**Tier 2 Templates**

Tier 2 notices are required for the following violations or situations:

-   Maximum contaminant level (**MCL**), maximum residual disinfectant
    level (**MRDL**), and **treatment technique** requirement
    violations, except where Tier 1 notification is required by
    regulation or by the primacy agency;

-   **Monitoring or testing procedure violations (if required by the
    primacy agency)**; and

-   **Failure to comply** with the terms and conditions of a **variance
    or exemption**.

The pages that follow contain templates for these Tier 2 violations or
situations, as listed below. Along with each template are instructions,
including the required method of delivery and suggestions for completing
individual sections of the notice. These instructions are designed to
supplement Chapter 6, so you may see much of the information repeated
here.

**Mandatory language on health effects, which must be included as
written with blanks filled in, is presented in italics (141.205(d)).**

You must also include the following italicized language in all notices,
where applicable (141.205(d)). Use of this language does not relieve you
of your obligation to take steps reasonably calculated to notify all
persons served:

> *Please share this information with all the other people who drink
> this water, especially those who may not have received this notice
> directly (for example, people in apartments, nursing homes, schools,
> and businesses). You can do this by posting this notice in a public
> place or distributing copies by hand or mail.*

**Templates**

Unresolved Total Coliform Notice--Template 2-1 61

Resolved Total Coliform Notice--Template 2-2 63

Chemical or Radiological MCLs Notice--Template 2-3 65

Fluoride MCL Notice--Template 2-4 67

SWTR Failure to Filter Notice--Template 2-5 69

SWTR Turbidity Exceedance Notice--Template 2-6 71

SWTR Disinfection Treatment Notices--Template 2-7 73

LCR Failure to Install Corrosion Control Notice--Template 2-8 75

LT2ESWTR Failure to Install Treatment Notice--Template 2-9a 77

LT2ESWTR Uncovered Finished Water Reservoir Treatment Notice--Template
2-9b 79

LT2ESWTR Unfiltered System Failure to Install Treatment Notice--Template
2-9c 81

LT2ESWTR Failure to Conduct Source Water Monitoring (Initial or Second
Round) Notice--Template 2-9d 83

Stage 1 DBPR TTHM or HAA5 MCL Violation Notice--Template 2-10 85

Stage 2 DBPR TTHM or HAA5 MCL Violation Notice--Template 2-11 87

Filter Backwash Recycling Rule Treatment Technique Violation
Notice--Template 2-12 89

Failure to Comply with the Conditions of an Exemption Notice -- Template
2-13 91

Monitoring Violation Elevated to Tier 2 Notice -- Template 2-14 93

Number range CHAPTER

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince exceeding the total coliform bacteria maximum
contaminant level is a Tier 2 violation, you must provide public notice
to persons served as soon as practical but within 30 days after you
learn of the violation (141.203(b)). Persistent total coliform problems
can be serious. Some states have more stringent requirements for
coliform violations. Check with your primacy agency to make sure you
meet all requirements. You must issue a repeat notice every three months
for as long as the violation persists.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail. If
you modify the notice, you must still include all the required elements
and leave the health effects language in italics unchanged. This
language is mandatory (141.205(d)).

**Description of the Violation**

The description of the violation and the MCL vary depending on the
number of samples you take. The following table should help you complete
the second paragraph of the template.

+----------------------------------+-----------------------------------+
| **[If You Take Less Than 40      | **[If You Take More Than 40       |
| Samples a Month]{.underline}**   | Samples a Month]{.underline}**    |
|                                  |                                   |
| State the number of samples      | State the percentage of samples   |
| testing positive for coliform.   | testing positive for coliform.    |
| The standard is that no more     | The standard is that no more than |
| than one sample per month may be | five percent of samples may test  |
| positive.                        | positive each month.              |
+----------------------------------+-----------------------------------+

**Corrective Action**

In your notice, describe corrective actions you are taking. If you know
what is causing the coliform problem, explain this in the notice. Listed
below are some steps commonly taken by water systems with total coliform
violations. Use one or more of the following actions, if appropriate, or
develop your own:

-   We are chlorinating and flushing the water system.

-   We are increasing sampling for coliform bacteria.

-   We are investigating the source of contamination.

-   We are repairing the wellhead seal.

-   We are repairing the storage tank.

-   We will inform you when additional samples show no coliform
    bacteria.

Make sure to send a copy of each type of notice and a certification that
you have met all the public notice requirements to your primacy agency
within ten days after issuing the notice (141.31(d)). It is a good idea
to inform your consumers when the violation has been resolved. See
Template 1-8 for a \"problem corrected\" notice template.

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**Tests Show Coliform Bacteria in \[System\] Water**

Our water system recently violated a drinking water standard. Although
this is not an emergency, as our customers, you have a right to know
what happened, what you should do, and what we are doing to correct this
situation.

We routinely monitor for the presence of drinking water contaminants. We
took \[number\] samples for coliform bacteria during \[month\].
\[Number/percentage\] of those samples showed the presence of coliform
bacteria. The standard is that no more than \[1 sample per month/5
percent of our samples\] may do so.

**What should I do?**

-   **You do not need to boil your water or take other corrective
    actions.** However, if you have specific health concerns, consult
    your doctor.

-   People with severely compromised immune systems, infants, and some
    elderly may be at increased risk. These people should seek advice
    about drinking water from their health care providers. General
    guidelines on ways to lessen the risk of infection by microbes are
    available from EPA\'s Safe Drinking Water Hotline at 1-800-426-4791.

    **What does this mean?**

    This is not an emergency. If it had been you would have been
    notified immediately. Total coliform bacteria are generally not
    harmful themselves. *Coliforms are bacteria which are naturally
    present in the environment and are used as an indicator that other,
    potentially-harmful, bacteria may be present. Coliforms were found
    in more samples than allowed and this was a warning of potential
    problems.*

    Usually, coliforms are a sign that there could be a problem with the
    treatment or distribution system (pipes). Whenever we detect
    coliform bacteria in any sample, we do follow-up testing to see if
    other bacteria of greater concern, such as fecal coliform or *E.
    coli*, are present. **We did not find any of these bacteria in our
    subsequent testing.** If we had, we would have notified you
    immediately. However, we are still finding coliforms in the drinking
    water.

    **What is being done?**

    \[Describe corrective action.\]

    We are still detecting coliform bacteria. We will inform you when
    our sampling shows that no bacteria are present. We anticipate
    resolving the problem within \[estimated time frame\].

    For more information, please contact \[name of contact\] at \[phone
    number\] or \[mailing address\].

