LABORATORY
REPORTING INSTRUCTIONS
for
DISINFECTANT RESIDUALS, DISINFECTION
BYPRODUCTS AND PRECURSORS
DISINFECTANT RESIDUALS
HETEROTROPHIC BACTERIA
DISINFECTION BYPRODUCTS
TOC, ALKALINITY and SUVA
Technical Guidance Number
383-3301-306
COMMONWEALTH OF PENNSYLVANIA
Department of Environmental Protection
For more information, visit DEP’s Web site at
www.depweb.state.pa.us, keyword: Drinking Water.
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Water Standards and Facility Regulation
DOCUMENT NUMBER:
383-3301-306
TITLE:
Laboratory Reporting Instructions for Disinfectants, Disinfection
Byproducts and Precursors
EFFECTIVE DATE:
January 19, 2008
AUTHORITY:
Pennsylvania’s Safe Drinking Water Act (35 P.S. §721.1 et seq.) and
regulations Title 25 Pa. Code Chapter 109
POLICY:
It is the policy of the Department of Environmental Protection (DEP) to
provide certified laboratory directors and public water suppliers with the
information necessary to properly report disinfectant residual and
disinfection byproduct monitoring data under the safe drinking water
program.
PURPOSE:
The purpose of this document is to establish uniform instructions and
protocol for implementing the drinking water reporting requirements for
disinfectant residual, chlorite, bromate, bromide, total trihalomethanes,
haloacetic acids, UV254, dissolved organic carbon, specific ultraviolet
absorbance, total organic carbon and alkalinity.
APPLICABILITY:
This guidance will apply to all certified laboratories and public water
systems that are required to submit disinfectant residual, chlorite, bromate,
bromide, total trihalomethanes, haloacetic acids, UV254, dissolved
organic carbon, specific ultraviolet absorbance, total organic carbon, and
alkalinity monitoring results to DEP.
DISCLAIMER:
The policies and procedures outlined in this guidance are intended to
supplement existing requirements. Nothing in the policies or procedures
shall affect regulatory requirements.
The policies and procedures herein are not an adjudication or a regulation.
There is no intent on the part of DEP to give the rules in these policies that
weight or deference. This document establishes the framework within
which DEP will exercise its administrative discretion in the future. DEP
reserves the discretion to deviate from this policy statement if
circumstances warrant.
PAGE LENGTH:
92 pages
LOCATION:
Volume 23, Tab 08
DEFINITIONS:
See Title 25 Pa. Code Chapter 109
383-3301-306 / FINAL January 19, 2008 / Page i
TABLE OF CONTENTS
Page
Section 1:
Introduction ...................................................................................................................
1
Section 2:
Responsibilities of the Laboratory ................................................................................
3
Section 3:
Disinfectant Residuals...................................................................................................
5
Chlorine, Chloramines, Chlorine Dioxide and HPC
Section 4:
Disinfection Byproducts................................................................................................
17
TTHM, HAA5, Chlorite, Bromate and Bromide
Section 5:
Disinfection Byproduct Precursors ...............................................................................
25
TOC, Alkalinity and SUVA (DOC and UV254)
Section 6:
Summary of Codes for Reporting Monitoring Results .................................................
31
Section 7:
Distribution of Completed Forms..................................................................................
34
Section 8:
DEP Electronic Monitoring/Reporting Assistance Tools ............................................
36
PA DEP Web Applications
DWELR
PADWARE
Section 9:
Monitoring Requirements Tables ..................................................................................
37
Section 10: Case Studies ..................................................................................................................
50
Appendix I: DEP’s Regional Offices and County Health Department Offices Contact List ...........
87
383-3301-306 / FINAL January 19, 2008 / Page ii
SECTION 1: INTRODUCTION
This manual provides instructions for the reporting of drinking water monitoring results for disinfectant
residuals and optional heterotrophic plate count (HPC) bacteria; disinfection byproducts, such as total
trihalomethanes (TTHM), haloacetic acids (HAA5), chlorite, bromate and optional bromide; and
precursors, such as total organic carbon (TOC), alkalinity, and optional specific ultraviolet absorbance
(SUVA) to DEP as required by the PA Filter Rule (Federal Surface Water Treatment Rule) and the
Disinfectants/Disinfection Byproducts Rule (D/DBPR).
The PA Filter Rule, which was adopted by the Environmental Quality Board and published in the
Pennsylvania Bulletin on March 25, 1989, establishes treatment technique requirements for pathogenic
bacteria, viruses and protozoan cysts to protect consumers from the adverse health effects of these
contaminants. The PA Filter Rule establishes minimum residual disinfectant levels for total, free or
combined chlorine for public water systems using filtered surface water or filtered groundwater under the
direct influence of surface water (GUDI) sources.
The D/DBPR, which was adopted by the Environmental Quality Board and published in the
Pennsylvania Bulletin on July 21, 2001, is intended to minimize disinfection byproducts that may cause
harmful health effects. The D/DBPR establishes maximum residual disinfectant levels (MRDL) for total,
free or combined chlorine and chlorine dioxide, a lower maximum contaminant level (MCL) for TTHMs,
and new MCLs for HAA5, chlorite and bromate. The D/DBPR also establishes a treatment technique for
disinfection byproduct precursor removal, which is measured as TOC removal.
The instructions in this manual pertain to the performance monitoring for entry point disinfectant
residuals established by the PA Filter Rule for public water systems (PWS) using filtered surface water
or filtered GUDI sources, as well as the monitoring and treatment technique requirements of the
D/DBPR. The monitoring and reporting requirements described in this manual are in addition to other
routine monitoring and reporting requirements for PWSs and do not supersede them.
In summary, the requirements of the D/DBPR apply to:
•
COMMUNITY and NONTRANSIENT, NONCOMMUNITY PWSs that use a chemical
disinfectant or oxidant
•
COMMUNITY and NONTRANSIENT, NONCOMMUNITY PWSs that use surface water with
conventional filtration
•
TRANSIENT, NONCOMMUNITY PWSs that use chlorine dioxide
For PWSs that provide either filtered surface water or filtered GUDI water, the PA Filter Rule establishes
performance level monitoring and reporting requirements for the following:
1.
ENTRY POINT residual disinfectant
2.
DISTRIBUTION SYSTEM residual disinfectant and optional HPC
383-3301-306 / FINAL January 19, 2008 / Page 1
For PWSs that use a chemical disinfectant or oxidant, the D/DBPR establishes treatment technique,
monitoring and reporting requirements for the following:
1.
ENTRY POINT and DISTRIBUTION SYSTEM residual disinfectant
2.
DISTRIBUTION SYSTEM TTHM and HAA5
3.
ENTRY POINT and DISTRIBUTION SYSTEM chlorite, bromate and optional SOURCE
WATER bromide
4.
SOURCE WATER alkalinity, SOURCE and TREATED WATER TOC and optional SUVA
Refer to Section 9 for additional information about the monitoring/reporting requirements described in
this manual. For a more detailed description of requirements, refer to Title 25 Pa. Code Chapter 109
Regulations (available on the web at www.pacode.com) of the PA Safe Drinking Water Act (SDWA).
The drinking water analysis results are entered into the Pennsylvania Drinking Water Information
System (PADWIS), the computerized data management system used by DEP to track drinking water
monitoring results. An effective surveillance program requires prompt follow-up to MCL, MRDL,
treatment technique and monitoring violations for the protection of public health. Your assistance is
critical in regard to accurate and prompt data reporting.
Please read these instructions thoroughly. Failure to monitor, analyze and report analytical results
correctly may result in the water supplier incurring a violation of the Safe Drinking Water Regulations.
Please note that turbidity reporting requirements are NOT included in this manual. Refer to the
Turbidity Reporting Instructions for Public Water Systems Using Filtered Surface Water or
Groundwater Under the Direct Influence of Surface Water (GUDI) Sources, DEP ID: 383-3301-106,
available on DEP’s Web site at www.depweb.state.pa.us for information on reporting turbidity data
required under the PA Filter Rule.
SDWA forms and instruction manuals are available on DEP’s Web site at www.depweb.state.pa.us. If
web access is not available, SDWA forms and instruction manuals may be ordered from any regional
office listed in Appendix II.
383-3301-306 / FINAL January 19, 2008 / Page 2
SECTION 2: RESPONSIBILITIES OF THE LABORATORY
Under the provisions of Chapter 109, Safe Drinking Water Regulations, under the authority of the PA
Safe Drinking Water Act, it is the responsibility of the certified laboratory to:
1.
Submit to DEP, on forms, or in electronic format acceptable to DEP, the results of analyses
performed by the laboratory under the Safe Drinking Water Regulations.
2.
Report the results within either the first 10 days following the month in which the result is
determined or the first 10 days following the end of the required monitoring period as stipulated
by DEP, whichever is shorter.
3.
Obtain and maintain DEP’s current after-hours emergency response telephone numbers for each
applicable regional office.
4.
Establish and maintain a standard operating procedure to provide the information needed to
report a violation listed below to DEP. This procedure should be verified at least annually.
5.
Whenever an MCL, MRDL or a treatment technique performance requirement is exceeded, or a
sample result requires the collection of check or confirmation samples the laboratory must:
a)
Notify the public water supplier by telephone within 1 hour of the laboratory’s
determination. If the supplier cannot be reached within that time, notify DEP by
telephone within 2 hours of the determination with the information listed above. If it is
necessary for the laboratory to contact DEP after DEP’s routine business hours, the
laboratory shall contact the appropriate DEP regional office’s after-hours emergency
response telephone number and provide information regarding the occurrence, the name
of a contact person and the telephone number where that individual may be reached in the
event further information is needed. If DEP’s appropriate emergency number cannot be
reached, the laboratory shall notify the appropriate DEP regional office by telephone
within 1 hour of the beginning of the next business day.
The information regarding the PWS shall include, but is not limited to,
¾
the PWSID number of the system,
¾
the system’s name,
¾
the contaminant involved in the occurrence,
¾
the level of the contaminant found,
¾
where the sample was collected,
¾
the dates and times that the sample was collected and analyzed,
¾
the name and identification number of the certified laboratory,
¾
the name and telephone number of a contact person at the laboratory,
¾
what steps the laboratory took to contact the PWS before calling DEP.
b)
Notify the appropriate DEP district office in writing within 24 hours of the determination.
For the purpose of determining compliance with this requirement, the postmark, if the
notice is mailed, or the date the notice is received by DEP, whichever is earlier, will be
383-3301-306 / FINAL January 19, 2008 / Page 3
used. Upon approval by DEP, the notice may be made electronically to DEP as long as
the information is received within the 24-hour deadline.
6.
