.[Addfurtherdetailsherewhenappropriate.]Asalways,youmaycontact[contactname]at[phonenumber]or[mailingaddress]withanycommentsorquestions.0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho *  maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail. (#(# EThisnoticeisbeingsenttoyouby[system].nn (#WaterSystemID#:___________#E#E.Datedistributed:򀀀#E#-,` XX-