HomeMy WebLinkAboutDDW-2024-008322
June 6, 2024
Utah Department of Environmental Quality
John L. Chartier, P.E.
Central District Engineer
70 Westview Drive
Richfield, Utah 84701
Mr. John L. Chartier:
This letter is a request for an operating permit for Levan Town, system #12001, for the replacement
of distribution pipelines and installing a new well transmission pipeline in town.
The project plan consists of approximately 25,000 feet of 8-inch PVC distribution pipeline
replacement, new fire hydrants and approximately 4,500 feet of 8-inch PVC well transmission
pipeline. The transmission piping, distribution piping, and associated valves and fire hydrants is
complete and in conformance with plan approval conditions and in conformance with rules 309-
500 through 550 and recommended for approval.
Construction record drawings are being created but not issued yet. They will be sent upon
completion. Satisfactory bacteriological results are included with this operating permit request.
Sincerely,
Tyler Faddis, P.E.
JONES & DeMILLE ENGINEERING, INC.
6/6/24
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7387
Description of Sampling Point:300 S 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:30
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7388
Description of Sampling Point:300 S 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:30
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7389
Description of Sampling Point:200 N 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:45
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 1
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7390
Description of Sampling Point:300 N 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7391
Description of Sampling Point:200 E Center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7395
Description of Sampling Point:200 N 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:16:45
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7392
Description of Sampling Point:100 E 100 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:15:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 2
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7394
Description of Sampling Point:300 N 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7393
Description of Sampling Point:100 E 100 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:15:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7398
Description of Sampling Point:200 E 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:35
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7397
Description of Sampling Point:200 E 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:35
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7396
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 3
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Description of Sampling Point:200 E center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/27/2024
Time Collected:14:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 03/27/2024
Time 16:35
PROCESS SAMPLES
Lab Number 7387
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:36
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7388
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:36
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7389
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 4
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7390
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7391
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7395
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7392
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7394
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 5
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7393
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:37
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7398
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:38
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7397
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:38
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7396
Sample Analyzed?Analyzed
Tested Date:03/28/2024
Tested Time:16:38
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 6
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
Signature:
Submitted by Water Lab at 03/28/2024 22:38 UTC Page: 7
Captured at 03/28/2024 22:38 UTC gocanvas.com
Submission ID: E5AD0045-E881-4ED9-9854-722D86AD975E
No.: 03957
Date: 03/28/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7364
Description of Sampling Point:200 E Center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:35
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7365
Description of Sampling Point:100 N 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7366
Description of Sampling Point:300 S 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:20
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 1
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7367
Description of Sampling Point:200 E Center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:35
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7368
Description of Sampling Point:200 N 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:15:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7369
Description of Sampling Point:300 S 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:20
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7370
Description of Sampling Point:200 e 200 s
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 2
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7371
Description of Sampling Point:200 S 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7372
Description of Sampling Point:200 N 200 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:15:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7373
Description of Sampling Point:300 N 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:15:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7374
Description of Sampling Point:300 N 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:15:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7375
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 3
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Description of Sampling Point:100 E 100 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/26/2024