    *Please share this information with all the other people who drink
    this water, especially those who may not have received this notice
    directly (for example, people in apartments, nursing homes, schools,
    and businesses). You can do this by posting this notice in a public
    place or distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince exceeding the total coliform bacteria maximum
contaminant level is a Tier 2 violation, you must provide public notice
to persons served as soon as practical but within 30 days after you
learn of the violation (141.203(b)). Some states have more stringent
requirements for coliform violations. Check with your primacy agency to
make sure you meet all its requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Description of the Violation**

Make sure that the notice is clear about the fact that the coliform
problem has been resolved, and there is no current cause for concern.
The description of the violation and the MCL vary depending on the
number of samples you take. The following table should help you complete
the second paragraph of the template.

+----------------------------------+-----------------------------------+
| **[If You Take Less Than 40      | **[If You Take More Than 40       |
| Samples a Month]{.underline}**   | Samples a Month]{.underline}**    |
|                                  |                                   |
| State the number of samples      | State the percentage of samples   |
| testing positive for coliform.   | testing positive for coliform.    |
| The standard is that no more     | The standard is that no more than |
| than one sample per month may be | five percent of samples may test  |
| positive.                        | positive each month.              |
+----------------------------------+-----------------------------------+

**Corrective Action**

In your notice, describe corrective actions you have taken. Listed below
are some steps commonly taken by water systems with total coliform
violations. Use one or more of the following actions, if appropriate, or
develop your own:

-   We have increased sampling for coliform bacteria to catch the
    problem early if it happens again.

-   The well and/or distribution system has been disinfected and
    additional samples do not show the presence of coliform bacteria.

**After Issuing the Notice**

Make sure to send a copy of each type of notice along with a
certification that you have met all the public notice requirements to
your primacy agency within ten days after issuing the notice
(141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**Tests Showed Coliform Bacteria in \[System\] Water**

Our water system recently violated a drinking water standard. Although
this incident was not an emergency, as our customers, you have a right
to know what happened and what we did to correct this situation.

We routinely monitor for drinking water contaminants. We took \[number\]
samples to test for the presence of coliform bacteria during \[month\].
\[Number/percentage\] of our samples showed the presence of total
coliform bacteria. The standard is that no more than \[1 sample per
month/5 percent of samples\] may do so.

**What should I do?**

-   You do not need to boil your water or take other corrective actions.
    However, if you have specific health concerns, consult your doctor.

-   People with severely compromised immune systems, infants, and some
    elderly may be at increased risk. These people should seek advice
    about drinking water from their health care providers. General
    guidelines on ways to lessen the risk of infection by microbes are
    available from EPA\'s Safe Drinking Water Hotline at 1-800-426-4791.

    **What does this mean?**

    This is not an emergency. If it had been, you would have been
    notified immediately. Coliform bacteria are generally not harmful
    themselves. *Coliforms are bacteria which are naturally present in
    the environment and are used as an indicator that other,
    potentially-harmful, bacteria may be present. Coliforms were found
    in more samples than allowed and this was a warning of potential
    problems.*

    Usually, coliforms are a sign that there could be a problem with the
    system\'s treatment or distribution system (pipes). Whenever we
    detect coliform bacteria in any sample, we do follow-up testing to
    see if other bacteria of greater concern, such as fecal coliform or
    *E. coli*, are present. **We did not find any of these bacteria in
    our subsequent testing.**

    **What is being done?**

    \[Describe corrective action.\] Further testing shows that this
    problem has been resolved.

    For more information, please contact \[name of contact\] at \[phone
    number\] or \[mailing address\].

    *Please share this information with all the other people who drink
    this water, especially those who may not have received this notice
    directly (for example, people in apartments, nursing homes, schools,
    and businesses). You can do this by posting this notice in a public
    place or distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince exceeding chemical or radiological maximum
contaminant levels (MCLs) is a Tier 2 violation, you must provide public
notice to persons served as soon as practical but within 30 days after
you learn of the violation (141.203(b)). You must issue a repeat notice
every three months for as long as the violation persists. Your primacy
agency may have more stringent requirements for MCL violations; e.g., it
may require you to provide water from an alternate source. Check with
your agency to make sure you meet all requirements. **Use Template 2-4
for fluoride MCL violations.**

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and you may not
modify the mandatory health effects language (141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Do not use
overly technical terminology when describing treatment methods. Listed
below are some steps commonly taken by water systems with chemical or
radiological violations. You can use one or more of the following
actions, if appropriate, or develop your own:

-   We are working with \[local/state agency\] to evaluate the water
    supply and are researching options to correct the problem. These
    options may include treating the water to remove \[contaminant\] or
    connecting to \[system\]\'s water supply.

-   We have stopped using the contaminated well. We have increased
    pumping from other wells, and we are investigating drilling a new
    well.

-   We have increased the frequency that we will test the water for
    \[contaminant\].

-   We have since taken samples at this location and had them tested.
    They show that we meet the standards.

**Repeat Notices**

If this is an ongoing violation and/or you fluctuate above and below the
MCL, you should give the history behind the violation, including the
source of contamination, if known. List the date of the initial
detection, as well as how levels have changed over time. If levels are
changing as a result of treatment, you can indicate this.

**After Issuing the Notice**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met all public notification requirements
within ten days after issuing the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Has Levels of \[Contaminant\] Above Drinking Water
Standards**

Our water system recently violated a drinking water standard. Although
this is not an emergency, as our customers, you have a right to know
what happened, what you should do, and what we did (are doing) to
correct this situation.

We routinely monitor for the presence of drinking water contaminants.
Testing results we received on \[give date\] show that our system
exceeds the standard, or maximum contaminant level (MCL), for
\[contaminant\]. The standard for \[contaminant\] is \[MCL\]. The
average level of \[contaminant\] over the last year has been \[level\].
**or** \[Contaminant\] was found at \[level\].

**What should I do?**

-   **You do not need to use an alternative (e.g., bottled) water
    supply.** However, if you have specific health concerns, consult
    your doctor.

**What does this mean?**

This is not an immediate risk. If it had been, you would have been
notified immediately. However, \[Insert relevant health effects language
from Appendix B.\]

**What is being done?**

\[Describe corrective action.\] We anticipate resolving the problem
within \[estimated time frame\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_. Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince exceeding the fluoride maximum contaminant
level (MCL) is a Tier 2 violation, you must provide public notice to
persons served as soon as practical but within 30 days after you learn
of the violation (141.203(b)). You must issue a repeat notice every
three months for as long as the violation persists. If you exceed the
secondary maximum contaminant level of 2 milligrams per liter but not
the MCL of 4 milligrams per liter, you must issue a special notice with
different health effects language. See Chapter 3 or Template 3-5 for
more information.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and you may not
modify the mandatory health effects language (141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Do not use
overly technical terminology when describing treatment methods. Listed
below are some steps commonly taken by water systems with fluoride
violations. You can use one or more of the following actions, if
appropriate, or develop your own:

-   We are working with \[local/state agency\] to evaluate the water
    supply and researching options to correct the problem. These options
    may include treating the water to remove fluoride or connecting to
    \[system\]\'s water supply.

