RTF Template

In addition to providing each PWS with a personalized CCR, the Illinois EPA has also created a rich text format (rtf) template that can be used instead of the personalized CCR.  The Illinois EPA personalized CCR can be hard to edit and/or add information.  The rtf template allows for more flexibility when adding or editing information.  Using the rtf template is optional; but again, will allow for more flexibility in designing/formatting your CCR.

To use this rtf template instead of the Illinois EPA personalized CCR:

1)	You will need your system’s specific information and results.  If this information is not readily available, it is recommended that you download a copy of your Illinois EPA personalized CCR report that is available on the Internet.  This will contain most of the data you need to complete the rtf template. Your Illinois EPA personalized CCR can be downloaded at the following Internet web address:

http://www.epa.state.il.us/water/drinking-water-watch/  

Click on this blue web link entitled Drink Water Watch.  Then, click the Review Consumer Confidence Data tab at the bottom left. 

2)	Transpose (re-type) the information from the Illinois EPA customized CCR to this rtf template.  This should allow you the greatest flexibility to edit/add/change information as needed.   

When using this rtf template, items in red are “fill in the blank”.  Your information should replace the red text.

IMPORTANT INFORMATION

It is the public water supply’s responsibility to verify that all the required elements of the CCR have been met.  Refer to the Sample Collector’s Handbook – Chapter 2–CCR, for guidance while compiling your CCR.  The Sample Collector’s Handbook is available at the following Internet web address:  http://www.epa.state.il.us.water.compliance/drinking-water/collectors-handbook/index.html.

In order to meet all of the requirements of the CCR you must include the following additional information if it pertains to your water system.

•	If your supply purchases water from another source you are required to include the Regulated Contaminants Detected table from your source water supply.

•	If your water system had any violations during the CCR Calendar Year you are required to include an explanation of the corrective action taken by the water system, and health effects if applicable.

•	If your water system is going to use the CCR to deliver a Public Notification, you must include the full public notice and return a copy of the CCR and Public Notice with the Public Notice Certification Form.  This is in addition to the copy and certification form required by the CCR Rule.

	
Annual Drinking Water Quality Report for Calendar Year 2013
Water System Name 	
This report is intended to provide you with important information about your drinking water and the efforts made by the water system to provide safe drinking water.  This report includes drinking water facts, information on violations (if applicable), and contaminants detected in your drinking water supply during calendar year 2013.  Each year, we will provide you a new report.  If you need help understanding this report or have general questions, please contact the person listed below.

Este informe contiene información muy importante sobre el agua que usted bebe. Tradúzcalo ó hable con alguien que lo entienda bien.	Contact Name:	_________________________________________________	
	Telephone Number:	_________________________________________________	
	E-mail (if available)	_________________________________________________	

Sources of Drinking Water
The sources of drinking water (both tap water and bottled water) include rivers, lakes, streams, ponds, reservoirs, springs, and groundwater wells. As water travels over the surface of the land or through the ground, it dissolves naturally-occurring minerals and, in some cases, radioactive material, and can pick up substances resulting from the presence of animals or from human activity. 

Our source of water comes from List Type: Ground Water, Surface Water, Purchased Ground Water or Purchased Surface Water. 

Contaminants that may be present in source water include:
•	Microbial contaminants, such as viruses and bacteria, which may come from sewage treatment plants, septic systems, agricultural livestock operations and wildlife.
•	Inorganic contaminants, such as salts and metals, which can be naturally occurring or result from urban storm water runoff, industrial, or domestic wastewater discharges, oil and gas production, mining, or farming.
•	Pesticides and herbicides, which may come from a variety of sources such as agriculture, urban storm water runoff, and residential uses.
•	Organic chemical contaminants, including synthetic and volatile organic chemicals, which are by-products of industrial processes and petroleum production, and can also come from gas stations, urban storm water runoff, and septic systems.
•	Radioactive contaminants, which can be naturally-occurring or be the result of oil and gas production and mining activities.

Other Facts about Drinking Water
Drinking water, including bottled water, may reasonably be expected to contain at least small amounts of some contaminants. The presence of contaminants does not necessarily indicate that water poses a health risk. More information about contaminants and potential health effects can be obtained by calling the EPA's Safe Drinking Water Hotline at (800) 426-4791.

In order to ensure that tap water is safe to drink, EPA prescribes regulations which limit the amount of certain contaminants in water provided by public water systems. FDA regulations establish limits for contaminants in bottled water which must provide the same protection for public health.

Some people may be more vulnerable to contaminants in drinking water than the general population. Immuno-compromised persons such as persons with cancer undergoing chemotherapy, persons who have undergone organ transplants, people with HIV/AIDS or other immune system disorders, some elderly and infants can be particularly at risk from infections. These people should seek advice about drinking water from their health care providers. EPA/CDC guidelines on appropriate means to lessen the risk of infection by Cryptosporidium and other microbial contaminants are available from the Safe Drinking Water Hotline (800-426-4791).

Source Water Assessments
Source water protection (SWP) is a proactive approach to protecting our critical sources of public water supply and assuring that the best source of water is being utilized to serve the public. It involves implementation of pollution prevention practices to protect the water quality in a watershed or wellhead protection area serving a public water supply. Along with treatment, it establishes a multi-barrier approach to assuring clean and safe drinking water to the citizens of Illinois.  The Illinois EPA has implemented a source water assessment program (SWAP) to assist with wellhead and watershed protection of public drinking water supplies.

