Monthly Operational Reports
MS EXCEL FORMAT
- EW-103 Groundwater Systems Form
- EW-210 Purchase Systems Form
- EW-90 Surface Water Series Form
- EW-80 Fluoride Form
PORTABLE DOCUMENT FORMAT (PDF)
- EW-103 Groundwater Systems Form
- EW-210 Purchase Systems Form
- EW-90 Surface Water Series Form
- EW-80 Fluoride Form
Compliance Monitoring Data Portal (CMDP)
Data Submittal Cover Sheets
PORTABLE DOCUMENT FORMAT (PDF)
Monitoring Guidance Form
PORTABLE DOCUMENT FORMAT (PDF)
- Request for Reduced Water Monitoring
- Request for Sampling Site Location Change
- Stage 2 Disinfection Byproduct Sampling Plan
Revised Total Coliform Rule
PORTABLE DOCUMENT FORMAT (PDF)
- EW-127 RTCR Level 1 Assessment
- EW-128 RTCR Level 2 Assessment
- EW-129 RTCR Seasonal Checklist
- RTCR Sample Site Plan
MS EXCEL FORMAT
Lead and Copper Rule
PORTABLE DOCUMENT FORMAT (PDF)
- LCR Sample Collection Procedure
- LCR Sample Site Certification Form 141-A
- Lead Tap Monitoring Notification Certification
- Optimal Corrosion Control Recommendations Form 141-C
- Lead and Copper Sampling Plan *NEW*
- Additional information regarding the new Lead and Copper Rule
LEAD CONSUMER NOTICE LETTER EXAMPLES: MS WORD 97-2003 FORMAT
- Lead result and 90th percentile value below the lead action level of 15 parts per billion
- Lead result below the lead action level of 15 parts per billion; 90th percentile value above lead action level
- Lead result is above the lead action level of 15 parts per billion; 90th percentile value below the lead action level
- Lead result and 90th percentile value above the lead action level of 15 parts per billion
Public Notice Forms
PORTABLE DOCUMENT FORMAT (PDF)
- Boil Water Notice Form
- Health Department Boil Water Notice Form
- Health Department Public Service Announcement Form
- 24 Hour Notification Form
- UCMR Public Notification and Certification Forms
If you encounter any problems with the EW-80, EW-90, EW-103, or EW-210 please contact Dan Mace at dan.j.mace@wv.gov or 304-352-5023