Partnership For Safe Distribution Subscription

Subscribe to the Partnership for Safe Distribution Program

Partnership for Safe Distribution subscribers are utilities that operate a distribution system that applies disinfectant to maintain a residual.

PART 1: DISTRIBUTION UTILITY INFORMATION
Utility Name
Population Served by Utility
Utility Address
Utility City
Utility State
Utility Zip Code
Primary Contact Information
Primary Contact Name
Title:
Address
(if different from utility address)
City
State
Zip Code
Email
Phone
CEO/General Mgr/VP/Executive Director
Name
Title
Address
(if different from utility address)
City
State
Zip Code
Email
Phone
PART 2: PLANT INFORMATION
PLANT #1 INFORMATION
Plant #1 Name
Plant Address
City
State
Zip Code
Phone
Plant #1 Contact
(Optional)
Contact Phone
Contact Email
PLANT #2 INFORMATION
Plant #2 Name
Plant Address
City
State
Zip Code
Phone
Plant #2 Contact
(optional)
Contact Phone
Contact Email
Additional Plants
Please list additional plant(s) below
How did you hear about the Partnership for Safe Water?
ACE ConferenceJournal/OpflowNetworking
Email PromotionSocial MediaOthers
Disinfectant Requirement
Utility members participating in this program must be a community water system that operates a distribution system and must apply an approved disinfectant to maintain a residual. Please check the box below to confirm your system satisfies these requirements.
Confirm
Regulatory Compliance
Utilities enrolled in the Partnership for Safe Water must be in full compliance with applicable health based regulations that apply to the Water Distribution Systems for at least the preceding 6 months. Please check the box below to confirm that the Distribution System(s) you are enrolling satisfies this requirement and that you agree to nofity the Partnership within one month of receiving a notice of violation.
Confirm

Subscribe to the Partnership for Safe Distribution Program

PART 1: DISTRIBUTION UTILITY INFORMATION

Primary Contact Information

CEO/General Mgr/VP/Executive Director

PART 2: PLANT INFORMATION

PLANT #1 INFORMATION

PLANT #2 INFORMATION

Additional Plants

Disinfectant Requirement

Regulatory Compliance