TITLE 12. HEALTH
                REGISTRAR'S NOTICE: The  State Board of Health has claimed an exemption from the Administrative Process  Act in accordance with § 2.2-4006 A 4 a of the Code of Virginia, which  excludes regulations that are necessary to conform to changes in Virginia  statutory law or the appropriation act where no agency discretion is involved.  The State Board of Health will receive, consider, and respond to petitions by  any interested person at any time with respect to reconsideration or revision.
         Title of Regulation: 12VAC5-590. Waterworks  Regulations (amending 12VAC5-590-545). 
    Statutory Authority: §§ 32.1-12 and 32.1-170 of the  Code of Virginia.
    Effective Date: March 1, 2012. 
    Agency Contact: Robert A. K. Payne, Compliance Manager,  Department of Health, 109 Governor St., Richmond, VA 23219, telephone (804)  864-7498, or email rob.payne@vdh.virginia.gov.
    Summary:
    The amendments include provisions for a waiver for  community waterworks serving less than 10,000 persons from the requirement to  mail the consumer confidence report (CCR) annually to each customer. Instead,  eligible waterworks are allowed to publish annual CCRs in a local newspaper or  newspapers if certain conditions are met. The mailing waiver provision is  allowable under the National Primary Drinking Water Regulations (40 CFR  141.155(g)). This action is mandated by Chapter 843 of the 2011 Acts of  Assembly.
    12VAC5-590-545. Consumer confidence reports.
    A. Purpose and applicability.
    1. Each community waterworks owner shall deliver to his  customers an annual report that contains information on the quality of the  water delivered by the waterworks and characterizes the risks, if any, from  exposure to contaminants detected in the drinking water.
    2. For the purpose of this section, customers are defined as  billing units or service connections to which water is delivered by a community  waterworks.
    3. For the purpose of this section, a contaminant is detected  when the laboratory reports the contaminant level as a measured level and not  as nondetected (ND) or less than (<) a certain level. The owner shall  utilize a laboratory that complies with 12VAC5-590-340, and the laboratory's  analytical and reporting procedures shall have been in accordance with  12VAC5-590-440; laboratory certification requirements of the Commonwealth of  Virginia, Department of General Services, Division of Consolidated Laboratory  Services; and consistent with current U. S. Environmental Protection Agency  regulations found at 40 CFR Part 141.
    B. Effective dates.
    1. Each existing community waterworks owner shall deliver his  report by July 1 annually.
    2. The owner of a new community waterworks shall deliver his  first report by July 1 of the year after its first full calendar year in  operation and annually thereafter.
    3. The owner of a community waterworks that sells water to a  consecutive waterworks shall deliver the applicable information necessary to comply  with the requirements contained in this section to the consecutive waterworks  by April 1 annually, or on a date mutually agreed upon by the seller and the  purchaser and specifically included in a contract between the parties.
    C. Content.
    1. Each community waterworks owner shall provide his customers  an annual report that contains the information on the source of the water  delivered as follows:
    a. Each report shall identify the source or sources of the  water delivered by the community waterworks by providing information on:
    (1) The type of the water (e.g., surface water, ground water);  and
    (2) The commonly used name, if any, and location of the body  or bodies of water.
    b. Where a source water assessment has been completed, the  report shall:
    (1) Notify consumers of the availability of the assessment;
    (2) Describe the means to obtain the assessment; and
    (3) Include a brief summary of the waterworks' susceptibility  to potential sources of contamination.
    c. The owner should highlight in the report significant  sources of contamination in the source water area if such information is  readily available.
    2. For the purpose of compliance with this section, each  report shall include the following definitions:
    a. "Maximum contaminant level goal" or  "MCLG" means 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.
    b. "Maximum contaminant level" or "MCL"  means the highest level of a contaminant that is allowed in drinking water.  MCLs are set as close to the MCLGs as feasible using the best available  treatment technology.
    c. A report for a community waterworks operating under a  variance or an exemption issued by the commissioner under 12VAC5-590-140 and  12VAC5-590-150 shall include the following definition: "Variances and  exemptions" means state or EPA permission not to meet an MCL or a  treatment technique under certain conditions.
    d. A report that contains data on contaminants that EPA  regulates using any of the following terms shall include the applicable  definitions:
    (1) "Treatment technique" means a required process  intended to reduce the level of a contaminant in drinking water.