-   We have adjusted the amount of fluoride added to the water so that
    levels are lower and we meet the standards.

-   We have stopped using the contaminated well. We have increased
    pumping from other wells, and we are investigating drilling a new
    well.

-   We will increase the frequency at which we test the water for
    fluoride.

-   We have since taken samples at this location and had them tested.
    They show that we meet the standards.

**Repeat Notices**

If this is an ongoing violation and/or you fluctuate above and below the
MCL, it is a good idea to give the history behind the violation. You
should list the date of the initial detection, as well as how levels
have changed over time. If levels are changing as a result of treatment
you should indicate that fact.

**After Issuing the Notice**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met all public notification requirements
within ten days after issuing the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Has Levels of Fluoride Above Drinking Water Standards**

Our water system recently violated a drinking water standard. Although
this is not an emergency, as our customers, you have a right to know
what happened, what you should do, and what we did (are doing) to
correct this situation.

We routinely monitor for the presence of drinking water contaminants.
Testing results we received on \[give date\] show that our system
exceeds the standard, or maximum contaminant level (MCL), for fluoride.
The average level of fluoride in samples taken during the last year was
\[level and units\]. The standard for fluoride is that the average of
samples taken over the last year may not exceed \[MCL\].

**What should I do?**

-   **Children under the age of nine should use an alternative source of
    water that is low in fluoride.** In addition, you may want to
    consult your dentist about whether to avoid dental products
    containing fluoride. Adults and children over age nine should
    consult their dentist or doctor and show him/her this notice to
    determine if an alternate source of water low in fluoride should be
    used.

    **What does this mean?**

    This is not an emergency. If it had been, you would have been
    notified immediately. Fluoride in small amounts helps prevent tooth
    decay. However, *some people who drink water containing fluoride in
    excess of the MCL over many years could get bone disease, including
    pain and tenderness of the bones. Fluoride in drinking water at half
    the MCL or greater may cause mottling of children\'s teeth, usually
    in children less than nine years old. Mottling, also known as dental
    fluorosis, may include brown staining and/or pitting of the
    permanent teeth. This problem occurs only in developing teeth,
    before they erupt from the gums.* Although it takes many years of
    exposure to fluoride for bone disease to develop, mottling can occur
    after a relatively short period of exposure.

    **What is being done?**

    \[Describe corrective action.\] We anticipate resolving the problem
    within \[estimated time frame\].

    For more information, please contact \[name of contact\] at \[phone
    number\] or \[mailing address\].

    *Please share this information with all the other people who drink
    this water, especially those who may not have received this notice
    directly (for example, people in apartments, nursing homes, schools,
    and businesses). You can do this by posting this notice in a public
    place or distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_. Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince surface water treatment technique violations
require Tier 2 notification, you must provide public notice to persons
served as soon as practical but within 30 days after you learn of the
violation (141.203(b)). You must issue a repeat notice every three
months for as long as the violation persists. Your primacy agency may
have more stringent requirements for treatment technique violations;
e.g., it may require you to provide water from an alternate source.
Check with your agency to make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with surface water
treatment technique violations. You can use one or more of the following
actions, if appropriate, or develop your own:

-   Our treatment plant needs upgrades to meet the requirements.

-   We are installing filtration. We expect that the filtration system
    will be operational by \[month, year\].

-   We are monitoring for turbidity (cloudiness), disinfectant levels,
    and the presence of bacteria.

-   We continue to meet the standards for these measurements.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing filtration, describe it.
Alternatively, if funding or other issues are delaying installation, let
consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Does Not Meet Treatment Requirements**

Our water system recently violated a drinking water standard. Although
this situation does not require that you take immediate action, as our
customers, you have a right to know what happened, what you should do,
and what we did (are doing) to correct this situation.

On \[give date\], the \[primacy agency\] ordered us to filter the water
in addition to disinfecting. We are required to install this filtration
because we do not have an adequate watershed control program in place.
However, we have not yet installed a filtration system.

**What should I do?**

-   You do not need to boil your water. However, if you have specific
    health concerns, consult your doctor. A home filter will not
    necessarily solve the problem, because not all home filters protect
    against parasites. Call NSF International at 1(800) NSF-8010 or the
    Water Quality Association at 1(800) 749-0234 for information on
    appropriate filters.

-   People with severely compromised immune systems, infants, and some
    elderly may be at increased risk. These people should seek advice
    about drinking water from their health care providers. General
    guidelines on ways to lessen the risk of infection by microbes are
    available from EPA\'s Safe Drinking Water Hotline at 1-800-426-4791.

**What does this mean?**

This is not a situation requiring that you take immediate action. If it
had been you would have been notified immediately. We do not know of any
cases of contamination. However, until improvements are made, there is
an increased chance that disease-causing organisms could contaminate the
water supply.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms, however, are not caused only by organisms in drinking
water. If you experience any of these symptoms and they persist, you may
want to seek medical advice.

**What is being done?**

Filtration is the best method for removing these organisms. \[Describe
corrective action.\]

We anticipate resolving the problem within \[estimated time frame\].
Until filtration is installed, you will receive a notice similar to this
every three months.

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince surface water treatment filtration treatment
technique violations require Tier 2 notification, you must provide
public notice to persons served as soon as practical but within 30 days
after you learn of the violation (141.203(b)). This template may also be
adapted for use with turbidity MCL violations. Your primacy agency may
have more stringent requirements for treatment technique violations;
e.g., it may require you to provide water from an alternate source.
Check with your agency to make sure you meet all requirements.

