WPCT ޡ0ow$#{y4G|kA}Reyn 3rIyu֤~,HO; A[iB ƷYqəURԕ10ˆmdխ+:LcN+^o>=Lsg?K>fh`5E$7#8 pRn pW\QM-vci_Z}A+ l?N$VO 枮d.U=sad(3&Er r.c(g%)\}L\Kc֤Ww@QH.V-_EwBK>8~FI59(}T [Ȩq/ӕJp))Ք8d!8vAiQ!(usݫ coB-@DM>xSauyzyO2z 盂En\.#1b2i:_#!21S2 %i2 0 (o2U,2U<2U3:22222U:939393 0cs3 1u3^ K4w@W4444444 m4 14 0Z55 0e66 17 0A7 0T7#8 0h88 D3Q9Q9Q9 B99 0D99 0D99 0D):): 0.Lm:m: AQ: ; 0D;;;<< 0D< 0l= 0D===>> AZ?Z?Z?Z?Z?Z?Z?Z?Z?Z?Z? 0C@@@ 1F@ C@ 1@ CnA 1AA CBB 0[)B CB 0DBBBBBB D+BBB 1 C C CC CC 0CCCC 1UDDDDDD D3E B*HEHEHE CrErErErErE 1EEE CF A-FMF 0KFFFFFFFFFFFFFFFF BG 16G CG CGGGG CGG C H H H H H H H H H H H H H H H H H H 1%H%H%H 0|HHHHHHHHHHHHHHHHHHHHH 1(I(I(I D5II D-IIII D;JJJJ B-LJLJLJLJLJLJLJLJLJLJLJLJLJLJfyJyJa{J{J{J D3J D3JJJ BJJJ 0wK 0K 0L 0L 0gMgMgM 0.N 0 O 1OOOO D3PfP BP D3PP BQ D/#QaRQ D3fQ B*QQQQQQQQQQQQQQQQQQQQQQQQQQMQQQQQNQQQQQQQ 1QQQQQQQQQQQQQQQQQQQQQQQQQQQ 1PRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPRPR 1RRRRRRRRRRRRRRRRRRRR^S^S^S 1fSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfS AMSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS 0N:T\\UTSTATE\DW-HP5SI.PRINTERS.EQ.UT,,,,,,0 9 ($(\ Y`Symbol\  `$Times NewRoman-kAZ"Arial Regular+ AZ"Arial Regular(;3$2#  0  .3  0  ##37=CIQYag1.a.i.(1)(a)(i)1)a)ݡ, ()E*+D,-D./0D1Ď,:i+003|x1U(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#XzX=#=XXz#/=SincesurfacewatertreatmentdisinfectiontreatmenttechniqueviolationsareincludedinTier2,youmust ` providepublicnoticetopersonsservedassoonaspracticalbutwithin30daysafteryoulearnoftheviolation(R3092206(2))#=/#/=.Somedisinfectionproblemsmaybeserious.TheDivisionofDrinkingWatermayhavemore  stringentrequirements.Check__with_(_the__Division(8015364()(5()*200)*+your+__+agency+_Ԁtobesure.Communitysystemsmustuseoneofthefollowingmethods(R3092206(3)):/c  /c%"0    Handordirectdelivery/c%@݌ : (#(# Ќ  /c  /c"0    Mail,asaseparatenoticeorincludedwiththebill/c݌P (#(# Ќ  Noncommunitysystemsmustuseoneofthefollowingmethods(R3092206(3)):/c  /c"0    Postinginconspicuouslocations/c݌H (#(# Ќ  /c  /c "0    Handdelivery/c ݌ (#(# Ќ  /c  /c "0    Mail `    /c 7 ݌l(#(# Ќ  Inaddition,bothcommunityandnoncommunitysystemsmustuseanothermethodreasonablycalculatedto @ reachothersiftheywouldnotbereachedbythefirstmethod(R3092206(3)).Suchmethodscouldincludenewspapers,email,ordeliverytocommunityorganizations.Ifyoumail,post,orhanddeliver,printyournoticeonletterhead,ifavailable.Ifyoumodifythenotice,youmustleavethemandatoryhealtheffectslanguageinitalicsunchanged(R3092208(4))#=/)#/=. 8  DescriptionoftheViolation  \ Choosefromthefollowingdescriptionsofviolations,andmodifytofityoursituation.ContactTime󀄀Inordertoensureproperdisinfection,waterinthetreatmentplantmustbeincontactwith T chlorineorasimilardisinfectantforaminimumamountoftime.On[date],thisdidnotoccur.