DDW-2024-006570

Jan 31 2019 B:564M llonellville CitY
UTA}I DEPAHTh,IENT OË
Ën¡vrnoru Nrl'meL s IJALITY
DRINKING
WAlEF
digtribution sYstom'
N0,0291 P 1
P0 Box 144830
Salt Lake CitY, UT 841144830
Phono: (801)5364100
Fax [phone]{
Email: ddwrePortt@utah' gov
www.drinkingwatet'utah' gov
BAGTERIOLOGICAL SAMPLE SITE PLAN
As part of the Revised Totar coriform Rure, the ¡s.etion ¡6¡¡ which sampres. are teken is to be varied. Art water systems are
requrred to rnaintain a curent bacteriorogicar -*.pþ ;iiil;;r*. îi.r pr,ir -i'ow"it'. ror"trons of arl sample sites from which
bacteriotogical tests are takon, sampto sitos are to ¡ä ä["..numi. gJ all pressure zones and each water sourco of the
distilburion system. The sampre pran shorrrd ¡. r.virJi rJírrrìiv ä t"irounó ánv *ior construction project impacting the
Y
Served:
+ZMailing Addtess:nc*,h
@
System Nama:
Street Address:
Serulce Connections:
Email:
SYstem #: Uf AH[fl t{þ]t I lt61
Fhone#: Wf 2n-R42F
The Laboraiory was sent a copy ofthis plan on:
of thie
Fax#:h t-h 741'l
Utah Division of Drinki Waterwae sent a
Phone #:
Samples collected bY:
Name of Laboratory:
Mailing Addrees:
State Lab Code:
systems, which operate seasonary, are required to tar." an inveatigative sampre prior to opening to the public' \A/here
will ihat samPle be taken?
FJ NO
Date samPled:
Location
lnl YEs
Cloeet.
Dates of oPeration:
ls the water oPemtod soasonallY?
tanka,
No
etc.sourcethe spring,(w6ll,butlondlstrl showingthesystemofamapy0u Yesandroutlnedistrlbutionfactlitlestreatment
N0,0291 P' 2
Jan,31 2019 B:564M HoneYvilleCitY
Report PrePared bY:
followupwheleandbewillsampled,localiotlthemonthswhatlocation,routineeach sampledescribesThefollowing samroutino PIê.of aavent "positivo"thetnbewilltakensamplas(repeat)
nSmo or addmss)
nerïe 0f
Routlno SamPl¡ Locatlon;
1
2.
(source)
(hæe ltlb, eink lauæ!6tc.)
3
4.
Follow'up (repeat) gample Locations:
(loeétlotì tìamê otDescriPtlon:
tl,q% I
(rouüne samPle
1o
(loçåtlon nåmg or
Eíúar:
ØJqn,
Erqp;
floec.
yvq[s¡ samples will þe collected from this location during
the months of (clrcle):
2nd Qtr:
i¡o q¡1;
4u'Qtr:
EAp"
ZJJuì: ,
tfo't,
, 1àrQti: .,r. :ffiq¡. ' ' '
(roulino samPle
fl8me 0f
Fotlow-up (repeatl S¡mpto Locatlone:
Routlne SamPla Locatlon:
1
1
DescriPtion:
(sourco¡
(hose bib, sinlt faucel,etcJ
0t
(locabon name or address down*lream)
2.
3.
4.
L'Lrr .ünll-' i,"",1-:' L?fu il
--f '¡lt*tÍiln name or ad dress)
dlun;".
Bnpr,
M'Jttl,
Øox.
.1¡ì'CItii
2nd Qtr:
. pl4 Qtr:
4t'Qtr:
EI'çep.
úo""
'lØJttsr
El¡un.
Wator samples will be collecterl lrom this location during
lhe months of (circle):
llm"t ltnÞ IJ
1IG
1
(hosô blb, Èlnk lautöl'êrô.)
(loætlon nante or atltlress up-süeam)
address)(roudne oantPlo locaüqn name or
(locaüon natns or atldeee)
L
?þ
2,
3,
4,
nams or addrsss
î9b'ff1Mar,
ffilgjl
,:,S.sep.
floec,
duringlocationthisfront
14ev
Nov.
Follqw,uo (repla']J gample Locations:
Routine SanPle Loqation:
Description:
Signature and
/t'hI¡L plh *M DaÍe: l- l0 -t?
Jan,3l 2019 l0
U 56AM Honeyv ille C ity No 0291
and wherebewill followupatwhthemonthslooationsampledloceâchdescribesatlon,routine sanpleThefollowing
routinelntakeneventtheaofþe sample.will "posltlveneamples(repeat)
(locallon namo or address up+lream)
Routlna SamPle Location:
1
4,
(rourca)
Nov
36g (þ J
(locålion name or addr6ss douln+ùoam)
z, ı/,tp ,n 64 D/)I/
namo 0f addrcos)
(
ttìl/rrl 1,
,t/ S¿
Description
Follow.up lreueat) Sample Locations:
(routine sample locailon nante oraddress)
the months of (circle):
.;l,tQ[¡¡ .,.' lþn
Z,'o etr; Elflpr.:.3'¿Qh: ,f,Lut^
+o' Qtr: ffort.
' (hose bib, rlnk faucel. etc.)
Waler samples will be collected from thls locatlon dutlng
(locåüon nâma ff ôddtees dor+nstream)
Follow-up (rspoat) $ample Loc¡tlons:Routl ne Sample L.gçatio.tti
1 lrl
4.
(source)
(loætion hâì¡e oI addloss uPsheam)
2.
3 ?í'
localion nama or addross)
A
Áqââ ,(2t:' oÇ .,
7à'r^/ k
.. 34 8[r: .:
Descrlption
namo ot addræs)
Dec,Nov,
the months of (ciicle):
4t'Qtr:
lu!; ,.
Oct.
(hoso blb, slnk faucst, al,ô)
Watet samples wlll be collected fiorn this location during
... /'1t a[: Elijan
2nd Qtri lünpr
Feb: ..
(routlno åample locatlon namo oI addrå6s)(locnlion name or addrtss)
(locaüon name or addrass up+lraam)
(localion name or addrêsÐ down+boan)
Follgv.up lr.epeatl Samole Locations:
4
(source)
1
2.
3.
Routine $amplo Locatlon¡
Descrìplion:
(hom bÍb, sink fauce[ etc.)
, flËeb.
E tr,taY'i [,Aug.I Nov,
-É
tvlr¡.,,..:',.',ll Jun.
in $¡'P'' ' ''
E Þec,
WaÌer samples will bo collected from thls locatlon durlng
the months of (circle);
,:1*rQF
2'rd Qtf:
3{ At¡¡1
4üt Qtr:
fJ'Jgnr,
E apr
lf Jul,
E oct.