Laserfiche WebLink
EMERGENCY NOTIFICATION PLAN FOR SMALL WATER SYSTEMS <br />To: Small Water System Owners/Managers Date: <br />I propose to notify my water consumers by the following method: <br />I propose to notify my water consumers by the following alternate method: <br />1. <br />EH0336 9/94 <br />___ Post warnings in a conspicuous place <br />X_Shutting off all water <br />X- Door to door contact <br />___ Written hand outs <br />___ Telephone <br />Your Plan must include specific information regarding how an emergency water situation would <br />be handled at your site and the procedure to be followed for notifying and protecting customers. <br />The California Health and Safety Code, Division 5, Part 1, Chapter 7, Article 5, Section 4029, <br />requires all water systems to have an Emergency Notification Plan submitted to and approved <br />by San Joaquin County Public Health Services, Environmental Health Division (Department) and <br />updated annually. This plan is to be implemented whenever the State or Department determines <br />that your water supply fails to meet water quality standards and represents an imminent danger <br />to the health of the water users. <br />Address <br />Address <br />Date <br />fad) 4^2; 5U\ <br />Phone day/night <br />Phone day/night <br />An appropriate method of notifying small water system users of imminent danger from unsafe <br />water must be used. Users must be informed that water must not be consumed until it is safe <br />to do so. Please acknowledge methods you will use to notify your water system users in the <br />event you must initiate your Emergency Notification Plan. Please return this form to this <br />Department within 7 days of receipt. <br />I concur with the above mentioned plan. q n / / <br />Name of Water System Signature/ Title Z <br />Uxwcp MRP <br />Provide names, addresses, and day/night phone numbers for two contacts this Department could <br />reach in an emergency. <br />Name <br />2. rbu'RvAc <br />Name