Get Ohio Epa Certifivation That The Ccr Was Distributed Form

This guide provides clear instructions on how to complete the Ohio EPA Certification That The CCR Was Distributed Form online. Following these steps will ensure that you accurately fill out the form, complying with Ohio EPA requirements.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to access the form and open it in the online editing platform.
2. Begin by filling in the section where you certify the attached Consumer Confidence Report (CCR) was distributed to all customers on the public water system. You will also need to confirm that the information is correct and consistent with the compliance monitoring data submitted to the Ohio EPA.
3. In the ‘Actual Methods of Distribution’ section, fill in all applicable methods used to distribute the CCR. Specify if you mailed or hand-delivered paper copies and provide the corresponding dates of delivery.
4. Indicate the method of electronic delivery you used by checking the appropriate box. If you mailed information about a link to the CCR, provide the date of delivery and attach a sample notice or insert.
5. If applicable, specify how you published the CCR on the Internet, especially for systems serving a population of 100,000 or more. Provide the date the CCR was posted online.
6. Check all methods you used to reach non-bill paying consumers under the ‘Good Faith’ efforts section. Attach any necessary documentation required for the methods you selected.
7. In the wholesalers section, provide the delivery date of information to each community master metered public water system.
8. If there was any public notification included in the CCR for a monitoring violation, fill in the corresponding details including the contaminant and violation date.
9. Complete the signature portion by having the responsible official sign, and fill in their printed name, title, contact phone number, name of the public water system, PWS ID, county, and the date.
10. Once all fields are accurately filled, review the form for any errors. Save your changes, and proceed to download, print, or share the completed form as needed.

Complete the Ohio EPA Certification That The CCR Was Distributed Form online today to ensure compliance and facilitate proper reporting.