    (2) "Action level" means the concentration of a  contaminant that, if exceeded, triggers treatment or other requirements that an  owner shall follow.
    (3) "Maximum residual disinfectant level goal" or  "MRDLG" means the level of a drinking water disinfectant below which  there is no known or expected risk to health. MRDLGs do not reflect the  benefits of the use of disinfectants to control microbial contaminants.
    (4) "Maximum residual disinfectant level" or  "MRDL" means the highest level of a disinfectant allowed in drinking  water. There is convincing evidence that addition of a disinfectant is  necessary for control of microbial contaminants.
    3. Information on detected contaminants.
    a. This section specifies the requirements for information to  be included in each report for the following contaminants:
    (1) Contaminants subject to a PMCL, action level, maximum  residual disinfectant level, or treatment technique as specified in  12VAC5-590-370;
    (2) Unregulated contaminants subject to monitoring as  specified in 12VAC5-590-370; and
    (3) Disinfection byproducts or microbial contaminants, except  Cryptosporidium, for which monitoring is required by Information Collection  Rule (40 CFR 141.142 and 141.143 (7-1-97 Edition)), except as provided under  subdivision 5 a of this subsection, and which are detected in the finished  water.
    b. The data relating to these contaminants shall be displayed  in one table or in several adjacent tables. Any additional monitoring results  that a community waterworks owner chooses to include in the report shall be  displayed separately.
    c. The data shall be derived from data collected to comply  with EPA and state monitoring and analytical requirements during the calendar  year preceding the year the report is due, except that:
    (1) Where an owner is allowed to monitor for contaminants  specified in subdivision 3 a (1) and (3) of this subsection less often than once  a year, the table or tables shall include the date and results of the most  recent sampling, and the report shall include a brief statement indicating that  the data presented in the report are from the most recent testing done in  accordance with the regulations. No data older than five years need be  included.
    (2) Results of monitoring in compliance with the Information  Collection Rule (40 CFR 141.142 and 141.143 (7-1-97 Edition)) need only be  included for five years from the date of last sample or until any of the  detected contaminants becomes regulated and subject to routine monitoring  requirements, whichever comes first.
    d. For detected contaminants subject to a PMCL, action level,  or treatment technique as specified in 12VAC5-590-370 and listed in Tables 2.1,  2.2 (Primary Maximum Contaminant Levels only), 2.3, 2.4 (Primary Maximum  Contaminant Levels only), and 2.5, the table or tables shall contain:
    (1) The PMCL for that contaminant expressed as a number equal  to or greater than 1.0 as provided in Appendix O, with an exception for  beta/photon emitters. When the detected level of beta/photon emitters has been  reported in the units of pCi/L and does not exceed 50 pCi/L, the report may  list the PMCL as 50 pCi/L. In this case, the owner shall include in the report  the following footnote: The PMCL for beta particles is 4 mrem/year. EPA  considers 50 pCi/L to be the level of concern for beta particles;
    (2) The MCLG for that contaminant expressed in the same units  as the PMCL as provided in Appendix O;
    (3) If there is no PMCL for a detected contaminant, the table  shall indicate that there is a treatment technique, or specify the action  level, applicable to that contaminant, and the report shall include the  definitions for treatment technique and/or action level, as appropriate,  specified in subdivision 3 d of this subsection;
    (4) For contaminants subject to a PMCL, except turbidity and  total coliforms, the highest contaminant level used to determine compliance and  the range of detected levels is as follows:
    (a) When compliance with the PMCL is determined annually or  less frequently, the highest detected level at any sampling point and the range  of detected levels expressed in the same units as the PMCL.
    (b) When compliance with the PMCL is determined by calculating  a running annual average of all samples taken at a sampling point, the highest  average of any of the sampling points and the range of all sampling points  expressed in the same units as the PMCL. For the PMCLs for TTHM and HAA5, the  owner shall include the highest locational running annual average and the range  of individual sample results for all sampling points expressed in the same  units as the PMCL. If more than one location exceeds the TTHM or HAA5 PMCL, the  owner shall include the locational running annual averages for all locations  that exceed the PMCL.
    (c) When compliance with the PMCL is determined on a  systemwide basis by calculating a running annual average of all samples at all  sampling points, the average and range of detection expressed in the same units  as the PMCL. The range of detection for TTHM and HAA5 shall include individual  sample results for the IDSE conducted under 12VAC5-590-370 B 3 e (2) for the  calendar year that the IDSE samples were taken.
