HomeMy WebLinkAboutDDW-2024-006776*Point Code Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
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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
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Down WS003
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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.