I'PTl	 !H:T	''"""!	"M'l

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Inspector General Division
 Conducting the Audit:                   Northern Audit Division

Region Covered:                         Region 5

Program Offices Involved:                Region 5 Water Division
                                        Chicago, IL

                                        Office of Ground Wat^r
                                        and Drinking Water
                                        Washington, D.C.

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                                                   905R94028
     »       UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
      *-              OFFICE OF THE INSPECTOR GENERAL
                          NORTHERN DIVISION
                       77 WEST JACKSON BOULEVARD
                         CHICAGO, IL 60604-3590

                        September 30, 1994

MEMORANDUM

SUBJECT:  Region  5  Procedures  to Ensure
          Drinking  Water Data  Integrity
          Audit Report No.  E1HWC4-23-0009-4100540
FROM:     Anthony C.  Carrollo        ^,
          Divisional  Inspector 6eneral"for Audit
          Northern Audit  Division

TO:       Valdas V. Adamkus
          Regional Administrator,  Region 5

     Attached is the  final  audit  report titled Region 5
Procedures to Ensure  Drinking Water Data Integrity.   This audit
report contains findings  that describe  the results of our audit
of Region 5 and its states'  procedures  for reviewing the validity
of drinking water test  data.

     We appreciate the  cooperation we received from your staff in
conducting this review.   Your staff's professionalism and
dedication resulted in  a  cooperative effort to resolve the issues
in this report.  We hope  that our report will  be useful to you as
you continue your work  to assure  a safe drinking water supply
throughout the Region.

     This report represents  the opinion of the Office of the
Inspector General.  Final determinations on matters in this
report will be made by  EPA managers in  accordance with
established EPA audit resolution  procedures.   Accordingly, the
findings described in this audit  report do not necessarily
represent the final EPA position  and are not binding upon EPA in
any enforcement proceeding brought by EPA or the Department of
Justice.

     Your response to our draft report  is included as
appendix 1.  Based on this response and discussions at the exit
conference, we made appropriate changes to this final report,
including the addition, deletion,  and revision of text and the
revision of recommendations  made  in the draft  report.

Action Required

     In response to the draft report, your office provided
responsive action plans and  milestone dates for correcting the
findings.  As a result, and  in accordance with EPA Order 2750,  we
                                                          Printed on Recycled Paper

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find your response to the report acceptable.  Therefore, we are
closing this report in our tracking system as of this date.
Please track all planned actions and milestone dates in the
Management Audit Tracking System.

     We have no objections to the further release of this report
to the public.  Should you or your staff have any questions
regarding this report, please contact Kimberly O'Lone,  Audit
Manager, Northern Audit Division, at (312)  886-318G.

Attachment

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                                DRINKING WATER DATA INTEGRITY
                      EXECUTIVE SUMMARY
PURPOSE

Office of Ground Water and Drinking Water  (OGWDW) officials
requested that the Office of the Inspector General  (OIG)
conduct this audit:   (1) because of their concern that
falsified data may be going undetected and could result in
potential threats to human health and  (2) to aid them in
planning how to use limited resources efficiently and
effectively.

If water system operators falsify test results, serious
health risks to the public could result.  Moreover, if a
state does not detect questionable test data and investigate
the situation, the state's ability to take proactive measures
to prevent contamination of the water supply is negated.

The Centers for Disease Control and Prevention  (CDC)
estimated that over 940,000 people become ill every year from
drinking contaminated water.  Of those, CDC estimated 900
people die each year.

The objectives of the audit were to determine:

  •  whether cases of invalid or falsified data have gone
     undetected,  and

  •  what procedures Region 5 and its states are using to
     detect invalid or falsified data.
BACKGROUND

The Environmental Protection Agency's (EPA) OGWDW, the
regions, and the states are responsible for ensuring that the
water the public drinks is safe and free of harmful
contaminants.  However, over the last decade statutory
monitoring and testing requirements increased.  According to
Region 5 officials,  limited EPA and state resources were
available for reviewing the validity of reported drinking
water test data.  Falsified drinking water test data could
result in serious health risks to the public.

OGWDW guidance published in 1991 to assist regions and states
in detecting falsified data stated that the problem of data
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                                  DRINKING WATER DATA INTEGRITY
  falsification may be larger than originally suspected.1  It
  also stated that

       ...with the promulgation of new regulations under
       the Safe Drinking Water Act, there is an increased
       incentive for water systems to purposely submit
       invalid compliance data.  This is due to the cost
       of  compliance with the new regulations and an
       increased complexity in the monitoring and
       reporting requirements.

  During preliminary work conducted in three Region 5 states
  from October to December 1993,  we found several cases of
  questionable drinking water test data that the states did not
  detect.   Moreover, we found a general lack of EPA and state
  resources committed to detecting falsified data.
  RESULTS-IN-BRIEF

  Operators at public water systems (PWSs)  reported invalid and
  potentially falsified data,  which went undetected by their
  states.  Such inaccurate reporting lessens the integrity of
  the drinking water data which,  in turn,  could result in
  increased risks to public health.

  Changes are needed to (1)  raise the awareness of Region 5 and
  state officials regarding data falsification issues and (2)
  improve states' capabilities for detecting questionable
  drinking water test data.   We found that state officials (1)
  generally trusted that the data reported to them was valid
  and (2) were unaware of the potential for data falsification.
  We visited and inspected seven PWSs and found problems at
  three of them that indicated that data might have been
  falsified in the past.

  State and Regional officials placed a low priority on
  reviewing the integrity of drinking water test data.  States
  did not have formal procedures for,  and spent very few
  resources on, reviewing operational drinking water test data
  for falsification.  In addition, Region 5's oversight of
  states' efforts to detect questionable data needed
  improvement.  Regional and state officials told us that they
  did not believe data falsification occurred very often and,
  therefore, could not justify spending limited resources on
     •"•The  relevant  section  of  this  guidance  is  referred to as
Appendix G.  See chapter 1.
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                                DRINKING WATER DATA INTEGRITY
the detection of falsified data given other program
priorities.


PRINCIPAL FINDINGS

PWS Operators Reported Questionable Test Data

All PWS operators are required, under the Safe Drinking Water
Act and EPA's regulations, to ensure that all appropriate
drinking water tests are conducted and test results are
accurately reported.  Accurate test data are necessary to
assure that the quality of drinking water provided to the
public meets all drinking water standards.

Files for about 10 percent (51) of the 495 PWSs we reviewed
contained test data that were questionable in accordance with
EPA guidance.   Based on further Regional and state
investigations, we determined that operators at about 4
percent of the PWSs we reviewed reported questionable test
data, without their states detecting it.  Most of these cases
were at community PWSs.

Undetected questionable test data--whether invalid or
potentially falsified--could  (1) result in contamination of
the water supply not being promptly detected and  (2) lead to
serious public health problems.  PWS operators may have
reported invalid test data because they lacked training on
proper testing and reporting procedures, or had
malfunctioning equipment.  Operators may have reported
falsified data to cover-up problems at the PWS or to avoid
additional requirements or corrective actions.  We provided a
copy of this report to the OIG Office of Investigations for
its review.

States'  Efforts To Detect
Questionable Test Data Need Improvement

State officials placed low priority on reviewing records for
invalid or falsified data primarily because they did not
believe that falsification was widespread.  State officials
generally trusted that data reported to them was valid and
seemed to be unaware of the potential for data falsification.
In addition, according to officials in some states,  limited
resources do not allow for any detailed reviews.  As a
result,  invalid or potentially falsified data has gone
undetected.  In accordance with criteria in 40 Code of
Federal Regulations (CFR)  Part 142,  primacy states are
responsible for administering and enforcing drinking water


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                                DRINKING WATER DATA INTEGRITY
regulations and related requirements, including general
review and oversight of PWS-reported test data.  In addition,
according to OGWDW guidance, states should try to identify
and prosecute PWSs suspected of falsifying data.  However,
according to state officials, past experience has shown that:
developing successful prosecutions of data falsification
cases is very time consuming and difficult.

Region 5 Oversight Needs Improvement

Region 5's oversight of drinking water data falsification
issues,  including states'  efforts to detect falsification,
needs improvement.  According to Region 5 officials,
reviewing data for falsification was not a high priority
because they:  (1) had limited program resources to manage
increasing drinking water program responsibilities, (2) did
not believe data falsification was widespread, and  (3) relied
on their states to detect questionable data.

The Region did not closely monitor states' efforts to review
the validity of reported data.  Region 5 officials did not
review states' efforts to detect questionable data as part of
their annual reviews of state drinking water programs.
Region 5 also did not conduct any comprehensive falsification
reviews of state-reported PWS data.  In addition, Region 5
needs to reemphasize the importance of OGWDWs guidance on
detecting invalid and falsified data to its states.

Because the Region did not emphasize the importance of
reviewing data for falsification, the states also did not
consider it a priority.  As a result, cases of potentially
falsified data have gone undetected.  According to OGWDWs
guidance, EPA regions and states should try to identify and
prosecute PWSs suspected of falsifying data.
RE COMMENDATIONS

We recommend that the Regional Administrator direct the
Region 5 Water Division to advise states to:

     1.   provide training to, and/or consider taking
          enforcement actions, as appropriate, against the 19
          PWSs, or operators, which we found reported invalid
          or potentially falsified test data;

     2.   develop a certification block to be included on
          monthly operational reports (MORs) to ensure that
          reported data is reviewed for reasonableness; and


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                                DRINKING WATER DATA INTEGRITY
     3.   add documented steps to their sanitary survey
          procedures to verify the validity of reported data.
          These steps should, at a minimum, include a sample
          review and comparison of MORs and on-site PWS
          records.

We recommend that the Regional Administrator direct the
Region 5 Water Division to:

     1.   evaluate states' efforts in detecting invalid or
          falsified data during Region 5's annual review of
          each state's drinking water program;

     2.   redistribute OGWDW's Appendix G to each of the
          states in the Region and reemphasize its
          importance; and

     3.   incorporate techniques for identifying questionable
          data into sanitary survey training.  This training
          should be given to both state and Regional staff.
On July 26, 1994, the Associate Assistant Inspector General
for Internal and Performance Audits wrote the Director of the
Office of Ground Water and Drinking Water recommending that
his office:   (1) develop national guidance on sanitary
surveys that incorporates methods to detect invalid and
falsified test data and  (2) encourage regions to distribute
future sanitary survey guidance to their states so that
appropriate oversight can be performed.  The July 26, 1994,
memorandum is attached as exhibit 2.

On September 29, 1994, the Director of the Office of Ground
Water and Drinking Water responded.  In his response, he
stated that his office has included data falsification issues
in sanitary survey training courses.   His office also hopes
to either update its training manual for the sanitary survey
course or develop separate sanitary survey guidance in fiscal
year 1995.  The September 29, 1994, response is attached as
exhibit 3.
REGION 5 COMMENTS AND ACTIONS

The Region 5 Administrator provided a written response to our
draft report on September 23, 1994.  The Administrator agreed
with all recommendations in this report.
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                                DRINKING WATER DATA INTEGRITY
The Region plans to advise the states in writing by October
31, 1994, to take action to address problems at the PWSs we
identified as having reported invalid or potentially
falsified data.  Moreover, the Region will also request that
the states (1)  develop a certification block to be included
on MORs and  (2) add documented steps to their sanitary survey
procedures to verify the validity of reported data.

