BOXES COLORED YELLOW ARE MANDATORY QUESTIONS AND MUST BE ANSWERED TO COMPLETE THIS REPORT
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.
to learn how to Modify, Add and Delete Contacts in the table below.
PHONE TYPE: Home – if you use your home or personal phone number as your business number, use the HOME phone type instead and leave the BUSINESS phone type blank.
Only the BUSINESS phone type will appear in Drinking Water Watch (https://sdwis.waterboards.ca.gov/PDWW/), which can be viewed by the public, if the General Office phone number is not provided (see Water System Information section under the Intro tab).
| NAME, TITLE & ADDRESS | PHONE TYPE  | PHONE NO. | EMAIL | CONTACT TYPE (pick all that apply) |
| BOWE, ROCHELLE |
Business
Home | 760-367-7546
|
rbowe@29palmswater.org
|
|
|
| BILLING CONTACT |
Facsimile | 760-367-6612 |
|
|
P.O. Box 1735
|
Mobile | |
|
|
| TWENTYNINE PALMS
CA
92277 |
Emergency | |
|
|
| | |
|
| |
| KOLISZ, RAY |
Business
Home | 760-367-1304
|
rkolisz@29palmswater.org
|
|
|
| GENERAL MANAGER |
Facsimile | 760-367-6612 |
|
|
P. O. BOX 1735
|
Mobile | |
|
|
| TWENTYNINE PALMS
CA
92277 |
Emergency | |
|
|
| | |
|
| |
| MINATREA, MIKE |
Business
Home | 760-367-7546
|
mminatrea@29palmswater.org
|
|
|
| TREAMENT/PRODUCTION SUPERINTENDENT |
Facsimile | 760-367-6612 |
|
|
PO BOX 1735
|
Mobile | 760-553-4023 |
|
|
| TWENTYNINE PALMS
CA
92277 |
Emergency | |
|
|
| | |
|
| |
| SHRAGGE, MATT |
Business
Home | 760-367-7546
|
mshragge@29palmswater.org
|
|
|
| MAINTENANCE SUPERINTENDENT |
Facsimile | 760-367-6612 |
|
|
PO Box 1735
|
Mobile | 760-567-8401 |
|
|
| TWENTYNINE PALMS
CA
92277 |
Emergency | |
|
|
| | |
|
| |
| |
Business
Home |
|
|
|
|
| |
Facsimile | |
|
|
|
Mobile | |
|
|
|
|
Emergency | |
|
|
| | |
|
| |
| |
Business
Home |
|
|
|
|
| |
Facsimile | |
|
|
|
Mobile | |
|
|
|
|
Emergency | |
|
|
| | |
|
| |
| |
Business
Home |
|
|
|
|
| |
Facsimile | |
|
|
|
Mobile | |
|
|
|
|
Emergency | |
|
|
| | |
|
| |
| |
Business
Home |
|
|
|
|
| |
Facsimile | |
|
|
|
Mobile | |
|
|
|
|
Emergency | |
|
|
| | |
|
Add Additional Contact | (pick all that apply) |
| --Contact Name-- |
Business | (999) 999-9999 |
XXXXX@XXXXX.XXX
XXXXX@XXXXX.XXX |
|
|
| --Title-- |
Home | (999) 999-9999 |
|
|
--Address Line 1--
--Address Line 2-- |
Facsimile
Mobile | (999) 999-9999
|
|
|
| --City--
--ST--
99999 |
Emergency | (999) 999-9999 |
|
|
| | |
|
Add Additional Contact | (pick all that apply) |
| --Contact Name-- |
Business | (999) 999-9999 |
XXXXX@XXXXX.XXX
XXXXX@XXXXX.XXX |
|
|
| --Title-- |
Home | (999) 999-9999 |
|
|
--Address Line 1--
--Address Line 2-- |
Facsimile
Mobile | (999) 999-9999
|
|
|
| --City--
--ST--
99999 |
Emergency | (999) 999-9999 |
|
|
| | |
|
Add Additional Contact | (pick all that apply) |
| --Contact Name-- |
Business | (999) 999-9999 |
XXXXX@XXXXX.XXX
XXXXX@XXXXX.XXX |
|
|
| --Title-- |
Home | (999) 999-9999 |
|
|
--Address Line 1--
--Address Line 2-- |
Facsimile
Mobile | (999) 999-9999
|
|
|
| --City--
--ST--
99999 |
Emergency | (999) 999-9999 |
|
|
| | |
|
Add Additional Contact | (pick all that apply) |
| --Contact Name-- |
Business | (999) 999-9999 |
XXXXX@XXXXX.XXX
XXXXX@XXXXX.XXX |
|
|
| --Title-- |
Home | (999) 999-9999 |
|
|
--Address Line 1--
--Address Line 2-- |
Facsimile
Mobile | (999) 999-9999
|
|
|
| --City--
--ST--
99999 |
Emergency | (999) 999-9999 |
|
|
| | |
|
COMMENTS (Note: Comments will be made publicly available): N/A |
2. POPULATION SERVED
| Permanent population or number of long-term residents*: | 18795 |
*Long-term resident means someone who resides within the water system service area for more than half of the year.
| Method used to determine population: | |
| If permanent population is based on "Other" , identify the methods or sources of how it was estimated:: |
| "Person per residential connection" population method" |
| Seasonal Maximum Population (If applicable): | 0 |
Provide season
:
| Begin Date | End Date |
|---|
| MM | DD | MM | DD |
| |
|
|
|
| List the names of communities served by the system identifying both incorporated and unincorporated areas: |
| N/A |
COMMENTS (Note: Comments will be made publicly available): N/A |
3. NUMBER OF SERVICE CONNECTIONS(as of December 31, 2018)
A. Active Service Connections:
| Total Active Potable Water Connections currently in Division of Drinking Water database: | 6722 |
The total number of Service Connections as of December 31, 2018 must be reported as either Unmetered or Metered for each Service Connection Type as appropriate.
