ࡱ>   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|Root Entry>H@MatOSTtٷHtٷHMMMN0NDP04rr$=/8d9TConsumer Confidence Report Template This template is copyrighted with unlimited distribution and reproduction to NRWA member state associations This template is designed by sections and allows you to customize your report for your system. You must read the directions for completion of the report located on this download site in the file labeled templatedirections.doc. Also included at this download site is the federal regulation labeled ccrregulation.rtf which provides additional detailed requirements of the regulation. These are essential to understanding the complicated regulatory requirements of the EPA. This template is set-up to allow you to use it in several ways. You may choose to use the template to make your selections then delete the selection headings and language that does not apply to your utility. You may choose to use the copy and paste function on your word processing software or to manually type in the desired selections to another document. Be sure to proofread your report to insure all non-appropriate language and section headings have been deleted before publishing. Section 1. (Choose a title and delete the remaining choices. This is optional.) Quality on Tap Report Quality Water Report Annual Drinking Water Quality Report The Water We Drink (Insert name of System after your title selection and the date the report was created.) Section 2. (Make a Selection from this optional language and delete the remaining choices. It is REQUIRED that you identify the type and source of your water supply.) We're pleased to present to you this year's Annual Quality Water Report. This report is designed to inform you about the quality water and services we deliver to you every day. Our constant goal is to provide you with a safe and dependable supply of drinking water. We want you to understand the efforts we make to continually improve the water treatment process and protect our water resources. We are committed to ensuring the quality of your water. Our water source is (name the source and type, i.e., wells: Our wells draw from the Duncan Aquifer, surface water: i.e., River Jordan or we purchase our water from the City of Waterville which is treated surface water from Lake Duncan.) (This is REQUIRED information). Were very pleased to provide you with this year's Annual Quality Water Report. We want to keep you informed about the excellent water and services we have delivered to you over the past year. Our goal is and always has been, to provide to you a safe and dependable supply of drinking water. Our water source is (name the source and type, i.e., wells: Our wells draw from the Duncan Aquifer, surface water: i.e., River Jordan or we purchase our water from the City of Waterville which is treated surface water from Lake Duncan.) (This is REQUIRED information). (If you have a source water assessment plan you must include a statement informing the consumers of the availability of the information and means to obtain it. If the system has received a source water assessment from the primacy agency, you must include a brief summary of the systems susceptibility to potential sources of contamination, using language provided by the primacy agency or written by the operator). We have a source water protection plan available from our office that provides more information such as potential sources of contamination. Section 3. (Make a selection from this optional language and delete the remaining choice.) I'm pleased to report that our drinking water is safe and meets federal and state requirements. This report shows our water quality and what it means. Section 4. (Enter this REQUIRED language. The telephone number of the owner, operator or designee must be included along with the time and place of regularly scheduled board meetings.) If you have any questions about this report or concerning your water utility, please contact (give the name and number of a designee able to address the customers questions). We want our valued customers to be informed about their water utility. If you want to learn more, please attend any of our regularly scheduled meetings. They are held on (give the day, date, time and location) this is REQUIRED information. Section 5. (The period the report covers is REQUIRED language.) (Name of your water system) routinely monitors for constituents in your drinking water according to Federal and State laws. This table shows the results of our monitoring for the period of January 1st to December 31st, (year). As water travels over the land or underground, it can pick up substances or contaminants such as microbes, inorganic and organic chemicals, and radioactive substances. All drinking water, including bottled drinking water, may be reasonably expected to contain at least small amounts of some constituents. It's important to remember that the presence of these constituents does not necessarily pose a health risk. Section 6. (For each constituent that is detected or is a violation, the level detected, unit of measurement, the MCLG, the MCL and the likely source of contamination is REQUIRED to be reported in the Test Results Table (see section 7). This section provides definitions of the units of measurement. Include the paragraph and appropriate definitions of the unit of measurement for any constituent