Time Collected:14:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 03/26/2024
Time 16:20
PROCESS SAMPLES
Lab Number 7364
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7365
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7366
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 4
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7367
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7368
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7369
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7370
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7371
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 5
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7372
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7373
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7374
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7375
Sample Analyzed?Analyzed
Tested Date:03/27/2024
Tested Time:16:20
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 6
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
Signature:
Submitted by Water Lab at 03/27/2024 22:46 UTC Page: 7
Captured at 03/27/2024 22:46 UTC gocanvas.com
Submission ID: CCD20827-9167-4B5C-86EA-706B53FAD795
No.: 03951
Date: 03/27/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7403
Description of Sampling Point:300 S 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:12:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7404
Description of Sampling Point:Cemetery
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:13:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7405
Description of Sampling Point:100 E 100 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:12:20
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 03/29/2024 21:44 UTC Page: 1
Captured at 03/29/2024 21:44 UTC gocanvas.com
Submission ID: 12737EC3-AB44-4CB4-9C29-9D5B9AB29499
No.: 03960
Date: 03/29/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7406
Description of Sampling Point:300 S 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:12:30
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7407
Description of Sampling Point:Cemetery
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:13:20
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7408
Description of Sampling Point:100 S 100 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:03/28/2024
Time Collected:12:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Submitted by Water Lab at 03/29/2024 21:44 UTC Page: 2
Captured at 03/29/2024 21:44 UTC gocanvas.com
Submission ID: 12737EC3-AB44-4CB4-9C29-9D5B9AB29499
No.: 03960
Date: 03/29/2024Water System
Date 03/28/2024
Time 15:40
PROCESS SAMPLES
Lab Number 7403
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7404
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7405
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7406
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7407
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Submitted by Water Lab at 03/29/2024 21:44 UTC Page: 3
Captured at 03/29/2024 21:44 UTC gocanvas.com
Submission ID: 12737EC3-AB44-4CB4-9C29-9D5B9AB29499
No.: 03960
Date: 03/29/2024Water System
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7408
Sample Analyzed?Analyzed
Tested Date:03/29/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 03/29/2024 21:44 UTC Page: 4
Captured at 03/29/2024 21:44 UTC gocanvas.com
Submission ID: 12737EC3-AB44-4CB4-9C29-9D5B9AB29499
No.: 03960
Date: 03/29/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6993
Description of Sampling Point:200 s sr 28
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:01/25/2024
Time Collected:09:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6994
Description of Sampling Point:200s sr 28
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:01/25/2024
Time Collected:09:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Submitted by Water Lab at 01/26/2024 22:44 UTC Page: 1
Captured at 01/26/2024 22:44 UTC gocanvas.com
Submission ID: CEF4DDC5-2E64-4AB7-AD1F-CD755D20E441
No.: 03772
Date: 01/26/2024Water System
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 01/25/2024
Time 15:40
PROCESS SAMPLES
Lab Number 6993
Sample Analyzed?Analyzed
Tested Date:01/26/2024
Tested Time:15:43
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6994
Sample Analyzed?Analyzed
Tested Date:01/26/2024
Tested Time:15:40
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 01/26/2024 22:44 UTC Page: 2
Captured at 01/26/2024 22:44 UTC gocanvas.com
Submission ID: CEF4DDC5-2E64-4AB7-AD1F-CD755D20E441
No.: 03772
Date: 01/26/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6983
Description of Sampling Point:200 S 300 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:11:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6984
Description of Sampling Point:100 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:11:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6985
Description of Sampling Point:200 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:12:05
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 01/25/2024 22:55 UTC Page: 1
Captured at 01/25/2024 22:54 UTC gocanvas.com
Submission ID: BBF5E938-B7E2-45C7-BDDA-E919D4CD37A6
No.: 03771
Date: 01/25/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6986
Description of Sampling Point:200 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:12:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6987
Description of Sampling Point:200 S 100 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:12:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6988
Description of Sampling Point:100 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:11:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6989
Description of Sampling Point:200 S 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:12:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 01/25/2024 22:55 UTC Page: 2
Captured at 01/25/2024 22:54 UTC gocanvas.com
Submission ID: BBF5E938-B7E2-45C7-BDDA-E919D4CD37A6
No.: 03771
Date: 01/25/2024Water System
Sample Type Bacteria
Lab Number (from sticker):6990
Description of Sampling Point:200 S 300 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/24/2024
Time Collected:11:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 01/24/2024
Time 15:50
PROCESS SAMPLES
Lab Number 6983
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:53
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6984
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:53
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6985
Submitted by Water Lab at 01/25/2024 22:55 UTC Page: 3
Captured at 01/25/2024 22:54 UTC gocanvas.com
Submission ID: BBF5E938-B7E2-45C7-BDDA-E919D4CD37A6
No.: 03771
Date: 01/25/2024Water System
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6986
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6987
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6988
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6989
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6990
Submitted by Water Lab at 01/25/2024 22:55 UTC Page: 4
Captured at 01/25/2024 22:54 UTC gocanvas.com
Submission ID: BBF5E938-B7E2-45C7-BDDA-E919D4CD37A6
No.: 03771
Date: 01/25/2024Water System
Sample Analyzed?Analyzed
Tested Date:01/25/2024
Tested Time:15:54
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 01/25/2024 22:55 UTC Page: 5
Captured at 01/25/2024 22:54 UTC gocanvas.com
Submission ID: BBF5E938-B7E2-45C7-BDDA-E919D4CD37A6
No.: 03771
Date: 01/25/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6976
Description of Sampling Point:300 W 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:14:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6977
Description of Sampling Point:300 W 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:14:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6978
Description of Sampling Point:200 W 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:14:20
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 01/24/2024 23:05 UTC Page: 1
Captured at 01/24/2024 23:05 UTC gocanvas.com
Submission ID: 2CA73442-2C84-4878-A1E6-3534567B7DC7
No.: 03769
Date: 01/24/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6979
Description of Sampling Point:SR 28 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:13:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6980
Description of Sampling Point:SR 28 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:13:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6981
Description of Sampling Point:100 W 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/23/2024
Time Collected:14:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Submitted by Water Lab at 01/24/2024 23:05 UTC Page: 2
Captured at 01/24/2024 23:05 UTC gocanvas.com
Submission ID: 2CA73442-2C84-4878-A1E6-3534567B7DC7
No.: 03769
Date: 01/24/2024Water System
Date 01/23/2024
Time 16:00
PROCESS SAMPLES
Lab Number 6976
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6977
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:04
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6978
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:04
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6979
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:05
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6980
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:05
Sample Type:Bacteria
Submitted by Water Lab at 01/24/2024 23:05 UTC Page: 3
Captured at 01/24/2024 23:05 UTC gocanvas.com
Submission ID: 2CA73442-2C84-4878-A1E6-3534567B7DC7
No.: 03769
Date: 01/24/2024Water System
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6981
Sample Analyzed?Analyzed
Tested Date:01/24/2024
Tested Time:16:05
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 01/24/2024 23:05 UTC Page: 4
Captured at 01/24/2024 23:05 UTC gocanvas.com
Submission ID: 2CA73442-2C84-4878-A1E6-3534567B7DC7
No.: 03769
Date: 01/24/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6830
Description of Sampling Point:100 N 100 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:09:39
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6832
Description of Sampling Point:100 N 100 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:09:23
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6828
Description of Sampling Point:100 N Main
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:09:15
Is Sample Chlorinated?Yes
No.: 03704
Date: 01/05/2024Water System
Submitted by Water Lab at 01/05/2024 23:14 UTC Page: 1
Captured at 01/05/2024 23:14 UTC gocanvas.com
Submission ID: B92C1131-87A0-4474-ACAD-D6E93C74363B
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6829
Description of Sampling Point:100 N Main
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:09:30
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6826
Description of Sampling Point:100 N 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:08:40
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6827
Description of Sampling Point:100 N 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:01/04/2024
Time Collected:08:45
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
No.: 03704
Date: 01/05/2024Water System
Submitted by Water Lab at 01/05/2024 23:14 UTC Page: 2
Captured at 01/05/2024 23:14 UTC gocanvas.com
Submission ID: B92C1131-87A0-4474-ACAD-D6E93C74363B
TESTING STARTED
Date 01/04/2024
Time 16:00
PROCESS SAMPLES
Lab Number 6830
Sample Analyzed?Analyzed
Tested Date:01/05/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6832
Sample Analyzed?Analyzed
Tested Date:01/05/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6828
Sample Analyzed?Analyzed
Tested Date:01/05/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6829
Sample Analyzed?Analyzed
Tested Date:01/05/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6826
Sample Analyzed?Analyzed
Tested Date:01/05/2024
No.: 03704
Date: 01/05/2024Water System
Submitted by Water Lab at 01/05/2024 23:14 UTC Page: 3
Captured at 01/05/2024 23:14 UTC gocanvas.com
Submission ID: B92C1131-87A0-4474-ACAD-D6E93C74363B
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6827
Sample Analyzed?Analyzed
Tested Date:01/05/2024
Tested Time:16:00
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
No.: 03704
Date: 01/05/2024Water System
Submitted by Water Lab at 01/05/2024 23:14 UTC Page: 4
Captured at 01/05/2024 23:14 UTC gocanvas.com
Submission ID: B92C1131-87A0-4474-ACAD-D6E93C74363B
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6843
Description of Sampling Point:200 w 100 w
