Add or Name including Address Numbers Email Address Contact Type Remove title Contact Type Definitions AC Administrative Contact: Person who should receive all EPA correspondence. – BOR Bureau of Reclamation – CR Circuit Rider – DO Designated Operator in Charge: Primary operator for the Public Water System. – EC Emergency Contact: Person to contact in case of an emergency. – IS Indian Health Services – LC- Legal Contact OP Operator: An operator at the Public Water System. – OW Owner: Owns the Public Water System – PWS NAME AND ID#: _________________________________________________________________ WATER SYSTEM
Add or Remove Name including title Address Numbers Email Address Contact Type Contact Type Definitions AC – Administrative Contact: Person who should receive all EPA correspondence. BOR – Bureau of Reclamation CR – Circuit Rider DO – Designated Operator in Charge: Primary operator for the Public Water System. EC – Emergency Contact: Person to contact in case of an emergency. IS – Indian Health Services LC- Legal Contact OP – Operator: An operator at the Public Water System. OW – Owner: Owns the Public Water System PWS NAME AND ID#: _________________________________________________________________ WATER SYSTEM
tribal_change_form.docx