SMALL WATER SYSTEM
2015 ANNUAL REPORT TO THE DRINKING WATER PROGRAM
FOR YEAR ENDING DECEMBER 31, 2015
[Section 116530 Health & Safety Code]

WATER SYSTEM INFORMATION
Water System No.:	CA4810013
Water System Name:	RURAL NORTH VACAVILLE WATER DISTRICT
Water System Classification:	Community Water System
Water System Ownership (See descriptions below):	--Pick one-- Local Government State or Federal Government Privately owned, PUC-regulated, for profit water company Privately owned, non-PUC-regulated (Community Water System) Privately owned Mutual Water Company or Association Privately owned business (non-community)
Physical location:   (address line 1, address line 2, city, zip)	801 Vaca Valley Parkway, Suite 201 Vacaville 95688
General Office Phone: (with area code)	707-447-8420
Web site address:	www.RNVWD.com

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

REPORT SUBMITTED BY:
Name:	Sue Murphy
Title:	Water Quality Specialist
Business phone:	707-455-4021
Cell phone:	707-249-6007
Email address:	murphys@sidwater.org

COMMENTS:

1. Public Water System Contacts

Click here to learn how to Modify, Add and Delete Contacts in the table below.

IMPORTANT: Each water system must have one and only one Administrative Contact AND one and only one Financial Contact. The same person may be both the Administrative and Financial Contacts.

Please provide an email address for the Administrative Contact as most email communication, particularly email blasts, from the Division of Drinking Water will be sent to the email address of the Administrative Contact.

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)
STANKOWSKI, GORDON			Business Home	707-447-8420	gm@rnvwd.com	** Delete Contact ** Administrative	Operator
GENERAL MANAGER			Facsimile			Financial	Emergency
P.O. Box 5097			Mobile	707-689-3184		Designated Operator In Charge	Water Quality
VACAVILLE  CA  95696			Emergency			Owner	Legal
						Funding	Contract Operator
NOUTARY, JUSTIN			Business Home	707-455-4025	jnoutary@sidwater.org	** Delete Contact ** Administrative	Operator
M&I SUPERVISOR			Facsimile			Financial	Emergency
810 Vaca Valley Parkway Suite 201			Mobile	707-249-3071		Designated Operator In Charge	Water Quality
VACAVILLE  CA  95688-8834			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding	Contract Operator
			Business Home			** Delete Contact ** Administrative	Operator
			Facsimile			Financial	Emergency
			Mobile			Designated Operator In Charge	Water Quality
			Emergency			Owner	Legal
						Funding
Add Additional Contact						(pick all that apply)
Contract Operator
--Contact Name--			Business	--Bus. #--	--Email Addr-- --2nd Email Addr-	Administrative	Operator
--Title--			Home	--Fax No--		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	--Mob. #--		Designated Operator In Charge	Water Quality
--City--  --ST--  --Zip--			Emergency	--Emer. #--		Owner	Legal
						Funding	Contract Operator
Add Additional Contact						(pick all that apply)
--Contact Name--			Business	--Bus. #--	--Email Addr-- --2nd Email Addr-	Administrative	Operator
--Title--			Home	--Fax No--		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	--Mob. #--		Designated Operator In Charge	Water Quality
--City--  --ST--  --Zip--			Emergency	--Emer. #--		Owner	Legal
						Funding	Contract Operator
Add Additional Contact						(pick all that apply)
--Contact Name--			Business	--Bus. #--	--Email Addr-- --2nd Email Addr-	Administrative	Operator
--Title--			Home	--Fax No--		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	--Mob. #--		Designated Operator In Charge	Water Quality
--City--  --ST--  --Zip--			Emergency	--Emer. #--		Owner	Legal
						Funding	Contract Operator
Add Additional Contact						(pick all that apply)
--Contact Name--			Business	--Bus. #--	--Email Addr-- --2nd Email Addr-	Administrative	Operator
--Title--			Home	--Fax No--		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	--Mob. #--		Designated Operator In Charge	Water Quality
--City--  --ST--  --Zip--			Emergency	--Emer. #--		Owner	Legal
						Funding	Contract Operator

COMMENTS:

2. POPULATION SERVED

Population Type	Population	Annual Operating Period
			Begin Date		End Date
			MM	DD	MM	DD
Residential1	900	Method Used to Determine Population:    --Pick one-- Most recent United States census data Multiplied number of service connections by 3.3 Determined total number of dwelling units and multiplied by 2.8 Other	01	01	12	31
Transient2	N/A		N/A	N/A	N/A	N/A
Nontransient3	N/A		N/A	N/A	N/A	N/A

MM = month, in 2-digit format DD = day, in 2-digit format

Descriptions:

¹Residential – report the number of persons who reside within the water system service area for more than half of the year (excludes
transient and nontransient populations). If year-round, the Begin Date would be 01/01 and the End Date would be 12/31.