Insert YOUR SWAP CCR statement here

2013 Regulated Contaminants Detected
The next several tables summarize contaminants detected in your drinking water supply.  (ONLY REQUIRED IF WATER IS PURCHASED: Since water is purchased from ________________________, results indicated with an asterisk (*) were provided to us by them.

Here are a few definitions and scientific terms which will help you understand the information in the contaminant detection tables.  

AL	Action Level: The concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow.	
Avg	Regulatory compliance with some MCLs is based on running annual average of monthly samples.	
MCL	Maximum Contaminant Level: The highest level of a contaminant that is allowed in drinking water. MCLs are set as close to the Maximum Contaminant Level Goal as feasible using the best available treatment technology.	
MCLG	Maximum Contaminant Level Goal: The level of a contaminant in drinking water below which there is no known or expected risk to health. MCLGs allow for a margin of safety.	
MRDL	Maximum Residual Disinfectant Level: The highest level of disinfectant allowed in drinking water.	
MRDLG	Maximum Residual Disinfectant Level Goal: The level of disinfectant in drinking water below which there is no known or expected risk to health. MRDLGs allow for a margin of safety.	
N/A	Not Applicable	
NTU	Nephelometric Turbidity Units	
pCi/L	picocuries per liter ( a measure of radioactivity)	
ppb	Parts per billion or micrograms per liter (ug/L) - or one ounce in 7,350,000 gallons of water.	
ppm	Parts per million or milligrams per liter (mg/L) - or one ounce in 7,350 gallons of water.	
TT	Treatment Technique: A required process intended to reduce the level of a contaminant in drinking water.	
	
Coliform Bacteria	MCLG	Total Coliform MCL	Highest Number of Positive Samples	Fecal Coliform or E. coli MCL	Total No. of Positive E. coli or Fecal Coliform Samples	Violation	Likely Source of Contamination	
	0	MCL: presence of coliform bacteria in > 5% of monthly samples (for systems that collect 40 or more samples/month).
> 1 positive monthly sample (for systems that collect < 40 samples/month).		Fecal Coliform or E. Coli MCL: A routine sample and a repeat sample are total coliform positive, and one is also fecal coliform or E. coli positive			Naturally present in the environment	

Lead and Copper		
	Date Sampled	MCLG	Action Level (AL)	90th Percentile	# Sites Over AL	Units	Violation	Likely Source of Contamination	
Copper		1.3	1.3			ppm		Corrosion of household plumbing systems; erosion of natural deposits; leaching from wood preservatives	
Lead		0	15			ppb		Corrosion of household plumbing systems; erosion of natural deposits.	

If present, elevated levels of lead can cause serious health problems, especially for pregnant women and young children.  Lead in drinking water is primarily from materials and components associated with service lines and home plumbing.  [NAME OF UTILITY] is responsible for providing high quality drinking water, but cannot control the variety of materials used in plumbing components.  When your water has been sitting for several hours, you can minimize the potential for lead exposure by flushing your tap for 30 seconds to 2 minutes before using water for drinking or cooking.  If you are concerned about lead in your water, you may wish to have your water tested.  Information on lead in drinking water, testing methods, and steps you can take to minimize exposure is available from the Safe Drinking Water Hotline or at http://www.epa.gov/safewater/lead.	

Disinfectants & Disinfection Byproducts	Collection Date	Highest Level Detected	Range of Levels Detected	MCLG	MCL	Units	Violation	Likely Source of Contamination	

									
Inorganic Contaminants									

									
Synthetic Organic Contaminants (pesticides and herbicides)									

									
Volatile Organic Contaminants 									

									
Radiological Contaminants 									

									
 State Regulated Contaminants									

Note: The state requires monitoring of certain contaminants less than once per year because the concentrations of these contaminants do not change frequently. Therefore, some of this data may be more than one year old.	

Turbidity		
Turbidity is a measurement of the cloudiness of the water caused by suspended particles. We monitor it because it is a good indicator of water quality and the effectiveness of our filtration system and disinfectants.	
	Limit (Treatment Technique)	Level Detected	Violation	Likely Source of Contamination	
Lowest Monthly % Meeting Limit	0.3 NTU			Soil Runoff	
Highest Single Measurement	1 NTU			Soil Runoff	

Total Organic Carbon		
The percentage of Total Organic Carbon (TOC) removal was measured each month and the system met all TOC removal requirements set by IEPA, unless a TOC violation is noted in the violation section.	

Violation Summary Table
We are happy to announce that no monitoring, reporting, treatment technique, maximum residual disinfectant level, or maximum contaminant level violations were recorded during 2013. 

OR

The following table(s) lists all violations that occurred during 2013.  We included a brief summary of the actions we took following notification of the violation.

Contaminant or Program	Violation Type	Violation Duration
Start Date –  End date	Violation Explanation	
				
Health Effects (if applicable)		
		
Actions we took:		

Contaminant or Program	Violation Type	Violation Duration
Start Date –  End date	Violation Explanation	
				
Health Effects (if applicable)		
		
Actions we took:		

Contaminant or Program	Violation Type	Violation Duration
Start Date –  End date	Violation Explanation	
				
Health Effects (if applicable)		
		
Actions we took: