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Northeast District Information
Drinking Water Programs

Forms and Information

The Northeast District has created this page to provide a centralized location for frequently used forms, rules and guidance documents. Additional information may be found at the Department's Water Resource Management website.

All drinking water forms are available through the Source & Drinking Water Program's forms page: http://dep.state.fl.us/water/drinkingwater/forms.htm

The documents listed below will further assist drinking water system owners and operators to ensure continued compliance with the Safe Drinking Water Act.

If you have any additional questions, a Northeast District Drinking Water Inspector will be glad to assist you.



Bacteriological Information
1 Monthly Sample Plan   Word
2 Quarterly Sample Plan   Word
3 Precautionary Boil Water Notice Guidelines Website  
4 Precautionary Boil Water Notice Model Word
5 Precautionary Boil Water Notice Rescission Model   Word
6 Boil Water - What Should You Do?   Word
7 Boil Water Information for Food Service Industry PDF  
8 Bacteriological Sampling Summary   Word
9 RTCR Factsheet for Systems under 1,000 on Monthly Monitoring PPT  
10 RTCR Factsheet for Systems under 1,000 on Quarterly/Annual Monitoring PPT  
11 RTCR Factsheet for Repeat Monitoring PPT  
12 RTCR Factsheet Level 1 and Level 2 Assessments and Corrective Actions PPT  
13 RTCR Level 1 Assessment PDF  
14 RTCR Level 2 Assessment PDF  
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Capacity Analysis Report

1 Capacity Analysis Report Guideline PDF  
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Capacity Development

1 New Water System Capacity Development Manual Website  
2 Capacity Development Worksheet PDF Word
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Chemical Information

1 Certified Laboratories Website  
2 Drinking Water Maximum Contaminant Levels List PDF Excel
3 Chemical Report Review Guide   Word
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Consumer Confidence Reports

1 Consumer Confidence Report Template Website  
2 Consumer Confidence Report Rule - 40 CFR 141, Subpart O Website  
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Cross Connection Control

1 Plan Samples PDF Word
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Ground Water Rule
1 Bact GWR Triggered and Rep Guidance Manual PDF  
2 Four-Log Virus Treatment Guidelines PDF  
3 Cover Sheets for Demonstration of Four-Log Virus Treatment of Ground Water Guidelines PDF Word
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Lab Reporting Forms

1 Bacteriological Lab Reporting Forms - 62-550.730 Website  
2 Chemical Lab Reporting Forms - 62-550.730 Website  
3 Chemical Lab Reporting Forms (cover sheet only) PDF Word
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Lead and Copper

1 Lead and Copper Rule 40 CFR 141, Subpart I Website  
2 Community Water System Lead Public Education   Word
3 Non-transient non-community water system
Lead Public Education
Word
4 Community Water System Lead Consumer Notice -
Sampling Site above AL, 90th above AL
  Word
5 Community Water System Lead Consumer Notice -
Sampling Site above AL, 90th below AL
  Word
6 Community Water System Lead Consumer Notice -
Sampling Site below AL, 90th above AL
  Word
7 Community Water System Lead Consumer Notice -
Sampling Site below AL, 90th below AL
  Word
8 Non-transient non-community Water System Lead Consumer
Notice 90th above AL
  Word
9 Non-transient non-community Water system Lead Consumer
Notice 90th below AL
  Word
10 Non-transient non-community Water System Lead Consumer
Notice - Sampling Site above AL, 90th below AL
  Word
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Monthly Operation Reports

1 Four Log MOR with coversheet   Excel
2 MOR Turbidity   Word
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Operation and Maintenance

1 Operation and Maintenance Manual Guidance PDF Word
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Public Notifications
1 Public Notification Certificate of Delivery - 62-555.900(22) Website  
2 Public Notification Handbook PDF  
3 Public Notification Rule 40 CFR 141, Subpart Q Website  
4 Standard Health Effects Language for Public Notification 40CFR141 Subpart Q, App.B PDF  
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Rules

1 62-4: Permits Website  
2 62-521: Wellhead Protection Website  
3 62-532: Water Well Permitting and Construction Requirements Website  
4 62-550: Drinking Water Standards, Monitoring, and Reporting Website  
5 62-555: Permitting and Construction of Public Water Systems Website  
6 62-560: Requirements for Public Water Systems that are Out of Compliance Website  
7 62-602: Drinking Water and Domestic Wastewater Treatment Plant Operators Website  
8 62-699: Treatment Plant Classification and Staffing Website  
9 Lead and Copper Rule 40 CFR 141, Subpart I Website  
10 Consumer Confidence Report Rule - 40 CFR 141, Subpart O Website  
11 Public Notification Rule 40 CFR 141, Subpart Q Website  
12 Standard Health Effects Language for Public Notification 40CFR141 Subpart Q, App.B PDF  
13 FS403 Part VI: Drinking Water Website  
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Systems Information / Requirements
1 Public Drinking Water System (PWS) Update Form   Word
2 Community Water System Minimum Requirements   Word
3 Non-Transient Non-Community Minimum Requirements   Word
4 Transient Non-Community Minimum Requirements   Word
5 Inspection Response Form   Word
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 Test Kit and Equipment Suppliers

Non-endorsement note:
The following is a partial list of companies that provide test kits and equipment for drinking water. DEP does not endorse any of the companies listed below, and a company’s absence from this list does not imply prejudice.
Test Kits Equipment

 

     Request DEP Compliance Assistance

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Last updated: August 04, 2016
  FDEP - Northeast District - Contact

8800 Baymeadows Way West, Suite 100, Jacksonville, Florida 32256   904-256-1700 (phone) / 904-256-1588 (fax)
NED Contacts

For critical after hours emergencies call the State Warning Point Number:  1-800-320-0519 

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