Certification of Lead Consumer Notice
The Certification of Lead Consumer Notice form can be used by water systems in Wyoming or on Tribal Lands in Region 8. The form is to certify that the lead sample results have been distributed to the consumers where samples were collected.
Systems are required to submit the certification form, along with one copy of the lead consumer notice of tap results form to EPA no later than 90 days after the end of your monitoring period. 40 CFR 141.90(f)(3)
The Certification of Lead Consumer Notice form is available in fillable PDF and MS Word formats.