The Region issued program guidance to the states in April
1994 which requested that the states screen PWS-submitted
data for evidence of data falsification, and take follow-up
enforcement action as appropriate.  The states were also
asked to report on the number of falsification cases
identified, and the type of follow-up taken.  The Region
plans to evaluate states' efforts in these two areas by
September 30, 1995.

The Region has agreed to redistribute Appendix G to the
states by October 31, 1994.  Moreover, the Region will be
holding two sanitary survey training classes, one in October
and one in November 1994, for state officials.  The Region
will also request that state officials report on the
usefulness of the training.

Although the Regional Administrator agreed with our
recommendations, he had two remaining concerns with our
report.  First, the Administrator did not agree that the
percentage of potentially falsified data the report
identified was significant, given the total amount of test
data reported.   Second, the Administrator did not agree that
the examples included in the report of Indiana, Minnesota,
and Illinois were valid examples of a lack of Regional
oversight.

We have included a summary of Region 5's comments in
appropriate sections throughout the report.   Appendix 1
contains a copy of Region 5's written response to our draft
report.
PIG EVALUATION

The Region's actions, when completed, will address the
findings and recommendations in this report.
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                                DRINKING WATER DATA  INTEGRITY
                      TABLE OF CONTENTS



EXECUTIVE SUMMARY  	    i

CHAPTERS

1  INTRODUCTION  	    1

     PURPOSE  	    1

     BACKGROUND  	    2

     SCOPE AND METHODOLOGY	10

     PRIOR AUDIT COVERAGE	13

2  PWS OPERATORS REPORTED QUESTIONABLE TEST DATA   ....  15

     POTENTIAL HEALTH RISKS 	  15

     ABOUT TEN PERCENT OF REGION 5 PWSs
     REPORTED TEST DATA THAT APPEARED QUESTIONABLE   ...  17

     SITE VISITS CONFIRMED
     PROBLEMS WITH SOME PWSs	20

     CONCLUSION	24

     RECOMMENDATION 	  25

     REGION 5 COMMENTS AND ACTIONS  	  25

     OIG EVALUATION	25

3  STATES'  EFFORTS TO DETECT
   QUESTIONABLE TEST DATA NEED IMPROVEMENT	27

     STATES DID NOT HAVE FORMAL
     PROCEDURES FOR DETECTING QUESTIONABLE DATA 	  27

     STATES HAVE NOT ESTABLISHED CONTROLS
     TO ENSURE VALID TEST DATA ARE REPORTED	29

     CURRENT STATE SANITARY SURVEY PROCEDURES
     ARE NOT DESIGNED TO IDENTIFY QUESTIONABLE DATA  ...  30

     CONCLUSION	31


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                                DRINKING WATER DATA INTEGRITY
     RECOMMENDATIONS   	  32

     REGION 5 COMMENTS AND ACTIONS   	  32

     OIG EVALUATION	32

4  REGION 5 OVERSIGHT NEEDS IMPROVEMENT  	  33

     REGION 5 DID NOT CLOSELY MONITOR STATE EFFORTS  ...  33

     REGION 5 DID NOT REVIEW DATA	34

     REGION 5 NEEDS TO REEMPHASIZE OGWDW GUIDANCE  ....  34

     CONCLUSION	35

     RECOMMENDATIONS   	  35

     REGION 5 COMMENTS AND ACTIONS   	  36

     OIG EVALUATION	36

EXHIBITS

  EXHIBIT 1    PERCENTAGE OF NONCOMMUNITY
               SURFACE WATER SYSTEMS
               THAT SUBMITTED QUESTIONABLE DATA	37

  EXHIBIT 2    OIG MEMO TO OGWDW DIRECTOR	39

  EXHIBIT 3    OGWDW DIRECTOR'S RESPONSE  	  43

APPENDICES

  APPENDIX 1   REGION 5 ADMINISTRATOR'S
               RESPONSE TO THE DRAFT REPORT	45

  APPENDIX 2   ABBREVIATIONS	50

  APPENDIX 3   DISTRIBUTION 	  51
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                                DRINKING WATER DATA INTEGRITY
                          CHAPTER 1

                         INTRODUCTION
PURPOSE

In January 1994, U.S. Environmental Protection Agency  (EPA)
Office of Ground Water and Drinking Water  (OGWDW) officials
requested that the Office of Inspector General  (OIG) conduct
this audit:   (1) because of their concern that falsified
drinking water data may be going undetected resulting in
potential health threats, and  (2) to aid them in planning how
to use limited resources efficiently and effectively.  If
water system operators report invalid or falsified test
results, serious health risks could go undetected.  Moreover,
if a state does not detect invalid or falsified test data and
investigate the situation, the state's ability to take
proactive measures to prevent contamination of the water
supply is negated.

During preliminary work conducted in three Region 5 states
from October to December 1993,  we found several cases of
questionable drinking water test data that the states did not
detect.  Moreover, we found few EPA and state resources
committed to ensuring the integrity of reported test data.

Americans drink over one billion glasses of water a day.  The
Centers for Disease Control and Prevention (CDC) estimated
that over 940,000 people become ill every year from drinking
contaminated water.  Of those,  CDC estimated 900 people die
each year.  Moreover, controversy has recently been generated
amongst the public regarding the overall quality of our
nation's drinking water supply and the technology of the
systems that provide it.

The objectives of this audit were to determine:

  •  whether cases of invalid or falsified data have gone
     undetected, and

  •  what procedures Region 5 and its states are using to
     detect invalid or falsified data.
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BACKGROUND

Responsibilities of EPA and States

The Safe Drinking Water Act of 1974  (the Act),  as amended,
required that EPA ensure that public water  systems (PWSs)
monitor and test the quality of drinking water  and distribute
water to consumers that is safe to drink.   The  EPA's OGWDW,
the regions, and the states are all responsible for achieving
the goals of the Act.2  However,  over the last  decade
statutory monitoring and testing requirements increased.
According to Region 5 officials, limited EPA and state
resources were available for reviewing the  validity of
reported drinking water test data.

Under the current safe drinking water program,  all states arid
Federal territories, except Wyoming and the District of
Columbia, are responsible for ensuring that the water within
their jurisdiction is safe for consumption.  EPA delegates
this authority, called "primacy", to states meeting the Act
and its implementing regulations' requirements.  To maintain
primacy, states must adopt regulations at least as stringent
as the Federal Government's and demonstrate that they can
effectively execute program requirements.

In 1991, OGWDW's Enforcement and Program Implementation
Division published its Public Water System  Supervision Data
Verification Guidance.  Appendix G of this  guidance,  entitled
"Guidance on Detecting Invalid or Fraudulent Data" presents
ways to identify systems that may be submitting invalid or
falsified data and outlines the correct procedures for
investigating and prosecuting systems suspected of falsifying
data.  This guidance states that EPA regions and states with
primacy should identify and prosecute systems suspected of
falsifying data, as part of their oversight of  drinking water
programs.

According to the guidance, the problem of data  falsification
may be larger than originally suspected.  It explains that:

     ...with the promulgation of new regulations under
     the Safe Drinking Water Act, there is  an increased
     incentive for water systems to purposely submit
     invalid compliance data.  This is due  to the cost
     of compliance with the new regulations and an
     2The Act applies to all 50 states, the District of Columbia,  Puerto
Rico, Indian lands, the Virgin Islands, American Samoa, Guam, the
Commonwealth of the Northern Mariana Islands, and the Republic of Palau.
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     increased complexity in the monitoring and
     reporting requirements.

Responsibilities of Public Water Systems

The majority  of PWSs must treat the  drinking water they
distribute  to the public to ensure that  the water customers
drink in their homes,  places of business,  restaurants, etc.,
is safe.  Some sources of drinking water contamination
include turbidity (or "cloudiness")  of water due to suspended
matter such as clay,  silt, and microscopic organisms;
bacteria from human or animal sources; pesticide run-off;
underground injections of hazardous  wastes; disinfection by-
products; and lead,  copper,  and asbestos from corroding
pipes.
                                          This is part of a
                                          settling tank at a small
                                          PWS.  At this stage,  the
                                          water is at the beginning
                                          of the treatment process.
                                          The brown foamy residue
                                          in the middle section is
                                          a mixture of dirt and
                                          other matter,  and
                                          chemical additives to
                                          treat the water.
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PWSs must test for various  contaminants  in  their water supply
and report those results to their  states.   Generally,  the
larger the population a system  serves, the  more  often  that
system is required to test  and  report.   The type of  PWS
(community or noncommunity)  and the water source (surface or
groundwater) determine what contaminants must  be monitored.
The four basic contaminant  groups  PWSs must test for and
report on are:   (1) inorganic chemicals,  (2) organic
chemicals,  (3) radionuclides, and  (4) microbiological
contaminants.3

PWSs generally either contract  with an independent certified
laboratory or a state-owned laboratory to analyze water
samples from their systems  involving complex tests,  such as
those for bacteria, most inorganic and organic chemicals,  and
radionuclides.  Many states require independent  labs to
report the results of their tests  directly  to  the state
before reporting the results to the water system, their
client.

While PWSs generally contract out  their  complex  tests,  they
conduct other tests in-house.   Water system personnel
conducting these operational tests are normally  required to
report the results of these tests  to their  state once  per
month.  Water operators submit  this data on monthly
operational report  (MOR) forms.

At least three measures are important indicators of  water
quality: turbidity, chlorine residual, and  pH.

  •  Turbidity measurements indicate how well  filtration
     systems are removing particulates from drinking water.
     As turbidity levels increase, the efficiency of a water
     treatment plant in filtering  particulates in water
     decreases.  If turbidity levels are too high, health
     risks from microbes increase.

  •  Chlorine measurements,  including the time chlorine is in
     contact with water in  the  distribution system,  are very
     important also.  Although  chlorine  can kill microbes arid
     prevent the regrowth of any bacteria that make  it
     through the filtration system, microbes may not be
     inactivated by chlorine if the time chlorine is in
     contact with the microbes  is  too short.
     3OGWDW,  in its FY 1993 National Compliance Report, included turbidity
within the microbiological contaminant group.
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     Improper pH levels affect  the  efficiency of
     disinfectants and also  affect  the types and levels of
     disinfection by-products generated.   In addition,  pH
     levels that are too  acidic increase  the leaching of
     metals, such as lead, from within the distribution
     system into the water supply.
          This is a laboratory located at a small PWS.   Tests for
          turbidity, chlorine residual,  and pH are conducted at
          this facility.

