HomeMy WebLinkAboutDDW-2024-010248Utah Department Of Environmental Quality
Division Of Drinking Water Sanitary Survey
Sanitary Survey
General System Information
Exception Granted: R309-550-7(1) | The water line on 4700 S is only about 6 feet from the sewer lines
Exception Granted: R309-550-7(1) | 1.Merry Lane Subdivision – Merry Lane and Sunshine Drive Intersection; South Side of Merry Lane:
Presently there is a shallow sewage line that runs in the middle of Merry Lane. The existing sewage line is an 8-inch Vitrified Clay gravity flow sewer
in good condition. To maintain enough cover for freeze protection and to connect to the existing water main, the proposed water line will only have 3
inches of min separation above the sewer line at the crossing. Furthermore, due to road width constraints there will be a section where the water
main will run below the existing sewer and have a minimum horizontal distance of 7 feet.
2.Lake Park Subdivision
a.Park Crest Drive- At Park Crest Drive the proposed water line will need to cross under the existing sewage line due to the existing sewage line
being shallow. The minimum separation at the crossing will be 1- foot. The existing sewage line is an 8- inch gravity flow vitrified clay and is in good
condition.
b.Lake Crest Street- At Lake Crest Street, due to the shallow existing sewer line the proposed water line will need to cross below the existing
sewage line at two locations:
i.Crossing Cul-de Sac: The minimum vertical separation is proposed to be 6 inches. The existing sewage line is an 8- inch concrete gravity flow
sewer and is in good condition.
ii.Crossing Halfway: The minimum vertical separation is proposed to be 6 inches. The existing sewage line is an 8- inch gravity flow concrete sewer
and is in good condition.
c.Intersection of Lake Park Drive and Lake Park Circle-At the intersection of lake park drive and lake park circle the water line is proposed to be
installed below the sewer due to the shallowness of the sewer. A proposed perpendicular crossing below the existing 8-inch concrete sewer is
proposed a vertical separation of 12 inches. The existing 8-inch concrete sewer is in good condition.
d.Lake Park Circle-Due to the sewer line being shallow the proposed water line will be installed below the sewer line and have a minimum
horizontal separation of 6 feet. Said separation increases to greater than 10 feet since the sanitary sewer main is neither parallel to the road
centerline or proposed water line alignment. The existing sewage line is an 8- inch concrete sewer and is in good condition.
Exception Granted: R309-550-7(1) | 1.Proposed Sewage Line:
The basis for your request for an exception to R309-550-7(1) is that due to a residential lot constraint, the proposed 8-inch gravity sewage line will
have only a 6-foot horizontal separation from the existing 16-inch pressurized water line and will lay above the waterline at locations in 201+00 to
207+00. The depth of the existing waterline is unknown. No water was found at a depth of 20 feet at the proposed pump station (PF005). You
propose to use fused HDPE material for the entirety of the proposed sewage pipe and the sewage pipe will be installed in a new separate trench to
meet the intent of the rule.
2.Proposed Water Lines:
The basis for your request for an exception to R309-550-7(1) is that during the design of the Kent Booster Pump Station Project’s proposed
Site Visit Date Surveyor Name
07/23/2024 Nagendra Dev
GRANGER-HUNTER
IMPROVEMENT DISTRICT
PWS ID: UTAH18007 Rating: Approved 03/10/1980 Active
DEQ | Drinking Water
Run Date: 08/21/2024 19:35:44 | Rating: Approved UTAH18007 GRANGER-HUNTER IMPROVEMENT
DISTRICT page 1 of 131
waterlines, it was discovered that at several locations the design cannot meet the required minimum separations. They are as follows.
1.Station 11+96 4800 W: due to elevation of the existing waterline where the proposed waterline will be connected to, the proposed 14-inch
waterline has a minimum horizontal separation of 18-inch with a vertical separation of 5-feet from the 10-inch existing sewer line at this location.
The 10-inch existing sewer line runs below the proposed 14-inch water line.
2.Station 10+79 4800 W: Due to Utah/Salt lake canal constraint, the proposed 36-inch pipe will be crossing below the 10-inch existing sewage line
at a minimum vertical separation of 12-feet.
Exception Granted: R309-550-7(1) | During construction of the 18-inch PVC line, the contractor hit a 30-inch Kearns Improvement District sewer
line, that was unmarked in the field. Due to this unmarked sewer line, the contractor had to significantly raise the water line elevation to go over the
sewer line. An existing gas line is also present in this same location which further complicated installing the water line to meet rule requirements.
The waterline was placed approximately 10-inches above the sewer line. The water pipeline joint closest to the water/sewer crossing is
approximately 5-feet from the center of the pipe.
Exception Granted: R309-550-7(1) | 18" separation requirement between top of sewer line and bottom of waterline, only 6" clearance is allowed due
to other existing utilities
Exception Granted: R309-550-7(1) | Separation Requirements for 3247 West Lemay Avenue water mains and sewer line not met
Exception Granted: R309-550-7(1) | Refer to exception letter. Total of 29 locations where horizontal and vertical separations could not be meet.
Combination of existing infrastructure in locations and insufficient area to maintain separations.
Exception Granted: R309-550-7 | The 4100 South project will be completed in crowded utility corridors in some project locations. In these locations
there are many utility conflicts. Exceptions are requested to allow waterline placement within 10 feet of a sewer but no closer than 4 feet. Please
see exception letter showing table of specific project locations.
Exception Granted: R309-550-7 | Thorup Circle - Water Main Replacement
Existing water line needs to stay in service while new line installed.
Narrow road limits options.
Existing sewer line travels up center of road
Limits options to maintain separation distances
Exception Granted: R309-550-7 | Horizontal distance between pressure water main and sanitary sewer.
Exception Granted: R309-550--7 | The basis for their request for an exception to R309-550-7 is that there are several locations along the project
where the waterline needs to cross below either a sewer lateral or force main. In all cases, the sewer line has been installed at a depth of
approximately 4 feet. The force main crosses the waterline a total of 9 times and was installed in 1996. The force main is made of PVC C900-CL
150. At one location the waterline crosses below a 6-inch sewer lateral.
Exception Granted: R309-550-7 | Minimum separation of 18 inches or sewer line crossing above water line.
The installation of the new water line will parallel an existing sewer main and cross 14 sewer laterals. The water line will maintain the required
minimum 10-foot horizontal separation from the sewer main; however of the 14 crossings 11 of them may not meet the required 18 inch clearance,
and in some cases the water line may be placed below the existing sewer lateral. The waterline will be placed at a minimum of 4 feet 6 inches
below the ground surface, the grade will vary in an attempt to avoid conflict with existing sewer laterals and storm drains. The vertical depth with
the sewer laterals is as shown below:
Exception Granted: R309-550-7 | Minimum Vertical Separation Requirements of 18 inches between the waterline and sewer line for Fassio Circle,
Accord Circle and 4440 West Waterline from 4470 South to 3240 South couldn't be met due to shallow depth of sewer line in the area
Exception Granted: R309-550-7 | The basis for your request for an exception to R309-550-7 is that the proposed 8-inch PVC replacement waterline
will have less than the 10-foot horizontal separation from the sewer manhole at 2539 West 4030 South.
Exception Granted: R309-550-7 | Sewer later corsses over water main in 3500 South.
Exception Granted: R309-550-7 | Horizontal separation between waterline and sewer line is less than 10 feet per R309-550-7
Exception Granted: R309-550-7 | The proposed Westshire Drive waterline does not meet the required minimum separation distance of 10
horizontal feet due to the curvature of the road and existing sanitary sewer manhole locations in the vicinity of 2575 West and 4015 South
Westshire Drive and 2584 West Westshire Circle. The existing alignment of the sewer main in Westshire Drive between these manholes is such
that maintaining 10 feet of separation between water and sanitary sewer mains is not possible within the public right-of-way.
DEQ | Drinking Water
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DISTRICT page 2 of 131
Exception Granted: R309-550-7 | Minimum Separation Requirements for Maple Way Waterline Replacemetrt Project (3100 South - 3500 South) not
met
Exception Granted: R309-550-7 | The basis for your request for an exception to R309-550-7 is that the proposed new 8-inch PVC waterline will be
installed within the existing Cambridge Drive right-of-way. Between 3586 South and 3542 South, there are three reaches and one crossing of the
proposed new waterline where the existing sanitary sewer is located in close proximity to the new waterline alignment.
