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Virginia

12 Va. Admin. Code 5-590-930 (Aug. 1, 1991).

This regulation establishes the fluoridation program in Virginia. The regulation states that where practicable and feasible, the state board of health may require owners of waterworks to provide artificial fluoridation. Prior to the issuance of a fluoridation permit, the regulation requires plans, specifications, operating procedures and methods of supervision to be submitted to the Division of Water Supply and Engineering. The regulation requires fluoride compounds to conform to national standards. It also provides rules for fluoride compound storage, chemical feed installations, protective equipment, suitable equipment for wet-mopping and hosing fluoride dust, and a requirement that the quantity of fluoride in the water be tested.

Where practicable and feasible, the board may require owners of waterworks to provide artificial fluoridation so as to bring the fluoride ion concentration to the optimum level as set forth in Article 1 of Part II. A. Prior to the issuance of a permit for fluoridation, plans, specifications, operating procedures, and methods of supervision shall be submitted to the division. These shall be in conformity with requirements to be determined for each individual installation by the division. B. Fluoride compounds. Commercial sodium fluoride, sodium silicofluoride and hydrofluorosilicic acid shall conform to the applicable AWWA standards. Use of other chemicals which may be made available must be approved by the division. C. Fluoride compound storage. Compounds shall be stored in covered or unopened shipping containers in a separate room with the chemical feeder. The room must be provided with mechanical ventilation to the outside of the building. D. Chemical feed installations. 1. Chemical feed installations shall conform to 12 VAC 5-590-860. 2. Scales and loss of weight recorders for dry chemical feeders and hydrofluorosilicic acid feeders shall be provided. 3. Feeders shall have an accuracy so that the actual feed rate will be within 5.0% of the intended feed rate. 4. The point of application of hydrofluorosilicic acid, if into a pipe, shall be so located as to provide adequate mixing. 5. All fluoride feed lines shall be provided with adequate antisiphon devices. 6. The water applied to sodium fluoride saturator feeders shall be softened if hardness exceeds 75 milligrams per liter. 7. Unless otherwise approved, fluoride shall be applied to the raw water with the feeder paced by the raw water meter. 8. Provisions shall be made for venting hydrofluorosilicic acid carboys to the outside of the building when the carboys are in use. E. Suitable protective equipment shall be provided which includes gloves, aprons, dust mask, and goggles. F. Suitable equipment shall be provided for wetmopping and hosing dust that might accumulate in the plant. Dry feeders shall be equipped with bag loading hoppers. G. Equipment shall be provided for measuring the quantity of fluoride ion in the water. Testing equipment shall be colorimetric or electrode type as approved by the division.
Virginia

12 Va. Admin. Code 5-590, App. B

This regulation describes the background facts taken into consideration in developing the chemical, physical, and radiological limits of the Virginia drinking water standards, and it includes a section on community water fluoridation. The section describes the dental benefits from drinking water with the recommended range of fluoride, and it notes that an approval limit slightly higher than the optimum can be tolerated without any mottling of teeth. The section notes that higher levels occurring naturally in water supplies should be reduced by treatment or blending with other sources lower in fluoride content.

. . . FLUORIDE When the fluoride concentration in drinking water is maintained within the recommended ranges of 0.8 mg/L minimum and 1.0 mg/L maximum with the optimum being 0.9 mg/L, the consumer will realize a reduction in dental caries. When supplemental fluoridation is practiced, it is particularly advantageous to maintain a fluoride concentration at or near the optimum. The reduction in dental caries experienced at optimal fluoride concentrations will be diminished by as much as 50% when the concentration is 0.2 mg/L below the optimum. An approval limit slightly higher than the optimum can be tolerated without any mottling of teeth, so where fluorides are native to the water supply, these concentrations are acceptable. Higher levels should be reduced by treatment or blending with other sources lower in fluoride content. The U.S. Environmental Protection Agency has determined that the PMCL for fluoride is 4.0 mg/L based on long term toxicity data. The EPA has also determined that the SMCL for fluoride is 2.0 mg/L based on the potential formation of cosmetically objectionable dental fluorosis as a result of long term exposure. The level of the SMCL was based on a balancing of the beneficial and undesirable effects of fluoride. . . .
Virginia

12 Va. Admin. Code 5-590-540

This regulation requires special notice for exceedance of the secondary maximum contaminant level for fluoride. Community waterworks that exceed the SMCL of 2 mg/l but do not exceed the MCL of 4 mg/l must provide public notice to persons served as soon as practical but no later than 12 months from the day the owner learns of the exceedance. The regulation includes specific language to be included in the notice.

