DDW-2024-006818

04/12/2018 22:51 FAX [phone] DR MARK OLSON
P0 Box 144830
Salt Lake City, UT 84114-4830
Phone: [phone]
Fax; [phone]
Email: ddwreports@utah. gov
www.d rin kin gwater. u tah, g ov
BACTER|QL9G-ICAL SAMPLE S|TING PLAN
As part of lhe Revised Total Coliform Rule, the locatlon from which samples are taken is to bo varied, All water systems are
required to maintaln a current bacteriological samplo siting plan, The plan shows the localions of all sample sltes irom whioh
bacterlologicaltastsaretaken, SamplesitesaretoberepresentativeofailprossurezoneBandsachwatersouiceofthedlstrlbuflon
systern. The sample plan should be revlsed regularly and followlng any major construction project impacting the dlstribution system,
- , ,,
WA
System Name: Scofleld Reservoir Campsite
Street Address Scofleld Garnpsite, Scofield, UT
Mailing Address: 98'1113 Park City, UT 84098
System #: UTAH 04023
Phone #: [phone]
Email:
scofl eld reservoircampsite@gmai I.c
0m
Service Connections: 103 Population Served:257
@ ooz
Samples oollected by: Mark Olson
Name of Laboratory: Southeastern Utah Health Department
Mailing Address:28 South 100 East, Price, UT 84501
State Lab Code: UT-931 2017 -7 Phone #; 435-69&1 1 S0 Fax #:
Tha Laboratory was sent a copy of ttris plan on: 04/10/2018
Utah Dlvlslon of Drinking Water was ssnt a copy of this plan on:04t1trz011
ls the water con∥nuously treated with chlo両 ne? [l YES
Systoms, which provlde continuous chlorine treatment, are required to talte samples of water prior to the additlon of
chlorine (raw water samples) on a quartarly besis. Please list below the sources which are continuously treated and the
monthg when raw water samples will be taken:
MAP OF SYSTEM
Haveyouenclosed\attachedamapofthedistributionsystemstrowing-th
treatnrent facillties, distrlbutlon piping, routine sample locations, and follow-up (repiat; mipZ I X I yes t I f,Io
it simple ie: google map, GIS drawinos not
04/12/2018 22:51 FAX [phone] DR MARK OLSON 駒 003
SiLMPLE LOCAT10NS
System#
The followlng describes each ioutine sample location, what months the location will be sampled, and where follow'up
(repeat) samplos wilt be taken ln the event of a "positive" routine sample,
Routine Sam oje. l-qcatlon :
Well Pump House (DS001)
(location name or eddrcsr)
Description: Hose Bib
(hoso blb, sink faucet, otc,)
Water samplss will bo collocted from this location durlng the
months of (circlo):
101 Qtr
2nd Otr
3“Qtri
4h Qtr
Follow・ uo〔repeatl Sampl●L¨
1,Woll Pump House(DS001)
(rOuln●33mJO bCatbn namo o「oddresl
2,Well Pump House(DS001)
0。∝り。n namO oraddress up・ Jream)
3.Tank House(DS002)Downstream
00“tbn mm0 0raddroo3 dOWn‐stre3m)
4.Hose Bib曲
A山 口|Nov。
優♭
Dec.
FO∥OW・ up(re●oatl Sampl●Location6:
1.Tank House(DS002)
(rOutne 3ampb bcalbn mme。「addre331
2,Well Pump Houso(DS001)Up―Stream
ψOCatbn namo oraddress upatream)
3,3'd AVenuo(DS003)Down‐Stream
00“∥On narTle tt add瞼 33 dOWn‐stttam)
4,Hose Blb
Logti ne Samp le LocatloJt :
fank House (DS002)
(locetlon name or addross)
Doscription: Hose Bib
(hosa blb, sink,aucet, stc.)
Water samples will be collected frorn this location durlng the
2nd Otr
Ord Qtri
4n Otr
Follow・ J口 〔repeat〕3ample LocaJOn3:
1.3rdAvenue(DS003)
(rOuJn0 30mpに bcalon name oraddro53)
2.Tank House(DS002)
00Ca10n name ora“resGし ,‐stroom)
3,lSt Avenuo(DS004)
|。Ca10n name oradd鯰 38 dOWn gnam)
4,Hose Blb
Bgutlne Semple Locatlon:
3rd Avenue (DS003)
(locallon name ol addrass)
Descriptlonl Hose Bib
(hose bib, sink fgucBt, 6tc.)
Water samples wlll be colleoted from this location durlng the
months of (clrcte):
Fob. Mar. :
Jun.
s6p.'
Dec.
1■Qtr: I Jan.｀
1詳 Φ
Repoft Prepared by:
Signature and Title:
Mark Olson
Mark A, Olson
System#:04023
Date:04′10′2018
04/12/2018 22:51 FAX [phone] DR MARK OLSON 晒 004
The followirrg describes eaoh routine sample location, what months the location will be sampled, and where follow-up
(repeat) samples will be taken in the event of a "positlve' routine sample'
RoutlrcS4mplcloestisr
lstAvenue (DS004)
(localion name or addroaa)
Descriptlon: Hose Bib
(hose blb, slnk faucsl, Etc,)
Water samplos wlll be collected from thls looation during the
1.1哄 Avel鵠
|ぽ 晶]雅 ｀ca∥。n namo oraddm8→
2,3“Avel盟 偲1]盟「。dd輸 3s upth日 →
3,Vard Hose Blb end Of 18t Avenue
(bCaJOn name oraddress dOwn・ ュtЮam)
4.HosO Bib
lrOuJne30m,L iccttOn nameげ addres→
(locatlon name or address up-stream)
(locatton namo or addrass doryn-gtoam)
(bCatOn nttmo or
lh680 Ыb,dΠ K ttUcett
Water samplea wlll be collected from thls location
mOnth3 01(CirCI。):
lJ Qirl
2nd Ql.
3rd鉗:4h Qtr
Jan,
Apr,
Jul,
Oct,
M8「,」un,
SeP,
Dec,
1. . ,, .. _
(rouilno eemple location name ot address)
(krcatlon neme or addresa down-stream)
(looatlon ngm€ or address)
Descrtptlon:~ lh080 bb,日
hk ttuca,oに)Wale「samples wl∥be co∥ecled from thls locatlon
mOnlh5 0f(CIrCle):
1■Qt∥
2nd Qt[
37d針:4hヽ｀.Fob.
May
1.
Descrlption:
2.-
(localion namo or addt696 upst sam)
0005DR MARK OLSON04/12/2018 22:51 FAX [phone]XXX
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04/12/2018 22:52 FAX [phone] DR MARK OLSON 曜」006
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