DDW-2024-006636

U T A H D E P A R T M E N T o f
E N V I R O N M E N T A L Q U A L I T Y
D R I N K I N G
W A T E R
P O B o x 14 4 8 3 0
S a lt L a k e C i t y ,U T 8 4 1 14 -4 8 3 0
P h o n e :(8 0 1 )5 3 6 -4 10 0
F a x :(8 0 1 )5 3 6 -4 2 1 1
E m a i l :d d w r e po rt s @u ta h g o v
w w w d ri n k in g w a t e r .u t a h g o v
B A CT E R IO L O G IC A L S A M P L E S IT E P L A N
A s p a r t o f t h e R e v i s e d To t a l C o l l f o r m R u le ,th e l o c a t io n f r o m w h i c h s a m p le s a r e ta k e n I s to b e v a r i e d A l l w a t e r s y s te m s a r e
r e q u i r e d to m a in t a i n a c u r r e n t b a c t e ri o l o g ic a l s a m p le s it in g p l a n T h e p l a n s h o v i is t h e l o c a t i o n s o f a l l s a m p l e s it e s fr o m w h i c h
b a c te ri o lo g ic a l t e s t s a r e t a k e n S a m p l e s it e s a r e t o b e r e p r e s e n t a t iv e o f a l l p r e s s u r e z o n e s a n d e a c h w a t e r s o u r c e o f t h e
d i s t ri b u t i o n s y s t e m T h e s a m p l e p la n s h o u l d b e r e v is e d r e g u l a ri y a n d fo l lo w i n g a n y m a jo r c o n s t r u c t io n p r o j e c t I m p a c t i n g t h e
d i s t ri b u t i o n s y s t e m
%4 W A T E R S YS T E M I N FO R MA TI ON
S y s te m N a m e :c o v e w a t e r w o r k s
s t re e t A d d r e s s :t o t s E a s t 1 2 6 0 0 N o r t h ,c o v e ,u t 8 4 3 2 0
M a i l in g A dd r e s s :1 0 1 5 e 1 2 6 0 0 n C o v e ,u t 8 4 3 2 0
S e r v i c e C o n n e c ti o n s :a >2 Xe >P o p u la t io n Se r v e d :5 rj o _
S y s te m #:U T A H [o ][3 ][o ][o ][6 ]
P h o n e #:(4 3 5 )2 5 8 -3 7 9 1
E m s i l i r a n d y @ i a r 5 e n b u s in e s 5 c o m
S A M P L E C O L L EC T IO N
S a m p le s c o l l e c te d b y :B e a r R iv e r H e a lt h D e p t
N a m e o f L a b o r a t o ny :B e a r R i v e r H e a lt h D e p t
M a i l i n g Ad d r e s s :a s E a s t 18 0 0 N o r t h
S t a te La b C o d e :1 7 3 1 7 5 Rh o n e #:(4 3 5 )7 9 2 -5 5 7 0
T he La b o ra to r y w a s s e n t a c o p y o f t hi s p l a n o n :1 0 /17 /2 0 17
F a x #:
U t a h D iv i s i o n o f D r i n k i n g W a te r w a s s e n t a c o p y o f t h is p l a n o n :1 0 /17 /2 0 1 7
Y W Se a is o n a l Sy s te t n s
Is t h e w a te r o pe r a t e d s e a s o n a l l y ?
D a t e s o f o pe r a t i o n :O pe n :
[0 ]Y E S
C lo s e :
[b ]n o
S y s t e m s ,w h ic h o p e r a t e s e a s o n a l ly ,a r e r e q u i r e d t o ta k e a n i n v e s t ig a t i v e s a m p l e p ri o r t o o p e n i n g t o t h e p u b l i c W he r e
w i l l th a t s a m pl e b e t a k e n ?
