PURPOSE: This rule sets forth the content and mode of delivery of written and broadcast materials to be used by water systems when action levels have been exceeded. It also addresses the water system’s responsibility when a customer requests supplemental monitoring after an action level has been exceeded.

1. (1) Content of Written Public Education Materials.

   1. (A) Community water systems and nontransient non-community water systems. Water systems must include the following elements in printed materials (for example, brochures and pamphlets) in the same order as listed below. In addition, language in paragraphs (1)(A)1., 2., and 4. of this rule must be included in the materials, exactly as written, except for the text in brackets in these paragraphs for which the water system must include system-specific information. Any additional information presented by a water system must be consistent with the information below and be in plain language that can be understood by the general public. Water systems must submit all written public education materials to the department prior to delivery. The department may require the system to obtain approval of the content of written public materials prior to delivery.

      1. 1. IMPORTANT INFORMATION

ABOUT LEAD IN YOUR DRINKING WATER. [INSERT NAME OF WATER SYS- TEM] found elevated levels of lead in drinking water in some homes/buildings. Lead can cause serious health problems, especially for pregnant women and young children. Please read this information closely to see what you can do to reduce lead in your drinking water.

1. 2. Health effects of lead. Lead can cause

serious health problems if too much enters your body from drinking water or other sources. It can cause damage to the brain and kidneys and can interfere with the production of red blood cells that carry oxygen to all parts of your body. The greatest risk of lead exposure is to infants, young children, and pregnant women. Scientists have linked the effects of lead on the brain with lowered IQ in children. Adults with kidney problems and high blood pressure can be affected by low levels of lead more than healthy adults. Lead is stored in the bones, and it can be released later in life. During pregnancy, the child receives lead from the mother’s bones, which may affect brain development.

1. 3. Sources of lead.

   1. A. Explain what lead is.
   2. B. Explain possible sources of lead in

drinking water and how lead enters drinking water. Include information on home/building plumbing materials and service lines that may contain lead.

1. C. Discuss other important sources of

lead exposure in addition to drinking water (e.g., paint).

1. 4. Discuss the steps the consumer can

take to reduce their exposure to lead in drinking water.

1. A. Encourage running the water to

flush out the lead.

1. B. Explain concerns with using hot

water from the tap and specifically caution against the use of hot water for preparing baby formula.

1. C. Explain that boiling water does not

reduce lead levels.

1. D. Discuss other options consumers

can take to reduce exposure to lead in drinking water, such as alternative sources or treatment of water.

1. E. Suggest that parents have their

child’s blood tested for lead.

1. 5. Explain why there are elevated levels

of lead in the system’s drinking water (if known) and what the water system is doing to reduce the lead levels in homes/buildings in this area.

1. 6. For more information, call us at

[INSERT YOUR NUMBER] [(IF APPLICA- BLE), or visit our website at [INSERT YOUR WEBSITE HERE]]. For more information on reducing lead exposure around your home/building and the health effects of lead, visit U.S. Environmental Protection Agency’s (EPA’s) website at http://www.epa.gov/lead or contact your health care provider.

1. (B) Community Water Systems. In addition to including the elements specified in subsection (1)(A) of this rule, community water systems must—

   1. 1. Tell consumers how to get their water

tested; and

1. 2. Discuss lead in plumbing components

and the difference between low lead and lead free.

1. (2) Delivery of Public Education Materials.

   1. (A) For public water systems serving a large proportion of non-English speaking consumers, as determined by the department, the public education materials must contain information in the appropriate language(s) regarding the importance of the notice or contain a telephone number or address where persons served may contact the water system to obtain a translated copy of the public education materials or to request assistance in the appropriate language. 10 CSR 60-15

   2. (B) A community water system that exceeds the lead action level on the basis of tap water samples collected in accordance with 10 CSR 60-15.070, and that is not already conducting public education tasks under this section, must conduct the public education tasks under this section within sixty (60) days after the end of the monitoring period in which the exceedance occurred.

      1. 1. Deliver printed materials meeting the

content requirements of section (1) of this rule to all bill paying customers.

1. 2. Contact customers who are most at

risk.