Many PWS operators are certified to perform operational-type
tests on drinking water samples, including those  for
turbidity, chlorine residual, and  pH  (a measure of the
acidity or alkalinity of  a liquid).   According to Region 5
officials, while community PWSs usually have certified
operators, smaller systems--particularly  noncommunity PWSs--
might not.  Each state has an operator certification  program,
which ensures that operators are properly trained on  PWS
monitoring requirements.  According to Regional officials,
state training is available for all operators,  certified or
not.  The requirements for certified  operators vary by state.
These requirements are based on the type  and size of  the PWS,
its water source and quality, and  the population  affected.
If operators do not continue to meet  these requirements,
their certifications can  be revoked.  This could  result in
the loss of their jobs.   Falsification of test data is also
grounds for revocation of an operator's certification.
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Potential for Invalid or Falsified Data

PWS operators are in the business of providing drinking water
to the public.  Thus, according to the Region, it is in the
best interest of operators to provide a safe, reliable, and
high quality drinking water product to their customers.
However, the increased cost of new regulations and the
increased complexity in monitoring and reporting requirements
might give some operators an incentive to submit falsified
data.

Because PWS operators and staff are directly involved with
recording and reporting results of operational tests, there
is a greater chance that these results may be falsified.
Operators could report invalid test data because of
malfunctioning equipment, improper testing procedures, or a
misunderstanding of how to properly record and report test
readings.  PWS personnel could falsify test data in several
different ways.  For example, PWS personnel could:   (1)
report fabricated data without taking required tests;  (2)
boil or microwave samples thereby killing harmful organisms;
(3) submit samples from sources outside the PWS; or  (4)
collect all samples from one location within the PWS.

Types, Sizes, and Number of PWSs

A PWS, as defined by EPA, provides piped water for human
consumption to at least 15 service connections or serves an
average of at least 25 people for at least 60 days each year.
PWSs are classified as either community or noncommunity
systems.  Community systems provide water generally to the
same population year-round, such as in residential areas.
Noncommunity systems are either institutions such as schools,
hospitals, or work places that regularly serve at least 25 of
the same people at least 6 months of the year, or
establishments such as campgrounds and motels that supply
water to people traveling through non-residential areas.

OGWDW categorizes the size of PWSs by the number of people
each serves.  There are five size categories as shown in
figure 1.
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                                 DRINKING WATER DATA INTEGRITY
                Figure 1:  PWS Size  Categories
         Population Served                Size Category

              25  - 500                     Very Small
             501  - 3,300                      Small
           3,301  - 10,000                    Medium
          _0,001  - 100,000                    Large
          .ore than 100,000                 Very Large
As of March 1994,  there were about 191,000 PWSs in the United
States and  its  territories.   Community systems served over  90
percent  of  the  U.S.  population,  even though they comprised
only 30  percent of all PWSs.  Noncommunity systems, on the
other hand,  served only about 8  percent of the U.S.
population,  but constituted the  remaining 70 percent of PWSs.

PWSs obtain the water that they  distribute to the public  from
either:   (1)  groundwater sources--such as springs and
aquifers4, or (2)  surface  water  sources--such as  rivers,
lakes, and  reservoirs.   Both types of water sources are
subject  to  contamination by various substances.  However,
because  surface water sources are exposed to the air and  are
accessible  to human and animal use, these water sources
require  more extensive treatment before they can be used  for
human consumption.
     4An aquifer is an underground geological formation containing usable
amounts  of groundwater that can supply wells and springs.

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     This shows two chambers
     of a water treatment
     plant for a small PWS.
     The chamber in the
     background is where
     chemicals are added.  In
     the foreground is the
     settling chamber. The
     third, and final, section
     is not shown.  In that
     chamber, the water is
     filtered and pumped to a
     well.
Both nationwide and in Region 5,  surface water systems make
up a small  percentage of  the PWSs, but serve the majority of
the population.  As of March 1994, nationally there were
13,678  surface water systems.   While surface systems
comprised only 7 percent  of  all PWSs, those  same systems
served  about 57 percent of the U.S. population.   Similarly,
in Region 5,  only 3 percent  of the PWSs were surface systems
(figure 2),  yet they served  about 58 percent of the
population  (figure 3).
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                                   DRINKING WATER DATA INTEGRITY
          Figure 2: Number of Region 5 Surface Systems
                REGION 5: GROUNDWATER VS. SURFACE SYSTEMS
                            TOTAL NUMBERS
                 Groundwater
                   60,058
Surface Water
   1,581
                TOTAL PWSs = 61,639 (SOURCE:FRDS)
      Figure 3: Number Served by Region 5 Surface  Systems
                REGION 5: GROUNDWATER VS. SURFACE SYSTEMS
                        TOTAL SERVED BY SOURCE
                Groundwater
                 18.246.OOO
Surface Water
  a4.733.OOO
               TOTAL SERVED = 42,979,000 (SOURCE: FRDS)
Both nationally  and in Region 5,  community surface systems
make up the bulk of surface  systems.   Of the 13,678 surface
systems nationwide,  78 percent are community systems and 22
percent are noncommunity systems.  Of  the 1,581 Region 5
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                                DRINKING WATER DATA INTEGRITY
surface systems, 82 percent are community systems and 18
percent are noncommunity systems (figure 4).

        Figure  4: Number  of  Region  5  Community  Systems
                 REGION 5: SURFACE PWSs
                      TOTAL NUMBERS
                 Community
                   1,303
Noncommunity
   278
              TOTAL SYSTEMS = 1,581 (SOURCE: FRDS)
SCOPE AND METHODOLOGY

Our audit focused primarily on the efforts of Region 5 and
its six states.  We interviewed OGWDW officials in
Washington, B.C., and obtained information regarding OGWDW's
budget and data falsification policy.  We also performed on-
site audit work which focused on identifying state and Region
5 efforts to detect questionable test results reported by
surface water systems only.  Because we only focused on
surface systems, throughout this report "PWS" refers only to
those systems with surface water sources.

We performed audit work, including reviewing PWS files and
interviewing officials, at the following locations:

  •  Illinois Environmental Protection Agency  (Illinois) and
     the Illinois Department of Public Health in Springfield;

  •  Indiana Department of Environmental Management  (Indiana)
     in Indianapolis;

  •  Michigan Department of Public Health (Michigan) in
     Lansing and Escanaba;
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                                DRINKING WATER DATA INTEGRITY
  •  Minnesota Department of Health  (Minnesota) in
     Minneapolis;

  •  Ohio Environmental Protection Agency  (Ohio), district
     offices in Columbus, Dayton, Bowling Green, Twinsburg,
     and Logan;

  •  Wisconsin Department of Natural Resources  (Wisconsin) in
     Madison; and

  •  EPA Region 5 Water Division in Chicago, IL.

Because OGWDW and Region 5 officials requested that we
concentrate our efforts on community systems, we reviewed
MORs for 100 percent of the community surface water systems
within Region 5 that did not purchase their water from
another system.  We also reviewed MORs for all noncommunity
surface systems in Ohio, Indiana, and Michigan.  We did not
review MORs for noncommunity surface systems in Illinois,
Minnesota, or Wisconsin because sufficient documentation was
unavailable for our review or, in the case of Wisconsin,
there were no such systems.

We did not review the Federal Reporting Data System (FRDS) to
verify its accuracy.  We did, however, check the data against
state lists.  Region 5 identified the PWSs in our review
through FRDS.  However, if there were discrepancies between
FRDS and state officials' lists, we used the states' lists of
surface PWSs.

We reviewed MORs for 495 surface water systems--452 community
systems and 43 noncommunity systems.  We focused our review
on MORs from January 1991 through January 1994.  However, if
data for a particular PWS looked questionable for this time
period, we did review data further back than 1991.

While reviewing MORs, we attempted to answer the following
question: How probable was it that the test values reported
by this surface water system appeared valid and were based on
actual tests?  We looked specifically for operational test
readings--such as those for turbidity, chlorine residual, and
pH--that did not fluctuate at all or fluctuated very little
over the course of several consecutive months.   We also
looked for any other obvious patterns in reported data over
time.  We considered such data to be questionable and
suspect,  in accordance with OGWDW's Appendix G.  We also
looked for additional indicators of potential data
falsification,  such as correction fluid on MORs or the use of
pre-printed forms to record results.  Because we looked for


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                                DRINKING WATER DATA INTEGRITY
obvious cases of invalid or potentially falsified data, there
may be other cases of such data that we did not identify.

Accompanied by state officials, we conducted unannounced site
visits at 7 of the 51 PWSs we identified as having reported
questionable test data.  We judgmentally selected these seven
PWSs taking the size of the systems into consideration.
Three systems were in Ohio, two in Indiana, and two in
Illinois.  The PWSs served varying population sizes,- there
was one very small, three small, one medium, one large, and
one very large PWS.  During these site visits, we:  (1)
interviewed PWS personnel, (2)  examined original test
records, (3) inspected the equipment and overall condition of
the facility, and  (4)  observed water plant operators conduct:
certain water tests we requested.

We obtained information on the potential health effects if
drinking water test data were invalid or falsified by:   (1)
interviewing the Associate Director of EPA's Health Effects
Research Laboratory at Research Triangle Park, North
Carolina, and (2)  reading recent reports detailing the
importance of turbidity measurements in preventing outbreaks
of disease.

We conducted our fieldwork from January 25, 1994,  to June 6,
1994.  We provided our position papers to the Region 5
Administrator and the directors of the drinking water
programs of the six states in the Region during June 1994.
Comments to the position papers were included in the draft
report.

On August 12, 1994, we issued our draft report.  We held an
exit conference with Region 5 Water Division officials, and
received the Region 5 Administrator's response to the draft
report on September 23, 1994.  After reviewing the response,
we finalized the report by making changes, where appropriate.
Region 5's response is included as appendix 1.

We performed our audit in accordance with the Government
Auditing Standards issued by the Comptroller General  (1988
Revision).  As part of our audit, we also reviewed OGWDW's
and Region 5's 1993 Federal Managers' Financial Integrity Act
reports.  Neither of these offices' reports cited data
integrity  (potential falsification) as a material weakness.
We did not detect any significant internal control weaknesses
during our audit.
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                                 DRINKING WATER DATA INTEGRITY
PRIOR AUDIT COVERAGE

The  OIG  issued a report on July 30,  1993,  which addressed
Region 1's enforcement of the Act,  including its data
falsification efforts.  According to this  report,  Region 1
and  its  states did not routinely conduct data falsification
reviews  or follow-up on cases of questionable data that were
identified.5

The  U.S.  General Accounting Office  (GAO) recently issued two
reports  related to drinking water quality  and data integrity.
According to a June 1990 report, most  EPA  and state officials
GAO  interviewed did not believe data falsification was
extensive.   These officials also told  GAO  that falsifying
test results was relatively easy and incentives for doing so
would increase in the future.6

An April  1993 GAO report focused on  the importance of
sanitary surveys as a way to ensure  the quality of drinking
water distributed to the public.  A  sanitary survey is an on-
site review of the water sources, facilities,  equipment, and
operation and maintenance of a PWS to  evaluate the adequacy
of those  elements for producing and  distributing safe
drinking  water.   The report states that:   (1)  the  frequency
of sanitary surveys by the states has  declined and that many
states are not conducting surveys as often as EPA  recommends,
(2)  inadequate training of state inspectors may contribute to
survey flaws,  and (3)  EPA places limited emphasis  on sanitary
surveys.7
     5Audit Report of Region I's Enforcement of The Safe Drinking Water Act
(SDWA) (EPA Report No. #3100291).