=OjAlthoughchlorinequicklykillsmostbacteria,itislesseffectiveagainstorganismssuchasvirusesandparasites.Forthisreason,waterneedstomixwithchlorineforalongertimeperiodtokillsuchorganisms.Theamountoftimenecessary,orthe contacttime,dependsontheamountofdisinfectantinthewaterandthetemperatureofthewater.DisinfectantResidual󀄀Weroutinelymonitorfordisinfectantresidualinthedistributionsystem.This % measurementtellsuswhetherweareeffectivelydisinfectingthewatersupply.Disinfectantresidualistheamountofchlorineorrelateddisinfectantpresentinthepipesofthedistributionsystem.Iftheamountofdisinfectantistoolow,organismscouldgrowinthepipes.0  Monthlyexceedance󀄀Duringthemonthsof________,disinfectantresidualwasundetectableinmore "y * than5%ofsamples.Thestandardisthatdisinfectantmaybeundetectableinnomorethan5%ofsampleseachmonthfortwomonthsinarow.I$>"M$! (#(# 0  Singleexceedance󀄀On[date],disinfectantlevelsdroppedbelow0.2milligramsperliterfor___hours. T%"- Thestandardisthatlevelsmaynotdropbelow0.2formorethanfourhours. &#.(#(# CorrectiveAction Inyournotice,describecorrectiveactionsyouaretaking.Listedbelowaresomestepscommonlytakenbywatersystemswithdisinfectiontreatmenttechniqueviolations.Useoneormoreofthefollowingactions,ifappropriate,ordevelopyourown:=*k(*.(/c  /c "0    Wearesampling/wesampledbothuntreatedandtreatedwaterforthepresenceofcoliformbacteria./c &݌+))5(#(# Ќ  /c  /c"0    Wearesampling/wesampleddisinfectantlevelsandwilladjust/adjustedtheamountofdisinfectant ?,)6 addedasnecessarytomaintainadequatelevels.=:-*,*/c݌ (#(# Ќ  MakesuretosendacopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementstotheDivisionofDrinking_Water__(PO__Box__144830,__SLC,__UT841144830)within_Ԁtendaysafterissuingthenotice_(R30910516(,3,-2-))#=/ #/=.#=/8#_  t/-: _J 9X      UjIMPORTANTINFORMATIONABOUTYOURDRINKINGWATER #Uj ,#   [System]Does/DidNotMeetTreatmentRequirements     %q4 %Uj Ourwatersystemrecentlyviolatedadrinkingwaterstandard.#Uj %%q4#Althoughthissituationdoesnot p requirethatyoutakeimmediateaction,%q4 %UjԀasourcustomers,youhavearighttoknowwhathappened, L whatyoushoulddo,andwhatwearedoingtocorrectthissituation.#Uj %%q4#[Describetheviolationusedescriptionsfrominstructionsonreverse.]    WhatshouldIdo?   p  /c  /cX"0    Youdonotneedtoboilyourwaterortakeothercorrectiveactions. However,ifyouhave 9  specifichealthconcerns,consultyourdoctor./cXs݌ (#(# Ќ   3   32#  1  .3  0    Peoplewithseverelycompromisedimmunesystems,infants,andsomeelderlymaybeat X  increasedrisk.Thesepeopleshouldseekadviceaboutdrinkingwaterfromtheirhealthcareproviders.GeneralguidelinesonwaystolessentheriskofinfectionbymicrobesareavailablefromEPAsSafeDrinkingWaterHotlineat1(800)4264791.3݌ (#(# Ќ  L &x#L Whatdoesthismean? y@  Thissituationdoesnotrequirethatyoutakeimmediateaction.Ifithadbeen,youwouldhavebeen   notifiedimmediately.Teststakenduringthissametimeperioddidnotindicatethepresenceofbacteriainthewater.Inadequatelytreatedwatermaycontaindiseasecausingorganisms.Theseorganismsincludebacteria, ) viruses,andparasiteswhichcancausesymptomssuchasnausea,cramps,diarrhea,andassociatedheadaches.Thesesymptoms,however,arenotcausedonlybyorganismsindrinkingwater,butalsobyotherfactors.Ifyouexperienceanyofthesesymptomsandtheypersist,youmaywanttoseekmedicaladvice. Whathappened?Whatisbeingdone?  