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Get the free Annual Water Quality Report Certification Form - co dutchess ny

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This form certifies that the Annual Water Quality Report has been distributed to customers and confirms the accuracy of the report in accordance with compliance monitoring data.
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How to fill out annual water quality report

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How to fill out Annual Water Quality Report Certification Form

01
Obtain the Annual Water Quality Report Certification Form from the appropriate regulatory agency or website.
02
Fill in the required information about the water supply system, including its name and identification numbers.
03
Provide details on the water quality results, ensuring accuracy and adherence to required standards.
04
Certify the report by signing and dating it, confirming that all information is correct.
05
Submit the completed certification form by the specified deadline, either electronically or via mail.

Who needs Annual Water Quality Report Certification Form?

01
Water suppliers, including municipalities and private companies that provide drinking water to the public.
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The Annual Water Quality Report Certification Form is a document that certifies that a public water system has completed its annual water quality report and made it available to its consumers, as required by the Safe Drinking Water Act.
Public water systems serving more than 10,000 people are required to file the Annual Water Quality Report Certification Form with their state agency, as well as systems that serve fewer than 10,000 people if they receive specific funding or are part of a specific program.
To fill out the Annual Water Quality Report Certification Form, water system operators must provide the necessary information about their water quality report, including the report's date, distribution method, and a statement certifying that it was delivered to customers.
The purpose of the Annual Water Quality Report Certification Form is to ensure that public water systems comply with the requirements of the Safe Drinking Water Act by providing consumers with important information about their water quality.
The information that must be reported includes the name of the water system, the contact information of the person responsible for the report, the date the report was distributed, the method of distribution, and a certification statement confirming compliance with reporting requirements.
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