Drinking Water System Operator Tools and Forms
Monitoring & Report Formats

Coliform
Turbidity and Surface Water Treatment
Chemical Monitoring
Lead and Copper Corrosion Control
Lead and Copper Reporting and Monitoring Guidance
Public Notices
Data and Information Order Form
Fact Sheets, Interpretations and Techniques
Chemicals and Health Effects
Local County Health Department Information & Forms
Sanitary Surveys
Drinking Water Program Training

Water Hauling Guidelines for Oregon drinking water (pdf)

Drinking Water Laboratory Information
Accredited and Certified Lab Lists, and Lab Reporting Forms
Direct Lab Reporting Procedure (Effective: April 1, 2006)

Domestic Well Testing
Domestic Well Testing form (pdf )
Additional Domestic Well Testing information

Monitoring & Report Formats: These outline the testing requirements for the various types of water systems. To determine your water system type, use this flowchart (pdf)

Coliform
A Small Systems Guide to the Total Coliform Rule
Coliform Bacteria (pdf)
Coliform Bacteria and how to disinfect a well (pdf)
Turbidity and Coliform monitoring frequencies for all Systems (pdf)
Proper Microbiological Sampling Techniques (pdf)
How to Interpret Coliform Test Results (pdf)
How to Develop a Coliform Sampling Plan --Spring 1994 Pipeline (pdf)
Coliform Sampling Plan Template for Small Systems (pdf)

Turbidity and Surface Water Treatment
Turbidity and Coliform monitoring frequencies for all Systems (pdf)
Turbidity Monitoring and CT Summary Report (pdf)
Interim Enhanced Surface Water Treatment Rule: A Quick Reference Guide (pdf)
Long Term 1 Enhanced Surface Water Treatment Rule: A Quick Reference Guide (pdf)
Filter Backwash Recycling Rule: A Quick Reference Guide (pdf)
Tracer Study Parameter and Results Form (MS Excel)

Disinfection Byproducts
Quick Reference Guide (pdf)
General M-DBP Fact Sheet (pdf)
Stage 1 DBPR Fact Sheet (pdf)
DBP Outreach Plan (pdf)
Chloramine Information

Maximum Residual Disinfectant Level Report Form (MRDL): Download and use this form to report MRDL to Public Health Division, Drinking Water Program samples collected in the distribution system.  Maximum Residual Disinfectant Level report form (doc)

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.
Community and Non-Transient Water Systems(pdf)
Transient/Non-community and State Regulated Water System (pdf)
Chemical Contaminants and Maximum Levels (pdf)
Chemical Monitoring Reduction Request Form (pdf)
SOC Use Waiver Guidance (pdf)

Arsenic
Arsenic and Clarifications to Compliance and New Source Monitoring Rule: A Quick Reference Guide (pdf)

Radionuclides
Quick Reference Guide (pdf)
General Info Fact Sheet (www.epa.gov)
Detailed Fact Sheet on New Standard (www.epa.gov)

Lead and Copper Corrosion Control Treatment (Lead and Copper Rule) Reporting Forms
For Water System Entry Point (pdf)
For Water System Distribution (pdf)
Monitoring and Reporting Forms Instructions (pdf)
EPA Lead and Copper Rule Quick Reference (pdf)
Revised Guidance Manual for Selecting Lead and Copper Control Strategies (pdf)

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. For more information about lead poisoning, contact State Public Health Division, Lead Poisoning Prevention Program (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); fail to complete required tests and/or fail to report the results; fail to meet treatment techniques; etc. are available for download below (consult Public Notice information above for appropriate use criteria). Templates are available as MS Word (.doc) and Adobe Acrobat (.pdf) files.

Total Coliform MCL (unresolved)  (pdf)
Total Coliform MCL (resolved)  (pdf)
Fecal Coliform or E. Coli MCL  (pdf)
No Pressure Boil Water (Tier 1) (pdf)
Surface Water Treatment Technique--Turbidity-Boil Water  (pdf)
Surface Water Treatment Technique--Turbidity (Tier 2)  (pdf )
Surface Water Treatment Technique--Disinfection (Tier 2)  (pdf)
Monitoring and/or Reporting failure (Coliform, surface water report, nitrate, etc.)  (pdf)
Lead and Copper Rule Treatment Technique--Lead (pdf)
Lead and Copper Rule Treatment Technique--Copper (pdf)
Lead and Copper public education materials:  Community water systems  (pdf)
Lead and Copper public education materials:  Non-transient non-community water systems  (pdf)
Chemical or Radiological MCLs (Tier 2) (pdf)

Oregon Licensed Food Service Facilities: State 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 971-673-0451) or click here.

