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WELL WATER SOURCES - page 15 / 19

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WATER SYSTEM MANAGEMENT & OPERATIONS

14.

Do you track the following:

Finances□ Yes     □ No

Operational data   □ Yes     □ No

Maintenance practices □ Yes     □ No

Other ___________________________

15.

Does the system have a written safety    program in place that meets   requirements?

□ Yes     □ No     □ Not Sure

     If “Yes” is the program being followed?

□ Yes     □ No     □ Not Sure

16.

What is the unaccounted water loss? ________%

□ Not Sure

17.

Are records maintained for:

Microbiological analyses for five (5) years?

□ Yes     □ No     □ Not Sure

Chemical analyses for ten (10) years?

□ Yes     □ No     □ Not Sure

Actions to correct violations for three (3) years after the last action was taken?

□ Yes     □ No     □ Not Sure

Copies of written reports, summaries, or communications relating to sanitary surveys for ten (10) years?

□ Yes     □ No     □ Not Sure

For variances or exemptions for five (5) years?

□ Yes     □ No     □ Not Sure

Lead and copper records for twelve (12) years?

□ Yes     □ No     □ Not Sure

Comments:   ______________________

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