Exception Granted: R309-550-7 | The proposed Lee Maur Street waterline does not meet the required minimum separation distance of l0 horizontal
feet
Exception Granted: R309-550.7 | The proposed Mocking Dove waterlile alignment between Starling Drive and Odole Way does not meet the
required minimum separation distance of l0 hodzontal feet due to an existing sewer manhole
Exception Granted: R309-550-7 | Minimum Seperation of Sanitary Sewer pipe and Potable Water Main
Exception Granted: R309-550-7 | The basis for your request for an exception to R309-550-7 is that a 26-inch sewer force main is proposed to cross
an existing 20-inch waterline in West Valley City near 2300 West and 3200 South. The force main is part of the Decker Main Wastewater Pump
Station Upgrade Project. The proposed sewer force main crosses the waterline at Station 14+37 and Station 16+16. The waterline is shot coated
steel pipe owned and maintained by Granger-Hunter Improvement District. Due to high ground water conditions and the excessive depth required
to go under the existing waterline the exception is being requested.
Exception Granted: R309-550-7 | Separation distance of Water Mains from Sewer line couldn't met per rule
Exception Granted: R309-550-7 | Vertical separation between water line and sewer line not met per Utah DDW rule
1 Admin Contact (AC) [ eMail address is REQUIRED ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name: JASON
*Last Name: HELM
*Organization:
*Address: Redacted
*City: SALT LAKE CITY
*State: UT
*Zip: 84170
*Email: J.HELM@GHID.gov
*Phone: 801-968-3551
Emergency Phone: 801-968-3551
2 Legal Contact (LC) [ if no eMail address is available, enter NoeMail@utah.gov ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name:
*Last Name:
*Organization: GRANGER-HUNTER IMPR
DISTR
*Address: PO BOX 701110
*City: SALT LAKE CITY
*State: UT
*Zip: 84170
*Email:
*Phone: 801-968-3551
DEQ | Drinking Water
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DISTRICT page 3 of 131
3 Owner Contact (OW) [ if no eMail address is available, enter NoeMail@utah.gov ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name:
*Last Name:
*Organization: GRANGER-HUNTER ID
*Address: PO BOX 701110
*City: WEST VALLEY CITY
*State: UT
*Zip: 84119
*Email:
*Phone: 801-968-3551
4 Direct Operator in Charge (DO) [ if no eMail address is available, enter
NoeMail@utah.gov ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name: DUSTIN K
*Last Name: MARTINDALE
*Organization:
*Address: 15021 S 2990 W
*City: BLUFFDALE
*State: UT
*Zip: 84065
*Email: D.MARTINDALE@GHID.ORG
*Phone: 801-968-3551
5 Does the system serve a Residential population?Y
5A Population - Residential 118000
5B Operating Period (Start Date) - Residential 01/01
5C Operating Period (End Date) - Residential 12/31
6 Does the system serve a Transient population? (A transient population is a rotating
population that is served by a water system that does not remain in the jurisdiction of
the water system for long periods of time. Examples of a transient population include,
but are not limited to, campers at a campground, users of a highway rest stop, skiers
at a ski resort, guests at a hotel, or patrons of a restaurant or a shopping center.)
N
6A Population - Transient 3083
6B Operating Period (Start Date) - Transient 01/01
6C Operating Period (End Date) - Transient 12/31
7 Does the system serve a Non-Transient population? (A non-transient population is a
population served by a water system that is the same population being served by the
system for at least six months of the year, but is not a resident in the system.
Examples of a non-transient population include, but are not limited to, employees of a
restaurant, shop, or ski resort; teachers and students at a school, day-care center, or
church; doctors, nurses, and other employees at a hospital or healthcare clinic.)
N
8 Population - Wholesale :0
9 Residential Connections:26159
10 Commercial Connections:1500
DEQ | Drinking Water
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Site Visit Info
Management and Operations
11 Industrial Connections:21
12 Agricultural Connections:0
13 Date of Survey (First Day of Field Work)07/22/2024
14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the
header **
07/23/2024
15 Date final report sent to system (questionnaire, deficiency report and capacity
spreadsheet)
08/20/2024
16 Water system representative present during the survey:Drew Ovard (Notes: Todd Marti, Dee
Smolka)
17 How much time was spent to prepare survey documents prior to field survey? (Round
up to nearest quarter hour)
4
18 How much time was spent to complete the field survey (arrival to completion; include
travel time between water system facilities)? (Round up to nearest quarter hour)
10
19 How much time was spent traveling from the office to system and back again at the
end of the field survey? (Round up to nearest quarter hour)
1
20 How much time did it take to finish the Survey Report? (Round up to nearest quarter
hour)
6
21 Did you survey multiple water systems in one trip? ... if yes, answer the following
question(s)
N
22 For a community water system with water sources that require power to produce
sufficient flow, system is equipped with standby power option.
SIG | 25pts | SO | S033 | R309-515-6(2)(a) | Rule requires a community water system
without naturally flowing water sources, such as springs or flowing wells, to have one
or more of the system's sources equipped for operation during power outages. To
ensure continuous service when the primary power has been interrupted, a redundant
power supply is required. A redundant power supply may include a transfer switch for
auxiliary power such as a generator or a power supply service with coverage from two
independent substations. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
23 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through or in
process of DDW review [LIST UNDOCUMENTED FACILITIES OR DESCRIBE
MODIFICATIONS, IF APPLICABLE] [undocumented sources are covered in a
different question]
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
24 Are there any individual home booster pumps installed in the distribution system (not
for fire suppression)?
SIG | 50pts | SM | M008 | R309-550-11(3) | R309-550-11(3)
C
25 Does the system haul water?N
DEQ | Drinking Water
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Cross Connection and Operator Certification
26 For a community system serving 100 or more connections, at least 2 water sources
are available.
SIG | 50pts | SO | TGR7 | R309-515-4(3) | Rule requires Community Water Systems
serving more than 100 connections to have a minimum of two sources except where
served by a water treatment plant. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
27 Does system have a consecutive connection to another water system not listed in the
SOURCE section of Waterlink Report? If yes, answer the following question(s)
N
28 Does the system have a deficiency meeting the required source capacity? (USE
SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT
FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS
"NO."
N
29 Does the system have a deficiency meeting the required storage capacity DUE
SOLELY TO FIRE SUPPRESSION NEEDS? (USE SPREADSHEET FOR
CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE
FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO."
N
30 Does the system have a deficiency meeting the required equalization storage capacity
for indoor/outdoor demands (but not because of fire suppression needs)? (USE
SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT
FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS
"NO."
N
31 Does your water system have an Emergency Response Plan?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
Y
31A Does your Emergency Response Plan include cybersecurity?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
Y
31B Does your water system use any computers, laptops, phones, tablets, or any other
computer systems to manage, operate, or maintain the PWS (SCADA or Industrial
Control Systems)? This includes any water sources, treatment, distribution or any
process related to operation function
N
31C Does your water system use any computer systems in regular business operations
such as accounting, billing, payroll, human resources, or management?
N
32 Legally adopted authority statement
MIN | 15pts | SM | M003 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes a legally adopted and functional
local authority to enforce the program (i.e., ordinance, bylaw, or policy).
C
33 Documentation of annual public awareness and/or employee training
MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes providing public education or
awareness material or presentations.
C
34 Documentation of personnel trained to manage the program (COMMUNITY WATER
SYSTEMS POPULATION 500 AND ABOVE REQUIRE A DDW CERTIFIED CCC
PROGRAM ADMINISTRATOR. ALL OTHER WATER SYSTEMS REQUIRE AT A
MINIMUM BACKFLOW 101 OR EQUIVALENT/ GREATER CCC TRAINING)
MIN | 15pts | SM | M005 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes an operator with adequate
training in the area of cross connection control or backflow prevention.
C
DEQ | Drinking Water
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General Maintenance and Environment
Distribution
35 Does the water system have detailed records of cross connection control activities?
(inventories of backflow assemblies, devices, and air gaps installed within the system)
MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes written records of cross
connection control activities.