| | Potable Water | Recycled Water |
|---|
TYPE
Do NOT report fire sprinkler connections and fire hydrants. These connections are not counted toward “service connections” for compliance purposes. | Unmetered | Metered | Total* | Unmetered | Metered | Total* |
|---|
Single-family Residential: single family detached dwellings | 0 |
5559 |
5559 |
0 |
0 |
0 |
Multi-family Residential: Apartments, condominiums, town houses, duplexes and trailer parks | 0 |
1048 |
1048 |
0 |
0 |
0 |
Commercial/Institutional: Retail establishments, office buildings, laundries, schools, prisons, hospitals, dormitories, nursing homes, hotels, churches | 0 |
299 |
299 |
0 |
0 |
0 |
Industrial: All manufacturing | 0 |
0 |
0 |
0 |
0 |
0 |
Landscape Irrigation: Parks, play fields, cemeteries, median strips, golf courses | 0 |
34 |
34 |
0 |
0 |
0 |
Agricultural Irrigation: Irrigation of commercially-grown crops | 0 |
0 |
0 |
0 |
0 |
0 |
Total Active Connections* | 0 |
6940 |
6940 |
0 |
0 |
0 |
*Calculated field
| | Potable Water | Recycled Water |
|---|
| TYPE | Unmetered | Metered | Total* | Unmetered | Metered | Total* |
|---|
Other: Fire suppression, street cleaning, line flushing, construction meters, temporary meters | 0 |
111 |
111 |
0 |
0 |
0 |
B. Number of Inactive Connections (all types)
Include only service connections that have been physically disconnected (e.g, meter removed) from the water system. All other service connections should be considered as “Active.” | 1014 |
C. Number of NON-residential customers required to have dedicated outdoor irrigation meters (excluding agricultural connections)  | 0 |
COMMENTS (Note: Comments will be made publicly available): N/A |
4. GROUNDWATER (GW) AND SURFACE WATER (SW) SOURCES
| Type | Total No. Approved (by permit) | Total No. New/ Added in 2018 | Total No. Inactivated in 2018 | Total No. Destroyed in 2018 |
|---|
Active Groundwater Intakes (Wells)  | 6 |
1 |
0 |
1 |
Active Surface Water Intakes (Raw)  | 0 |
0 |
0 |
0 |
Active Purchased Water (GW) Connections  | 0 |
0 |
0 |
0 |
Active Purchased Water (SW) Connections  | 0 |
0 |
0 |
0 |
Standby Sources1 | 0 |
0 |
0 |
0 |
| Emergency Interconnections | 0 |
0 |
0 |
0 |
| Inactive Sources2 | 0 |
| 0 |
0 |
| Are your water sources metered? | |
| Do you routinely monitor the static water levels in your wells? | |
| Do you routinely monitor the pumping water levels in your wells? | |
| Are these levels recovering, declining or steady?: | |
1If a standby source
was used in 2018, provide the following information.
Name of the Standby Source used in 2018: | No. of days the Standby Source was in operation: | Were customers notified? (Y/N) | Was the Division of Drinking Water notified? (Y/N) | Describe the reason the Standby Source was used: |
| 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 |
2Inactive sources are not approved as sources of supply and must be physically disconnected or similarly isolated.COMMENTS (Note: Comments will be made publicly available): N/A |
5. WATER PRODUCED, PURCHASED AND SOLD
The Maximum Day is the day during 2018 with the highest total water usage. Provide the date for that day in Column B,
then complete Columns C, D and E, indicating how much of the water on that day was from each source.
Units of Measure for this table:
Volumes are based on:
| A | B | C | D | E | F | G | H | I |
|---|
| | Potable Water | Non-potable (exclude recycled) | Recycled |
|---|
| | Date/ Month | Water Produced from Groundwater (Wells) | Water Produced from Surface Water2 | Finished Water Purchased or Received from another PWS5 | Total Amount of Potable Water3* | Water Sold to Another PWS5 |
|---|
| Maximum Day1 | August |
6 |
0 |
0 |
6 |
0 |
| January | 167.825 |
0 |
0 |
167.825 |
0 |
11.78 |
0 |
| February | 162.838 |
0 |
0 |
162.838 |
0 |
8.71 |
0 |
| March | 177.865 |
0 |
0 |
177.865 |
0 |
4.58 |
0 |
| April | 204.262 |
0 |
0 |
204.262 |
0 |
9.55 |
0 |
| May | 229.429 |
0 |
0 |
229.429 |
0 |
7.53 |
0 |
| June | 265.057 |
0 |
0 |
265.057 |
0 |
6.52 |
0 |
| July | 274.306 |
0 |
0 |
274.306 |
0 |
17.14 |
0 |
| August | 280.666 |
0 |
0 |
280.666 |
0 |
13.75 |
0 |
| September | 244.489 |
0 |
0 |
244.489 |
0 |
7.70 |
0 |
| October | 214.089 |
0 |
0 |
214.089 |
0 |
7.50 |
0 |
| November | 175.348 |
0 |
0 |
175.348 |
0 |
8.43 |
0 |
| December | 168.811 |
0 |
0 |
168.811 |
0 |
7.83 |
0 |
| Annual Total* | 2564.985 |
0 |
0 |
2564.985 |
0 |
111.02 |
0 |
| Percent Treated4 | 57 |
PWS = Public Water System
*Calculated field
Non-potable = water supplies, except recycled water, that do not enter the drinking water distribution system and are for non-potable uses only such as irrigation
Recycled = domestic wastewater which as a result of treatment is suitable for uses other than potable use such as irrigation or toilet flushing
1Only report Maximum Day if it is actually measured or determined from production records. It should not be the average day demand during
the maximum month of production.
2Do not include raw water purchased; report only volume of water that was treated.
3(F) Total Amount of Potable Water = Sum of Columns (C), (D) and (E), automatically calculated. Total water production includes water that is sold to another water system. To update, click below
4This is the percentage of the total annual volume for Groundwater produced that was provided treatment to meet drinking water standards other than precautionary disinfection and fluoridation.
5If water was Purchased from or Sold to another PWS, complete the table below:
Specify whether water was Purchased or Sold | Name of PWS |
| 0 | 0 |
| 0 | 0 |
| 0 | 0 |
If recycled water was supplied to your customers, complete the table below:
Specify the level of treatment (e.g., tertiary, disinfected secondary) | Name of Recycled Water supplier |
| 0 | 0 |
| 0 | 0 |
| 0 | 0 |
COMMENTS (Note: Comments will be made publicly available): N/A |
6. WATER RATES AND DELIVERIES
A. WATER RATES 
If you have questions about completing this section of the report, please contact Kathy.Frevert@Waterboards.ca.gov, 916-322-5274 or Mary.Yang@Waterboards.ca.gov, 916-322-6507.
