SEPA United States Environmental Protection Agency Preventive Maintenance Card File for Small Public Water Systems Using Ground Water Log Cards ------- Office of Water (4606M) EPA816-B-04-002 December 2004 vwwv.epa.gov/safewater Printed on Recycled Paper ------- Tools For Preventive Maintenance These log cards, along with the accompanying guidance notes booklet, provide a schedule of routine operation and maintenance tasks for small ground water systems. The cards and booklet will help you develop a preventive maintenance program for your system. The cards also provide some security measures water systems need to do to help prevent loss of service through terrorist acts, vandalism, or mischief. The cards are divided into sections that list daily, weekly, and monthly tasks, with individual sections that outline specific tasks for each month of the year. They correspond to the guidance notes in the booklet. Each section of cards contains a list of suggested tasks to be carried out for that time period and log cards to record information. We have not included log cards for every task because some tasks can be completed without recording anything. Tasks that do not have log cards are in italicized print. You should copy all of the blank log cards for future use. Each log card has space for additional comments. A follow-up log card, included at the end of this card set, can be used to record any problems you encounter and to help you keep a schedule for any needed repairs or replacements. Please review the guidance notes in the accompanying booklet, which provide additional information on some tasks. Note that we have not defined all tasks because some are self-explanatory. A contact list is provided in the accompanying cards if you need additional information. ------- This side intentionally left blank. ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Emergency Notification/Contact Information Water System Name_ PWSID# Pop. Served_ Owner Name Water System Operator_ Phone (Night)_ Owner Phone Phone (Day) Phone (Cell)_ Organization Safety Officer Supervisors Ambulance Fire Department Contact Name Phone (Day) Phone (Cell) Phone (Night) ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Emergency Notification/Contact Information Organization Police Department Hospital Poison Control FBI Field Office Health Department Primacy Agency Well Driller Chemical Supplier Local Emergency Planning Committee Contact Name Phone (Day) Phone (Cell) Phone (Night) ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Emergency Notification/Contact Information Organization Designated Water System Spokesperson Local Government Official Local Hazmat Team Other Operators Neighboring Water System Neighboring Water System Television Radio Contact Name Phone (Day) Phone (Cell) Phone (Night) ------- REFERENCE REFERENCE REFERENCE REFERENCE Emergency Notification/Contact Information Organization Other: Other: Other: Contact Name Phone (Day) Phone (Cell) Phone (Night) ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts For more information, contact: U.S. EPA Headquarters Office of Ground Water and Drinking Water (202) 564-3750 http://vwwv.epa.gov/OGWDW/ U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites EPA Region 1 (617)918-1584 www.epa.gov/region1/eco/ drinkwater/index.html Connecticut (860) 509-7333 www.state.ct.us/dph/BRS/ Department of Public Health: Drinking Water Division WSS/water_supplies.htm Maine (207) 287-2070 www.state.me.us/dhs/eng/ Maine Department of Human Services: Division of water/index.htm Health Engineering Massachusetts (617)292-5770 www.state.ma.us/dep/brp/dws/ Department of Environmental Protection: Drinking dwshome.htm Water Program ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites New Hampshire Department of Environmental Services: Water Supply Engineering Bureau Rhode Island Department of Health: Office of Drinking Water Quality Vermont Department of Environmental Conservation: Water Supply Division EPA Region 2 New Jersey Department of Environmental Protection: Bureau of Safe Drinking Water New York Department of Health: Bureau of Public Water Supply Protection (603) 271 -2513 www.des.state.nh.us/wseb/ (401)222-6867 (802) 241 -3400 www.healthri.org/environment/dwq/ home.htm www.anr.state.vt.us/dec/watersup/ wsd.htm (212) 637-3879 www.epa.gov/region02/water/ drinktop.htm (609) 292-5550 www.state.nj.us/dep/ watersupply/safedrnk.htm (518) 402-7650 www.health.state.ny.us/ nysdoh/water/main.htm ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Puerto Rico Department of Health: Public Water Supply Supervision Program Virgin Islands Department of Planning & Natural Resources: Division of Environmental Protection EPA Region 3 Delaware Health & Social Services: Division of Public Health District of Columbia Department of Health Maryland Department of the Environment: Public Drinking Water Program Pennsylvania Department of Environmental Protection: Bureau of Water Supply Management (787) 977-5870 www.epa.gov/region02/cepd/ prlink.htm (340) 774-3320 www.dpnr.gov.vi/dep/ publicwatersup.htm (215) 814-2300 www.epa.gov/reg3wapd/ (302) 739-4731 www.state.de.us/dhss/dph/hsp.htm (202) 442-5999 www.dchealth.dc.gov/index.asp (410) 631 -3702 www.mde.state.md.us/ (717) 787-5017 www.dep.state.pa.us/dep/deputate/ wate rmgt/wsm/wsm .htm ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Virginia (804) 786-5566 www.vdh.state.va.us/ddw/index.htm Department of Health: Division of Drinking Water West Virginia (304) 558-2981 www.wvdhhr.org/oehs/eed/ Bureau for Public Health: Environmental Engineering Division EPA Region 4 (404)562-9345 www.epa.gov/region4/water/ Alabama (334)271-7773 www.adem.state.al.us/ Department of Environmental