C
36 Does the water system have records of on-going enforcement activities? (test history,
enforcement activities, hazard assessments)
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
37 Operator meets required level of certification for water system. ( IF NO CERTIFIED
OPERATOR IS REQUIRED MARK COMPLIANT )
SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every
community and NTNC water system and public water systems that utilize
treatment/filtration to have at least one operator certified at the classified grade of the
water system. Certification must be appropriate for the type of system operated
(treatment and/or distribution). This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
38 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED
OPERATOR IS REQUIRED MARK COMPLIANT )
MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1
hour travel time, under normal work and home conditions, of each drinking water
system for which he is considered in direct responsible charge.
C
39 Are there any visual indications of unsanitary conditions?
SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The
Secondary Maximum Contaminant Levels for public water systems deals with
substances which affect the aesthetic quality of drinking water. They are presented
here as recommended limits or ranges and are not grounds for rejection. The taste of
water may be unpleasant and the usefulness of the water may be impaired if these
standards are significantly exceeded.
R309-105-18 The Director or the local health department shall be informed by
telephone by a water supplier of any "emergency situation". The term "emergency
situation...
R309-215-4(3) If the water fails to meet minimum standards, then certain public
notification procedures shall be carried out, as outlined in R309-220. Water suppliers
shall also keep analytical records in their possession, for a required length of time, as
outlined in R309-105-17.
C
40 No unprotected connection between the distribution system and a source of
contamination. (If there is an unprotected connection, describe the location in detail.)
SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11)
C
41 Are air release/vacuum valves in the distribution system? ... if yes, answer the
following question(s)
Y
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41A Open end of vent line covered with #14 mesh screen
SIG | 25pts | DS | D004 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
41B For a valve in a chamber, open end of vent pipe is at least 12 inches above grade or
one foot above distribution line in a chamber that does not flood.
SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
41C Chamber has drain to daylight, gravel-filled adsorption pit if not subject to flooding, or
sump pump.
SIG | 25pts | DS | D007 | R309-550-6(6)(b) and (7)(b) | Rule states chambers shall be
provided with a drain to daylight, if possible. Where this is not possible, underground
gravel-filled absorption pits may be used if the site is not subject to flooding and
conditions will assure adequate drainage. Sump pumps may also be considered if a
drain to daylight or absorption pit is not feasible. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
41D Open end of vent line down-turned.
SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
42 Water system has a program to maintain, operate, or control the use of fire hydrants.
REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the
distribution system. In order to protect the quality and integrity of the water, fire
hydrant access should be controlled.
C
43 Blow offs or air release valves are not directly connected to a sanitary sewer line.
SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states
blow-offs or air relief valves shall not be connected directly to a sewer. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
44 Blow offs or air release valves do not discharge below flood level in ditches or
streams.
SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3)
C
45 All water mains installed after 1995 that provide fire flow are at least 8 inches in
diameter.
MIN | 15pts | DS | D019 | R309-550-5(4) & (5) | Rule states that the minimum line size
serving a fire hydrant lateral shall be 8-inch diameter unless a hydraulic analysis
indicates that required flow and pressures can be maintained by 6-inch lines.
C
DEQ | Drinking Water
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General Disinfection
TP028 - RUSHTON CHLORINATOR - Proposed
TP029 - KENT CHLORINATOR - Proposed
ST003 - WINDER TANK - Inactive (RL - REPLACED)
TP0016 - EVANS CHLORINATOR (ABANDONED) - Inactive (AB - ABANDONED)
46 Distribution system capable of providing minimum pressure of 20 psi at all service
connections.
SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution
system shall maintain minimum pressures as required by R309-105-9 at all points of
connection under all flow conditions. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
47 Was the water system constructed or new portions added after January 1, 2007? ... if
yes, answer the following question(s)
N
48 Water system follows AWWA disinfection procedures for new, repaired, or seasonal
water mains and tanks.
SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and
appurtenances shall be disinfected in accordance with AWWA Standard C651. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
49 How often do you periodically disinfect any or all parts of your water system (i.e. batch
disinfection) other than for repairs or maintenance?
SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of
Engineering Plans and Specifications
R309-500-6 Plan Approval Procedure.
C
61 Is this facility in operation without an Operating Permit?
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
N
61A When is the anticipated date to request an Operating Permit? Explain in comments...By 2025
62 Is this facility in operation without an Operating Permit?
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
N
62A When is the anticipated date to request an Operating Permit? Explain in comments...By 2025
50 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
DEQ | Drinking Water
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WS001 - WELL 2 ABANDONED - Inactive (AB - ABANDONED)
WS003 - RIDGELAND #5 WELL ABANDONED - Inactive (AB - ABANDONED)
WS004 - #3 WELL ABANDONED - Inactive (AB - ABANDONED)
WS007 - OLD ACORD WELL - Inactive (AB - ABANDONED)
WS008 - 4400 W 2400 S #9 WELL - Inactive (AB - ABANDONED)
WS009 - 4800 W 2900 S #10 WELL - Inactive (AB - ABANDONED)
WS010 - #11 WELL ABANDONED - Inactive (AB - ABANDONED)
WS011 - ANDERSON WELL #7 ABANDONED - Inactive (AB - ABANDONED)
WS020 - WELL #18 - Proposed Source
WS002 - SANDERSON WELL #1 - Active
51 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
52 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
53 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
54 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
55 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
56 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
57 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
58 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
59 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
N
60 Is this source in operation without an Operating Permit?
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
N
60A When is the anticipated date to request an Operating Permit? Explain in comments...Probably in two years
63 Is this facility Active or Inactive?A
64 Operating Period (Start Date)01/01
65 Operating Period (Ending Date)12/30
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66 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
67 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
68 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
69 Is the well casing vented? ... if yes, answer the following question(s)Y
69A Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
69B Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
69C Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
70 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
70A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
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70B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
70C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
71 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
72 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
73 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
74 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
75 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
76 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
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WS005 - SORENSON #4 WELL -
77 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
78 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
79 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
80 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
81 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
81A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
81B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
81C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
82 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
83 Does well require oil-lubrication?N
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84 Is this facility Active or Inactive?I
84A Explain why this facility is Inactive (Is this facility in stand-by mode?)stand-by-mode
85 Operating Period (Start Date)01/01
86 Operating Period (Ending Date)12/30
87 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
88 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
89 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
90 Is the well casing vented? ... if yes, answer the following question(s)Y
90A Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
90B Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
90C Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
91 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
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91A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
91B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
91C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
92 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
93 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
94 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
95 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
96 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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97 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
98 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
99 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
100 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
101 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
102 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
102A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
102B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
102C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
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WS012 - WOODBURY #8 WELL - Active
103 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
104 Does well require oil-lubrication?N
105 Is this facility Active or Inactive?A
106 Operating Period (Start Date)01/01
107 Operating Period (Ending Date)12/30
108 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
109 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
110 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
111 Is the well casing vented? ... if yes, answer the following question(s)Y
111A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
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111B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
111C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
112 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
112A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
112B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
112C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
113 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
114 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
115 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
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116 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
117 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
118 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
119 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
120 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
121 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
122 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
123 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
123A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
123B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
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WS013 - WELL NO. 13 -
123C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
124 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
125 Does well require oil-lubrication?Y
125A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
126 Is this facility Active or Inactive?I
126A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand by mode
127 Operating Period (Start Date)01/01
128 Operating Period (Ending Date)12/30
129 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
130 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
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131 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
132 Is the well casing vented? ... if yes, answer the following question(s)Y
132A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
132B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
132C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
133 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
133A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
133B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
133C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
134 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
135 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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136 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
137 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
138 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
139 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
140 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
141 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
142 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
143 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
144 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
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WS014 - ACORD WELL #12 - Active
144A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
144B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
144C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
145 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
146 Does well require oil-lubrication?Y
146A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
147 Is this facility Active or Inactive?A
148 Operating Period (Start Date)01/01
149 Operating Period (Ending Date)12/30
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150 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
151 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
152 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
153 Is the well casing vented? ... if yes, answer the following question(s)Y
153A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
153B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
153C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
154 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
154A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
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154B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
154C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
155 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
156 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
157 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
158 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
159 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
160 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
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161 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
162 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
163 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
164 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
165 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
165A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
165B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
165C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
166 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
167 Does well require oil-lubrication?Y
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WS015 - WRIGHT #14 WELL -
167A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
168 Is this facility Active or Inactive?I
168A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand by mode
169 Operating Period (Start Date)01/01
170 Operating Period (Ending Date)12/31
171 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
172 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
173 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
174 Is the well casing vented? ... if yes, answer the following question(s)Y
174A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
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174B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
174C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
175 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
175A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
175B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
175C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
176 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
177 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
178 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
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179 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
180 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
181 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
182 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
183 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
184 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
185 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
186 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
186A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
186B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
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WS016 - EVANS #15 WELL - Active
186C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
187 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
188 Does well require oil-lubrication?Y
188A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
189 Is this facility Active or Inactive?A
190 Operating Period (Start Date)01/01
191 Operating Period (Ending Date)12/30
192 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
193 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
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194 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
195 Is the well casing vented? ... if yes, answer the following question(s)Y
195A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
195B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
195C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
196 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
196A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
196B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
196C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
197 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
198 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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199 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
200 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
201 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
202 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
203 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
204 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
205 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
206 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
207 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
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WS017 - TAGGART #16 WELL - Active
207A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
207B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
207C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
208 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
209 Does well require oil-lubrication?N
210 Is this facility Active or Inactive?A
211 Operating Period (Start Date)01/01
212 Operating Period (Ending Date)12/30
213 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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214 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
215 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
216 Is the well casing vented? ... if yes, answer the following question(s)Y
216A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
216B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
216C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
217 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
217A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
217B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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217C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
218 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
219 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
220 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
221 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
222 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
223 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
224 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
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225 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
226 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
227 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
228 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
228A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
228B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
228C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
229 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
230 Does well require oil-lubrication?Y
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WS019 - WELL # 17 - Active
230A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
231 Is this facility Active or Inactive?A
232 Operating Period (Start Date)01/01
233 Operating Period (Ending Date)12/31
234 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
235 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515-
6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above
the final ground surface and 12 inches above the pump house floor; at sites subject to
flooding, the top of the casing must terminate at least 3 feet above the 100-year flood
level or highest known flood elevation, whichever is higher. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