A1. Residential Water Rates
A1.a. Indicate the type of residential water rate structure used by your water system (select those that apply): |
Base Rate – (Non-Volumetric Rates)  |
| Fixed Base Rate - Basic or fixed charge that is the same for all customers regardless of use. |
| Variable Base Rate - Basic charge is different for customers depending on size of pipe, water meter, elevation, peak use, or other factors. |
Usage Rate (Volumetric Rates)  |
| Uniform Usage Rate - The charge per 100 cubic feet of water is the same regardless of use. |
| Variable Usage Rate - Increasing Block or Tier Rate. The charge per 100 cubic feet or other increment of water increases as water use increases. |
| Other Rates |
Flat Rate (often unmetered)- One rate for providing drinking water regardless of the volume of water used, not combined with a usage rate.  |
| If you have a Flat Rate, please skip questions A1.b, A1.d, A1.f, A1.g and A3. Enter your flat rate in A4. |
Allocation Based  |
| Other rate structure (specify your rate structure in the comment box, provide a weblink 1j below) |
| We do not charge a water rate (explain in next question) |
A1.b. If your water system doesn’t have rates, explain why:
Comments on rate structure (Note: Comments will be made publicly available): N/A
If you are a water supplier without water rates, check this box , then move to Section 6B Water Deliveries.
A1.g. Table on Residential Water Rates, Single-family
and Multi-family 
If your water system uses an allocation or flat base rate structure, add a direct weblink to more information on your rate structure (A1.j), provide information in the box “Comments on Residential Rate Structure”(A1.k), and leave this table blank.
| | Provide information on residential water rates based on consumption. If a feature of your rate structure, (e.g., meter size, elevation, or other) affects water rates, provide the water rate associated with the most common situation. Enter zero “0” if not applicable. See examples |
| | Single-family | Multi-family |
| | Upper volume of water included in base rate in Units of Measure (UOM)
If there is no base rate or volume of water associated with a base rate, enter the number zero “0”.
| Cost per Billing Period (Dollars) | Upper volume of water included in base rate in Units of Measure (UOM)
If there is no base rate or volume of water associated with a base rate, enter the number zero “0”.
| Cost per Billing Period (Dollars) |
Base Rate (non-volumetric rates)  | 0 |
0 |
0 |
0 |
Usage Rate (volumetric rates)  The rows that follow do not include a base rate or fixed charge. | Upper level of water volume for each level in UOM |
Cost per UOM (Dollars) |
Upper level of water volume for each level in UOM |
Cost per UOM (Dollars) |
| Rate Structure level 1 | 0 |
0 |
0 |
0 |
| Rate Structure level 2 | 0 |
0 |
0 |
0 |
| Rate Structure level 3 | 0 |
0 |
0 |
0 |
| Rate Structure level 4 | 0 |
0 |
0 |
0 |
| Rate Structure level 5 | 0 |
0 |
0 |
0 |
| Rate Structure level 6 | 0 |
0 |
0 |
0 |
| Rate Structure level 7 | 0 |
0 |
0 |
0 |
A1.h. Date of most recent update to the rate structure: MM/DD/YYYY | 01/01/2018 |
| A1.i. Describe the changes to rate changes that were made in the update: | 6% increase |
A1.j. Provide a direct link to a web page that explains water rates and fees, if available.  | www.29palmswater.com |
A1.k. Comments on Residential Rate Structure. Explain allocation rate, if applicable.  | N/A |
A2. RESIDENTIAL SERVICE CONNECTIONS
| A2.a. Select the most common single-family residential meter size: | |
| A2.b. Select the most common multi-family residential meter size: | |
A2.c. What is, approximately, the service connection fee for single-family brand-new construction based on the most common meter size listed above ($)? | |
A2.d. Date of most recent update to the new connection fee for single-family brand-new construction: MM/DD/YYYY  | 01/01/1998 |
A2.e. What is the one-time connection fee to open a new account for an existing single-family home based on the most common meter size indicated above ($)? | 90.00 |
A2.f. What is, approximately, the connection fee for multi-family new construction based on the most common meter size indicated above ($)? | 90.00 |
A2.g. Check items included in new residential connection fees:
A2.h. Comments on Residential Service Connections (publicly available): N/A
A3. NON-RESIDENTIAL WATER RATES 
A3.a. Select the most common non-residential meter size:
A3.b. Complete the table below providing specific water rates applied to your non-residential customers:
| Connection Type | BASE RATE (BR) | If BR + UUR, what is the volume allowed before UUR applies | UNIFORM USAGE RATE (UUR) | VARIABLE BASE RATE (provide range) (VBR) | VARIABLE USAGE RATE (provide range) (VUR) |
|---|
$ (Base)  | HCF  | $ per HCF | $ Low | $ High | $ per HCF Low | $ per HCF High |
| Commercial | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Institutional | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Industrial | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Landscape Irrigation | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Agricultural Irrigation | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Other | 0 |
0 |
0 |
0 |
0 |
0 |
0 |
Comments on non-residential water rates (publicly available): N/A
A4. AFFORDABLE DRINKING WATER
For each amount of water delivered to a single-family residential customer shown below, what is charged (in dollars) to a customer?
For each of the three water volumes shown below, provide what would be the monthly water bill for a single-family residential customer. Enter the monthly Water Charges and Other Charges for each water volume. For example, if a single-family customer used 12 HCF in a month, the total bill would include water charges for using 12 HCF and other charges that are added to the bill. Other charges vary locally and may include property tax, city tax, utility users tax, services for fire suppression, waste water or sewer, stormwater or other non-water surcharges. If the “other charges” varies by certain features (e.g., by climate, lot size, landscaped area) use the lowest charge in your calculation. Click the “Update Totals” button to automatically add the charges together to show a Total Monthly Water Bill that a residential customer would pay when its household used the specified amount of water.
A4.a. 6 HCF  | |
| Drinking Water Charges (Fixed and variable water charges) | 17.76 | Dollars/month |
| Other Charges (e.g., property tax, fire suppression, waste water, other) | 12.33 | Dollars/month |
| Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)* | 30.09 | Dollars/month |
A4.b. 12 HCF  | |
| Drinking Water Charges (Fixed and variable water charges) | 35.52 | Dollars/month |
| Other Charges (e.g., property tax, fire suppression, waste water, other) | 12.33 | Dollars/month |
| Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)* | 47.85 | Dollars/month |
A4.c. 24 HCF  | |
| Drinking Water Charges (Fixed and variable water charges) | 71.04 | Dollars/month |
| Other Charges (e.g., property tax, fire suppression, waste water, other) | 12.33 | Dollars/month |
| Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)* | 83.37 | Dollars/month |
*If “Other Charges” varies, (e.g., by climate, lot size, landscaped area, or other features) use the lowest charge in your calculation.
