UTILITY ISSUED
BOIL WATER NOTICE
BOIL YOUR WATER BEFORE USING
On ____10/6/20____, a water problem occurred at _________AIRPORT____________,
(Date) (Location)
causing contamination of your water. The areas that are affected are as follows:
Entire Water System or
X Other FROM 1238 OLD CROW RD TO & INCLUDING ALL OF
COUNTYR CLUB DRIVE_______________________________________________________
(Area of Water System)
__________________________________________________________________________________
CONDITIONS INDICATE THERE IS A HIGH PROBABILITY THAT YOUR WATER IS
CONTAMINATED. TESTING HAS NOT OCCURRED TO CONFIRM OR DENY THE PRESENCE
OF CONTAMINATION IN YOUR WATER.
What should I do?
DO NOT DRINK THE WATER WITHOUT BOILING IT FIRST. Bring all water to a boil, let it
boil for one minute, and let it cool before using, or use bottled water. Boiled or bottled water should be
used for drinking, making ice, brushing teeth, washing dishes, bathing, and food preparation until further
notice. Boiling kills bacteria and other organisms in the water.
What happened? What is being done?
____________________________ MAIN LINE BREAK_____WORKING TO REPAIR___________
(Describe the corrective action)
We will inform you when you no longer need to boil your water. We anticipate resolving the problem
within ____________AS SOON AS POSSIBLE_________________________________.
(Estimated time frame)
For more information, please contact __CUSTOMER SERVICE___ at ____ (304) 683-4090_________
(Contact Name) (Telephone Number)
or ___PO BOX 1286 SOPHIA, WV 25921_________________. General guidelines on ways to lessen
(Mailing Address)
the health risk is available from the EPA Safe Drinking Water Hotline 1 (800) 426-4791.
Please share this information with all the other people who drink this water, especially those who
may not have received this notice directly (for example, people in apartments, nursing homes,
schools, and businesses). You can do this by posting this notice in a public place or distributing
copies by hand or mail.
This notice is being sent to you by ___RALEIGH COUNTY PUBLIC SERVICE DISTRICT_________
(Water System Name)
State Water System ID#: _____330-4138__________ Date distributed: __10/6/20_______