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1 <br />CERTIFICATION OF DELIVERY <br />OF PUBLIC NOTICE <br />Name of System: Orono PWSID: 1270041 <br />Violation: FAILURE TO PERFORM BACTERIOLOGICAL MONITORING <br />Occurring: For the month of June. 2005 <br />The public water system indicated above hereby affirms that public notice has been provided to consumers in <br />acctmlance with the delivery, content, and deadlines specified in the Notice of Violation. <br />Notice Distributed by: <br />□ Published in a local newspaper ! ! <br />Monih Day Year <br />□ Hand or direct delivery on // <br />Month Dty Year <br />□ Mail, as a separate notice or included with the bill on // <br />Month Day Year <br />Signature of owner or operator Date <br />This form must be completed and returned along with a copy of the public noticct <br />within 10 days of distribution of the public notice, to: <br />Minnesota Department of Health <br />Community Public Water Supply Unit <br />Environmental Health Divkuon <br />P.O. Box 64975 <br />St. Paul, Minnesota 55164-0975