or detect you report in the Test Result Table.) In this table you will find many terms and abbreviations you might not be familiar with. To help you better understand these terms we've provided the following definitions: Non-Detects (ND) - laboratory analysis indicates that the constituent is not present. Parts per million (ppm) or Milligrams per liter (mg/l) - one part per million corresponds to one minute in two years or a single penny in $10,000. Parts per billion (ppb) or Micrograms per liter - one part per billion corresponds to one minute in 2,000 years, or a single penny in $10,000,000. Parts per trillion (ppt) or Nanograms per liter (nanograms/l) - one part per trillion corresponds to one minute in 2,000,000 years, or a single penny in $10,000,000,000. Parts per quadrillion (ppq) or Picograms per liter (picograms/l) - one part per quadrillion corresponds to one minute in 2,000,000,000 years or one penny in $10,000,000,000,000. Picocuries per liter (pCi/L) - picocuries per liter is a measure of the radioactivity in water. Millirems per year (mrem/yr) - measure of radiation absorbed by the body. Million Fibers per Liter (MFL) - million fibers per liter is a measure of the presence of asbestos fibers that are longer than 10 micrometers. Nephelometric Turbidity Unit (NTU) - nephelometric turbidity unit is a measure of the clarity of water. Turbidity in excess of 5 NTU is just noticeable to the average person. Variances & Exemptions (V&E) - State or EPA permission not to meet an MCL or a treatment technique under certain conditions. (Only systems with a variance or exemption are REQUIRED to include this definition. In addition, it is REQUIRED to provide an explanation of the reasons for the variance or exemption, date issued, status or remediation.) Action Level - the concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow. Treatment Technique (TT) - (mandatory language) A treatment technique is a required process intended to reduce the level of a contaminant in drinking water. Maximum Contaminant Level (MCL) - (mandatory language) The Maximum Allowed (MCL) is the highest level of a contaminant that is allowed in drinking water. MCLs are set as close to the MCLGs as feasible using the best available treatment technology. Maximum Contaminant Level Goal (MCLG) - (mandatory language) The Goal(MCLG) is the level of a contaminant in drinking water below which there is no known or expected risk to health. MCLGs allow for a margin of safety. Maximum Residual Disinfectant Level (MRDL) (mandatory language) The highest level of a disinfectant allowed in drinking water. There is convincing evidence that addition of a disinfectant is necessary for control of microbial contaminants. Maximum Residual Disinfectant Level Goal (MRDLG) (mandatory language) The level of a drinking water disinfectant below which there is no known or expected risk to health. MRDLGs do not reflect the benefits of the use of disinfectants to control microbial contaminants. Section 7. (The information from the table below is REQUIRED for each constituent that is a violation of the MCL or detect. The results must be reported in whole numbers. See Section 7 of the template instructions for conversion factors.) For unregulated contaminants for which monitoring is required except Cryptosporidium, the table must contain the average and range at which the contaminant was detected. For turbidity, lead & copper, fecal coliform and total coliform, refer to the instructions and the regulation for special requirements. Special Note: When compliance with an MCL is determined annually or less frequently, the highest detected level at any sampling point and the range of detected levels expressed in the same units of the MCL must be placed in the table. When compliance is determined by calculating a running annual average of all samples taken at a sampling point, the highest average of any of the sampling points and the range of all sampling points in the same units as the MCL must be placed in the table. When compliance with the MCL is determined on a system wide basis by calculating a running annual average of all samples, the average and range of detection expressed in the same units of the MCL must be placed in the table. The results of sample analysis placed in the table must be in the same units as the MCL. This may mean that the value is less than 1.0 and this is as it should be reported. For example if a sample analysis for nitrate is 0.2mg/l it should be reported as 0.2mg/l in the table to match the CCR units that the nitrate MCL is expressed as. In other words, if you use the multipliers in the directions and your end results are less than one, then use the fractional or decimal value obtained. The whole number rule does not apply. When a system is allowed to monitor for regulated contaminants less often then once a year, the tables must include the date and results of the most recent sampling and the report must include a brief statement indicating that the date presented in the report are from the most recent testing." (For public relations purposes, it is recommended you consider printing the entire table to demonstrate the number of constituents tested for and not detected. If there are no violations or detects this table does not have to be included.) TEST RESULTS Contaminant Violation Y/N Level Detected Unit Measurement MCLG MCL Likely Source of