Answers to Introduction Video Questions

Question Description

Please watch the videos and take the survey and answer the following questions.

On the survey you could leave the contact information empty.

11.13 Virtual Lab Community Sanitary Survey Part 1 Jamie (13m 29s)

11.13 Virtual Lab Community Sanitary Survey Well Head Inspection (11m 44s)

11.13 Virtual Lab Community Sanitary Survey Part 3 Well house (13m 34s)

11.13 Virtual Lab Community Sanitary Survey Part 4 Well House (8m 23s)

Introduction Video – In office review

1. What is the number of connections on the system?

2. How deep is the well?

3. How did the person who is in charge end up being in charge?

4. Is the development on central sewer or septic tanks?

5. What is the pressure level at the house that was tested?

Well Head and Well House Sections of the Videos

6. How high must a well head be above the ground?

7. What was a problem that was observed with the well head.

8. There was a concern about the drain for the pump house. What was that concern?

9. How often are the valves to be exercised in the system.

10. If you get a positive hit how many samples must be taken after that hit.

11. What did you find most interesting about this “lab”

Unformatted Attachment Preview

Drinking Water Sanitary Surveys Background & Preparation Checklist Reference Guide: Colorado Department of Public Health and Environment – Water Quality Control Division Field Services Section 303-692-3500 August 2012 What is a Sanitary Survey? Who should attend your sanitary survey? A sanitary survey is an on-site review of the eight elements of a  Operator (s)  Owner  Administrative Contact Please prepare for questions about general operations, management, security, and specific technical questions. sanitary survey including: water source, facilities, equipment, operation, and maintenance of a public water system for the purpose of evaluating the adequacy of the facilities for producing and distributing safe drinking water. The sanitary survey is required by Article 11 of the Colorado Primary Drinking Water Regulations (CPDWRs). Sanitary Survey Frequency Per Article 11 of the CPDWRs, routine sanitary survey are required by the CPDWRs for all pubic water systems (PWS) every three to five years. Sanitary Survey  Community Water Systems (CWS) – Every Three Years  Non-Transient, Non-Community Water Systems (NTNC) – Every Five Years Scheduling  Transient, Non-Community Water Systems (TNC) – Every Five Years Typically, if your system is The Water Quality Control Division (Department) has the authority to conduct more frequent scheduled for a sanitary sanitary surveys based on water quality concerns or to follow up on previous sanitary survey then an inspector surveys. In addition, the Department may conduct sanitary surveys without advance notice. will contact your facility to schedule. Field Services Section Sanitary Survey Goals How long will the sanitary survey take? The sanitary survey can take a several hours to days depending on the complexity of the water system (e.g., a restaurant vs. metropolitan system ). Element      Identify and address significant deficiencies and minor deficiencies Provide assistance Produce consistent, reliable reports which correctly identify the compliance and technical issues at a facility Facilitate continuous improvement – Accurately capture system inventory – Identify system strengths – Provide resources to the systems Establish working relationships between systems and the Water Quality Control The Eight Sanitary Survey Elements Description 1. Monitoring, reporting, and data verification Review paperwork and plans to demonstrate compliance with CPDWRs (e.g., monitoring plan, sample results, maps) 2. System management and operation Review paperwork and plans to demonstrate that maintenance and operations can maintain compliance (e.g., cross connection control, emergency plan, operations and maintenance plan) 3. Operator compliance Review operator status to ensure the operator’s certification is current and the appropriate level to meet Regulation 100 4. Water source(s) Evaluate water supply sources to ensure proper source protection 5. Treatment facilities Evaluate treatment processes (e.g., chemical addition, filtration), facilities, components, and techniques 6. Distribution system Evaluate the adequacy, reliability, and safety of the system for distributing water 7. Finished water storage Evaluate the adequacy, reliability, and safety of finished water storage 8. Pumps and pump facilities Identify proper operation and maintenance of water system pumps and pumping facilities Sanitary Survey Preparation Checklist General Facility Checks — prior to sanitary survey date  Are all facilities accessible (e.g., keys to buildings available, gates accessible, water hauling truck onsite)?  Are all facilities safe for inspection attendees (e.g., no unexposed wiring, no un-covered pits)?  Are all facilities operational (e.g., chemical feed pump working)?  Are all facilities clean (e.g., floor swept, chemicals/spare equipment stored properly)?  