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SMALL DRINKING WATER SYSTEM

Kentucky Peer Review Program – Self Evaluation

Water System Name _________________________________________________

Address ___________________________________________________________

County _______________________ ADD District _________________________

Phone ____________________________ Date ____________________________

FINISHED WATER STORAGE

Tank Name

Type

Volume

Overflow

Elevation

Date of Last

Inspection

Date of Last

Cleaning

1.

How many storage tanks are in your system?__________________________

2.

Is tank capacity adequate to meet demand?

□ Yes     □ No     □ Not Sure

3.   Is the tank capacity adequate to maintain sufficient system pressure?

□ Yes     □ No     □ Not Sure

3.

Is the storage capacity adequate to deal with power outages, fire protection, peak demands, etc.?

□ Yes     □ No     □ Not Sure

4.

Is the elevation of the tank(s) sufficient to maintain required distribution system pressure?

□ Yes     □ No     □ Not Sure

5.

Is the system operated to provide optimum usage of the available storage capacity and pressure?

□ Yes     □ No     □ Not Sure

6.

Are there booster stations in the system?

□ Yes     □ No     □ Not Sure

If “Yes” how many? _________________

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