Contamination Microbiological Contaminants 1. Total Coliform Bacteria 0 presence of coliform bacteria in 5% of monthly samples Naturally present in the environment 2. Fecal coliform and E.coli 0 a routine sample and repeat sample are total coliform positive, and one is also fecal coliform or E. coli positive Human and animal fecal waste 3. Turbidity n/a TT Soil runoff Radioactive Contaminants 4. Beta/photon emitters mrem/yr 0 4 Decay of natural and man-made deposits 5. Alpha emitters pCi/1 0 15 Erosion of natural deposits 6. Combined radium pCi/1 0 5 Erosion of natural deposits 7. Uranium1 g/L 01 301 Erosion of natural deposits Inorganic Contaminants 8. Antimony ppb 6 6 Discharge from petroleum refineries; fire retardants; ceramics; electronics; solder 9. Arsenic2 ppb n/a2 502 Erosion of natural deposits; runoff from orchards; runoff from glass and electronics production wastes 10. Asbestos MFL 7 7 Decay of asbestos cement water mains; erosion of natural deposits 11. Barium ppm 2 2 Discharge of drilling wastes; discharge from metal refineries; erosion of natural deposits 12. Beryllium ppb 4 4 Discharge from metal refineries and coal-burning factories; discharge from electrical, aerospace, and defense industries 13. Cadmium ppb 5 5 Corrosion of galvanized pipes; erosion of natural deposits; discharge from metal refineries; runoff from waste batteries and paints 14. Chromium ppb 100 100 Discharge from steel and pulp mills; erosion of natural deposits 15. Copper ppm 1.3 AL=1.3 Corrosion of household plumbing systems; erosion of natural deposits; leaching from wood preservatives 16. Cyanide ppb 200 200 Discharge from steel/metal factories; discharge from plastic and fertilizer factories 17. Fluoride ppm 4 4 Erosion of natural deposits; water additive which promotes strong teeth; discharge from fertilizer and aluminum factories 18. Lead ppb 0 AL=15 Corrosion of household plumbing systems, erosion of natural deposits 19. Mercury (inorganic) ppb 2 2 Erosion of natural deposits; discharge from refineries and factories; runoff from landfills; runoff from cropland 20. Nitrate (as Nitrogen) ppm 10 10 Runoff from fertilizer use; leaching from septic tanks, sewage; erosion of natural deposits 21. Nitrite (as Nitrogen) ppm 1 1 Runoff from fertilizer use; leaching from septic tanks, sewage; erosion of natural deposits 22. Selenium ppb 50 50 Discharge from petroleum and metal refineries; erosion of natural deposits; discharge from mines 23. Thallium ppb 0.5 2 Leaching from ore-processing sites; discharge from electronics, glass, and drug factories Synthetic Organic Contaminants including Pesticides and Herbicides 24. 2,4-D ppb 70 70 Runoff from herbicide used on row crops 25. 2,4,5-TP (Silvex) ppb 50 50 Residue of banned herbicide 26. Acrylamide 0 TT Added to water during sewage/wastewater treatment 27. Alachlor ppb 0 2 Runoff from herbicide used on row crops 28. Atrazine ppb 3 3 Runoff from herbicide used on row crops 29. Benzo(a)pyrene (PAH) nanograms/l 0 200 Leaching from linings of water storage tanks and distribution lines 30. Carbofuran ppb 40 40 Leaching of soil fumigant used on rice and alfalfa 31. Chlordane ppb 0 2 Residue of banned termiticide 32. Dalapon ppb 200 200 Runoff from herbicide used on rights of way 33. Di(2-ethylhexyl) adipate ppb 400 400 Discharge from chemical factories 34. Di(2-ethylhexyl) phthalate ppb 0 6 Discharge from rubber and chemical factories 35. Dibromochloropropane nanograms/1 0 200 Runoff/leaching from soil fumigant used on soybeans, cotton, pineapples, and orchards 36. Dinoseb ppb 7 7 Runoff from herbicide used on soybeans and vegetables 37. Diquat ppb 20 20 Runoff from herbicide use 38. Dioxin [2,3,7,8-TCDD] picograms/l 0 30 Emissions from waste incineration and other combustion; discharge from chemical factories 39. Endothall ppb 100 100 Runoff from herbicide use 40. Endrin ppb 2 2 Residue of banned insecticide 41. Epichlorohydrin 0 TT Discharge from industrial chemical factories; an impurity of some water treatment chemicals 42. Ethylene dibromide nanograms/1 0 50 Discharge from petroleum refineries 43. Glyphosate ppb 700 700 Runoff from herbicide use 44. Heptachlor nanograms/1 0 400 Residue of banned termiticide 45. Heptachlor epoxide nanograms/1 0 200 Breakdown of heptachlor 46. Hexachlorobenzene ppb 0 1 Discharge from metal refineries and agricultural chemical factories 47. Hexachlorocyclo- pentadiene ppb 50 50 Discharge from chemical factories 48. Lindane nanograms/l 200 200 Runoff/leaching from insecticide used on cattle, lumber, gardens 49. Methoxychlor ppb 40 40 Runoff/leaching from insecticide used on fruits, vegetables, alfalfa, livestock 50. Oxamyl [Vydate] ppb 200 200 Runoff/leaching from insecticide used on apples, potatoes and tomatoes 51. PCBs [Polychlorinated biphenyls] nanograms/1 0 500 Runoff from landfills; discharge of waste chemicals 52. Pentachlorophenol ppb 0 1 Discharge from wood preserving factories 53. Picloram ppb 500 500 Herbicide runoff 54. Simazine ppb 4 4 Herbicide runoff 55. Toxaphene ppb 0 3 Runoff/leaching from insecticide used on cotton and cattle Volatile Organic Contaminants 56. Benzene ppb 0 5 Discharge from factories; leaching from gas storage tanks and landfills 57. Carbon tetrachloride ppb 0 5 Discharge from chemical plants and other industrial activities 58. Chlorobenzene ppb 100 100 Discharge from chemical and agricultural chemical factories 59. o-Dichlorobenzene ppb 600 600 Discharge from industrial chemical factories 60. p-Dichlorobenzene ppb 75 75 Discharge from industrial chemical factories 61. 