Management: Water waterdiv/drinking%20water/ Supply Branch dwmaininfo.htm Florida (850)487-1762 www.dep.state.fl.us/water/ Department of Environmental Protection: Drinking drinkingwater/index.htm Water Section Georgia (404) 656-6328 www.ganet.org/dnr/environ/ Department of Natural Resources: Water Resources Branch 10 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Kentucky (502)564-3410 water.nr.state.ky.us/dw/ Department for Environmental Protection: Drinking Water Branch Mississippi (601)576-7518 www.msdh.state.ms.us/ Department of Health: Public Water Supply Program watersupply/index.htm North Carolina (919)715-3232 www.deh.enr.state.nc.us/pws Department of Environment and Natural Resources: Public Water Supply Section South Carolina (803) 898-4300 www.scdhec.net/water/html/ Department of Health & Environmental Control: dwater.html Bureau of Water Tennessee (615)532-0191 www.state.tn.us/environment/ Department of Environment & Conservation: Division dws/index.html of Water Supply EPA Region 5 (312)886-6206 www.epa.gov/region5/water/gwdw Illinois (217)785-8653 www.epa.state.il.us/water/ Environmental Protection Agency: Bureau of Water 11 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Indiana (317)308-3282 www.state.in.us/idem/owm/ Department of Environmental Management: Drinking dwb/index.html Water Branch Michigan (517)335-9218 www.michigan.gov/deq/ Department of Environmental Quality: Drinking Water 0,1607,7-135-3313_3675-,00.html Program Minnesota (612)215-0770 www.health.state.mn.us/divs/ Department of Health: Drinking Water Protection eh/water/index.html Section Ohio (614)644-2752 www.epa.state.oh.us/ddagw/ Environmental Protection Agency: Division of Drinking & Ground Waters Wisconsin (608) 266-2299 www.dnr.state.wi.us/org/water/dwg/ Department of Natural Resources: Bureau of Drinking Water and Ground Water EPA Region 6 (214)665-2757 www.epa.gov/region6/ Arkansas (501)661-2623 www.healthyarkansas.com/ Department of Health: Division of Engineering eng/index.html 12 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Louisiana (225) 765-5038 Office of Public Health: Center for Environmental Health New Mexico (877) 654-8720 Environment Department: Drinking Water Bureau Oklahoma (405)702-8100 Department of Environmental Quality: Water Quality Division Texas (512)239-4300 Commission on Environmental Quality EPA Region 7 (913) 551 -7030 Iowa (515) 725-0275 Department of Natural Resources: Water Supply Section Kansas (785) 296-5503 Department of Health & Environment: Public Water Supply Section www.dhh.state.la.us/OPH/ safewtr.htm www.nmenv.state.nm.us/dwb/ dwbtop.html www.deq.state.ok.us/wqdnew/ index.htm www.tnrcc.state.tx.us/permitting/ wate rpe rm/pd w/pd wOOO. htm I www.epa.gov/region07/water/ dwgw.html www.state.ia.us/government/ dnr/organiza/epd/wtrsuply/ wtrsup.htm www.kdhe.state.ks.us/water/ pwss.html 13 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Missouri Department of Natural Resources: Public Drinking Water Program Nebraska Health & Human Services System: Public Water Supply Program EPA Region 8 (573) 751 -5331 (402) 471 -2541 (303)312-6312 (303) 692-3500 Colorado Department of Public Health & Environment: Drinking Water Program Montana (406) 444-4400 Department of Environmental Quality: Public Water Supply Section North Dakota (701) 328-5211 Department of Health: Drinking Water Program www.dnr.state.mo.us/deq/ pdwp/homepdwp.htm www.hhs.state.ne.us/enh/ pwsindex.htm www.epa.gov/region08/water/ dwhome/dwhome.html www.cdphe.state.co.us/wq/ drinking_water/ drinking_water_program.htm www.deq.state.mt.us/pcd/csb/pws/ index.asp www.ehs.health.state.nd.us/ ndhd/environ/mf/index.htm 14 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites South Dakota (605) 773-3754 www.state.sd.us/denr/des/ Department of Environment & Natural Resources: drinking/dwprg.htm Drinking Water Program Utah (801)536-4200 http://drinkingwater.utah.gov Department of Environmental Quality: Division of Drinking Water Wyoming (303)312-6312 www.epa.gov/region08/water/ EPA Region 8: Wyoming Drinking Water Program dwhome/wycon/wycon.html EPA Region 9 (415)972-3547 www.epa.gov/region9/water American Samoa (415)972-3767 www.epa.gov/Region9/ Environmental Protection Agency: American Samoa cross_pr/islands/samoa.html Arizona (602)771-4644 www.adeq.state.az.us/environ/water/ Department of Environmental Quality: Drinking Water dw/index.html Section California (916)323-6111 www.dhs.cahwnet.gov/org/ps/ddwem/ Department of Health Services: Division of Drinking Water & Environmental Management 15 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts U.S. EPA Regional, State, and Primacy Agency Phone Numbers and Websites Guam (671)472-8863 www.epa.gov/region09/ Environmental Protection Agency: Guam cross_pr/islands/guam.html Hawaii (808) 586-4258 www.hawaii.gov/health/eh/ Department of Health: Safe Drinking Water Branch eiemdwOO.htm Nevada (775)687-6615 www.state.nv.us/health/bhps/ Department of Human Resources: Bureau of Health sdwp.htm Protection Services EPA Region 10 (206)553-1893 www.epa.gov/region10/ Alaska (907) 269-7653 www.state.ak.us/dec/deh/ Department of Environmental Conservation: Drinking safewater.htm Water & Wastewater Program Idaho (208) 373-0502 www2.state.id.us/deq/water/ Department of Environmental Quality: Water Quality water! .htm Oregon (503)731-4010 www.ohd.hr.state.or.us/dwp/ Department of Human Services: Drinking Water welcome.htm Program Washington (360)236-3100 www.doh.wa.gov/ehp/dw/ Department of Health: Division of Drinking Water 16 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts Additional Contacts National Rural Water Association State Rural Water Associations Rural Community Assistance