. . . G. Special notice for exceedance of the SMCL for fluoride. 1. Community waterworks that exceed the SMCL of 2 mg/L, but do not exceed the PMCL of 4 mg/L for fluoride, shall provide public notice to persons served as soon as practical but no later than 12 months from the day the owner learns of the exceedance. 2. A copy of the notice shall be sent to all new billing units and new customers at the time service begins and to the district engineer. 3. The owner shall repeat the notice at least annually for as long as the SMCL is exceeded. 4. If the public notice is posted, the notice shall remain in place for as long as the SMCL is exceeded, but in no case less than seven days even if the exceedance is eliminated. 5. On a case-by-case basis, the commissioner may require an initial notice sooner than 12 months and repeat notices more frequently than annually. 6. The form and manner of the public notice (including repeat notices) shall meet the requirements for a Tier 3 public notice. 7. The public notice shall contain the following language, including the language necessary to fill in the blanks: This is an alert about your drinking water and a cosmetic dental problem that might affect children under nine years of age. At low levels, fluoride can help prevent cavities, but children drinking water containing more than 2 milligrams per liter (mg/L) of fluoride may develop cosmetic discoloration of their permanent teeth (dental fluorosis). The drinking water provided by your community waterworks (name) has a fluoride concentration of (insert value) mg/L. Dental fluorosis, in its moderate or severe forms, may result in a brown staining and/or pitting of the permanent teeth. This problem occurs only in developing teeth, before they erupt from the gums. Children under nine should be provided with alternative sources of drinking water or water that has been treated to remove the excess fluoride to avoid the possibility of staining and pitting of their permanent teeth. You may also want to contact your dentist about proper use by young children of fluoride-containing products by young children. Older children and adults may safely drink the water. Drinking water containing more than 4 mg/L of fluoride (the U.S. Environmental Protection Agency's drinking water standard) can increase your risk of developing bone disease. Your drinking water does not contain more than 4 mg/L of fluoride, but we are required to notify you when we discover that the fluoride levels in your drinking water exceed 2 mg/L because of this cosmetic dental problem. For more information, please call (name of water system contact) of (name of community waterworks) at (phone number). Some home water treatment units are also available to remove fluoride from drinking water. To learn more about available home water treatment units, you may call NSF International at 1-877-NSF-HELP. . . .
Virginia
Sec. 90-41. - Fluoridation. (a) Upon receiving a permit from the state department of health and until further direction of the city council, the utilities board shall provide the means and shall proceed with the introduction of sodium fluoride or other suitable salt or acid of fluorine into the water supply of the city in such quantities as are required to maintain throughout the pipe distribution system a fluoride ion concentration of approximately one part per million. (b) The utilities board shall keep an accurate daily record showing for each supply the number of gallons treated and the fluoride ion concentration of the water before and after treatment. The utilities board shall also determine the fluoride ion concentration in the distribution system at such intervals as may be directed by the state department of health. (c) The state department of health shall have general supervision over treatments of the public water supply with fluoride, and the utilities board shall furnish to the state department of health copies of records specified under subsection (b) of this section, at daily, weekly and monthly intervals as may be required by the state department of health. (Code 1966, § 28-23)
Virginia
Sec. 106-472. State standards and rules. The department of public utilities will follow state department of health standards and rules related to the addition of fluoride in the city’s drinking water supply. (Code 1993, § 29-277)
Virginia

Fairfax, Virginia, Municipal Code § 42-1-2 (2012); Fairfax, Virginia, Municipal Code § 42-1-3 (2012); Fairfax, Virginia, Municipal Code § 42-1-4 (2012); Fairfax, Virginia, Municipal Code § 42-1-5 (2012).

§ 42-1-2 Records; concentration tests. The suppliers of water shall keep an accurate daily record showing for each supply the number of gallons treated and the fluoridation concentration of the water before and after treatment, and they shall also determine the fluoridation concentration in the distribution systems at such points and at such intervals as may be required by the State Department of Health or the County Health Officer. HISTORY NOTE: (1954 Code, vol. 1, § 8-2; 1961 Code, § 13-2.) § 42-1-3 Supervision by County Health Officer. The County Health Officer shall have general supervision over the treatment of public water supplies with fluoride and the suppliers of water are directed to furnish the County Health Officer copies of all records pertaining to such treatment as may be required by him. HISTORY NOTE: (1954 Code, vol. 1, § 8-3; 1961 Code, § 13-3.) § 42-1-4 Reports by County Health Officer; surveys; research. The County Health Officer shall make periodical reports to the Board of Supervisors on the fluoridation of the public water supplies, and shall seek the cooperation of educational and scientific institutions to conduct surveys and research as to the beneficial effect, if any, of the program and the project on the citizens of the County. HISTORY NOTE: (1954 Code, vol. 1, § 8-4; 1961 Code, § 13-4.) § 42-1-5 Liability for injury or damage. The Board of Supervisors in authorizing fluoridation, however, expressly declares that it in no way assumes any liability for, or on account of, any damage or injury incurred by any user of water so treated. HISTORY NOTE: (1954 Code, vol. 1, § 8-5; 1961 Code, § 13-5.)
Virginia

