92-2957 - Fax #: (609) 633-1495 http://www.state.nj.us/dep/watersupply BOB MARTIN Commissioner CCR Year: 2014 (2013 data) 2014 Consumer Confidence Report (CCR) Certification Form PWS ID# NJ Community Water System Name: Community Water System Address: 1. CCRs must be mailed or electronically delivered to all bill-paying customers by July 1st. Provide date(s).
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How to fill out the Njdep Ccr Certification Form online
The Njdep Ccr Certification Form is an essential document for community water systems in New Jersey to certify the distribution of their Consumer Confidence Reports. This guide provides clear, step-by-step instructions to assist users in completing the form online with ease.
Follow the steps to successfully complete your certification form.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Input your Public Water System (PWS) ID number in the designated field, which consists of seven digits.
- Enter the Community Water System name and address in the specified fields accurately to ensure proper identification.
- Indicate the dates when the Consumer Confidence Reports were distributed to bill-paying customers by filling in the date(s) in the provided section.
- Select the distribution method(s) utilized to reach your bill-paying customers by checking the appropriate boxes.
- If the CCR was provided electronically, enter the direct URL in the designated field.
- For larger community water systems serving more than 100,000 people, fill in the date it was posted on the internet along with the URL.
- Check all methods used to reach non-bill paying customers, ensuring to attach any necessary lists or announcements as specified.
- If applicable, list any Community Water Systems to which you sell water along with their PWS ID numbers and the date information was provided.
- Determine if the CCR is meant to satisfy public notice requirements for iron, manganese, or sodium and circle 'Yes' or 'No' as appropriate.
- Provide the user's name, title, phone number, email address, and fax number in the certification section.
- Review all entered information for accuracy and completeness before submitting it.
- Finally, save the changes, download, print, or share the completed form as needed.
Complete your Njdep Ccr Certification Form online today for efficient document management.
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