     6Drinking Water: Compliance Problems Undermine EPA Program as New
Challenges Emerge, (GAO/RCED-90-127).


     7Drinking Water: Key Quality Assurance Program is Flawed and
Underfunded, (GAO/RCED-93-97).


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                    DRINKING WATER DATA INTEGRITY
[This  page  intentionally left  blank.]
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                                DRINKING WATER DATA INTEGRITY
                          CHAPTER 2

        PWS OPERATORS REPORTED QUESTIONABLE TEST DATA

All PWS operators are required, under the Act and EPA's Safe
Drinking Water regulations8,  to ensure that all appropriate
drinking water tests are conducted and test results are
accurately reported.  Accurate test data are necessary to
assure that the quality of drinking water provided to the
public meets all drinking water standards.

Files for about 10 percent  (51) of the 495 PWSs we reviewed
contained test data that were questionable in accordance with
EPA guidance.  Based on further Regional and state
investigations, we determined that operators at about 4
percent of the PWSs we reviewed reported questionable test
data, without their states detecting it.  Most of these cases
were at community PWSs.

Undetected questionable test data--whether invalid or
potentially falsified--could  (1) result in contamination of
the water supply not being promptly detected and (2) lead to
serious public health problems.  PWS operators may have
reported invalid test data because they lacked training on
proper testing and reporting procedures, or had
malfunctioning equipment.  Operators may have reported
falsified data to cover-up problems at the PWS or to avoid
additional requirements or corrective actions.  We provided a
copy of this report to the OIG Office of Investigations for
its review.
POTENTIAL HEALTH RISKS

If PWS operators report invalid or falsified test results,
serious health threats could go undetected.  Moreover, if a
state does not detect and investigate questionable test data,
the state's ability to take proactive measures to prevent
contamination of the water supply is negated.

Drinking water regulations combined with improved water
treatment practices over the past twenty years have
eliminated many waterborne diseases.  As a result, water in
the U.S. is considered very safe to drink.  However,  despite
increased monitoring and testing requirements, contaminated
drinking water still remains a serious health threat.  The
      40 CFR Part 141.

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                                  DRINKING WATER DATA INTEGRITY
CDC estimated that  over 940,000 people in the  U.S.  become  ill
every year from drinking contaminated water.   Of those,  they
estimated 900 people  die each year.
           These are rapid sand filters at a very large PWS.
           The water at this stage has gone through the entire
           treatment process, and is ready to be distributed
           to the public.   The reflections in the water
           indicate its clarity.
According to the Associate Director of EPA's  Health Effects
Research Laboratory  in Research  Triangle Park,  North
Carolina,  testing  for the presence  of microbes  in drinking
water  is very important in ensuring harmful microbes that can
cause  sickness are not present.   Microbes include parasites,
bacteria,  and viruses.  Such organisms, if ingested, can
result in varying  degrees of sickness from mild
gastrointestinal illness to death.   He further  stated  that a
recent outbreak of cryptosporidiosis in Milwaukee, Wisconsin,
shows  the significance of turbidity measurements.9  He said
      'According to EPA,  in 1993, over 370,000 people in the Milwaukee area
were affected by the parasitic microorganism Cryptosporidium in the water
supply.  Reports indicated that at least  100 people in the Milwaukee area
died as a result of the parasite.  Although the Milwaukee PWS operators did
not report invalid or falsified data, the outbreak highlighted the potential
health effects associated with turbidity  violations.

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                                DRINKING WATER DATA INTEGRITY
that the high turbidity measurements that were reported were
good indicators that microbes may have passed through the
filtration system and into the water supply.
ABOUT TEN PERCENT OF REGION 5 PWSs
REPORTED TEST DATA THAT APPEARED QUESTIONABLE

Files for about 10 percent  (51) of the 495 PWSs we reviewed
contained test data that was questionable in accordance with
Appendix G.  We referred these cases to Region 5 which, in
turn, required the states to follow-up.  We accepted PWS data
as valid if state officials (1) visited or contacted the PWSs
and  (2) provided reasonable explanations for the data
patterns we identified.  As a result, states determined, and
we agreed, that 32 PWSs likely reported accurate test
readings.

Four Percent of PWSs Reported
Invalid or Potentially Falsified Data

Data for the remaining 19 PWSs, however, continued to be
questionable.  Of these,  operators at 13 PWSs  (2.6 percent)
reported invalid data, while operators at 6 PWSs (1.2
percent) reported potentially falsified data.  According to
FRDS, these 19 PWSs served about 61,300 people.  Small and
very small PWSs reported questionable data most often.
However, medium and large PWSs also reported questionable
data.

Table 1, on the next page,  shows details about the 4 percent
(19)  of Region 5 PWSs that reported questionable (invalid or
potentially falsified) data.  PWSs in all Region 5 states,
except Minnesota,  submitted questionable data.  The total
percentages among the states ranged from a low of zero in
Minnesota  to a high of 7 percent in Indiana.
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                                       DRINKING WATER DATA INTEGRITY
                                 Table 1

               PERCENTAGE  OF SURFACE  WATER SYSTEMS
                 THAT SUBMITTED QUESTIONABLE  DATA10
STATE/
REGION
IL
IN
MI
MN
OH
WI
R5
TOTAL
TOTAL
SYSTEMS
167
71
77
115
171
20
I11
62212
REVIEWED
129
71
77
26
171
20
1
495
INVALID
3
2
3
0
4
1
0
1312
POTENTIALLY
FALSIFIED
1
3
0
0
2
0
0
613
TOTAL
PERCENT
3.1
7.0
3 .9
0.0
3 .5
5.0
0.0
3.814
      10This table, along with table 2 and exhibit 1, should not be
interpreted as  a  comparison of states' efforts to detect questionable data.
None of the states  in Region 5 had procedures to  detect or identify "red
flags" which could  indicate invalid or fraudulent drinking water test data.
(See chapter 3.)

      l:LRegion  5  is directly responsible  for  oversight of PWSs on Indian
lands.  There was only one surface PWS on Indian  lands, according to Region
5 officials.

      12This total  represents all Region  5 surface PWSs which did not
purchase water  from another PWS.

      13We  further  examined PWSs  which reported data that exhibited obvious
indications of  being invalid or potentially falsified.  However, we did not
conduct any additional research into PWSs which reported data free of such
indicators. As a result, we were unable  to assess the validity of data from
those other PWSs.

      14Total percent refers to the percentage of PWSs reviewed which
reported invalid  or potentially falsified data.  This percentage was derived
by adding the number of  PWSs that reported invalid data to the number that
reported potentially falsified data and dividing  by  the number of PWSs
reviewed.

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                                   DRINKING WATER DATA INTEGRITY
Community PWSs  More Often
Reported Questionable Data

Of  the 19 PWSs  reporting  questionable  data, 14  (74  percent)
were community  PWSs.  The remaining  five PWSs  (26 percent)
were noncommunity systems.15  As shown  below,  9  of  the 14
community systems were either very small or small PWSs.   The
size category of each of  the 14 community PWSs  follows:

                     COMMUNITY  PWSs  REPORTING
                    QUESTIONABLE DATA  BY SIZE
    Size  Category
    Very  Small
    Small
    Medium
    Large
    Very  Large
    Total
        Potentially
Invalid  Falsified  Visited/(States!
   2
   3
   1
   2
   0
0
4
1
I
0
0
2
0
1
Q_
1
(--)
(IL &
( - - )
(IN)
(--)


OH)




                                                       This is a water
                                                       treatment facility
                                                       at a small PW3.
                                                       The blue upright
                                                       structure to the
                                                       left is a tank in
                                                       which solids in
                                                       water settle to
                                                       the bottom and are
                                                       subsequently
                                                       removed as sludge.
                                                       The building to
                                                       the right houses
                                                       the PWS's
                                                       treatment and
                                                       filtering
                                                       facilities,  as
                                                       well as the
                                                       laboratory.   The
                                                       round concrete
                                                       structure to the
                                                       far right is a
                                                       well containing
                                                       treated water.
     15
      'All of the five were very small PWSs.  For additional details on
these five, see exhibit 1.
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                                 DRINKING WATER DATA INTEGRITY
Table 2 shows  details about the 14  (3 percent)  community
systems which  reported questionable  (invalid  or potentially
falsified) data.   Community PWSs in all Region  5 states,
except Minnesota,  submitted questionable data.   Percentages
ranged from  a  low of about 1 percent in Michigan to a high of
7 percent in Indiana.
                            Table 2
      PERCENTAGE OF COMMUNITY  SURFACE WATER SYSTEMS THAT
                  SUBMITTED QUESTIONABLE DATA
STATE/
REGION
IL
IN
MI
MN
OH
WI
R5
TOTAL
TOTAL
SYSTEMS
129
57
70
26
149
20
1
452
REVIEWED
129
57
70
26
149
20
1
452
INVALID
3
1
1
0
2
1
0
8
POTENTIALLY
FALSIFIED
1
3
0
0
2
0
0
6
TOTAL
PERCENT
3.1
7.0
1.4
0.0
2.7
5.0
0.0
3. 116
SITE VISITS CONFIRMED
PROBLEMS WITH  SOME  PWSs

We visited 7 of  the 51 PWSs that we identified  as  having
reported questionable data.  Four of the seven  PWSs seemed to
be conducting  and reporting test results accurately.   At the
remaining three,  however,  we found indicators that data might
have been falsified (43 percent).   Of these three  PWSs, one
each was in Indiana,  Illinois,  and Ohio.  Operators at these
PWSs:   (1) had recorded test readings before tests were
taken,  (2) lacked documentation regarding tests taken, or  (3)
disregarded results from continuous monitoring  meters.  Our
site visits also disclosed weaknesses in these  three states'
oversight of data review and reporting.  In all cases, a
state inspector  accompanied us and verified our observations.
     16Total percent refers to the percentage of PWSs reviewed which
reported invalid or potentially falsified data. This percentage was derived
by adding the number of PWSs that reported invalid data to the number that
reported potentially falsified data and dividing by the number of PWSs
reviewed.

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                                 DRINKING WATER DATA INTEGRITY
Some  Site  Visits
Showed Accurate  Testing

Four  of  the  seven PWSs we visited appeared to be operating
satisfactorily.   Of these four PWSs, two were small PWSs, one
was medium-sized,  and one was a very large PWS.  Our
inspections  of these PWSs'  facilities, equipment, and records
showed that  the  reported data we initially questioned was
likely to  be valid.

