Drinking Water Data Submission
Forms and Instructions

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Monthly Operating Reports (MORs)
Quarterly Operating Reports (QORs)
Sample Submission Reports (SSRs)
Lead and Copper
D/DBPR

Form 5003 - Minimum Required Chemical Analysis of Water for Community and Major  Non-Community Water

Ohio EPA DRINK Method ID List

• Monthly Operating Reports (MORs)
  • Form 5001  - Microbiological Contaminant

    • Instructions for Form 5001

  • Form 5002  - Plant  Distribution

    • Instructions for Form 5002

  • Form 5011  - Fluoride Adjustment

    • Instructions for Form  5011

  • Form 5109  - Surface Water  Treatment Disinfection and Turbidity;

    • Instructions for Form 5109

  • Form 5109-A  -  Addendum for Individual Filter Turbidity Results

    • Instructions for Form 5109-A

  • Form 5109-B  -  Addendum for Individual Filter Turbidity Results

    • Instructions for Form 5109-B

  • Form 5116, Chlorite, Bromate and Chlorine Dioxide Monthly Operating Report

• Quarterly Operating Reports (QORs)

  • Ohio EPA Form 5114, Total Chlorine Residual Quarterly Operating Report

  • Ohio EPA Form 5115, Total Organic Carbon (TOC) Monitoring Quarterly Operating Report And Instructions

• Sample Submission Reports (SSRs)

  • Microbiological

    • Form 5211  - Microbiological

    • Instructions for Form 5211

    • Fax Notification Sheet For Positive Microbiological Results

     

  • Chemical

    • Instructions for: Paper or Electronic

    • Form 5019  - Volatile  Organic Chemical

    • Form 5020  - Inorganic Chemical

    • Form 5022-RAD  - Radiological

    • Form 5022-DBP  -  Disinfection By-Product

    • Form 5029  - Pesticides  and Other Chemicals

    • Fax Notification Sheet For Chemical Analytical Results Exceeding MCL Standards
    • Nitrate Reporting Procedure

   

• Lead and Copper Reports

  • Instructions for Forms 5105, 5106 and 5107

  • Form 5105 (Rev. 5/97) - Drinking Water Lead and Copper Monitoring Report

  • Form 5106 (Rev. 12/97) - Lead Tap  Monitoring Report

  • Form 5107 (Rev. 12/97) - Copper Tap  Monitoring Report

  • Form 5108 (Rev. 5/97) - Water Quality  Parameter Monitoring Report and Entry Point Lead and Copper Monitoring Report with Instructions

   

• D/DBPR Sample Monitoring Plan Instructions and Template

  • Ground Water Systems

  • Surface Water Systems