Calculated field: To update calculated field, click button below
Comments on Affordable Drinking Water(publicly available): N/A

A5. SHUT-OFFS 
Completing this section will fulfill the 2018 requirements of Senate Bill 998 – Discontinuation of residential water service.
Click the “Update Totals” button to automatically add the Single Family and Multifamily Accounts
Community Water Systems that have water rates and more than 200 connections must complete this section. If your community water system does not meet these criteria for completing this Section, then you must mark the boxes “did not collect information” below in order to avoid completion errors.
If a water supplier tracks the number of services connections but did not collect information on whether residences were occupied or unoccupied at the time of disconnection, put the total number of disconnections in the “unknown accounts” column in the tables in this section.
If a water supplier does not differentiate between single-family or multi-family, then enter all information as single-family.
A5.a. How many accounts for residential service connections had their water shut off once during the year of 2018 due to failure to pay?
If there was no information collected for question A5.a, mark the check box “Did not collect information" and skip below table.
| | Occupied Accounts | Unoccupied Accounts | Unknown Accounts  | Total* |
| Single-Family Accounts | 0 |
606 |
0 |
606 |
| Multi-family Accounts | 0 |
0 |
0 |
0 |
A5.b. How many accounts for residential service connections had their water shut off more than once during 2018 due to failure to pay?
A5.c. What is the residential reconnection fee to restore drinking water service due to failure to pay during operating hours? 
| Single-Family Accounts | 30 |
| Multi-family Accounts | 30 |
A5.d. What is the residential reconnection fee to restore drinking water service due to failure to pay during non-operating hours? 
| Single-Family Accounts | 35 |
| Multi-Family Accounts | 35 |
A5.e. What was the median duration of the shut-offs (in days) for continuously occupied residential service accounts? 
A5.f. If you offer an extended repayment or other customer payment assistance plan, how many continuously occupied residential customer accounts participated?
| Single-Family Accounts | 873 |
| Multi-family Accounts | 0 |
| Total* | 873 |
A5.g. How many of the continuously occupied residential accounts were shut off at least once during calendar year 2018 and were enrolled in an extended repayment plan or other customer payment assistance plan at the time of the service disconnection?
| Single-Family Accounts | 0 |
| Multi-family Accounts | 0 |
| Total* | 0 |
*Calculated field, to update calculated field, click button below
A5.h. Do you have a written policy on discontinuation of residential service?
A5.i. Comments on Shut-offs (publicly available): Yes
A6. Affordable Drinking Water Assistance
A6.g. At this time, does your agency have a policy to allow for alternative payment?
Comments on Affordable Drinking Water Assistance (publicly available): N/A
B. WATER DELIVERIES
Units of Measure (UOM) for this table:
Provide monthly metered water deliveries for all water sources (potable and non-potable) in the table below.
PWS = Public Water System
*Calculated field
1Total Urban Retail = Sum of Columns (B) thru (G), automatically calculated. To update, click below
COMMENTS (Note: Comments will be made publicly available): N/A |
7. WATER QUALITY

| Date of Emergency Notification Plan: | 3/15/2019 |
| Is the Emergency Notification Plan up to date? | |
DIRECT ADDITIVES
Pursuant to Section 64590, 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. Please complete the following table
for each chemical used by this water system. If you are not sure whether a chemical you are using meets this standard, contact the manufacturer
or distributor of the chemical.
If you do not use any direct additives, put “NONE” in each column of the first row.
Name of Chemical | Name of Manufacturer | Purpose of using chemical | Chemical is ANSI/NSF Standard 60 certified  (Y/N) | Use initiated in 2018  (Y/N) |
| Sodium Hypochlorite | HASA | Disinfectant | Y | N |
| Sulfuric Acid 93% | ASARCO | pH Adjustment | Y | N |
| Sodium Hydroxide 50% | Pioneer | pH Adjustment | Y | N |
| | | | | |
INDIRECT ADDITIVES
As of March 9, 2008, a water system shall not use any chemical, material, lubricant, or product in the production, treatment or distribution
of drinking water that comes in contact with the drinking water that does not have certification of meeting NSF/ANSI standard 61.
| Does your water system have procedures to ensure all future equipment and materials meet this standard? | |
If you have any questions on the requirements related to indirect additives, you may contact your local regulatory agency.
COMMENTS (Note: Comments will be made publicly available): N/A |
8. CROSS-CONNECTION CONTROL
| Total Number in System in 2018 ¹ | Number Installed in 2018 | Number Tested in 2018 ² | Number Failed in 2018 | Number Repaired/ Replaced |
|---|
Backflow Assemblies  on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies) | 340 |
0 |
333 |
23 |
23 |
Backflow Assemblies On- site but not on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies) | 0 |
0 |
0 |
0 |
0 |
Air-gap Separation  | 0 |
0 | | | |
Notes:
¹ Total Number in System in 2018 – Total number of active Backflow Prevention Assemblies including new devices installed in 2018, but excluding inactive devices.
² Number Tested in 2018 – includes all active devices that were tested in 2018 and either passed or failed.
No. of Inactive Backflow Prevention Assemblies in water system in 2018 : | 7 |
Date of last cross-connection control survey done on the system: If ongoing, enter the last day of the year, e.g., 12/31/2018 | 6/30/2006 |
|
| Cross Connection Control Program Coordinator |
| Name: | Matt Shargge |
| Certification Number: | 02538 |
| Business Phone: | 760-367-7546 |
Email Address: | mshragge@29palmswater.org |
| Certification or training received: AWWA |
Describe any cross-connection incidents
that occurred during 2018:
N/A
COMMENTS (Note: Comments will be made publicly available): The remainder 7 backflow assemblies devices are in a inactive status. |
9. OPERATOR CERTIFICATION 
A. Please list the State certified Water Treatment Plant Operators employed by your water system that supervise and direct the operation
of your water treatment plants, beginning with the chief operator(s)
.
Your Highest Treatment System Classification is: T2 
Check this box if your public water system has designated a Chief Treatment Operator.
| Name of Chief Treatment Operator (First name Last name): | Ray Kolisz |
| Grade of Chief Treatment Operator (1, 2, 3, 4 or 5): | 3 |
| Treatment Operator Number (4 or 5 digits): | 18670 |
| Treatment Certification Expiration Date (MM/DD/YYYY): | 11-1-2020 |
Treatment Operator Name (First name Last name) | Grade of Treatment Operator (1, 2, 3, 4, or 5) | Chief or Shift1 (C, S or X) | Treatment Operator Number (4 or 5 digits) | Treatment Certification Expiration Date (MM/DD/YYYY) |
| Robert Shelton | T3 | S | 20548 | 8-1-19 |
| Brian Peters | T3 | S | 31115 | 8-1-2020 |
| | | | | |
| | | | | |
1Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X". Do not leave blank.
