DDW-2024-006534

State ofUtah
GARY R HERBERT
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SPENCERJ COX
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Department of
Environmental Quality
Alan Matheson
Executive Director
DIVISION OF DRINKING WATER
Marie E Owens. P.E.
Director
October 19,2017
Julie Tanner
East Grouse Creek Pipeline
PO Box 74
Grouse Creek, UT 84313
Subject: RTCR Sample Site Plan Approval for East Grouse Creek Pipeline UTAH02010
Dearヽ 4r/Ms.Tanner:
The cllrrent RTCR sample site plan fbr UTAH02010 is approved as subnlitted to thc I)ivision of
Drinking Water.Ifyou have any questions or changcs that nccd to bc made plcasc feel frcc tO
contact mc at(801)536-4150 or Pkcersの utah.2ov
Sincerely,
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
195 North 1950 Weste Salt Lake City,UT
Maling Addrcssi P O Box 144830 0 Salt Lakc City,UT 84114‐4830
Telephonc(801)536-4200・ Fax(801)536‐42H・ TDD(801)5364414
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Printcd On 10096 rccycled paper
State of Utah Mail - 02010 East Grouse Creek Water Pipeline Co Bacterial Site Sample Plan
DDW Reports <[e-mail]>
02010 East Grouse Creek Water Pipeline Co Bacterial Site Sample PIan
1 message
Julie Tanner <[e-mail]>Wed, Sep 27,2017 al2:40 PM
To : ddwreports@utah. gov
Please find attached our Bact Sample Site plan and a link to the map of our system.Google map of EGCWPipeline
system
Thank you
Julie Tanner
]撫 rSam口 e ske phn.pdf
https:〃mail google com/maivb/AAYagpxB7h3UFY‐EdA 12N」D8ddlPVVu4f44 60∨OLZOVIHCYIRGノ uノ 0/?ui=2&ik=2401283fbettSVer=qzrcvdQluok en& 1/1
ENV!RONMENTAL Qに
DR!NK:NGWATER
PO Box 144830
Sak Lake Clty,UT 84114‐4830
Phone:(801)536‐4100
Faxl(801)536‐4211
Emall:[e-mail]
―.d∥nkingwater.utah.9ov
BACTERIOLOGICAL SAMPLE SITE PLAN
As part of the Revised Total Coliform Rule, the location from which samples are taken is to be varied. All water systems are
required to maintain a current 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.
System Name:
WATER SYSTEM INFORMAT10N
East Crouse creek Water Pipe∥ne Company System #: UTAH[,][,][,j[, ][,]
Street Address:11650N77200W Phone#: 435‐747‐7163
Mailing Address: Po Box 74 f ffiQili [e-mail]
Service Connections: oa lation Served: zo
SAMPLE COLLECT10N
SamPles collected by: Julie ranne'
Name of Laboratory:Bear River Health Department
Mailing AddfeSS: 85 East 18oo North, North Logan ur 84s41
State Lab Code. i7is76 Phone #: Rs-7s2-6s82 Fax #:
The Laboratory was sent a copy of this plan on:
Utah Division of Drinking Water was sent a copy of this plan on:
Seasonal
ls the water operated seasonally? [r:] YES [r] 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 tanks,
treatment facilities, distribution pipinq, routine
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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.
'l . Simplot House #3 (Thomas house)'l . Slmplot House #3 (Thomas house)
(routine sample location name or address)
l. B Tanner house
(hose bib, sink faucet, etc,)(location name or address up-stream)
Water samples will be collected from this location during
tha mnnlhe nf /nirnlal' " 3. J Tanner House
1●Qtr 」an. Feb. Mar.
2no Qtr: Apr. May Jun. 4. church
3d Qtr: Jul. Aug. Sep.
4th Qtr: Oct. Nov. Dec.
(locatlon name or address)
Bath Tub l. Simplot House #3 (Thomas house)
(hose bib, sink faucet, etc.)
Water samples will be collected from this location during
the months of (circle):
Feb. Mar.
May Jun.
Aug. Sep.
Nov. Dec.
