DDW-2024-006581

State ofUtah
GARY R HERBERT
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SPENCERJ COX
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Department of
Environmental Quality
Alan Matheson
Execttlive Direclor
DIVISION OF DRINKING WATER
Kenneth H. Bousfield, P.E.
Director
October 16,2017
Cary McFarland
West Corilllne Water Co
8390 W I‐IWY 83
Brighaln City,UT 84307
SutteCt:RTCR Sallnple Site Plan Approval for West Corillne Water UTAH02022
Dear Mr/Ms.ⅣIcFarland:
The current RTCR salnple site plan for UTAH02022 is approved as submittcd to the Division of
Drinking Water.Ifyou have any qucstions or changes that need to be rnade please feel free to
contact me at(801)536-4150 or]PkcersCDutah.2ov
Sincerely,
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
195 North 1950 WestO Salt Lakc City,UT
Mailing Addrcss: P O Box 144830・ Salt Lake City,UT 84114‐4830
Telephone(801)536‐4200 0 Fax(801)536‐4211・ TDD (801)536‐4414
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RECEIVED
AU6 2 5 2017
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BACrER10LOGiCAL SAMPL:NG SittE PLAN
As part ofthe Revised Total Co∥form 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 a∥sample sites from which bacteriologicaitests are taken_ Samp:e sites
are to be representative of a∥pressure zones and each water source ofthe distribution system The
sample plan should be revised regularly and fo∥owing anv maJor construction projectimpacting the
distribution svstem
- INSTRUCTIONS -
This reports consists of four pages (see
tabs along the bottom). Only two pages,
Syslnfo and Samplelist are filled out.
The Syslnfo (this page) consists of specific
information about the water system.
The Samplelist page is where you enter in
your source names and associated source
numbers, as assigned by the DDW (see the
inventory report for more information at
waterlink.utah.gov), and sampling site
addresses along with repeat sampling
addresses and the associated source(s) for
each sample site.
As you enter the information into these
worksheets, it is copied into the report
page(s) on the other tabs (Samples 1-5
and Samples G10). lf you are required to
take more than 5 samples per month,
you'll need to print all three pages,
WATER SYSTEM iNFORMAT10N
Svstem Name: WEST CORINNE WATER CO.System# o2022
Phone#: 435-744‐5160Street Address: 4050 W HWY83
Mailing Address: PO BOX 37,CORINNE′UTAH,84307
#Servに e Conneclor 640 PopuhJon Served: 1275 Emゴ !:Carywe針 ∞∥nnewater
SAMPLE COLLECT:ON
otnerwrse, the report consists ot only the
Syslnfo and Samples 1-5 pages. After
compeletion, the report needs to be sent
to the DDW (the SampleList page is for
data entry only and doesn't need to be
printed or sent in). The preferred method
is via email to: [e-mail].
Note that it's a Bac-T sampling site plan in
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Samples co∥ected b、 BEAR R:VER HEALTH D[PT
Name of Laboratory: BEAR RIVER HEALTH DEPT. Phone/Fa: 435-792-6582 |
Mailing Address: 83 EAST 1800 NORTH, TOGAN , UTAH, 84341
State Lab Code:17251B
The Laboratory was sent a copy of this plan on: 8/23/2OL7
Utah Division of Drinking Water was sent a copy of this plan or 8/23/2OL7
Seasonal Systems
К the water system operated seasonally?Y/N: N
Dates of operation: Open:NA Close: NA
Systems that operate seasonally are required to take an investigative sample before opening to the
public. At what point/address will this sample be taken?
Location: NA Sampling Date: NA
MAP OF SYSTEM
Have you enclosed\attached a map of the distribution system which identifies the source (well, spring,
etc.), storage tanks, treatement facilities, distribution piping, routine & repeat sample locations ?
System Name: WEST CORINNE WATER CO.System PDW#: 2022
Note: you must also enclose\attached a map ofthe
distribution system which identifi es:
- Source(s) (well, spring, etc.)
- Storage tanks
- Treatement facilities
- Distribution piping
- Routine & repeat sample locations
Monthly Routine Sample sites (place an x in boxes belowl:Sites (block or specific
addrcs)
fd Assciated
sourceasl
!Cg!i!g Sample Point Oescdption -
he bib. dnk faucet, ctc.Address 'oint Cod Oct Iov
3121N2800W
1-DS001 x x x Uo :AUCET [2I
Down
3185 N HWY 13
2‐DSOЭl x =AuCET
Down
2730N6400W
30S001 x x :AuCET
Down
1995N2800W
4-DS001 x x x x :AuCET
Down
5∞W6800W
5D5001 x x x :AuCET
Down
←DS001
Down
7-DS∞1Down
8-DS001
Down
9‐DS001
Down
10-DS001
Down
1
2
3
4
5
6
7
8
9
DDW Source
SAMPLE SiTE PLAN 2017
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臨
SAMPLE SITE PLAN 2017
● SAMPLE SITE#1-TULEVIEW DAIRY(3021N2800W)
● SAMPLE SITE#2-UTAH ON10N(3185 N HWY 13)
。 SAM PLE S!TE#3-HARPER DAIRY(2730N6400W)
O SAMPLE SiTE#4-SM00T BROTHERS TRUCK!NG (1995N2800W)
O SAMPLES:TE#5-CHLORINE SAMPLE S:T[ (500S6800W)