Program Rural Utilities Service Safe Drinking Water Hotline EPA National (24-hour) (580) 252-0629 http://vwwv.nrwa.org/ For associations listed by State, see: http://vwvw.nrwa.org/2001/member s/assnlist.htm (203)408-1273 (888)321-7227 http://www.rcap.org (202) 690-2670 http://www.rurdev.usda.gov/rus/index.html 7-800-426-4797 hotline-sdwa@epa.gov 1-800-424-8802 17 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts Technical Assistance Centers Alaska (907) 747-7756 http://www.uas.alaska.edu/attac/ Alaska Training/Technical Assistance Center (ATTAC) Illinois (217)333-9321 http://mtac.sws.uiuc.edu Midwest Technology Assistance Center MTAC Kentucky (270) 745-5948 http://water.wku.edu/ Center for Water Resource Studies Mississippi (662) 325-3620 http://www.wrri.msstate.edu Mississippi Water Resources Research Institute Missouri (573) 882-7564 http://web.missouri.edu/~mowrrc Missouri Water Resources Research Center Montana (406) 994-6690 http://water.montana.edu Montana Water Center 18 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts Technical Assistance Centers New Hampshire New England Water Treatment Technology Assistance Center (603) 862-4334 http://www.unh.edu/erg/wttac/ Pennsylvania (717)948-6358 http://www.hbg.psu.edu/spwstac/ Small Public Water Systems Technology Assistance main.html Center at Penn State Harrisburg West Virginia National Drinking Water Clearinghouse (800) 624-8301 http://www.ndwc.wvu.edu 19 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Contacts Environmental Finance Centers California Environmental Finance Center Region 9 Idaho Environmental Finance Center Kentucky Southeast Regional Environmental Finance Center Maryland The Environmental Finance Center, University of Maryland New Mexico NM Environmental Finance Center (510) 749-6867 http://www.greenstart.org/efc9/ (208) 426-1567 http://sspa.boisestate.edu/efc/ index.htm (502) 852-8032 http://cepm.louisville.edu/org/ SEEFC/seefc.htm (301) 405-6383 http://www.efc.umd.edu/ (505) 272-7357 http://efc.nmt.edu/ 20 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Contacts Environmental Finance Centers New York (315)443-3759 http://www.maxwell.syr.edu/efc/ Environmental Finance Center at Syracuse University's Maxwell School of Citizenship and Public Affairs North Carolina (919)843-4956 http://www.unc.edu/depts/efc/ UNC Environmental Finance Center Ohio (216)687-2188 http://www.csuohio.edu/glefc/ Great Lakes Environmental Finance Center 21 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I This side intentionally left blank. 22 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Commonly Used Conversion Factors 1 foot = 12 inches 1 pint = 16 ounces 1 pound = 16 ounces 1 quart = 2 pints = 32 ounces 1 gallon = 3.785 liters 1 liter = .264 gallons 1 square foot (sq. ft.) = 144 square inches (sq. in.) 1 cubic foot (cu. ft.) = 7.48 gallons (gal.) 1 acre foot (ac. ft.) = 43,560 cu. ft. = 325,829 gal. 23 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Commonly Used Conversion Factors 1 gallon per minute (gpm) = 1,440 gallons per day (gpd) 1 cubic foot per second (cfs) = 646,272 gpd = 448.8 gpm 1 million gallons per day (MGD) = 1.55 cfs = 694.4 gpm 1 part per million (ppm) = 1 milligram per liter (mg/L) = 8.34 pounds per million gallons 1 .0 pounds per square inch (psi) = 2.31 feet of head 1 .0 feet head = 0.433 psi 1 horsepower = 550 foot-pounds per second 24 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Commonly Used Formulas Area = Length x Width Chemical dosage: pounds per day (Ibs./day) = MGD x ppm x 8.34 Ibs./gal. Circular area = • r2 (• • 3.14) OR circular area = 0.785x diameter (D)2 Circular volume = Width x Length x Height Circumference = 2* r (where • • 3.14; r = radius) CT = Chlorine concentration (mg/L) x time (minutes) Detention time = tank volume (gallons) Flow (gpm or gpd) Perimeter (of rectangle) = 2(length) + 2(width) Perimeter for other shapes= add lengths of all sides 25 ------- I REFERENCE REFERENCE REFERENCE REFERENCE I Commonly Used Formulas Flow rate (Q, ft.3/sec.) = Velocity (ft./sec.) X Area (ft 2) Force = Pressure (psi) x Area (in.2) Pounds per gallon (not water) = Specific Gravity x 8 Specific capacity = flow (qpm) drawdown (ft.) 34 Water horsepower = Q (flow in gpm) x H (feet head) 3,960 26 ------- I REFERENCE REFERENCE REFERENCE REFERENCE! Water Line Repairs Log* Date Location Size Replaced/Repaired Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 4 27 ------- REFERENCE REFERENCE REFERENCE REFERENCE Date Location Size Replaced/Repaired Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 4 28 ------- I DAILY DAILY DAILY DAILY I Recommended Daily Operational Duties • • Check water meter readings and record water production. • • Check chemical solution tanks and record amounts used. • • Check and record water levels in storage tanks. • • Inspect chemical feed pumps. • • Check and record chlorine residual at the point of application. • • Check and record chlorine residual in the distribution system. • • Inspect booster pump stations. • • Check and record fluoride concentration in the distribution system. • • Record well pump running times and pump cycle starts. (Continued on other side of card.) See Guide Book Pages 5-11 29 ------- I DAILY DAILY DAILY DAILY I Recommended Daily Operational Duties • Check instrumentation for proper signal input/output. •• Chlorine residual •• Fluoride • Investigate customer complaints. Use special "Telephone Threat" card to record threats or suspicious activity. • Complete a daily security check. •• Check all windows, doors, hatches, seals and vents for evidence of vandalism or tampering. •• Check all well caps, seals, and vents to ensure that they are intact and sealed. •• Check all security lighting to ensure proper operation. • Inspect heater operation during winter months. • Inspect well pumps, motors, and controls. See Guide Book Pages 11 & 12 (Reminder: italicized tasks do not have log cards) 30 ------- I DAILY DAILY DAILY DAILY | Daily Water Production Log Card* Month/Year _ Date 15" 14" 13" 12" 11" 10P 9<" 8th 7"1 6th 5"1 4". 