Do your Chief and Shift Treatment Plant Operators have the minimum level required?
B. Please list the State certified Water Distribution System Operators employed by your water system that supervise and direct the operation
of your distribution systems, beginning with the chief operator(s)
.
Your Distribution System Classification is: D4 
Check this box if your public water system has designated a Chief Distribution Operator.
| Name of Chief Distribution Operator (First name Last name): | Ray Kolisz |
| Grade of Chief Distribution Operator (1, 2, 3, 4 or 5): | 5 |
| Distribution Operator Number (4 or 5 digits):
| 06159 |
| Distribution Certification Expiration Date (MM/DD/YYYY): | 5-1-2021 |
Distribution Operator Name (First name Last name) | Grade of Distribution Operator (1, 2, 3, 4, or 5) | Chief or Shift1 (C, S or X) | Distribution Operator Number (4 or 5 digits) | Distribution Certification Expiration Date (MM/DD/YYYY) |
| Mike Minatrea | D5 | S | 07798 | 12-1-2020 |
| Matt Sharagge | D4 | S | 39568 | 12-1-2020 |
| Robert Shelton | D5 | S | 07985 | 2-1-2019 |
| Brian Peters | D4 | S | 34571 | 6-1-2019 |
| Timothy Gomieo | D3 | S | 05606 | 5-1-2021 |
| Russel Frechette | D3 | S | 36829 | 12-1-2019 |
| Neal Stephenson | D3 | S | 44660 | 1-1-2020 |
| Austin Meyers | D2 | S | 47782 | 5-1-2020 |
| Matt Paster | D1 | S | 47781 | 11-1-2019 |
| Kenny Moore | D3 | S | 10155 | 3-1-2020 |
| Zachary Siedschlag | D1 | S | 51049 | 1-1-2019 |
| Jermy McCool | D1 | S | 51048 | 1-1-2019 |
| | | | | |
1Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X". Do not leave blank.
Do your Chief and Shift Distribution System Operators have the minimum level required?
COMMENTS (Note: Comments will be made publicly available): N/A |
10. WATER SYSTEM IMPROVEMENTS
The California Waterworks Standards (Section 64556) require an amended permit for any of the following improvements or modifications:
- Addition of a new distribution reservoir with a capacity of 100,000 gallons or more
- Modification or extension of the existing distribution system using an alternative to the requirements of the
California Waterworks Standards (see Sections 64570 through 64578) - Modification of the water supply by:
- Adding a new source
- Changing the status of an existing source (for example, active to standby) or
- Changing or altering a source, such that the quality or quantity of water supply could be affected
- Any addition or change in treatment, including
- Expansion of the existing service area by 20 percent or more of the number of service connections specified in your current permit.
If your water system made any improvements or modifications during 2018 for which a permit was not obtained, please describe
the improvements or modifications below.
The drilling of well 11-B is completed but not on line.
Indicate any planned improvements or modifications for 2019.
District is in the process of drilling a new well TP-2 to have a secondary well source to our Fluoride Removal Plant. The District is in the process to convert and upgrade the water meters to an AMI( Advanced Meter Infrastructure) and/or AMR (Automated Meter Reading)system.
COMMENTS (Note: Comments will be made publicly available): N/A |
11. COMPLAINTS REPORTED (WRITTEN OR VERBAL)
| Type of Complaint | No. of Complaints Reported by Customers | No. of Complaints Investigated | No. of Complaints reported to the Division of Drinking Water or Local County Staff | Brief Description of Cause and Corrective Action taken |
|---|
| Taste and Odor | 1 |
2 |
0 |
Problem origination from customer side |
| Color | 0 |
0 |
0 |
0 |
| Turbidity | 0 |
2 |
0 |
0 |
| Visible Organisms | 0 |
0 |
0 |
0 |
| Pressure (High or Low) | 44 |
46 |
0 |
Check pressure and advised customer of finding. Resulting in bad pressure regulators. |
| Water Outages1 | 0 |
0 |
0 |
0 |
Illnesses (Waterborne) | 0 |
0 |
0 |
0 |
| Other (Specify) | 147 |
117 |
0 |
Meter re-reads |
Total No. of Complaints* | 192 |
167 |
0 | |
1These are customer complaints of a water outage and not necessarily the same as the water outages reported under “System Problems” in the Distribution Section of the EARDWP.
*Calculated field
COMMENTS (Note: Comments will be made publicly available): N/A |
12. RECYCLED WATER USE
| Do you have recycled water in your service area (provided by you or another utility)? | |
Recycled Water (RW) Use Sites | Total No. of Approved Sites as of Dec. 31, 2018 | No. of New Sites Approved in 2018 | No. of Sites Proposed for 2019 |
|---|
| Irrigation, Agriculture | 0 |
0 |
0 |
| Irrigation, Landscape | 0 |
0 |
0 |
| Industrial | 0 |
0 |
0 |
Dual-plumbed  (In-building) | 0 |
0 |
0 |
Dual-plumbed (Single-family lot) | 0 |
0 |
0 |
| Cooling Towers | 0 |
0 |
0 |
| Other | 0 |
0 |
0 |
| Total* | 0 |
0 |
0 |
| Name of the recycled water coordinator: | N/A |
| Business Phone: | 760-367-7546 |
| Email address: | mminatrea@29palmswater.org |
| How many inspections of recycled water use sites were conducted in 2018? | 0 |
| How many pressure/shutdown tests were performed in 2018? | 0 |
| Do all of your recycled water uses sites have an on-site supervisor? | |
| How many recycled water uses sites do not have an on-site supervisor? | |
COMMENTS (Note: Comments will be made publicly available): N/A |
13. SYSTEM OPERATION - TREATMENT
A. GROUNDWATER TREATMENT (respond only if groundwater treatment is provided, exclude chlorination treatment)

Groundwater Treatment Plant Name | Treatment Process | Date of Operations Plan | Is Operations Plan Current? (Y/N) | Contaminant Removed |
| Well TP-1 FLUORIDE REMOVAL PLANT | Adsorption | 2007 | Y | Fluoride |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2018 and substantially affected the plant performance AND/OR
any significant modifications or maintenance provided to the plant(s):
Treatment Plant well motors/booster pumps turbine oil replaced yearly, and Back up generator yearly maintenance.
