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Forms, Tools and Fact Sheets
Quick Links to "Forms, Tools and Fact Sheets" Webpage Content:
Drinking Water Laboratory Information:
Domestic Well Testing:
Monitoring & Report Formats: These outline the testing requirements for the various types of water systems. To determine your water system type, use this flow chart (pdf)
Coliform:
Turbidity and Surface Water Treatment:
Disinfection Byproducts (DBP):
Maximum Residual Disinfectant Level Report (MRDL) Form: Download and use this form to report MRDL samples collected in the distribution system to DHS-Drinking Water Program. Click here to download form.
Chemical Monitoring: *Note: New sampling requirements have been added for Disinfection Byproducts and Radionuclides that may effect your water system. Please consult the fact sheets below for further information:
Arsenic:
Radionuclides:
Lead and Copper Public Education Requirements:
Lead and Copper Corrosion Control Treatment (i.e. Lead and Copper Rule) Reporting Forms:
Lead and Copper Reporting and Monitoring Guidance: This is Form 141-A for certification of Lead and Copper sampling. Form submission is only required when there is a change in routine Lead/Copper sampling locations. Download two-page (pdf) form in document called EPA Lead and Copper Reporting and Monitoring Guidance for Public Water Systems (pp 99-100).
Lead Testing: EPA has a manual that describes how drinking water can be tested for lead, and how contamination problems can be corrected. This manual called Lead in Drinking Water in Schools and Non-Residential Buildings is intended for use by school officials responsible for the water system maintenance and/or safety. Revised technical guidance is available in EPA's 3Ts for Reducing Lead in Drinking Water in Schools. For more information about lead poisoning, contact DHS-Public Health Division, Lead Poisoning Prevention Program (ph. 971-673-0440) or click here.
EPA Revised Public Notification Rule: Now required by the 1996 Safe Drinking Water Act Amendments to make public notification easier and more effective. As a result, consumers will see notices much faster during emergencies, which are also easier to read and understand. Furthermore, regulators and water systems will now have more concise standard language and notices. Public notices are now divided up into three (3) categories based on public health risk:
Tier 1--Critical/Urgent (must issue within 24 hours)
Tier 2--Important (must issue within 30 days)
Tier 3--No immediate concern (must issue within one year)
EPA Revised Public Notification Rule Compliance Help: Compliance help for water system owners and operators can be obtained by clicking here: http://www.epa.gov/safewater/publicnotification/compliancehelp.html.
EPA Revised Public Notification Handbook: Contains information on Public Notification Rule and violation types. Handbook also includes public notice templates, strategic planning concepts, standard and appropriate health effects language usage, and translated phrases in twenty-seven foreign languages (i.e. Arabic, Chinese, Farsi, Korean, Russian, Spanish, Thai, Ukrainian, Vietnamese and more). Download handbook here: http://www.epa.gov/safewater/publicnotification/pdfs/guide_publicnotification_pnhandbook.pdf.
Public Notice Templates: These are commonly used templates, procedures and forms for public water systems to utilize when exceeding a Maximum Contaminant Level (MCL); failing to complete required tests; failing to report the results; failing to meet treatment techniques; etc. Templates are available for download below (please consult "EPA Revised Public Notification Rule" section above for appropriate use criteria).
Oregon Licensed Food Service Facilities: DHS-Public Health Division, Foodborne Illness Prevention Program has an emergency fact sheet related to licensed food service facilities and contaminated water supplies: Emergency Response Fact Sheet. For more information about licensed food service facilities and restaurant safety, call ph. 971-673-0451 or click here.
Boil Water Notices: Public water systems must immediately contact DHS-Drinking Water Program (ph. 971-673-0405) if issuing any boil water advisory. The document called Commonly Asked Questions Following a Boil Water Notice provides more information.
Fact Sheets, Interpretations and Techniques: Do you operate a public water system? Figure out what kind of system you have with this flow chart.
Chemicals and Health Effects: Bulletins below cover possible health effects of drinking water containing these chemicals. For more information on chemcials and health effects, please contact DHS-Public Health Divison, Toxicology Consultation (ph. 971-673-0440) or click here. All bulletins are in PDF format.
Fluoride: Systems Adjusting Fluoride (pdf)
Groundwater Under Direct Influence of Surface Water (GWUDI): Refers to a groundwater source that is located close enough to nearby surface water (i.e. a river or lake) to receive direct surface water recharge. Since a portion of the groundwater source's recharge is from surface water, the groundwater source is considered at risk of contamination from pathogens and viruses that are not normally found in true groundwaters. For more information about GWUDI, please click the links below:
Oregon Water System Plan Review Requirements: Water system plans must be submitted to, and approved by, State Public Health Division, Drinking Water Program before the construction of a new system, or major additions or modifications to existing systems. For more details on requirements, land use statement, fee schedule, and waiver from construction standards, click here.
Local County Health Department Resources: Information and forms on inventory, contacts, and water system surveys are available for download below:
Data and Information Order Form: DHS-Drinking Water Program charges a small fee (usually $75.00) for 3rd-party data requests. To order data, click here to download order form (pdf), complete required information, and return with check and postage to the address listed on the form.
DHS-Drinking Water Program Training: Documents and files from past conferences, seminars and trainings are available below.
To request a CD (or alternative formats), please contact the DHS-Drinking Water Program (business hours: 8AM - 5PM, Mon-Fri), ph. 971-673-0405.
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