Get Water System Operator Designation Drc Form - Public Health - Public Health Oregon

The Water System Operator Designation DRC Form is crucial for ensuring proper management and certification of water system operators in Oregon. This guide will walk you through the process of filling out the form online, ensuring that all necessary information is provided accurately.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by filling out your name and contact information, including your address, city, state, and zip code. Ensure all details are entered accurately to avoid any processing delays.
3. Enter your public water system (PWS) number and specify the required certifications for the operators, including distribution level, treatment level, and any filtration endorsements needed.
4. If there is a change of the designated responsible charge (DRC), provide the previous DRC's details and indicate the reason for the change by checking the appropriate box.
5. Fill out the new DRC section by entering the name and certification number of the new distribution and treatment operators. Verify that they hold the required certifications.
6. Indicate whether the system contracts for a certified operator. If 'yes,' complete the additional fields with the name of the business, operator, address, and contact number.
7. The water system owner or legal representative must sign and date the form, confirming that the provided information is accurate.
8. Review the completed form to ensure that all fields are correctly filled out. Save any changes, download a copy for your records, and consider printing the form.
9. Submit the completed form, with a copy of the contract if required, to the provided mailing address for the Operator Certification under the Oregon Health Authority.

Complete your Water System Operator Designation DRC Form online today to ensure compliance with state regulations and streamline your documentation process.