236 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515-
6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and
discharge piping. This significant deficiency should be corrected within 120 days of
notification or have a corrective action plan approved by
C
237 Is the well casing vented? ... if yes, answer the following question(s)Y
237A
Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C
237B
Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C
DEQ | Drinking Water
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DISTRICT page 37 of 131
237C
Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
238 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
238A
Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
238B
Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
238C
Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
239 Provisions available to periodically measure water levels
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
240 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
241 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515-
6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or
12” above well house floor and for sites that flood at least 3’ above 100-year flood
level or highest known flood elevation. Well casing terminating in underground vault
shall have a drain to daylight and surface runoff directed away from vault access. Well
house floor shall be sloped for drainage, and have a drain to daylight unless highly
impractical. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
C
242 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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243 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
244 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
245 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
246 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
247 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
248 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
249 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y
249A
Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
249B
Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
249C
Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
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ST001 - TANK 1 - Active
250 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
251 Does well require oil-lubrication?Y
251A
Well shaft lubricants ANSI/NSF 60 certified
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
252 Is this facility Active or Inactive?A
253 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
2000000
254 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
255 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
256 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
257 Are air vents present? ... if yes, answer the following question(s)Y
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257A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
257B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
257C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
257D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
258 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
258A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
258B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
258C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
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259 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
260 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
261 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
262 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
263 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
264 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
264A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
264B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
264C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
265 Are the drain line and overflow combined?Y
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ST002 - TANK 2 - Active
266 Is this facility Active or Inactive?A
267 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
1000000
268 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
269 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
270 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
271 Are air vents present? ... if yes, answer the following question(s)Y
271A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
271B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
271C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
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271D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
272 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
272A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
272B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
272C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
273 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
274 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
275 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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ST004 - ANDRA TANK - Active
276 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
277 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
278 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
278A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
278B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
278C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
279 Are the drain line and overflow combined?Y
280 Is this facility Active or Inactive?A
281 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
3000000
282 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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283 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
284 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
285 Are air vents present? ... if yes, answer the following question(s)Y
285A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
285B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
285C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
285D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
286 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
286A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
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286B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
286C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
287 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
288 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
289 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
290 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
291 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
292 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
292A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
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ST005 - BREEZE TANK - Active
292B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
292C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
293 Are the drain line and overflow combined?Y
294 Is this facility Active or Inactive?A
295 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
8800000
296 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
297 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
298 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
299 Are air vents present? ... if yes, answer the following question(s)Y
299A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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299B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
299C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
299D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
300 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
300A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
300B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
300C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
301 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
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ST006 - SORENSON STORAGE - Active
302 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
303 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
304 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
305 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
306 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
306A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
306B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
306C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
307 Are the drain line and overflow combined?Y
308 Is this facility Active or Inactive?A
309 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
2000000
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310 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
311 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
312 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
313 Are air vents present? ... if yes, answer the following question(s)Y
313A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
313B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
313C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
313D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
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314 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
314A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
314B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
314C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
315 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
316 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
317 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
318 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
319 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
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ST007 - RIDGELAND #5 STORAGE - Active
320 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
320A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
320B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
320C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
321 Are the drain line and overflow combined?Y
322 Is this facility Active or Inactive?A
323 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
2000000
324 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
325 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
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326 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
327 Are air vents present? ... if yes, answer the following question(s)Y
327A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
327B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
327C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
327D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
328 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
328A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
328B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
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328C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
329 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
330 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
331 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
332 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
333 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
334 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
334A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
334B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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ST008 - ZONE 5 - Active
334C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
335 Are the drain line and overflow combined?Y
336 Is this facility Active or Inactive?A
337 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
2600000
338 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
339 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
340 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
341 Are air vents present? ... if yes, answer the following question(s)Y
341A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
341B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
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341C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
341D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
342 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
342A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
342B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
342C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
343 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
344 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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ST009 - ACORD STORAGE - Active
345 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
346 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
347 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
348 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
348A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
348B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
348C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
349 Are the drain line and overflow combined?Y
350 Is this facility Active or Inactive?A
351 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
2000000
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352 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
353 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
354 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
355 Are air vents present? ... if yes, answer the following question(s)Y
355A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
355B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
355C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
355D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
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356 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
356A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
356B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
356C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
357 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
358 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
359 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
360 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
361 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
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ST010 - NEW WINDER 4 MG TANK - Active
Exception Granted: R309-545-15(1) | null
362 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
362A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
362B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
362C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
363 Are the drain line and overflow combined?Y
364 Is this facility Active or Inactive?A
365 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
4000000
366 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
367 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
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368 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
369 Are air vents present? ... if yes, answer the following question(s)Y
369A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
369B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
369C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
369D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
370 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
370A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
370B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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DISTRICT page 62 of 131
370C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
371 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
372 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
373 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
374 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
375 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
376 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
376A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
376B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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ST011 - EAST 5 MG STEEL TANK - Active
376C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
377 Are the drain line and overflow combined?Y
378 Is this facility Active or Inactive?A
379 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
5000000
380 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
381 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
382 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
383 Are air vents present? ... if yes, answer the following question(s)Y
383A
Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
383B
End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C
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383C
Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C
383D
Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
384 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y
384A
Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
384B
Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
384C
Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
385 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
386 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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PF001 - ANDRA BOOSTER PUMP STATION -- Pump Stations - Active
387 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
388 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
389 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
390 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y
390A
Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
390B
Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
390C
Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
391 Are the drain line and overflow combined?Y
392 Is this facility Active or Inactive?A
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393 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
394 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
395 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
395A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
396 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
397 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
398 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
399 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
399A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
DEQ | Drinking Water
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PF002 - RIDGELAND BOOSTER PUMP STATION -- Pump Stations - Active
399B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
399C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
400 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
401 Is this facility Active or Inactive?A
402 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
403 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
404 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
404A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
405 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
DEQ | Drinking Water
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PF003 - ACORD BOOSTER PUMP STATION -- Pump Stations - Active
406 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
407 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
408 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
408A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
408B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
408C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
409 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
410 Is this facility Active or Inactive?A
411 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
412 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
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413 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
413A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
414 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
415 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
416 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
417 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
417A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
417B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
417C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
418 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
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PF004 - SORENSON BOOSTER PUMP STATION -- Pump Stations - Active
419 Is this facility Active or Inactive?A
420 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
421 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
422 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
422A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
423 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
424 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
425 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
426 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
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PF005 - KENT BOOSTER PUMP STATION -- Pump Stations - Active
426A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
426B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
426C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
427 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
428 Is this facility Active or Inactive?A
429 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
430 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
431 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
431A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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DISTRICT page 72 of 131
PF006 - BREEZE BOOSTER PUMP STATION -- Pump Stations - Active
432 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
433 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
434 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
435 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
435A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
435B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
435C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
436 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
437 Is this facility Active or Inactive?A
438 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
439 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible,
Vertical turbine)
Vertical turbine
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440 If the pump station is used to pressurize the distribution system, does it have at least
two functioning pumping units? ... if yes, answer the following question(s)
SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps,
withdrawing water directly from distribution lines without storage and feeding water
directly into distribution lines, shall have at least two pumping units. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Y
440A
Demand is met by remaining pump(s) when largest pumping unit out of service
SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two
pumping units (such that with any one pump out of service, the remaining pump or
pumps shall be capable of providing the peak day demand of the specific portion of
