DDW-2024-006651

UTAH DEPARTMENT of
n--kIVIRONMENTAI QUALITY
DRINKING
WATER
PO Box 144830
Salt Lake City, UT 84114-4830
Phone [phone]
Fax [phone]
Email: [e-mail]
www.drinkingwater.utah.gov
BACTERIOLOGICAL SAMPLING 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.
WATER SYSTEM INFORMATION
System Name: River Heights City
Street Address: 520 S 500 E
Mailing Address: 520 S 500 E River Heights, UT 84321

System # 3019

Phone #: [phone]

# Service Connection 647 Population Served: 2000 Email: [e-mail]
SAMPLE COLLECTION
Samples collected b\ Bear River Health Department
Name of Laboratory: BRHD Phone/Fa: 435-792-6852 I 435-752-1570
Mailing Address: 85 E 1800 N North Loga, UT 84341
State Lab Code:
The Laboratory was sent a copy of this plan on: 9/27/2017

Utah Division of Drinking Water was sent a copy of this plan or 9/27/2017
Seasonal Systems
Is the water system operated seasonally? Y/N: N
Dates of operation: Open: Close:
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: Sampling Date:
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 ?
Lowe Well WS001
upper Well W5002
Municipal Well Ws004
Monthly Routine Sample Sites place an X in boxes below): Sites (block or specific
address)
for Associated
Source(s)
Routine Sample Point Description -
Address Point Code Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec hose bib, sink faucet, etc.
520 S 500 E
1-DS001 X X X X X X X X X X X X Up 600 5 500E ALL [1] ALL Sink [21
Down 400 S 500 E ALL ALL
780 E 600 5
2- DS001 X X X X X X X X X Up 900E 600 5 ALL ALL Sink
Down 600 E 600 5 ALL ALL
451 E 700 S
3-D5001 X X X X X X X X X X X X Up 500E 700 5 ALL ALL hose bib, sink
Down 400 E 700 S ALL ALL
566 E 650 5
4-D5001 X X X X X X X X X X X X Up 600 E 650 5 ALL ALL hose bib, sink
Down 560 E 650 S ALL ALL
777 River Heights
BLVD
5-DS001 X X X X X X X X X X X X Up 800 RH BLVD ALL ALL hose bib, sink
Down 700 RH BLVD ALL ALL
420 S 500 E
6-DS001 X X X X X X X X X X X X Up 600 5 500 E ALL ALL Sink
Down 400 S 500 E ALL ALL
7- DS001 Up
Down
8- DS001 Up
Down
9- DS001 Up
Down
10-DS001 Up
Down
Source(s) Name: DDW Source
or Group #
System Name: River Heights City
Note: you must also enclose \attached a map of the
distribution system which identifies:
- Source(s) (well, spring, etc.)
- Storage tanks
- Treatement facilities
- Distribution piping
- Routine & repeat sample locations
System PDW #: 3019
SAMPLE LOCATIONS
The following describes each routine sample location, what months the location will be sampled and
where the follow-up (repeat) samples will be taken in the even of a positive routine sample.
Routine Sample Location' follow-up (repeat' Sample Locations'
1. 1510 5 500E 1. 520 S 500 E
(location name or address)
Samoline Point Code' 1-175001
(repeat sample location - name or address)
2. 600 5 500 E Description' Sink
(hose bib, sink facucet, etc.)
Water samples will be collected from this location
during the months of (place an X in respective boxes)
(repeat sample location - name or address)
3. 400 5 SOO E
Qtr. 1 2 3 4 (repeat sample location-name or address)
4. ALL M
on
t
h
s
Jan Apr Jul Oct
X X X X
Feb May Aug Nov ALL
X X X X ALL
Mar Jun Sep Dec
X X X X Isourcelsl sample)
2.
Routine Sample Location: Follow-up (repeat" Sample Locations:
780 E 600 S 1. 780E 600 5
(location name or address)
Sampling P r a Code: 2- DS001
(repeat sample location - name or address)
Description,
Water samples will
during the months
Sink
(hose bib, sink facucet, etc.)
be collected from this location
of (place an X in respective boxes)
2. 900 E 600 5
(repeat sample location - name or address)
3. 600E600S Qtr. 1 2 3 4
M
on
t
h
s
Jan Apr Jul Oct (repeat sample location - name or address)
4. ALL
B X X
Feb May Aug Nov
X X X ALL
Mar Jun Sep Dec ALL
X X X (s ource's) sample)
3. 451E 700
Routine Sample Location; f ollow-uo (repeat' Sample Locations.
S 1. 451E 700 S
(location name or address)
Sampling Point Code: 3- 05001
(repeat sample location name or address)
Description,
(h ose bib, sink facucet, etc-)
Water samples will be collected from this location
during the months of (place an X in respective boxes):
2. 500 E 700 5
(repeat sample location - name or address)
3. 400E700 5 Qtr. 1 2 3 4
o
Jan Apr Jul Oct (repeat sample location - name or address)
4. ALL