B. SURFACE WATER TREATMENT (respond only if surface water treatment is provided)

Surface water Treatment Plant Name | Date of Operations Plan | Is Operations Plan Current? (Y/N) |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | | |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
| 0 | 0 | 0 |
Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2018 and substantially affected the plant performance AND/OR
any significant modifications or maintenance provided to the plant(s):
N/A
TD = Treatment or Distribution operator at any level
NR, N/A, NA = There are no facilities subject to the Certified Treatment Plant Operator requirements
| Date of current Emergency Disinfection Plan (EDP)*: | 2/26/2018 |
| *As required under Section 64660(c)(2). The EDP may be included in your water system’s Emergency Response Plan or Operations Plan. If so, provide the Name and Date of those plans below:. |
| Name of Document that includes the Emergency Disinfection Plan: | Bacteriological Sample Site Plan |
| Date of document that includes the Emergency Disinfection Plan: | 2/26/2018 |
Date of last watershed sanitary survey report : | |
| Date planned to complete next watershed sanitary survey report*: | |
| *As required under Section 64665, each watershed sanitary survey shall be updated at least every 5 years. |
COMMENTS (Note: Comments will be made publicly available): N/A |
14. SYSTEM OPERATION – DISTRIBUTION
A1. DEAD-END FLUSHING PROGRAM
Total No. in System | No. with Blowoffs | No. Flushed in 2018 | Frequency of Flushing |
|---|
| 495 |
232 |
232 |
Annual |
Comments on DEAD-END FLUSHING PROGRAM (publicly available): N/A
A2. ALL FLUSHING OPERATIONS
| Units of Measure for total volume reported below: | |
|
Total Volume in units of measure selected above; include all types of flushing, not just dead-end flushing:  | 0 |
Comments on ALL FLUSHING OPERATIONS (publicly available): N/A
B. VALVE EXERCISE PROGRAM
Size Range of Valves | Total No. in System | No. Exercised in 2018 | Frequency of Valve Exercising |
|---|
| 2"-16" |
3960 |
927 |
Triennial |
Comments on VALVE EXERCISE PROGRAM (publicly available): N/A
C. STORAGE TANK/RESERVOIR INSPECTION/CLEANING PROGRAM
(Do not include pressure tanks)

| Tank name | Capacity (in million gallons, MG) | Year installed | Date of last inspection  | Date of last cleaning | Date re-lined or coated | Corrosion protection(*) | Material of construction |
| Donnell | 1.0 | 1956 | 2009 | 2009 | 1986 | None | Steel |
| Hansen | 1.5 | 1975 | | | | None | Steel |
| Plant 11A | .5 | 1969 | 2009 | 2009 | 1988 | None | Steel |
| Cambell | 5.8 | 1987 | 2017 | 2014 | 1987 | Passive | Steel |
| Worthing | .64 | 1991 | 2017 | 2010 | 1991 | Passive | Steel |
| Baywood | 3.0 | 1998 | 2011 | 2011 | 1988 | None | Steel |
| Desert Heights | 1.0 | 1989 | 2012 | | 1989 | Passive | Steel |
| Stockwell | .86 | 1978 | 2017 | | | Passive | Steel |
| 2260 | 2.0 | 2007 | 2017 | 2008 | 2007 | None | Steel |
| 2400 | 1.0 | 2007 | 2017 | 2008 | 2007 | Passive | Steel |
| | | | | | | --Pick One-- | |
*Coatings and linings do not count as corrosion protection for table Subsection C.
D. SYSTEM PROBLEMS
| Type of Problem | No. of Problems | No. of Problems Investigated | No. of Problems Reported to the Division of
Drinking Water
or Local
County Staff | Brief Description of Cause and Corrective Action Taken |
|---|
Service Connection Breaks/ Leaks | 4 |
0 |
0 |
service lin |
| Main Breaks/Leaks | 8 |
0 |
0 |
0 |
Water Outages | 0 |
0 |
0 |
0 |
| Boil Water Orders | 0 |
0 |
|
0 |
| Total* | 12 |
0 |
0 | |
Comments on SYSTEM PROBLEMS (publicly available): N/A
SECTION E AND F BELOW ARE ONLY FOR RETAIL COMMUNITY WATER SYSTEMS WITH >3,000 SERVICE CONNECTIONS OR SUPPLY >3,000 AF/YEAR
If you have questions about completing this section of the report, please contact Kartiki.Naik@waterboards.ca.gov or call (916) 319-9468.
The information in the section below will be used to help develop water loss performance standards for urban retail water suppliers, as required by SB 555 (2015).
E. INFRASTRUCTURE AND PRESSURE 
Pipe Material in Distribution System
1. Which materials does your distribution system pipe consist of? Please check all that apply:
Plastic (Including Poly Vinyl Chloride and HDPE)
Steel
Cast Iron
Galvanized Iron
Ductile Iron
Cement Concrete
Asbestos Cement
| Pipeline Material | Percentage of distribution pipe system composed of the materials selected above | Average Age (in years) |
| Plastic | .50 |
15 |
| Steel | .10 |
10 |
| Cast Iron | 0 |
0 |
| Galvanized Iron | 0 |
0 |
| Ductile Iron | 0 |
0 |
| Cement Concrete | 0 |
0 |
| Asbestos Cement | .40 |
20 |
| other: 0 |
0 |
0 |
2. Percentage of distribution system composed of pipes with a nominal diameter
larger than 18 inches 0 %
Pressure Management
1. Into how many pressure zones is your distribution system divided? 11
2. Specify the minimum operating pressure, averaged across your distribution system, required to maintain minimum pressure requirements at critical pressure points
in your distribution system as per the California Waterworks Standards (California Code of Regulations, Title 22, Division 4, Chapter 16, Article 8, §64602). 40 psi
Comments on the minimum operating pressure in Question 2 (publicly available) The District has 11 Pressure Reducing Station within the Distribution system. With minimum operationg pressure of 40 psi to 165 psi.
Comments on Pressure Management (publicly available): N/A
F. REAL LOSS REDUCTION MEASURES

1. Has your system implemented real loss reduction and detection measures
(excluding pressure reduction) in the past five years? If yes, please check the box and proceed to (2)
If not, skip questions 2 and 3 below.