the system serviced). This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
441 Pump station building and equipment are protected from flooding.
MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station
access shall be 6" above surrounding ground and located at least 3’ above 100-year
flood elevation or highest recorded flood elevation; station is accessible at all times
unless it can be taken out of service when inaccessible.
C
442 There are no unprotected cross-connections in the pump station.
SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless
controlled by an approved and properly operating backflow prevention assembly or
device. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
443 Discharge piping has a pressure gauge.
MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure
gauge be installed on the pump discharge line.
C
444 Does the pumping facility have an air relief valve located on the discharge piping? ... if
yes, answer the following question(s)
Y
444A
End of air relief piping downturned
SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a downward elbow. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
444B
End of air relief piping covered with #14 mesh screen
SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air
relief vent pipe from automatic valves shall be provided with a #14 mesh, non-
corrodible screen. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
444C
End of air relief piping terminates at least 6 inches above floor
SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air
release valve discharge line terminate a minimum of 6 inches above the floor.
C
445 Pump station properly secured
MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to
prevent vandalism and entrance by animals or unauthorized persons.
C
DEQ | Drinking Water
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TP027 - RUSHTON WTP -- Treatment General - Active
446 Is this facility Active or Inactive?A
447 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
448 Operating Period (Start Date)01/01
449 Operating Period (Ending Date)12/31
450 What is the objective of the treatment process and how do you know it is working?
(e.g., surface water treatment, disinfection, arsenic removal, TDS removal etc.)
taste and odor (Notes: Two primary
objective - to make water potable (safe to
drink) and palatable (aesthetically
acceptable for drinking). The goal of this
treatment is to reduce the presence of
disease-causing organisms and associated
health risks to an acceptable safe level.)
451 Walk me through the different process steps of your treatment plant. What is the
purpose of each step? Show me how you determine you are meeting your Treatment
Requirements.
Pressure filter (Notes: Conventionally
applied techniques of removal through the
process in place including oxidation-
coagulation-flocculation-media removal)
452 What Chemicals are used? Why?Potassium Permanganate or Chlorine
(Notes: Potassium Permanganate or
Chlorine: Used for pre-oxidation to convert
soluble iron, manganese, and ammonia into
filterable forms.
Chlorine (or other disinfectants): Used for
final disinfection to ensure the treated water
is free from pathogens.)
453 How is the chemical dose adjusted with flow and water quality? Prompts: What flow
rate is used for the adjustment (influent, effluent, CFE)? What water quality
parameters would make you change dose rate?
based of influent flow (Notes: Parameters
like pH, iron, manganese, and ammonia
levels are monitored. Chemical dosing is
adjusted if these levels exceed target
thresholds or if flow conditions change.)
454 Does influent flow rate vary?N
455 Process control testing is consistent with the specific treatment process
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
456 There is a means to accurately measure the quantities of chemicals used.
SIG | 25pts | TR | TD99 | R309-525-11(7)(d)(iv) | Provisions shall be made for
measuring the quantities of chemicals used. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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457 Treatment plant properly secured to protect the quality of the treated water, R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
458 Are liquid chemicals used? ... if yes, answer the following question(s)Y
458A
Proper cross-connection control is provided on the service water lines that feed the
solution tanks
SIG | 50pts | TR | TG53 | R309-525-11(9)(b)(i) | Rule requires cross connection control
to be provided to assure that the make-up waterlines discharging to solution tanks
shall be properly protected from backflow as required by the Utah Plumbing Code.
This significant deficiency must be corrected within 120 days of notification or have a
compliance action plan approved by DDW.
C
458B
There are adequate spill containment provisions for acid and caustic liquids.
MIN | 15pts | TR | TG59 | R309-525-11(6)(a)(iv)(B), R309-525-11(8)(b)(viii) | Rule
requires liquid chemical storage tanks to have an overflow and receiving basin or drain
capable of receiving accidental spills or overflows, and meeting all the requirements of
R309-525-23.
C
458C
If there is a day tank, the bulk tank and day tanks have separate screened vents.
MIN | 15pts | TR | TG60 | R309-525-11(8)(b)(vi) | Rule requires acid storage tanks to
be vented to the outside atmosphere, but not through vents in common with day tanks.
C
458D
Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals or liquids
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
458E
No direct connections exist between a sewer and drain or overflow from the feeder,
solution chamber, or tank.
SIG | 50pts | DS | M020 | R309-105-12(1) | Rule states that a water supplier shall not
allow a connection to his system which may jeopardize its quality and integrity. Cross
connections are not allowed unless controlled by an approved and properly operating
backflow prevention assembly. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
458F
Chemical storage tank access opening properly covered?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
459 Treatment chemicals meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
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TP001 - ANDRA PUMP STATION TABLET CHLORINATOR -- Treatment - Chlorination General - Active
460 Are all chemical feeders properly verified for accuracy?
SIG | 25pts | TR | TG21 | R309-525-11(7)(a)(i) | Feeders shall supply, at all times, the
necessary amounts of chemicals at an accurately controlled rate, throughout the
anticipated range of feed. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
461 Spare parts are available for all chemical feeders
MIN | 15pts | TR | TX09 | R309-525-11(7)(b)(i) and (ii) | R308-525-11(8)(b)(i) states
that a means consistent with the nature of the chemical solution shall be provided in a
solution tank to maintain a uniform strength of solution. Continuous agitation shall be
provided to maintain slurries in suspension. 2 dem
C
462 Incompatible chemicals stored separately
SIG | 25pts | TR | TG19 | R309-525-11(7)(a)(iv) | Rule prohibits chemicals that are
incompatible from being fed, stored, or handled together. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
463 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
464 Raw water compliance samples are collected before any treatment. R309-215-4(4)
SIG | 25pts | TR | T006 | R309-525-15(10)(a)(i) | R309-525-15(10)(a)(i)
Y
464A
If yes, was location shown?at infuent
465 Where are finished water quality monitoring samples collected?na
466 Does water system have a DEQ/DWQ (UPDES permit) discharge permit for the
proper disposal of treatment plant waste to land or water?
MIN | 15pts | SM | TGR3 | R309-105-6 | R309-105-6
C
467 Which parameters are watched when running treatment plant?flow turbidity
468 What type of alarm system is used?SCADA
469 Does treatment plant have a SCADA system?Y
469A
Can operators respond to all alarms in a normal day, or do they have to silence
legitimate alarms?
Yes
469B
How are alarm set points adjusted and how are changes recorded?Operator can control remotely or through
SCADA
470 Proper lab equipment on site to support required operations & maintenance of the
plant?
