Arizona Department of Environmental Quality Forms

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434

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This Form is used for reporting the results of drinking water analysis for disinfection byproducts in Arizona, specifically Stage 2 Disinfection Byproducts (TTHM & HAA5).

This form is used for reporting drinking water analysis of radionuclides in Arizona. It includes measurements for adjusted gross alpha, radium-226 and -228, and uranium.

This Form is used for lead and copper sampling pool in Arizona to monitor water quality.

This Form is used for reporting the analysis of radionuclides in drinking water, specifically man-made beta particles and photon emitters in Arizona.

This form is used for reporting the analysis of radionuclides in drinking water, specifically adjusted gross alpha, radium-226&-228, and uranium levels. It is specific to Arizona.

This Form is used to apply for a Lead Public Education Certification in Arizona.

This Form is used for submitting a Drinking Water Analysis Report for detecting Aroclor in water samples in Arizona.

This form is used for applying for a waiver for the Inorganic Chemical (IOC) permit in Arizona.

This Form is used for notifying the ADEQ of the intent to provide treatment for Cryptosporidium in accordance with the Long Term 2 Enhanced Surface Water Treatment Rule (LT2ESWTR) in Arizona.

This form is used for submitting a Notice of Intent (NOI) to sample for Cryptosporidium in Schedule 4 systems under the Long Term 2 Enhanced Surface Water Treatment Rule (LT2ESWTR) in Arizona.

This form is used for applying for capacity development for a new public water system in Arizona.

This Form is used for Lead & Copper Compliance Sampling in Arizona conducted by the Arizona Department of Environmental Quality (ADEQ). It is used to monitor and ensure the safety of drinking water for Arizona residents.

This Form is used for the monitoring plan of Maximum Residual Disinfectant Level (MRDL) in Arizona.

This form is used for providing important information to consumers in Arizona about a lead service provider.

This document is a sampling location worksheet used for the Long Term 2 Enhanced Surface Water Treatment Rule (LT2ESWTR) in Arizona. It is related to water treatment regulations and helps keep track of sampling locations.

This document is an application form used in Arizona for obtaining a waiver to use Volatile Organic Chemicals (VOCs). VOCs are used in various industries and this form allows businesses to request permission for their usage.

This document provides guidelines for the Microbiological Sample Siting Plan (MSSP) under the Revised Total Coliform Rule (RTCR) for public water systems serving 1001 or more people in Arizona.

This Form is used for applying for a Synthetic Organic Chemical (SOC) use waiver in the state of Arizona.

This form is used for entering into a water service agreement in the state of Arizona.

This form is used for reporting the annual emissions inventory of facilities in Arizona. It provides information on the status of the facility's emissions and helps in monitoring and regulating air quality.

This document describes the Microbiological Sample Siting Plan for public water systems serving 1000 or fewer people in Arizona, as part of the Revised Total Coliform Rule (RTCR). It outlines the locations and frequency of water sample collection to ensure the safety of drinking water.

This Form is used for monitoring the initial start-up of ground water systems with treatment plants and/or blending plans in Arizona. It is required by the Arizona Department of Environmental Quality (ADEQ) to ensure compliance with regulations.

This Form is used for manufacturers in Arizona to provide a certificate stating their compliance with septic tank manufacturing requirements set by the state.

This document provides a supplement for a Type 2.05 General Permit in Arizona specifically for the capacity, management, operation, and maintenance of a sewage collection system.

This Form is used for requesting discharge authorization for an on-site wastewater treatment facility in Arizona under the General Aquifer Protection Permits 4.02 to 4.23.

This document is used for conducting an engineering review of the capacity assurance for a sewage treatment facility in Arizona.

This document reviews the capacity of Arizona's sewage collection system to ensure its effectiveness and functionality. It examines the system's ability to handle sewage and meet the needs of the community.

This document is a Notice of Transfer for a 4.01 Gp Sewage Collection System in Arizona. It is used by the Engineering Review Section to inform about the transfer of ownership or responsibility for the sewage collection system.

This form is used for submitting an alternative design request for Type 4 General Permit Applications in Arizona. The ADEQ Form GWS402 helps facilitate the engineering review process for alternative design requests.

This Form is used for applying for authorization as a battery collection or recycling facility in Arizona through the Arizona Department of Environmental Quality (ADEQ).

This Form is used for notifying the Arizona Department of Environmental Quality (ADEQ) about the transfer of ownership for an on-site wastewater treatment facility in Arizona.

This Form is used for reporting monthly E. Coli data for small water systems in Arizona as required by the Long Term 2 Enhanced Surface Water Treatment Rule.

This document is used for applying for approval to construct drinking water facilities in the state of Arizona.

This Form is used for submitting an application to the Arizona Department of Environmental Quality (ADEQ) for the listing of treatment products.

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