1. A. Contact customers who are most at

risk by delivering education materials that meet the content requirements of section (1) of this rule to local public health agencies even if they are not located within the water system’s service area, along with an informational notice that encourages distribution to all the organization’s potentially-affected customers or community water system’s users. The water system must contact the local public health agencies directly by phone or in person. The local public health agencies may provide a specific list of additional community based organizations serving target populations, which may include organizations outside the service area of the water system. If such lists are provided, systems must deliver educational materials that meet the content requirements of section (1) of this rule to all organizations on the provided lists.

1. B. Contact customers who are most at

risk by delivering materials that meet the content requirements of section (1) of this rule to the following organizations that are located within the water system’s service area, along with an informational notice that encourages distribution to all the organization’s potentially affected customers or community water system’s users:

1. (I) Public and private schools or

school boards;

1. (II) Women, Infants, and Children

1. (WIC) and Head Start programs;

   1. (III) Public and private hospitals

and medical clinics;

1. (IV) Pediatricians;
2. (V) Family planning clinics; and
3. (VI) Local welfare agencies.
4. C. Make a good faith effort to locate

the following organizations within the service area and deliver materials that meet the content requirements of section (1) of this rule to them, along with an informational notice that encourages distribution to all potentiallyaffected customers or users. The good faith effort to contact at-risk customers may include requesting a specific contact list of these organizations from the local public health agencies, even if the agencies are not located within the water system’s service area.

1. (I) Licensed childcare centers.
2. (II) Public and private preschools.
3. (III) Obstetricians-gynecologists

and midwives.

1. 3. No less often than quarterly, provide

information on or in each water bill as long as the system exceeds the action level for lead. The message on the water bill must include the following statement exactly as written except for the text in brackets for which the water system must include systemspecific information: [INSERT NAME OF WATER SYSTEM] found high levels of lead in drinking water in some homes. Lead can cause serious health problems. For more information please call [INSERT NAME OF WATER SYSTEM] [or visit (INSERT YOUR WEBSITE HERE)]. The message or delivery mechanism can be modified in consultation with the department; specifically, the department may allow a separate mailing of public education materials to customers if the water system cannot place the information on water bills.

1. 4. Post material meeting the content

requirements of section (1) of this rule on the water system’s website if the system serves a population greater than one hundred thousand (100,000).

1. 5. Submit a press release to newspapers,

television stations, and radio stations.

1. 6. In addition to paragraphs (2)(B)1.

through 5. of this rule, systems must implement at least three (3) activities from one (1) or more categories listed below. The educational content and selection of these activities must be determined in consultation with the department.

1. A. Public Service Announcements.
2. B. Paid advertisements.
3. C. Public area information displays.
4. D. Emails to customers.
5. E. Public meetings.
6. F. Household deliveries.
7. G. Targeted individual customer con-

tact.

1. H. Direct material distribution to all

multi-family homes and institutions.

1. I. Other methods approved by the

department.

1. 7. For systems that are required to con-

duct monitoring annually or less frequently, the end of the monitoring period is September 30 of the calendar year in which the sampling occurs, or, if the department has established an alternate monitoring period, the last day of that period.

1. (C) As long as a community water system exceeds the action level, it must repeat the activities pursuant to subsection (2)(B) of this rule as described in paragraphs (2)(C)1. through 4. of this rule.

   1. 1. A community water system shall

repeat the tasks contained in paragraphs (2)(B)1., 2., and 6. of this rule every twelve (12) months.

1. 2. A community water system shall

repeat tasks contained in paragraph (2)(B)3. of this rule with each billing cycle.

1. 3. A community water system serving a

population greater than one hundred thousand (100,000) shall post and retain material on a publicly accessible website pursuant to paragraph (2)(B)4. of this rule.

1. 4. The community water system shall

repeat the task in paragraph (2)(B)5. of this rule twice every twelve (12) months on a schedule agreed upon with the department. The department can allow activities in subsection (2)(B) of this rule to extend beyond the sixty- (60-) day requirement if needed for implementation purposes on a case-by-case basis; however, this extension must be approved in writing by the department in advance of the sixty- (60-) day deadline.

1. (D) Within sixty (60) days after the end of the monitoring period in which the exceedance occurred (unless it already is repeating public education tasks pursuant to subsection (2)(E) of this rule), a non-transient non-community water system shall deliver the public education materials specified by section (1) of this rule as follows:

   1. 1. Post informational posters on lead in

drinking water in a public place or common area in each of the buildings served by the system; and

1. 2. Distribute informational pamphlets

and/or brochures on lead in drinking water to each person served by the non-transient noncommunity water system. The department may allow the system to utilize electronic transmission in lieu of or combined with printed materials as long as it achieves at least the same coverage.