+----------------------------------+-----------------------------------+
| **[For Exceedances of Single     | **[For Exceedances of Monthly     |
| Turbidity Limits]{.underline}**  | Turbidity Limits]{.underline}**   |
|                                  |                                   |
| **You must consult with your     | Use the following language to     |
| primacy agency as soon as        | describe your violation and       |
| practical but within 24 hours of | insert into the second paragraph  |
| learning of the violation.**     | of the template:                  |
| During the consultation, the     |                                   |
| agency may choose to elevate     | \"Water samples for \[month\]     |
| your turbidity exceedance to     | showed that \[percentage\]        |
| Tier 1. If consultation does not | percent of turbidity measurements |
| occur, the violation is          | were over \[standard\] turbidity  |
| automatically elevated to Tier 1 | units -- the standard is that no  |
| (use Template 1-6). For a Tier 2 | more than 5 percent of samples    |
| notice, describe your violation  | may exceed \[standard\] turbidity |
| as follows in the second         | units per month. The turbidity    |
| paragraph of the notice:         | levels are relatively low.        |
|                                  | However, their persistence is a   |
| \"Normal turbidity levels at our | concern. Normal turbidity levels  |
| plant are \[number\] turbidity   | at our plant are \[number\]       |
| units. A water sample taken      | units.\"                          |
| \[date\] showed levels of        |                                   |
| \[number\] turbidity units. This |                                   |
| was above the standard of        |                                   |
| \[standard\] units. Because of   |                                   |
| these high levels of turbidity,  |                                   |
| there is an increased chance     |                                   |
| that the water may contain       |                                   |
| disease-causing organisms.\"     |                                   |
+----------------------------------+-----------------------------------+

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with filtration treatment
technique violations. You can use one or more of the following actions,
if appropriate, or develop your own:

-   We added chemicals that reduce turbidity.

-   We sampled both untreated and treated water for the presence of
    coliform bacteria.

-   We monitored chlorine levels and adjusted them as needed to
    compensate for the filtration problems.

-   We inspected and cleaned the filters.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Did Not Meet Treatment Requirements**

Our water system recently violated a drinking water standard. Although
this was not an emergency, as our customers, you have a right to know
what happened, what you should do, and what we did (are doing) to
correct this situation.

We routinely monitor your water for turbidity (cloudiness). This tells
us whether we are effectively filtering the water supply. \[Insert
appropriate description of the violation from instructions.\]

**What should I do?**

-   You do not need to boil your water or take other actions. We do not
    know of any contamination, and none of our testing has shown
    disease-causing organisms in the drinking water.

-   People with severely compromised immune systems, infants, and some
    elderly may be at increased risk. These people should seek advice
    about drinking water from their health care providers. General
    guidelines on ways to lessen the risk of infection by microbes are
    available from EPA\'s Safe Drinking Water Hotline at 1-800-426-4791.

**What does this mean?**

This is not an emergency. If it had been, you would have been notified
immediately. *Turbidity has no health effects. However, turbidity can
interfere with disinfection and provide a medium for microbial growth.
Turbidity may indicate the presence of disease causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms are not caused only by organisms in drinking water. If
you experience any of these symptoms and they persist, you may want to
seek medical advice.

**What is being done?**

\[Describe the corrective actions and when the system returned or
expects to return to compliance.\]

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

Number range CHAPTERSince surface water treatment disinfection treatment
technique violations require Tier 2 notification, you must provide
public notice to persons served as soon as practical but within 30 days
after you learn of the violation (141.203(b)). Some disinfection
problems may be serious. Your primacy agency may have more stringent
requirements for treatment technique violations; e.g., it may require
you to provide water from an alternate source. Check with your agency to
make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available. If
you modify the notice, you must leave the mandatory health effects
language in italics unchanged (141.205(d)).

**Description of the Violation**

Choose from the following descriptions of violations, and modify to fit
your situation.

[Not Enough Disinfection During Treatment]{.underline} - In order to
ensure proper disinfection, water in the treatment plant must be in
contact with enough chlorine or a similar disinfectant for a minimum
amount of time. On \[give date\], this did not occur.

Although chlorine quickly kills most bacteria, it is less effective
against organisms such as viruses and parasites. For this reason, water
needs to mix with chlorine for a longer time period to kill such
organisms. The amount of time necessary, or the \"contact time,\"
depends on the amount of disinfectant in the water and the temperature
of the water.

[Disinfectant Residual]{.underline} - We routinely monitor for
disinfectant residual in the distribution system. This measurement tells
us whether we are effectively disinfecting the water supply.
Disinfectant residual is the amount of chlorine or related disinfectant
present in the pipes of the distribution system. If the amount of
disinfectant is too low, organisms could grow in the pipes.

> [Monthly exceedance]{.underline} - During the months of
> \_\_\_\_\_\_\_\_, disinfectant residual was undetectable in more than
> 5% of samples. The standard is that disinfectant may be undetectable
> in no more than 5% of samples each month for two months in a row.
>
> [Single exceedance]{.underline} - On \[give date\], disinfectant
> levels dropped below 0.2 milligrams per liter for \_\_\_ hours. The
> standard is that levels may not drop below 0.2 for more than four
> hours.

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with disinfection
treatment technique violations. You can use one or more of the following
actions, if appropriate, or develop your own:

-   We are sampling/we sampled both untreated and treated water for the
    presence of coliform bacteria.

-   We are sampling/we sampled disinfectant levels and will
    adjust/adjusted the amount of disinfectant added as necessary to
    maintain adequate levels.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Does/Did Not Meet Treatment Requirements**

Our water system recently violated a drinking water standard. Although
this situation does not require that you take immediate action, as our
customers, you have a right to know what happened, what you should do,
and what we did (are doing) to correct this situation.

\[Describe the violation - use descriptions from instructions on
reverse.\]

**What should I do?**

-   You do not need to boil your water or take other corrective actions.
    However, if you have specific health concerns, consult your doctor.

-   People with severely compromised immune systems, infants, and some
    elderly may be at increased risk. These people should seek advice
    about drinking water from their health care providers. General
    guidelines on ways to lessen the risk of infection by microbes are
    available from EPA\'s Safe Drinking Water Hotline at 1-800-426-4791.

**What does this mean?**

This situation does not require that you take immediate action. If it
had been, you would have been notified immediately. Tests taken during
this same time period did not indicate the presence of bacteria in the
water.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches*.
These symptoms, however, are not caused only by organisms in drinking
water, but also by other factors. If you experience any of these
symptoms and they persist, you may want to seek medical advice.

**What is being done?**

\[Describe corrective action.\]

\[Disinfectant residual levels/contact times\] so far this month have
met all requirements.

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

**Template on Reverse**

Number range CHAPTERSince lead and copper treatment technique violations
are included in Tier 2, you must provide public notice to persons served
as soon as practical but within 30 days after you learn of the violation
(141.203(b)). You must issue a repeat notice every three months for as
long as the violation persists. Your primacy agency may have more
stringent requirements for treatment technique violations; e.g., it may
require you to provide water from an alternate source. Check with your
agency to make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Explaining the Violation**

If the delay in installation is related to outside circumstances, such
as funding, you should explain these. Consumers may be more supportive
of rate increases or may pressure local authorities to provide funds if
they understand the circumstances.