Lo c a t io n D a t e s a m p l e d :
\Y
^
-^■^.j r V r l i !/!!M A P O F SY S T E M
H a v e y o u e n c l o s e d\a tt a c h e d a m a p o f t h e d is tr i b u ti o n s y s te m s h o w i n g t he s o u r c e (w e l l ,s p ri n g ,e t c ),s t o r a g e t a n k s ,
t r e a tm e n t f a c i l it i e s ,d i s t ri b u t io n p i p i n g ,r o u ti n e s a m p le l o c a t i o n s ,a n d f o l l o w -u p (re pe a t)m a p ?[b ]Y e s [n ]N o
SA M PL E L QCA Ti CJN S
T h e fo ll o w i n g d e s c r i be s e a c h r o u t i n e s a m p le l o c a t io n ,w h a t m o n t h s t he l o c a t io n w i l l b e s a m p l e d ,a n d w he r e f o l l o w -u p
(r e pe a t)s a m p le s w il l b e t a k e n i n t he e v e n t o f a
"
p o s i t iv e
"
r o u t i n e s a m pl e
R o u t i n e S a m p l e L o c a t i o n :
(lo c a t i o n n a m e o r a dd r e s s )
D e s c r i p t i o n ;
(ho s e b ib ,s i n k f a u c e t ,e t c )
W a te r s a m p l e s w i ll b e c o l le c te d fr o m t h is l o c a t io n d u r in g
t h e m o n t h s o f (c ir c le ):
^i ;^1 «f tDtj ;r ;:^
-I 'Q j a n .,Q F e b .„D M a r .
2 "<'Q tr :Q A p r Q M a y D J u n
|-3't x3 tj
-
;.;,:-;,,Q j u l ::Q A u g .D Se p
4 «>Q t r :Q O c t D N o v Q D e c
F o l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
(r o u t in e s a m p le l o c a t io n n a m e o r a d dr e s s )
(lo c a tj o n n a m e o r a d dr e s s u p-s r/e a m )
3
(lo c a tj o n n a m e o r a dd r e s s do w n -s t r e a m )
4
(s o u r c e )
Ro u t i n e Sa m p l e L o c a t i o n :
1
(lo c a t io n n a m e o r a dd r e s s )
D e s c r i p t i o n :
(ti o s e b ib ,s i n k f a u c e t ,e t c )
W a te r s a m p l e s w i ll b e c o l l e c te d fr o m t h is l o c a t io n d u r i n g
t h e m o n t hs o f (c ir c le ):
l a Q fr .
2 ""Q t r:
4 th Qt r ;
'
n J a n .
D A p r
D O c t
D P e b .
n k4 a y
□A u g ,
Q N o v
□M a r
□J o n
□Se p
n D e c
Fo l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
1
(r o u t in e s a m p le l o c a t io n n a m e o r a d dr e s s )
2
(lo c a tj o n n a m e o r a dd r e s s u p -s fr e a m )
3
(lo c a ti o n n a m e o r a dd r e s s do w n -s t r e a m )
(s o u r c e )
R o u t i n e S a m p l e L o c a t i o n :
(lo c a ti o n n a m e o r a d dr e s s )
D e s c ri p t io n :
(h o s e b ib .s in k f a u c e t ,e t c )
W a te r s a m p l e s w il l b e c o l le c te d f r o m t h i s l o c a t io n d u r in g
t h e m o n t h s o f (c i r c l e ):
-
-i s t Q l r :
2 ""Q t r
3"'Qt r :
4 »'Qt r
□J a n .
.
□A p r
□Ju l -
□O c t
□F e b .
