DDW-2024-006520

State ofUtah
GARY R HERBERT
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SPENCERJ COX
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Department of
Environmcntal Quality
Alan Mathcson
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DIVISION OF DRNKING WATER
Maric E Owcns,PE
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November 08,2017
Nathan Spachan
Dcweyville Towll
10870 N Hwy 38
Dcweyvillc,UT 84309
SutteCt RTCR Salnple Site Plan Approval for Deweyville Towll UTAH02006
Dear NIIr/Ms.Spackman:
The current RTCR salnple site plan for UTAH02006 is approvcd as submitted to thc I)ivision of
Drinking Water.Ifyou have any qucstions or changes that need to be inade please feel frce to
contact me at(801)536-4150 or Pkcersの utah.2ov
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
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Printcd on 10096 recyclcd papcr
Sincerely,
10/2ρ 017 State of utah Mal_FwdI Sample Sne P ans
DDW Reports <[e-mail]>
Fwd: Sample Site Plans
l message
Rachael Cassady <[e-mail]>
To: DDW Reports <[e-mail]>
----- Forwarded message ---------
From: Nate Spackman <[e-mail]>
Date: Wed, Sep 27, 2017 at 9:19 AM
Subject: Sample Site Plans
To: "[e-mail]" <[e-mail]>
Cc: Ben Harker <[e-mail]>, Nate Spackman <[e-mail]>
Thu,Sep 28,2017 at 2:40 PM
Rachael,Here are the Sample Sle Plans for Deweyv∥le Town(02006)and Park va∥ey School(02043) l hopel d d them
correctly Pleaselet me know ifthere are any problems Thanks hope you have a great day!
Nate Spackman
Box Elder School DistHct
Rachael Cassady
Rllles lmplementa∥on Manager
icassady@utah 90v
801‐536-4467EIII
2 attachments
]躍 欝yV∥降Sam口 e ste口 an and map 2017.pdf
,異 kh∥
ey 2∝7 Sample S■e HaLpdf
https:〃ma1 9oo91e COm/ma rb′AGLcOmSk4MltuqoNB7BMguuitzwG8DV07PkK」rddJlfhrOkzblS/u′0/?u=2&ik=2401283わ ettsVer=mTBq8BBM4z8 en 4′1
UTAH DEPARTttCNT o「
Cttν l贄 ONMENTAL OUAL:TY
DR:NK:NGWATER
PO Box 144830
Salt Lake City, UT 841144830
Phone: [phone]
Fax: [phone]
Email: ddwreports@utah. gov
www.drinkingwater.utah. gov
System #: UTAH[o][r]lol{ol[.1
Phone #: [phone]
Email: [e-mail]
BACTERIOLOGICAL SAMPLE SITE PIAN
As pad of lhe Revised Total Coliform Rule, the location from which samples are taken is to be vaded. All waler systems are
required to malntain a cunent bactedological sample siting plan. Tha plan shows the localions of all sample sites kom which
bactedological lests are taken. Sample siles are lo be representative of all pressure zones and sach water source of lhe
disttibution sysl€m, The sample plan should be revised regularly and {ollowing any major construction project impacting lhe
distribution system.
System Name:.
Street Address:
Dowoyvillo Town
10870 N Hwy 38 Deweyv口 ie
Mailing Address:10870 N Hwy oo Deweyv∥lo UT 84309
Service Qonngglisns; 132 Served: 3so
SAMPLE Ct
Samples collected by:
Name of Laboratory:
Mailing Address: 85 E .l800 N North Logan uT 8434r
Shte Lab Code: flzeaa phone #: 43$7s2$500
The Laboratory was sent a copy of this plan 6p; september 27, 2017
Utah Divlsion of Water was sent a of thls
Nathan spackman.Richard Vv∥iams
Sear River H€alth Dspartment
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ア 亀
27,2017
WATER
Seasonal
ls lhe waler operaled seasonally?I「〕YES |レ 〕NO
Dates of operation: 0pen:Close:
Systgms, which openate seasonally, are required to take an investigative sample prior to opening to the public. Where
will lhat sample be taken?
Location Date sampted:
MAP OF
Have you enclosed\attached a map of the distribution system showing the source tweit, spring, etcJ, storage tanks,
treatment facilities, distribution piping, routine sample locations, and fqlfow-up (repeat) map? [p] Yes lrl No
Ч
Repoil Preparad by:
Signature and lite:
Nathan Soackman
Date: Sgp!32, 2o1Z-
SAMPLE LOCAT10NS
The following describes each routine sample localion, what months the localion will be sampled, and where follow-up
(repeat) samplss will be laken in lhe event of a 'posilive' routine sample.
Rou∥ne Sample Loca∥oni Follow・ uD fre●latl Samde Localong
l Marble ll1651…望
lbl・ ||●n nome or addcs31 (mlnO■嘔綸●●●b ml●●73ddFeSSl
2.堕 by Cardner ll,∞Descaplion: sink faucet
(hoso bib. link ,aucot. otc.)llocalon Mnb ot addrois ur-shoem)
Water samメ eS W∥be∞∥ected from mに bcattOn dunng 3 Kendnck 10965
the monih、o,イ nirrJρ ヽlhe months ol (cirde):
(localion 0artE or addloss dom.sto6m)
1■QL 」an, Fob Mar
2d Qtt: ,/ Apt. May Jun. 4. Cold Wal6r & Easl Sprino. 2 wB[ sires
3に Or Jul Aug /sep
4●01“ Oct Nov Dec
(sourcei
Rou∥ne Samplo Locationi Fdlow・ up 17●●●●:I Samolo Locatbn“
1壁 g壁 ,195Wl1300Nl Page3195VVl1300N
(bCa●"nale of addess)
“
m“呻 b―_●||‐・3)
2.し ｀h3105wJ1300NDescdption: sink faucel
those bib.3nk lal●t elc)(b€ton nalra o, addGss lrlst eam)
Water samples w∥be∞∥ecled lrom lhに locauOn dunng 3 Spenst3225 W l1300 N
the manths nfrarJρ 、lie monhs of (cirde):
(locatir. ,EDe o, addlos! donn-staam)
F Otr: Apr. . May Jun. 4. Cold Warer E East Sprinq, 2 w€ll sites
3“Qヒ 」uL Aug Sep
4い Qヤ : ′Oct Noν Dec
Rou∥ne SamJo Loca∥o肛1 Fo∥●w・ up 170p●atl Sam●:o Loca∥on3:1(locllkn nomo or addlrst)(.6rline gamplo locali{, namo or addfoss}
Desciplion:
脂‰瀾誉鰤 ∞腱ded hm hsb∽lon dunn9 3
1“Qlr Jan Feb. Mar
2●Otr Apr May Jun 4
31(1「 」ul Aug sep
4'Olri Oct Nov Dec
(b€lron nanlo or addfess up-stoam)
(baation naiE o, addrcrs do*Latoam)
(sourcs)|
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