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M I N N E S O T A <br /> �l 1 <br /> Protecting, maintaining and improving 1J\41 the health of all Minnesotans <br /> DEPARTMENT OF HEALTH <br /> ACTION REQUIRED <br /> DATE: April 1, 2017 <br /> TO: Elk River, PWSID 1710004 <br /> FROM: Karla R. Peterson, Supervisor <br /> Community Public Water Supply Unit <br /> ' Drinking Water Protection Section <br /> SUBJECT: Consumer Confidence Report— Distribution Requirements <br /> All community water systems must distribute a drinking water report known as a Consumer <br /> Confidence Report (CCR) annually to their customers before July 1, 2017. <br /> Your system may reformat the CCR and/or add additional information about your water system <br /> (treatment processes, upgrades planned, etc.) however, that is not necessary. The CCR that <br /> we have provided will satisfy the requirements. If you choose to reformat the CCR, all the <br /> information in the Minnesota Department of Health (MDH) CCR must be included in your newly <br /> reformatted CCR. <br /> You must add your phone number to the grey shaded area on Page 1 so customers can call <br /> with questions or request additional information. There may be other grey shaded areas in your <br /> CCR—it is your responsibility to fill in those areas with accurate information. <br /> Distribution: <br /> The requirements to distribute your CCR are determined by population. The population served <br /> by your water supply is 22974. The option(s)on how to distribute your CCR are listed on the <br /> enclosed Certification Form. Please indicate what option(s)you chose on the Certification <br /> Form. The Certification Form is to be returned to MDH, along with a copy of the CCR that was <br /> distributed to your customers. Even if you are distributing the MDH CCR, you must fill in the <br /> grey shaded area(s) and return a copy of the CCR and the completed Certification Form to <br /> MDH by July 1,2017. <br /> You are required to keep a copy of the CCR for at least three years. Failure to produce and <br /> distribute a CCR as required—as well as failure to submit a copy of the CCR and the <br /> Certification Form to MDH by July 1, 2017—may result in enforcement actions, including <br /> fines. <br /> KRP:bs <br /> Enclosure <br /> General Information: 651/201-4700 Toll-free: 888/345-0823 www.healthstate.mn.us <br /> For directions to any of the MDH locations,ca2$1/201-5000. An equal opportunity employer. <br />