For example,  one PWS had reported data to its state on an MOR
and had  used correction fluid to cover high turbidity
readings originally recorded.  Lower  (better)  readings were
then  written on  top of the correction fluid.  As a result of
reviewing  its on-site records and talking with officials at
the water  plant,  we determined that the correction fluid was
used  to  rectify  errors made when transcribing the readings
from  the bench sheets to the MORs.

All four PWSs conducted several tests we requested.  The test
results  they obtained were consistent with data they had
reported in  the  past.

An Indiana PWS Operator
Reported Potentially Falsified Data

It is likely that  an operator at a large Indiana PWS reported
test  data  for several years for tests that were not taken.
The operator signed and sent MORs to Indiana which showed
consistent daily readings for several different tests since
1987.  Our site  visit showed that:   (1)  data for turbidity
and pH tests had probably been falsified and (2)  Indiana's
oversight  and review of reported data needed improvement.

      Turbidity Test Reveals Inconsistencies

The turbidity reading the operator obtained during our visit
was inconsistent with readings he had reported for the last
seven years.  The  test reading he obtained was not close to
the readings of  0.25 and 0.30 that  he had consistently
reported since 1987.   The turbidity reading for finished
(treated)  water  from a faucet located within the plant was
2.4 nephelometric  turbidity units (NTU).   The  current Federal
maximum  limit for  surface PWSs using conventional or direct
filtration systems  is  0.5 NTUs.17  The operator had already
     17Under the Surface Water Treatment Rule, a PWS using conventional or
direct filtration is in violation of the turbidity standard if. more than 5
percent of its test readings for the month are over 0.5 NTU.

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recorded several turbidity  readings  on the MOR form for tests
taken earlier that day.  These  test  readings were recorded at
0.25.

The continuous monitoring turbidimeter was not operating
during our visit, and documentation  of required tests was not
maintained.  A continuous monitoring device typically should
be easier to obtain readings  from because tests do not have
to be performed manually.   However,  the operator instead used
a small table-top turbidimeter  to conduct the test.
According to the operator,  he did not use the PWS's
continuous monitoring device  to record turbidity levels
because it is not practical to  use.   In addition, there were
no lab sheets, logs, or backup  documentation for the
turbidity test results that are required to be taken.
     This continuous
     monitoring device
     digitally measures
     chlorine levels at a
     water treatment plant.
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                                DRINKING WATER DATA INTEGRITY
     Tests For pH Also Reveal Problems

The operator also may have falsified pH test results.  The pH
readings the operator obtained during our visit were
inconsistent with readings he reported for the last seven
years.  He consistently reported a pH of 7.6 for the  system's
finished  (treated) water and a pH of 7.3 for its raw
(untreated) water since January 1987.  The state inspector
reviewed the MORs during our visit and also questioned how a
surface water system could always have the same pH.

During the test, the electronic pH testing machine appeared
to be operating improperly because it was not providing one
definitive digital reading.  According to the operator, the
machine had not been calibrated since he obtained it  in 1984.
According to the state inspector, the machine should  be
calibrated at least once a year.  As a result, neither
Indiana officials nor the operator would have been able to be
sure that test data reported for the last six years were
accurate.

Using a different test method to verify results obtained from
the electronic testing machine, we found the results  were not
consistent with (1)  what the operator had reported since 1987
or (2) the results for tests documented as taken just hours
before we arrived.  In addition, we also saw other test
readings the operator recorded for times that had not yet
elapsed on the day of our visit.

     Problems With State Oversight

According to the Indiana field inspector,  he had not  reviewed
MORs for about a year.  He stated that PWSs send MORs
directly to Indiana headquarters, and Indiana has
deemphasized the importance of field inspectors reviewing
MORs.  According to Indiana's Public Water Supply Compliance
Section Chief,  Indiana did not have enough field inspectors
to review MORs to determine if PWSs were falsifying data.  He
stated that field inspectors examine MORs when operational or
maintenance problems are brought to their attention or when
they are asked to provide special technical assistance to
PWSs.  As a good management practice,  field inspectors,
responsible for troubleshooting problems at PWSs,  should
review MORs on a regular basis so that potential problems can
be detected as soon as possible and corrected.
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                                DRINKING WATER DATA INTEGRITY
An Illinois PWS Operator Had No
Documentation To Show Tests Were Taken

During a site visit at a small Illinois PWS, we identified
several problems.   The operator kept no turbidity bench
sheets or logs and, therefore, had no documentation of tests
taken.  The operator reported the same turbidity reading of
0.2 nearly every day from April 1988 through December 1993.
Illinois officials stated that they were aware of the
repetitious reporting pattern and agreed that it was highly
improbable that the readings reported could have been true
for that long of a period.  State officials, however, told us
that they had never taken any action to investigate or
correct the situation because they "only had indications of
falsification and no proof that would stand up at a  [court]
hearing."

In addition,  although this Illinois PWS's continuous in-line
turbidity meter was operating during our visit, according to
the operator, it was not functioning properly.  He therefore
disregarded its results.  The in-line meter reading was 0.12.
The operator used the table-top turbidimeter to take
turbidity readings.  The turbidity standards test kit the
operator used to standardize the machine before taking tests,
however, was a year past its expiration date.

An Ohio PWS Had Data Reporting Problems

At a small PWS in Ohio,  we noted the following:  (1) at 10:30
a.m. that day's turbidity reading for 12:00 p.m. was already
recorded; (2) several turbidity readings on the PWS's bench
sheets for prior months did not match what was reported to
Ohio; and (3) the operator reported turbidity readings to
Ohio for February 29 and 30, 1993.  The operator could not
adequately explain the above.  In addition, on-site bench
sheets for the month of February 1993 did not show that any
tests were taken for those dates.

The Ohio inspector who accompanied us during the visit stated
that he does not review bench sheets when he performs
sanitary surveys of PWSs.
CONCLUSION

Our review of MORs showed that about 10 percent of the PWSs
reported test data that was questionable in accordance with
EPA guidance.  Moreover, nearly 4 percent of the PWSs
actually reported invalid or potentially falsified test


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                                DRINKING WATER DATA INTEGRITY
results.  We believe that percentage is significant because
the majority of PWSs we identified as reporting questionable
data were community systems.  However, most of the cases
involved invalid data rather than potentially falsified data.
The Region should take necessary corrective actions, such as
recommending that its states provide training to those
operators in need or take enforcement actions against those
who intentionally falsified data.
RE COMMENDATION

We recommend that the Regional Administrator direct the
Region 5 Water Division to request that the states provide
training to, and/or consider taking enforcement actions, as
appropriate, against the 19 PWSs, or operators, which we
found reported invalid or potentially falsified test data.
REGION 5 COMMENTS AND ACTIONS

The Regional Administrator agreed with the recommendation.
He stated that the Region would, by October 31, 1994, send a
letter to the states requesting that they follow through on
the above recommendation.
PIG EVALUATION

The Region's actions, when completed, will address the
recommendation in this chapter.
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                                DRINKING WATER DATA  INTEGRITY
                          CHAPTER 3

                  STATES' EFFORTS TO DETECT
           QUESTIONABLE TEST DATA NEED IMPROVEMENT

State officials placed low priority on reviewing records  for
invalid or falsified data primarily because they did not
believe that falsification was widespread.  State officials
generally trusted that data reported to them was valid, and
seemed to be unaware of the potential for data falsification.
In addition, according to officials in some states, limited
resources do not allow for any detailed reviews.  As a
result, invalid or potentially falsified data has gone
undetected.  In accordance with criteria in 40 CFR Part 142,
primacy states are responsible for administering and
enforcing drinking water regulations and related
requirements, including general review and oversight of PWS-
reported test data.  In addition, according to OGWDW
guidance, states should try to identify and prosecute PWSs
suspected of falsifying data.  However, according to state
officials, past experience has shown that developing
successful prosecutions of data falsification cases is very
time consuming and difficult.
STATES DID NOT HAVE FORMAL
PROCEDURES FOR DETECTING QUESTIONABLE DATA

None of the states in Region 5 had any formal, documented
procedures for reviewing MORs for invalid or falsified data.
According to officials in some states, engineers or field
inspectors reviewed the data on MORs when the forms were sent
in.  However, in most cases, officials did not review data
with the idea that it could be invalid or falsified.
According to state officials they:  (1)  generally did not
believe data falsification occurs, and (2) had limited
resources to review reported data even if falsification were
occurring.

State officials were accustomed to scanning reported data for
maximum contaminant level violations;  however, they did not
examine the data with the idea that violations might go
unreported because data could be invalid or falsified.  State
officials generally agreed that unusual or repetitive
patterns in reported data should be questioned.   However, the
reporting process is a self-monitoring process and they must
rely on PWS operators to report valid test results.
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                                DRINKING WATER DATA INTEGRITY
Although some state drinking water officials said that state
personnel review MORs each month, these reviews were not
documented.  None of the states in Region 5 required their
personnel to certify that the reported test data seemed
reasonable.  We discussed with state and Region 5 officials
how to best address this issue.  According to these
officials, a potential solution could be including a
certification block on MORs.  By requiring state reviewers to
certify that they reviewed the data for reasonableness, they
would be more accountable and the states would have more
assurance that the data were valid.  Moreover,  by knowing
that state officials will review reported data, PWS operators
might be deterred from reporting falsified data.

The state officials we interviewed were not aware that
Federal guidance  (OGWDW's Appendix G)  existed which (1)
detailed ways to detect falsified data and (2)  discussed the
importance of reviewing data for falsification.  Moreover,
they had not received any training on how to detect falsified
data or how to recognize basic fraud indicators.  As a
result, state officials were generally unaware of the
potential for data falsification.

Some States Have Found And
Acted On Falsification Cases

Although states lacked procedures to detect falsified data,
some states have detected cases of falsified data during
their normal work activities.  For example, Ohio officials
cited a case in their southeast district in which a PWS (a
restaurant) submitted falsified bacteriological test results.
The restaurant owner did not have the water supply tested for
bacteria, as required, but instead physically altered another
test report form.  Using correction fluid, the restaurant
owner changed the readings on the form to make it look like
tests were conducted on schedule.  When she sent that form to
Ohio, a staff person noticed the substantial amount of
correction fluid on the document and researched this PWS's
prior test reports.  The Ohio staff person discovered that
the form was simply an altered photocopy of a test report
from a different month.

Ohio officials also noted that they have revoked operators'
licenses five times since 1987 for falsification of drinking
water data.  However, they stated that prosecuting data
falsification cases is very time consuming and resource
intensive.  For example, Ohio prosecuted one PWS operator for
falsifying turbidity readings from 1984 to 1986.  In 1989,
the Ohio Attorney General's Office filed misdemeanor charges


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                                 DRINKING WATER DATA  INTEGRITY
with the county prosecutor  against  the operator.  The
operator plead guilty  to misdemeanor  charges  of  falsification
in  1990 and was fined  $50 and  $33 in  court costs.  The
operator's license was revoked in 1992.
STATES HAVE NOT ESTABLISHED  CONTROLS
TO ENSURE VALID TEST DATA ARE REPORTED

State reporting requirements varied regarding the test data
PWSs were required to  submit to comply with the Surface Water
Treatment Rule  (the Rule).   Some  states, while allowing PWSs
to report the fewer data required by the Rule, have not
developed internal controls  to verify that PWSs took tests
and reported valid results.  Two  states did not require some
classes of PWSs to report test data at all.  As a result,
states are less able to detect falsified reporting because
they have minimal or no test data available to them for
evaluation.