3'" 2nd 1"" Meter Reading Amount of Water Used Notes or Comments "Remember to photocopy the log card for future use before filling it out. "The first value should go here. See Guide Book Page 5 31 ------- I DAILY DAILY DAILY DAILY | Date Meter Reading Total Water Produced"""1 31" 30" 29" 28" 27" 26" 25" 24" 23a 22"> 21" 20" 19" 18" 17" 16" Amount of Water Used Notes or Comments """Subtract reading from the 1st of the month from last reading of the month. See Guide Book Page 5 32 ------- I DAILY DAILY DAILY DAILY | Chemical Pump Settings: Speed Daily Chemical Solution Usage Log Card* Stroke Month/Year Date 15th 14th 13th 12th 11th 10th 9th 8<" 7th 6th 5th 4th 3" ond 4St** Water Prod. (From Prod. Card) Chlorine Solution Used Chlorine Used per qal water produced Any C/2 Dosage Failures & Duration yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no Fluoride Solution Used Fluoride Used per cial water produced "Remember to photocopy the log card for future use before filling it out "The first value of the month should go here. See Guide Book Page 5 33 ------- I DAILY DAILY DAILY DAILY | Date 31" 30" 29" 28" 27" 26" 25" 24" 23a 22M 21" 20" 19" 18" 17" 16" 15" Water Prod. (From Prod. Card) Chlorine Solution Used Chlorine Used per gal Water Produced Any C/2 Dosage Failures & Duration yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no yes/no Fluoride Solution Used Fluoride Used per gal Water Produced "Remember to photocopy the log card for future use before filling it out "The first value of the month should go here. See Guide Book Page 5 34 ------- I DAILY DAILY DAILY DAILY | Daily Chemical Solution Usage Log Card - Other* Chemical Pump Settings: Speed Stroke Month/Year Date 14th 13" 12th 11" 10* 9» 8* 7" 6" 5" 4th y T" 1"** Water Prod. (From Prod. Card) Solution Used Solution Used per qal Water Produced Test Results Raw & Treated Backwash meter reading and/or cycles "Remember to photocopy the log card for future use before filling it out "The first value of the month should go here. See Guide Book Page 7 35 ------- I DAILY DAILY DAILY DAILY | Date 31" 30" 29" 28" 27" 26" 25" 24" 23" 22nd 21" 20" «" fS" 11* f6" f5" Water Prod. (From Prod. Card) Solution Used Solution Used per gal Water Produced Test Results Raw & Treated Backwash meter reading and/or cycles "Remember to photocopy the log card for future use before filling it out ""The first value of the month should go here. See Guide Book Page 7 36 ------- I DAILY DAILY DAILY DAILY | Daily Storage Tank Water Level Log Card* Tank NO. Month/Year Normal Operational Range of Tank Levels (High & Low)_ Date 1st 2nd 3" 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th Water Level (in ft.) Action Taken System Pressure (at tank) Time of Reading "Remember to photocopy the log card for each tank and for future use before filling it out. See Guide Book Page 7 37 ------- I DAILY DAILY DAILY DAILY | Date 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25'" 26'" 27'" 28'" 29'" 30'" 31st Water Level (in ft.) Action Taken System Pressure (at tank) Time of Reading "Remember to photocopy the log card for each tank and for future use before filling it out. See Guide Book Page 7 38 ------- I DAILY DAILY DAILY DAILY | Daily Pressure Tank Water Level Log Card* Tank NO. Month/Year Normal Operational Range of Tank Levels (High & Low)_ Date 1" 2nd y 4th 5" 6" 7" 8* 9» 10* 11" 12th 13th 14'" 1S* Water Level (in ft.) System Pressure (at tank) Time of Reading Action Taken "Remember to photocopy the log card for each tank and for future use before filling it out. See Guide Book Page 7 39 ------- I DAILY DAILY DAILY DAILY | Date 16?" 17* 18" 19th 20" 21" 22nd 23" 24'" 25" 26" 27" 28" 29" 30" 31" Water Level (in ft.) System Pressure (at tank) Time of Reading Action Taken "Remember to photocopy the log card for each tank and for future use before filling it out. See Guide Book Page 7 40 ------- I DAILY DAILY DAILY DAILY | Daily Chemical Feed Pump Log Card* Month/Year _ Dosage Calculation = (ax b)/c = d (Make sure to include units of measurement.) Day 14" 13" 12" 11" 10" gtl, 8th 7"1 6th 5" f 3a 2"" *"** Concentration of Chemical Solution (a) Volume of Solution Pumped (b) Volume of Water Treated (c) Calculated Dosage (mg/L) (d) Expected Dosage "Remember to photocopy the log card for future use before filling it out. "First Value of month should go here. See Guide Book Page 8 41 ------- I DAILY DAILY DAILY DAILY | Day iff" iff* 17" fS" 19th 20" 21" 22nd 23" 24" 25" 26" 27" 28" 29" 30" 31" Concentration of Chemical Solution (a) Volume of Solution Pumped (b) Volume of Water Treated (c) Calculated Dosage (mg/L) (d) Expected Dosage See Guide Book Page 8 42 ------- I DAILY DAILY DAILY DAILY | Daily Chlorine Residual Log Card* Month/Year _ Location Day 1st ond 3" 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th Chlorine Residual (in mg/L) at Point of Application Target Level mg/L to mg/L Chlorine Residual (in mg/L) in Distribution System (include sample location) Notes or Comments "Remember to photocopy the log card for future use and for multiple sampling locations before filling it out. See Guide Book Page 9 43 ------- I DAILY DAILY DAILY DAILY | Day 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Chlorine Residual (in mg/L) at Point of Application Target Level mg/L to mg/L Chlorine Residual (in mg/L) in Distribution System (include sample location) Notes or Comments See Guide Book Page 9 44 ------- I DAILY DAILY DAILY DAILY | Daily Booster Pump Log Card* Month/Year _ Day 1" 2nd 3'" 4". 