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:01/08/2024
Time Collected:08:00
Is Sample Chlorinated?Yes
Residual (PPM):2.50
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6844
Description of Sampling Point:100 n 200 w
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:01/08/2024
Time Collected:08:05
Is Sample Chlorinated?Yes
Residual (PPM):0.25
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
No.: 03711
Date: 01/09/2024Water System
Submitted by Water Lab at 01/09/2024 23:38 UTC Page: 1
Captured at 01/09/2024 23:38 UTC gocanvas.com
Submission ID: 846D5AE2-F354-4E63-837F-815135C5DB10
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 01/08/2024
Time 16:30
PROCESS SAMPLES
Lab Number 6843
Sample Analyzed?Analyzed
Tested Date:01/09/2024
Tested Time:16:30
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6844
Sample Analyzed?Analyzed
Tested Date:01/09/2024
Tested Time:16:30
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
No.: 03711
Date: 01/09/2024Water System
Submitted by Water Lab at 01/09/2024 23:38 UTC Page: 2
Captured at 01/09/2024 23:38 UTC gocanvas.com
Submission ID: 846D5AE2-F354-4E63-837F-815135C5DB10
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:DS001
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7568
Description of Sampling Point:300 e 300 s Levan sample tap
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:04/16/2024
Time Collected:07:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Routine
Routine: the results will be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7569
Description of Sampling Point:300 e 300 s Levan
Distribution (DS001) or Source (WS00#) ID DS001
Date Collected:04/16/2024
Time Collected:07:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Routine
Routine: the results will be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Submitted by Water Lab at 04/17/2024 22:01 UTC Page: 1
Captured at 04/17/2024 22:01 UTC gocanvas.com
Submission ID: 45830B72-5496-4530-98D5-8E91CA91870F
No.: 04031
Date: 04/17/2024Water System
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 04/16/2024
Time 15:40
PROCESS SAMPLES
Lab Number 7568
Sample Analyzed?Analyzed
Tested Date:04/17/2024
Tested Time:15:40
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7569
Sample Analyzed?Analyzed
Tested Date:04/17/2024
Tested Time:15:40
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 04/17/2024 22:01 UTC Page: 2
Captured at 04/17/2024 22:01 UTC gocanvas.com
Submission ID: 45830B72-5496-4530-98D5-8E91CA91870F
No.: 04031
Date: 04/17/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan City
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email Jade.trbexc@gmail.com
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7541
Description of Sampling Point:400 e 200 n
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7542
Description of Sampling Point:500 e center
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:07:45
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7543
Description of Sampling Point:500 e. Center
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:09:58
Is Sample Chlorinated?Yes
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 1
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7544
Description of Sampling Point:300 e 300 n
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:07:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7545
Description of Sampling Point:400 e 300 s
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7546
Description of Sampling Point:400 e. Center
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7547
Description of Sampling Point:400 e 200 n
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 2
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7548
Description of Sampling Point:300 e 300 n
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:07:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7549
Description of Sampling Point:400 e center
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7551
Description of Sampling Point:400 e 200 s
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7553
Description of Sampling Point:400 e 300 s
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/10/2024
Time Collected:08:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 3
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7552
Description of Sampling Point:400 e 200 s
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/10/2024
Time Collected:08:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 04/10/2024
Time 15:55
PROCESS SAMPLES
Lab Number 7541
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:14
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7542
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:14
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7543
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 4
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:14
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7544
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7545
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7546
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7547
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7548
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 5
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7549
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7551
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7553
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:16
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7552
Sample Analyzed?Analyzed
Tested Date:04/11/2024
Tested Time:16:16
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 6
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 04/11/2024 22:16 UTC Page: 7
Captured at 04/11/2024 22:16 UTC gocanvas.com
Submission ID: 6DE8294A-489A-49AD-9696-D0F9BB300D1A
No.: 04019
Date: 04/11/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7528
Description of Sampling Point:300 E 300 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:13:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7529
Description of Sampling Point:400 E 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7530
Description of Sampling Point:400 E 300 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:15
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 1
