DDW-2024-006521

State ofUtah
GARY R HERBERT
Gο ッ
`″
″ο′
SPENCERJ COX
ι′′′′
`″
α″′(]Oν ′′″ο′
Department of
Environmental Quality
Alan Matheson
Executive Director
DIVISION OF DRINKINC WATER
Kenneth H. Bousfield, P.E.
Director
October 18,2017
Steven Wocmer
Elwood Town
5235W8800N
Trelnonton,UT 84337
SutteCt:RTCR Salnple Site Plan Approval for Elwood Town Water UTAH02007
Dearヽ 〔r/Ms.Woerner:
The current RTCR sample site plan for UTAH02007 is approved as submitted to the I)ivision of
Drinking Water.Ifyou havc any questions or changes that need to be rnade please fecl frce to
contact ine at(801)536-4150 or Pkeers(Dutah.gov
Sincerely,
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
195 Nortl1 1950 Wcst・ Salt Lake City,UT
Mailing Addrcss:P O Box 144830。Salt Lakc City,UT 84114-4830
Tclcphonc(801)536-4200・ Fax(801)536‐4211・ TDD(801)536-4414
″″14'ノ
“″″′tr/1gで ,ソ
Printcd On 10096 recycled paper
BACTERIOLOGICAL SAMPLE SITE PLAN
As part of lhe Revised Total Coliform Rule, the location from which samples are taken is to be varied. All waler systems are
required lo maintain a currenl bacteriological sample siting plan. The plan shows the locations of all sample sites from which
bacteriological tests are taken. Sample sites are to be representative of all pressure zones and each water source of the
distribution system. The sample plan should be revised regularly and following any major construction project impacting the
distribution system.
1と
ICIIIII｀
PO Box 144830
Sall Lake Ctty:U丁 84114‐4830
Phonα ool)536‐4100
FaК 001)536‐4211
Emall:ddwrepons@utah.9ov
―.dttnkingwater.utah.9ov
SEP ll
Drinking Ⅵ′ater
WAttER SYSttEM iNFORMA丁 10N
System Name:ELW00D TOWN System#:uttAHlo121[O101171
Phone#:435‐730‐3902Street Address:5235W8800N
Mailing Address:5235 VV 8800 N ELW00D,UTAH 84337 f ;12i1; swoennen6ElwooDrom.co*
Service Connections: szz i6n $srvs(' 1200
SAMPLE COLLEC丁 :ON
Samples collected by: srEve woenruen
Name of Laboratory: BEAR RtvER HEALTH oEPT
Mailing Address: 85 E 1800 N LoGAN, urAH 84341
Sね Ю Lab Codeiυ ア′′43ι Phone #: 435-7s2-6s82 Fax #:
The Laboratory was sent a copy ofthis plan on: 10 sEPr 2017
Utah Division of Drinkinq Water was sent a copv of this olan 61.10 sEpr 2017
Seasonal
ls the water operated seasonally?|「l YES 1司 NO
Dates of operation: Open:Close:
Systems, which operate seasonally, are required to take an investigative sample prior to opening to the public. Where
will that sample be taken?
Location Date sampled:
MAP OF SYSTEM
Have you enclosed\attached a map of the distribution system showing the source (well, spring, etc), storage tanfr
treatment facilities, distribulion pipinq, routine sample locations, and follow-up (repeat) map? [z] Yes lrl No
"。しゝJ●
R獲
SttP
Drinkii
√ED
2017
Water
:ヽ
1 1
1g
SAMPLE LOCAT:ONS
The following describes each routine sample location, what months the location will be sampled, and where follow-up
(repeat) samples will be taken in the event of a "positive" routine sample.
Routine Sample Location:
1. (A) ELWOOD TOWN HALL
(location name or address)(rOuttne sam口 el∝auOn name Oraddress)
2.PETERSONDescription: SINK FAUCET
(hOSe Ыb,jnk faucet,etc.)(location name or address up-stream)
Fdbttup frepeat)Samde Loca∥ons:
1.TOWN HALL
Water samples wⅢ be co∥ected from this localon du∥ng 3.ANDERSON
the months of(cirCle):
00cauOn name o「address down―試ream)
lSt Qtr ィ Jan. Feb. Mar.
2nd Qtr ノ Apr May 」un 4.ALL SOURCES
3rd Qtr: ′」u!. Aug. sep.
4h Qt「 ンOct Nov Dec.
Rou∥ne Samp:e Location:
1.(B)SUNMART ttEXACO
Description:
(bCa10n name o「address)
S:NK FAUCET
lhOSe bb,Ы nk Faucet,etcぅ
Water samples w∥l be co∥ected from this iocation during
the months Of(cirCle):
Fdbttup(repeatl Samde Loca∥ons:
1.SUNMAR丁
(rOuune samJelocaJOn name oraddress)
2.LAUMAN
(location name or address up-stream)
3.MUNNS
00CadOn name o「addttss down‐gttam)
4.ALL SOURCES
(SOurCe)
1●Qtr
2nd Qtr
3d Qtr
4h Qtr
Jan.
Apr.
Jul.
Oct.
ノFeb.