²Transient – report the number of persons who are at the water system on the 60^th busiest day of the year (excludes residential and nontransient
populations. Report the Begin Date and End Date if the Transient use is seasonal.

³Nontransient – report the number of the persons who are at the water system for over 6 months per year (excludes residential and
transient populations). Report the Begin Date and End Date if the Nontransient use is seasonal.

List the names of communities served by the system identifying both incorporated and unincorporated areas:

COMMENTS:

3. NUMBER OF SERVICE CONNECTIONS(as of December 31, 2015)

A. Active Service Connections:

Total Active Potable Water Connections currently in Division of Drinking Water database:

341

The total number of Service Connections as of December 31, 2015 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	380	380	0	0	0
Multi-family Residential: Apartments, condominiums, town houses, duplexes and trailer parks	0	0	0	0	0	0
Commercial/Institutional: Retail establishments, office buildings, laundries, schools, prisons, hospitals, dormitories, nursing homes, hotels	0	0	0	0	0	0
Industrial: All manufacturing	0	0	0	0	0	0
Landscape Irrigation: Parks, play fields, cemeteries, median strips, golf courses	0	0	0	0	0	0
Agricultural Irrigation: Irrigation of commercially-grown crops	0	0	0	0	0	0
Total Active Connections*	0	380	380	0	0	0
Other: Fire suppression, street cleaning, line flushing, construction meters, temporary meters	0	0	0	0	0	0

*Calculated field

B. Number of Inactive Connections (all types) Include only service connections that have been physically disconnected (i.e., meter removed) from the water system. All other service connections should be considered as “Active.”

14

COMMENTS:

4. GROUNDWATER (GW) AND SURFACE WATER (SW) SOURCES

GROUNDWATER SOURCES (INCLUDING STANDBY SOURCES)

PSCode	Name	Activity
4810013-001	WELL 01	A
4810013-002	WELL 02 - EMERGENCY STANDBY	A

Add sources not listed above. Describe changes to sources above under "Comments".

PSCode	Name	Activity	Comments

SURFACE WATER INTAKES

PSCode	Name	Activity

Add sources not listed above. Describe changes to sources above under "Comments".

PSCode	Name	Activity	Comments

Are your water sources metered? --Pick one-- Yes No

DISCUSS CHANGES TO ABOVE SOURCES

If a STANDBY SOURCE was used in 2015, provide the following information.

Name of the Standby Source used in 2015:	No. of days the Standby Source was in operation:	Were customers notified? (Y/N)	Was DDW or Local County Staff notified? (Y/N)	Describe the reason the Standby Source was used:

COMMENTS:

5. WATER PRODUCED, PURCHASED AND SOLD

The Maximum Day is the day during 2015 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.

The Maximum Month is the month during 2015 with the highest total water usage. Provide the month in Column B,
then complete Columns C, D and E, indicating how much of the water during that month was from each source.

Units of Measure for this table: --Pick one-- Gallons Million Gallons Acre-feet (AF) 100 cubic feet

Volumes are based on: --Pick one-- METERED VOLUMES ESTIMATED VOLUMES

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	20/August	2.084	0	0	2.084	0
Maximum Month	August	15.796	0	0	15.796	0
January		6.528	0	0	6.528	0	0	0
February		5.723	0	0	5.723	0	0	0
March		9.971	0	0	9.971	0	0	0
April		9.388	0	0	9.388	0	0	0
May		14.491	0	0	14.491	0	0	0
June		15.590	0	0	15.59	0	0	0
July		15.268	0	0	15.268	0	0	0
August		15.796	0	0	15.796	0	0	0
September		14.973	0	0	14.973	0	0	0
October		13.092	0	0	13.092	0	0	0
November		7.973	0	0	7.973	0	0	0
December		6.027	0	0	6.027	0	0	0
Annual Total*		134.82	0	0	134.82	0	0	0
Percent Treated4		0

PWS = Public Water System

^*Calculated field. If you do not have monthly production data to report, please report your Annual Total production in the row for January.