Orange, Virginia Code of Ordinances Sec. 74-55

Sec. 74-55. - Introduction of fluoride. The town manager shall cause fluoride to be introduced into the town water supply in the manner and in the amounts recommended by the state department of health. (Ord. No. 2008-01, 6-16-08)
Virginia

Prince William County, Virginia Code of Ordinances Sec. 30-1

§ Sec. 30-1 Fluoridation. (a) Upon receiving a permit from the state department of health, any person engaged in supplying water to the public within the county is hereby authorized to provide the means and to proceed with the introduction of the fluoride ion into the water supply in such quantities as are required to maintain throughout the pipe distribution system a fluoride ion concentration of approximately one part per million. Such person shall keep an accurate record of the amount of fluorine-bearing chemical applied and the quantities of water treated and shall cause such analytical tests to be made for fluorides (in terms of the element F) in the untreated and treated waters as may be required by the state health department. Copies of all fluorine reports to the state health department covering the fluoridation process shall be submitted to the county health department. (b) The health director shall make periodic reports to the board of county supervisors on the fluoridation of the water supply and shall seek the cooperation of educational and scientific institutions to conduct surveys and research as to the beneficial effect of the program and project on the citizens of this county. (c) The county, by herein authorizing fluoridation, expressly declares that it in no way assumes any liability for, or on account of, any damage or injury incurred by any user of water so treated. HISTORY NOTE: (Code 1965, §§ 19-9-19-12)
Virginia
Sec. 110-141. - Authority of city manager. Until otherwise directed by the city council, the city manager may provide the means for, and proceed with, the addition of one part of fluoride to every million parts of water distributed in the water supply system of the city. (Code 1975, § 21-26; Code 1992, § 21-141) Sec. 110-142. - Rules and regulations of state department of health. The addition of the fluoride ion to the water supply of the city, as provided in section 110-141, shall be under the rules and regulations of the state department of health. (Code 1975, § 21-27; Code 1992, § 21-142) Sec. 110-143. - Administration of addition of fluoride. The addition of fluoride to the water supply of the city, as provided in section 110-141, shall be administered by the city manager and by the superintendent of water/wastewater in a manner approved by the health director of the city or by some other representative designated by the state department of health. (Code 1975, § 21-28; Code 1992, § 21-143) Sec. 110-144. - Annual budget provision. There shall be included annually in the budget of the water/wastewater department of the city an amount necessary to carry on and maintain the program of fluoridation of the city's water supply as contemplated and provided for in section 110-141. (Code 1975, § 21-29; Code 1992, § 21-144)
Virginia
13.25.010 Authorized and directed – Required strength. Upon receiving the requisite permit from the State Department of Health and until further direction of the council, the department of public works is hereby authorized and directed to provide the means and to proceed with the introduction of sodium fluoride or other suitable salt or acid of fluorine into the water supply, in such quantities as are required to maintain throughout the pipe distribution system a fluoride ion concentration of approximately one part per million. (Code 1964, § 29-29; Code 1985, § 29-48). 13.25.020 Records generally. In connection with the duties imposed by SCC 13.25.010, the department of public works shall keep an accurate daily record showing, for each supply, the number of gallons treated and the fluoride ion concentration in the distribution system at such points and at such intervals as may be directed by the health officer. (Code 1964, § 29-30; Code 1985, § 29-49). 13.25.030 Supervision by health officer – Copies of records to be furnished to health officer. The health officer shall have general supervision over treatment of the public water supply with fluoride and the department of public works shall furnish to the health department copies of the records specified in SCC 13.25.020, at daily, weekly and monthly intervals, as required by the health officer. (Code 1964, § 29-31; Code 1985, § 29-50). 13.25.040 Reports to council. The health officer shall make periodic reports to the city council of the fluoridation of the public water supply. (Code 1964, § 29-32; Code 1985, § 29-51). 13.25.050 Surveys and research as to beneficial effect. The health officer shall seek the cooperation of educational and scientific institutions to conduct surveys and research as to the beneficial effect, if any, of the water fluoridation program and project on the citizens of the city. (Code 1964, § 29-33; Code 1985, § 29-52).
Virginia
Sec. 86-47. - Fluoridation of water—Authorized. The city manager is hereby authorized to provide the means and to proceed with the introduction of the fluoridation into the water supply of the city in such quantities as are required to maintain throughout the pipe distribution system a fluoridation concentration of approximately one part per million. (Code 1964, § 26-22) Sec. 86-48. - Same—Records of amounts applied; tests for fluorides. The city manager shall keep an accurate record of the amount of fluorine-bearing chemical applied to the water supply of the city and the quantities of water treated and cause such analytical tests to be made for fluorides in the state untreated and treated water as it shall be directed to do by the health department. (Code 1964, § 26-23) Sec. 86-49. - Same—Liability of city for injuries to users. The city, by authorizing fluoridation of the city water supply, expressly declares that it in no way assumes any liability for or on account of any damage or injury incurred by any user of water so treated. (Code 1964, § 26-24)
Virginia