SEPA
United States
Environmental Protection Agency
Preventive Maintenance Card File for
Small Public Water Systems Using
Ground Water
Log Cards
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Office of Water (4606M)
EPA816-B-04-002
December 2004
vwwv.epa.gov/safewater
Printed on Recycled Paper
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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.
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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)
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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)
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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)
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Emergency Notification/Contact Information
Organization
Other:
Other:
Other:
Contact Name
Phone (Day)
Phone (Cell)
Phone (Night)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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/
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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
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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.
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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
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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
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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
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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
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Date
Location
Size
Replaced/Repaired
Comments
"Remember to photocopy the log card for future use before filling it out.
See Guide Book Page 4
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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
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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
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I DAILY
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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
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I DAILY
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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I MONTHLY MONTHLY MONTHLY MONTHLY I
This side intentionally left blank.
86
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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
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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
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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
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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
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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
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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
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I MONTHLY MONTHLY MONTHLY MONTHLY I
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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
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110
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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
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Other Notes or Comments
112
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Recommended July Operational Duties
• • Inspect and clean chemical feed lines and solution tanks.
• • Calibrate chemical feed pumps.
See Guide Book Page 30 113
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114
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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
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Other Notes or Comments
116
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Recommended August Operational Duties
• • Operate all valves inside the treatment plant and pump house.
See Guide Book Page 31 117
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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
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Other Notes or Comments
120
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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
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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
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Other Notes or Comments
124
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Recommended October Operational Duties
• • Inspect and clean chemical feed lines and solution tanks.
• • Calibrate chemical feed pumps.
See Guide Book Page 33 125
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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
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Other Notes or Comments
128
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Recommended November Operational Tasks
• • Prepare system for winter operation if not completed in
September or October.
See Guide Book Page 34 129
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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
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Other Notes or Comments
132
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Recommended December Operational Duties
• • Contact an electrician to check running amps on well pumps.
See Guide Book Page 35 133
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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
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Other Notes or Comments
136
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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
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Questions,
Concerns, or
Potential Problems
Date
Lead Person/Action Plan
"Remember to photocopy the log card for future use before filling it out.
138
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Other Notes or Comments
'Remember to photocopy the log card for future use before filling it out. 139
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Other Notes or Comments
'Remember to photocopy the log card for future use before filling it out. 140
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