1. General Office Phone: Phone number for the main office. This phone number will be posted on the Drinking Water Watch for general public access at: http://drinc.ca.gov/DWW/index.jsp
   
   
2. Report Submitted By: The information included in this section is automatically filled based on the user’s profile on the DRINC portal. If the information in this section is incorrect, the user must update their User Profile on the My Profile tab at http://www.drinc.ca.gov/PWSProfile.aspx before the report is submitted.
   
   
3. Comments: Comment boxes are provided throughout the eARDWP to allow the user to provide discussion or clarification on their responses provided in that section of the report. These comment boxes can accommodate up to 4000 characters.
   
   
4. Public Water System Contacts: This section of the report will be pre-filled with current water system contact information in Division of Drinking Water records. Overtype the contact information to provide any necessary updates. The option to add up to four (4) new contacts is provided at the end of this section.
   
   
5. Contact Type Definitions
   
   

   CONTACT TYPE	DEFINITIONS
   Administrative Contact (AC)	The person who is legally responsible for ensuring that the Public Water System maintains compliance with SDWA requirements. The person to whom Division of Drinking Water mass mailings, enforcement letters and correspondences would be addressed, such as Board of Directors, General Manager or CEO. Only one AC is allowed per water system.
   Financial Contact (FC)	The person who receives Division of Drinking Water invoices and issues payments. Only one FC is allowed per water system.
   Owner	The person or entity named in the water supply permit. If not the same as the Administrative Contact, this would then be the legal owner or entity that is legally responsible for the Public Water System.
   Designated Operator in Charge	Chief Operators. This person could also be the Administrative Contact, Owner, or Contract Operator. Must be a certified operator for community and nontransient noncommunity water systems.
   Operator Contact	Shift Operators. Must be a certified operator for community and nontransient noncommunity water systems.
   Emergency Contact	The person who assists with coordinating emergency activities (e.g. collecting samples, conducting public notification, corresponding with Division of Drinking Water.)
   Water Quality Contact	The person who receives water quality email updates from Division of Drinking Water. The person responsible for coordinating or conducting water quality monitoring and/or sample collection. Email address required for electronic mailing.
   Legal Contact	Public water system’s attorney or legal counsel.
   CONTRACT Operator Contact	The person or company with whom the water system has a contract to operate or assist in the operation of the water system.
   Funding Contact	The person who receives funding (State Revolving Fund) email updates from the Division. This person is the representative of the water system for projects receiving Safe Drinking Water Act funds.

   
   
   
6. Provide Season: Provide the dates that cover the increase in seasonal population. For example, if it is only during the summer, the Begin Date could be 06/01 and the End Date could be 09/30.
   
   
7. STANDBY SOURCES: An emergency source that is not approved to be used for more than 15 calendar days per year or for periods that exceed 5 consecutive days. The local DDW District Office must be notified within 3 days after any use of a standby source. To change the status of a Standby Source to ‘Active’, a permit amendment application must be submitted to the local DDW District Office, and approval received prior to any non-emergency use of the source.
   
   

The following apply to Section 4 (items # 8, 9, 10, and 11 below)

8. Active Groundwater Intakes (Wells) - Applies only to groundwater wells owned by the water system. Purchased groundwater supplies should be counted under Active Purchased Water (GW) Connections.
   
   
9. Active Surface Water Intakes (Raw) – raw (untreated) surface water intakes. Applies only to intake structures owned by the water system itself such as intakes in lakes, rivers, etc. Purchased untreated surface water obtained via a pipeline is not considered an intake, but should be counted as an Active Purchased Water (SW) Connections.
   
   
10. Active Purchased Water (GW) Connections – includes both raw and treated purchased groundwater connections.
    
    
11. Active Purchased Water (SW) Connections – includes both raw and treated purchased surface water connections.
    
    
12. Flat Base Rate: Basic charge that all customers pay
    
    
13. Variable Base Rate: Basic charge is different, depending on size of pipe, water meter, or other factors
    
    
14. Uniform Usage Rate: The charge per 100 cubic feet of water is the same regardless of use
    
    
15. Base Rate + Uniform Usage Rate: Single flat base rate charge plus a charge per 100 cubic feet (hcf) that is same regardless of how much is used.
    
    
16. Variable Usage Rate: Increasing Block or Tier Rate. The charge per 100 cubic feet of water increases as water use increases.
    