Notify DEP within 48 hours of termination of the laboratory certification from the Environmental
Protection Agency (EPA) or another agency with primary enforcement responsibility.
7.
Notify each public water supplier served by the laboratory within 48 hours of a:
(a)
Failure to renew or DEP denial of renewal of existing certification for a category of
certification.
(b)
Revocation of certification by DEP under the Safe Drinking Water Regulations.
NOTE: Proper reporting and notification of analytical results to DEP is a condition of your certification.
Failure to properly report results may lead to revocation of your certification.
383-3301-306 / FINAL January 19, 2008 / Page 4
SECTION 3: DISINFECTANT RESIDUALS
Regulated Disinfectants:
•
•
•
Chlorine
Chloramines
Chlorine Dioxide
The “MRDL” is defined as the level of a disinfectant measured in drinking water that may not be
exceeded without an unacceptable possibility of adverse health effects. The MRDLs establish upper
limits of disinfectants that a water system may provide to consumers.
EPA specifically allows short-term exceedances of chlorine and chloramines MRDLs to control
microbiological contamination problems such as coliforms. These situations may include instances of
cross connection contaminations, floods and other emergencies. This does not apply to the chlorine
dioxide MRDL.
The MRDL for chlorine and chloramines is 4.0 mg/L as Cl2.
The MRDL for chlorine dioxide is 0.8 mg/L as ClO2.
For more information about monitoring requirements, see Section 9.
PWSs and certified labs shall report disinfectant residual data monthly1 as follows:
APPLIES TO:
PWSs using chlorine
or chloramines
PWSs using chlorine
dioxide2
PWSs using filtered
surface or GUDI
sources
PWSs using chlorine
dioxide2
1
2
PURPOSE
Report summarized distribution system disinfectant residual
results including the monthly average value of all distribution
system disinfectant residual measurements.
FORM
SDWA-S
Report number of entry point treatment days for systems using
chlorine dioxide.
Report entry point disinfectant residual results (chlorine or
chloramines).
Report all distribution system disinfectant residual non-detects
(i.e., measurements less than 0.02 mg/L).
Report all optional HPC results (certified laboratory required).
Report all entry point chlorine dioxide residual results.
Report all distribution system chlorine dioxide residual results.
SDWA-1
NTNCWS using only groundwater and serving a population < 1,000 may report chlorine/chloramine disinfectant residual data quarterly.
TNCWS using chlorine dioxide are only required to report chlorine dioxide residual data monthly.
Systems that obtain finished water from another PWS shall monitor for disinfectant residuals as follows:
•
•
Monitor for chlorine when the selling system uses either chlorine, chloramines, or chlorine dioxide, or
the purchasing system treats the water with chlorine or chloramines AND
Monitor for chlorine dioxide when the purchasing system also treats the water with chlorine dioxide.
383-3301-306 / FINAL January 19, 2008 / Page 5
CONTINUOUS CHLORINE ANALYZERS/RECORDERS:
PWSs with filtered surface water or GUDI sources are required to continuously monitor and record the
residual disinfectant concentration of the water being supplied to the distribution system. The
disinfectant residual must be at least 0.2 mg/L as measured at the entry point.
For entry point disinfectant residual, report the lowest daily measurement. Also, if the residual is less
than 0.2 mg/L for two or more consecutive 4-hour measurements, report the lowest measurement for
each 4-hour period.
If the continuous monitoring or recording equipment fails, the water supplier may, upon notification of
DEP, substitute grab sampling or manual recording every 4 hours in lieu of continuous
monitoring/recording. Grab sampling or manual recording may not be substituted for longer than 5 days
after the equipment fails.
383-3301-306 / FINAL January 19, 2008 / Page 6
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
SUMMARY ANALYSIS
SDWA-S
PWS Name:
PWS Address:
PWS Phone:
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLING POINT
ID
SAMPLE TYPE
SAMPLE PERIOD
NAME
LAST SAMPLE DATE
MMDDYY to MMDDYY
MMDDYY
TO
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
ROUTINE
REQUIRED
Average Result
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
Total Coliform Sample:
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY:
PHONE
ID
DATE:
NOTE: In the event of results out of compliance:
1.
Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and
submitted along with this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed
on an SDWA-1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 7
Pink - Laboratory
SDWA-S SUMMARY FORM INSTRUCTIONS
EXPLANATION
Enter an “X” if the results of any distribution system disinfectant residual
samples are nondetected (i.e. <0.02 mg/L). This box will be used to assist
DEP and county health department (CHD) field staff in their review of these
reports.
PWS NAME, ADDRESS & Enter the name and address of the PWS to which these samples apply. Also
PHONE
enter the phone number of the contact person for the water system.
1
PWS ID
Enter the 7-digit public water system identification number (PWS ID) of the
PWS to which these samples apply. FAILURE TO ENTER THE PWS ID
WILL RESULT IN THE WATER SUPPLIER NOT RECEIVING CREDIT
FOR CONDUCTING THE REQUIRED MONITORING. If you do not
know the PWS ID number, contact the local DEP or CHD office or check
DEP’s website. All PWS ID numbers are assigned by the local DEP or
CHD office.
2
TRANSACTION CODE
Always enter the 2-digit code 09.
3
PARAMETER CODE
Enter the 4-digit contaminant identification code.
Chlorine (total, free or combined) residual - 0999
Chloramine residual - 1006
Chlorine dioxide residual - 1008
4
PARAMETER NAME
Enter the name of the contaminant being reported - total chlorine, free
chlorine, combined chlorine, chloramines, or chlorine dioxide.
5
SAMPLE TYPE
Enter the letter code “D” for distribution system disinfectant residual
samples.
DATA FIELD
SMALL BOX IN UPPER
RIGHT HAND CORNER
6
SAMPLING POINT ID &
NAME
7
SAMPLE PERIOD
8
LAST SAMPLE DATE
9
NUMBER OF SAMPLES
Enter the letter code “E” for chlorine dioxide entry point treatment days.
Leave blank - not applicable.
Enter the beginning date (MMDDYY) and ending date (MMDDYY) for the
sampling period (month) to which these sample results apply.
Example: For the month of March 2003, enter 030103 to 033103.
Enter the date (MMDDYY) that the last sample for the period (month) was
collected. Leave blank if reporting chlorine dioxide entry point treatment
days.
A. Routine Required: Enter the number of distribution system
disinfectant residual samples the public water supplier is required to
collect for this sampling period (See Section 9). The samples shall be
taken at the same time and at the same locations in the distribution
system as the samples taken for total coliforms (both routine and
check samples) for compliance with the total coliform MCL.
AND (on a separate SDWA-S form)
For systems using chlorine dioxide, enter the total number of entry
point treatment days for the PWS. An entry point treatment day is
equal to 1 entry point through which water treated with chlorine
dioxide was delivered to the distribution system for any portion of
1 day.
Example: 2 entry points delivering chlorine dioxide treated water
from 2 separate treatment plants for 14 days is equal to
28 entry point treatment days.
383-3301-306 / FINAL January 19, 2008 / Page 8
DATA FIELD
SDWA-S SUMMARY FORM INSTRUCTIONS (CONT.)
EXPLANATION
9
NUMBER OF SAMPLES
(CONT.)
NOTE: Purchased water entry points are excluded unless the entry
point is treated with chlorine dioxide.
DEP must receive a completed SDWA-S form for each month. If
chlorine dioxide is not used during the month, enter the number ‘0’.
B.
C.
10
ANALYSIS METHOD
Routine Taken: Enter the actual number of distribution system
disinfectant residual samples or entry point chlorine dioxide samples
that were collected and analyzed during the sampling period. If
chlorine dioxide was not used during the month, enter the number ‘0’.
Checks Taken: Leave blank - not applicable.
Enter the 3-digit code of the approved analysis method used to analyze the
samples (for approved analysis method codes, see Section 6). Disinfectant
residual analyses must be conducted by either a certified water plant
operator or a certified laboratory.
Leave blank if reporting chlorine dioxide entry point treatment days.
11
NUMBER OF SAMPLES
OUT OF COMPLIANCE
A.
Note: These fields apply only
to PWSs using surface water
or GUDI sources.
PWSs using only
groundwater sources should
leave these fields blank.
Routine: Enter the number of distribution system samples which did
not have a detectable disinfectant residual (i.e., the disinfectant
residual was less than 0.02 mg/L). If none, enter 0 (zero). Leave
blank if reporting chlorine dioxide entry point treatment days.
NOTE: ALL SAMPLES WHICH DO NOT HAVE A DETECTABLE
DISINFECTANT RESIDUAL (I.E., LESS THAN 0.02 mg/L)
MUST BE LISTED ON AN SDWA-1 FORM AND
SUBMITTED ALONG WITH THE SDWA-S FORM. ALSO,
IF A DISINFECTANT RESIDUAL IS NOT DETECTED IN A
DISTRIBUTION SAMPLE, AN OPTIONAL SAMPLE MAY
BE COLLECTED AND ANALYZED FOR HPC AS PER THE
INSTRUCTIONS IN THIS SECTION. THE RESULTS OF
HPC ANALYSES MUST ALSO BE REPORTED ON AN
SDWA-1 FORM.
12
AVERAGE RESULT
B.
Check: Leave blank - not applicable.
Enter the result in mg/L to the nearest hundredths decimal place of the
arithmetic average of all distribution disinfectant residual results for the
month. Leave blank if reporting chlorine dioxide entry point treatment days.
13
TESTED FOR FECAL?
Leave blank - not applicable.
14
ANY FECAL POSITIVES? Leave blank - not applicable.
383-3301-306 / FINAL January 19, 2008 / Page 9
15
LABORATORY
If the analyses were conducted by a certified laboratory, enter the following:
A.
Name: The name of the laboratory.
B.
Phone: The phone number of the laboratory.
C.
Lab ID: The 5-digit PA certification identification number assigned
to the laboratory. A Lab ID is NOT required for disinfectant residual
analyses conducted by a certified water operator (leave this field
blank).
NOTE: DISINFECTANT RESIDUAL ANALYSES MAY BE
CONDUCTED BY A CERTIFIED WATER OPERATOR
APPROVAL
Signature of responsible official from the PWS or the certified laboratory,
and date of signature.
NOTE
Insert an “X” in the box at the bottom right-hand corner of the form if any
SDWA-1 forms (listing any disinfectant residual non-detects, chlorine
dioxide results, or any HPC results) are being submitted in addition to this
form.