□M a y
□Au g
(□N o v
□M a r
□J u n
Q S e p
□D e c
F o l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
(r o u tin e s a m ple l o c a t i o n n a m e o r a dd r e s s )
(l o c a f o n n a m e o r a dd r e s s u p-s t r e a m )
(lo c a t i o n n a m e o r a dd r e s s do w n -s t/e a m )
4
(s o u r c e )
S A Ma E i O CA l 'l ON S
T h e f o ll o w i n g d e s c ri be s e a c h r o u t i n e s a m p le l o c a t io n ,w h a t m o n t h s th e l o c a t i o n w il l b e s a m p le d ,a n d w h e r e f o l l o w -u p
(r e p e a t )s a m p l e s w il l be t a k e n i n t h e e v e n t o f a "
po s it i v e "r o u t i n e s a m p l e
R o u t i n e S a m p l e L o c a t i o n :
1 L D S C h u r c h
(lo c a t io n n a m e o r a dd r e s s )
D e s c ri p t io n :H y d r a n t
(ho s e b ib ,s i n k f a u c e t ,e t c )
W a te r s a m p l e s w i ll b e c o l le c t e d fr o m t h is l o c a t io n d u ri n g
t h e m o n t h s o f (c i r c l e ):
r l ^'Q t r :-
-
..0 J a n 0 Fe b,0 Ma r
2 '"^Q tr :0 A p r 0 M a y 0 J u n
:^Q tr T;i =»H :J h!-\'B A u Q'E l S e p
4 th Q t r :r cj o c t 0 N o v 0 D e c
F o l l o w -u p (r e p e a t f S a m p l e L o c a t i o n s :
1 R a n d y L a r s e n
(r o u t in e s a m p le l o c a t io n n a m e o r a d dr e s s )
2 B r e t C h r i s t e n s e n
(lo c a ti o n n a m e o r a dd r e s s u p -s rj e a m )
3 C h r i s A l l e n
(lo c a tj o n n a m e o r a dd r e s s do w n -s tr e a m )
4 A t k i n s o n S p r i n g H y d r a n t
(s o u r c e )
R o u t i n e S a m p l e L o c a ti o n :
1 L D S C h u r c h
(l o c a tj o n n a m e o r a d d re s s )
D e s c ri p t io n :H y d r a n t
(h o s e b ib ,s i n k f a u c e t ,e t c )
W a te r s a m p l e s w i ll b e c o l le c te d fr o m t h is l o c a t io n d u ri n g
th e m o n t h s o f (c i r c l e ):
i t ^Q tr rj •;5:0 J a n ,V u3 Fe b 0 M a r
2 "<i Q tr :0 A p r 0 M a y 0 J u n
:2vT Cft /:(:0 J u ^^0 A u g 0 S e p .
4 <h Q t r :0 O c t 0 N o v 0 D e c
F o l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
1 R a n d y L a r s e n
(r o u ti n e s a m ple lo c a t i o n n a m e o r a dd r e s s )
2 B r e t C h r i s t e n s e n
(lo c a ti o n n a m e o r a dd r e s s u p-s t r e a m )
3 C h r i s A l l e n
(lo c a t io n n a m e o r a dd r e s s d o w n -s tr e a m )
4 C o v e W e l l H o s e B i b
(s o u r c e )
R o u t i n e Sa m p l e L o c at io n :
1
(l o c a t io n n a m e o r a d d r es s )
D e s c ri p t i o n :
(ho s e b ib ,s i n k f a u c e t ,
e t c )
W a t e r s a m p l e s w i ll b e c o l l e c te d fr o m t h is l o c a t i o n d u ri n g
th e m o n th s o f (c ir c l e ):
2 h <i Q tr
\
'¥^:
4 1"Q tr :
D A p r
D O c t
D P e b .
,
Q lVl a y
^D A u fc T
Q N o v
n W a r ,
D J u n
O Se p
D D e c
Fo l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
1
(r o u t in e s a m pl e lo c a ti o n n a m e o r a dd r e s s )
2
3 _
4
(lo c a f o n n a m e o r a dd r e s s u p -s tr e a m )
(l o c a tj o n n a m e o r a d d re s s d o w n -s tr e a m )
(s o u r c e )
Re po r t P r e p a r e d b y :R a n d y L a r s e n
Si g n a t u re a n d T it l e :D a t e :1 0 /1 7 /1 7
SA MP L E L O C A T IO NS
T he fo l lo w i n g de s c r i be s e a c h r o u t i n e s a m p le lo c a t i o n ,w h a t m o n th s t he lo c a t io n w i l l be s a m p l e d ,a n d w he r e fo l l o w -u p
(r e pe a t)s a m p le s w i l l b e t a k e n i n t he e v e n t o f a
"
p o s i t iv e
"
ro u t in e s a m pl e
R o u t i n e S a m p l e L o c a t i o n :
(lo c a t i o n n a m e o r a d dr e s s )
D e s c ri p ti o n :
(ti o s e bib ,s i n k f a u c e t ,e tc )
W a t e r s a m p le s w i l l b e c o ll e c te d f r o m t h i s lo c a ti o n d u ri n g
t h e m o n t h s o f (c i rc l e ):
2 n d Q tr :
4 «'Q tr ;
I3 a n 4;;
D A p r
D m -
D O c t
Cl Fe b .