This template is written for systems which are required to install
corrosion control after exceeding lead action levels. The Lead and
Copper Rule requires some large systems to install corrosion control
even if they have never exceeded the lead action level. You may need to
modify the template if this applies to you. The following may help you
explain the violation:

-   This is a treatment violation, but it does not mean there is lead in
    your drinking water. However, it is important that we take measures
    to control lead levels in the water, because ingesting lead can
    cause serious health consequences.

**Corrective Action**

In your notice, describe corrective actions you are taking. You can use
the following language, if appropriate, or develop your own:

-   We conducted a lead public education program in \[month, year\]. You
    should have received a brochure explaining in more detail steps you
    can take to reduce exposure until corrosion control is in place.

If consumers ask for information on testing their water, you should have
on hand the names of laboratories consumers can call. Tell consumers to
call NSF International at 1(800) NSF-8010 or the Water Quality
Association at 1(800) 749-0234 for information on appropriate filters.
For more information on lead, have consumers call the EPA Safe Drinking
Water Hotline at 1-800-426-4791 or the National Lead Information Center
Hotline 1(800) LEAD-FYI.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Water Contains High Levels of Lead**

Our water system recently violated a drinking water standard. Even
though this is not an emergency, as our customers, you have a right to
know what happened, what you should do, and what we did (are doing) to
correct this situation.

We routinely sample water at consumers\' taps for lead. The tests show
lead levels in the water above the limit, or \"action level,\" so we are
required to install corrosion control treatment. This treatment helps
prevent lead in the pipes from dissolving into the water. Corrosion
control should have been installed by \[give date\], but installation is
incomplete.

**What should I do?**

Listed below are some steps you can take to reduce your exposure to
lead:

-   Call us at the number below to find out how to get your water tested
    for lead.

-   Find out whether your pipes contain lead or lead solder.

-   Run your water for 15-30 seconds or until it becomes cold before
    using it for drinking or cooking. This flushes any standing lead
    from the pipes.

-   Don\'t cook with or drink water from the hot water tap; lead
    dissolves more easily into hot water.

-   **Do not boil your water to remove lead.** Excessive boiling water
    makes the lead more concentrated -- the lead remains when the water
    evaporates.

**What does this mean?**

This is not an emergency. If it had been, you would have been notified
immediately. Typically, lead enters water supplies by leaching from lead
or brass pipes and plumbing components. New lead pipes and plumbing
components containing lead are no longer allowed for this reason;
however, many older homes may contain lead pipes. Your water is more
likely to contain high lead levels if water pipes in or leading to your
home are made of lead or contain lead solder.

*Infants and children who drink water containing lead in excess of the
action level could experience delays in their physical or mental
development. Children could show slight deficits in attention span and
learning abilities. Adults who drink this water over many years could
develop kidney problems or high blood pressure.*

**What is being done?**

\[Describe corrective action.\] Corrosion control will be in place by
\[give date\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.

Number range CHAPTER**Template on Reverse**

A system's failure to provide the level of treatment appropriate for its
LT2ESWTR bin classification by the required treatment date is a Number
range CHAPTERtreatment technique violation and requires Tier 2
notification. You must provide public notice to persons served as soon
as practical but within 30 days after you learn of the violation
(141.203(b)). You must issue a repeat notice every three months for as
long as the violation persists. Your primacy agency may have more
stringent requirements for treatment technique violations; e.g., it may
require you to provide water from an alternate source. Check with your
agency to make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with LT2ESWTR treatment
technique violations. You can use one or more of the following actions,
if appropriate, or develop your own:

-   We will install treatment by \[provide date\] that will satisfy this
    requirement.

-   We are currently working with state health department officials and
    our engineers to finalize plans for additional water treatment that
    will satisfy this requirement once it is installed.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing treatment, describe it.
Alternatively, if funding or other issues are delaying installation of
treatment, let consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR Number range CHAPTERDRINKING WATER**

**\[Name of System\] Failed to Provide the Appropriate Level of
Treatment Within Required Timeframe.**

Our water system \[give system name\] was required to provide additional
treatment for *Cryptosporidium* by \[provide date\]. *Cryptosporidium*
is a disease-causing microorganism that may occur in our raw water
source.

We failed to provide the required treatment by the required date.
Although this situation is not an emergency, as our customers, you have
a right to know what happened and what we are doing to correct this
situation.

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers. General guidelines
    on ways to lessen the risk of infection by microbes are available
    from EPA's Safe Drinking Water Hotline at 1-800-426-4791. If you
    have specific health concerns, consult your doctor.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\].

**What does this mean?**

This is not an emergency. If it had been, you would have been notified
within 24 hours.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms, however, are not caused only by organisms in drinking
water, but also by other factors. If you experience any of these
symptoms and they persist, you may want to seek medical advice.

**What is being done?**

\[Describe corrective action.\] We expect to have the additional
treatment installed by \[give date\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system name\]. State Water System
ID# \_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_

Number range CHAPTER**Template on Reverse**

A system's failure to cover an uncovered finished water reservoir,
provide treatment of the reservoir's discharge, or be in compliance with
a state-approved schedule to cover the reservoir(s) or treat the
reservoir(s) discharge by April 1, 2009 is a Number range
CHAPTERtreatment technique violation and requires Tier 2 notification.
You must provide public notice to persons served as soon as practical
but within 30 days after you learn of the violation (141.203(b)). You
must issue a repeat notice every three months for as long as the
violation persists. Your primacy agency may have more stringent
requirements for treatment technique violations; e.g., it may require
you to provide water from an alternate source. Check with your agency to
make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with this type of
LT2ESWTR treatment technique violation. You can use one or more of the
following actions, if appropriate, or develop your own:

-   We are developing plans to cover our uncovered finished water
    storage reservoir. We expect to have the reservoir covered by \[give
    date\]. Until our finished water reservoir is covered, you will
    receive a notice similar to this every 3 months.

-   We are developing plans to treat the water when it leaves our
    uncovered finished water storage reservoir. We expect to have the
    treatment in place by \[give date\]. Until the water leaving our
    finished water reservoir is treated, you will receive a notice
    similar to this every 3 months.

-   We are currently working with state health department officials to
    revise our schedule for covering our uncovered finished water
    storage reservoir. We expect to have the state-approved schedule in
    place by \[give date\] and the reservoir covered by \[give date\].
    Until our schedule receives state approval, you will receive a
    notice similar to this every 3 months.

