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%No. ..i <br /> EMERGENCY NOTIFICATION PLAN FOR SMALL WATER SYSTEMS <br /> The California Health and Safety Code. Division 5, Part 1, Chapter 7, Article 5, Section <br /> 4029, requires all water systems to have an Emergency Notification Plan submitted to <br /> and approved by San Joaquin County Public Health Services, Environmental Health <br /> Division (Department) and updated annually. This plan is to be implemented whenever <br /> the State or Department determines that your water supply fails to meet water quality <br /> standards and represents an imminent danger to the health of the water users. <br /> Your plan must include specific information regarding how an emergency water situation <br /> would be handled at your site and the procedure to be followed for notifying and <br /> protecting customers. <br /> An appropriate method of notifying small water system users of imminent danger from <br /> unsafe water must be used. Users must be informed that water must not be consumed <br /> until it is safe to do so. Please acknowledge methods you will use to notify your water <br /> system in the event that you must initiate your Emergency Notification Plan. Please <br /> return this form to this Department within 7 days of receipt. <br /> I propose to notify my water consumers by the following method: <br /> Xv Post warnings in a conspicuous place <br /> /� Shutting off all water R x <br /> Door to door contact 9 1 E <br /> Written hand outs APR 1 9 2019n <br /> Telephone ENVIRG % __— <br /> [ propose to notify my water consumers by the following alternate me'tol� IT / SLH\, : ES <br /> Provide names, addresses, and day/night phone numbers for two contacts this Department <br /> could reach in an emergency. <br /> y73- Y37v -NftF <br /> Name G Address // {� Phone (Daypand/Night) y <br /> it's 114'i MY- ZV/ <br /> 2 Phone (Day and Night) <br /> Name Address <br /> I concur with the above-mentioned plan. <br /> 5-'�pckts„ Signature and Title Date <br /> Name of water system <br />