1,2 - Dichloroethane ppb 0 5 Discharge from industrial chemical factories 62. 1,1 - Dichloroethylene ppb 7 7 Discharge from industrial chemical factories 63. cis-1,2-ichloroethylene ppb 70 70 Discharge from industrial chemical factories 64. trans - 1,2 -Dichloroethylene ppb 100 100 Discharge from industrial chemical factories 65. Dichloromethane ppb 0 5 Discharge from pharmaceutical and chemical factories 66. 1,2-Dichloropropane ppb 0 5 Discharge from industrial chemical factories 67. Ethylbenzene ppb 700 700 Discharge from petroleum refineries 68. Styrene ppb 100 100 Discharge from rubber and plastic factories; leaching from landfills 69. Tetrachloroethylene ppb 0 5 Leaching from PVC pipes; Discharge from factories and dry cleaners 70. 1,2,4 -Trichlorobenzene ppb 70 70 Discharge from textile-finishing factories 71. 1,1,1 - Trichloroethane ppb 200 200 Discharge from metal degreasing sites and other factories 72. 1,1,2 -Trichloroethane ppb 3 5 Discharge from industrial chemical factories 73. Trichloroethylene ppb 0 5 Discharge from metal degreasing sites and other factories 74. TTHM3 [Total trihalomethanes] ppb 0 80 or 1003 By-product of drinking water chlorination 75. Toluene ppm 1 1 Discharge from petroleum factories 76. Vinyl Chloride ppb 0 2 Leaching from PVC piping; discharge from plastics factories 77. Xylenes ppm 10 10 Discharge from petroleum factories; discharge from chemical factories 1 The MCL and MCLG for Uranium is not effective until December 8, 2003 and will be included in your CCR Report after the State Primacy Agency notifies you to sample for Uranium. 2 The MCL and MCLG for Arsenic is not effective until January 23, 2006. Violations of the revised MCL (10 ppb) will not be included in your CCR until the State Primacy Agency notifies you to sample for arsenic after January 23, 2006. 3 The MCL of 80 ppb for TTHMs is not effective for systems serving <10,000 people until January 1, 2004. However the health effects language in Section 8 must be included for all systems that exceed 80 ppb. Section 8- Health Effects Language (If there is a violation, the corresponding health effects language to that violation is required. This REQUIRED language must be included word for word as stated below. This language is not required for detects except for those listed in Section 9. (1) Total Coliform. Coliforms are bacteria that 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. (2) Fecal coliform/E.Coli. Fecal coliforms and E. coli are bacteria whose presence indicates that the water may be contaminated with human or animal wastes. Microbes in these wastes can cause short-term effects, such as diarrhea, cramps, nausea, headaches, or other symptoms. They may pose a special health risk for infants, young children, and people with severely compromised immune systems. (3) Turbidity. 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 that can cause symptoms such as nausea, cramps, diarrhea, and associated headaches. (4) Beta/photon emitters. Certain minerals are radioactive and may emit forms of radiation known as photons and beta radiation. Some people who drink water containing beta and photon emitters in excess of the MCL over many years may have an increased risk of getting cancer. (5) Alpha emitters. Certain minerals are radioactive and may emit a form of radiation known as alpha radiation. Some people who drink water containing alpha emitters in excess of the MCL over many years may have an increased risk of getting cancer. (6) Combined Radium 226/228. Some people who drink water containing radium 226 or 228 in excess of the MCL over many years may have an increased risk of getting cancer. (7) Uranium. Some people who drink water containing uranium in excess of the MCL over many years may have an increased risk of getting cancer and kidney toxicity. (8) Antimony. Some people who drink water containing antimony well in excess of the MCL over many years could experience increases in blood cholesterol and decreases in blood sugar. (9) Arsenic. Some people who drink water containing arsenic in excess of the MCL over many years could experience skin damage or problems with their circulatory system, and may have an increased risk of getting cancer. (10) Asbestos. Some people who drink water containing asbestos in excess of the MCL over many years may have an increased risk of developing benign intestinal polyps. (11) Barium. Some people who drink water containing barium in excess of the MCL over many years could experience an increase in their blood pressure. (12) Beryllium. Some people who drink water containing beryllium well in excess of the MCL over many years could develop intestinal lesions. (13) Cadmium. Some people who drink water containing cadmium in excess of the MCL over many years could experience kidney damage. (14) Chromium. Some people who use water containing chromium well in excess of the MCL over many years could experience allergic dermatitis. (15) Copper. Copper is an essential nutrient, but some people who drink water containing copper in excess of the action level over a relatively short amount of time could experience gastrointestinal distress. Some people who drink water containing copper in excess of the action level over many years could suffer liver or kidney damage. People with Wilson's Disease should consult their personal doctor. (16) Cyanide. Some people who drink water containing cyanide well in excess of the MCL over many years could experience nerve damage or problems with their thyroid. (17) Fluoride. 