383-3301-306 / FINAL January 19, 2008 / Page 10
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENTOF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name:
Address:
Phone:
PWS ID
TRANS*
CONTAM ID
SAMPLE PERIOD
MMDDYY TO MMDDYY
CONTAMINANT NAME
to
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
MMDDYY
*TRANSACTION CODE: COLIFORM = 05
LOCATION ID 1
LOCATION ID 2
(Loc, EP, or Plant)
(Individual Filter)
SAMPLE
MMDDYY
TYPE
TIME
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY:
DATE:
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 11
Pink - Laboratory
SDWA-1 FORM INSTRUCTIONS
DATA FIELD
EXPLANATION
PWS NAME, ADDRESS &
PHONE
Enter the name and address of the PWS to which these samples apply. Also
enter the phone number of the contact person for the water system.
PWS ID
Enter the 7-digit identification number of the PWS to which these samples
apply. Failure to enter the PWS ID will result in the water supplier not
receiving credit for conducting the required monitoring. If you do not know
the PWS ID number, contact the local DEP or CHD office, or check DEP’s
website. All PWS ID numbers are assigned by the local DEP or CHD
office.
TRANSACTION CODE
Enter the proper 2-digit code corresponding to the parameter being reported.
03 - Disinfectant Residual
05 - Heterotrophic Plate Count (HPC) Bacteria
CONTAMINANT ID
Enter the 4-digit identification code for the contaminant/parameter being
reported. Only one contaminant/parameter can be entered on a form. Each
parameter must be reported on a separate SDWA-1 form.
0999 - Chlorine (Total, Free or Combined Chlorine) Residual
1006 - Chloramine Residual
1008 - Chlorine Dioxide Residual
3001 - Heterotrophic Plate Count Bacteria (HPC)
CONTAMINANT NAME
Enter the name of the contaminant/parameter being reported: Residual
Chlorine (Total, Free or Combined), Chloramine, Chlorine Dioxide or HPC.
SAMPLE PERIOD
Enter the beginning date (MMDDYY) and the ending date (MMDDYY) for
the sampling period to which these sample results apply. These dates should
encompass the sample dates detailed on the form.
Example: For the month of Aug. 2003, enter 080103 to 083103.
For the 2nd quarter (April-June) 2003, enter 040103 to 063003.
ANALYSIS METHOD
Enter the 3-digit code of the approved analysis method used to analyze the
samples (see Section 6).
ANALYSIS RESULT
Enter the result of each sample analyzed. Unless otherwise specified, all
results must be reported to the least significant digit of the MCL or MRDL.
The decimal point must be entered directly in the result field.
BE SURE TO USE THE PROPER UNITS
Entry Point Measurements: An entry point measurement must be reported
for each day of the month that treatment is in use.
NOTE: SEE SECTION 9 FOR MONITORING AND REPORTING
REQUIREMENTS FOR ENTRY POINT MEASUREMENTS.
383-3301-306 / FINAL January 19, 2008 / Page 12
DATA FIELD
ANALYSIS RESULT
(CONT.)
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
A.
Chlorine (Total, Free, Combined) or Chloramines: Applies only to
PWSs using surface water or GUDI sources. Report monthly, the
lowest measurement for each day. Report all results in mg/L to the
nearest tenths decimal place. Also, if the residual falls below 0.2 mg/L
for more than 4 hours, report the lowest value during each 4-hour
period that the residual is < 0.2 mg/L. Multiple pages of the SDWA-1
form are necessary to meet the reporting requirements for daily
reporting for each entry point. Keep all the results for an entry point
grouped together.
Example: If a system has 2 different entry points, report all residual
values for the first entry point before reporting the residual values for
the second entry point.
B.
Chlorine Dioxide: Applies to systems using chlorine dioxide for any
reason (excludes consecutive systems and purchased water entry points
unless the purchasing system treats the water with chlorine dioxide).
Report all results in mg/L to the nearest tenths decimal place. Report
monthly, one measurement for each entry point treatment day. An
entry point treatment day is equal to 1 entry point through which water
treated with chlorine dioxide was delivered to the distribution system
for any portion of 1 day. If more than one measurement per day is
taken from a location, report the highest value for that location each
day. A 3-sample set must be collected in the distribution system on the
day following any entry point result that > 0.8 mg/L.
NOTE: THE TOTAL NUMBER OF SAMPLES REPORTED
SHOULD EQUAL THE NUMBER REQUIRED/NUMBER
TAKEN THAT WAS REPORTED ON THE SDWA-S
FORM.
Distribution System Measurements:
NOTE: FOR PWSs USING SURFACE WATER OR GUDI SOURCES, ALL
DISTRIBUTION SYSTEM DISINFECTANT RESIDUAL
RESULTS THAT ARE ZERO MUST BE REPORTED, EVEN IF
AN HPC SAMPLE IS TAKEN. (See Section 9 for monitoring and
reporting requirements for distribution system measurements and for
determining the number of measurements required per month.)
A.
Chlorine or Chloramines: Applies only to PWSs using surface water
or GUDI sources. Report monthly, the disinfectant residual of total,
free or combined chlorine or chloramines for samples only if the
disinfectant residual is not detectable (i.e., the disinfectant residual is
less than 0.02 mg/L). Report the result(s) as 0 (zero).
383-3301-306 / FINAL January 19, 2008 / Page 13
DATA FIELD
ANALYSIS RESULT
(CONT.)
B.
C.
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Chlorine Dioxide: Distribution system monitoring is only required on the
day following any chlorine dioxide entry point sample > 0.8 mg/L. Report
monthly, the residuals of each chlorine dioxide 3-sample set collected during
the month. Report all results in mg/L to the nearest tenths decimal place.
HPC: Applies only to PWSs using surface water or GUDI sources. In the
event that a disinfectant residual is not detectable in a sample taken in the
distribution system, the public water supplier has two options:
1.
Immediately collect another sample at the same location and have it
analyzed by a certified laboratory for HPC.
2.
Notify DEP and request assistance to determine the cause, potential
health risks and appropriate remedial measures to take.
Report monthly all HPC results for any samples collected during the month.
If the optional sample is taken and an HPC measurement of less than 500/mL
is obtained, then the sampling point is deemed to be in compliance with the
PA Filter Rule. If the HPC is > 500/mL, then the sampling point is not in
compliance with the disinfectant residual requirements and DEP must be
notified.
NOTE:
ANALYSIS DATE
FOR HPC ANALYSIS, THE CERTIFIED LAB MUST
COMPLETE AND SUBMIT AN SDWA-1 FORM.
Use multiple pages of the SDWA-1 form if necessary. Distribution system and
entry point measurements of the same parameter may be reported on the same
SDWA-1 form.
Enter the date (MMDDYY) on which the sample analysis was performed or
measurement taken. If the analysis spanned more than 1 day, enter the date on
which the sample analysis result was obtained. For disinfectant residual
measurements, the analysis date will be the same as the sample date (the samples
must be analyzed immediately).
Example: Enter August 15, 2003, as 081503.
LOCATION ID1
(Loc, EP, or Plant)
Entry Point Measurements (Disinfectant Residual): Measurements must be taken
at each filtered surface water or filtered GUDI entry point to the distribution
system. Enter the 3-digit Entry Point ID in the Location ID1 column. Leave the
Location ID2 blank - does not apply.
NOTE: DEP OR CHD ASSIGNED ENTRY POINT ID NUMBERS, WHICH
ALWAYS BEGIN WITH “1,” MUST BE USED (e.g. 101).
383-3301-306 / FINAL January 19, 2008 / Page 14
DATA FIELD
LOCATION ID1
(Loc, EP, or Plant)
(CONT.)
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Distribution System Measurements: Enter the 3-digit distribution system sample
location ID in the Location ID1 column. Leave the Location ID2 blank - does not
apply.
NOTE: DISTRIBUTION SYSTEM ID NUMBERS ARE NOT ASSIGNED BY
DEP OR CHD. THE WATER SUPPLIER MUST ASSIGN A UNIQUE
3-DIGIT NUMBER FOR EACH DISTRIBUTION SAMPLE
LOCATION. THESE ID NUMBERS SHOULD BE SPECIFIED IN
THE WATER SUPPLIER’S D/DBPR MONITORING PLAN.
A.
Chlorine or Chloramines: Measurements shall be taken at the same time
and at the same locations in the distribution system as the coliform samples
(both routine and check samples) taken for compliance with the coliform
MCL.
B.
Chlorine Dioxide: Measurements must be taken at the locations specified
below.
If the system has booster chlorination, the samples must be collected on the
same day from the following locations:
•
a site as close as possible to the first customer
•
a site representing average residence time
•
a site representing maximum residence time
If the system does not have booster chlorination, the 3 samples must be
collected from the same location - as close as possible to the first
customer, and the samples must be collected at least 6 hours apart (but
within the same 24-hour period).
C.
LOCATION ID2
(Individual Filter)
SAMPLE DATE
HPC: If a disinfectant residual is not detected in a disinfectant residual
distribution sample, an optional sample may be collected at the same
location and analyzed for HPC. For the optional HPC sample, use the
same Location ID that was used for the disinfectant residual to indicate that
it was taken at the same location.
Leave blank - not applicable.
Enter the date (MMDDYY) on which the sample was collected. For disinfectant
residual measurements, the sample date will be the same as the analysis date.
Example: For a sample collected October 2, 2003, enter the date as 100203.
383-3301-306 / FINAL January 19, 2008 / Page 15
DATA FIELD
SAMPLE TYPE
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Enter the appropriate letter code which corresponds to the type of sample collected
as follows:
E = Entry Point: Samples taken at the entry point to the distribution system are
“E” samples.
D = Distribution: Samples taken in the distribution system are “D” samples.
S = Special: A supplier may wish to collect and have analyzed special samples to
meet his own need, or may be required by DEP or CHD to take samples to
fulfill a special requirement. For example, a PWS may be ordered to take
delinquent samples after a monitoring period has ended. Such samples must
be coded as “S” samples.
NOTE:
SAMPLE TIME
FAILURE TO REPORT ANALYSIS RESULTS WITH THE
CORRECT AND APPROPRIATE SAMPLE TYPE CODES WILL
RESULT IN THE WATER SUPPLIER RECEIVING A VIOLATION
FOR FAILURE TO MONITOR.
Enter the time of day at which the sample was collected. All times must be in
military time. This field must be completed in order for the results to be accepted.
If the exact time is not known, enter an approximate time.
Examples:
LAB ID
5:15 PM: enter as 1715.
8:30 AM: enter as 0830.
Enter the 5-digit PA certification identification number assigned to the laboratory.
Do not use dashes or symbols.
Disinfectant residual analyses (total, free and combined chlorine and chlorine
dioxide) may be conducted by a certified water operator. HPC analyses must be
conducted by a certified laboratory.
A Lab ID is not required for disinfectant residual analyses conducted by a certified
water operator (leave this field blank).