Some states allow surface PWSs to report only a minimal
number of test readings to comply with the Rule.  For
example, Illinois requires community PWSs to report actual
readings, by date, only if any exceed 5.0 NTUs.  Otherwise
the community PWSs just report statistics on the number of
tests conducted and the number less than or equal to 0.5
NTUs.  Although this data satisfies Federal requirements,
Illinois has no control procedures in place to assess the
validity of the data that is reported.  Ohio, on the other
hand, requires PWSs to report daily readings for turbidity,
chlorine, pH,  and other tests related to the treatment of
surface water.  As a result, Ohio officials have more data
available to them to make judgements regarding data
integrity.

Neither Illinois nor Minnesota required noncommunity PWSs to
report test data on a regular basis, even though those PWSs
were required to test for contaminants regularly.   As stated
in chapter 2,  we were unable to adequately review data for
noncommunity PWSs in Illinois and Minnesota because the
reports were not sent to those states.  Although the Illinois
Department of Public Health's regulations require
noncommunity PWSs to complete and send in MORs,  the
requirement was not enforced.  According to the Department's
management,  they decided not to require monthly reporting
because they believed that PWS inspections were sufficient to
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                                DRINKING WATER DATA INTEGRITY
identify potential problems.18   Minnesota officials stated
that noncommunity PWSs have not been required  to  report
turbidity readings because the  PWSs have been  using an
alternative treatment technology and the Rule  does not cite
turbidity requirements for PWSs using the alternative
treatment.  As a result, Minnesota officials said they have
not established "meaningful" turbidity limits  for these  PWSs,
and will, therefore, not require turbidity monitoring  or
reporting until December 1995.

The Rule, which became effective in July 1993, eased the
reporting requirements placed on PWSs and eliminated the
requirement to report daily turbidity readings.   Instead,  to
comply with the Rule, PWSs only have to  report statistics
related to the number of tests conducted and any  readings
exceeding specified limits.  According to Region  5 officials,
the reporting burden was eased because the actual monitoring
and testing requirements under the Rule  were increased.
Prior to July 1993, PWSs were required to report  daily
turbidity readings each month; however,  PWSs did  not have  to
conduct as many turbidity tests as they  do now.
CURRENT STATE SANITARY SURVEY PROCEDURES
ARE NOT DESIGNED TO IDENTIFY QUESTIONABLE DATA

According to OGWDW's Appendix G,  "A sanitary  survey is  likely
our  [EPA and states] best vehicle for detecting  instances of
data falsification."  However, states did not have  specific
procedures to identify falsified data while conducting
sanitary surveys.  In addition, the frequency with  which
states conducted sanitary surveys varied greatly.

Current state sanitary survey procedures did  not  include
reviews of test data to identify potential falsification.
State officials did not review monthly reports for  data
falsification prior to conducting sanitary surveys.
Moreover, they did not review on-site PWS records during
surveys to verify the validity of reported data.  For
example, although Wisconsin had detailed, documented sanitary
survey procedures, these procedures did not address data
falsification.  Based on our audit, we believe reviewing MORs
and on-site records would enable  state officials  to focus on
suspect areas during sanitary surveys.  In addition,  state
field inspectors should analyze water samples during the
     18Through a Memorandum of Agreement,  the Illinois Department of Public
Health is responsible for oversight of noncommunity PWSs in the state.

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                                 DRINKING WATER DATA  INTEGRITY
surveys  to  determine if readings are similar to historical
data  (or data recorded earlier in the day).  Operators  should
also be  made  to conduct tests to demonstrate their  competency
to accurately test  samples.

According to  current Federal requirements in 40 CFR 141.21,
states must conduct a sanitary survey once every five years
at each  surface PWS that does not collect five or more
bacteriological samples each month.19  However, EPA  has
issued guidance recommending that states conduct
comprehensive sanitary surveys of PWSs at least once every
three years.   We found that  the frequency with which the  six
Region 5 states conducted sanitary surveys varied.  For
example,  according  to state  officials,  Ohio and Michigan
conducted surveys of surface PWSs annually.  Indiana and
Wisconsin conducted sanitary surveys of surface PWSs once
every 5  years.   Although states had to perform surveys  only
once every  5  years  to meet the minimum Federal requirement,
infrequent  sanitary surveys  may not provide effective
protection  against  data falsification.
CONCLUSION

State officials need to be made more aware that data
falsification does,  in some cases,  occur and that they need
to improve their  capabilities for detecting questionable
data.  State officials told us that they rely on PWS
operators to report  valid test results and, therefore, do not
believe they need to review reported data for potential
falsification.  Our  audit has shown, however, that officials
have too often assumed that the data reported to them was
valid.  Even though  the data reporting process is based on
self-monitoring,  states should not  presume that oversight or
review of the data for reasonableness is unnecessary.

States should have specific procedures in place for reviewing
reported test data for reasonableness.  State officials
should be held accountable for reviewing reported data.  If
officials are not  held accountable  for reviewing data, the
likelihood that invalid and falsified test results would go
undetected would  increase.   Examining water system records
during sanitary surveys is one of the best ways for states to
     19OGWDW and state officials met in June 1994 to discuss the need for
national guidance on conducting sanitary surveys. Their meeting included a.
discussion on how often states should conduct sanitary surveys.  According
to an OGWDW official, future guidance on sanitary surveys will likely be
issued in 1995.

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                                DRINKING WATER DATA INTEGRITY
verify that previously reported data were based on actual
tests.
RE COMMENDATIONS

We recommend that the Regional Administrator direct the
Region 5 Water Division to advise states to:

     1.   develop a certification block to be included on
          MORs to ensure that reported data is reviewed for
          reasonableness; and,

     2.   add documented steps to their sanitary survey
          procedures to verify the validity of reported data,
          These steps should, at a minimum, include a sample
          review and comparison of MORs and on-site PWS
          records.
REGION 5 COMMENTS AND ACTIONS

The Regional Administrator agreed with the above
recommendations.  He stated that the Region would, by October
31, 1994, send a letter to the states requesting that they
follow through on the above recommendations.
PIG EVALUATION

The Region's actions,  when completed,  will address the
recommendations in this chapter.
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                                 DRINKING WATER DATA INTEGRITY
                           CHAPTER 4

             REGION 5 OVERSIGHT NEEDS IMPROVEMENT
Region 5's oversight of  drinking  water data falsification
issues, including states'  efforts to detect falsification,
needs improvement.  According  to  Region 5  officials,
reviewing data for falsification  was not a high priority
because they:   (1) had limited program resources to manage
increasing drinking water  program responsibilities,  (2)  did
not believe data falsification was widespread,  and (3)  relied
on their states to detect  questionable data.

The Region did not closely monitor states'  efforts to  review
the validity of reported data.  Region 5 officials did not
review states' efforts to  detect  questionable  data as  part  of
their annual reviews of  state  drinking water programs.
Region 5 also did not conduct  any comprehensive falsification
reviews of state-reported  PWS  data.   In addition,  Region 5
needs to reemphasize the importance of OGWDWs guidance on
detecting invalid and falsified data to its states.

Because the Region did not emphasize the importance of
reviewing data for falsification,  the states also did  not
consider it a priority.  As a  result,  cases of potentially
falsified data have gone undetected.   According to OGWDWs
Appendix G, EPA regions  and states should  try  to identify and
prosecute PWSs suspected of falsifying data.
REGION 5 DID NOT CLOSELY MONITOR  STATE  EFFORTS

Most Federal environmental statutes,  including  the  Safe
Drinking Water Act, embrace the concept that  states should
have primary responsibility for operating  regulatory and
enforcement programs.  EPA and the  states  have  recently
issued a policy statement describing  a  new framework for
their partnership.20  According to the statement,  an
effective relationship between EPA  and  the states depends  on
mutual dedication to shared responsibility and  accountability
for implementing environmental programs.   While recognizing
this concept, the statement continues to call for EPA to
perform its mandated statutory mission,  including
constructive program review.
    "Joint Policy Statement on State/EPA Relations. State/EPA Capacity
Steering Committee, July 14,  1994.

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                                DRINKING WATER DATA INTEGRITY
Region 5 officials did not closely monitor states' efforts to
detect invalid or falsified data.  Moreover,  Region 5
officials did not evaluate states' efforts in detecting such
data during their annual review of each state's drinking
water program.  Regional officials were also not aware that
Illinois and Minnesota had not required noncommunity PWSs to
regularly report operational test data.  Regional officials
also erroneously told us that Indiana checked for obvious
signs of data falsification, such as eraser marks and
correction fluid on MORs.   However, our review of Indiana PWS
files, combined with Indiana officials' statements, showed
that Indiana did not review incoming drinking water test data
for falsification.
REGION 5 DID NOT REVIEW DATA

Region 5 did not conduct any detailed efforts to review
state-reported PWS data for falsification.  The Region
performed a review once every two years to verify that the
states accurately reported, and input into FRDS, all of the
PWS-reported maximum contaminant level violations.  According
to Region 5 officials, during these verification reviews,
they scanned the data for cases of potential falsification.
However, Region 5's documented verification review procedures
did not include specific methods for detecting potential data
falsification.  Verification reviews are conducted to ensure
that reported violations have been entered into FRDS.  Such
reviews did not, however, allow officials to determine
whether a PWS reported all potential violations to its state.
As a result, violations might have gone unreported and
undetected.  According to Region 5 officials, they had not
identified cases of potential data falsification during
verification reviews.

The Region is specifically responsible for reviewing test
data that Indian land PWSs submit directly to it.   Although
the Region was responsible for direct oversight of one Indian
land surface PWS in the Region, many of the MORs for that
system were not in the file.   According to Regional
officials, their monitoring of this PWS's routine reporting
activity needs improvement.
REGION 5 NEEDS TO REEMPHASIZE OGWDW GUIDANCE

According to Region 5 officials, in April 1991 they sent a
copy of OGWDW's Appendix G to each of their states, and
discussed data falsification at their annual meeting with


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                                DRINKING WATER DATA INTEGRITY
 state drinking water officials.  However, Region officials
 had no documentation to show that they provided the guidance
 to the states.  Moreover, as stated in chapter 3, the state
 officials we  interviewed were not aware that Federal guidance
 existed addressing data falsification.  OGWDW advised the
 regions to work with their states to identify and prosecute
 PWSs suspected of falsifying data.  According to Region 5
 officials, they also have not conducted any training for
 Regional staff on how to detect potentially falsified data
 using the guidance in Appendix G.
CONCLUSION

Regional officials agreed that they placed low priority on
detecting invalid or falsified data.  However, they believed
their efforts in this area were adequate given their limited
resources and increasing drinking water program
responsibilities.  Region 5 officials did not believe that
data falsification occurred often enough to warrant any
formal reviews.