Boil Water Notices: Public water systems must immediately contact State Public Health Division, 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

Recommendations for Arsenic Removal from Private Drinking Water Wells in Oregon
Creating a Water System: Operations Manual
Coliform Sampling Plans
Home Water Treatment Devices
Preparing for Water System Survey

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 State Public Health Divison, Toxicology Consultation (ph. 971-673-0440) or click here. All bulletins are in a downloadable (pdf) file format.

Ammonia
Arsenic
Benzene
Boron
Btex
Calcium Carbonate
Carbon Tetrachloride
Coliform Bacteria
Copper
Cryptosporidium
Dacthal
1,1 - Dichloroethane
1,1 - Dichloroethylene
1,2 - Dichloroethane
Cis 1,2 - Dichloroethylene
Trans-1,2 - Dichloroethylene
1,2 - Dichloropropane
Ethylbenzene
Ethylene Dibromide
Giardia
Haloacetic Acids 
Lead
Methyl Chloride
Methy-Tertiary-Butyl-Ether
Nitrate
Nitrate - (Spanish version) 
Paradichlorobenzene
PCBs and Submersible Pumps
Pentachlorophenol 
Perchlorates
Picloram
Polychlorinated Biphenyls
Sodium
Sodium Carbonate
Sodium Hydroxide
Tetrachloroethylene
Toluene
Trans-1,2 - Dichloroethylene 
Tributyltin
Trichloroethylene
1,1,1 - Trichloroethane
Trichlorofluorometh
Trihalomethanes
Uranium 

Fluoride
Systems Adjusting Fluoride 

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:Information and forms on inventory, contacts, and sanitary surveys are available for download below:

Inventory Updates
Plan Review Routing Form
Source Info
Water System Information
Entry Structure Diagram
Chemical Monitoring Schedule Change Form 

PWS Contact Forms
Contact Report/Assistance Actions  (autofill doc)
Contact Report/Assistance Actions  (doc)
SNC Investigation Report   (autofill doc)
SNC Investigation Report   (manual form doc)
SNC Resolution Report   (autofill doc)
SNC Resolution Report   (manual form doc)

Sanitary Survey Forms
Sanitary Survey Manual Part 1 (pages 1 - 94)

Sanitary Survey Manual Part 2 (pages 95 - 173)
Updated Instructions
Deficiency List
Significant Deficiency Follow-up (MS Excel)

Deficiency Summary (autofill doc) (pdf )
Inventory & Narrative (autofill doc) (pdf )
Schematic Drawing with Frame (autofill doc) (pdf )
Schematic Drawing no Frame (autofill doc) (pdf )
Source Information (autofill doc) (pdf )
Source Well Information (autofill doc) (pdf)
Source-Spring-Other (autofill doc) (pdf )
Conventional & Direct Treatment (autofill doc) (pdf)
Alternate Technology Treatment (autofill doc) (pdf )
Disinfection (autofill doc) (pdf )
Treatment (autofill doc) (pdf )
Storage and Pressure Tanks (autofill doc) (pdf)
Distribution System Information (autofill doc) (pdf )
Water Quality Monitoring (autofill doc) (pdf )
Management & Operations (autofill doc) (pdf )
Transient & State Regulated (autofill doc) (pdf )

Data and Information Order Form: State Public Health Division, Drinking Water Program charges a small fee (usually $75.00) for 3rd-party data requests. To order data, download our order form (pdf), complete required information, and return with check and postage. For more information, call 971-673-0405.

Drinking Water Program Training: Documents and files from past conferences, seminars and trainings.

2008 Silver Falls Conference
2008 Drinking Water Program Orientation
2007 Fall/Regional Training
2007 Silver Falls Conference
2006 Fall/Regional Training
2006 Silver Falls Conference
Training Course