Non-potable = water supplies that do not enter the drinking water distribution system and are for non-potable uses only 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. 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.

⁵If water was Purchased from or Sold to another PWS, complete the table below:

Specify whether water was Purchased or Sold	Name of PWS

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

COMMENTS:

6a. WATER RATES

If you have questions about completing this section of the report ONLY, please contact Kathy.Frevert@Waterboards.ca.gov or call (916) 322-5274.
For all other inquiries, please contact DRINC@waterboards.ca.gov.

Indicate the type of residential water rate structure used by your water system: --Pick one-- Flat Base Rate Uniform Usage Rate Variable Base Rate Variable usage Rate Flat Base Rate + Uniform Usage Rate Flat Base Rate + Variable Usage Rate Variable Base Rate + Variable Usage Rate Allocation Based Other Rate Structure (specify rate structure used in the Comments box) We Do Not Charge A Water Rate (specify why in the Comments box)

If tiered, what is the number of tiers?	--Pick one-- Not Tiered 2 3 4 5 6 7
Date of most recent update to the rate structure: MM/DD/YYYY	08/11/2015
Describe the changes that were made in the update:	Uniform Rates
What is your billing frequency --Pick one-- monthly bi-monthly other
What is your new connection fee?	40,000
Date of most recent update to the new connection fee: MM/DD/YYYY	03/01/2016

Complete the table below providing specific water rates applied to your customers:

Connection Type	FLAT BASE RATE	UNIFORM USAGE RATE	VARIABLE BASE RATE (provide range)		VARIABLE USAGE RATE (provide range)
	$ (Base)	$ per hcf	$ Low	$ High	$ per hcf Low	$ per hcf High
RESIDENTIAL
Single-family Residential	70.00	2.00	0	0	0	0
Multi-family Residential	0	0	0	0	0	0
Do you provide lifeline/low income subsidies?			--Pick one-- Yes No
If Yes, provide rates:	0	0	0	0	0	0
If yes, what percentage of residential customers receive this subsidy?			0
NON-RESIDENTIAL
Commercial/Institutional	0	0	0	0	0	0
Industrial	0	0	0	0	0	0
Landscape Irrigation	0	0	0	0	0	0
Agricultural Irrigation	0	0	0	0	0	0
Other	0	0	0	0	0	0
Do you have fire suppression surcharges?			--Pick one-- Yes No
If Yes, provide rates:	0	0	0	0	0	0
Do you have other surcharges?			--Pick one-- Yes No
What are the other surcharges?			Capital Replacement Charge
If Yes, provide rates:	10.00	0	0	0	0	0

AVERAGE MONTHLY RESIDENTIAL CUSTOMER WATER BILL IN $/month USING:

a. 6 CCF	92.00
b. 12 CCF	104.00
c. 24 CCF	128.00

NOTE: If this is not a "Community" Water System; enter N/A. If individual customers do not pay a separate bill for water enter "0".

6b. WATER DELIVERIES

Units of Measure for this table: --Pick one-- Gallons Million Gallons Acre-feet (AF) 100 cubic feet

Provide monthly metered water deliveries in the table below.

A	B	C	D	E	F	G	H	I	J
	Single-family Residential	Multi-family Residential	Commercial/ Institutional	Industrial	Landscape Irrigation	Other	Total Urban Retail1*	Agricultural	Other PWS
Check if Recycled Water is included:
January	2456	0	0	0	0	0	2456	0	0
February	2272	0	0	0	0	0	2272	0	0
March	3892	0	0	0	0	0	3892	0	0
April	4215	0	0	0	0	0	4215	0	0
May	5272	0	0	0	0	0	5272	0	0
June	6299	0	0	0	0	0	6299	0	0
July	6115	0	0	0	0	0	6115	0	0
August	6736	0	0	0	0	0	6736	0	0
September	5553	0	0	0	0	0	5553	0	0
October	4460	0	0	0	0	0	4460	0	0
November	3632	0	0	0	0	0	3632	0	0
December	2074	0	0	0	0	0	2074	0	0
Total*	52976	0	0	0	0	0	52976	0	0

PWS = Public Water System

^*Calculated field

¹Total Urban Retail = Sum of Columns (B) thru (G), automatically calculated. To update, click below

COMMENTS:

7. WATER QUALITY

ANNUAL NITRATE SAMPLING

Regulations require a minimum of annual sampling for nitrate. If any nitrate result is >= 1/2 the MCL of 45 mg/L (i.e., a result of >= 23 mg/L
nitrate) then quarterly monitoring must be initiated.