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7532
Description of Sampling Point:400 E 200 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:25
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7535
Description of Sampling Point:400 E 300 S
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7531
Description of Sampling Point:300 E 300 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:13:40
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7537
Description of Sampling Point:Center 500 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 2
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7536
Description of Sampling Point:400 E 200 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:13:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7538
Description of Sampling Point:Center 400 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:13:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7539
Description of Sampling Point:400 E 200 N
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:13:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7534
Description of Sampling Point:Center 500 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7533
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 3
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Description of Sampling Point:Center 400 E
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:04/09/2024
Time Collected:14:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 04/09/2024
Time 16:40
PROCESS SAMPLES
Lab Number 7528
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:49
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7529
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7530
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 4
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7532
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7535
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7531
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7537
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7536
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 5
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7538
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:51
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7539
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:51
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7534
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:51
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7533
Sample Analyzed?Analyzed
Tested Date:04/10/2024
Tested Time:16:51
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 6
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
Signature:
Submitted by Water Lab at 04/10/2024 22:52 UTC Page: 7
Captured at 04/10/2024 22:51 UTC gocanvas.com
Submission ID: A6C6FFF4-A7E5-4AF7-A320-5934DA7B899D
No.: 04017
Date: 04/10/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7566
Description of Sampling Point:300 e 300 s
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/15/2024
Time Collected:11:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7565
Description of Sampling Point:300 e 300 s
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:04/15/2024
Time Collected:11:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Submitted by Water Lab at 04/16/2024 21:46 UTC Page: 1
Captured at 04/16/2024 21:46 UTC gocanvas.com
Submission ID: 3F863ABB-2A05-4FCB-971E-834FD8B94264
No.: 04029
Date: 04/16/2024Water System
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 04/15/2024
Time 15:40
PROCESS SAMPLES
Lab Number 7566
Sample Analyzed?Analyzed
Tested Date:04/16/2024
Tested Time:15:40
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7565
Sample Analyzed?Analyzed
Tested Date:04/16/2024
Tested Time:15:40
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 04/16/2024 21:46 UTC Page: 2
Captured at 04/16/2024 21:46 UTC gocanvas.com
Submission ID: 3F863ABB-2A05-4FCB-971E-834FD8B94264
No.: 04029
Date: 04/16/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7072
Description of Sampling Point:400 S 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7073
Description of Sampling Point:100 west center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:09:55
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7074
Description of Sampling Point:400 south sr 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:20
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 02/08/2024 22:59 UTC Page: 1
Captured at 02/08/2024 22:59 UTC gocanvas.com
Submission ID: 2F3A8B9A-93F1-4ACA-B3B0-2EE4005C338E
No.: 03815
Date: 02/08/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7075
Description of Sampling Point:400 south 200 west
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:15
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7076
Description of Sampling Point:200 west center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7077
Description of Sampling Point:100 west center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:08:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7078
Description of Sampling Point:400 south sr 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:20
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 02/08/2024 22:59 UTC Page: 2
Captured at 02/08/2024 22:59 UTC gocanvas.com
Submission ID: 2F3A8B9A-93F1-4ACA-B3B0-2EE4005C338E
No.: 03815
Date: 02/08/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7079
Description of Sampling Point:200 west center
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/07/2024
Time Collected:10:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Kirt Christensen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 02/07/2024
Time 15:50
PROCESS SAMPLES
Lab Number 7072
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7073
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:58
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7074
Submitted by Water Lab at 02/08/2024 22:59 UTC Page: 3
Captured at 02/08/2024 22:59 UTC gocanvas.com
Submission ID: 2F3A8B9A-93F1-4ACA-B3B0-2EE4005C338E
No.: 03815
Date: 02/08/2024Water System
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:58
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7075
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:58
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7076
