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SMALL WATER SYSTEMS <br />To:Small Water System Managers <br />From: <br />we recommend that the <br />handout sheets, or telephone. <br />Please acknowledge your concurrence and acceptance with this means of noti­ <br />fication. <br />* ★ ★★ * <br />s. <br />★★ ★★ <br />★ <br />1. <br />2. <br />Name Address <br />Telephone - - day/night cny <br />ALTERNATE PLAN <br />I propose to notify my water consumers by the following method:. <br />STANDARD_PLAN <br />I concur with the abovementioned plan. <br />r <br />Name of Wa'ter Utility <br />Date <br />★ ★ ★ <br />★ , -i If ★ <br />★ ★ <br />* ★ ★ ★ <br />if'k'kififif'kifififific <br />★ * <br />★ ★ <br />★ * <br />★ ★★★★★ <br />★ ★ <br />Signature & Title *★★*★*★★* <br />★ ★ <br />★ ★ <br />★ ★ ★ ★ <br />★ ★ <br />* ★ * ★ <br />★ ★ <br />Address' <br />City <br />Signature & Title ********** <br />The California State Legislature has adopted legislation requiring all water <br />utilities to have an Emergency Notification Plan. This plan is to be imple­ <br />mented when ever the State or local Department of Health determines that your <br />water supply fails to meet water quality standards and represents an inrninent <br />danger to the health of the water users. The legislation further requires <br />that you develop and submit a Notification Plan to this Department for approval. <br />For systems serving fewer than 200 service connections we recommend that the <br />means of notification of your customers be by door-to-door contact, written <br />Name of two persons residing in the area to be contacted regarding implementation <br />of the Notification Plan: <br />o^Lm^/za/^ Or? Cajirp _ <br />Name <br />Telephone - - d^y/night <br />★ ★ ★ ★