SIG | 25pts | TR | T019 | R309-525-17(1) | Sufficient laboratory equipment shall be
provided to assure proper operation and monitoring of the water plant. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
471 Is this facility Active or Inactive?A
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472 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
473 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
474 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
475 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
476 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
477 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
478 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
479 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
480 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
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TP002 - SANDERSON WELL CHLORINATOR -- Treatment - Chlorination General - Active
481 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
482 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
483 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
483A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
483B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
483C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
483D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
483E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
484 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
485 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
486 Is this facility Active or Inactive?A
487 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
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488 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
489 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
490 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
491 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
492 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
493 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
494 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
495 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N (Notes: no)
496 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP011 - ANDERSON CHLORINATOR -- Treatment - Chlorination General -
497 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
498 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
498A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
498B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
498C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
498D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
498E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
499 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
500 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
501 Is this facility Active or Inactive?A
502 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
Y
502A
If yes, no new connections have been added prior to approved first connection that
would change the disinfection CT calculation.
SIG | 50pts | TR | TD26 | R309-505-7(2), R309-520-4 and 6(4) | Point of application of
disinfectants shall be at a location that will achieve the required disinfection CT prior to
the first service connection. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
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503 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
504 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
505 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
506 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
507 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
508 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
509 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
510 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
511 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP012 - WOODBURY #8 CHLORINATOR -- Treatment - Chlorination General - Active
512 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
513 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
513A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
513B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
513C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
513D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
513E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
514 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
515 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
516 Is this facility Active or Inactive?A
517 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
Y
517A
If yes, no new connections have been added prior to approved first connection that
would change the disinfection CT calculation.
SIG | 50pts | TR | TD26 | R309-505-7(2), R309-520-4 and 6(4) | Point of application of
disinfectants shall be at a location that will achieve the required disinfection CT prior to
the first service connection. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
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518 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
519 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
520 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
521 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
522 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
523 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
524 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
525 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
526 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP014 - ACORD CHLORINATOR + FLUORIDE -- Treatment - Chlorination General - Active
527 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
528 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
528A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
528B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
528C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
528D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
528E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
529 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
530 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
531 Is this facility Active or Inactive?A
532 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
Y
532A
If yes, no new connections have been added prior to approved first connection that
would change the disinfection CT calculation.
SIG | 50pts | TR | TD26 | R309-505-7(2), R309-520-4 and 6(4) | Point of application of
disinfectants shall be at a location that will achieve the required disinfection CT prior to
the first service connection. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
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533 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
534 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
535 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
536 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
537 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
538 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
539 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
540 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
541 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP015 - WRIGHT #14 CHLORINATOR -- Treatment - Chlorination General -
542 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
543 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
543A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
543B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
543C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
543D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
543E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
544 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
545 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
546 Is this facility Active or Inactive?I
546A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand-by mode
547 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
548 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
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549 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
550 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
551 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
552 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
553 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
554 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
555 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
556 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
557 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
558 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
558A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP016 - EVANS CHLORINATOR -- Treatment - Chlorination General - Active
558B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
558C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
558D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
558E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
559 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
560 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
561 Is this facility Active or Inactive?A
562 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
563 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
564 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
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565 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
566 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
567 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
568 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
569 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
570 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
571 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
572 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
573 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
573A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
573B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
573C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP017 - TAGGART WELL CHLORINATOR -- Treatment - Chlorination General - Active
573D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
573E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
574 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
575 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
576 Is this facility Active or Inactive?A
577 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
578 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
579 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
580 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
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581 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
582 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
583 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
584 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
585 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
586 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
587 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
588 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
588A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
588B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
588C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
588D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
588E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
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TP019 - WELL #17 CHLORINATION & FLUORIDATION -- Treatment - Chlorination General - Active
589 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
590 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
591 Is this facility Active or Inactive?A
592 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
593 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
594 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
595 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
596 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
597 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
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598 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
599 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
600 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
601 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
602 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
603 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
603A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
603B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
603C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
603D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
603E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
604 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
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TP026 - BREEZE CHLORINATOR -- Treatment - Chlorination General - Active
605 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
606 Is this facility Active or Inactive?A
607 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
608 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
609 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
610 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
611 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
612 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
613 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
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TP011 - ANDERSON CHLORINATOR -- Gaseous Chlorination -
614 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
615 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
N
616 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
617 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
618 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y
618A
System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
618B
Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C
618C
"What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
618D
System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
618E
System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
619 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
620 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
621 Is this facility Active or Inactive?I
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621A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand-by mode
622 If disinfection is required, standby chlorination equipment of sufficient capacity is
available to replace the largest unit.
SIG | 25pts | TR | TD22 | R309-520-7(1)(k)(ii) | Where chlorination is required for
disinfection of the water supply, the rule requires standby equipment of sufficient
capacity to be available to replace the largest unit in the event of its failure. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
623 Is the chlorinator room heated and has the ability to be protected from excessive heat?
MIN | 15pts | TR | TD08 | R309-520-7(1)(l) | Rule requires chlorinator buildings to be
heated, lighted, and ventilated as necessary to assure proper operation of the
equipment and safety of the operators.
C
624 If continuous disinfection is needed, automatic switch over of chlorine cylinders is
provided.
MIN | 15pts | TR | TD01 | R309-520-7(2)(a), R309-520-6(1) | Rule requires automatic
switch over of chlorine cylinders be provided if continuous disinfection is required.
C
625 Exhaust fan takes suction near the floor as far as practical from the door and air inlet,
and discharges outside away from air inlets.
MIN | 15pts | TR | TD09 | R309-520-7(2)(d)(iii) | Rule requires a chlorine room exhaust
fan to take suction inside the chlorine room near the floor, as far as practical from the
door and air inlet, and discharge air outside of the building away from air inlets.
C
626 Air inlets are located near the ceiling and fitted with louvers.
MIN | 15pts | TR | TD10 | R309-520-7(2)(d)(iv) | Rule requires chlorine room air inlets
to be through wall louvers near the ceiling.
C
627 Chlorine vent line discharges outside and above grade and is screened with #14 mesh
screen.
SIG | 25pts | TR | TD13 | R309-520-7(2)(e) | Rule requires the chlorine vent line to
discharge outside, above grade, at a point least susceptible to vandalism, and to have
the end covered with a #14 mesh non-corrodible screen. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
628 Separate switches for chlorine room fans and lights are located near the entrance to
the room (or are located outside the chlorine room if housed in a water treatment
plant).
MIN | 15pts | TR | TD12 | R309-520-7(2)(d)(v) | Rule requires separate switches for
the chlorine room fans and lights to be located near the entrance to the room and to
be protected from vandalism. The switches are required to be located outside the
chlorine room if housed in a water treatment plant.
C
629 Chlorine cylinder is restrained in position to prevent upset.
SIG | 25pts | TR | TD15 | R309-520-7(2)(h) | Rule requires chlorine cylinders to be
restrained in position to prevent upset. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
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TP002 - SANDERSON WELL CHLORINATOR -- On-Site Generation - Active
630 Chlorine cylinder is not stored in direct sunlight or exposed to excessive heat.
SIG | 25pts | TR | TD17 | R309-520-7(2)(f)(ii) | Rule prohibits chlorine cylinders from
being stored in direct sunlight or exposed to excessive heat. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
631 Weight scale is provided for weighing chlorine gas cylinders/containers.
SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for
determining chlorine cylinder weight. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
632 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following
question(s)
Y
632A
Leak response/repair plan available
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
632B
Bottle of ammonium hydroxide (56 % ammonia solution) is available for chlorine leak
detection
MIN | 15pts | TR | TD14 | R309-520-7(2)(l)(i) | Rule requires a bottle of ammonium
hydroxide (56% ammonia solution) to be available for leak detection.