1. 3. For systems that are required to con-

duct monitoring annually or less frequently, the end of the monitoring period is September 30 of the calendar year in which the sampling occurs, or, if the department has established an alternate monitoring period, the last day of that period.

1. (E) A non-transient non-community water system shall repeat the tasks contained in subsection (2)(D) of this rule at least once during each calendar year in which the system exceeds the lead action level. The department can allow activities in subsection (2)(D) of this rule to extend beyond the sixty- (60-) day requirement if needed for implementation purposes on a case-by-case basis; however, this extension must be approved in writing by the department in advance of the sixty- (60-) day deadline.
2. (F) A water system may discontinue delivery of public education materials if the system has met the lead action level during the most recent six- (6-) month monitoring period conducted pursuant to 10 CSR 60-15.070. Such a system shall recommence public education in accordance with this rule if it subsequently exceeds the lead action level during any monitoring period.

3. (G) A community water system may apply to the department, in writing (unless the department has waived the requirement for prior department approval), to use only the text specified in subsection (1)(A) of this rule instead of the text in subsections (1)(A) and (1)(B) of this rule and to perform the tasks listed in subsections (2)(D) and (2)(E) of this rule instead of the tasks in subsections (2)(B) and (2)(C) of this rule if—

   1. 1. The system is a facility, such as a

prison or a hospital, where the population served is not capable of or is prevented from making improvements to plumbing or installing point-of-use treatment devices; and

1. 2. The system provides water as part of

the cost of services provided and does not separately charge for water consumption.

1. (H) A community water system serving three thousand three hundred (3,300) or fewer people may limit certain aspects of their public education programs as follows:

   1. 1. With respect to the requirements of

paragraph (2)(B)6. of this rule, a system serving three thousand three hundred (3,300) or fewer people must implement at least one (1) of the activities listed in that paragraph;

1. 2. With respect to the requirements of

paragraph (2)(B)2. of this rule, a system serving three thousand three hundred (3,300) or fewer people may limit the distribution of the public education materials required under that paragraph to facilities and organizations served by the system that are most likely to be visited regularly by pregnant women and children; and

1. 3. With respect to the requirements of

paragraph (2)(B)5. of this rule, the department may waive this requirement for systems serving three thousand three hundred (3,300) or fewer people as long as the system distributes notices to every household served by the system.

1. (3) Supplemental Monitoring and Notification of Results. A water system that fails to meet the lead action level on the basis of tap samples collected in accordance with 10 CSR 60-15.070 shall offer to sample the tap water of any customer who requests it. The system is not required to pay for collecting or analyzing the sample, nor is the system required to collect and analyze the sample itself.

2. (4) Notification of Results.

   1. (A) Reporting Requirement. All water systems must provide a notice of the individual tap results from lead tap water monitoring carried out under the requirements of 10 CSR 60-15.070 to the persons served by the water system at the specific sampling site from which the sample was taken (for example, the occupants of the residence where the tap was tested).
   2. (B) Timing of Notification. A water system must provide the consumer notice as soon as practical, but no later than thirty (30) days after the system learns of the tap monitoring results.
   3. (C) Content. The consumer notice must include the results of lead tap water monitoring for the tap that was tested, an explanation of the health effects of lead, steps consumers can take to reduce exposure to lead in drinking water, and contact information for the water utility. The notice must also provide the maximum contaminant level goal and the action level for lead and the definitions for these two (2) terms from 10 CSR 60- 2.015(2).
   4. (D) Delivery. The consumer notice must be provided to persons served at the tap that was tested, either by mail or by another method approved by the department. For example, upon approval by the department, a non-transient non-community water system could post the results on a bulletin board in the facility to allow users to review the information. The system must provide the notice to customers at sample taps tested, including consumers who do not receive water bills.

AUTHORITY: section 640.100, RSMo Supp. 2011.* Original rule filed Aug. 4, 1992, effective May 6, 1993. Amended: Filed Aug. 14, 2001, effective April 30, 2002. Rescinded and readopted: Filed Oct. 17, 2011, effective May 30, 2012. *Original authority: 640.100, RSMo 1939, amended 1978, 1981, 1982, 1988, 1989, 1992, 1993, 1995, 1996, 1998, 1999, 2002, 2006.