Instructions: Complete this page and attach it to your operation report if you utilize conventional or direct filtration and can answer “YES” to any of the four questions below.

Enter Data in yellow cells. Public Water System Name & Entry Point. Make a copy for your records and return by the tenth of the following month to: Arkansas Department of Health, Engineering Section …

This tab contains the Financial Management (FM) Solution/Service Technology Design and Operation Capability statements, with references to their authoritative and other sources (e.g., NIST, FedRAMP).

New Source Performance Standard Applicability Complete the Table: Are any emission units for the operation subject to: Type of Operation: Will this plant utilize recycled asphalt pavement (RAP)? Will …

If you would like to include an Excel file(s) as an attachment, you must first zip the Excel file(s) into a separate ZIP file to the master ZIP file that will be uploaded into CEDRI.

GROUNDWATER MONTHLY OPERATION REPORT. S/EP #: GROUNDWATER MONTHLY OPERATION REPORT. in. Quantity Used lbs. or gals. (circle one) to . system. # of Tests.

May 10, 2005 · As required by 5-1.72, “Operation of a Public Water System,” a copy of this form shall be sent to your local health department by the 10th calendar day of the next reporting period.

May 10, 2005 · As required by 5-1.72, “Operation of a Public Water System,” a copy of this form shall be sent to your local health department by the 10th calendar day of the next reporting period.

Required elements are (1) source, (2) treatment, (3) distribution system, (4) finished water storage, (5) pumps, pump facilities, and controls, (6) monitoring, reporting, and data verification, (7) system …

This form must be completed and submitted to the contracting agency each month to document compliance with your HSP.