2. Check the box if Component Analysis been conducted for your system
  a. Which year was the component analysis conducted? (YYYY) | |
|   b. What was the expenditure incurred? (Amount in $) | |
3. (a) Provide details on water loss measures implemented, if known. 
| Measure implemented for water loss detection |
| Measure | Implementation Level | Comments |
| Listening rods | |
|
| Ground microphones | |
|
| Hydrophones | |
|
| Leak noise correlators | |
|
| Leak noise loggers | |
|
| Inline acoustic devices | |
|
| Inline pressure devices | |
|
| Inline imaging devices | |
|
| Tracer gas | |
|
| Electromagnetic field detection | |
|
| District Metered Areas | |
|
| Ground Penetrating Radar | |
|
| Thermography | |
|
| Satellite imaging | |
|
| Machine learning | |
|
| Step testing | |
|
| Visual surveys | |
|
| Reduced response time to fix breaks/leaks | |
|
| Meter testing | |
|
| Other | |
|
Provide the following information for the prior five years (2014 through 2018):
| 5-Year Summary for Water Loss Detection Measures |
| Total Number of Leaks Detected from Year 2014 to 2017 | 46 |
| Total Number of Leaks Detected (2014 to 2018) * | |
| Net Volume of Water Loss Identified (2014 to 2018) | |
| Total Expenditure Incurred for Detection Measures ($) (2014 to 2018) | |
*Total Number of Leaks Detected for each year is the sum of No. of Problems for Service Connection Breaks/Leaks and Main Breaks/Leaks reported on subsection D. SYSTEM PROBLEMS.
Comments on 5-Year Summary for Water Loss Detection Measures (publicly available):
Select water volume units for the table below:
4. (a) Provide details on measures employed for monitoring operational pressure and pressure transients in your system, if known.
| Measures implemented to monitor operational pressure and pressure transients |
| Measure | Implementation Level | Comments |
| Pressure loggers | |
N/A |
| Hydraulic models | |
N/A |
| Pressure transient loggers | |
N/A |
| Other | |
N/A |
| Enter total expenditure if known ($) | |
N/A |
4. (b) Please provide details on interventions implemented to reduce operational pressure and pressure transients in your system, if known.
5. Provide the name of a contact person at your organization for water loss control programs (First Name, Last Name): Mike Minatrea
Comments on real loss reduction measures employed (publicly available) N/A
COMMENTS (Note: Comments will be made publicly available): N/A |
15. EMERGENCY PREPAREDNESS AND RESPONSE
A. EMERGENCY RESPONSE PLANS
PUBLIC WATER SYSTEMS WITH AT LEAST 3,300 OR MORE PERSONS SHOULD REVIEW AND REVISE THEIR EMERGENCY
RESPONSE PLAN TO ENSURE THAT THE PLANS ARE SUFFICIENT TO ADDRESS POSSIBLE DISASTER SCENARIOS.
Do you have an Emergency Response Plan (ERP) that addresses the procedures for the restoration of water service for your water system? | |
| Date of your current Emergency Response Plan: | 2/1/16 |
| Date ERP was last exercised with a tabletop or other activity: | 10/24/16 |
B. AUXILIARY POWER SUPPLY
| Does your water system have backup power for: |
| 1. Sources: | |
| 2. Pumping Stations: | |
| 3. Water Treatment Plants: | |
| If your system has backup power, how many times per year is it exercised? | 12 |
Can your system maintain system pressure either by backup power or by storage during power outages of 2 hours or less? | |
| Is your backup power system automatic or manual start?: | |
COMMENTS (Note: Comments will be made publicly available): N/A |
16. WATER CONSERVATION AND DROUGHT PREPAREDNESS
Please list any other long term actions you are considering or planning:
District is in the process to convert and upgrade the water meters to an AMI(Advanced Meter Infrastructure) and/or AMR (Automated Meter Reading) system. This tool will help the District monitor for water loss.
| Date of your revised Drought Preparedness Plan or Water Shortage Contingency Plan, if any: | 1/17/19 |
Units of Measure for this section:  | |
| If you experienced water shortages in 2018, please estimate the amount of shortfall in units selected for this section: | 0 |
| How many water-shortage response stages are in your drought plan? For “non-applicable”, enter zero. | |
| Did drought conditions cause you to activate emergency standby wells in 2018? | |
Do you project water shortages in the current calendar year?  | |
Did you implement NEW water conservation measures in 2018?  | |
If you implemented NEW water conservation measures in 2018, please estimate how much water was conserved  0 volume of water in units selected for this section
0 % reduction in demand |
| Do you anticipate having to go to mandatory rationing in the upcoming year? | |
COMMENTS (Note: Comments will be made publicly available): N/A |
17. CLIMATE CHANGE ADAPTATION AND RESILIENCY FOR WATER UTILITIES
Per Waterboard Resolution 2017-0012, dated 3/7/17, water system inspections are required to address climate change impacts & concerns.
ONLY FOR COMMUNITY WATER SYSTEMS
Your water system classification is: Community Water System 
If you have questions about completing this section of the report, please contact Joseph.Crisologo@waterboards.ca.gov or call (818) 551-2046.
| A. CLIMATE THREATS |
What climate-related impacts are of concern for your water system (check all that apply)?  |
| B. SENSITIVITY AND MAGNITUDE OF IMPACTS |
Qualitatively assess climate change sensitivity of your facilities, and criticality or consequence of disruption. Consider identified climate threats using past experience, and expert judgement based on the magnitude of expected change and extreme events in the future. You do not need numeric answers. USEPA provides a risk assessment tool, called CREAT, to help utilities identify which environmental changes can impact water supply: https://www.epa.gov/crwu/build-resilience-your-utility. More resources are available that may help you complete this section.  |
| Drought | Groundwater Depletion | Decreased water storage (low lake and reservoir levels) | Choose an item |
| Groundwater depletion (increased extraction, reduced groundwater recharge, etc.) | Choose an item |
| Change in seasonal runoff and/or loss of snowmelt | Choose an item |
Region relies on water diverted from the Delta, imported from the Colorado River, or other climate-sensitive area | Choose an item |
| Water Quality Degradation | Salt-water intrusion into aquifers | Choose an item |
| Altered water quality during storm events (turbidity shifts, debris flows) | Choose an item |
| Surface water quality issues related to eutrophication, algal blooms, invasive species | Choose an item |
| Flooding | Sea Level Rise | High flow events and flooding | Choose an item |
| Inundation due to sea level rise, high tides, and/or coastal storm surges | Choose an item |
| Aging flood protection infrastructure (levees), or insufficient impoundment capacity | Choose an item |
| Extreme Heat | Peak demand volume surges (due to extreme heat, temperature trends, etc.) | Choose an item |
| Increases in agricultural water demand or energy sector needs | Choose an item |
| Fire | Other Impacts | Increased fire risk and altered vegetation, e.g., wildfires | Choose an item |
| Disruption of power supply | Choose an item |
| Other N/A |
Choose an item |
| C. ADAPTATION MEASURES |
Identify measures to increase resiliency and reduce vulnerabilities based on identified water system sensitivities. Indicate status for all projects that your organization has completed or plans to implement to increase resiliency of the water system to climate change? Adaptation measures planned or achieved for reasons other than climate change should be put in the “Other” box along with the reason for the measure. USEPA’s Adaptation Strategies Guide for Water Utilities provides examples of adaptation: https://www.epa.gov/crwu/learn-how-plan-extreme-weather-events  |
| Install new and deeper drinking water wells, or modify existing wells to increase pumping capacity | Choose an item |
| Develop local supplemental water supply, enhanced treatment, or increased storage capacity (e.g. recycled water, storm runoff for groundwater recharge, desalination, new reservoir) | Choose an item |
| Interconnection with other utilities (transfers, mutual aid agreements with neighboring utilities) | Choose an item |
| Relocate facilities, construct or install redundant facilities | Choose an item |
| Modify facilities (e.g., install barrier or levee, raise a wall, seal a door, elevate construction) | Choose an item |
| Conservation measures (demand management, enhanced communication and outreach) | Choose an item |
| Fire prevention – brush management, partnerships | Choose an item |
| Alternative or backup energy supply | Choose an item |
| On-site energy generation | Choose an item |
| Enhance monitoring program, budget for additional testing and treatment, chemicals | Choose an item |
| Other N/A |
Choose an item |
COMMENTS (Note: Comments will be made publicly available): Adoption of Local Hazard Mitigation Plan in April 2018. |
18. LEAD SERVICE LINE REPLACEMENT

ONLY FOR COMMUNITY WATER SYSTEMS
Your water system classification is: Community Water System
Section 116885 of the California Health and Safety Code, Lead Service Lines in Public Water Systems, added to the Health and Safety Code by Senate Bill 1398 (2016) and amended by Senate Bill 427 (2017), requires all community water systems (CWS) to compile an inventory of known partial or total lead user service lines in use in its distribution system by July 1, 2018. All CWSs will need to provide DDW an inventory form through this 2018 electronic annual report (eAR) explaining how the inventory was determined and the results. DDW is utilizing this 2018 electronic annual report (eAR) to gather and update this information.
IMPORTANT: In the 2017 electronic Annual Report, all CWSs were required to submit the lead service line inventory to the DDW. The INVENTORY TABLE below were PRE-FILLED with information provided in the 2017 eAR, please review the table below and take this opportunity to make changes and update your inventory. All pipe materials that does not apply to your system must not be left blank. You must enter zero, otherwise errors will be generated at the end of the eAR report.
The inventory must include all user service lines that are active and those that are reasonably expected to become active in the future. Also, Section 116885 requires that CWS identify areas that may have lead user service lines in use, and/or identify any areas within the CWS distribution system that the CWS cannot identify the material that is being used for the service line. If a CWS indicates the existence of lead user service lines or unknown material user service lines or lead/unknown fittings associated with user service lines, by July 1, 2020, the CWS will need to submit to DDW a timeline to replace all lead and unknown material user service lines. Please include the updated information on your user service line inventory below so DDW can track the progress of your system. For additional information, please visit
https://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/lead_service_line_inventory_pws.html
If you have questions about completing this section of the report, please contact David.Pimentel@Waterboards.ca.gov or call (916) 323-0572.
If your water system is a wholesaler and your system contain no user service lines, you are not required to complete this form: Please check this box:
| Date lead service line inventory was completed (MM/DD/YYYY): | 04/30/2018 |
A. User service line inventory:
"User service line" means the pipe, tubing, and fittings connecting a water main to an individual water meter or service connection.
| Pipe Material | Estimated Number of Service Lines (Enter “0” if none) | Estimated Total Length of Service Lines (In feet), if applicable |
|---|
| A. Lead | 0 |
0 |
| B. Unknown material | 0 |
0 |
| C. Copper | 7930 |
| D. Cast iron (ductile pipe) | 0 |
| E. Ductile iron | 0 |
| F. Galvanized steel | 0 |
| G. Polyvinyl chloride (PVC) | 0 |
| H. Polyethylene (PE) | 162 |
| I. High density polyethylene (HDPE) | 0 |
| J. Polybutylene (PB) | 0 |
| K. Transite/asbestos cement | 0 |
| L. Other materials not listed above: | |
| Identify material 1 | 0 |
0 |
| Identify material 2 | 0 |
0 |
| Identify material 3 | 0 |
0 |
| Identify material 4 | 0 |
0 |
| Total number of service lines inventoried* (calculated field) | 8092 |
| Total number of service connections from Section 3 of the EAR | 8092 |
Fittings or fittings connecting a water main: | | | M. Lead fittings NOT on a lead pipe(e.g., goosenecks, pigtails, and corporation stops) | 0 |
| N. Lead fittings ON a lead pipe (e.g., goosenecks, pigtails, and corporation stops) | 0 |
| O. Fittings of unknown material (e.g., goosenecks, pigtails, and corporation stops) | 0 |
| Total number of lead service lines** (calculated field) | 0 |
*Total number of service lines inventoried (calculated field) = Sum of A through L
**Total number of lead service lines (calculated field) = Sum of A and M
To Update calculated field, click button below
B. Method(s) used to prepare the lead service line inventory in Part A (check all that apply):
Tap Cards or tickets from initial service installation
Plans from water main installation, rehabilitation, and replacement
Records indicating when buildings were constructed
Meter replacement records
Distribution maps, drawings, or GIS
Visual confirmation of pipe material by plumbers or utility crews during maintenance or installation activities
Interviews with water system personnel and/or past employees
Field investigations
Other (describe below):
Main replacement program from 1980's-present
Disclosure: Be advised that Sections 116725 and 116730 of the California Health and Safety Code
states that any person who knowingly makes any false statement on any report or document
submitted for the purposes of compliance may be liable for a civil penalty not to exceed
five thousand dollars ($5,000) for each separate violation for each day that the violation
continues. In addition, the violators may be prosecuted in criminal court and upon conviction, be
punished by a fine of not more than $25,000 for each day of the violation, or be imprisoned in county jail
not to exceed one year, or both the fine and imprisonment.