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HomeMy WebLinkAboutDDW-2024-006776*Point Code Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Down WS002 Up WS002 Down WS002 Up WS002 Down WS002 Up WS002 Down Up Down Up Down Up Bacteria Sampling Laboratory Information: System Name:Hardware Ranch System PDW #:03060 Monthly Routine Sample Sites (place an X in boxes below):Follow-up/Repeat Sample Sites (range or specific address) DDW Assigned # for Associated Source(s) 2 Hardware Ranch Residence #1 2-DS001 X X Seasonal Cottage 4 4-DS001 Routine Sample Point Description - hose bib, sink faucet, etc. Address 1 Hardware Ranch Visitors Center 1-DS001 X X Residence #1 Women's restroom sink Well House X X WS002 Kitchen sink Hardware Ranch VC X X N/A Bathroom sink Residence #1 X X WS002 WS002X3Hardware Ranch Seasonal Cottage 3-DS001 X 6 6-DS001 5 5-DS001 Source(s) Name:DDW Source or Group # All System Sources All Sources Spring #1 (Inactive)WS001 Hardware Ranch Well WS002 Bear River Health Department - Environmental ServicesLaboratory Name: Address: City: Zip Code: Phone Number: Contact Person: 85 E 1800 N Logan, UT 84341 435-792-6570 *When submitting a sample taken from a Routine sample site designated above, you must include the Point Code associated with that site on the laboratory paperwork. *Point Code Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Down All Sources Up All Sources Down All Sources Up All Sources Down All Sources Up All Sources Down WS001 Up WS001 Down WS002 Up WS002 Down WS003 Up WS003 System Name:Waterville City System PDW #:12345 Monthly Routine Sample Sites (place an X in boxes below):Follow-up/Repeat Sample Sites (range or specific address) DDW Assigned # for Associated Source(s) Routine Sample Point Description - hose bib, sink faucet, etc. Address All Sources Kitchen sink 125 -225 N 500 W X 2 678 S 200 E 2-DS001 X 50 - 120 N 500 W 550 - 650 S 200 E 1 123 N 500 W 1-DS001 X All Sources Kitchen sink 680 - 780 S 200 E X 320 - 420 Maple St.All Sources Hose bib 430 - 420 Maple St. X 4 1007 W 200 N 4-DS001 3 429 Maple St.3-DS001 X X 920 - 1000 W 200 N WS001 Hose bib 1010 - 1110 W 200 N X 5050 - 5150 E 200 N WS002 Hose bib 5160 - 5210 E 200 N X 6 4732 S 1500 W 6-DS001 X55151 E 200 N 5-DS001 X 4650 - 4730 S 1500 W WS003 Hose bib 4740 - 4820 S 1500 W X WS002 Address: Source(s) Name:DDW Source or Group #Bacteria Sampling Laboratory Information:All System Sources All Sources When complete, print this as a pdf and email as an attachment to ddwreports@utah.gov. Phone Number: Contact Person: Well 2 WS003 City: Zip Code: Example Springs WS001 Laboratory Name: Well 1 *When submitting a sample taken from a Routine sample site designated above, you must include the Point Code associated with that site on the laboratory paperwork.