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. Children may get mottled teeth. (18) Lead. 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. (19) Mercury (inorganic). Some people who drink water containing inorganic mercury well in excess of the MCL over many years could experience kidney damage. (20) Nitrate. Infants below the age of six months who drink water containing nitrate in excess of the MCL could become seriously ill and, if untreated, may die. Symptoms include shortness of breath and blue-baby syndrome. (21) Nitrite. Infants below the age of six months who drink water containing nitrite in excess of the MCL could become seriously ill and, if untreated, may die. Symptoms include shortness of breath and blue-baby syndrome. (22) Selenium. Selenium is an essential nutrient. However, some people who drink water containing selenium in excess of the MCL over many years could experience hair or fingernail losses, numbness in fingers or toes, or problems with their circulation. (23) Thallium. Some people who drink water containing thallium in excess of the MCL over many years could experience hair loss, changes in their blood, or problems with their kidneys, intestines, or liver. (24) 2,4-D. Some people who drink water containing the weed killer 2,4-D well in excess of the MCL over many years could experience problems with their kidneys, liver, or adrenal glands. (25) 2,4,5-TP (Silvex). Some people who drink water containing silvex in excess of the MCL over many years could experience liver problems. (26) Acrylamide. Some people who drink water containing high levels of acrylamide over a long period of time could have problems with their nervous system or blood, and may have an increased risk of getting cancer. (27) Alachlor. Some people who drink water containing alachlor in excess of the MCL over many years could have problems with their eyes, liver, kidneys, or spleen, or experience anemia, and may have an increased risk of getting cancer. (28) Atrazine. Some people who drink water containing atrazine well in excess of the MCL over many years could experience problems with their cardiovascular system or reproductive difficulties. (29) Benzo(a)pyrene [PAH]. Some people who drink water containing benzo(a)pyrene in excess of the MCL over many years may experience reproductive difficulties and may have an increased risk of getting cancer. (30) Carbofuran. Some people who drink water containing carbofuran in excess of the MCL over many years could experience problems with their blood, or nervous or reproductive systems. (31) Chlordane. Some people who drink water containing chlordane in excess of the MCL over many years could experience problems with their liver or nervous system, and may have an increased risk of getting cancer. (32) Dalapon. Some people who drink water containing dalapon well in excess of the MCL over many years could experience minor kidney changes. (33) Di (2-ethylhexyl) adipate. Some people who drink water containing di (2-ethylhexyl) adipate well in excess of the MCL over many years could experience general toxic effects or reproductive difficulties. (34) Di (2-ethylhexyl) phthalate. Some people who drink water containing di (2-ethylhexyl) phthalate in excess of the MCL over many years may have problems with their liver, or experience reproductive difficulties, and may have an increased risk of getting cancer. (35) Dibromochloropropane (DBCP). Some people who drink water containing DBCP in excess of the MCL over many years could experience reproductive difficulties and may have an increased risk of getting cancer. (36) Dinoseb. Some people who drink water containing dinoseb well in excess of the MCL over many years could experience reproductive difficulties. (37) Dioxin (2,3,7,8-TCDD). Some people who drink water containing dioxin in excess of the MCL over many years could experience reproductive difficulties and may have an increased risk of getting cancer. (38) Diquat. Some people who drink water containing diquat in excess of the MCL over many years could get cataracts. (39) Endothall. Some people who drink water containing endothall in excess of the MCL over many years could experience problems with their stomach or intestines. (40) Endrin. Some people who drink water containing endrin in excess of the MCL over many years could experience liver problems. (41) Epichlorohydrin. Some people who drink water containing high levels of epichlorohydrin over a long period of time could experience stomach problems, and may have an increased risk of getting cancer. (42) Ethylene dibromide. Some people who drink water containing ethylene dibromide in excess of the MCL over many years could experience problems with their liver, stomach, reproductive system, or kidneys, and may have an increased risk of getting cancer. (43) Glyphosate. Some people who drink water containing glyphosate in excess of the MCL over many years could experience problems with their kidneys or reproductive difficulties. (44) Heptachlor. Some people who drink water containing heptachlor in excess of the MCL over many years could experience liver damage