LARGE WATER SYSTEM
2018 ANNUAL REPORT TO THE DRINKING WATER PROGRAM
FOR YEAR ENDING DECEMBER 31, 2018
[Section 116530 Health & Safety Code]
BOXES COLORED YELLOW ARE MANDATORY QUESTIONS AND MUST BE ANSWERED TO COMPLETE THIS REPORT Water System Ownership Descriptions:- Local Government: e.g., city, county, or special district, local school district, junior colleges, county or community parks, etc.
- State or Federal Government: e.g., state or national park, BLM, USFS and COE campgrounds and recreation facilities,
state hospitals, State universities and colleges, California Veterans Home, County or District Fairs and Expositions,
Caltrans rest stop, military base, other state or federal facility - Privately owned, non-PUC-regulated (Community Water System): e.g., mobile home park, apartment or condominium
- Privately owned business (non-community): e.g., church, private school, restaurant, amusement park, RV park/campground,
motel, ranch/farm, factory, other business establishment
COMMUNITY WATER SYSTEMS ONLY
Your water system classification is: IF YOU ARE NOT A COMMUNITY WATER SYSTEM, SKIP THIS SECTION
CERTIFICATION FOR REDUCTION OF ANNUAL FEES FOR PUBLIC WATER SYSTEMS SERVING A DISADVANTAGED COMMUNITY (DAC)  By checking this box, you are a community water system who would like to request a fee reduction and is serving a DAC as defined in Title 22, Division 4, Chapter 14.5, section 64300 of the California Code of Regulations OR has previously submitted documentation to the State Water Resource Control Board certifying that you are serving a DAC.
To request a DAC fee reduction or to continue receiving a reduced annual fee you must complete a DAC certification form and upload the form to the “DAC” tab for the State Water Resources Control Board to review.
Click HERE for instructions on how to upload your completed DAC certification form. To upload a DAC Certification Form, click HERE If you have questions about completing this section of the report, please contact the Program Liaison Unit at DDW-PLU@waterboards.ca.gov or call (916) 449-5158.
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| Note: Your name and title, email address, and work phone number are disclosable report information that may be obtained through the Public Records Act. |
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Please be aware that all comment boxes throughout this electronic annual report will be made publicly available WITH THE EXCEPTION of the comment box below. Only Waterboard staff and other people with your water system’s DRINC login credentials will have access to this comment box. You are encouraged to provide any comments that you believe may help improve this annual report process.
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