LAB NAME/PHONE
APPROVAL
For any analysis conducted by a certified laboratory, the ID number must be
entered for results to be accepted.
Enter the name and phone number of the laboratory or PWS analyzing the
samples. For disinfectant residual results this field may be left blank if a certified
laboratory did not conduct the analyses.
Signature of responsible official and date of signature.
383-3301-306 / FINAL January 19, 2008 / Page 16
SECTION 4: DISINFECTION BYPRODUCTS
Regulated disinfection byproducts:
•
•
•
•
Total Trihalomethanes (TTHM)
Haloacetic Acids (HAA5)
Chlorite (for systems using chlorine dioxide)
Bromate (for systems using ozone)
TTHMs include the sum of the following 4 contaminants:
•
Chloroform
•
Bromoform
•
Dibromochloromethane
•
Bromodichloromethane
The MCL for TTHM is 0.080 mg/L.
HAA5 includes the sum of the following 5 contaminants:
•
Monochloroacetic acid
•
Monobromoacetic acid
•
Dichloroacetic acid
•
Dibromoacetic acid
•
Trichloroacetic acid
The MCL for HAA5 is 0.060 mg/L.
The MCL for chlorite is 1.0 mg/L.
The MCL for bromate is 0.010 mg/L.
For more information about monitoring requirements, see Section 9.
PWSs and certified labs shall report disinfection byproduct data as follows:
APPLIES TO:
PWSs using a chemical
disinfectant or oxidant
PWSs using chlorine
dioxide
PWSs using ozone
Notes:
PURPOSE
Report quarterly all distribution system TTHM and HAA5
sample results.
Report monthly all entry point and distribution system chlorite
sample results.
Report quarterly all entry point bromate sample results.
Report quarterly all optional source water bromide sample
results.
FORM
SDWA-1
Consecutive water systems that obtain finished water from another PWS that uses either
chlorine, chloramines or chlorine dioxide shall monitor for TTHM and HAA5.
For the purposes of this section, PWS refers only to community and nontransient,
noncommunity public water systems.
383-3301-306 / FINAL January 19, 2008 / Page 17
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTALPROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name:
Address:
PWS ID
Phone:
TRANS*
CONTAM ID
SAMPLE PERIOD
MMDDYY TO MMDDYY
CONTAMINANT NAME
to
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
MMDDYY
*TRANSACTION CODE: COLIFORM = 05
LOCATION ID 1
LOCATION ID 2
(Loc, EP, or Plant)
(Individual Filter)
SAMPLE
MMDDYY
TYPE
TIME
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY:
DATE:
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity
triggers within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 18
Pink - Laboratory
SDWA-1 FORM INSTRUCTIONS (CONT.)
DATA FIELD
EXPLANATION
PWS NAME, ADDRESS & Enter the name and address of the PWS to which these samples apply. Also
PHONE
enter the phone number of the contact person for the water system.
PWS ID
Enter the 7-digit identification number of the PWS to which these samples
apply. Failure to enter the PWS ID will result in the water supplier not
receiving credit for conducting the required monitoring. If you do not know
the PWS ID number, contact the local DEP or CHD office, or visit DEP’s
website. All PWS ID numbers are assigned by the local DEP or CHD
office.
TRANSACTION CODE
Enter the proper 2-digit code corresponding to the parameter being reported.
CONTAMINANT ID
CONTAMINANT NAME
SAMPLE PERIOD
ANALYSIS METHOD
03 - Chlorite, Bromate, Bromide,
Total Trihalomethanes or Haloacetic Acids
Enter the 4-digit identification code for the contaminant/parameter being
reported. Only one contaminant/parameter can be entered on a form. Each
parameter must be reported on a separate SDWA-1 form.
1011 - Bromate
1004 - Bromide
1009 - Chlorite
2950 - Total Trihalomethanes
2456 - Haloacetic Acids
Enter the name of the contaminant/parameter being reported: Bromate,
Bromide, Chlorite, TTHM or HAA5.
Enter the beginning date (MMDDYY) and the ending date (MMDDYY) for
the sampling period to which these sample results apply. These dates should
encompass the sample dates detailed on the form.
Example: For the month of Aug. 2003, enter 080103 to 083103.
For the 2nd quarter (April-June) 2003, enter 040103 to 063003.
Enter the 3-digit code of the approved analysis method used to analyze the
samples. Bromate, bromide, monthly (distribution system) chlorite, TTHM,
and HAA5 analyses must be conducted by a laboratory certified for that
analysis method.
Daily (entry point) chlorite analyses may be conducted by a certified
operator using approved methods.
NOTE: SAMPLES OF THE SAME CONTAMINANT THAT ARE
ANALYZED BY DIFFERENT METHODS MAY BE REPORTED
ON THE SAME FORM. SEE SECTION 6 FOR CORRECT
ANALYSIS METHOD CODES.
383-3301-306 / FINAL January 19, 2008 / Page 19
DATA FIELD
ANALYSIS RESULT
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Enter the result of each sample analyzed. Unless otherwise specified, all
results must be reported to the least significant digit of the MCL or MRDL.
The decimal point must be entered directly in the result field.
BE SURE TO USE THE PROPER UNITS
Use multiple pages of the SDWA-1 form if necessary. Distribution system
and entry point measurements of the same parameter may be reported on the
same SDWA-1 form.
Entry Point Measurements: An entry point measurement must be reported
for each day of the month that treatment is in use.
NOTE: REFER TO SECTION 9 FOR MONITORING AND REPORTING
REQUIREMENTS FOR ENTRY POINT MEASUREMENTS.
A.
Chlorite: Applies to systems using chlorine dioxide for any reason
(excludes transient, noncommunity water systems and systems that
obtain finished water from another PWS unless the purchasing
system treats the water with chlorine dioxide). Report monthly, one
measurement for each chlorine dioxide entry point treatment day.
An entry point treatment day is equal to 1 entry point through which
water treated with chlorine dioxide was delivered to the distribution
system for any portion of 1 day. If more than one measurement per
day is taken from a location, report the highest value for that location
each day. Report all results in mg/L to at least the nearest tenths
decimal place.
NOTE: THE TOTAL NUMBER OF SAMPLES REPORTED SHOULD
EQUAL THE NUMBER REQUIRED/NUMBER TAKEN OF
CHLORINE DIOXIDE RESIDUALS THAT WERE REPORTED
ON THE SDWA-S FORM.
B.
Bromate: A monthly sample is required for systems using ozone
(excludes consecutive systems and purchased water entry points
unless the purchasing system treats the water with ozone). Report
quarterly, at least one measurement for each entry point treated with
ozone for each month in the last quarter. Report all results in mg/L
to at least the nearest thousandths decimal place. If on reduced
quarterly bromate monitoring, report source water bromide results.
383-3301-306 / FINAL January 19, 2008 / Page 20
DATA FIELD
ANALYSIS RESULT
(CONT.)
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Distribution System Measurements:
A.
B.
Chlorite: Required for systems using chlorine dioxide (excludes
TNCWSs): A 3-sample set must be collected in the distribution
system at least once each month. If any entry point chlorite
measurement exceeds 1.0 mg/L, a 3-sample set must be collected in
the distribution system on the day following the exceedance (this
will also satisfy the monthly monitoring requirement). Report
monthly the measurements of each chlorite 3-sample set collected
during the month. Report all results in mg/L to at least the nearest
tenths decimal place. The samples must be collected on the same
day from the following locations:
•
a site as close as possible to the first customer
•
a site representing average residence time
•
a site representing maximum residence time
Total Trihalomethanes (TTHM) and Haloacetic Acids (HAA5):
TTHM and HAA5 samples are referred to as a “sample set” because
the same number of samples must be collected at the same locations
during the same monitoring period for each parameter. Report all
results in mg/L to at least the nearest thousandths decimal place. If
any result is less than the method detection limit, report the result as
0 (zero).
NOTE: TTHM and HAA5 RESULTS MUST BE REPORTED ON
SEPARATE SDWA-1 FORMS.
Bromide (Optional): Systems using ozone that wish to qualify for and
remain on reduced bromate monitoring must measure bromide monthly at
each source treated with ozone. Report quarterly all results in mg/L to at
least the nearest hundredth decimal place for each month in the last quarter.
Bromide analysis must be conducted by a certified laboratory.
ANALYSIS DATE
Enter the date (MMDDYY) on which the sample analysis was performed or
measurement taken. If the analysis spanned more than 1 day, enter the date
on which the sample analysis result was obtained. For disinfectant residual
or daily chlorite measurements, the analysis date will be the same as the
sample date (the samples must be analyzed immediately).
Example: Enter August 15, 2003, as 081503.
383-3301-306 / FINAL January 19, 2008 / Page 21
DATA FIELD
LOCATION ID1
(Loc, EP, or Plant)
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Entry Point Measurements (Chlorite and Bromate): Measurements must
be taken at each entry point to the distribution system. Enter the 3-digit
Entry Point ID in the Location ID1 column. Leave the Location ID2 blank does not apply.
NOTE: DEP OR CHD ASSIGNED ENTRY POINT ID NUMBERS,
WHICH ALWAYS BEGIN WITH “1,” MUST BE USED
(e.g. 101).
Distribution System Measurements: Enter the 3-digit distribution system
sample location ID in the Location ID1 column. Leave the Location ID2
blank - does not apply.
NOTE: DISTRIBUTION SYSTEM ID NUMBERS ARE NOT ASSIGNED
BY DEP OR CHD. THE WATER SUPPLIER MUST ASSIGN A
UNIQUE 3-DIGIT NUMBER FOR EACH DISTRIBUTION
SAMPLE LOCATION. THESE ID NUMBERS SHOULD BE
SPECIFIED IN THE WATER SUPPLIER’S D/DBPR
MONITORING PLAN.
A.
B.
Chlorite: Measurements must be taken on the same day from the
following locations:
•
a site as close as possible to the first customer
•
a site representing average residence time
•
a site representing maximum residence time
TTHM/HAA5: Enter the 3-digit ID number that corresponds to the
distribution location specified in the water supplier’s D/DBPR
Monitoring Plan. Refer to Section 9 for TTHM and HAA5
monitoring requirements.
Bromide (Optional): Enter the 3-digit treatment plant ID number in the
Location ID1 column. Leave the Location ID2 column blank - does not
apply. Systems using ozone that wish to qualify for and remain on reduced
bromate monitoring, must measure bromide at each source treated with
ozone.
NOTE: IN THE SAMPLE “TYPE” FIELD, ALL BROMIDE
MEASUREMENTS ARE SAMPLE TYPE “R.”
LOCATION ID2
(Individual Filter)
Leave blank - not applicable.
