Consumer Confidence Report
Template
This template is copyrighted
with unlimited distribution and reproduction to NRWA member state associations
This template is designed by sections and allows you to
customize your report for your system. You must read the directions for
completion of the report located on this disk in the file labeled “templatedirections.rtf”. Also included on this disk
is the federal regulation labeled “ccrregulation.rtf” which provides additional detailed requirements of the regulation.
These are essential to understanding the complicated regulatory requirements of
the EPA.
This template is set-up to allow you to
use it in several ways. You may choose to use the template to make your
selections then delete the selection headings and language that does not apply
to your utility. You may choose to use the copy and paste function on your word
processing software or to manually type in the desired selections to another
document. Be sure to proofread your report to insure all non-appropriate
language and section headings have been deleted before publishing.
Section 1. (Choose a title and delete the remaining choices. This is optional.)
Quality on Tap Report
Quality
Water Report
Annual
Drinking Water Quality Report
The
Water We Drink
(Insert name of System after your title selection)
Section 2. (Make a Selection from this optional language and delete the remaining
choices. It is REQUIRED that you
identify the type and source of your water supply.)
We're
pleased to present to you this year's Annual Quality Water Report. This report
is designed to inform you about the quality water and services we deliver to
you every day. Our constant goal is to provide you with a safe and dependable
supply of drinking water. We want you to understand the efforts we make to
continually improve the water treatment process and protect our water
resources. We are committed to ensuring the quality of your water. Our water
source is (name the source and type, i.e., wells: Our
wells draw from the Duncan Aquifer, surface water: i.e., River Jordan or we
purchase our water from the City of
We’re very pleased to provide you
with this year's Annual Quality Water Report. We want to keep you informed
about the excellent water and services we have delivered to you over the past
year. Our goal is and always has been, to provide to you a safe and dependable
supply of drinking water. Our water source is (name
the source and type, i.e., wells: Our wells draw from the Duncan Aquifer,
surface water: i.e., River Jordan or we purchase our water from the City of
(If you have a source water assessment plan you must include a
statement informing the consumers of the availability of the information and
means to obtain it. If the system has
received a source water assessment from the primacy agency, you must include a
brief summary of the system’s susceptibility to potential sources of
contamination, using language provided by the primacy agency or written by the
operator).
We have a source water
protection plan available from our office that provides more information such
as potential sources of contamination.
Section 3. (Make a selection from this optional language and delete the
remaining choice.)
I'm
pleased to report that our drinking water is safe and meets federal and state
requirements.
This
report shows our water quality and what it means.
Section 4. (Enter this REQUIRED language.
The telephone number of the owner, operator or designee must be included
along with the time and place of regularly scheduled board meetings.)
If
you have any questions about this report or concerning your water utility,
please contact (give
the name and number of a designee able to address the customers
questions). We
want our valued customers to be informed about their water utility. If you want
to learn more, please attend any of our regularly scheduled meetings. They are
held on (give
the day, date, time and location) this is REQUIRED
information.
Section 5. (The period the report covers is REQUIRED language.)
(Name of your water system) routinely
monitors for constituents in your drinking water according to Federal and State
laws. This table shows the results of our monitoring for the period of January
1st to December 31st,
(year). All drinking water, including
bottled drinking water, may be reasonably expected to contain at least small
amounts of some constituents. It's
important to remember that the presence of these constituents does not
necessarily pose a health risk.
Section 6. (For each constituent that is detected or is a violation, the level
detected, unit of measurement, the MCLG, the MCL and the likely source of
contamination is REQUIRED to be reported in the Test Results Table (see section
7). This section provides definitions of
the units of measurement. Include the paragraph and appropriate definitions of
the unit of measurement for any constituent or detect you report in the Test
Result Table.)
In
this table you will find many terms and abbreviations you might not be familiar
with. To help you better understand these terms we've provided the following
definitions:
Non-Detects (ND)
- laboratory analysis indicates that the constituent is not present.
Parts per million (ppm)
or Milligrams per liter (mg/l) - one part per
million corresponds to one minute in two years or a single penny in $10,000.
Parts per billion (ppb) or Micrograms per
liter - one part per billion corresponds to one
minute in 2,000 years, or a single penny in $10,000,000.
Parts per trillion (ppt)
or Nanograms per liter (nanograms/l)
- one part per trillion corresponds to one minute in 2,000,000 years, or a
single penny in $10,000,000,000.
Parts per quadrillion (ppq) or Picograms per liter (picograms/l) - one part per
quadrillion corresponds to one minute in 2,000,000,000 years or one penny in
$10,000,000,000,000.
Picocuries per liter (pCi/L)
- picocuries per liter is a
measure of the radioactivity in water.
Millirems per year (mrem/yr)
- measure of radiation absorbed by the body.
Million Fibers per Liter (MFL)
- million fibers per liter is a measure of the presence of asbestos fibers that
are longer than 10 micrometers.
