2017 Wildfires |
2017 Wildfires - Return to Service Water Certification Form |
Form |
11/2017 |
| General Information |
Introduction to Regulatory Requirements for Public Water Systems (Handout 02) |
Handout 02 |
02/2016 |
| General Information |
Annual Report Form and Submission |
Form |
|
| Bacteriological |
Collecting Bacteriological Water Samples (Handout 32) |
Handout 32 |
07/2014 |
| Bacteriological |
Guidelines for Resolving Bacteriological Problems (Handout 33) |
Handout 33 |
07/2014 |
| Bacteriological |
Helpful Tips for Avoiding Bacteriological Problems (Handout 34) |
Handout 34 |
07/2014 |
| Bacteriological |
Small Surface Water System Bacteriological Sampling Plan (Form 36; Sonoma District Surface Water No Triggered Sampling) |
Form 36 |
01/2015 |
| Bacteriological |
Small Water System Bacteriological Sampling Plan with Groundwater Rule Compliance (Form 36A; Sonoma District) |
Form 36A |
01/2015 |
| Bacteriological |
Large Water System Bacteriological Sampling Plan - GW triggered source (Form 37; Sonoma District) |
Form 37 |
02/2015 |
| Bacteriological |
Large Water System Bacteriological Site Sampling Plan – Surface Water (Form 37a; Sonoma District) |
Form 37a |
02/2015 |
| CCR |
Tips for Completing Your CCR (Handout 15) |
Handout 15 |
02/2016 |
| Cross Connection Program |
Cross Connection Control for Noncommunity Water Systems (Handout 67) |
Handout 67 |
08/2004 |
| Cross Connection Program |
Cross Connection Control for Community Water Systems (Handout 68) |
Handout 68 |
11/2003 |
| Cross Connection Program |
Example Cross Connection Control Ordinance for a Small Water System (Handout 69) |
Handout 69 |
01/2002 |
| Disinfection Byproducts (DBP) - Stage 2 |
Stage 2 Disinfectants/Disinfection By products Monitoring Plan (Form 103-2) |
Form 103-2 |
12/2012 |
| Disinfection Byproducts (DBP) - Stage 2 |
Stage 2 DBP Reporting Form (Form 103D) |
Form 103D |
|
| Disinfection Byproducts (DBP) - Stage 2 |
Stage 2 Bromate Reporting Form (Form 103G; See User's Document below for more information) |
Form 103G |
06/2012 |
| Disinfection Byproducts (DBP) - Stage 2 |
Stage 2 Bromate Reporting Form User's Document (Handout 103G) |
Handout 103G |
07/2014 |
| OEL Forms |
Operational Evaluation Reporting Form |
Form |
|
| OEL Forms |
Source Water Evaluation Checklist |
Checklist |
|
| OEL Forms |
Treatment Process Evaluation Checklist |
Checklist |
|
| OEL Forms |
Distribution System Evaluation Checklist |
Checklist |
|
| Drinking Water Source Assessment Program |
Drinking Water Source Assessment - New Well (Form 8-15) |
Form 8-15 |
|
| Drinking Water Source Assessment Program |
Drinking Water Source Assessment - New Spring (Form 8-16) |
Form 8-16 |
|
| Drinking Water Source Assessment Program |
Drinking Water Source Assessment - Cover Letter (Form 8-17) |
Form 8-17 |
|
| Emergency Notification Plans (ENP) |
ENP (Form 21; Sonoma District) |
Form 21 |
|
| Emergency Notification Plans (ENP) |
Example ENP Page 2 for Community Systems (Handout 22) |
Handout 22 |
|
| Emergency Notification Plans (ENP) |
Example ENP Page 2 for Non-Community Systems (Handout 23) |
Handout 23 |
|
| Example Operations Plans and Forms for Small Water Systems |
Operations Plan Small Groundwater System |
|
|
| Example Operations Plans and Forms for Small Water Systems |
Operations Plan Small Groundwater System with Chlorination |
|
|
| Example Operations Plans and Forms for Small Water Systems |
Surface Water Treatment Plant Operations Plan Form |
Form |
11/2003 |
| Lead and Copper |
Lead and Copper Rule Sampling Guidance (Handout 50) |
Handout 50 |
02/2016 |
| Lead and Copper |
Lead and Copper Results Reporting Form (Form 52L) |
Form 52L |
08/2017 |
| Lead and Copper |
Lead and Copper Results Worksheet - Modified (Form 52M) (Updated 5/2016) |
Form 52M |
05/2016 |
