Public Water Supply Annual Report Form
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[67KB]
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Form 903, for use by public water system officials only. Complete a new form whenever there is a change in the legally responsible official or the operator of record for your public water system, and fax to (601) 576-7822.
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Engineering Documents Transmittal Form
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[44KB]
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Use when sending plans & specs for review by MSDH Bureau of Public Water Supply engineers (Microsoft Word format)
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Engineering Documents Transmittal Form
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[12KB]
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Optional Adobe PDF format for printing
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Daily Fluoride Sampling Log
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[22KB]
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Daily Fluoride Sampling Log (MS Word format)
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[44KB]
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Waterworks Operator Training Submittal Form
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[49KB]
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For operator training providers
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Lead and Copper
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Lead and Copper Consumer Notice
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[27KB]
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Sample Site Identification - Community Water Systems
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[42KB]
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Sample Collection Procedures - Homeowner
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[10KB]
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Sample Site Identification - Nontransient Noncommunity Systems
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[38KB]
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Sample Collection Procedures - Nontransient Noncommunity Systems
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[8KB]
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Ground Water Rule
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Monthly Operating Report (Population less than or equal to 3,300)
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[3KB]
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Monthly Operating Report (Population over 3,300)
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[4KB]
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