    
17. hcf: 100 cubic foot
    
    
18. Residential : Single family dwelling
    
    
19. Multi-residential: Structures with more than one single family dwelling, e.g., duplex, triplex, apartment
    
    
20. General: There is no difference in rates among non-residential customers
    
    
21. Commercial: Business operations, e.g., restaurants, stores, service stations, shopping malls, business parks, etc.
    
    
22. Industrial: Large operations, e.g., manufacturers, assemblers, other large operations
    
    
23. Agricultural: Includes agriculture and non-agricultural irrigation services
    
    
24. Government: Institutions, e.g, public schools, colleges and universities, city, county, state and federal buildings and other facilities
    
    
25. Other: Recreational or other types of connections not included in above definitions
    
    
26. NSF/ANSI Standard 60 Certification of Direct Additives: Pursuant to Section 64700, Title 22 of the California Code of Regulations, (effective January 1, 1994), all chemicals or products, including chlorine, added directly to the drinking water as part of a treatment process must meet the ANSI/NSF Standard 60. If you are not sure whether a chemical you are using meets this standard, contact the manufacturer or distributor of the chemical.
    
    
27. Chemical Use Initiated in 2014?: Indicate if you began using the chemical listed in 2014. Specify in the COMMENTS whether this is an additional chemical used in the treatment process or whether this chemical replaced one you are no longer using.
    
    
28. Cross Connection Control: Pursuant to Title 17, California Code of Regulations, all public water systems shall protect the water supply from contamination by backflow caused by cross-connections. For premises where cross-connections are likely to occur, prevention of backflow is required through the installation of approved backflow prevention assemblies. Each backflow prevention assembly must be tested annually by a certified backflow prevention assembly tester.
    
    
29. Backflow Prevention Assemblies: include double check valve assemblies and reduced pressure principle backflow prevention assemblies that operate to prevent water from flowing from a user’s piping back into the domestic water supply system. Each backflow prevention assembly must be tested annually by a certified backflow prevention assembly tester.
    
    
30. Backflow Assemblies On-site: this includes backflow assemblies installed within the premises of the user, which protect the internal water distribution system from cross-connections to the satisfaction of the water supplier and health agency, such that backflow protection is not required at the user’s connection to the public water system. This also includes backflow assemblies installed within a non-community water system to protect its distribution system. Examples include backflow assemblies on the water supply to boilers, RV dump stations, commercial dishwashers, and fire protection systems, etc.
    
    
31. Air-Gap Separation: is a physical break between the water supply line and a receiving vessel, and must provide a separation of at least double the diameter of the supply pipe, measured vertically from the flood rim of the receiving vessel to the supply pipe, but in no case shall this separation be less than one inch.
    
    
32. Inactive Backflow Prevention Assemblies: A backflow prevention assembly that is installed on a pipeline or connection that is no longer in use, as counted at the end of the calendar year 2014.
    
    
33. Cross-Connection: is an unprotected actual or potential connection between a potable water system used to supply water for drinking purposes and any source or system containing unapproved water or a substance that is not or cannot be approved as safe, wholesome and potable. By-pass arrangements, jumper connections, removable sections, swivel or changeover devices, or other devices through which backflow could occur, shall be considered to be cross-connections.
    
    
34. Consumer Confidence Report (CCR): Each community and nontransient noncommunity water system is required to complete a CCR on an annual basis. The CCR is to provide, as a minimum, specific information on concentration of microbiological contaminants, minerals, physical agents, inorganic chemicals, organic chemicals, and radioactivity that are present in the water supply. A template and further guidance for the preparation of the CCR can be found at the following Division of Drinking Water website: http://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/CCR.shtml
    
    
35. Chief Operator: The person who has overall responsibility for the day-to-day, hands-on, operation of a water treatment facility or the person who has overall responsibility for the day-to-day, hands-on, operation of a distribution system.
    
    
36. Recycled Water Use site: An area of recycled water use with defined boundaries. A use site may contain one or more facilities.
    
    
37. Dual Plumbed: means a system that utilizes separate piping systems for recycled water and potable water within a facility and where the recycled water is used for either of the following purposes:
    
    
    1. To serve plumbing outlets (excluding fire suppression systems) within a building, or
       
       
    2. Outdoor landscape irrigation at individual residences.
    
    
    
38. Watershed Sanitary Survey Report: required under the Surface Water Treatment Rule, Section 64665, as follows:
    
    
    1. All suppliers shall have a sanitary survey of their watershed(s) completed at least every five years. The first survey shall be completed by January 1, 1996.
       
       
    2. A report of the survey shall be submitted to the Department not later than 60 days following completion of the survey.
       
       
    3. The survey and report shall include physical and hydrogeological description of the watershed, a summary of source water quality monitoring data, a description of activities and sources of contamination, a description of any significant changes that have occurred since the last survey which could affect the quality of the source water, a description of watershed control and management practices, an evaluation of the system's ability to meet requirements of this chapter, and recommendations for corrective actions.
    
    
    
39. Date of last inspection: Last official, exhaustive tank inspection of both interior and exterior.
    
    
40. Water Outages: Unplanned events in which the water system is depressurized and customers are out of water for any reason including water main breaks. Scheduled water outages during main replacement need not be reported. A system may be depressurized due to a well or pump failure or wildfire damage to a reservoir resulting in the reservoir being emptied.