| Lead and Copper |
Lead and Copper Proof of Consumer Notification - Community Water Systems (Form 53A) |
Form 53A |
|
| Lead and Copper |
Lead and Copper Proof of Consumer Notification - Nontransient-Noncommunity Water Systems (Form 53B) |
Form 53B |
|
| Lead and Copper |
Lead and Copper Proof of Notification (Form 53) |
Form 53 |
|
| Lead and Copper |
Lead and Copper Rule Collection Procedures - English & Spanish (Handout 54A) |
Handout 54A |
07/2016 |
| Lead and Copper |
Lead and Copper Text for Lead Public Education Program - Community Water Systems (Handout 55A) |
Handout 55A |
|
| Lead and Copper |
Lead and Copper Text for Lead Public Education Program - Nontransient - Noncommunity Water Systems (Handout 55B) |
Handout 55B |
|
| Lead and Copper |
Example Letter for Community WS Consumer Notification (Handout 55X) |
Handout 55X |
|
| Lead and Copper |
Example Letter for Nontransient-Noncommunity WS Consumer Notification (Handout 55Y) |
Handout 55Y |
|
| Lead and Copper |
Lead and Copper Initial WQP Monitoring (Form 56) |
Form 56 |
07/2014 |
| Notification Templates |
Notification Templates |
|
|
| Operational Handouts |
Well Surface Seal Requirements (Handout 60) |
Handout 60 |
01/2008 |
| Operational Handouts |
Well Disinfection Procedures (Handout 61) |
Handout 61 |
07/2014 |
| Operational Handouts |
Tank Disinfection Procedures (Handout 62) |
Handout 62 |
07/2014 |
| Operational Handouts |
Steel Tank Coating Requirements (Handout 63) |
Handout 63 |
07/2014 |
| Operational Handouts |
Chlorination Operational Requirements (Handout 64) |
Handout 64 |
07/2014 |
| Operational Handouts |
Customer Complaint Form (Form 65) |
Form 65 |
07/2014 |
| Operational Handouts |
Requirements for Drinking Water Additives (Handout 70) |
Handout 70 |
06/2009 |
| Operational Handouts |
4-log Virus Inactivation through Chlorine Disinfection (Handout 120) |
Handout 120 |
09/2018 |
| Example Operations Plans and Forms for Small Water Systems |
4-log Virus Inactivation Using Chlorination - Monitoring and Operations Plan Form (Handout 121) |
Handout 121 |
|
| Permits |
SB1263 Handout |
Handout SB1263 |
06/2017 |
| Permits |
Request a New Water Supply Permit Application (Form 7-00a) |
Form 7-00a |
08/2018 |
| Permits |
Request a Water Supply Permit Amendment Application
(Form 7-00b) |
Form 7-00b |
12/2016 |
| Permits |
System Information Sheet (Form 7-03) |
Form 7-03 |
07/2014 |
| Permits |
Water System Schematic Requirements (Form 7-09) |
Form 7-09 |
|
| Permits |
Example: Water System Schematic (Form 7-09a) |
Form 7-09a |
05/2013 |
| Permits |
Water System Contacts Form (Form 7-18) |
Form 7-18 |
04/2017 |
| Surface Water |
LT2 E. Coli Sampling Plan |
|
|
| TMF (Technical, Managerial, Financial) |
TMF Assessment Forms |
Form |
|
| Wells |
8-Hour Pumping Test for Wells in Alluvial Soils (Handout 9A) |
Handout 9A |
01/2018 |
| Wells |
Well Capacity Determination for Wells in Bedrock (Handout 9B) |
Handout 9B |
03/2018 |
| Wells |
Well Concrete Base or Pad Construction Requirements (Handout 60) |
Handout 60 |
01/2008 |
| Wells |
8-Hour, 72-Hour, and 10-Day Pump Test Form (See worksheet tabs for different durations) |
Form |
|
| Tank Inspection |
All Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Ground Level Concrete Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Ground Level Poly Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Ground Level Pressure Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Ground Level Redwood Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Ground Level Steel Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Underground Concrete Tank Inspection Form |
Form |
08/2017 |
| Tank Inspection |
Inspection Photograph Requirements (Required for all self-inspections) |
|
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