D M a y
□A u g
□N o v
□M a r .
□J u n
□S e p
□D e c
Fo l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
(ro u ti n e s a m ple lo ca t io n n a m e o r a dd r e s s )
(l o c a t io n n a m e o r a d dr e s s u p-s t r e a m )
(lo c a t io n n a m e o r a d d r e s s d o w n -s tr e a m )
(s o u r c e )
R o u t i n e S a m p l e L o c a t i o n :
1
Fo l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
1
(lo c a ti o n n a m e o r a d dr e s s )(r o u ti n e s a m pl e lo c a b o n n a m e o r a dd r e s s )
D e s c ri p t i o n :
(h o s e b ib ,s i n k f a u c e t ,e t c )
W a t e r s a m p le s w i l l b e c o l le c t e d f r o m t h i s lo c a t io n d u ri n g
t h e m o n t h s o f (c i r c l e ):
1«Q tr .D Ja n .
2
3
2 ""Q tr :n A p r
3«!Q t n D J u I ,
A "Q t r :□O c t
□F e b
□M a y
□A u g
□N o v
□M a r
□J u n
□S e p
□D e c
(lo c a t o n n a m e o r a d d r e s s u p-s t r e a m )
(lo c a t i o n n a m e o r a dd r e s s do w n -s tr e a m )
(s o u r c e )
R o u t i n e S a m p l e L o c a t io n :
1 .
(l o c a t io n n a m e o r a d d r e s s )
D e s c ri p ti o n :
(ho s e b ib ,s i n k f a u c e t ,e t c )
W a t e r s a m p l e s w i ll b e c o l le c t e d fr o m th is l o c a t io n d u ri n g
t h e m o n t h s o f (c i r c le ):
:.
1«Q tr ;
2 n d Q tr
3*Q tr
4 >h Qt r :
□J a n .
□A p r
□J u l .
□O c t
□F e b
□M a y
□A u g
□N o v
□M a r
□J u n
□S e p
□D e c
Fo l l o w -u p (r e p e a t )S a m p l e L o c a t i o n s :
1
(r o u ti n e s a m p le lo c a ti o n n a m e o r a d dr e s s )
(lo c a t i o n n a m e o r a d dr e s s u p -s t r e a m )
(lo c a t i o n n a m e o r a d dr e s s do w n -s t r e a m )
(s o u r c e )
COVEVILLE WATER WORKS 03006
SAMPLING SITE PLAN
13000 NORTH
US HWY 91
Cliff Mitchell Jolynne Heiner Pam Allen Benon Allen
1083 E 12600 N 1029 E 12700 N 1319 E 12700 N 1329 E 12700
w w w
12700 North
12600 NORTH
US Hwy 91
Gaylord Leavitte
w w
US Hwy 91
w
w
w 12100 N
w
Hendricks
1102 E 12100 N
NORTH
13000 NORTH
1200 East
w w
Steve Daniels LDS Church
12795 N 1200 E 12800 N 1200 E W
w
Ross Jensen Property Dea
1256
w
Clair Cole Ron Cetraro
12765 N 1200 E 12770 N 12600 E
Clair Allen Boyde Larsen w
0 N 1139 E 12700 N 12785 N 1200 E
w w w Collene Durrant
1290 N 12600 E
w
w Robert Carriedo
12686 N 12600 E
w
w w Chris Allen w
12616 N 1200 N
12600 N
w w
Kelly Fornoff w Justin Nivison
1050 E 12600 N 12586 N 1200 E
w
Sherwin Larsen
12579 N 1200 E
w
w Rick Parker
1208 N 1200 E
w w Curtiss Bair
12494 N 1200 E
Russell Preece
12461 N 1200 E
Cove Well w
w
w w w
w
w
w
Mike Parson
1395 N 1200 E
w
w
w
NORTH
SOUTH
w
w
w
w
Brett Christensen
w 1574 E 13000 N
w
w
n Rawlins
6 E 12780 N
Boyd Larsen
1257 E 12600 N
NORTH
w Randy Larsen
1290 E 12600 N
Atkinson Spring
w