C
632C
Immediate access to NIOSH respirator available
SIG | 25pts | TR | TD04 | R309-520-7(2)(k)(ii) | Where 150 pound chlorine cylinders
are used, a respirator recommended the National Institute of Occupational Safety and
Health must be available. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
633 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N
634 Is the (daily) scale weight or volume data recorded? Explain where in the comments...
SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for
determining chlorine cylinder weight. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
635 Is this facility Active or Inactive?A
636 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
637 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
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TP012 - WOODBURY #8 CHLORINATOR -- On-Site Generation - Active
638 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
639 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
640 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
641 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
642 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
643 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
644 Is this facility Active or Inactive?A
645 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
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TP014 - ACORD CHLORINATOR + FLUORIDE -- On-Site Generation - Active
646 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
647 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
648 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
649 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
650 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
651 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
652 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
653 Is this facility Active or Inactive?A
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TP015 - WRIGHT #14 CHLORINATOR -- On-Site Generation -
654 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
655 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
656 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
657 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
658 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
659 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
660 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
661 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP016 - EVANS CHLORINATOR -- On-Site Generation - Active
662 Is this facility Active or Inactive?A
663 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
664 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
665 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
666 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
667 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
668 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
669 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
670 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP017 - TAGGART WELL CHLORINATOR -- On-Site Generation - Active
671 Is this facility Active or Inactive?A
672 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
673 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
674 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
675 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
676 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
677 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
678 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
679 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP019 - WELL #17 CHLORINATION & FLUORIDATION -- On-Site Generation - Active
680 Is this facility Active or Inactive?A
681 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
682 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
683 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
684 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
685 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
686 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
687 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
688 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP026 - BREEZE CHLORINATOR -- On-Site Generation - Active
689 Is this facility Active or Inactive?A
690 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
691 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
692 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
693 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
694 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
695 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
696 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
697 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP001 - ANDRA PUMP STATION TABLET CHLORINATOR -- Tablet Hypochlorination - Active
698 Is this facility Active or Inactive?A
699 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
700 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
701 Hydrogen gas generated in electrolytic cell is vented upward outside of building
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
702 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
703 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
704 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C
705 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
706 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP027 - RUSHTON WTP -- Filtration - General
707 Is this facility Active or Inactive?A
708 Hypochlorite dissolution equipment is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
709 Hypochlorite tablets are stored in cool, dry and well ventilated area
MIN | 5pts | TR | TD72 | R309-520-7(3)(d)(iii) | Rule requires hypochlorite tablets to be
stored in accordance with manufacturer's safety guidelines and in their original
containers is a coll, dry, well-ventilated area.
C
710 Hypochlorite tablets are stored away from acid or combustible materials
SIG | 25pts | TR | TD73 | R309-520-7(3)(d)(iii) | Rule prohibits storage of hypochlorite
tablets near combustible materials or acids. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
711 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
C
712 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
713 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (a full eyewash station and
shower is not required)
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
714 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
715 Records are kept to minimize the use of decayed hypochlorite solution
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
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TP014 - ACORD CHLORINATOR + FLUORIDE -- Fluoridation - Active
716 Instrumentation and controls for the process are operational, and in service
SIG | 25pts | TR | T021 | R309-100 - R309-600 | All instrumentation needed to verify
that treatment processes are sufficient shall be properly calibrated and maintained. At
a minimum, this shall include turbidimeters. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
717 Is turbidity monitoring required? ... if yes, answer the following question(s)Y
717A
How often is the turbidity meter calibrated?monthly
717B
How often is the flow of turbidity meter verified?daily
717C
Is continuous turbidity monitoring in operation.
SIG | 50pts | TR | T005 | R309-525-15(4)(b)(vi), R309-525-15(4)(c)(vii) | Each dual
media and tri-media filter must be provided with equipment which shall continuously
monitor turbidity in the filtered water. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
718 What is the maximum filtration rate throughout the year (in gpm/sf)?6
719 What criteria are used to determine when a filter backwash is needed?H
720 What criteria are used to determine filtration is functioning properly? (PSI, Turbidity,
Headloss, Flow rate, water quality parameter)
turbidity
721 Criteria is used to determine filter loading rate meets the manufacturers
recommendations? R309-525-15(2) Explain in comments...
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
722 What criteria are used to determine if filter media needs to be replaced?turbidity
723 Is backwash flow rate verified to determine it meets minimum requirements?
MIN | 15pts | TR | T076 | R309-525-15(7) | Rule requires that backwash systems be
designed and operated to
provide for adequate backwash with minimum media loss.
C
724 If system filters by Direct Filtration, the plant is configured to shut down automatically
when a source water exceeds 20 NTU for longer than 3 hours, or when the source
water turbidity exceeds 30 NTU at any time? R309-530-5(3)(g)
SIG | 25pts | TR | T021 | R309-100 - R309-600 | All instrumentation needed to verify
that treatment processes are sufficient shall be properly calibrated and maintained. At
a minimum, this shall include turbidimeters. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
NA (Notes: no direct filtration)
725 Is this facility Active or Inactive?A
726 Background fluoride level before adding fluoride (in ppm):0.2
727 Target dose of fluoride added (in ppm):0.5
728 Typical fluoride level after adding fluoride (in ppm):0.7
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729 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
729A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
730 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
731 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
732 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
733 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
734 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
735 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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736 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
737 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
738 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
739 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
740 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
741 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
741A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
741B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
741C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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TP019 - WELL #17 CHLORINATION & FLUORIDATION -- Fluoridation - Active
741D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
741E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
741F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
741G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
741H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
741I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
741J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
742 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
743 Is fluoride dry feed equipment used?....if yes, answer the following questions N
744 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
745 Is this facility Active or Inactive?A
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746 Background fluoride level before adding fluoride (in ppm):0.2
747 Target dose of fluoride added (in ppm):0.5
748 Typical fluoride level after adding fluoride (in ppm):0.7
749 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
749A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
750 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
751 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
752 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
753 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
754 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
755 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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756 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
757 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
758 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
759 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
760 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
761 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
761A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
761B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
761C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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TP020 - WELL #1 FLUORIDATION -- Fluoridation - Active
761D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
761E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
761F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
761G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
761H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
761I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
761J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
762 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
763 Is fluoride dry feed equipment used?....if yes, answer the following questions N
764 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
765 Is this facility Active or Inactive?A
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766 Background fluoride level before adding fluoride (in ppm):0.2
767 Target dose of fluoride added (in ppm):0.5
768 Typical fluoride level after adding fluoride (in ppm):0.7
769 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
769A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
770 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
771 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
772 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
773 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
774 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
775 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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776 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
777 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
778 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
779 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
780 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
781 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
781A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
781B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
781C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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TP021 - WELL #8 FLUORIDATION -- Fluoridation -
781D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
781E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
781F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
781G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
781H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
781I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
781J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
782 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
783 Is fluoride dry feed equipment used?....if yes, answer the following questions N
784 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
785 Is this facility Active or Inactive?I
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785A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand-by mode
786 Background fluoride level before adding fluoride (in ppm):0.2
787 Target dose of fluoride added (in ppm):0.5
788 Typical fluoride level after adding fluoride (in ppm):0.7
789 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
789A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
790 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
791 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
792 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
793 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
794 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
795 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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DISTRICT page 118 of 131
796 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
797 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
798 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
799 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
800 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
801 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
801A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
801B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
801C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
DEQ | Drinking Water
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DISTRICT page 119 of 131
TP022 - WELL #12 FLUORIDATION -- Fluoridation - Active
801D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
801E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
801F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
801G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
801H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
801I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
801J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
802 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
803 Is fluoride dry feed equipment used?....if yes, answer the following questions N
804 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
805 Is this facility Active or Inactive?A
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806 Background fluoride level before adding fluoride (in ppm):0.2
807 Target dose of fluoride added (in ppm):0.5
808 Typical fluoride level after adding fluoride (in ppm):0.7
809 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
809A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
810 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
811 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
812 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
813 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
814 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
815 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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816 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
817 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
818 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
819 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
820 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
821 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
821A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
821B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
821C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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TP023 - WELL #14 FLUORIDATION -- Fluoridation -
821D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
821E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
821F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
821G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
821H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
821I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
821J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
822 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
823 Is fluoride dry feed equipment used?....if yes, answer the following questions N
824 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
825 Is this facility Active or Inactive?I
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825A
Explain why this facility is Inactive (Is this facility in stand-by mode?)stand-by mode
826 Background fluoride level before adding fluoride (in ppm):0.2
827 Target dose of fluoride added (in ppm):0.5
828 Typical fluoride level after adding fluoride (in ppm):0.7
829 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
829A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
830 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
831 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
832 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
833 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
834 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
835 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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TP024 - WELL #15 FLUORIDATION -- Fluoridation - Active
836 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
837 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
838 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
839 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
840 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
841 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions N
842 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
843 Is fluoride dry feed equipment used?....if yes, answer the following questions N
844 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
845 Is this facility Active or Inactive?A
846 Background fluoride level before adding fluoride (in ppm):0.2
847 Target dose of fluoride added (in ppm):0.5
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848 Typical fluoride level after adding fluoride (in ppm):0.7
849 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
849A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
850 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
851 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
852 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
853 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
854 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
855 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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856 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
857 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
858 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
859 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
860 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
861 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
861A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
861B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
861C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
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TP025 - WELL #16 FLUORIDATION -- Fluoridation - Active
861D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
861E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
861F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
861G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
861H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
861I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
861J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
862 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
863 Is fluoride dry feed equipment used?....if yes, answer the following questions N
864 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
865 Is this facility Active or Inactive?A
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866 Background fluoride level before adding fluoride (in ppm):0.2
867 Target dose of fluoride added (in ppm):0.5
868 Typical fluoride level after adding fluoride (in ppm):0.7
869 Sampling location is present for measuring the final fluoride level (if compliant, answer
follow-up question)
MIN | 15pts | TR | TF44 | R309-535-5(2)(d)(iii) | A sampling point shall be provided
downstream of the fluoridation facility for measuring the fluoride level of treated water.