-   We are currently working with state health department officials to
    revise our schedule for treating the discharge from our uncovered
    finished water storage reservoir. We expect to have the
    state-approved schedule in place by \[give date\] and treatment in
    place by \[give date\]. Until the schedule receives state approval,
    you will receive a notice similar to this every 3 months.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in covering your reservoirs or providing
treatment, describe it. Alternatively, if funding or other issues are
delaying coverage, let consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR Number range CHAPTERDRINKING WATER**

**Uncovered Finished Water Reservoir Violation at \[System\]**

Our water system recently violated a drinking water standard. Although
this situation is not an emergency, as our customers, you have a right
to know what happened and what we did (are doing) to correct this
situation.

Water systems with uncovered finished water reservoirs are required to
cover these reservoirs, treat the discharge from these reservoirs, or be
in compliance with a state-approved schedule to cover the reservoir(s)
or provide treatment by April 1, 2009. We have failed to meet this
requirement.

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers. General guidelines
    on ways to lessen the risk of infection by microbes are available
    from EPA's Safe Drinking Water Hotline at 1-800-426-4791. If you
    have specific health concerns, consult your doctor.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified with 24 hours.

    **What does this mean?**

This situation does not require that you take immediate action. If it
had been, you would have been notified immediately.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms, however, are not caused only by organisms in drinking
water, but also by other factors. If you experience any of these
symptoms and they persist, you may want to seek medical advice.

**What is being done?**

Number range CHAPTER\[Describe corrective action.\] We anticipate
resolving the problem within \[estimated time frame\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed:

Number range CHAPTER**Template on Reverse**

An unfiltered system's failure to install a second disinfectant to treat
for *Cryptosporidium* by the required date is a Number range
CHAPTERtreatment technique violation and requires Tier 2 notification.
You must provide public notice to persons served as soon as practical
but within 30 days after you learn of the violation (141.203(b)). You
must issue a repeat notice every three months for as long as the
violation persists. Your primacy agency may have more stringent
requirements for treatment technique violations; e.g., it may require
you to provide water from an alternate source. Check with your agency to
make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by unfiltered water systems with LT2ESWTR
treatment technique violations. You can use one or more of the following
actions, if appropriate, or develop your own:

-   We will install treatment by \[provide date\] to satisfy this
    requirement.

-   We are currently working with state health department officials and
    our engineers to finalize plans for water treatment that will
    satisfy this requirement once it is installed.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing treatment, describe it.
Alternatively, if funding or other issues are delaying installation of
treatment, let consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR Number range CHAPTERDRINKING WATER**

**\[Name of System\] Failed to Provide the Appropriate Level of
Treatment Within Required Timeframe.**

Our unfiltered water system \[give system name\] was required to use a
minimum of two disinfectants to meet our treatment requirement by \[give
date\].

We failed to have the new ultraviolet light (U.V.) disinfection system
installed by the required date. Although this situation is not an
emergency, as our customers, you have a right to know what happened and
what we did (are doing) to correct this situation.

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers. General guidelines
    on ways to lessen the risk of infection by microbes are available
    from EPA's Safe Drinking Water Hotline at 1-800-426-4791. If you
    have specific health concerns, consult your doctor.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\].

**What does this mean?**

This is not an emergency. If it had been, you would have been notified
within 24 hours.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms, however, are not caused only by organisms in drinking
water, but also by other factors. If you experience any of these
symptoms and they persist, you may want to seek medical advice.

**What is being done?**

We expect to have the U.V. disinfection system installed by \[give
date\]. We continue to disinfect the water with chlorine as we have in
the past.

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system name\]. State Water System
ID# \_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_

Number range CHAPTER**Template on Reverse**

A system's failure to conduct an initial or second round of
*Cryptosporidium* monitoring by the required date is a Number range
CHAPTERmonitoring violation that requires Tier 2 notification. You must
provide public notice to persons served as soon as practical but within
30 days after you learn of the violation (141.203(b)). You must issue a
repeat notice every three months for as long as the violation persists.
Your primacy agency may have more stringent requirements for this
monitoring violation; e.g., it may require you to provide water from an
alternate source. Check with your agency to make sure you meet all
requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
are some steps commonly taken by water systems with LT2ESWTR monitoring
violations. You can use one or more of the following actions, if
appropriate, or develop your own:

-   We will begin collecting the required source water monitoring
    samples on \[give date\].

-   We have since taken the required samples for initial monitoring and
    will begin collecting our second round of sampling on \[give date\].

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing treatment, describe it.
Alternatively, if funding or other issues are delaying installation of
treatment, let consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**Monitoring and Reporting Requirements Not Met for \[Name of System\]**

We are required to monitor the source of your drinking water for
*Cryptosporidium*. Results of the monitoring are to be used to determine
whether \[name of treatment plant\] is sufficient to adequately treat
the water for *Cryptosporidium*. We are required to complete this
monitoring and make this determination by \[give date\]. We did not
monitor or test on schedule and, therefore, we may not be able to
determine by the required date what treatment modifications, if any,
must be made. Missing this deadline may, in turn, jeopardize our ability
to have the required treatment modifications, if any, completed by the
deadline required, \[give date\].

**What should I do?**

There is nothing you need to do. You do not need to boil your water or
take other corrective actions. You may continue to drink the water. If a
situation arises where the water is no longer safe to drink, you will be
notified within 24 hours. We will announce any emergencies on \[give TV
and/or radio stations where they can get additional information\].

**What does this mean?**

This is not an emergency. If it had been, you would have been notified
within 24 hours.

Some people may be more vulnerable to contaminants in drinking water
than the general population. Immuno-compromised persons such as persons
with cancer undergoing chemotherapy, persons who have undergone organ
transplants, people with HIV/AIDS or other immune system disorders, some
elderly, and infants can be particularly at risk from infections. These
people should seek advice about drinking water from their health care
providers. EPA/CDC guidelines on appropriates means to lessen the risk
of infection by *Cryptosporidium* and other microbial contaminants are
available from the Safe Drinking Water Hotline (1-800-426-4791).

**What is being done?**

\[Describe corrective action.\]

For more information, please contact \[provide contact name\] at
\[provide contact phone number\] or write to \[provide address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system name\]. State Water System
ID# \_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_

Number range CHAPTER**Template on Reverse**

If your system's running annual average for Total Trihalomethanes (TTHM)
exceeds the MCL of 0.080 mg/L or the running annual average for
Haloacetic Acid 5 (HAA5) exceeds the MCL of 0.060 mg/L, you must provide
public notice to persons served as soon as practical but within 30 days
after you learn of the violation (141.203(b)). You must issue a repeat
notice every three months for as long as the violation persists.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
is one step commonly taken by water systems with TTHM or HAA5 MCL
violations. You can use the following action, if appropriate, or develop
your own:

-   We are pilot testing \[name treatment type\] treatment to ensure it
    will reduce concentrations of \[Contaminant, i.e., Total
    Trihalomethanes or Haloacetic Acid 5\] in our finished water.
    Testing will be completed by \[provide date\] at which time we will
    evaluate effectiveness and begin installation.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing treatment, describe it.
Alternatively, if funding or other issues are delaying coverage, let
consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR Number range CHAPTERDRINKING WATER**

**\[Contaminant, i.e., Total Trihalomethanes or Haloacetic Acid 5\] MCL
Violation at \[System\]**

Our water system recently violated a drinking water standard. Although
this incident was not an emergency, as our customers, you have a right
to know what happened and what we did (are doing) to correct this
situation.