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:59
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7077
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:59
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7078
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:59
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7079
Submitted by Water Lab at 02/08/2024 22:59 UTC Page: 4
Captured at 02/08/2024 22:59 UTC gocanvas.com
Submission ID: 2F3A8B9A-93F1-4ACA-B3B0-2EE4005C338E
No.: 03815
Date: 02/08/2024Water System
Sample Analyzed?Analyzed
Tested Date:02/08/2024
Tested Time:15:59
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 02/08/2024 22:59 UTC Page: 5
Captured at 02/08/2024 22:59 UTC gocanvas.com
Submission ID: 2F3A8B9A-93F1-4ACA-B3B0-2EE4005C338E
No.: 03815
Date: 02/08/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Terry Brotherson
Operator:Terry Brotherson
Water System:Levan
Phone Number 4354625380
County:Sanpete
Address:95 W Main
City:Mt Pleasant
State:Utah
Zip Code:84647
Primary Email jade.trbexc@gmail.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7060
Description of Sampling Point:Center 84 West
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:00
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7061
Description of Sampling Point:Center 85 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:00
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7062
Description of Sampling Point:Center 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:15:15
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 02/07/2024 23:59 UTC Page: 1
Captured at 02/07/2024 23:59 UTC gocanvas.com
Submission ID: 0D8F16FB-8DF1-463A-85A5-964401400706
No.: 03812
Date: 02/07/2024Water System
Sample Type Bacteria
Lab Number (from sticker):7063
Description of Sampling Point:400 S 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:22
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7064
Description of Sampling Point:Center 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:10
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7065
Description of Sampling Point:400 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:30
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7066
Description of Sampling Point:400 S SR 28
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:32
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7067
Description of Sampling Point:400 S 200 W
Distribution (DS001) or Source (WS00#) ID Investigative
Date Collected:02/06/2024
Time Collected:14:20
Submitted by Water Lab at 02/07/2024 23:59 UTC Page: 2
Captured at 02/07/2024 23:59 UTC gocanvas.com
Submission ID: 0D8F16FB-8DF1-463A-85A5-964401400706
No.: 03812
Date: 02/07/2024Water System
Is Sample Chlorinated?No
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Martin Hermansen
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 02/06/2024
Time 16:50
PROCESS SAMPLES
Lab Number 7060
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7061
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7062
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Submitted by Water Lab at 02/07/2024 23:59 UTC Page: 3
Captured at 02/07/2024 23:59 UTC gocanvas.com
Submission ID: 0D8F16FB-8DF1-463A-85A5-964401400706
No.: 03812
Date: 02/07/2024Water System
Lab Number 7063
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7064
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7065
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7066
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7067
Sample Analyzed?Analyzed
Tested Date:02/07/2024
Tested Time:16:50
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Submitted by Water Lab at 02/07/2024 23:59 UTC Page: 4
Captured at 02/07/2024 23:59 UTC gocanvas.com
Submission ID: 0D8F16FB-8DF1-463A-85A5-964401400706
No.: 03812
Date: 02/07/2024Water System
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 02/07/2024 23:59 UTC Page: 5
Captured at 02/07/2024 23:59 UTC gocanvas.com
Submission ID: 0D8F16FB-8DF1-463A-85A5-964401400706
No.: 03812
Date: 02/07/2024Water System
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:Levan
Operator:Jason Worwood
Water System:12001
Phone Number 4356811037
County:Juab
Address:Box 40
City:Levan
State:Utah
Zip Code:84639
Primary Email jason@levantown.com
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):7158
Description of Sampling Point:400 east 25 south
Distribution (DS001) or Source (WS00#) ID 12001
Date Collected:02/20/2024
Time Collected:09:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7161
Description of Sampling Point:400 east 25 south
Distribution (DS001) or Source (WS00#) ID 12001
Date Collected:02/20/2024
Time Collected:10:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7160
Description of Sampling Point:400 east 25 south
Distribution (DS001) or Source (WS00#) ID 12001
Date Collected:02/20/2024
Time Collected:10:05
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 02/21/2024 23:17 UTC Page: 1
Captured at 02/21/2024 23:17 UTC gocanvas.com
Submission ID: B0C82955-87B2-43C9-B6A9-30BB5A8797FC
No.: 03850
Date: 02/21/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):7159
Description of Sampling Point:400 east 25 south
Distribution (DS001) or Source (WS00#) ID 12001
Date Collected:02/20/2024
Time Collected:09:50
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Brotherson
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 02/20/2024
Time 16:15
PROCESS SAMPLES
Lab Number 7158
Sample Analyzed?Analyzed
Tested Date:02/21/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7161
Sample Analyzed?Analyzed
Tested Date:02/21/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Submitted by Water Lab at 02/21/2024 23:17 UTC Page: 2
Captured at 02/21/2024 23:17 UTC gocanvas.com
Submission ID: B0C82955-87B2-43C9-B6A9-30BB5A8797FC
No.: 03850
Date: 02/21/2024Water System
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7160
Sample Analyzed?Analyzed
Tested Date:02/21/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 7159
Sample Analyzed?Analyzed
Tested Date:02/21/2024
Tested Time:16:15
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 02/21/2024 23:17 UTC Page: 3
Captured at 02/21/2024 23:17 UTC gocanvas.com
Submission ID: B0C82955-87B2-43C9-B6A9-30BB5A8797FC
No.: 03850
Date: 02/21/2024Water System