5"1 6" 7"1 8th 9<" 10" 11" 12" 13" 14" 15* Are Pump Operating Times Equalized? Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Meter Readings Run Time Starts Pressure Gauge Readings Suction Side Discharge Side Pump on/off "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 10 45 ------- I DAILY DAILY DAILY DAILY | Day 16" 17" 18" 19" 20th 21st 22M 23a 24th 25th 26th 27th 28th 29th 30th 31st Are Pump Operating Times Equalized? Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Meter Readings Run Time Starts Pressure Gauge Readings Suction Side Discharge Side Pump on/off "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 10 46 ------- I DAILY DAILY DAILY DAILY | Daily Fluoride Concentration Log Card* Predetermined Concentration Month/Year Sample Point Location Day 1" 2"" 3rt 4". 5"1 6th 7th 8th 9th 10th 11* 12th 13th 14th Fluoride Concentration in Distribution System Adjustment Needed +/- Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 10 47 ------- I DAILY DAILY DAILY DAILY | Day 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Fluoride Concentration in Distribution System Adjustment Needed +/- Notes or Comments See Guide Book Page 10 48 ------- I DAILY DAILY DAILY DAILY | Daily Well Pump Log Card* Month/Year Date 1" ynd •yd 4". 5"1 6'" T" go, 9th 10" 11" 12" 13" 14" 15* Running Time (in Mrs.) Number of Cycle Starts Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 11 49 ------- I DAILY DAILY DAILY DAILY | Date 16" 17" 18" 19" 20" 21" 22nd 23a 24" 25" 26" 27" 28" 29" 30" 31" Running Time (in Mrs.) Number of Cycle Starts Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 11 50 ------- I DAILY DAILY DAILY Daily Instrumentation Equipment Check Log Card* Type of Equipment Date •• Check to make sure the instrument is working-input/output signal. •• Check to make sure proper flow is going to the instrument. Per Manufacturer Specifications: (Review operation manual and set the following per recommendations. Use this list for daily checks.) DAILY | Equipment Check Verify all signals. Calibrate input/output. Clean as recommended. Replace all standby batteries/power (as needed). Operation Manual Settings Notes "Remember to photocopy the log card for each piece of equipment and for future use before filling it out. See Guide Book Page 11 51 ------- I DAILY DAILY DAILY DAILY I Other Instrumentation Equipment Notes or Comments "Remember to photocopy the log card for each piece of equipment and for future use before filling it out. See Guide Book Page 11 52 ------- I DAILY DAILY DAILY DAILY | Customer Complaint Log Card* Date Questions, Concerns, or Potential Problems 1. Time Complaint Made 2. Time Complaint Made Customer Name and Information Person Assigned/ Action Taken Compliant Resolved/ Researched Time resolved Time resolved "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 11 53 ------- I DAILY DAILY DAILY DAILY | Date Questions, Concerns, or Potential Problems 3. Time Complaint Made 4. Time Complaint Made Customer Name and Information Person Assigned/ Action Taken Compliant Resolved/ Researched Time resolved Time resolved "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 11 54 ------- I DAILY DAILY DAILY DAILY | Water System Telephone Threat Identification Checklist* 1. Types of Tampering/Threat: • • Contamination • • Biological • • Chemical • • Threat to tamper • • Bombs, explosives, etc. • • Other (explain) 2. Call Received By (Name, Address, and Telephone Number): Date and Time of Call Received: 3. Location of Tampering: • • Distribution Line • • Water Storage Facilities • • Treatment Plant • • Raw Water Source • • Treatment Chemicals • • Other 4. Contaminant Source and Quantity: Date and Time of Tampering/Threat: Caller's Name/Alias, Address, and Telephone Number: 5. Is the Connection Clear? (Could it have been a wireless or cell phone?) 6. Is the Caller (check all that apply): • • Male • • Female • • Impolite • • Illiterate Well Spoken Irrational Incoherent "Remember to photocopy this card and ensure copies are available for use. See Guide Book Page 11 55 ------- I DAILY DAILY DAILY DAILY | 7. Is the Caller's Voice (Check all that apply): • • Soft • • Calm • • Angry • • Slow • • Slurred • • Loud • • Laughing • • Crying • • Deep • • Nasal • • Clear • • Lisping • • Old • • High • • Cracking • • Excited • • Familiar (who did it sound like?) • • Accented (which region or nationality?) 8. Are There Background Noises? • • Street noises (what kind) • • Machinery (what type?) • • Voices (describe) • • Children (describe) • • Animals (what kind?) • • Computer Keyboard, Office • • Motors (describe) • • Music (what kind?) • • Other • • Rapid • • Normal • • Stuttering • • Young "Remember to photocopy this card and ensure copies are available for use. See Guide Book Page 11 56 ------- I DAILY DAILY DAILY DAILY I Daily Security Checklist* Date • • Hatches -closed, locked • • Doors -closed, locked • • Windows -closed, intact, locked • • Gates -closed, locked • • Fences - intact • • Well caps, seals, & vents - intact, sealed • • Signs -visible, in good repair •• Lights-working, available •• Alarms-on, functioning • • Work needed: "Remember to photocopy this card and ensure copies are available for future use. See Guide Book Page 12 57 ------- I DAILY DAILY DAILY DAILY I Other Notes and Comments 58 ------- I DAILY DAILY DAILY DAILY I Other Notes and Comments 59 ------- I DAILY DAILY DAILY DAILY I Other Notes and Comments 60 ------- I WEEKLY WEEKLY WEEKLY WEEKLY I Recommended Weekly Operational Duties • • Inspect chlorine and fluoride testing equipment. • • Clean pump house and grounds. Make sure fire hydrants are accessible. • • Record pumping rate for each well or source water pump. • • Conduct weekly security check. •• Inspect all pump house plumbing for leaks. •• Check all sump pumps for proper operation. •• Check all station alarms. •• Check backup power source to ensure it will operate when needed. " Inspect fencing and gates. See Guide Book Pages 13 -15 61 ------- I WEEKLY WEEKLY WEEKLY WEEKLY I This side intentionally left blank. 