h! [Describewhytheviolationoccurredandcorrectiveaction.][Disinfectantresiduallevels/contacttimes]sofarthismonthhavemetallrequirements.8      Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].0  Pleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho # ) maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.9&#,(#(# hUjThisnoticeisbeingsenttoyouby[system]. (#WaterSystemID#:___________.Datedistributed:򀀀#Ujh&#  '$.    XXUj*e $''''ddxdd $(#(#e,xdd +  ! 9 !'  Instructionsfor  LCRFailuretoInstallCorrosionControlTemplate2-8t(#UjXX'# (XXUj1'%d   1#UjXX )#h(hUj  TemplateonReverse #Ujh)#hUj N )#Ujh*# OUjSinceleadandcoppertreatmenttechniqueviolationsareincludedinTier2,youmustprovidepublicnoticeto  personsservedassoonaspracticalbutwithin30daysafteryoulearnoftheviolation(141.203(b)).Youmustissuearepeatnoticeeverythreemonthsforaslongastheviolationpersists.Communitysystemsmustuseoneofthefollowingmethods(141.203(c)):/c  /c ,"0    Handordirectdelivery/c ,;,݌ T (#(# Ќ  /c  /c,"0    Mail,asaseparatenoticeorincludedwiththebill/c,,݌K  (#(# Ќ  Noncommunitysystemsmustuseoneofthefollowingmethods(141.203(c)):/c  /c-"0    Postinginconspicuouslocations/c--݌C (#(# Ќ  /c  /c{."0    Handdelivery/c{..݌ (#(# Ќ  /c  /c/"0    Mail `    /c///݌ (#(# Ќ  Inaddition,bothcommunityandnoncommunitysystemsmustuseanothermethodreasonablycalculatedto ; reachothersiftheywouldnotbereachedbythefirstmethod(141.203(c)).Suchmethodscouldincludenewspapers,email,ordeliverytocommunityorganizations.Ifyoumail,post,orhanddeliver,printyournoticeonletterhead,ifavailable.Thenoticeonthereverseisappropriateforhanddeliveryormail.However,youmaywishtomodifyitbeforeusingitforposting.Ifyoudo,youmuststillincludealltherequiredelementsandleavethehealtheffectslanguageinitalicsunchanged.Thislanguageismandatory(141.205(d)). ExplainingtheViolation   Ifthedelayininstallationisrelatedtooutsidecircumstances,suchasfunding,youshouldexplainthese.Consumersmaybemoresupportiveofrateincreasesormaypressurelocalauthoritiestoprovidefundsiftheyunderstandthecircumstances.̀Thistemplateiswrittenforsystemswhicharerequiredtoinstallcorrosioncontrolafterexceedingleadactionlevels.TheLeadandCopperRulerequiressomelargesystemstoinstallcorrosioncontroleveniftheyhaveneverexceededtheleadactionlevel.Youmayneedtomodifythetemplateifthisappliestoyou.Thefollowingmayhelpyouexplaintheviolation:/c  /c 5"0    Thisisatreatmentviolation,butitdoesnotmeanthereisleadinyourdrinkingwater.However,itis !' importantthatwetakemeasurestocontrolleadlevelsinthewater,becauseingestingleadcancauseserioushealthconsequences./c 5$5݌ (#(# Ќ  CorrectiveAction  $ +  Inyournotice,describecorrectiveactionsyouaretaking.Usethefollowinglanguage,ifappropriate,ordevelopyourown:/c  /c87"0    Weconductedaleadpubliceducationprogramin[month,year].Youshouldhavereceivedabrochure '$0 explaininginmoredetailstepsyoucantaketoreduceexposureuntilcorrosioncontrolisinplace./c87S7݌ (#(# Ќ  Ifconsumersaskforinformationontestingtheirwater,youshouldhaveonhandthenamesoflaboratoriesconsumerscancall.TellconsumerstocallNSFInternationalat1(800)NSF8010ortheWaterQualityAssociationat1(800)7490234forinformationonappropriatefilters.Formoreinformationonlead,haveconsumerscalltheEPASafeDrinkingWaterHotlineat1(800)4264791ortheNationalLeadInformationCenterHotline1(800)LEADFYI.MakesuretosendtheDivisionofDrinkingWateracopyofeachtypeofnoticeandacertificationthatyouhavemetallthepublicnoticerequirementswithintendaysafterissuingthenotice(141.31(d)).