Number range CHAPTERWe routinely monitor for the presence of drinking
water contaminants. Testing results from \[date range\] show that our
system exceeds the standard, or maximum contaminant level (MCL), for
\[contaminant\]. The standard for \[contaminant\] is \[MCL\]. It is
determined by averaging all samples collected by our system for the last
12 months. The level of \[contaminant\] averaged at our system for
\[date range\] was \[level\].

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\].

    **What does this mean?**

    This is not an emergency. If it had been an emergency, you would
    have been notified within 24 hours.

    \[*People who drink water containing trihalomethanes in excess of
    the MCL over many years may experience problems with their liver,
    kidneys, or central nervous system, and may have an increased risk
    of getting cancer.*\] **Or**

    \[*People who drink water containing haloacetic acids in excess of
    the MCL over many years may have an increased risk of getting
    cancer.*\]

**What is being done?**

Number range CHAPTER\[Describe corrective action.\] We anticipate
resolving the problem within \[estimated time frame\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number range CHAPTER**Template on Reverse**

If your system's locational running annual average for Total
Trihalomethanes (TTHM) exceeds the MCL of 0.080 mg/L or the locational
running annual average for Haloacetic Acid 5 (HAA5) exceeds the MCL of
0.060 mg/L at one or more sampling locations, you must provide public
notice to persons served as soon as practical but within 30 days after
you learn of the violation (141.203(b)). You must issue a repeat notice
every three months for as long as the violation persists.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
is one step commonly taken by water systems with TTHM or HAA5 MCL
violations. You can use the following action, if appropriate, or develop
your own:

-   \[TTHM are four volatile organic chemicals\] \[HAA5 are five
    haloacetic acid compounds\] which form when disinfectants react with
    natural organic matter in the water. We are working to minimize the
    formation of \[TTHM or HAA5\] while ensuring we maintain an adequate
    level of disinfectant. We have taken additional samples at this
    location and throughout the system to determine if our efforts have
    been effective. The samples show that we now meet the standards.

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
If you are making progress in installing treatment, describe it.
Alternatively, if funding or other issues are delaying coverage, let
consumers know.

**After Issuing the Violation**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR Number range CHAPTERDRINKING WATER**

**\[Contaminant, i.e., Total Trihalomethanes or Haloacetic Acid 5\] MCL
Violation at \[System\]**

Our water system recently violated a drinking water standard. Although
this incident was not an emergency, as our customers, you have a right
to know what happened and what we did (are doing) to correct this
situation.

Number range CHAPTERWe routinely monitor for the presence of drinking
water contaminants. Testing results from \[date range\] show that our
system exceeds the standard, or maximum contaminant level (MCL), for
\[contaminant\]. The standard for \[contaminant\] is \[MCL\]. It is
determined by averaging all the samples collected at each sampling
location for the past 12 months. The level of \[contaminant\] averaged
at one of our system's locations for \[date range\] was \[level\].

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\].

    **What does this mean?**

    This is not an emergency. If it had been an emergency, you would
    have been notified within 24 hours.

    \[*People who drink water containing trihalomethanes in excess of
    the MCL over many years may experience problems with their liver,
    kidneys, or central nervous system, and may have an increased risk
    of getting cancer.*\] **Or**

    \[*People who drink water containing haloacetic acids in excess of
    the MCL over many years may have an increased risk of getting
    cancer.*\]

    **What is being done?**

    Number range CHAPTER\[Describe corrective action.\] We anticipate
    resolving the problem within \[estimated time frame\] (or the
    problem was resolved on \[give date\]).

    For more information, please contact \[name of contact\] at \[phone
    number\] or \[mailing address\].

    *Please share this information with all the other people who drink
    this water, especially those who may not have received this notice
    directly (for example, people in apartments, nursing homes, schools,
    and businesses). You can do this by posting this notice in a public
    place or distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number range CHAPTER**Template on Reverse**

Since failure to recycle spent filter backwash, thickener supernatant,
and liquids from dewatering processes before all processes of the direct
filtration treatment train, failure to obtain state approval for the use
of an alternative recycle location, or failure to pursue capital
improvements is a Tier 2 violation, you must provide public notice to
persons served as soon as practical but within 30 days after you learn
of the violation (141.203(b)). You must issue a repeat notice every
three months for as long as the violation persists. Your primacy agency
may have more stringent requirements for treatment technique violations;
e.g., it may require you to provide water from an alternate source.
Check with your agency to make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and you may not
modify the mandatory health effects language (141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Do not use
overly technical terminology when describing treatment methods. You can
use one or more of the following actions, if appropriate, or develop
your own:

-   As of \[give date\], we will no longer recycle our filter backwash
    and will not be in violation of this standard.

-   As of \[give date\], the filter backwash will be piped to the
    beginning of our water treatment process and we will no longer be in
    violation of this standard.

-   As of \[give date\], the filter backwash and all other current
    recycle flows will be discharged to waste as approved by the primacy
    agency.

**Repeat Notices**

If this is an ongoing violation, you should give the history behind the
violation, if known.

**After Issuing the Notice**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met all public notification requirements
within ten days after issuing the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

Our water system recently violated a drinking water standard. Although
this is not an emergency, as our customers, you have a right to know
what happened, what you should do, and what we did (are doing) to
correct this situation.

The Filter Backwash Recycling Rule requires water systems that recycle
liquids used for water treatment to recycle these liquids through the
system's existing filtration system or to an alternate location approved
by the state. Our system did not return its water treatment recycle
flows to the required location or a state-approved location by the
required date of \[give date\].

**What should I do?**

-   There is nothing you need to do unless you have a severely
    compromised immune system, have an infant, or are elderly. These
    people may be at increased risk and should seek advice about
    drinking water from their health care providers. General guidelines
    on ways to lessen the risk of infection by microbes are available
    from EPA's Safe Drinking Water Hotline at 1-800-426-4791. If you
    have specific health concerns, consult your doctor.

-   You do not need to boil your water or take other corrective actions.
    If a situation arises where the water is no longer safe to drink,
    you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\].

    **What does this mean?**

    This is not an immediate risk. If it had been, you would have been
    notified immediately.