62 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Chemical Equipment Testing Log Card* Equipment Month/Year Week (Date) 1st nnd 3rd 4* 5th Is Equipment Calibrated Properly? Yes/No Yes/No Yes/No Yes/No Yes/No Are Reagents Clearly Marked and Safely Stored? Yes/No Yes/No Yes/No Yes/No Yes/No Are Reagents Expired? Yes/No Yes/No Yes/No Yes/No Yes/No Amount of Reagent on Hand Notes or Comments "Photocopy a log card for each chemical feeder. Remember to make copies for future use before filling log card out See Guide Book Page 13 63 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Chemical Equipment Testing Log Card* Equipment Month/Year Week (Date) 1st nnd 3rd 4* 5th Is Equipment Calibrated Properly? Yes/No Yes/No Yes/No Yes/No Yes/No Are Reagents Clearly Marked and Safely Stored? Yes/No Yes/No Yes/No Yes/No Yes/No Are Reagents Expired? Yes/No Yes/No Yes/No Yes/No Yes/No Amount of Reagent on Hand Notes or Comments "Photocopy a log card for each chemical feeder. Remember to make copies for future use before filling log card out See Guide Book Page 13 64 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Cleanliness Log Card* Month/Year Week (Date) 1st 2nd 3rd 4* 5th Are Pump House and Grounds Clean? Yes/No Yes/No Yes/No Yes/No Yes/No Are Fire Hydrants Accessible? Yes/No Yes/No Yes/No Yes/No Yes/No Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Pages 13 & 14 65 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Cleanliness Log Card* Month/Year Week (Date) 1st 2nd 3rd 4* 5th Are Pump House and Grounds Clean? Yes/No Yes/No Yes/No Yes/No Yes/No Are Fire Hydrants Accessible? Yes/No Yes/No Yes/No Yes/No Yes/No Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Pages 13 & 14 66 ------- WEEKLY WEEKLY WEEKLY WEEKLY Week (Date) 1st nnd 3rd 4* 5th Weekly Pumping Rate Log Card* Well Month/Year Pumping Rate/Flow Notes or Comments "Photocopy a log card for each well. Remember to make copies for future use before filling log card out. See Guide Book Page 14 67 ------- WEEKLY WEEKLY WEEKLY WEEKLY Week (Date) 1st 2nd 3rd 4* 5th Weekly Pumping Rate Log Card* Well Month/Year Pumping Rate/Flow Notes or Comments "Photocopy a log card for each well. Remember to make copies for future use before filling log card out. See Guide Book Page 14 68 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Security Check Log Card* Month/Year Week (Date) 1st 2nd 3rd 4* 5th Are Security Measures in Good Condition? Yes/No Yes/No Yes/No Yes/No Yes/No Repairs/Changes Notes 69 ------- I WEEKLY WEEKLY WEEKLY WEEKLY | Weekly Security Check Log Card* Month/Year Week (Date) 1st 2nd 3rd 4* 5th Are Security Measures in Good Condition? Yes/No Yes/No Yes/No Yes/No Yes/No Repairs/Changes Notes "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 15 70 ------- I WEEKLY WEEKLY WEEKLY WEEKLY I Other Notes and Comments 71 ------- I WEEKLY WEEKLY WEEKLY WEEKLY I Other Notes and Comments 72 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended Monthly Operational Duties • • Read electric meter at pump house and record. • • Take appropriate monthly water quality samples. • • Check and record static and pumping levels of each well. • • Read all customer meters and compare against total water produced for the month. • • Inspect well heads. • • Lubricate locks. • • Check on-site readings against lab results. • • Confirm submittal of monthly reports. See Guide Book Pages 17-19 73 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 74 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Electric Meter Log Card* Year Month (Date) Jan. Feb. March Electric Meter Reading Monthly Water Production (if pumping is major use of energy) Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 75 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Electric Meter Log Card* Year Month (Date) April May June Electric Meter Reading Monthly Water Production (if pumping is major use of energy) Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 76 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Electric Meter Log Card* Year Month (Date) July Aug. Sept. Electric Meter Reading Monthly Water Production (if pumping is major use of energy) Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 11 ------- MONTHLY MONTHLY MONTHLY MONTHLY Monthly Electric Meter Log Card* Year Month (Date) Oct. Nov. Dec. Electric Meter Reading Monthly Water Production (if pumping is major use of energy) Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 78 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Water Quality Sampling Log Card* Year. Month Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. Take Coliform Sample (• } Take Other Samples (• } Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 79 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Water Quality Sampling Log Card* Year. Month Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. Take Coliform Sample (• } Take Other Samples (• } Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 17 80 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Static (S) and Pumping (P) Level Log Card* Well Year Month Jan. Feb. March April May June S&P Level (in ft) S: P: S: P: S: P: S: P: S: P: S: P: Recharge Time Notes or Comments "Remember to photocopy the log card for future use and for each well before filling it out. See Guide Book Page 18 81 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Monthly Static (S) and Pumping (P) Level Log Card cont.