#UjOv*#hUj  -/+:  #UjhJ;#hUj#Ujh;# Uj  IMPORTANTINFORMATIONABOUTYOURDRINKINGWATER#Uj ;#hUj  #Ujhd<#[System]WaterContainsHighLevelsofLeadhUj  < #Ujh<#Ourwatersystemrecentlyviolatedadrinkingwaterstandard.Eventhoughthisisnotanemergency,as t ourcustomers,youhavearighttoknowwhathappened,whatyoushoulddo,andwhatwearedoingtocorrectthissituation.Weroutinelysamplewateratconsumerstaps forlead.Thetestsshowleadlevelsinthewaterabovethe   limit,or actionlevel,sowearerequiredtoinstallcorrosioncontroltreatment.Thistreatmenthelpspreventleadinthepipesfromdissolvingintothewater.Corrosioncontrolshouldhavebeeninstalledby[date],butinstallationisincomplete. WhatshouldIdo? Listedbelowaresomestepsyoucantaketoreduceyourexposuretolead: 3   37@2&3  0    Callusatthenumberbelowtofindouthowtogetyourwatertestedforlead.37@b@݌ (#(# Ќ   3   3:A2&3  0    Findoutwhetheryourpipescontainleadorleadsolder.3:AeA݌d(#(# Ќ   3   3&B2&3  0    Runyourwaterfor1530secondsoruntilitbecomescoldbeforeusingitfordrinkingorcooking. e, Thisflushesanystandingleadfromthepipes.3&BQB݌ (#(# Ќ   3   3wC2&3  0    Dontcookwithordrinkwaterfromthehotwatertap;leaddissolvesmoreeasilyintohotwater.3wCC݌(#(# Ќ   3   3D2&3  0    Donotboilyourwatertoremovelead. Excessiveboilingwatermakestheleadmore  concentrated!theleadremainswhenthewaterevaporates.3DD݌ (#(# Ќ  L &yxL Whatdoesthismean?   Typically,leadenterswatersuppliesbyleachingfromleadorbrasspipesandplumbingcomponents. l Newleadpipesandplumbingcomponentscontainingleadarenolongerallowedforthisreason;however,manyolderhomesmaycontainleadpipes.Yourwaterismorelikelytocontainhighleadlevelsifwaterpipesinorleadingtoyourhomearemadeofleadorcontainleadsolder.Infantsandchildrenwhodrinkwatercontainingleadinexcessoftheactionlevelcouldexperiencedelays T  intheirphysicalormentaldevelopment.Childrencouldshowslightdeficitsinattentionspanandlearningabilities.Adultswhodrinkthiswaterovermanyyearscoulddevelopkidneyproblemsorhighbloodpressure. #  Whathappened?Whatisbeingdone? u <%  [Describecorrectiveaction.] "' Thisisnotanemergency.Ifithadbeen,youwouldhavebeennotifiedimmediately.Corrosioncontrolwillbeinplaceby[date].Formoreinformation,pleasecontact[nameofcontact]at[phonenumber]or[mailingaddress].J0  hUjPleasesharethisinformationwithalltheotherpeoplewhodrinkthiswater,especiallythosewho }'D$. maynothavereceivedthisnoticedirectly(forexample,peopleinapartments,nursinghomes,schools,andbusinesses).Youcandothisbypostingthisnoticeinapublicplaceordistributingcopiesbyhandormail.#UjhK#)&1(#(# hUjThisnoticeisbeingsenttoyouby[system]. (#WaterSystemID#:__________.Datedistributed:򀀀#UjhL#