383-3301-306 / FINAL January 19, 2008 / Page 22
DATA FIELD
SAMPLE DATE
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Enter the date (MMDDYY) on which the sample was collected. For daily
chlorite measurements, the sample date will be the same as the analysis date.
Example: For a sample collected October 2, 2003, enter the date as 100203.
SAMPLE TYPE
Enter the appropriate letter code which corresponds to the type of sample
collected as follows:
R = Raw: All source water samples are “R” samples.
E = Entry Point: Samples taken at the entry point to the distribution system
are “E” samples.
D = Distribution: Samples taken in the distribution system are “D” samples
(except TTHM/HAA5 samples taken from sites representing maximum
residence time).
M = Maximum Residence: TTHM/HAA5 distribution samples taken from
sites representing maximum residence time are “M” samples.
S = Special: A supplier may wish to collect and have analyzed special
samples to meet his own need, or may be required by DEP or a CHD to
take samples to fulfill a special requirement. For example, a PWS may
be required to take delinquent samples after a monitoring period has
ended. Such samples must be coded as “S” samples.
SAMPLE TIME
LAB ID
NOTE: FAILURE TO REPORT ANALYSIS RESULTS WITH THE
CORRECT AND APPROPRIATE SAMPLE TYPE CODES
WILL RESULT IN THE WATER SUPPLIER RECEIVING A
VIOLATION FOR FAILURE TO MONITOR.
Enter the time of day at which the sample was collected. All times must be
in military time. This field must be completed in order for the results to be
accepted. If the exact time is not known, enter an approximate time.
Examples: 5:15 PM: enter as 1715.
8:30 AM: enter as 0830.
Enter the 5-digit PA certification identification number assigned to the
laboratory. For any analysis conducted by a certified laboratory, the ID
number must be entered for results to be accepted. Do not use dashes or
symbols. A Lab ID is not required for daily chlorite analyses if they were
conducted by a certified water plant operator (leave this field blank).
NOTE: THE ID # OF THE LABORATORY CONDUCTING THE
ANALYSIS MUST BE ENTERED IN THE LAB ID FIELD.
383-3301-306 / FINAL January 19, 2008 / Page 23
DATA FIELD
LAB NAME/PHONE
APPROVAL
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Enter the name and phone number of the laboratory or PWS analyzing the
samples. For disinfectant residual results this field may be left blank if a
certified laboratory did not conduct the analyses.
Signature of responsible official and date of signature.
383-3301-306 / FINAL January 19, 2008 / Page 24
SECTION 5: DISINFECTION BYPRODUCT PRECURSORS
Regulated Disinfection Byproduct Precursors:
•
•
•
Total Organic Carbon (TOC)
Alkalinity
Specific Ultraviolet Absorbance (SUVA)
•
•
Dissolved Organic Carbon (DOC)
UV254
For more information about monitoring requirements, see Section 9.
PWSs and certified labs shall report disinfection byproduct precursor data quarterly as follows:
APPLIES TO:
PWSs with conventional
filtration
PWSs with surface water
that wish to qualify for
reduced TTHM/HAA5
monitoring
PURPOSE
Report all paired TOC (source and treated) sample results.
Report all source water alkalinity results.
Report all individual UV254 and DOC sample results.
Report all SUVA values (calculation based on UV254 and
DOC sample results).
FORM
SDWA-1
Report all source water TOC sample results.
Notes:
•
For the purposes of this section, PWS refers only to community and nontransient, noncommunity
public water systems.
•
For treatment plants served by multiple sources, the source TOC and alkalinity samples are taken
at a blended source water tap (prior to any treatment). If a blended tap is not available, then the
water system must sample each source prior to any treatment and composite a blended sample
(based on the proportion each source contributes) to provide a blended source TOC and a
blended source alkalinity sample to the lab.
EXAMPLE: A treatment plant is supplied by two sources. A blended source water tap is not
available. Source A contributes 70 percent of the total plant flow, and source B contributes 30
percent of the total plant flow.
Collect 500 mL of water from each source in separate sample containers.
In a third 500 mL sample bottle, combine 350 mL from source A with 150 mL from source B,
and submit this sample to the lab as the blended source water TOC sample.
Repeat these steps for the blended source water alkalinity sample.
383-3301-306 / FINAL January 19, 2008 / Page 25
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name:
Address:
Phone:
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
to
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
MMDDYY
*TRANSACTION CODE: COLIFORM = 05
LOCATION ID 1
LOCATION ID 2
(Loc, EP, or Plant)
(Individual Filter)
SAMPLE
MMDDYY
TYPE
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY:
DATE:
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity
triggers within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 26
Pink - Laboratory
TIME
DATA FIELD
PWS NAME, ADDRESS &
PHONE
PWS ID
TRANSACTION CODE
CONTAMINANT ID
SDWA-1 FORM INSTRUCTIONS
EXPLANATION
Enter the name and address of the PWS to which these samples apply. Also
enter the phone number of the contact person for the water system.
Enter the 7-digit identification number of the PWS to which these samples
apply. Failure to enter the PWS ID will result in the water supplier not
receiving credit for conducting the required monitoring. If you do not know
the PWS ID number, contact the local DEP or CHD office, or visit DEP’s
website. All PWS ID numbers are assigned by the local DEP or CHD
office.
Enter the proper 2-digit code corresponding to the parameter being reported.
05 - TOC, Alkalinity or SUVA (DOC and UV254)
Enter the 4-digit identification code for the contaminant/parameter being
reported. Only one contaminant/parameter can be entered on a form. Each
parameter must be reported on a separate SDWA-1 form.
2920 - Total Organic Carbon (TOC)
1927 - Alkalinity
2923 - Specific Ultraviolet Absorbance (SUVA)
2919 - Dissolved Organic Carbon (DOC)
CONTAMINANT NAME
SAMPLE PERIOD
2922 - UV254
Enter the name of the contaminant/parameter being reported: TOC,
Alkalinity, SUVA, DOC or UV254.
Enter the beginning date (MMDDYY) and the ending date (MMDDYY) for
the sampling period to which these sample results apply. These dates should
encompass the sample dates detailed on the form.
Example: For the month of Aug. 2003, enter 080103 to 083103.
For the 2nd quarter (April-June) 2003, enter 040103 to 063003.
ANALYSIS METHOD
Enter the 3-digit code of the approved analysis method used to analyze the
samples. TOC, SUVA, DOC and UV254 analyses must be conducted by a
laboratory certified for that analysis method. Alkalinity may be analyzed by
a certified water plant operator.
NOTE: SAMPLES OF THE SAME CONTAMINANT THAT ARE
ANALYZED BY DIFFERENT METHODS MAY BE REPORTED
ON THE SAME FORM. SEE SECTION 6 FOR CORRECT
ANALYSIS METHOD CODES.
383-3301-306 / FINAL January 19, 2008 / Page 27
DATA FIELD
ANALYSIS RESULT
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Enter the result of each sample analyzed. At a minimum, all results must be
reported to the least significant digit of the treatment technique. The decimal
point must be entered directly in the result field.
BE SURE TO USE THE PROPER UNITS
Total Organic Carbon (TOC)
A.
Required: Applies to systems using conventional filtration. A paired
source water and post-sedimentation sample set is required each
month. The source water and post-sedimentation samples must be
collected at the same time on the same day.
NOTE:
IF YOUR PLANT EXPERIENCES DETENTION TIMES
THAT EXCEED 24 HOURS, YOU MAY COLLECT
YOUR POST-SEDIMENTATION SAMPLE THE DAY
FOLLOWING THE COLLECTION OF YOUR SOURCE
WATER SAMPLE.
Report quarterly the paired measurements in mg/L to at least the
nearest tenths decimal place for each month in the last quarter. The
paired measurements should be reported on the same form. This TOC
data may also be used to meet the requirements for systems wishing to
qualify for reduced TTHM/HAA5 monitoring (see “B” below).
B.
Optional: A monthly source water TOC sample is required for each
surface water treatment plant for systems that wish to qualify for
reduced TTHM/HAA5 monitoring. Report quarterly all source water
TOC measurements in mg/L to at least the nearest tenths decimal place
for each month in the last quarter. Systems using only purchased
surface water should contact their local DEP or CHD office to
determine whether it is possible to use the selling system’s source
water TOC measurements for this option.
NOTE: IF ANY RESULT IS LESS THAN THE MINIMUM METHOD
DETECTION LIMIT OF 0.5 mg/L, REPORT THE RESULT AS
ZERO (0).
Alkalinity:
Applies to systems using conventional filtration. A source water alkalinity
sample must be collected at the same time and on the same day as the paired
TOC sample set each month. The sample dates must be the same for the
source water TOC and source water alkalinity samples. The source water
alkalinity analysis may be conducted by a certified water plant operator.
Report quarterly the results in mg/L to at least the nearest tenths decimal place
for each month in the last quarter. Report alkalinity measurements on a
separate SDWA-1 form from the paired TOC measurements.
383-3301-306 / FINAL January 19, 2008 / Page 28
DATA FIELD
ANALYSIS RESULT
(CONT.)
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
NOTE: TOC AND ALKALINITY MONITORING DOES NOT APPLY TO
CONSECUTIVE PWSs OR TO SYSTEMS USING PURCHASED
WATER (UNLESS THE SYSTEM WANTS TO CONDUCT
OPTIONAL TOC MONITORING TO QUALIFY FOR REDUCED
TTHM/HAA5 MONITORING).
Specific Ultraviolet Absorbance (SUVA) - Optional
A monthly SUVA calculation is required for systems wishing to qualify for an
alternative compliance criteria. SUVA is defined as the UV absorption at
254 nm (UV254) measured as m-1, divided by the DOC concentration in mg/L.
SUVA = UV254 (m-1) / DOC (mg/L)
If the UV254 is determined as cm-1, the value must be multiplied by 100 to
convert to m-1.
UV254 (m-1) = 100 cm/m X UV254 (cm-1)
ANALYSIS DATE
LOCATION ID1
(Loc, EP, or Plant)
The UV254 and DOC samples used to determine the SUVA value must be
collected at the same time and at the same location (i.e., source water and/or
finished water). Report quarterly, the UV254 result in m-1, the DOC
measurement in mg/L AND the calculated SUVA values for each month in the
last quarter. UV254, DOC and SUVA must be reported on separate SDWA1 forms. However, the sample dates must be the same for all three parameters
when completing the forms.
Enter the date (MMDDYY) on which the sample analysis was performed or
measurement taken. If the analysis spanned more than 1 day, enter the date on
which the sample analysis result was obtained.
Example: Enter August 15, 2003 as 081503.
TOC: Enter the 3-digit Treatment Plant ID number in the Location ID1
column. Contact your local DEP or CHD office to obtain this ID number.
