Water System Operator Tools and Forms
Monitoring & Report Formats

Coliform
Turbidity and Surface Water Treatment
Chemical Monitoring
Lead and Copper Corrosion Control
Public Notices
Order Form
Fact Sheets, Interpretations and Techniques
Health Effects
County Health Department
Sanitary Surveys
Training

Water Hauling Guidelines for Oregon Drinking Water (pdf)

Laboratories
Forms for Laboratories
Direct Lab Reporting - 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 (MRDL) Report Form
Download and use this form to report MRDL to Public Health Division, Drinking Water Program for 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
Radionuclides Quick Reference Guide  (pdf)
General Info Fact Sheet (www.epa.gov/safewater/standard/pp/radnucpp.html)
Detailed Fact Sheet on New Standard (www.epa.gov/rads/technicalfacts.html)

Lead and Copper Corrosion Control Treatment (Lead 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 Testing: EPA has a manual that describes how drinking water can be tested for lead, and how exposure 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 drinking water system maintenance and/or safety. For more information about lead poisoning, contact State 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 an MCL (Maximum Contaminant Level); 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).

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

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

Drinking Water Chemicals and Possible Health Effects
Bulletins below cover possible health effects of drinking water containing these chemicals. For more information, please contact State Public Health Division, Toxicology Consultation (ph. 971-673-0440) or click here

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

Fluoride
Systems Adjusting Fluoride (pdf)

Oregon Water System Plan Review Requirements
Drinking 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 Forms

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   (xls )

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 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 orderform (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