* Well Year Month (Date) July Aug. Sept. Oct. Nov. Dec. S &P Level (in ft) S: P: S: P: S: P: S: P: S: P: S: P: Recharge Time Notes or Comments "Remember to photocopy the log card for future use and for each well before filling it out. See Guide Book Page 18 82 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes and Comments 83 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes and Comments 84 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended January Operational Duties • • Overhaul chemical feed pumps (O rings, check valves, and diaphragms). • • Inspect and clean chemical feed lines and solution tanks. • • Calibrate chemical feed pumps after overhaul. • • Begin Safety Equipment Repair Log. Maintain log continuously throughout the year. • • Operate all valves inside the treatment plant and pump house. Maintain log continuously throughout the year. • • Review emergency response plans. See Guide Book Pages 20 - 22 85 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 86 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 January Task Log Card* Feedpump: Year Task Date Completed Overhaul chemical feed pumps: Feeder head cleaned. O rings and valves checked for wear. Worn-out parts replaced (e.g., diaphragms). Inspect and clean: Chemical feed lines. Solution tanks. Calibrate chemical feed pumps after overhaul. Notes or Comments "Remember to photocopy the log card for each piece of equipment and for future use before filling it out. See Guide Book Pages 20 & 21 87 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Feed Pump Notes or Comments* Maintenance Needs: Supplier Information: Age of Equipment: Changes or Repairs: "Remember to photocopy the log card for each piece of equipment and for future use before filling it out. See Guide Book Pages 20 & 21 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Safety Equipment Repair Log* Year Date Equipment: (SCBA, air monitor, fire extinguisher, etc.) Maintenance or Repair Completed: (calibrated, cleaned, etc.) Notes or Comments: "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 21 89 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Date Equipment: (SCBA, air monitor, fire extinguisher, etc.) Maintenance or Repair Completed: (calibrated, cleaned, etc.) Notes or Comments: "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 21 90 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Valve Log Card* Year When exercising the valves, be sure to record the time, type of valve, if the valve functions properly, and valve position. Date Time Valve Number Location Type: (gate, plug, etc.) Position: (open full, open partial, or closed; # turns) Comments: (ok, repairs needed, will not seat, etc.) "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 22 91 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 Date Time Valve Number Location Type: (gate, plug, etc.) Position: (open full, open partial, or closed; # turns) Comments: (ok, repairs needed, will not seat, etc.) "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 22 92 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended February Operational Duties • • Inspect chemical safety equipment and repair or replace as needed. • • Operate all valves inside the treatment plant and pump house. See Guide Book Page 23 93 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 94 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 February Task Log Card* Year_ Task Check chemical safety equipment and repair or replace as needed. Operate all valves inside the treatment plant and pump house. Date Completed Number and Direction of Turns NotAppJieaUe Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 23 95 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 96 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended March Operational Duties • • Inspect, clean, and repair control panels in pump house and treatment plant. • • Exercise half of all mainline valves. See Guide Book Page 24 97 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 98 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 March Task Log Card* Year Task Inspect, clean, and repair control panels in pump house and treatment plant. Exercise half of all mainline valves. Date Completed Valves Exercised Not Applicable Condition of Valves Not Applicable Date Scheduled for Repair Number and Direction of Turns to Close Not Applicable "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 24 99 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 100 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended April Operational Duties • • Inspect and clean chemical feed lines and solution tanks. • • Calibrate chemical feed pumps. See Guide Book Pages 25 & 26 101 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 102 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 April Task Log Card* Year. Task Exercise/check all fire hydrant valves. Inspect and clean: Chemical feed lines Solution tanks Calibrate chemical feed pumps. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Pages 25 & 26 103 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 104 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended May Operational Duties • • Inspect storage tanks for defects and sanitary deficiencies. • • Clean storage tanks if necessary. See Guide Book Pages 27 & 28 105 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 106 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 May Task Log* Year_ Task Date Completed Inspect Storage Tank # Check vents and screens. Check water level measuring devices." Check hatch seals/locks." Check for deterioration. Inspect Storage Tank # Check vents and screens. Check water level measuring devices .