
ME DHHS Coliform Bacteria Level 2 Assessment Form 2016-2025 free printable template
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Department of Health & Human Services Maine Center for Disease Control and Prevention Drinking Water Program Coliform Bacteria Level 2 Assessment Form
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How to fill out ME DHHS Coliform Bacteria Level 2

How to fill out ME DHHS Coliform Bacteria Level 2 Assessment
01
Gather required materials: assessment form, water sample bottles, and instructions.
02
Review the assessment instructions to understand all necessary sections.
03
Fill in the facility information, including the name, address, and contact details.
04
Record the date and time of the sample collection.
05
Indicate the source of the water, such as well, surface, or municipal.
06
Complete any additional questions regarding previous contamination incidents.
07
Document the testing results of the previous coliform bacteria tests, if applicable.
08
Provide information on any corrective actions taken after previous assessments.
09
Sign and date the assessment form after reviewing all provided information.
10
Submit the completed assessment form and associated documentation to the relevant department.
Who needs ME DHHS Coliform Bacteria Level 2 Assessment?
01
Public and private water systems that test positive for coliform bacteria.
02
Water system owners and operators seeking to demonstrate compliance with health standards.
03
Individuals or entities responsible for the safety of drinking water supplies.
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What is ME DHHS Coliform Bacteria Level 2 Assessment?
The ME DHHS Coliform Bacteria Level 2 Assessment is a detailed evaluation process conducted by the Maine Department of Health and Human Services to identify the source and possible measures to address recurring contamination of drinking water supplies by coliform bacteria.
Who is required to file ME DHHS Coliform Bacteria Level 2 Assessment?
Public water systems that test positive for coliform bacteria on repeated occasions are required to file the ME DHHS Coliform Bacteria Level 2 Assessment.
How to fill out ME DHHS Coliform Bacteria Level 2 Assessment?
To fill out the ME DHHS Coliform Bacteria Level 2 Assessment, water system operators should follow specific guidelines provided by the Maine DHHS, including accurately documenting sample locations, times, conditions, and results, along with any corrective actions taken.
What is the purpose of ME DHHS Coliform Bacteria Level 2 Assessment?
The purpose of the ME DHHS Coliform Bacteria Level 2 Assessment is to assess the potential causes of coliform contamination and to implement strategies to mitigate the risks to public health and ensure safe drinking water.
What information must be reported on ME DHHS Coliform Bacteria Level 2 Assessment?
Information required to be reported on the ME DHHS Coliform Bacteria Level 2 Assessment includes details of the water system, results from previous bacteriological tests, any corrective measures executed, and an analysis of the possible reasons for the contamination.
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