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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTHPUBLIC WATER SYSTEM SCREENING FORM Pursuant to CGS Sections 16262 m & 825a and ROSA Section 1913B102 Section 1: Basic Information Conversion of Existing
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How to fill out public water system screening

How to fill out public water system screening
01
Gather all necessary information for the public water system screening form.
02
Start by providing basic information about the public water system such as its name, location, and contact information.
03
Specify the type of water system being screened (e.g., community water system, non-transient non-community water system).
04
Provide information about the water sources used by the system, including their names, locations, and characteristics.
05
Describe the treatment processes employed by the system to ensure water quality.
06
Include details about any previous water quality violations or incidents and the actions taken to address them.
07
Provide information about the system's operation and maintenance practices.
08
Describe the system's monitoring and reporting protocols.
09
Fill out any additional sections or attachments required by the screening form.
10
Review the filled-out form for any errors or missing information before submitting it.
11
Submit the completed public water system screening form to the appropriate authority or agency.
Who needs public water system screening?
01
Public water system screening is needed by operators of public water systems.
02
It is necessary for water treatment plant managers, system operators, and other personnel responsible for ensuring the safety and quality of public drinking water.
03
Regulatory agencies and governing bodies also require public water system screening to assess compliance with regulations and identify potential risks to public health.
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What is public water system screening?
Public water system screening is a process used to evaluate and assess the quality and safety of water supplied by public water systems. It involves testing for contaminants and ensuring compliance with health regulations.
Who is required to file public water system screening?
Public water systems, including municipalities, water districts, and other entities that supply water to the public, are required to file public water system screening.
How to fill out public water system screening?
To fill out public water system screening, entities should gather data regarding water quality, sampling results, and operational reports, and complete the official screening form provided by the regulatory authority.
What is the purpose of public water system screening?
The purpose of public water system screening is to ensure safe drinking water for the public by identifying potential contaminants, assessing compliance with health standards, and protecting public health.
What information must be reported on public water system screening?
Information that must be reported includes the source of water, testing results for various contaminants, operational data, and any corrective actions taken to address issues.
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