    (5) For turbidity, the highest single measurement and the  lowest monthly percentage of samples meeting the turbidity limits specified in  12VAC5-590-420 for the filtration technology being used. The report should  include an explanation of the reasons for measuring turbidity;
    (6) For lead and copper, the 90th percentile value of the most  recent round of sampling and the number of sampling sites exceeding the action  level;
    (7) For total coliform:
    (a) The highest monthly number of positive samples for  waterworks collecting fewer than 40 samples per month;
    (b) The highest monthly percentage of positive samples for  waterworks collecting at least 40 samples per month;
    (8) For fecal coliform, the total number of positive samples;
    (9) The likely source or sources of detected contaminants.  Specific information regarding contaminants may be available in sanitary  surveys and source water assessments, and should be used when available to the  owner. If the owner lacks specific information on the likely source, the report  shall include one or more of the typical sources for that contaminant listed in  Appendix O that are most applicable to the system.
    e. If a community waterworks owner distributes water to his  customers from multiple hydraulically independent distribution systems that are  fed by different raw water sources:
    (1) The table shall contain a separate column for each service  area and the report shall identify each separate distribution system; or
    (2) The owner shall produce a separate report tailored to  include data for each service area.
    f. The table or tables shall clearly identify any data  indicating violations of PMCLs, MRDLs, or treatment techniques and the report  shall contain a clear and readily understandable explanation of the violation  including:
    (1) The length of the violation;
    (2) The potential adverse health effects using the relevant  language of Appendix O; and
    (3) Actions taken by the waterworks owner to address the  violation.
    g. For detected unregulated contaminants subject to monitoring  as specified in 12VAC5-590-370 and listed in Tables 2.6 and 2.7, for which  monitoring is required, the table or tables shall contain the average and range  at which the contaminant was detected. The report may include a brief  explanation of the reasons for monitoring for unregulated contaminants.
    4. Information on Cryptosporidium, radon, and other  contaminants:
    a. If the owner has performed any monitoring for  Cryptosporidium, including monitoring performed to satisfy the requirements of  the Informational Collection Rule (40 CFR 141.143 (7-1-97 Edition)), which indicates  that Cryptosporidium may be present in the source water or the finished water,  the report shall include:
    (1) A summary of the results of the monitoring; and
    (2) An explanation of the significance of the results.
    b. If the owner has performed any monitoring for radon which  indicates that radon may be present in the finished water, the report shall  include:
    (1) The results of the monitoring; and
    (2) An explanation of the significance of the results.
    c. If the owner has performed additional monitoring that  indicates the presence of other contaminants in the finished water, the report  should include any results that may indicate a health concern, as determined by  the commissioner. Detections above a proposed MCL or health advisory level may  indicate possible health concerns. For such contaminants, the report should  include:
    (1) The results of the monitoring; and
    (2) An explanation of the significance of the results noting  the existence of a health advisory or a proposed regulation.
    5. Compliance with other regulations.
    a. In addition to the requirements of subdivision 3 f of this  subsection the report shall note any violation that occurred during the year  covered by the report of a requirement listed below.
    (1) Monitoring and reporting of compliance data;
    (2) Filtration and disinfection prescribed by 12VAC5-590-420.  For owners who have failed to install adequate filtration or disinfection  equipment or processes, or have had a failure of such equipment or processes  which constitutes a violation, the report shall include the following language  as part of the explanation of potential adverse health effects: Inadequately  treated water may contain disease-causing organisms. These organisms include  bacteria, viruses, and parasites, which can cause symptoms such as nausea,  cramps, diarrhea, and associated headaches;
    (3) Lead and copper control requirements prescribed by  12VAC5-590-370. For owners who fail to take one or more of the prescribed  actions, the report shall include the applicable language of Appendix O for  lead, copper, or both;
    (4) Treatment techniques for Acrylamide and Epichlorohydrin  prescribed by 12VAC5-590-420 G. For owners who violate the requirements of that  section, the report shall include the relevant language from Appendix O;
    (5) Recordkeeping of compliance data;
    (6) Special monitoring requirements for unregulated  contaminants prescribed by 12VAC5-590-370 B 4 and for sodium;
    (7) Violation of the terms of a variance, an exemption, or an  administrative or judicial order.