*Inadequately treated water may contain disease-causing organisms. These
organisms include bacteria, viruses, and parasites which can cause
symptoms such as nausea, cramps, diarrhea, and associated headaches.*
These symptoms, however, are not caused only by organisms in drinking
water, but also by other factors. If you experience any of these
symptoms and they persist, you may want to seek medical advice.

**What is being done?**

\[Describe corrective action.\] We anticipate resolving the problem
within \[estimated time frame\].

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_\]

Number range CHAPTER**Template on Reverse**

You must provide public notice to persons served as soon as practical
but within 30 days after you learn of the violation (141.203(b)). You
must issue a repeat notice every three months for as long as the
violation persists. Your primacy agency may have more stringent
requirements for treatment technique violations; e.g., it may require
you to provide water from an alternate source. Check with your agency to
make sure you meet all requirements.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use another
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and leave the
health effects language in italics unchanged. This language is mandatory
(141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you are taking. Listed below
is an example of a step that might be taken in response to this
violation. You can use the following action, if appropriate, or develop
your own:

-   We have agreed upon a new deadline of \[give date\] to secure the
    funding needed in order to purchase \[contaminant\] removal
    treatment equipment. Once we have secured funding, we will purchase
    and begin installation of the selected treatment technology by
    \[estimated time frame\].

**Repeat Notices**

For repeat notices, you should state how long the violation has been
ongoing and remind consumers of when you sent out the previous notice.
Include updated information regarding meeting the measures and schedules
in your corrective action plan. Alternatively, if funding or other
issues are delaying your progress, let consumers know.

**After Issuing the Notice**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met the public notice requirements within
ten days after you issued the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**\[System\] Failed to Meet the Conditions of a \[contaminant\]
Exemption.**

Our water system recently violated one of the conditions of our
\[contaminant\] exemption. An exemption allows eligible systems
additional time to build capacity in order to comply with a drinking
water standard. \[Name of system\] was granted an exemption for the
\[contaminant\] standard so that we could raise funds for a new
treatment process to remove \[contaminant\]. As a condition of the
exemption, we agreed to secure funding by \[give date\]. We did not meet
this deadline.

**What should I do?**

-   There is nothing you need to do. You do not need to boil your water
    or take other corrective actions. You may continue to drink the
    water. If a situation arises where the water is no longer safe to
    drink, you will be notified within 24 hours. We will announce any
    emergencies on \[give TV and/or radio stations where they can get
    additional information\]. We will also post this information on our
    web site at www.ourwatersystem.com.

**What does this mean?**

This is not an emergency. If it had been an emergency, you would have
been notified within 24 hours.

(Example language provided for arsenic. Enter appropriate language for
your specific contaminant.)

*\[Some people who drink water containing arsenic in excess of the MCL
over many years may have an increased risk of getting cancer.\]*

**What is being done?**

Number range CHAPTER\[Describe corrective action.\] We anticipate
resolving the problem within \[estimated time frame\] (or the problem
was resolved on \[give date\]).

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\]. You can also visit our web site at
www.ourwatersystem.com.

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_\_\]

If your primacy agency has designated a failure to monitor as a Tier 2
violation (141.203(a)), you must provide public notice to persons served
within 30 days after it has been designated Tier 2 (141.203(b)).
Monitoring violations are Tier 3 by default, but may be elevated to Tier
2 by your primacy agency. You may elevate the violation to Tier 2
yourself as well. You must issue a repeat notice every three months for
as long as the violation persists.

Community systems must use one of the following methods (141.203(c)):

-   Hand or direct delivery

-   Mail, as a separate notice or included with the bill

Non-community systems must use one of the following methods
(141.203(c)):

-   Posting in conspicuous locations

-   Hand delivery

-   Mail

In addition, both community and non-community systems must use *another*
method reasonably calculated to reach others if they would not be
reached by the first method (141.203(c)). Such methods could include
newspapers, e-mail, or delivery to community organizations. If you mail,
post, or hand deliver, print your notice on letterhead, if available.

The notice on the reverse is appropriate for hand delivery or mail.
However, you may wish to modify it before using it for posting. If you
do, you must still include all the required elements and you may not
modify the mandatory health effects language (141.205(d)).

**Corrective Action**

In your notice, describe corrective actions you took or are taking.
Listed below are some steps commonly taken by water systems with
monitoring violations. You can use the following language, if
appropriate, or develop your own:

-   We have since taken the required samples, as described in the last
    column of the table above. The samples showed we are meeting
    drinking water standards.

-   We have since taken the required samples, as described in the last
    column of the table above. The sample for \[contaminant\] exceeded
    the limit. \[Describe corrective action; use information from public
    notice prepared for violating the limit.\]

-   We plan to take the required samples soon, as described in the last
    column of the table above.

**Repeat Notices**

If this is an ongoing violation, you should give the history behind the
violation, if known.

**After Issuing the Notice**

Make sure to send your primacy agency a copy of each type of notice and
a certification that you have met all public notification requirements
within ten days after issuing the notice (141.31(d)).

**IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER**

**Monitoring Requirements Not Met for \[System\]**

We are required to monitor your drinking water for specific contaminants
on a regular basis. Results of regular monitoring are an indicator of
whether or not our drinking water meets health standards.

During \[compliance period\] we \[\'did not monitor or test\' or \'did
not complete all monitoring or testing\'\] for \[contaminant(s)\] and,
therefore, cannot be sure of the quality of our drinking water during
that time. Even though this is not an emergency, as our customers, you
have a right to know what happened and what we did (are doing) to
correct this situation.

**What should I do?**

There is nothing you need to do at this time.

The table below lists the contaminant(s) we did not properly test for,
how often we are supposed to sample for \[this contaminant/these
contaminants\] and how many samples we are supposed to take, how many
samples we took, when samples should have been taken, and the date on
which follow-up samples were (or will be) taken.

  ----------------- -------------- ------------- -------------- --------------
  **Contaminant**   **Required     **Number of   **When samples **When samples
                    sampling       samples       should have    were taken**
                    frequency**    taken**       been taken**   

  Nitrate (example) One sample     0             2006           February 2007
                    annually                                    
  ----------------- -------------- ------------- -------------- --------------

**What is being done?**

\[Describe corrective action.\]

For more information, please contact \[name of contact\] at \[phone
number\] or \[mailing address\].

*Please share this information with all the other people who drink this
water, especially those who may not have received this notice directly
(for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or
distributing copies by hand or mail.*

This notice is being sent to you by \[system\]. State Water System ID#:
\_\_\_\_\_\_\_\_\_\_\_.

Date distributed: \_\_\_\_\_\_.