and may have an increased risk of getting cancer. (45) Heptachlor epoxide. Some people who drink water containing heptachlor epoxide in excess of the MCL over many years could experience liver damage, and may have an increased risk of getting cancer. (46) Hexachlorobenzene. Some people who drink water containing hexachlorobenzene in excess of the MCL over many years could experience problems with their liver or kidneys, or adverse reproductive effects, and may have an increased risk of getting cancer. (47) Hexachlorocyclopentadiene. Some people who drink water containing hexachlorocyclopentadiene well in excess of the MCL over many years could experience problems with their kidneys or stomach. (48) Lindane. Some people who drink water containing lindane in excess of the MCL over many years could experience problems with their kidneys or liver. (49) Methoxychlor. Some people who drink water containing methoxychlor in excess of the MCL over many years could experience reproductive difficulties. (50) Oxamyl [Vydate]. Some people who drink water containing oxamyl in excess of the MCL over many years could experience slight nervous system effects. (51) PCBs [Polychlorinated biphenyls]. Some people who drink water containing PCBs in excess of the MCL over many years could experience changes in their skin, problems with their thymus gland, immune deficiencies, or reproductive or nervous system difficulties, and may have an increased risk of getting cancer. (52) Pentachlorophenol. Some people who drink water containing pentachlorophenol in excess of the MCL over many years could experience problems with their liver or kidneys, and may have an increased risk of getting cancer. (53) Picloram. Some people who drink water containing picloram in excess of the MCL over many years could experience problems with their liver. (54) Simazine. Some people who drink water containing simazine in excess of the MCL over many years could experience problems with their blood. (55) Toxaphene. Some people who drink water containing toxaphene in excess of the MCL over many years could have problems with their kidneys, liver, or thyroid, and may have an increased risk of getting cancer. (56) Benzene. Some people who drink water containing benzene in excess of the MCL over many years could experience anemia or a decrease in blood platelets, and may have an increased risk of getting cancer. (57) Carbon Tetrachloride. Some people who drink water containing carbon tetrachloride in excess of the MCL over many years could experience problems with their liver and may have an increased risk of getting cancer. (58) Chlorobenzene. Some people who drink water containing chlorobenzene in excess of the MCL over many years could experience problems with their liver or kidneys. (59) o-Dichlorobenzene. Some people who drink water containing o-dichlorobenzene well in excess of the MCL over many years could experience problems with their liver, kidneys, or circulatory systems. (60) p-Dichlorobenzene. Some people who drink water containing p-dichlorobenzene in excess of the MCL over many years could experience anemia, damage to their liver, kidneys, or spleen, or changes in their blood. (61) 1,2-Dichloroethane. Some people who drink water containing 1,2-dichloroethane in excess of the MCL over many years may have an increased risk of getting cancer. (62)1,1-Dichloroethylene. Some people who drink water containing 1,1-dichloroethylene in excess of the MCL over many years could experience problems with their liver. (63) cis-1,2-Dichloroethylene. Some people who drink water containing cis-1,2-dichloroethylene in excess of the MCL over many years could experience problems with their liver. (64) trans-1,2-Dicholoroethylene. Some people who drink water containing trans-1,2-dichloroethylene well in excess of the MCL over many years could experience problems with their liver. (65) Dichloromethane. Some people who drink water containing dichloromethane in excess of the MCL over many years could have liver problems and may have an increased risk of getting cancer. (66) 1,2-Dichloropropane. Some people who drink water containing 1,2-dichloropropane in excess of the MCL over many years may have an increased risk of getting cancer. (67) Ethylbenzene. Some people who drink water containing ethylbenzene well in excess of the MCL over many years could experience problems with their liver or kidneys. (68) Styrene. Some people who drink water containing styrene well in excess of the MCL over many years could have problems with their liver, kidneys, or circulatory system. (69) Tetrachloroethylene. Some people who drink water containing tetrachloroethylene in excess of the MCL over many years could have problems with their liver, and may have an increased risk of getting cancer. (70) 1,2,4-Trichlorobenzene. Some people who drink water containing 1,2,4-trichlorobenzene well in excess of the MCL over many years could experience changes in their adrenal glands. (71) 1,1,1,-Trichloroethane. Some people who drink water containing 1,1,1-trichloroethane in excess of the MCL over many years could experience problems with their liver, nervous system, or circulatory system. (72) 1,1,2-Trichloroethane. Some people who drink water containing 1,1,2-trichloroethane well in excess of the MCL over many years could have problems with their liver, kidneys, or immune systems. (73) Trichloroethylene. Some