Leave the Location ID2 column blank – does not apply. Systems with
conventional filtration must collect a paired sample set: 1 sample collected
from the source (raw) water and 1 sample collected from a post-sedimentation
location (preferably combined filter effluent). Report both source water and
post-sedimentation TOC sample results on the same SDWA-1 form and use
the same 3-digit Treatment Plant ID number. Systems conducting optional
TOC monitoring to qualify for reduced TTHM/HAA5 monitoring must collect
a source (raw) water sample.
Alkalinity: Enter the 3-digit Treatment Plant ID number in the Location ID1
column. Leave the Location ID2 blank - does not apply.
SUVA, DOC and UV254: Enter the 3-digit Treatment Plant ID number in the
Location ID1 column. Leave the Location ID2 column blank – does not apply.
The samples to determine SUVA values (UV254 and DOC) may either be
source water or finished water samples. Finished water samples are collected
at the entry point and before any oxidant is added. Since most plants provide
water that contains an oxidant, finished SUVA can be measured in jar tests
that simulate the plant’s actual treatment without the oxidant.
383-3301-306 / FINAL January 19, 2008 / Page 29
DATA FIELD
LOCATION ID2
(Individual Filter)
SAMPLE DATE
SAMPLE TYPE
SDWA-1 FORM INSTRUCTIONS (CONT.)
EXPLANATION
Leave blank - not applicable.
Enter the date (MMDDYY) on which the sample was collected.
EXAMPLE: For a sample collected October 2, 2003, enter the date as
100203.
Enter the appropriate letter code which corresponds to the type of sample
collected as follows:
R = Raw: All source water samples are “R” samples.
P = Plant: All post-sedimentation TOC samples and all finished water SUVA
(UV254 and DOC) samples are “P” samples.
S = Special: A supplier may wish to collect and have analyzed special
samples to meet his own need, or may be required by DEP or CHD to take
samples to fulfill a special requirement. For example, a PWS may be
ordered to take delinquent samples after a monitoring period has ended.
Such samples must be coded as “S” samples.
SAMPLE TIME
LAB ID
LAB NAME/PHONE
APPROVAL
NOTE: FAILURE TO REPORT ANALYSIS RESULTS WITH THE
CORRECT AND APPROPRIATE SAMPLE TYPE CODES WILL
RESULT IN THE WATER SUPPLIER RECEIVING A VIOLATION
FOR FAILURE TO MONITOR.
Enter the time of day at which the sample was collected. All times must be in
military time. This field must be completed in order for the results to be
accepted. If the exact time is not known, enter an approximate time.
Examples: 5:15 PM: enter as 1715.
8:30 AM: enter as 0830.
Enter the 5-digit PA certification identification number assigned to the
laboratory. For any analysis conducted by a certified laboratory, the ID
number must be entered for results to be accepted. Do not use dashes or
symbols. A lab ID is not required for alkalinity analyses if they were
conducted by a certified water plant operator (leave this field blank).
NOTE: THE ID # OF THE LABORATORY CONDUCTING THE
ANALYSIS MUST BE ENTERED IN THE LAB ID FIELD.
Enter the name and phone number of the laboratory or PWS analyzing the
samples.
Signature of responsible official and date of signature.
383-3301-306 / FINAL January 19, 2008 / Page 30
SECTION 6: SUMMARY OF CODES FOR REPORTING MONITORING RESULTS
PARAM
NAME
Bromate
Bromide
TRANS
CODE1
03
03
Chlorine
(total,
free, or
combined)
03
Chloramine
03
1
PARAM
ID
1011
1004
0999
1006
EPA
ANALYSIS METHOD
Ion Chromatography – 300.1 or
ASTM D6581-00
Ion Chromatography & post column
reaction – 317.0 Rev 2.0
Ion Chromatography & post column
reaction – 326.0
Ion Chromatography / ICP-MS –
321.8
Ion Chromatography – EPA 300.0
Ion Chromatography – EPA 300.1
ASTM D6581-00
Ion Chromatography & post column
reaction – 317.0 Rev 2.0
Ion Chromatography & post column
reaction – 326.0
Amperometric Titration –
ASTM D 1253-86 (96)
Amperometric Titration –
ASTM D 1253-03
Amperometric Titration –
SM 4500-Cl D
DPD Ferrous Titrimetric –
SM 4500-Cl F
DPD Colorimetric – SM 4500-Cl G
(Free Cl2 only) Syringaldazine
(FACTS) –
SM 4500-Cl H
(Total Cl2 only) Low Level
Amperometric Titration –
SM 4500-Cl E
(Total Cl2 only) Iodometric Electrode
– SM 4500-Cl I
Amperometric Titration –
SM 4500-Cl D, E
DPD Ferrous Titrimetric – SM 4500Cl F
DPD Colorimetric – SM 4500-Cl G
Iodometric Electrode – SM 4500-Cl I
DEP
METHOD
CODE
UNITS TO
REPORT
IN
120
172
mg/L
173
174
120
172
mg/L
173
301
301
mg/L
301
301
mg/L
The TRANS CODES listed in the table are for completing the SDWA-1 forms. The TRANS CODE for the
SDWA-S form is always 09.
383-3301-306 / FINAL January 19, 2008 / Page 31
PARAM
NAME
Chlorine
Dioxide
Chlorite2
HPC
TTHM
HAA5
TOC3
TRANS PARAM
ID
CODE1
03
03
03
03
03
05
1008
1009
3001
2950
2456
2920
EPA
ANALYSIS METHOD
DEP
METHOD
CODE
Amperometric Method II –
SM 4500-ClO2 E
DPD – SM 4500-ClO2 D
Spectrophotometric – 327.0 Rev 1.1
(Monthly) Ion Chromatography – 300.0
(Monthly) Ion Chromatography – 300.1
or ASTM D6581-00
(Monthly) Ion Chromatography – 317.0
Rev 2.0
(Monthly) Ion Chromatography – 326.0
(Daily) Amperometric Titration –
SM 4500-ClO2 E
(Daily) Spectrophotometric – 327.0
Rev 1.1
Pour Plate
Simplate
Liquid-Liquid Extract GC/ECD. –
EPA 551.1
P&T GC/EICD & PID - EPA 502.2
P&T GC/MS – EPA 524.2
SPE GC w/ ECD – EPA 552.1
Liquid-Liquid Extract GC w/ ECD –
EPA 552.2
Liquid-Liquid Extract GC w/ ECD –
EPA 552.3
Liquid-Liquid Extract GC w/ ECD –
SM 6251 B
High Temp. Combustion –
SM 5310 B
Persulfate Oxidation – SM 5310 C
Wet Oxidation – SM 5310 D
415.3 Rev 1.1
301
UNITS TO
REPORT
IN
mg/L
175
120
172
173
mg/L
301
175
315
316
colonies/mL
211
217
221
204
mg/L
206
206
mg/L
208
580
581
582
581
mg/L
1
The TRANS CODEs listed in the table are for completing the SDWA-1 forms. The TRANS CODE for the
SDWA-S form is always 09.
2
All monthly distribution chlorite samples must be analyzed by an Ion Chromatography method by a lab
certified for that method. The daily entry point chlorite samples may be analyzed by any of the methods listed
(Ion Chromatography, Amperometric Titration or Spectrophotometric); however if Ion Chromatography is
used, the samples must be analyzed by a lab certified for that method.
3
EPA has established additional QA/QC procedures for TOC under 40 CFR 141.131(d) that are not
included in Standard Methods. Labs need to obtain and implement these procedures when conducting these
analyses. Please contact the DEP Bureau of Laboratories at 717-346-7200 for additional information or refer to
the federal citation mentioned above.
383-3301-306 / FINAL January 19, 2008 / Page 32
PARAM
NAME
Alkalinity
2
TRANS
CODE1
05
PARAM
ID
1927
DOC
05
2919
SUVA2
05
2923
UV2542
05
2922
pH
05
1925
Magnesium
Hardness
05
1918
EPA
ANALYSIS METHOD
Titration – SM 2320 B
Titration – ASTM D1067-92, 02 B
Titration –
USGS I-1030-85
High Temp. Combustion –
SM 5310 B
Persulfate Oxidation – SM 5310 C
Wet Oxidation – SM 5310 D
415.3 Rev 1.1
NA - calculated value
UV Absorption – SM 5910 B
415.3 Rev 1.1
Electrometric – EPA 150.1, 150.2,
ASTM D1293-95, and SM 4500-H+ B
ICP – EPA 200.7
AA – SM 3111 B
ICP – SM 3120 B
Complexation Titrimetric –
SM 3500-Mg E
Complexation Titrimetric –
ASTM D 511-93 A
AA – ASTM D 511-93 B
DEP
METHOD
CODE
UNITS
TO
REPORT
IN
584
mg/L
580
581
582
581
NA
583
581
135
mg/L
m-1/ mg/L
m-1
n/a
169
101
169
141
mg/L
141
101
1
The TRANS CODEs listed in the table are for completing the SDWA-1 forms. The TRANS CODE for the
SDWA-S form is always 09.
2
EPA has established additional QA/QC procedures for DOC and SUVA under 40 CFR 141.131(d) that
are not included in Standard Methods. Labs need to obtain and implement these procedures when
conducting these analyses. Please contact the DEP Bureau of Laboratories at 717-346-7200 for additional
information or refer to the federal citation mentioned above.
383-3301-306 / FINAL January 19, 2008 / Page 33
SECTION 7: DISTRIBUTION OF COMPLETED FORMS
The SDWA-S and SDWA-1 forms must be distributed as follows:
ORIGINAL - Send to DEP’s central office at the address below for data processing.
mailing address:
PA DEP
SDWA MONITORING DATA
PO BOX 8467
HARRISBURG, PA 17105-8467
or, if using direct courier service (UPS, Fed Ex):
SDWA MONITORING DATA
11th FLOOR RCSOB
400 MARKET STREET
HARRISBURG, PA 17101
SECOND COPY - Send to the water supplier.
THIRD COPY - Retain for the laboratory’s records.
REMINDERS:
•
•
•
•
•
•
•
When reporting distribution system disinfectant residual non-detects or any HPC results,
the SDWA-1 Form(s) must be submitted in addition to the SDWA-S Form.
When reporting chlorine dioxide and chlorite entry point results, the SDWA-1 Form(s)
must accompany the appropriate SDWA-S Form (reporting the number of chlorine
dioxide entry point treatment days).
Distribution system and entry point measurements of the same parameter (such as
chlorine dioxide or chlorite) may be reported on the same SDWA-1 Form.
Report the average monthly distribution system disinfectant residual (for chlorine or
chloramines) on the SDWA-S form.
Report chlorine dioxide and chlorite measurements monthly.
