Get the free Small Water System Chlorination Report Form (MOR12)

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Monthly Chlorination Report Water System Name: ___ Water System Code: ___ Month: ___ Year: ___ Operatorincharge (Print): ___ Other Operators (Print): ___ Daily Consumption Units: ______Flow Meter

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How to fill out small water system chlorination

01

Prepare the chlorine solution by mixing the appropriate amount of chlorine with water.

02

Turn off the water supply to the system.

03

Open each tap in the system to allow the chlorine solution to flow through.

04

Let the chlorine solution sit in the system for the recommended amount of time.

05

Flush the system with clean water to remove any residual chlorine before using the water again.

Who needs small water system chlorination?

01

Small water systems that have been contaminated or are at risk of contamination.

02

Communities or households relying on well water that may lack proper treatment facilities.

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What is small water system chlorination?

Small water system chlorination is the process of adding chlorine to disinfect and purify water in a small water system.

Who is required to file small water system chlorination?

Small water system operators are required to file small water system chlorination.

How to fill out small water system chlorination?

To fill out small water system chlorination, operators must provide information on chlorine dosage, contact time, and system volume.

What is the purpose of small water system chlorination?

The purpose of small water system chlorination is to eliminate harmful bacteria and pathogens in the water supply.

What information must be reported on small water system chlorination?

Operators must report chlorine dosage, contact time, system volume, and any issues encountered during the chlorination process.

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