people who drink water containing trichloroethylene in excess of the MCL over many years could experience problems with their liver and may have an increased risk of getting cancer. (74) TTHMs [Total Trihalomethanes]. Some people who drink water containing trihalomethanes in excess of the MCL over many years may experience problems with their liver, kidneys, or central nervous systems, and may have an increased risk of getting cancer. (75) Toluene. Some people who drink water containing toluene well in excess of the MCL over many years could have problems with their nervous system, kidneys, or liver. (76) Vinyl Chloride. Some people who drink water containing vinyl chloride in excess of the MCL over many years may have an increased risk of getting cancer. (77) Xylenes. Some people who drink water containing xylenes in excess of the MCL over many years could experience damage to their nervous system. For systems which have failed to install adequate filtration or disinfection equipment or processes, or have had a failure of such equipment or processes which constitutes a violation, the following language is REQUIRED: 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. Section 9. (This section is REQUIRED for detects of arsenic, nitrates, lead, cryptosporidium and radon. If these are detected, you are REQUIRED to provide a short informational statement about the impact of the contaminant as below. The language may be modified only in consultation with the State Primacy Agency.) (A) Systems which detect arsenic at levels above 25 ppb, but below the MCL, the following language is REQUIRED: EPA is reviewing the drinking water standard for arsenic because of special concerns that it may not be stringent enough. Arsenic is a naturally occurring mineral known to cause cancer in humans at high concentrations. (A) Systems that detect Arsenic between 5 g/L and 10 g/L must include an informational statement in all reports due by July 1, 2002 and thereafter. The informational statement must include the following language or a statement approved by the State primacy agency: While your drinking water meets EPAs standard for arsenic, it does contain low levels of arsenic. EPAs standard balances the current understanding of arsenics possible health effects against the cost of removing arsenic from drinking water. EPA continues to research the health effects of low levels of arsenic, which is a mineral known to cause cancer in humans at high concentrations and is linked to other health effects such as skin damage and circulatory problems. (B) Systems that detect Arsenic between 10 g/L and 50 g/L must include a health effects statement in reports due between July 1, 2002 and July 1, 2006: Some people who drink water containing arsenic in excess of the MCL over many tears could experience skin damage or problems with their circulatoyt system, and may have an increased risk of getting cancer. (C) Systems which detect nitrates at levels above 5 mg/l, but below the MCL, the following language is REQUIRED: Nitrate in drinking water at levels above 10 ppm is a health risk for infants of less than six months of age. High nitrate levels in drinking water can cause blue baby syndrome. Nitrate levels may rise quickly for short periods of time because of rainfall or agricultural activity. If you are caring for an infant you should ask advice from your health care provider. (D) Systems which detect lead above the action level in more than 5%, and up to and including10 %, but fewer then 10%, of homes sampled, the following language is REQUIRED: Infants and young children are typically more vulnerable to lead in drinking water than the general population. It is possible that lead levels at your home may be higher than at other homes in the community as a result of materials used in your homes plumbing. If you are concerned about elevated lead levels in your homes water, you may wish to have your water tested and flush your tap for 30 seconds to 2 minutes before using tap water. Additional information is available from the Safe Drinking Water Hotline (1-800-426-4791). (E) Systems that have performed any monitoring for Cryptosporidium must indicate that Cryptosporidium may be present in the source water or the finished water and include the summary of the result and an explanation of the significance. We constantly monitor the water supply for various constituents. We have detected cryptosporidium in the __________ (finished water or source water). We detected this constituent in _____ out of _____ samples tested. We believe it is important for you to know that cryptosporidum may cause serious illness in 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. These people should seek advice from their health care providers. (F) Systems that have performed any monitoring for radon that indicates that radon may be present in the finished water must include the results of the monitoring and an explanation of the significance of the results. We constantly monitor the water supply for various constituents. We have detected radon in the finished water supply in _____ out of _____ samples tested. There is no federal regulation for radon levels in drinking water. Exposure to air transmitted radon over a long period of time may cause adverse health effects. (G) Systems that detect TTHMs above 0.080 mg/l, but below the MCL in Section 141.12, as an annual