X X B X
Feb May Aug Nov
X X X X ALL
Mar Jun Sep Dec ALL
X ource(s) ample)
SAMPLE LOCATIONS
4. 1566 E 650
Routine Sample Location: Follow-up (repeat) Sample Locations;
S 1. 566E 650 5
(location name or address)
Sampling Point Code: 4- moot
(repeat sample location - name or address)
2. 600E 650S
Description:
(hose bib, sink facucet, etc)
Water samples will be collected from this location
durinj the months of (place an X in respective boxes):
(repeat sample location - name or address)
3. 560E 650 S Qtr. 1 2 3 4
pa
w
Jan Apr Jul Oct (repeat sample location-name or address)
4. ALL
X X X X
Feb May Aug Nov
X X X X ALL
Mar Jun Sep Dec ALL
X X X X (mote(s) sample)
Routine Sample Location: EPACOStUnktReatiatingLIQCS1112021
1. 777 River Heights BLVD 5. 777 Riper Heights BLVD
(location name or address)
5amoling Point Code' s- Well
(repeat sample location - name or address)
2. 800 RH BLVD
Description:
Water
during
(hose bib, sink facucet, etc.)
samples w II be collected from this location
the months of (place an X in respective boxes):
(repeat sample location - na me or address)
3. 700 RH BLVD Qtr. 1 2 3 4
Jan Apr Jul Oct (repeat sample location-name or address)
4. ALL
X X X X
Feb May Aug Nov
Oh
l
X X X X ALL
Mar Jun Sep Dec ALL
X X X B (source's) sample)
Report Prepared by:
Water System # 3019
Signature and Title:
SAMPLE LOCATIONS
The following describes each routine sample location, what months the location will be sampled and
where the follow-up (repeat) samples will be taken in the even of a positive routine sample.
Routine Sample Location: Follow-up (repeat) Sample Locations:
6. 1 420 SSOOE 1. 420 S SOO E
(location name or address)
Description:
(repeat sample location - name or address)
2. 600 S 500 E (hose bib, sink facucet, etc.)
Water samples will be collected from this location
during the months of (place an X in respective boxes):
(repeat sample location - name or address)
3. 400 S 500 E Qtr. 1 2 3 4
F
M
on
t
h
s
Jan Apr Jul Oct (repeat sample location - name or address)
4. ALL
X x x x
Feb May Aug Nov
X X X X ALL
ALL Mar Jun Sep Dec
X X X X (source(s)sample)
7 .
Routine Sample Location: Follow-up (repeat) Sample Locations:
1.
Desc
(location name or address)
iption:
(repeat sample location - name or address)
2.
Water
during
(hose bib, sink facucet, etc.)
samples w II be collected from this location
the months of (place an X in respective boxes):
(repeat sample location - name or address)
3. Qtr. 1 2 3 4
M
on
t
h
s
Jan Apr Jul Oct (repeat sample location -name or address)
4. Feb May Aug Nov
Mar Jun Sep Dec
(source(s) sample)
8 .
Routine Sample Location: Follow-up (repeat) Sample Locations:
1.
Description:
Water samples will
during the months
(location name or address) (repeat sample location - name or address)
2. (hose bib, sink facucet, etc.)
be collected from this location
of (place an X in respective boxes):
(repeat sample location - name or address)
3. Qtr. 1 2 3 4
L.,
Jan Apr Jul Oct (repeat sample (ovation - name or address)
4. o Feb May Aug Nov
Mar Jun Sep Dec
(source(s) sample)
SAMPLE LOCATIONS
9 .
Routine Sample Location: Follow-up (repeat) Sample Locations:
1.
Description:
Water samples will
during the months
(location name or address) (repeat sample location - name or address)
2. (hose bib, sink facucet, etc )
be collected from this location
of (place an X in respective boxes):
(repeat sample location - name or address)
3. Qtr. 1 2 3 4
K
Jan Apr Jul Oct (repeat sample location - name or address)
4. Feb May Aug Nov
Mar Jun Sep Dec
(source(s) sample)
10.
Routine Sample Location; Follow-up (repeat) Sample Locations:
1.
Description:
Wate samples w
during the months
(location name or address) (repeat sample location • name or address)
2. (hose bib, sink fatimet, etc.)
II be collected from this location
of (place an X in respective boxes):
(repeat sample location - name or address)
3. Qtr. 1 2 3 4
Jan Apr Jul Oct (repeat sample location - name or address)
4. Feb May Aug Nov
it
h
s
Mar Jun Sep Dec
(source(s) sample)
Report Prepared by:
Water System # 3019
Signature and Title:
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MIME IRON WATER UNE
OTHER WATER LINES TYPE NOTED
PROPOSED STORAGE RELATED IMPROVEMENTS
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