** Check hatch seals/locks .** Check for deterioration. Clean Storage Tanks. Notes or Comments "Remember to photocopy the log card for future use and additional tanks before filling it out. "These security checks should also be conducted daily. See Guide Book Pages 27 & 28 107 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 108 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended June Operational Duties • • Flush the distribution system and exercise/check all fire hydrant valves. • • Perform preventive maintenance on treatment plant and pump house buildings. See Guide Book Page 29 109 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 110 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 June Task Log Card* Year_ Task Flush the distribution system. Paint- Plant piping Buildings Tanks Safely store: Pipes Plumbing fittings Chemicals Tools Check fan operation. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 29 111 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 112 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended July Operational Duties • • Inspect and clean chemical feed lines and solution tanks. • • Calibrate chemical feed pumps. See Guide Book Page 30 113 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 114 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 July Task Log Card* Year. Task Inspect and clean: Chemical feed lines Solution tanks Calibrate chemical feed pumps. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 30 115 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 116 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended August Operational Duties • • Operate all valves inside the treatment plant and pump house. See Guide Book Page 31 117 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 118 ------- MONTHLY MONTHLY MONTHLY MONTHLY August Task Loq Card* Year Task Operate all valves inside the treatment plant and pump house. Date Completed Number and Direction of Turns Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 31 119 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 120 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended September Operational Duties • • Exercise mainline valves that were not exercised in March. • • Prepare system for winter operation. This task may be postponed until October or November, based on local conditions. • • Make sure unnecessary equipment is properly decommissioned. See Guide Book Page 30 121 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 122 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 September Task Log Card* Year. Task Exercise mainline valves that were not exercised in March. Date Completed Valves Exercised Number of Failures Date Scheduled Direction and Number of for Repair Turns to Close Prepare System for Winter Operation Task Check that all exposed facilities are properly insulated. Check that all heaters are operable. Check that all vents are closed. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 32 123 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 124 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended October Operational Duties • • Inspect and clean chemical feed lines and solution tanks. • • Calibrate chemical feed pumps. See Guide Book Page 33 125 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 126 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 October Task Log Card* Year. Task Inspect and clean: Chemical feed lines Solution tanks Calibrate chemical feed pumps. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 33 127 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 128 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended November Operational Tasks • • Prepare system for winter operation if not completed in September or October. See Guide Book Page 34 129 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 130 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 November Task Log Card* Year_ Prepare System for Winter Operation Task Check that all exposed facilities are properly insulated. Check that all heaters are operable. Check that all vents are closed. Date Completed Notes or Comments "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 34 131 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 132 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Recommended December Operational Duties • • Contact an electrician to check running amps on well pumps. See Guide Book Page 35 133 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I This side intentionally left blank. 134 ------- I MONTHLY MONTHLY MONTHLY MONTHLY 1 December Task Log Card* Year_ Task Date Completed Notes or Comments Contact an electrician to check running amps on well pumps. "Remember to photocopy the log card for future use before filling it out. See Guide Book Page 35 135 ------- I MONTHLY MONTHLY MONTHLY MONTHLY I Other Notes or Comments 136 ------- MONTHLY MONTHLY MONTHLY MONTHLY Follow-Up Log Card* Questions, Concerns, or Potential Problems Date Lead Person/Action Plan "Remember to photocopy the log card for future use before filling it out. 137 ------- MONTHLY MONTHLY MONTHLY MONTHLY Questions, Concerns, or Potential Problems Date Lead Person/Action Plan "Remember to photocopy the log card for future use before filling it out. 138 ------- Other Notes or Comments 'Remember to photocopy the log card for future use before filling it out. 139 ------- Other Notes or Comments 'Remember to photocopy the log card for future use before filling it out. 140 ------- |