Did your system conduct monitoring for nitrate during 2015 from each source?

--Pick one-- Yes No Not Applicable (i.e., 100% purchased water)

NOTE: If there were any sources that were not monitored because they were offline during 2015, you must
contact your local regulatory agency to avoid an enforcement action for failure to monitor.

BACTERIOLOGICAL SAMPLE SITING PLAN

The coliform monitoring regulations require that an updated sample-siting plan be submitted at least every 10 years, and at any time the plan
no longer ensures representative monitoring of the system (Section 64422 of Title 22).

Date of current bacteriological sample siting plan:

3/6/2015

COMMENTS:

8. WATER TREATMENT

Treatment Plant	Required Treatment Plant Operator Classification
Well 1 chlorination	D1
Well 2 chlorination	D1

If treatment was added or changed in any way in 2015, provide a brief description and identify the water source

TD = Treatment or Distribution operator at any level

NR, N/A, NA = There are no facilities subject to the Certified Treatment Plant Operator requirements

DIRECT ADDITIVES

Are all chemicals used NSF/ANSI Standard 60 certified?

--Pick one-- Yes No Not sure N/A (no chemicals used)

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?

--Pick one-- Yes No

If you have any questions on the requirements related to indirect additives, you may contact your local regulatory agency.

COMMENTS:

9. CROSS-CONNECTION CONTROL

	Total Number in System	Number Installed in 2015	Number Tested in 2015	Number Failed in 2015	Number Repaired/ Replaced
Backflow Assemblies on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies)	378	0	378	5	5
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

No. of Inactive Backflow Prevention Assemblies in water system in 2015 :			0
Date of last cross-connection control survey done on the system:			August 2015
Cross Connection Control Program Coordinator
Name:			Eric Trites
Certification Number:			11406
Business Phone:	530-828-5438	Email Address:	tritesbackflow@gmail.com
Certification or training received: AWWA training

Describe any cross-connection incidents that occurred during 2015:

COMMENTS:

10. CONSUMER CONFIDENCE REPORT (does not apply to Transient Noncommunity water systems)

THE 2015 CCR MUST BE DISTRIBUTED TO YOUR CUSTOMERS AND A COPY SUBMITTED TO YOUR LOCAL REGULATORY AGENCY BY JULY 1, 2016. IN ADDITION, PUBLIC WATER SYSTEMS THAT ARE ALSO REGULATED BY THE CALIFORNIA PUBLIC UTILITIES COMMISSION (PUC) MUST MAIL A COPY OF THEIR CCR TO THE PUC BY JULY 1, 2016.

CERTIFICATION MUST BE SUBMITTED TO YOUR LOCAL REGULATORY AGENCY BY OCTOBER 1, 2016, STATING THAT THE 2015 CCR HAS BEEN DISTRIBUTED
TO CUSTOMERS AND THAT THE INFORMATION IS CORRECT.

The CCR guidance, CCR template, and the certification form can be obtained from the Division of Drinking Water web site
at:http://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/CCR.shtml

Indicate the date your 2015 CCR was distributed or will be distributed to your customers:

06/01/2016 mm/dd/yyyy

COMMENTS:

11. 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: D1

If you do not have a Certified Treatment Operator, put "NONE" in each column of the first row.

Name	Grade of Operator	Chief or Shift1 (C/S)	Operator Number	Expiration Date
Tom Campbell	5	C	20441	5/1/2017
Gregory Stinson	4		23041	8/1/2016
Joshua Hendrickson	3		32593	11/1/2018
Dean Miner	3		18873	8/1/2017
Al Taglieri	3		18555	1/1/2017
Matthew Brock	2		36345	6/1/2018
Adam Burbey	2		33597	9/1/2017
Michael Doyle	2		24970	1/1/2017
Martin Garcia	2		30746	6/1/2018
William Hoffman	2		25196	7/1/2018
Sue Murphy	2		28006	2/1/2017
Justin Noutary	2		31788	3/1/2019
Tyson Wallinger	2		35906	1/1/2017

¹Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X".