(location name or address up-sheam)
J. J Tanner House
(location name or address down-stream)
'l . JTannerHouse
(hose bib, sink faucet, etc.)
Water samples will be collected from this location during
the months of (circle):
'ts Qft i*'lJan. I Feb. i] Mar'
'l . JTannerHouse
(routine sample location name or address)
(location name or address up-stream)
!. Simplot House #3 (Thomas house)
(location name or address down-stream)
2no Qtr: Apr. May Jun. {. B Tanner house
3,0 Qtr: Jul. Aug. Sep.
46 Qtr: f,Oct. [Nov. !Dec.
Report Prepared by:
Signature and Title:
Julie Tanner
Date:
rscription:
(source)
rscription:
Follow-up (repeat) Sample Locations:
'l . BTannerhouse
(source)
rscription:Bath Tub
SAMPLE LOCAT10NS
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 Samp!e Location:
1.Church
Fol!owⅢup(repeat)Sample Localons:
1. Church
(location name or address)(routine sample location name or address)
l. B Tanner houseDescriPtion: Restroom Sink
(hose bib, sink faucet, etc.)(location name or address up-stream)
Water samples will be collected from this location during
ihe months of /nirele\. - 3. J Tanner Housethe months of (circle):
(location name or address down-stream)
1●Qtr Jan. Feb Mar
2'o Qtr: Apr. May Jun. {. Simptot House #3 (Thomas house)
3d Qt■ 」uL Aug. sep.
4h Qtr Oct Nov Dec.
Rou∥ne Sample Location:
1. Tanner hOuse(Ralda's)
Fdbw‐up lrepeat)Samtte Loca∥ons:
1. Tanner hOuse(Raldats)
(location name or address)(routine sample location name or address)
l. B Tanner houseDescriPtion: Bath Tub
(hose bib, sink faucet, etc.)(location name or address up-stream)
Water samples will be collected from this location during
ihe months nf [eirele). - 3. J Tanner Housethe months of (circle):
(location name or address down-stream)
1獣 Qtr: 」an. Feb. Mar.
2no Qtr: IApr. I May f, Jun, 4. church
3d Qtr JuL Aug. sep.
41h Qti Oct Nov. Dec
(source)
Rou∥ne Sample Localon:
1.
Follow・ up frepeat)Sample Localons:
1.
(location name or address)(routine sample location name or address)
Description:
(hose bib, sink faucet, etc.)
Water samples will be collected from this location during
the months of (circle): J.
1st Qtr: Jan. Feb. Mar.
2no Qtr: Apr. May Jun. 4.
3'o Qtr: Jul. Aug. Sep.
4h Qtr: Oct. Nov. Dec.
(location name or address up-stream)
(location name or address down-stream)
(source)
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.
(routine sample location name or address)
脂鷺瀾嘗洲計dttded'°m hs Юtton durng &
lSt Qtr 」an. Feb Mar
2nd Qtri Ap「 May 」un. 4.
3劇 Qtr 」ul. Au9. Sep.
4th Qtr OCt. Nov. Dec.
(location name or address up-stream)
(location name or address down-stream)
脂鴇瀾磐潔槽ド酬eded hm tts bctton d面 ng 3.
1■Qtr 」an Feb. Mar.
2nd Qtr Apr. May 」un 4.
3rd Qtri Jul Aug. Sep.
4h Qtr OCt Nov Dec
(routine sample location name or address)
(location name or address up-skeam)
(location name or address down-stream)
脂胤瀧嘗潔槽TCtteded什
om mに ЮcttOn dttng 3.
1'Qtr 」an. Feb Mar
2nd Qtr Apr May 」un 4.
3だ Qt「 」ul. Aug Sep.
4hQtri E10Ct. □Nov, EEIDec.
(routine sample location name or address)
(location name or address up-stream)
(location name or address down-stream)
)utine Sample Location:
(bCabOn name or address)
Fol!owⅢup(repeat)Sample Localons:1(source)
Routine Sample Loca∥on:Fo:low‐up(repeat)Sample Loca∥ons:
Roulne Samp:e Localon:Fdlow‐up(repeat)Sample Localons:
(location name or address)
(source)