This document contains official instructions for DPH Fluoride Form A , Daily Fluoridation Report Form - a form released and collected by the Massachusetts Department of Environmental Protection. An up-to-date fillable DPH Fluoride Form A is available for download through this link.
Q: What is the purpose of the DPH Fluoride Form A Daily Fluoridation Report Form?
A: The purpose of this form is to report daily fluoridation levels in Massachusetts.
Q: Who is required to fill out the DPH Fluoride Form A Daily Fluoridation Report Form?
A: Public water systems in Massachusetts that add fluoride to their water supply are required to fill out this form.
Q: What information needs to be included in the DPH Fluoride Form A Daily Fluoridation Report Form?
A: The form requires information about the water system, fluoride feeder settings, fluoride levels, and other relevant details.
Q: How often does the DPH Fluoride Form A Daily Fluoridation Report Form need to be filled out?
A: The form needs to be filled out and submitted on a daily basis.
Q: Is there a deadline for submitting the DPH Fluoride Form A Daily Fluoridation Report Form?
A: Yes, the completed form must be submitted to the DPH by the 10th day of the following month.
Q: What happens if a public water system fails to submit the DPH Fluoride Form A Daily Fluoridation Report Form?
A: Failure to submit the form may result in enforcement actions by the DPH.
Q: Are there any penalties for providing false information on the DPH Fluoride Form A Daily Fluoridation Report Form?
A: Yes, knowingly providing false information on the form may result in penalties and legal consequences.
Instruction Details:
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Massachusetts Department of Environmental Protection.