′May
′Aug。
′Nov.
Fdbw・ up frepeat)SampL Localons:
1.」CD!NER
(rOuune sam口 e bca“On name oraddress)
2.BRONSON
(location name or address up-stream)
3.CHADEZ
ぐ。cauOn name oraddttss down‐試mam)
4.ALL SOURCES
(SOurCe)
Rou∥ne Sample Location:
1.(C)」C DiNER
Description:
00cauOn name o「address)
S:NK FAUCET
(hose bib, sink faucet, etc.)
Water samples will be collected from this location during
the months of (circle):
lSt Qtr
2nd Qt「
3d Qtr
4h Qtr
」an.
Apr
Jui.
Oct
r llar.
,z Jun.
z Sep.
t Dec.
Report Prepared by:
Signature and Title:
STEVEN WOERNER
久な み
`に
脚′にしprく 。Daじ ηツー/フ
(source)
:RECEilt,'ID
i SEP il ,317
Drinkl角 3,「ater
SAMPLE LOCA丁 10NS
The following describes each routine sample location, what months the location will be sampled, and where follow-up
(repeat) samples will be taken in the event of a "positive" routine sample.
Rou∥ne Samp:e Location:
1.(D)NELSON FARMS
Description:
00CatOn name oraddress)
HOSE B!B
(hOSe Ыb,Snk faucet,etc)
Water samples w∥i be co∥ected from this iocation durlng
the months of(clrCle):
Fdlow・ up〔repeat)Sampb Localons:
1.NELSON FARMS
(routine sample location name or address)
0∝a10n name oraddЮ ss u,stream)
3.BODRERO
ぐ。Ca10n name oraddress down―盤ream)
4.ALL SOURCES
ISOurCe)
2.
Feb.
May
Aug.
Nov
1ま Qtr:
2nd Qtr
3d Qtr
4h Qtr
ノJan.
ノAp「
′」ul.
ノOct
Man
Jun.
Sep.
Dec
Fdlottup lrepeat〕Samde Localons:
1.ROAD SHEDS
(rOuune sam口 e bca10n name oraddress)
2.WttDMAN
(location name or address up-stream)
(location name or address down-stream)
(source)
Routine Sample Location:
1. (E) BoX ELDER couNw ROAD SHEDS
(location name or address)
Description: SINK FAUCET
(hose bib, sink faucet, etc.)
Water samples will be collected from this location durinq
the months of (circle'l: " 3. ANDERSONthe months of (circle):
1st Qtr: Jan. ,, Feb. Mar.
2nd Qt「 Apr. レ May 」un 4.ALL SOURCES
3rd Qtr: Jul. ノAug. sep.
4h Qtr Oct ン Nov Dec
Fdbttup lrepeati Samde Locattons:
1.lVERSON FARM
(rOuune sam口 e bcattOn name or address)
2.GREG iVERSON
(location name or address up-stream)
(location name or address down-stream)
(source)
(location name or address)
DescriPtion: HOSE BIB
(hose bib, sink faucet, etc.)
Roulne Sample Location:
1.(F)IVERSON FARMS
Water samples wⅢ be co∥ected fЮ m this localon dunng 3.HARDY
the months of rcircle、:the months of (circle):
1ゞ Qtr 」an. Feb. /Mar.
2nd Qtr Apr. May レ Jun. 4.ALL SOURCES
3rd Qtri 」ul. Aug. ノ Sep
4h Qtr Oct Nov ノDec.
:R顧 3ElvED
i SttP i 1 2017
DrinkingミtiこrElwood Towlll
Culinary Water Bacteria Salnpling Site Plan
Elwood Town is required by the State of Utah Division of Drinking Water (DDW), to
take two routine bacteria sample per month and submit the result to the DDW. This
document shall outline the routine that the Elwood Town water system will follow in
order to see that this is done as per state and federal requirements:
1. The samples shall be taken on, or about the second Tuesday of each month.
2. There shall be at least six (6) sampling sites located at points within the system
that will ensure complete representative sampling coverage of the system. The
sampling points will be rotated each month to achieve an analysis of each part of
the system quarterly. Currently the sampling point addresses are as follows:
A. Elwood Town Hall. 5235 W 8800 N
B. Sunmart Texaco. 5196 W 9600 N
C. J.C. Diner 10260 N 5200 W
D. Nelson Farms 10400 N 4400 W
E. Box Elder Countv Road Sheds 5730 W 8800 N
F. IversonFarm 5225 W 8000N
3. Sampling sites shall be selected so that there are suffrcient sampling points on
either site of the site to allow repeats samples to be taken as required by DDW,
should it become necessary.
4. The sample(s) shall be taken at such a time and date as to assure that they can be
delivered to the lab within the thirty (30) hour time period after it is collected.
5. Samples are hand delivered to the Bear River Health Dept. laboratory located in
Logan, Utah.
ヘリ
fuctertb fo7, ce l 9arnpt n a
Stte rAxy
REC=Iヽ 'ID
SEP i1 2117
Drinking v、こttr
、、_ノ
上_ _´
―ノ
曇罠菫
面=21l h通F 占
ハ
ヽ
′/＼
ヽ
＼