Reports must be received no later than the 10th day of the month following the month the
samples were taken for monthly reporting or no later than the 10th day of the month
following the end of the quarter for quarterly reporting. Failure to submit these forms by
the tenth day of the following month will result in the water supplier being charged with a
violation for failure to monitor.
EPA has established, under 40 CFR 141.131(d), additional QA/QC procedures for the
analysis of some parameters (TOC, UV254, DOC). Laboratories conducting analyses for
these parameters must follow these procedures in addition to the steps outlined in the
method.
DATA RETAINED BY THE LABORATORY
Information on the personnel who collected and analyzed the samples is to be documented and retained
by the laboratory. If the samples were collected by water system personnel rather than laboratory
personnel, the laboratory must retain a copy of the chain of custody.
Additionally, labs must retain records, including original handwritten data, that allow reconstruction of
all laboratory activities associated with the testing or analysis of environmental samples (i.e.
temperature logs, calibration results, standard & reagent prep logs, results of raw data - samples &
associated QC samples, calculations, etc.) for a minimum of 5 years. The records must be complete
enough so that assessors can reconstruct the entire analysis and all the activities related to generating the
final result using the lab’s records.
383-3301-306 / FINAL January 19, 2008 / Page 34
DATA RETAINED BY THE WATER SUPPLIER
Records of chemical analyses shall be kept for at least 12 years. Records of disinfectant residual or
HPC analyses shall be kept for at least 1 year. Plant operational log sheets or continuous analyzer
recording charts must be retained on file by the water supplier as a permanent record of plant
performance.
NOTES:
•
If reporting electronically, the laboratory must provide the results of analyses to the water
supplier; the format used to report these results to the supplier is a decision to be
determined between the lab and the client.
•
Upon request, plant operational records must be available for review by DEP or CHD
staff.
383-3301-306 / FINAL January 19, 2008 / Page 35
SECTION 8: DEP ELECTRONIC MONITORING/REPORTING ASSISTANCE TOOLS
The Department provides the following assistance tools on its website at www.drinkingwater.state.pa.us.
Drinking Water Reporting System – Provides dynamic reports on inventory and sample
information for water systems from Pennsylvania Drinking Water Information System (PADWIS).
Consumer Confidence Report Data – Provides detection and violation information from
PADWIS to assist community water systems with the preparation of the annual Consumer
Confidence Reports.
Electronic Reporting:
To report electronically, systems should use DWELR. If a lab is using another method of electronic
reporting such as e-mail, it is the individual laboratory’s responsibility to update their file formats when
updates are made to the reporting requirements.
DWELR: Drinking Water Electronic Lab Reporting
This system is a DEP internet website for certified labs or public water suppliers to download sample
files and/or enter sample results using a web form. The system features allow labs to:
•
•
•
•
•
Submit data via either upload or data entry,
Preview the data you’ve entered,
View error reports,
Correct data and resubmit until the 10th of the month,
Allow Public Water Systems to view sample results online that you have submitted on
their behalf.
For more information about DWELR, please contact the PADWIS Section in the Division of Data
Systems and Analysis at 717-787-6744.
You will need a user ID and a password issued by DEP to use this service. Please contact the DEP
Helpdesk at 717-772-5840 for information about setting up your user account.
PADWARE: PA Drinking Water Analysis and Reporting Database Application
PADWARE is an application that was developed to facilitate reporting water sample information
electronically to DEP. However, as of 2005, DEP is no longer supporting this application.
383-3301-306 / FINAL January 19, 2008 / Page 36
SECTION 9: MONITORING REQUIREMENTS TABLES
TABLE I
NUMBER OF MONTHLY RESIDUAL DISINFECTANT SAMPLES REQUIRED IN THE
DISTRIBUTION SYSTEM OF COMMUNITY WATER SYSTEMS AND THOSE
NONCOMMUNITY WATER SYSTEMS USING SURFACE WATER OR SERVING MORE
THAN 1,000 PEOPLE
POPULATION
SERVED
25 to
1,000
1,001 to
2,500
2,501 to
3,300
3,301 to
4,100
4,101 to
4,900
4,901 to
5,800
5,801 to
6,700
6,701 to
7,600
7,601 to
8,500
8,501 to
12,900
12,901 to
17,200
17,201 to
21,500
21,501 to
25,000
25,001 to
33,000
33,001 to
41,000
41,001 to
50,000
50,001 to
59,000
59,001 to
70,000
70,001 to
83,000
83,001 to
96,000
96,001 to
130,000
130,001 to
220,000
220,001 to
320,000
320,001 to
450,000
450,001 to
600,000
600,001 to
780,000
780,001 to
970,000
970,001 to 1,230,000
1,230,001 to 1,520,000
1,520,001 to 1,850,000
1,850,001 to 2,270,000
2,270,001 to 3,020,000
3,020,001 to 3,960,000
3,960,001 or more
MINIMUM NUMBER OF
SAMPLES PER MONTH
1
2
3
4
5
6
7
8
9
10
15
20
25
30
40
50
60
70
80
90
100
120
150
180
210
240
270
300
330
360
390
420
450
480
Notes:
Noncommunity water systems using only groundwater and serving 1,000 or fewer persons per day on a permanent basis shall take one
sample each calendar quarter that the system provides water to the public.
These sample numbers are also equivalent to the number of total coliform samples that are required in the distribution system
according to the Total Coliform Rule. Please note that the disinfectant residual must be measured each time a sample is collected for
compliance with the Total Coliform Rule (routine and check samples).
383-3301-306 / FINAL January 19, 2008 / Page 37
Disinfectants / Disinfection Byproducts Rule (D/DBP Rule)
Summary of Monitoring and Reporting Requirements
for
Public Water Systems That Use a Chemical Disinfectant or
Systems That Obtain Finished Water From Another Public Water System
Note: The initial compliance dates for these requirements are as follows:
•
•
PA Filter Rule – Published in Pennsylvania Bulletin on March 25, 1989
Disinfectants/Disinfection Byproducts Rule – Published in Pennsylvania Bulletin on July 21, 2001.
January 2002
•
•
CWSs and NTNCWSs with surface water or GUDI sources serving >10,000 persons
TNCWSs with surface water or GUDI sources serving >10,000 persons and treating with chlorine dioxide
January 2004
•
•
•
•
•
CWSs and NTNCWSs with surface water or GUDI sources serving <10,000 persons
CWSs and NTNCWSs with GW sources only
TNCWSs with surface water or GUDI sources serving <10,000 persons and treating with chlorine dioxide
TNCWSs with GW sources only and treating with chlorine dioxide
BVRBs
NOTE: Mixed systems (i.e., systems with both SW/GUDI and GW sources) are considered SW systems under this rule. For TTHM/HAA5 monitoring, these
systems must refer only to the surface water tables to determine their requirements.
Abbreviations
A = Annually
ACC = Alternative Compliance Criteria
CWS = Community Water System
D = Distribution System
E or EP = Entry Point
GUDI = Groundwater Under the Direct Influence of SW
GW = Groundwater
HAA5 = Haloacetic Acids
M = Maximum Residence
MCL = Maximum Contaminant Level
M/R = Monitoring/Reporting
Mo = Monthly
MRDL = Maximum Residual Disinfectant Level
NTNCWS = Nontransient Noncommunity Water System
P = Plant
PWS = Public Water System
Q = Quarter or Quarterly
R = Raw Water
RAA = Running Annual Average
SUVA = Specific Ultraviolet Absorption at 254 nm
SW = Surface Water
TOC = Total Organic Carbon
TTHM = Total Trihalomethanes
TNCWS = Transient Noncommunity Water System
383-3301-306 / FINAL January 19, 2008 / Page 38
Chlorine (0999) or Chloramines (1006) (Distribution System)
PWSs Required
To Monitor
All CWSs & NTNCWSs
MRDL
# Samples
Frequency
4.0 mg/L
Same as for
total
coliform
monitoring. 1
Mo
(incl. consecutive systems)
2
Sample
Type
Sample Location
Specifics
D
All samples are to
be taken at the same
locations and times
as total coliform
samples.1
Altered Monitoring
No altered monitoring.
Report
The monthly average of all
samples on SDWA-S form.2
If the system switches
between chlorine and
chloramines, include all
results in the average and
report the contaminant code
for the most numerous
samples.
State
Reporting
Frequency
Monthly. 2
Within 10
days after the
end of the
month.
It is a violation if:
MRDL (11)
RAA of monthly
averages of all samples,
computed quarterly,
>MRDL.
M/R (27)
Major: <90% of samples
taken or reported.
Minor: 90-99% of
samples taken or
reported.
In addition to the above-mentioned requirements, the PA Filter Rule requires the following for ALL surface water treatment plants (regardless of system type):
Entry Point (EP) Residual:
•
•
•
Systems must continuously monitor the EP residual disinfectant concentration.
Systems with unfiltered sources must:
o Maintain a minimum 2.5 mg/L disinfectant residual as free chlorine or its equivalent.
o For disinfectants other than free chlorine, maintain a minimum concentration providing protection equivalent to 2.5 mg/L of free chlorine and maintain
at least 0.2 mg/L of the disinfectant at the EP.
Systems with filtered sources must maintain a minimum 0.2 mg/L disinfectant residual.
Distribution System Residual:
•
•
•
Both unfiltered and filtered surface water systems must maintain a detectable residual of 0.02 mg/L in the distribution system.
If the chlorine residual is not detectable, the water supplier has the option to collect a sample and have it analyzed for HPC. Sampling points with HPC
measurements of less than 500/mL are deemed in compliance.
Systems must monitor the distribution system residual at the same frequency as the total coliform MCL compliance monitoring.
Note: Compliance is based only on the running annual average (RAA), not individual samples or a single monthly average. For surface water systems, the
monthly average should be reported on the same SDWA-S form used for reporting monthly-summarized disinfectant residual performance results. The SDWA-S
has been modified to include an “average result” field. So, the water supplier completes the SDWA-S form for disinfectant residual as always AND now must also
report the average of all disinfectant residual samples taken during the month. Also, surface water suppliers should now report their disinfectant residual results as
code 0999 or 1006 depending on whether they are using chlorine or chloramines respectively.
1
2
One chlorine or chloramines sample must be taken for every total coliform sample that is taken. That includes all routine and check total coliform samples.
The exception is for groundwater NTNCWSs serving <1000 people. For these systems, the monitoring frequency is quarterly. This coincides with quarterly total coliform monitoring. Reporting
for groundwater NTNCWSs serving <1000 people is, therefore, also quarterly. (Report the average of all chlorine residual sample results taken during the quarter.)
