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Certificate of Delivery of Public Notice to Customers for Total Coliform Rule Violations

Use these forms to notify your customers of Total Coliform Rule Violations.

 Download Tier I Certificate for:

  • Acute Maximum Contaminant Level (MCL) violation

Download Tier II Certificate for:

  • Non-Acute MCL violation
  • E. Coli positive ground water source sample violation

Download Tier III Certificate for:

  • Distribution Routine Monitoring violation
  • Temporary Increased Routine Monitoring violation
  • Repeat Monitoring violation
  • Triggered Source Monitoring (raw source) violation

Download Boil Water Notice Certificate of Delivery