    b. The report shall contain:
    (1) A clear and readily understandable explanation of the  violation;
    (2) Any potential adverse health effects; and
    (3) The steps the owner has taken to correct the violation.
    c. For community groundwater systems, the following shall be  included:
    (1) A significant deficiency that is uncorrected at the time  of the report, or;
    (2) An E. coli positive groundwater source sample that is not  invalidated at the time of the report.
    d. The owner of a community groundwater system shall report  annually the information in subdivision 5 c of this subsection until the ODW  determines that the significant deficiency or the E. coli positive source water  sample has been satisfactorily addressed. The report shall include the  following information:
    (1) The nature of the significant deficiency or the source of  the E. coli contamination and the date the significant deficiency was  identified by the ODW or the date or dates of the E. coli positive source  samples.
    (2) If the E. coli contamination has been addressed in  accordance with 12VAC5-590-421 and the date of such action.
    (3) The ODW approved plan and schedule for correcting the  significant deficiency or E. coli contamination including interim measures,  progress to date, and which interim measures have been completed.
    (4) In communities with a large portion of non-English  speaking consumers, the notice shall contain information in the appropriate  language or languages regarding the importance of the notice or contain a  telephone number or address where the consumers may contact the owner to obtain  a translated copy of the notice or assistance with the appropriate language.
    (5) For E. coli contamination, the potential health effects  language shall be included.
    e. If directed by the ODW, the owner of a community  groundwater system with significant deficiencies that have been corrected at  the time of the report shall inform his consumers of the significant  deficiencies, how the deficiencies were corrected, and the date or dates of  correction under subdivisions 5 d (1) through (4) of this subsection.
    6. Variances and exemptions. If a system is operating under  the terms of a variance or an exemption issued by the commissioner under  12VAC5-590-140 and 12VAC5-590-150, the report shall contain:
    a. An explanation of the reasons for the variance or  exemption;
    b. The date on which the variance or exemption was issued;
    c. A brief status report on the steps the owner is taking to  install treatment, find alternative sources of water, or otherwise comply with  the terms and schedules of the variance or exemption; and
    d. A notice of any opportunity for public input in the review  or renewal of the variance or exemption.
    7. Additional information.
    a. The report shall contain a brief explanation regarding  contaminants, which may reasonably be expected to be found in drinking water  including bottled water. This explanation shall include the exact language of  subdivisions 8 a (1), (2) and (3) of this subsection or the owner shall use his  own comparable language following approval by the commissioner. The report also  shall include the exact language of subdivision 8 a (4) of this subsection.
    (1) The sources of drinking water (both tap water and bottled  water) include rivers, lakes, streams, ponds, reservoirs, springs, and 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.
    (2) Contaminants that may be present in source water include:  (i) microbial contaminants, such as viruses and bacteria, which may come from  sewage treatment plants, septic systems, agricultural livestock operations, and  wildlife; (ii) inorganic contaminants, such as salts and metals, which can be naturally  occurring or result from urban stormwater runoff, industrial or domestic  wastewater discharges, oil and gas production, mining, or farming; (iii)  pesticides and herbicides, which may come from a variety of sources such as  agriculture, urban stormwater runoff, and residential uses; (iv) organic  chemical contaminants, including synthetic and volatile organic chemicals,  which are byproducts of industrial processes and petroleum production, and can  also come from gas stations, urban stormwater runoff, and septic systems; (v)  radioactive contaminants, which can be naturally occurring or be the result of  oil and gas production and mining activities.
    (3) In order to ensure that tap water is safe to drink, EPA  prescribes regulations that 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.
    (4) 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 Environmental Protection Agency's Safe Drinking Water  Hotline (800-426-4791).
    b. The report shall include the telephone number of the owner,  operator, or designee of the community waterworks as a source of additional  information concerning the report.
    c. In communities with a large proportion of non-English  speaking residents, as determined by the commissioner, the report shall contain  information in the appropriate language or languages regarding the importance  of the report or contain a telephone number or address where such residents may  contact the system to obtain a translated copy of the report or assistance in  the appropriate language.
    d. The report shall include the following information about  opportunities for public participation in decisions that may affect the quality  of the water. The waterworks owner should consider including the following  additional relevant information:
    (1) The time and place of regularly scheduled board meetings  of the governing body which has authority over the waterworks.