Region 5 oversight of states' efforts to detect falsified
data needs improvement.   We believe the results of our review
were significant and showed that improvements in oversight
can be made.  As a result, the Region should encourage states
to examine data for reasonableness during sanitary surveys.

In addition, Region 5 could not rely on its states to detect
invalid or falsified data because states' placed low priority
on this activity.  Without increased Regional awareness and
oversight of states' activities in this area, the states
cannot be expected to emphasize this issue.  The Region
should be aware of what each state is doing to detect or
prevent falsified data.   The Region should also,  as a good
management practice, continue to distribute relevant guidance
to its states to heighten awareness of the potential for data
falsification and to aid them in detecting invalid and
falsified data.
RE COMMENDATIONS

We recommend that the Regional Administrator direct the
Region 5 Water Division to:

     1.   evaluate states'  efforts in detecting invalid or
          falsified data during Region 5's annual review of
          each state's drinking water program;


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                                DRINKING WATER DATA INTEGRITY
     2.    redistribute OGWDW s Appendix G to each of the
          states in the Region and reemphasize its
          importance; and,

     3.    incorporate techniques for identifying questionable
          data into sanitary survey training.  This training
          should be given to both state and Regional staff.
REGION 5 COMMENTS AND ACTIONS

The Regional Administrator agreed with the above
recommendations.  Regarding the first recommendation, Region
5 Water Division officials plan to evaluate the states'
efforts to detect invalid or falsified data by September 30,
1995.  The Water Division issued its fiscal year 1995 program
grant guidance to the states in April 1994.   This guidance
included two activities.   First, Water Division officials
requested that the states screen data submitted by PWSs for
evidence of data falsification, and take follow-up
enforcement action as appropriate.  Second,  Water Division
officials asked the states to report on the number of
falsification cases identified and the type of follow-up
action taken.  According to the Regional Administrator,
although these activities were not in the fiscal years 1993
and 1994 guidance to the states, Water Division officials put
them back in for fiscal year 1995, in response to the OIG's
audit findings.  The Regional Administrator stated that the
states have included these two activities in their program
plans for 1995.

Regarding the second recommendation, the Region agreed to
redistribute Appendix G to the states by October 31, 1994.

To address the third recommendation, Region 5 Water Division
officials have worked with OGWDW to add data falsification
review techniques to the next round of sanitary survey
training classes.  Region 5 plans to hold two sanitary survey
training classes for state officials, one in October and one
in November 1994, within the region.  Regional officials plan
to ask the states to report on the usefulness of the data
falsification training in their annual self-evaluation of
progress on grant commitments.
PIG EVALUATION

The Region's actions, when completed, will address the
recommendations in this chapter.


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                                    DRINKING WATER DATA INTEGRITY
                                                           EXHIBIT 1
                                                         Page 1 of 1
        PERCENTAGE OF NONCOMMUNITY SURFACE WATER SYSTEMS
                 THAT SUBMITTED QUESTIONABLE DATA
STATE/
REGION
IL
IN
MI
MN
OH
WI
R5
TOTAL
TOTAL
SYSTEMS
38
14
7
89
22
0
0
170
REVIEWED^
Q21
14
7
Q21
22
N/A
N/A
43
INVALID
N/A
1
2
0
2
N/A
N/A
5
POTENTIALLY
FALSIFIED
N/A
0
0
N/A
0
N/A
N/A
0
TOTAL
PERCENT
N/A
7.1
28.6
N/A
9.1
N/A
N/A
11. 622
This exhibit shows  that over 11 percent of  the noncommunity
PWSs we reviewed reported questionable (invalid or
potentially falsified)  data.   The total percentages  among the
three states with questionable data  ranged  from a low of
about 7 percent in  Indiana  to a high of about  29 percent in
Michigan.
      21A total of 38  noncommunity surface  system files in Illinois and 89
in Minnesota were not reviewed because sufficient documentation was not
available.  Minnesota did not require noncommunity surface systems to report
test data on a monthly basis, as it did for community systems.   Illinois did
not enforce its requirement that noncommunity surface systems report on a
monthly basis.

      22Total percent  refers to the percentage of PWSs reviewed which
reported invalid or potentially falsified data.  This percentage was derived
by adding the number of PWSs that reported invalid data to the  number that
reported potentially falsified data and dividing by the number  of PWSs
reviewed.

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                                        DRINKING WATER DATA  INTEGRITY
                                                                      EXHIBIT 2
                                                                   Page  1  of 3
       )
UWTtD STATES CNVWIOHmKNTAl s«OT|CTiON AGCNCY

           WASHMGTON DC 10400
                             JU.26
 SUBJECT:   Procedures to Enure Drinking Water  Data Integrity

 fROJt:  jL»  Michael Simmons TjCtcXcA-'H-  Aya-£^~
     /T   Associate Assistant Inspector General
      I      for Internal and Performance Audits

 TO:        James R. Elder
           Director, Office of Ground Water
             and Drinking Water

     we are  writing to bring to your attention aa issue that wo
 noted during the course of an audit  conducted by our Northern
 Audit Division.  The Deputy Director of the Office of Ground
 Water and  Drinking Water (OCWTJW)  requested that we conduct work
 to identify  how frequently public water system* report invalid or
 fraudulent drinking water test data.  This information would aid
 OGHDW in deciding whether to shift limited resources toward more
 oversight  and review of reported data.  We are drafting a report
 to the Regional Administrator,  Region S, to present the results
 of this work which focused primarily on regional water systems'
 data.  Although our audit focused en EPA Region S and itm six
 states, one of the issues wo identified applios to all regions
 and, wo believe,  requires management  attention before our
 September  1M4 final report,  me  determined that neither the
 regions nor states take much action to  ensure drinking watar data
 integrity,  however,  wo have identified aa opportunity to add a
 measure of protection to the data walla using few program
 resources.

     It has com* to oar attention that therm is aa ongoing study
 group—consisting of OCWDW and stats officials—addressing
 recommendations made in a O.t. General accounting Office report
 regarding sanitary surveys.   The  troop Is mooting to  develop EPA
guidance on.  among other things,  what steps  should bo performed
when conducting sanitary surveys  and how often.   We believe the
study group should bo mad* aware  of oar findings  in Region 5 and
consider this Information whoa developing future  guidance for all
 regie
     Our audit objectives were to: (1) determine whether surface
water systems submitted questionable drinking water test data and
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                                    DRINKING WATER DATA  INTEGRITY
                                                                  EXHIBIT 2
                                                               Page  2  of 3
 whether statss had  detected such data;  (2)  detanlne what
 procedures legion 5 and  its states used to  detect questionable
 data; and (!)  identify the  potential  health iapactf of not
 detecting invalid or  fraudulent data.   He used OCVDU's Xpo«rv
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                                    DRINKING  WATER  DATA INTEGRITY
                                                                 EXHIBIT  2
                                                              Page  3 of  3
 water system that does net collect five or  more bacteriological
 samples each month.  However,  KPA issued guidance In 1*17
 recommending that state* conduct comprehensive eanitary surveys
 of public water systems at least once every three years.

     We also found that many state official* were unaware that
         c existed.  some regions had not distributed copies of
 this OCWDW evidence to their states.  As a result, this guidance
 has not been as effective as It  could be.

     He recommend that you direct the study group to develop
 national guidance on sanitary surveys that incorporates and
 improves upon the information related to data falsification
 contained in Appandi» e.   Examining water system records during
 sanitary surveys is one of the best ways for states to verify
 that previously reported  data were valid and based on actual
 tests.   In addition,  regions should be encouraged to distribute
 future  sanitary survey guidance  to their states so that
 appropriate oversight can be maintained.

     Please advise us of  the study group's progress la this
 matter,   *e would welcome the  opportunity to comment  en any draft
 product  they issue and request that we receive  a copy of the
 final guidance  when published.  Ve are available to discuss our
 audit In more detail  with you, your staff,  or the study group am
 needed.   If you have  any  concerns or questions,  pleas*  contact
Klmberly O'Lone,  Audit  Manager of our northern  Audit  Division at
 (312) MC-im.

cc:  Peter Cook (4101)
     Shelly Metsenbaum  (1901)
     Valdas Adamkus (»-l»J)
     Dale sryson  (W-ISJ)
     Judy lecbt (4103)
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                                   DRINKING WATER DATA  INTEGRITY
                                                              EXHIBIT 3
                                                           Page  1 of 2
              UNTIED STATES ENVIRONMENTAL PROTECTION AGENCY

                         WASHINGTON, D.C. 20480
                            SEP 2 9 1994


 MmOftAMDtm
                                                           WATER
 SUBJECT:   Procedures to Ensure  Drinking,water pata ^ntegrity

 FROM:      James R.  Elder,  Director
           office of Ground Water  a:

 TO:        Michael Simoon*
           Associate Assistant Inspector General
             for internal and Performance Audits

     This  is   in  response  to  your  July 26,  1994  memorandum
 concerning an  audit undertaken by your Northern Audit Division on
 drinking  water data integrity.  The audit focused on our Region v
 office  and its six States.   Our Region V office  is  preparing  a
 response  to the draft report. The purpose of this memorandum is to
 respond to your recommendation  to have our sanitary survey study
 group consider the  findings  of the audit.

     In short, you reviewed 495 drinking water systems in Region V
 and  found  19  systems  with  questionable  data  that  bad  gone
 undetected by States.  You also found that states' sanitary survey
 procedures were not designed to identify questionable data and you
 recommend that the study group develop national sanitary survey
 guidance that incorporates and improves on the information related
 to  data  falsification  contained  in Appendix  G:    Guidance on
 Detecting Invalid or Fraudulent Data.

     We did establish  a group of Regional  and State staff to
 consider the recommendations made  by the General Accounting Office
 (GAO)   in  their  report   on  the   sanitary  survey   program.
 Unfortunately, we held a one time  meeting of this group on June 7,
 1994, before we received your memorandum suggesting that we Include
 your audit's findings on the agenda. The group, therefore, did not
 discuss your findings and recommendations.

     We  have,   however,  taken  some  action  to  implement  your
 recommendation and we may,  depending on resources, take additional
 steps in  FY 95.   We agree  that, although there were only  a small
percentage of  cases with questionable data, the  most  appropriate
tool we have  for identifying these situations  is the  sanitary
survey, we have included data falsification in the sanitary survey
training courses, including those  scheduled in Region V this fall.
We are  also hoping  to either update our training manual  for  the
sanitary survey course or develop separate sanitary survey guidance
 in FY 95.   in either case,  we will include data falsification  as  a
specific topic.
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                            DRINKING WATER DATA  INTEGRITY
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     Our efforts will be focused on encouraging States to look for
casts with  questionable data as  part of  their  ongoing  field
surveillance efforts.  With the critical resource demands that are
placed on States for maintaining primacy, I do not envision asking
States to implement a separate initiative in this area.

