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Home My WebLink AboutDDW-2025-001240Utah Division of Drinking Water IPS Deficiency Correction Notice Water System Name_________________________________________________ Water System ID #UTAH________ Instructions Please use this form to report the correction of sanitary survey deficiencies identified on your IPS report. List the individual Facility ID (where applicable), deficiency code, how deficiency was corrected and the date of the correction below. You may attach a copy of your IPS report with the date of the correction noted on the report. Pictures of corrections or a brief description of the corrections are encouraged. Include the name of the facility and the correction date on any documentation you provide. Facility ID Deficiency Code How deficiency was corrected Date Corrected I certify that the information submitted with this report is true and accurate. You may electronically sign this form by typing your name in the Signature block. Print Name Signature Date Corrections listed on attached IPS report Supportive documentation attached DDW Approval______________________________________ Date_____/_____/_____ Print Form 06009 ST001 ST003 WS007 Gaps in tank seal gasket repaired. Gaps in tank seal gasket repaired. Sample tap was installed near well head. Jan 22, 2025 Jan 22, 2025 Jan 22, 2025 Jan 24, 2025Jake Ferguson South Davis Water District Submit by Email V009 S023 V009