average, monitored and calculated under Section 141.30, must include health effects language prescribed as below: Some people who drink water containing trihalomethanes in excess of the MCL over many years experience problems with their liver, kidneys, or central nervous systems, and may have increased risk of getting cancer. Section 10. (Select the appropriate explanation for the Test Results Chart. If you had a violation, you are REQUIRED to have an explanation of the violation including, duration of the violation, potential adverse health effects and actions taken to address the violation. This is not required for detects.) What does this mean? If you had violations: The table shows that our system uncovered some problems this year. The duration of the violation was ... the potential adverse health effects are... (restate from health effects language in section 8) We (have corrected/are correcting) this by ................ If you had a detect but no violations: As you can see by the table, our system had no violations. Were proud that your drinking water meets or exceeds all Federal and State requirements. We have learned through our monitoring and testing that some constituents have been detected. The EPA has determined that your water IS SAFE at these levels. If you had monitoring or reporting violations: We constantly monitor for various constituents in the water supply to meet all regulatory requirements. This past year we (describe the violation). This does not pose a threat to the quality of our water supply. If you had no violations or detects the table is not required. Section 11. (Insert this REQUIRED Language.) All sources of drinking water are subject to potential contamination by substances that are naturally occurring or man made. These substances can be microbes, inorganic or organic chemicals and radioactive substances. All drinking water, including bottled water, may reasonably be expected to contain at least small amounts of some contaminants. The presence of contaminants does not necessarily indicate that the water poses a health risk. More information about contaminants and potential health effects can be obtained by calling the Environmental Protection Agencys Safe Drinking Water Hotline at 1-800-426-4791. Section 12. (It is recommended that this explanation be included.) MCLs are set at very stringent levels. To understand the possible health effects described for many regulated constituents, a person would have to drink 2 liters of water every day at the MCL level for a lifetime to have a one-in-a-million chance of having the described health effect. Section 13. (This tempered language is recommended in addition to the required language if you had a violation or detect of Total Coliform, Nitrates or Lead.) Total Coliform: The Total Coliform Rule requires water systems to meet a stricter limit for coliform bacteria. Coliform bacteria are usually harmless, but their presence in water can be an indication of disease-causing bacteria. When coliform bacteria are found, special follow-up tests are done to determine if harmful bacteria are present in the water supply. If this limit is exceeded, the water supplier must notify the public by newspaper, television or radio. To comply with the stricter regulation, we have increased the average amount of chlorine in the distribution system. Nitrates: As a precaution we always notify physicians and health care providers in this area if there is ever a higher than normal level of nitrates in the water supply. Lead: Lead in drinking water is rarely the sole cause of lead poisoning, but it can add to a person's total lead exposure. All potential sources of lead in the household should be identified and removed, replaced or reduced. Section 14. (If there is a significant number of non-English speaking customers, it is REQUIRED that they be informed in their language that the report is available. The State Primacy Agency determines the inclusion of this provision.) (If necessary include language for non-English speaking customers) Section 15. (This section offers an opportunity to inform your customers about the system, future expansion and/or rate increases. It is not a requirement of the report.) In our continuing efforts to maintain a safe and dependable water supply it may be necessary to make improvements in your water system. The costs of these improvements may be reflected in the rate structure. Rate adjustments may be necessary in order to address these improvements. Thank you for allowing us to continue providing your family with clean, quality water this year. In order to maintain a safe and dependable water supply we sometimes need to make improvements that will benefit all of our customers. These improvements are sometimes reflected as rate structure adjustments. Thank you for understanding. Section 16. (Include this REQUIRED Language.) 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 appropriate means to lessen the risk of infection by cryptosporidium and other microbiological contaminants are available from the Safe Drinking Water Hotline (800-426-4791). Section 17. (Recommended language to end your report on a positive note.) Please call our office if you have questions. We at (name of system) work around the clock to provide top quality water to every tap, said (name of water official). 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