     Thank you for your thoughtful insights and recommendations for
improving the data integrity of the drinking water program.  Zf you
wish to  discuss  this further,  please call ae or have your staff
contact  Peter Cook at (202) 260-5508.
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                                     DRINKING WATER DATA  INTEGRITY
                                                                 APPENDIX 1
                                                                Page  1  of 5
                UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                   REGION 5
 "' "*"'"                     77 WEST JACKSON BOULEVARD
                             CHICAGO. IL 60604-3590
                                SEP 22 ISM

                                                           REPLY TO THE ATTENTION OF


                                                              R-19J

 MBCRHPCM

 SOBJBCT:  Region 5 Response to the Office of  Inspector General (OIG)
          Draft Report on Region 5 Procedures to Ehsure Drinking
          Water Data Integrity

   PRCM:  Valdas V. Adamkus
          Regional Administrator

     TO:  Anthony C. Carrollo, Divisional Inspector General
            for Audits,  Northern Division


     thank you for the opportunity to respond to the draft report  on Region 5

 Procedures to Ehsure Drinking Water Data Integrity.  Most of the Region's

 issues with the draft report were resolved through intense negotiations

 between our staffs, and we appreciate the responsiveness of the OIG to the

 Region's concerns,   the Region's remaining ccnrents are attached, along with

 our formal response to each of the OIG recamendations.

     If you have any questions concerning these comments, please call Charlene

 J. Denys,  Chief,  Drinking Water Section, at (312) 886-6206,  or Christiane

 Saada-Blums of her  staff, at 886-6205.
                            Valdas V.

Attachment
                                45

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                                      DRINKING  WATER DATA  INTEGRITY
                                                                     APPENDIX  1
                                                                   Page  2  of  5
         KEQXCN 5 EKLUflJUKKS TO BEURE UilhRIND HKXSt IMA
                  RBGZCN 5 KBSPCKSB ID THE KKPCRT PHCM TW
                     OFFICE OF THE DEFECTOR GBORAXi (OIO)

Listed below are the Region's  remaining concerns with the DIG report, as well
as the Region's response to each reconmendation.

CCFMENTS CK ly KKKKT

1.    The OIG's findings of 1.2 percent potentially falsified data shows that
      there is not a large  data falsification problem in Region 5.  However,
      the report characterizes data falsification as a significant problem,
      requiring increased Regional monitoring of the States'  efforts to detect
      falsification,   the Region disagrees with this characterization of the
      problem.  Much of data that is reported to the State cones directly from
      the laboratories conducting the analyses,  which can be  up to 83
      contaminants,  depending  on the type of system.   This further reduces the
      opportunities for systems to alter the data.   The OIG focused only on
      data collected and reported by the systems (turbidity and chlorine
      residual),  and this is a small subset of the data the systems must
      report.   While we believe that the percentage  should be zero, when the
      percentage of potentially falsified data is taken in context of the
      total amount of data reported, the percentage  of potentially falsified
      data is very small, and  is not significant.

      The findings of 1.2 percent potential data falsification do not warrant
      a substantial increase in Regional or State resources to identify data
      falsification cases.   In addition, the results do not support a shift in
      Regional or State Public Water System Supervision  (PWSS)  pzujidin
      priorities.

      The OIG's findings of  2.6 percent data integrity problems for turbidity
      and chlorine residual  measurements underscore  the need  to continue to
      stress the value of thorough sanitary surveys.   The Region and the
      States already recognize that value.  State resources have never been
      sufficient to support  all of the surveys and technical  assistance that
      the States would like  to provide.

2.    The report uses the cases of Indiana, Minnesota, and Illinois to
      illustrate that the Region was not aware of State activities concerning
      data falsification, and uses these examples to recommend increased
      Regional oversight of  State programs.   The  Region does  not agree that
      these are valid examples  of lack of Regional oversight.

      The report states that the Region erroneously  told  OIG  that Indiana
      checked for obvious cases of data falsification, when the State did not.
      During the last two years, the Region conducted audits  about every six
      months in Indiana, to  ensure that the State was  correctly implementing
      the EWSS piujidm.  (In other States, audits occur annually.)  Reviewing
      the files for data falsification was not possible until Indiana
      established a good overall records management  system.   The Region
      decided to focus on the records management  problem  first,  since checking
      records is impossible  until the records are organized.   Only since
      Fiscal Year (FY)  1993  have State records been  sufficiently organized to
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       support basic ocnpliance and enforcement activities.  When the Region
       responded to the OIG's original request  for information, the Region
       referred to the written procedures in Indiana's compliance strategy,  and
       confirmed them with Indiana's FWSS program director at the time.   The
       conpliance strategy details the State's  procedures to ensure system
       conpliance with the regulations, and the State's enforcement protocol.

       The report also states that the Region was unaware that Illinois  and
       Minnesota were not requiring nonujiiiunity water systems to submit
       monthly operation reports (MCR).  These  are not valid exanples, because
       the activities in both States fall under the States' rule implementation
       discretion.   These are cases where it is not appropriate for the  Region
       to  know every detail.   Specifically,  both States' regulations require
       monthly reporting of turbidity data.   Section 611.262 of the Illinois
       rules contains this requirement,  and since Minnesota adopted the  Federal
       rules by reference, the citation is 40 Cbde of Federal Regulations
       141.75.   In Illinois,  the State has contracted out noncommunity water
       system  tracking responsibilities to the  county health departments, which
       are responsible for tracking the submittal of MCRs.  In Minnesota, the
       State has been testing alternative treatment technology for small
       surface water systems.  Since the regulations do not specify turbidity
       requirements for alternative technologies, the State was within its
       discretion not to require MCRs from these systems.

RESPONSE  TO THE 016 RECOMEHDKnCKS

The Region agrees with the OIG's three reccmraendations for State follow-up.
The recommendations and the  Region's response are listed below.

Ran iiiimudaticp 1;  Request that the States provide training to,  and/or
consider  taking enforcement  actions, as appropriate,  against the 19 public
water systems  (PWS), or operators,  which the DIG found reported invalid or
potentially falsified test data.
                 By October 31, 1994, Region 5 will send a letter to the
      States that requests that they follow through on the above
      recommendation.  In seme cases, the States have already corrected the
      problem, and no further action is needed.  Please note that enforcement
      action will only be taken if further investigation by the States
      confirms that the potentially falsified data was indeed falsified.  Even
      if the State confirms that data falsification occurred,  the State may
      decide not to take enforcement action,  because other enforcement cases
      that have direct public health implications may take priority.  For
      example. States may decide to direct their limited resources to
      enforcement actions against systems that are violating the maximum
      contaminant level for a particular contaminant,  or that failed to
      collect and analyze samples.  In addition,  please note that the States
      can refer cases to the State Attorney General (SAG)  for enforcement
      action, but this does not guarantee that the SAG will act upon the case.
      Also note that successfully prosecuting violators is difficult, and has
      been a low yield investment of limited resources.
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               2;  Request that  the States develop a certification block to be
 included en MSRs to ensure that  reported data is reviewed for reasonableness.
                 By October 31,  1994, Region 5 will send a letter to the
      States that requests that  they follow through on the above
      recomnendation.

                   Request that  the States add documented steps to their
sanitary survey procedures to verify the validity of reported data.  These
steps should, at a minimum,  include a sample review and comparison of fDRs and
on-site FWS records.

      Ragponae:  By October 31,  1994, Region 5 will send a letter to the
      States that requests that  they follow through on the above
      recommendation.   The Region will be providing sanitary survey training
      this fall that incorporates procedures for checking for data
      falsification.   Please see the Region's response to recaimendation 6
      below.

The Region also agrees with the  OIG's three recommendations for Regional
follow-up.  The recaimsndations  and the Region's response are listed below.
	»tiop 4;  Evaluate States' efforts in detecting invalid or falsified
data during Region 5's annual review of each State's drinking water program.
             j:  The FY 1995 EVES program grant guidance included two
      applicable  activities.  First, the Region asked the States to screen
      data submitted by FWSs for evidence of data falsification, and take
      follow-up enforcement action as appropriate.  The States were also asked
      to report on the  number of falsification cases identified, and the type
      of follow-up taken.  The States included these activities in their
      pru-jiaiu plans. These elements will be evaluated by the Region,  along
      with all other elements, as part of our annual evaluation cycle.

                   Redistribute the Office of Ground Water and Drinking
Water's (OGWCW) .appendix G to each of the States in the Region and reemphasize
its importance.
                 By October 31, 1994, Region 5 will redistribute ^pendix G to
      the States.  It will accompany the letter referred to in the response to
      recommendations 1 through 3 above.
               6;  Incorporate techniques for identifying questionable data
into sanitary survey training.  This training should be given to both State
and Regional staff.

                 Region 5 has already worked with the OGWDW to add data
      falsification review techniques to the next round of sanitary survey
      training.  Two training classes will be held in Region 5 in October and
      Ifavember 1994; one class on the Illinois/Indiana border, and one on the
      Michigan/Ohio border.  In addition, the Region will request that the
                                  48

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                         DRINKING WATER DATA  INTEGRITY
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                                               Page  5  of  5
States report en the usefulness of the data falsification training
coipcnent in their annual self-evaluation of progress on grant
ocnnu.tnients.
                     49

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                                DRINKING WATER DATA INTEGRITY
                                                   APPENDIX 2
                                                  Page 1 of 1
                        ABBREVIATIONS

CDC       Centers for Disease Control and Prevention

CFR       Code of Federal Regulations

EPA       Environmental Protection Agency

FRDS      Federal Reporting Data System

GAO       General Accounting Office

MOR       Monthly Operational Report

NTU       Nephelometric Turbidity Units

OGWDW     Office of Ground Water and Drinking Water

OIG       Office of Inspector General

PWS       Public Water System
                              50

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                                                   APPENDIX  3
                                                   Page  1  of  1
                         DISTRIBUTION

Inspector General  (2410)

Assistant Administrator for Water  (4101)

Director, Office of Ground Water & Drinking Water  (4601)

Regional Administrator, Region 5 (R-19J)

Director, Region 5 Water Division  (W-15J)

OIG Office of Investigations  (II-13J)

Agency Follow-up Official  (3304)
  Attention:  Assistant Administrator for the Office of
              Administration and Resources Management

Agency Follow-up Coordinator  (3304)
  Attention:  Director, Resources Management Division

Audit Follow-up Coordinator (3304)
  Attention:  Management Controls Branch

Audit Follow-up Coordinator (3802F)
  Attention:  Office of Policy, Training, and Oversight
              Division

Audit Follow-up Coordinator (1104)
  Attention:  Executive Support Office

Region 5 Public Affairs (P-19J)

Region 5 Intergovernmental Relations Office  (R-19J)

Headquarters Library (3404)

Region 5 Library (PL-12J)
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