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Consumer Notice of Lead Tap Water Monitoring Results PWS Name: PWSID: Monitoring Period: - deq mt

Consumer Notice of Lead Tap Water Monitoring Results PWS Name: PWSID: Monitoring Period: - deq mt 2026

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The document is a Consumer Notice regarding the monitoring results of lead and copper levels in tap water from a public water system. It outlines the notification methods used to inform consumers about the test results, health effects of lead and copper, and steps to reduce exposure. The document requires certification that consumers were informed within 30 days of receiving test results and includes instructions for submitting the notice to the Montana Department of Environmental Quality.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the PWS Name and PWSID at the top of the form. This identifies your water system.
Fill in the Monitoring Period, specifying the dates relevant to your testing.
Select the Delivery Method for notifying consumers. Choose either option a or b for Community water systems, indicating how consumers were notified.
For Non Transient Non Community (NTNC) water systems, choose between options a or b regarding how results were communicated.
Certify that you have provided individual tap results and health effect explanations by checking the appropriate boxes.
Complete the signature section with your Job Title, Print Name, Phone number, and Date.
Finally, ensure to mail this completed form along with consumer notifications within three months after the monitoring period ends.

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