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Well Disinfection Disclosure $295 for 1 hour $100 for each additional hour if needed ** Turn off circuit breaker to well prior to chlorination West fair Water Systems, Inc. shall not be responsible

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How to fill out well disinfection disclosure

01

To fill out the well disinfection disclosure form, follow these steps:

02

Begin by providing your personal information such as name, address, and contact details.

03

Specify the date when the well disinfection process took place.

04

Describe the disinfection method used, whether it involved chemical treatment, shock chlorination, or any other approach.

05

Provide details of the disinfectant or chemicals used, including their names and quantities.

06

Give a brief description of the well, mentioning its depth, location, and any additional relevant information.

07

Indicate if there were any issues or concerns encountered during the disinfection process.

08

Sign the form to certify the accuracy of the provided information.

09

Submit the filled-out form to the appropriate authority or keep a copy for your records.

Who needs well disinfection disclosure?

01

Well disinfection disclosure is typically required by individuals or organizations involved in well water testing, maintenance, and treatment.

02

This form is necessary for well owners, water testing laboratories, well drilling companies, and government agencies responsible for monitoring water quality.

03

It ensures transparency and accountability in well disinfection procedures to safeguard public health and prevent contamination risks.

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What is well disinfection disclosure?

Well disinfection disclosure is a legal document that must be filed to report that a water well has been disinfected, ensuring that the water quality is safe for use.

Who is required to file well disinfection disclosure?

Owners or operators of water wells that have undergone disinfection are required to file well disinfection disclosure.

How to fill out well disinfection disclosure?

To fill out a well disinfection disclosure, follow the provided form instructions, include details about the disinfection process, and submit it to the relevant regulatory agency.

What is the purpose of well disinfection disclosure?

The purpose of well disinfection disclosure is to document the disinfection of a well for health and regulatory compliance, ensuring safe drinking water.

What information must be reported on well disinfection disclosure?

The disclosure must report details like the date of disinfection, method used, water quality testing results, and well location.

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