Emergency Response Plan for Wyoming Transient Ground Water Systems

All public water systems must have an Emergency Response Plan (ERP) that details emergency operations procedures for possible foreseeable emergencies such as power outage, loss of water, equipment failure, development of unsafe conditions, and other emergency conditions. When a sanitary surveyor conducts a sanitary survey on your system they will ask if you have an ERP. Please fill this form out now, and keep it handy.

System Name: ______

Public Water System (PWS) Number: WY56______

Operator Name/Cell #: ______

Back-up Operator Name/Cell #: _______

Owner Name/Cell #: _______

Population Served: ______Number of Service Connections: ______

Chemicals Used to Treat the Water: ______

Name/# of Chemical Supplier: ______

Life Threatening Emergency #: ______

County Sheriff #: ______

Critical/Vulnerable Customer Contact #s: ______

EPA Emergency Contact (Monday - Friday 9-4 pm Mountain Time) #: 1-800-227-8917

EPA After Hours Emergency Contact #: 1-800-424-8802 (Inform the operator you are a

drinking water operator in the Environmental Protection Agency Region 8)

Wyoming Association of Rural Water Systems #: 307-436-8636

WY DEQ District Engineer Name and #: ______

Alternate Sources of Drinking Water ______

Power Company #: ______Electrician #: ______

Plumber #: ______Parts Supplier #: ______

Wyoming Water Agency Response Network #: 307-637-6471 Website: www.wyowarn.org

TOTAL COLIFORM POSITIVE SAMPLE: http://www2.epa.gov/region8-waterops/emergencies-and-security-follow-unsafe-total-coliform-rule-positive-sample

LOSS OF PRESSURE/WATER OUTAGE ACTION PLAN***______

______

WATER CONTAMINATION ACTION PLAN***______

______

Shut-off valve location and instructions: ______

______

Location of spare or repair parts: ______

Please see the following website for more detailed information on emergency response plans:

http://www.epa.gov/safewater/watersecurity/pubs/small_medium_ERP_guidance040704.pdf

ALWAYS CALL THE EPA TOTAL COLIFORM RULE OR GROUND WATER RULE MANAGER

IF YOU HAVE A TOTAL COLIFORM RULE (TCR) POSITIVE/UNSAFE SAMPLE AT 1-800-227-8917

***Quick Emergency reference material/Public Notices for Loss of Pressure, Boil Orders, Do Not Drink, etc. can be found at: http://www2.epa.gov/region8-waterops Click the topic under the top “Drinking Water Online Quick Finder” header