Do your Chief and Shift Treatment Plant Operators have the minimum level required? --Pick one-- Yes No No treatment facility except precautionary disinfection Don't Know

B. Please list the State certified Water Distribution 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: D1

If you do not have a Certified Distribution System Operator, put "NONE" in each column of the first row.

Name	Grade of Operator	Chief or Shift1 (C/S)	Operator Number	Expiration Date
Justin Noutary	4	C	33857	2/1/2017
Tom Campbell	5		8364	1/1/2018
Sue Murphy	5		28222	8/1/2016
Michael Doyle	4		4709	5/1/2017
Martin Garcia	4		7200	11/1/2017
William Hoffman	4		30368	4/1/2017
Gregory Stinson	4		7996	8/1/2016
Phillip Barry	3		28613	5/1/2018
Matthew Brock	3		37881	6/1/2018
Adam Burbey	3		37228	6/1/2018
Jared Clark	3		29696	11/1/2017
Joshua Hendrickson	3		38478	4/1/2017
William Jones	3		33744	4/1/2017
Dean Miner	3		7211	10/1/2016
Patrick O'Hara	3		5458	6/1/2018
Al Taglieri	3		7208	7/1/2017
Tyson Wallinger	3		35120	6/1/2017

¹Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X".

Do your Chief and Shift Distribution System Operators have the minimum level required? --Pick one-- Yes No Don't Know Not Applicable (transient non-community water system)

COMMENTS:

12. 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
  • Design capacity
  • Process
• 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 2015 for which a permit was not obtained, please describe the improvements
or modifications below.

Indicate any planned improvements or modifications for 2016.

COMMENTS:

13. 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	0	0	0
Color	0	0	0
Turbidity	0	0	0
Visible Organisms	0	0	0
Pressure (High or Low)	0	0	0
Water Outages	0	0	0
Illnesses (Waterborne)	0	0	0
Other (Specify)	1	1	1	Hardness complaint
Total No. of Complaints*	1	1	1

*Calculated field

COMMENTS:

14. 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	15	15	15	Leaks
Main Breaks/Leaks	0	0	0
Water Outages	0	0	0
Boil Water Orders	0	0	0
Total*	15	15	15

COMMENTS:

15. ONGOING WATER SYSTEM VIOLATIONS

Is your water system operating under USEPA, Division or LPA enforcement for a continuous violation?

--Pick one-- Yes No

If yes, respond to the following:

Type of violation (for example, specify “Nitrate MCL” violation if your wells exceeds the nitrate MCL of 45 mg/L
Dates in 2015 that public notification was provided to users
Corrective action taken in 2015
Was bottled water provided to users?	--Pick one-- Yes No
If yes, how was bottled water provided, for example, direct delivery?
Describe anticipated schedule to return to compliance

COMMENTS:

16. WATER CONSERVATION AND DROUGHT PREPAREDNESS

Date of your revised Drought Preparedness Plan, if any:	None
If you experienced water shortages in 2015, please estimate the amount of shortfall in millions of gallons:	None
Did drought conditions cause you to activate emergency standby wells in 2015?	--Pick one-- Yes No Not Applicable (no wells)
Do you project water shortages in the current calendar year?	--Pick one-- Yes No
Did you implement NEW water conservation measures in 2015?	--Pick one-- Yes No
If you implemented NEW water conservation measures in 2015, please estimate how much water was conserved in millions of gallons:        (MG)        % reduction in demand
Do you anticipate having to go to mandatory rationing in the upcoming year?	--Pick one-- Yes No
Do you routinely monitor the static water levels in your wells?	--Pick one-- Yes No Not Applicable (no wells)
Do you routinely monitor the pumping water levels in your wells?	--Pick one-- Yes No Not Applicable (no wells)
Are these levels recovering, declining or steady?:	--Pick one-- Recovering Declining Steady Not Applicable (no wells)

Please list any other long term actions you are considering or planning:

COMMENTS: The system has limited outside watering to two days a week.

Disclosure: Be advised that Section 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 purpose of compliance may be liable for a civil penalty not to exceed
five thousand dollars ($5,000) for each separate violations 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 violation, or be imprisoned in county jail
not to exceed one year, or both the fine and imprisonment.