State Form 55275 Consumer Notice of Lead Result in Drinking Water - Indiana

State Form 55275 Consumer Notice of Lead Result in Drinking Water - Indiana

What Is State Form 55275?

This is a legal form that was released by the Indiana Department of Environmental Management - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 55275?
A: Form 55275 is the Consumer Notice of Lead Result in Drinking Water in Indiana.

Q: Who is required to fill out Form 55275?
A: Public water systems in Indiana are required to fill out Form 55275 if a lead action level exceedance is identified.

Q: What is the purpose of Form 55275?
A: The purpose of Form 55275 is to notify consumers of the presence of lead in drinking water and provide information on reducing exposure.

Q: What is a lead action level exceedance?
A: A lead action level exceedance is when the concentration of lead in drinking water exceeds the maximum allowable limit set by the state.

Q: How should consumers be notified of lead results in drinking water?
A: Consumers should be notified through the distribution of written notices, using Form 55275 as the template.

Q: What information should be included in the consumer notice?
A: The consumer notice should include the lead test results, potential health effects, and steps to reduce exposure to lead.

Q: Is there a deadline for submitting Form 55275?
A: Yes, public water systems are required to submit Form 55275 within 30 days of a lead action level exceedance being identified.

Q: What should I do if I receive a consumer notice about lead in drinking water?
A: If you receive a consumer notice about lead in drinking water, follow the recommended steps to reduce lead exposure and consider using alternative sources of drinking water if necessary.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Indiana Department of Environmental Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 55275 by clicking the link below or browse more documents and templates provided by the Indiana Department of Environmental Management.

Download State Form 55275 Consumer Notice of Lead Result in Drinking Water - Indiana

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