Are there any obvious problems with each potable water facility (e.g., holes in tanks, sanitary well seals not in place, vents not screened with 24 non-corrosive mesh)? General Paperwork Reviews — prior to sanitary survey date  Review previous sanitary survey reports and be prepared to discuss findings and resolution of deficiencies  Review any recent correspondence from the Department including violation letters and notifications  Review operator status to ensure the operator’s certification is current and the appropriate level to meet Regulation 100 Water System Records and Paperwork Available for Review During Sanitary Survey (for record keeping retention periods—see box below)  Monitoring Plan, updated with all recent system modifications (Required for all PWS per CPDWR Section 1.12)  Bacteriological Sampling Plan (Part 5 of overall Monitoring Plan) including System Map  Water quality analyses/laboratory records (Required for all PWS)  Monitoring Schedule for current year (Required for all PWS)  Correspondence to/from Department staff (Required for all PWS depending on correspondence type)  Other paperwork depending on System Type (e.g., water hauling records, consecutive system agreement)  Consumer Confidence Reports (Required for community water systems (CWS) by CPDWR Article 9)  Groundwater Rule Documentation (Required for all GW systems per CPDWR Article 13)  Disinfection Profile and Benchmark for Surface Water and Ground Water under the Direct Influence of Surface Water (SW/ GWUDI) Systems (Required per CPDWR Section 7.2.2 and 7.3.2)  Cross Connection Records to demonstrate compliance with CPDWRs Article 12 (Required for all PWS) For your comfort consider bringing:  Treatment Facility Wastewater Discharge Permit (if applicable)  Clothing for adverse weather  Operation and Maintenance Plan (Recommended for all PWS)  Snack / drink  Emergency Response Plan / Security Plan (Recommended for all PWS)  Sunglasses / Sunscreen Other items to have available:  Phone or radio  Water testing equipment (e.g., chlorine analyzer, sampling bottles)  Insect repellent  Safety equipment (e.g., gloves, boots, eye, head, and ear protection)  First Aid Kit  Paper and pencil or pen for notes  Camera (optional) Record Keeping Retention Periods for Analyses Results and Water System Records All Public Water Systems Bacteriological analyses 5 years Community Water System (CWS) and Non-Transient NonCommunity (NTNC) Chemical analyses 10 years Lead & copper records Actions to correct violations 3 years Disinfectant/disinfection by-products records up to 10 years Sanitary survey reports and any subsequent correspondence Stage 2 disinfection by-product rule information 3 to 10 years 10 years Monitoring plans, cross-connection control plans, emergency response plans, etc. Indefinitely or until superseded Water system information (e.g., “as-built” construction drawings, water studies, well permits) Indefinitely or until superseded Major division correspondence (e.g., current monitoring schedule, facility design approval letters) Indefinitely or until superseded Other records as required in CPDWR If in doubt — keep a copy Surface Water and Ground Water under the Direct Influence Turbidity results Disinfection profile/benchmark Long term 2 surface water treatment rule info 5 years Indefinitely 3 to 10 years 12 years Consumer confidence reports (CWS only) 3 years Ground Water systems Triggered GW system: weekly entry point chlorine residual, treatment technique failures, and invalidated samples records 5 years Indefinitely if active waiver . Waivered systems: all correspondence and If waiver documentation related to requirement of waiver withdrawn – 5 years 4-log certified system:  Division specified minimum chlorine residual   Entry point chlorine residual, treatment  technique failures, and Department specified records 10 years 5 years Page 2 2016 EPA Region 8 WY SANITARY SURVEY FORM INVENTORY DATE OF SURVEY: COUNTY: PWS ID: SYSTEM NAME: SURVEYOR NAME: System representatives (including titles) present at survey: EMERGENCY CONTACT Emergency Contact Name: Others present: Emergency cell phone: ( Comments: ) Emergency email address: Title: Street: City: State: SYSTEM OWNER OR MUNICIPAL LEGAL REPRESENTATIVE Addressee Name: Company: Title: State: Owner Phone: ( PRIMARY ADMINISTRATIVE CONTACT (to receive ALL correspondence from EPA) Addressee: Street: Zip: ) Fax: ( City: ) State: County: Administrative Contact Phone: ( Email Address: Zip: ) Fax: ( ) Email Address: ADDITIONAL CONTACT (if any) PUBLIC WORKS DIRECTOR, CITY ENGINEER and/or WATER PLANT SUPERINTENDENT Addressee: Addressee: Title: Title: Street: City: Zip: Title: Street: City: County: Street: State: County: Contact Phone: ( ) Zip: Fax: ( ) Email Address: City: State: County: Contact Phone: ( ) Zip: Fax: ( ) Email Address: Comments: DESIGNATED OPERATOR OF SYSTEM ALTERNATE OPERATOR Name: Name: Certified Operator? @ Yes No TNC System (not required) Certified Operator? Yes No Not required Treatment Cert. Level: Distribution Cert. Level: Treatment Cert. Level: Distribution Cert. Level: Treatment Cert. Exp. Date: Distribution Cert. Exp. Date: Treatment Cert. Exp. Date: Distribution Cert. Exp. Date: Cert. Authority: Cert. Authority: Cert. Authority: Cert. Authority: Phone: ( Phone: ( ) ) Email Address: Email Address: Contract Operator*? Yes No Comments: Date contract ends: Go to: http://deq.wyoming.gov/wqd/operator-certification/ Comments: Click on: Check Facility Records then Click on: Check Operator Records Go to: http://deq.wyoming.gov/wqd/operator-certification/ Click on: Check Facility Records then Click on: Check Operator Records WATER SYSTEM CLASSIFICATION for operator certification System Treatment Classification Level: WATER SYSTEM CLASSIFICATION from PWS Inventory C = Community System Distribution Classification Level: NTNC = Non-Transient Non-Community Comments: NC = Transient Non-Community Go to: http://deq.wyoming.gov/wqd/operator-certification/ Click on: Check Facility Records Comments: SYSTEM PHYSICAL ADDRESS Street: City: PHYSICAL LOCATION Physical Location and Directions: State: Zip: Page 1 of 40 DEQ DISTRICT ENGINEER COUNTY AND/OR CHS SANITARIAN , District Engineer , CHS Specialist Phone: 307- Phone: 307- Email: Email: SERVICE CONNECTIONS PERIOD OF OPERATION Total Service Connections (Active and Inactive): Year-round Part of the year: From Service Connections Metered? to If only open part of the year, does the entire distribution system Yes No remain pressurized during the entire off period? Is this PWS operating with a lease on Federal land? If yes, Federal land name: Yes Yes No Number of metered service connections: Comments: No Comments: OWNER TYPE POPULATION DIRECTLY SERVED (do not include populations of consecutive PWSs) 1 Federal Government 2 Private: Subdivision, Investor, Trust, Cooperative, Water Association, etc. Residential Population: (Number of year-round residents utilizing PWS) 3 State Government 4 Local Government Authority: Commission, District, Municipality, City, etc. 5 Mixed Public/Private 6 Native American Indian Tribes & Reservations 7 Other Comments: Non-Transient Population: (Number of the same persons utilizing PWS Daily for 6 months of the year – i.e. students, employees) Transient Population: (Average number of transient persons served by PWS daily during peak 60 days of operation – i.e. customers, visitors) Does the water system serve at least 25 individuals daily at least 60 days of the year (does not need to be Yes No consecutive days)? Comments (source(s) of population info): SERVICE CATEGORY (check all that apply) AP Airport BA Bathing/Swimming BR Bar CG Campground CH Church DC Daycare Center DR Dude Ranch HS Hospital IB Interstate Bottler IF Industrial/Agricultural IN Institution LB Local Bottler LO Lodge MA Marina MH Mobile Home Park MO Motel/Hotel PC Picnic Area RA Rest Area RC Recreation RS Residential RT Restaurant RV RV Park SC School SD Subdivision SK Ski Area SS Service Station US Water User’s Association VC Visitor Center VM Vending Machine WH Water Hauler XX Other Primary Service Category Description: Comments: SOURCES (check all that apply) SW = Surface Water SWP = Surface Water Purchased GW = Groundwater GWP= Groundwater Purchased GWUDI = Ground Water Under the Direct Influence of Surface Water If mixed, does GW receive full SW Treatment? Yes No Is the current water source adequate in quantity? Yes No Describe: Have there been any interruptions in service since the last survey? Yes No Describe: Have there been reports of a water borne disease (2 or more people)? Yes No Describe: Have there been any changes to the water system since the last survey? Yes No Describe: Are there any changes that are planned? Yes No Describe: Comments: SUMMARY (Describe the water system in a paragraph or two) The following abbreviations will be used throughout this document: NI = no information, NA = not applicable, NR = not requested, @ = potential significant deficiency. Page 2 of 40 Update Significant Deficiency Messages SIGNIFICANT DEFICIENCIES SIGNIFICANT DEFICIENCIES Significant deficiencies include, but are not limited to, defects in the design, operation, or maintenance, or a failure or malfunction of the sources, treatment, storage, or distribution system, that EPA determines to be causing, or have the potential for causing, the introduction of contamination into the water delivered to consumers. Please note the instructions for responding to significant deficiencies in the attached cover letter. Failure to provide a response to EPA could result in a violation. UNCORRECTED SIGNIFICANT DEFICIENCIES FROM PRIOR SANITARY SURVEY Numbered significant deficiencies and associated numbered photos if applicable RECOMMENDATIONS Numbered recommendations and associated numbered photos if applicable Page 3 of 40 CONSECUTIVE SYSTEMS (i.e. does this PWS receive some or all of its finished water from another PWS?) NA Name of Wholesaler (System Receives Water From) PWS ID of Wholesaler Water Source Type GW Comments: SW Connection Type Mixed If mixed, does GW receive full SW Treatment? Yes No. Comments: Type of residual disinfectant in water supplied: Chlorine Chloramines Permanent Seasonal, # Days/Yr: Emergency Only Comments: None Comments: GW Comments: SW Mixed If mixed, does GW receive full SW Treatment? Yes No. Comments: Type of residual disinfectant in water supplied: Chlorine Chloramines Permanent Seasonal, # Days/Yr: Emergency Only Comments: None Comments: GW Comments: SW Mixed If mixed, does GW receive full SW Treatment? Yes No. Comments: Type of residual disinfectant in water supplied: Chlorine Chloramines Permanent Seasonal, # Days/Yr: Emergency Only Comments: None Comments: How many master meter connections exist from the wholesale system to the consecutive system? Who is responsible for maintenance of the master meter connection(s) from the wholesale system? Wholesaler Consecutive system Comments: If the consecutive system is responsible: Check the condition of the principal master meter and the pit for leaks or flooding and describe any concerns: How often are inspections performed on the master meter connection? How often is maintenance performed on the master meter connection(s)? Does standing water exist in any meter pits? Yes No If so, what is the source of the standing water? Leaks @ Groundwater Don’t know @ Comments: If PWS Purchases Water from a WATER HAULER: Name of hauler: WY Dept. of Agriculture license number: Name of the water system supplying water to the hauler: Is there a water tight cap on the (water system’s) fill port? @ Yes No How does the operator check chlorine residual at the time of delivery? Comments: Page 4 of 40 WHOLESALE SYSTEMS (i.e. does this PWS supply finished water to another PWS?) NA Name of Consecutive (System Supplies Water To) PWS ID or State ID of Consecutive (if no PWS ID provide contact and address) Population Connection Type Permanent Seasonal, # Days/Yr Emergency Only Water is hauled (bulk water fill stations are described in Distribution section) Permanent Seasonal, # Days/Yr Emergency Only Water is hauled (bulk water fill stations are described in Distribution section) Permanent Seasonal, # Days/Yr Emergency Only Water is hauled (bulk water fill stations are described in Distribution section) Comments: How many master meter connections exist off the wholesale system? Who is responsible for maintenance of those connection(s)? Wholesaler Consecutive system Comments: If the wholesaler is responsible, how often is inspection performed on the master meter connection(s)? If the wholesaler is responsible, how often is maintenance performed on the master meter connection(s)? Does standing water exist in any meter pits for which the wholesale system is responsible? If so, what is the source of the standing water? Leaks @ Groundwater Don’t know @ Comments: Page 5 of 40 Yes No SOURCE DATA ACTIVE (PHYSICALLY CONNECTED) WELLS AND WELL PUMPS (if well is GWUDI and fully treated as SW, these will be recommendations) NA Well Name: Well owner (if different than system owner): Facility ID (from PWS inventory, e.g., WL01): Well Location: (well house, well pit, pitless adapter, combination, driveway/parking lot, other) Does system want this well to be considered inactive? @ Yes No Yes No Yes Adequately protected from vehicle damage? @ Yes No Yes No Yes If well is located in a pit or vault, is the pit or vault completely watertight? If no, is the pit or vault completed with drainage or a sump pump for permanent or portable use? @ If applicable, indicate type (permanent pump, portable pump, or drainage) Is the pit located in a building? Yes No No No NA Yes No NA Yes No NA Yes No Type: NA Yes No Type: NA Yes No Type: NA Yes NA Yes NA Yes NA WY DEQ and/or WY SEO permit #: Are there any approved WY DEQ Chapter 12 variances for this well? If yes, describe what type of variance was approved. Total Well Depth (ft): No Yes Depth range of shallowest casing perforations (ft): No No Yes to No No Yes to No to Actual yield (gpm): Well log or Statement of Completion on site? (If yes, please copy or photograph and submit with report) Yes No Yes No Yes No Well Construction Does SW runoff drain away from the wellhead (including wells in pits or vaults)? @ Yes No NA Yes No NA Yes No NA Does well casing terminate at least 12” above the concrete floor? @ Yes No NA Yes No NA Yes No NA Does the well casing terminate at least 18” above the natural ground surface? @ Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA What is the actual casing height (inches)? Any holes or openings observed in the well or its appurtenances? @ If yes, describe. Yes Does the well have a sanitary seal with tightly bolted cap? @ (May need operator to open well cap to verify; explain why if unable to verify) No Yes Unknown No Yes Unknown No Unknown Is a gasket visible? Yes No NA Yes No NA Yes No NA Does the well cap move? Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Does the vent terminate at or above the top of the casing or pitless unit? @ Yes No NA Yes No NA Yes No NA Is vent facing downward? @ Yes No NA Yes No NA Yes No NA Vent screened with #24 mesh? @ Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Explain Is well vented (vent not required)? What is the height from the ground level to the screen of the vent (inches)? Is there a source water sample tap for GWR complian …