Instructions for DPH Fluoride Form A Daily Fluoridation Report Form - Massachusetts

Instructions for DPH Fluoride Form A Daily Fluoridation Report Form - Massachusetts

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.

FAQ

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.

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Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

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.

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