Nephelometric Turbidity Unit (NTU)
- nephelometric turbidity unit is a measure of the
clarity of water. Turbidity in excess of 5 NTU is just noticeable to the
average person.
Variances & Exemptions (V&E)
- State or EPA permission not to meet an MCL or a treatment technique under
certain conditions. (Only systems with a variance or exemption are REQUIRED to include this
definition. In addition, it is REQUIRED to provide an explanation of
the reasons for the variance or exemption, date issued,
status or remediation.)
Action Level (
Treatment Technique (TT)
- (mandatory language) A treatment technique is a
required process intended to reduce the level of a contaminant in drinking
water.
Maximum Contaminant Level
- (mandatory language) The “Maximum Allowed” (MCL) is the highest level of a contaminant
that is allowed in drinking water. MCLs are set as close to the MCLGs
as feasible using the best available treatment technology.
Maximum Contaminant Level Goal
- (mandatory language) The “Goal”(MCLG) is the level
of a contaminant in drinking water below which there is no known or expected
risk to health. MCLGs
allow for a margin of safety.
Maximum Residual Disinfectant Level Goal (MRDLG) - The level of a drinking water
disinfectant below which there is no known or expected risk to health. MRDLGs do not reflect the benefits of the use of
disinfectants to control microbial contaminants.
Maximum Residual Disinfectant Level (MRDL) - The highest level of a
disinfectant allowed in drinking water. There is convincing evidence that
addition of a disinfectant is necessary for control of microbial contaminants.
Section 7. (The information from the table below is REQUIRED for each
constituent that is a violation of the MCL or detect. The results must be
reported in whole numbers. See Section 7
of the template instructions for conversion factors.)
For unregulated contaminants for which monitoring is required except
Cryptosporidium, the table must contain the average and range at which the
contaminant was detected.
For turbidity, lead & copper, fecal coliform
and total coliform, refer to the instructions and the
regulation for special requirements.
(For public relations purposes, it is recommended you consider
printing the entire table to demonstrate the number of constituents tested for
and not detected. If there are no violations or detects this table does not
have to be included.)
|
TEST RESULTS |
||||||
|
Contaminant |
Violation Y/N |
Level
Detected |
Unit Measurement |
MCLG |
MCL |
Likely Source of Contamination |
|
Microbiological
Contaminants |
||||||
|
Total Coliform
Bacteria |
|
|
|
0 |
(systems
that collect 40 or more samples per month) 5% of monthly samples are
positive; (systems that collect fewer than 40 samples per month) 1 positive
monthly sample |
Naturally present in the environment |
|
Fecal
coliform and E.coli |
|
|
|
0 |
a
routine sample and repeat sample are total coliform
positive, and one is also fecal coliform or E. coli positive |
Human and animal fecal waste |
|
Turbidity |
|
|
|
n/a |
TT |
Soil runoff |
|
Radioactive
Contaminants |
||||||
|
Beta/photon
emitters |
|
|
mrem/yr |
0 |
4 |
Decay of natural and man-made deposits |
|
Alpha emitters |
|
|
pCi/1 |
0 |
15 |
Erosion of natural deposits |
|
Combined radium |
|
|
pCi/1 |
0 |
5 |
Erosion of natural deposits |
|
Uranium |
|
|
ppb |
0 |
30 |
Erosion of natural deposits |
|
Inorganic
Contaminants |
||||||
|
Antimony |
|
|
ppb |
6 |
6 |
Discharge from petroleum refineries; fire
retardants; ceramics; electronics; solder |
|
Arsenic * A community water system that
detects arsenic above 10 ppb and up to and Including 50ppb must include the
arsenic health effects language. |
|
|
ppb |
n/a |
50 |
Erosion of natural deposits; runoff from
orchards; runoff from glass and electronics production wastes |
|
Asbestos |
|
|
MFL |
7 |
7 |
Decay of asbestos cement water mains; erosion
of natural deposits |
|
Barium |
|
|
ppm |
2 |
2 |
Discharge of drilling wastes; discharge from
metal refineries; erosion of natural deposits |
|
Beryllium |
|
|
ppb |
4 |
4 |
Discharge from metal refineries and
coal-burning factories; discharge from electrical, aerospace, and defense
industries |
|
Bromate |
|
|
ppb |
10 |
0 |
By-product of drinking water disinfection. |
|
Cadmium |
|
|
ppb |
5 |
5 |
Corrosion of galvanized pipes; erosion of
natural deposits; discharge from metal refineries; runoff from waste
batteries and paints |
|
Chloramines |
|
|
ppm |
MRDLG
= 4 |
MRDL
= 4 |
Water additive used to control microbes. |
|
Chlorine |
|
|
ppm |
MRDLG
= 4 |
MRDL
= 4 |
Water additive used to control microbes. |
|
Chlorine dioxide |
|
|
ppb |
MRDLG
= 800 |
MRDL
= 800 |
Water additive used to control microbes. |
|
Chlorite |
|
|
Ppm |
1 |
0.8 |
By-product of drinking water disinfection. |
|
Chromium |
|
|
ppb | |||