    (2) If regularly scheduled board meetings are not held, the  name and telephone number of a waterworks representative who has operational or  managerial authority over the waterworks.
    e. The owner may include such additional information as he  deems necessary for public education consistent with, and not detracting from,  the purpose of the report.
    D. Additional health information.
    1. All reports shall prominently display the following  language: Some people may be more vulnerable to contaminants in drinking water  than the general population. Immuno-compromised persons such as persons with  cancer who are 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).
    2. Any waterworks owner who detects arsenic at levels above  0.005 mg/L, but equal to or below the PMCL of 0.010 mg/L, shall include in his  report the following informational statement about arsenic: While your drinking  water meets EPA's standard for arsenic, it does contain low levels of arsenic.  EPA's standard balances the current understanding of arsenic's possible health  effects against the cost of removing arsenic from drinking water. EPA continues  to research the health effects of low levels of arsenic, which is a mineral  known to cause cancer in humans at high concentrations and is linked to other  health effects such as skin damage and circulatory problems.
    In lieu of the statement required in this subdivision, the  waterworks owner may include his own educational statement after receiving  approval from the commissioner.
    3. A waterworks owner who detects arsenic levels above 0.010  mg/L shall include the health effects language contained in Appendix O.
    4. An owner who detects nitrate at levels above 5 mg/L, but  below the PMCL, shall include in his report the following informational  statement about the impacts of nitrate on children: Nitrate in drinking water  at levels above 10 ppm is a health risk for infants of less than six months of  age. High nitrate levels in drinking water can cause blue baby syndrome.  Nitrate levels may rise quickly for short periods of time because of rainfall  or agricultural activity. If you are caring for an infant you should ask advice  from your health care provider.
    In lieu of the statement required in this subdivision, the  waterworks owner may include his own educational statement after receiving  approval from the commissioner.
    5. All reports shall prominently display the following  language: 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  two 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 (800-426-4791).
    In lieu of the statement required in this subdivision, the  owner may include his own educational statement after receiving approval from  the commissioner.
    6. Community waterworks owners who detect TTHM above 0.080  mg/L, but below the PMCL, as an annual average shall include health effects  language prescribed by paragraph 81 of Appendix O.
    E. Report delivery and recordkeeping.
    1. Each community waterworks owner shall mail or otherwise  directly deliver one copy of the report to each customer., except as  follows:
    a. Owners of community waterworks serving fewer than 10,000  persons shall have the option to either mail (or otherwise directly deliver) a  copy of the report to each customer or publish the report in a local newspaper  or newspapers of general circulation serving the area in which the waterworks  is located by July 1 of each year; and
    b. If the owner chooses to publish the report, the owner  shall inform customers, either in the newspaper in which the report is to be  published or by other means approved by the commissioner, that a copy of the  report will not be mailed to them and that a copy of the report will be made  available to the public upon request.
    2. The owner Community waterworks owners shall  make a good faith effort that shall be tailored to deliver the report  to the consumers who are served by the system waterworks but are  not bill paying customers, such as renters and or workers. This  good faith effort shall include at least one, and preferably two or more, of  the following methods appropriate to the particular waterworks:
    a. Posting the reports on the Internet;
    b. Mailing to postal patrons in metropolitan areas;
    c. Advertising the availability of the report in the news  media;
    d. Publication in a local newspaper;
    e. Posting in public places such as libraries, community  centers, and public buildings;
    f. Delivery of multiple copies for distribution by  single-biller customers such as apartment buildings or large private employers;
    g. Delivery to community organizations.; or
    h. Other methods as approved by the commissioner.
    3. No later than July 1 of each year the owner community  waterworks owners shall deliver a copy of the report to the district  engineer, followed within three months by a certification that the report has  been distributed to customers and that the information in the report is correct  and consistent with the compliance monitoring data previously submitted to the  commissioner.
    4. No later than July 1 of each year the owner community  waterworks owners shall deliver the report to any other agency or  clearinghouse specified by the commissioner.
    5. Each community Community waterworks owner  owners shall make the report available to the public upon request.
    6. The owner of each community waterworks serving 100,000 or  more persons shall post the current year's report to a publicly accessible site  on the Internet.
    7. Each community Community waterworks owner  owners shall retain copies of the report for no less than three years.
    
        VA.R. Doc. No. R12-2755; Filed January 4, 2012, 3:46 p.m.