C (Notes: d/s location)
869A
Identify the sampling location of the measured final fluoride level:at discharge pipe (Notes: d/s location)
870 There is a means to measure the flow of water to be treated
SIG | 25pts | TR | TF11 | R309-535-5(2)(d)(i) | A means to measure the flow of treated
water shall be provided. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
871 Fluoride concentrations, including chemical dosage and total water quantity, are
calculated daily. Daily operating records reflect chemical dosages and total quantities
used.
MIN | 15pts | TR | TF20 | R309-105-14(3) | R309-105-14(3) requires all water system
using chemical addition or specialized equipment for the treatment of drinking water
shall regularly complete operational reports. For a fluoridation facility that does not
calculate fluoride concentrations, include field and lab fluoride results.
C
872 Fluoride testing instruments are properly verified (zeroed & recorded split samples) or
calibrated
MIN | 15pts | TR | TF21 | R309-525-25(4) | R309-525-25(4) states all instrumentation
needed to verify that treatment processes are sufficient shall be properly calibrated
and maintained.
C
873 Fluoride chemicals are stored in covered or unopened shipping containers inside a
building.
MIN | 15pts | TR | TF06 | R390-535-5(2)(b)(i) | Fluoride chemicals shall be stored in
covered or sealed containers, inside a building, and away from direct sunlight and a
source of heat.
C
874 Fluoride injection point shall not be located upstream of lime-soda softening or ion
exchange softening process.
MIN | 15pts | TR | TF50 | R309-535-5(2)(g)(iii) | Added the following: The fluoride
injection point shall not be located upstream of lime softening, iron exchange, or other
processes that affect the fluoride level.
C
875 Chemicals used for fluoridation meet the NSF/ANSI 60 standard or applicable AWWA
standards
SIG | 25pts | TR | TF04 | R309-535-5(2)(a)(i) | All chemicals used for fluoridation shall
be certified to comply with ANSI/NSF Standard 60. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
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876 Electrical outlet and cord/plug for fluoride feed pump is a non-standard receptacle type
without using an adaptor and feed pump is interconnected with a well or a service
pump (to ensure that the fluoride feed pump is turned on only when the well or service
pump is on and water is flowing in the pipe)
SIG | 100pts | TR | TF22 | R309-535-5(2)(f) | Rule requires the electrical outlet used
for fluoride feed pump to have interlock protection by being wired with the well or
service pump, such that the feed pump is only activated when the well or service
pump is on. The rule also prohibits the feed pump from being plugged into a
continuously active ("hot") electrical outlet. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
877 Acid-resistant secondary containment is provided and adequately sized for corrosive
fluoride solutions.
SIG | 25pts | TR | TF26 | R309-535-5(2)(c )(i), (ii) and (iii) | Rule requires secondary
containment: for tanks containing corrosive fluoride solutions, to be sized to contain
the maximum volume of solution handled, and to be designed to be acid resistant.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
878 Vent for the chemical storage, injection and operating areas vents to outside
atmosphere and away from air intakes.
MIN | 15pts | TR | TF24 | R309-535-5(2)(j)(iii) | The fluoride operating area shall be
vented to outside atmosphere and away from air intakes.
C
879 Incompatible chemicals are not stored in fluoride storage or injection areas.
MIN | 15pts | TR | TF28 | R309-535-5(2)(b)(i) - (iv) | Fluoride chemicals shall be stored
in covered or sealed containers, inside a building, away from direct sunlight and a
source of heat, and not be stored with incompatible chemicals. Bags or other
containers for dry materials shall be stored on pallets. Containers for dry materials
shall be kept closed to keep out moisture.
C
880 Has any electrical or SCADA work been done recently that could affect the original
design or fluoride control settings?"... If the answer is yes, answer the next question.
N
881 Is fluorosilicic acid used for fluoridation? ... if yes, answer the following questions Y
881A
Acid solution tank is mounted on a scale or has other means of measuring the quantity
of fluoride used each day (such as level indicator or loss-of-weight recorder).
SIG | 25pts | TR | TF14 | R309-535-5(2)(d)(ii) | A means shall be provided to measure
the solution level in a tank and the quantity of the chemical used. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
881B
Solution tanks for fluorosilicic acid are vented to atmosphere outside the building
(away from air intake).
MIN | 15pts | TR | TF29 | R309-535-5(3)(b)(ii) | Rule requires solution tanks at
fluorosilicic acid installations to vent to the outside, above grade, away from air
intakes, and where least susceptible to contamination.
C
881C
Neutralizing chemical is available for immediate use in case of acid spill
SIG | 25pts | TR | TF42 | R309-535-5(3)(e) | A neutralizing chemical shall be available
on site to handle small quantity accidental acid spills. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
DEQ | Drinking Water
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881D
Deluge shower and eyewash station are provided. The emergency shower and eye
wash station should be located close to, but outside of, the fluorosilicic acid operating
area.
SIG | 25pts | TR | TF15 | R309-535-5(3)(d) | Emergency eyewash stations and
showers shall be provided. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
881E
Appropriate acid-resistant personal protective equipment provided for operators
(including eye or face protection gear for handling acid, acid resistant long rubber
gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
881F
If acid bulk storage tank and day tank are present and there is a risk of solution
overflow from the bulk tank to the day tank, each tank is provided with separate vent.
MIN | 15pts | TR | TF31 | R309-535-5(3)(b)(iii) | Rule prohibits a bulk tank from sharing
a vent with a day tank if there is a risk of solution overflow from the bulk tank to the
day tank.
C
881G
If there is a transfer pump between the acid bulk storage tank and the day tank, there
is a means to stop the transfer of acid in case of transfer pump failure.
REC | 0pts | TR | TF32 | recommendation | A means to stop the transfer pump will
protect the operator and minimize possible acid spill.
C
881H
Emergency shutoff is near the entrance of the fluoride operating area to turn off the
transfer pump or injection pump in case of acid spill
REC | 0pts | TR | TF33 | recommendation | Having an emergency shutoff near the
entrance of the fluoride operating area will better protect the operator and minimize the
need of entering the operating area during acid spill.
C
881I Means provided to handle catastrophic failure of acid bulk storage tank.
REC | 0pts | TR | TF34 | recommendation | Water system should have an operation
plan in place and provide adequate training to the operators for responding to
catastrophic failure of acid bulk storage tank.
C
881J There is a seismic restraint system for the acid bulk storage tank.
REC | 0pts | TR | TF35 | recommendation | The acid bulk storage tank should be
adequately restrained to prevent catastrophic failure in case of seismic event.
C
882 Is a saturator used for fluoridation? ... if yes, answer the following question(s)N
883 Is fluoride dry feed equipment used?....if yes, answer the following questions N
884 Appropriate personal protective equipment provided for operators (including NIOSH
approved respirator and chemical/dust-resistant safety goggles for saturators and dry
feeders, acid-resistant gloves, apron or coverall, and boots)
SIG | 25pts | TR | TF13 | R309-535-5(3)(f), R309-535-5(4)(h), R309-535-5(5)(e) | The
use of personal protective equipment (PPE) is required when handling fluorisilicic acid
and dry chemicals. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
Run Date: 08/21/2024 19:35:44 | Rating: Approved UTAH18007 GRANGER-HUNTER IMPROVEMENT
DISTRICT page 131 of 131