383-3301-306 / FINAL January 19, 2008 / Page 39
TTHM (2950) & HAA5 (2456) (Distribution System)
PWSs Required
To Monitor
Large SW & GUDI
CWSs & NTNCWSs
(serving >10,000
people)
MCL
# Samples
TTHM –
0.080 mg/L
4 sample sets
per plant. 3
HAA5 –
0.060 mg/L
(Must be
tested by a
certified lab.)
(incl. consecutive
systems)
Frequency
Q
Sample
Type
Sample Location
Specifics
D&M
At least 25% of
sample sets must
be M samples; all
other sample sets
must be D
samples
representing at
least average
residence time.
Altered Monitoring
Reduced to: 1 M sample set per Q per plant
if after 1 year of monitoring:
a) RAA of TTHM & HAA5 < 0.040 and
< 0.030 mg/L respectively, and
b) RAA of SW source water TOC <4.0
mg/L for each SW treatment plant. 4
Report
All TTHM
& all HAA5
sample
results on
SDWA-1
form.
Resume to 4 sample sets per plant beginning
the following Q if:
• RAA of TTHM or HAA5 > 0.060 or >
0.045 mg/L respectively.
Small SW & GUDI
CWSs & NTNCWSs
(serving 500 to 9,999
people)
TTHM –
0.080 mg/L
1 sample set
per plant.
HAA5 –
0.060 mg/L
(Must be
tested by a
certified lab.)
(incl. consecutive
systems)
Q
M
Must be M
sample.
If more than 1
sample is taken
per plant, at least
25% of the
sample sets must
be M samples,
others must be D
samples.
Reduced to: 1 annual M sample set per plant
(during mo. of warmest water temp) if after at
least 1 year of monitoring:
a) RAA of TTHM & HAA5 < 0.040 and
< 0.030 mg/L respectively, and
b) RAA of SW source water TOC <4.0
mg/L for each SW treatment plant.2
Resume to: 1 M sample set per plant per Q
if:
• Average of all TTHM or HAA5
samples, taken during the month of
warmest water temp, is > 0.060 or >
0.045 mg/L respectively. Q monitoring
must resume the very next quarter.
All TTHM
& all HAA5
sample
results on
SDWA-1
form.
State
Reporting
Frequency
Q
Within 10
days after the
end of the
quarter or
month of
determining
results,
whichever is
shorter.
Q or A,
dependent
upon
monitoring
frequency.
Within 10
days after the
end of the
quarter or
month of
determining
results,
whichever is
shorter.
It is a violation if:
MCL (02)
RAA of quarterly
averages, computed
quarterly, >MCL.
M/R (27)
Major: <90% of samples
taken or reported.
Minor: 90-99% of samples
taken or reported.
MCL (02)
RAA of quarterly
averages, computed
quarterly, >MCL.
M/R (27)
Major: <90% of samples
taken or reported.
Minor: 90-99% of samples
taken or reported.
PWSs on annual
monitoring will be
evaluated at the end of
each year for M/R
violation.
Note: A plant is defined as:
•
Any filtration plant where a disinfectant is added.
•
Any disinfection treatment facility for a groundwater source. All treatment facilities associated with wells within the same aquifer may be considered as single plant.
•
A purchased water connection with another PWS that uses a disinfectant. More than one connection delivering the same water from the same seller may be considered as
a single plant.
Booster chlorination stations do not count as plants. Emergency filtration plants, treatment facilities and purchased water connections are not counted unless they are put into
service.
For consecutive water systems, monitoring is performed based upon wholesaler’s source water type and the consecutive system’s population.
3
4
Large SW & GUDI systems must take 4 sample sets per plant, regardless of whether the plants distribute surface water or groundwater. However, it is possible for a groundwater plant to distribute
water to a portion of the distribution system that is hydraulically or physically separate from other parts of the distribution system. If the PWS demonstrates, through a hydraulic study, that surface
water contribution is absent or insignificant in the groundwater portion of the distribution system, then the sampling plan may provide for just 1 sample set to be taken for each groundwater plant.
Beginning April 1, 2008, this criterion is based on TOC samples taken every 30 days prior to treatment. To remain on reduced monitoring, the system must maintain a source water TOC RAA < 4.0
mg/L (based on quarterly samples). The water supplier must submit TOC results to the state on an SDWA-1 form to document that the conditions of reduced monitoring are met.
383-3301-306 / FINAL January 19, 2008 / Page 40
TTHM (2950) & HAA5 (2456) (Distribution System)
PWSs Required
To Monitor
Very small SW & GUDI
CWSs & NTNCWSs
(serving < 500 people)
(incl. consecutive
systems)
MCL
# Samples
TTHM –
0.080 mg/L
1 sample set
per plant.
HAA5 –
0.060 mg/L
(Must be
tested by a
certified lab.)
Frequency
A
Sample
Type
M
(during mo.
of warmest
water temp)
Sample Location
Specifics
Must be M
sample.
If more than 1
sample is taken
per plant, at least
25% of the sample
sets must be M
samples, others
must be D
samples.
Altered Monitoring
Increased to: 1 sample set per plant per
Q if:
• Average of all TTHM or HAA5
samples, taken during the month of
warmest water temp, exceeds the
TTHM or HAA5 MCL. Q
monitoring must begin the very
next Q.
Report
All TTHM & all
HAA5 sample
results on
SDWA-1 form.
Resume to routine annual monitoring if
after at least 4 quarters of monitoring:
No reduced monitoring.
(incl. consecutive
systems)
TTHM –
0.080 mg/L
1 sample set
per plant.
HAA5 –
0.060 mg/L
(Must be
tested by a
certified lab.)
Q
M
Must be M
sample.
If more than 1
sample is taken
per plant, at least
25% of the sample
sets must be M
samples, others
must be D
samples.
Reduced to: 1 annual M sample set per
plant (during mo. of warmest water
temp) if after at least 4 quarters of
monitoring:
Q or A,
dependent
upon
monitoring
frequency.
Within 10 days
after the end of
the quarter or
month of
determining
results,
whichever is
shorter.
• RAA of TTHM & HAA5 < 0.060
and < 0.045 mg/L respectively.
Large GW CWSs &
NTNCWSs
(serving >10,000 people)
State
Reporting
Frequency
All TTHM & all
HAA5 sample
results on
SDWA-1 form.
• RAA of TTHM & HAA5 < 0.040
and < 0.030 mg/L respectively.
Resume to: 1 M sample set per plant per
Q if:
• Average of all TTHM or HAA5
samples, taken during month of
warmest water temp, is > 0.060 or
> 0.045 mg/L respectively. Q
monitoring must resume the very
next quarter.
Q or A,
dependent
upon
monitoring
frequency.
Within 10 days
after the end of
the quarter or
month of
determining
results,
whichever is
shorter.
It is a violation if:
MCL (02)
RAA of quarterly
averages, computed
quarterly, >MCL.
M/R (27)
Major: <90% of
samples taken or
reported.
Minor: 90-99% of
samples taken or
reported.
PWSs on annual
monitoring will be
evaluated at the end of
each year for M/R
violation.
MCL (02)
RAA of quarterly
averages, computed
quarterly, >MCL.
M/R (27)
Major: <90% of
samples taken or
reported.
Minor: 90-99% of
samples taken or
reported.
PWSs on annual
monitoring will be
evaluated at the end of
each year for M/R
violation.
Note: A plant is defined as:
•
•
•
Any filtration plant where a disinfectant is added.
Any disinfection treatment facility for a groundwater source. All treatment facilities associated with wells within the same aquifer may be considered as single plant.
A purchased water connection with another PWS that uses a disinfectant. More than one connection delivering the same water from the same seller may be considered as
a single plant.
Booster chlorination stations do not count as plants. Emergency filtration plants, treatment facilities and purchased water connections are not counted unless they are put into
service.
For consecutive water systems, monitoring is performed based upon wholesaler’s source water type and the consecutive system’s population.
383-3301-306 / FINAL January 19, 2008 / Page 41
TTHM (2950) & HAA5 (2456) (Distribution System)
PWSs Required
To Monitor
Small GW CWSs &
NTNCWSs
(serving < 10,000
people)
(incl. consecutive
systems)
MCL
# Samples
TTHM 0.080
mg/L
1 sample set
per plant.
HAA5 0.060
mg/L
(Must be
tested by a
certified lab.)
Frequency
A
(during mo.
of warmest
water temp.)
Sample
Type
M
Sample
Location
Specifics
Must be M
sample.
If more than 1
sample is taken
per plant, at
least 25% of the
sample sets
must be M
samples, others
must be D
samples.
Altered Monitoring
Increased to: 1 sample set per plant per Q if:
• Average of all TTHM or HAA5 samples, taken
during the month of warmest water temp,
exceeds the TTHM or HAA5 MCL. Q
monitoring must begin the very next Q.
Resume to: routine annual monitoring if, after at
least 4 quarters of monitoring:
Report
All TTHM
& all
HAA5
sample
results on
SDWA-1
form.
• RAA of TTHM & HAA5 < 0.060 and < 0.045
mg/L respectively.
Reduced to: 1 M sample set per plant every 3 years
(during mo. of warmest water temp) if:
a) After at least 1 year of routine monitoring, the
average of all samples taken during the month
of warmest water temp for TTHM & HAA5 is <
0.020 and < 0.015 mg/L, respectively, or
b) After at least 2 consec. years of routine
monitoring, the average of all samples taken
during the month of warmest water temp for
TTHM & HAA5 is < 0.040 and <0.030 mg/L,
respectively.
Resume to: 1 annual sample set per plant if:
• Average of all TTHM or HAA5 samples, taken
during the month of warmest water temp, is >
0.060 or > 0.045 mg/L respectively. Annual
monitoring must resume the following year.
Increased to: 1 sample set per plant per Q
(regardless of whether on annual or triennial
frequency) if:
State
Reporting
Frequency
Q or A,
dependent
upon
monitoring
frequency.
Within 10
days after the
end of the
quarter or
month of
determining
results,
whichever is
shorter.
It is a violation if:
MCL (02)
RAA of quarterly
averages, computed
quarterly, >MCL.
M/R (27)
Major: <90% of
samples taken or
reported.
Minor: 90-99% of
samples taken or
reported.
PWSs on annual
monitoring will be
evaluated at end of
each year for M/R
violation.
PWSs on triennial
monitoring will be
evaluated at end of
each 3-year period for
M/R violation. End
date of 3-year period is
calculated to be 3
years from December
of year in which
reduction to triennial
frequency was
determined.
• Average of all TTHM or HAA5 samples, taken
in any year during the month of warmest water
temp, exceeds the TTHM or HAA5 MCL. Q
monitoring must begin the very next Q.
Note: A plant is defined as:
• Any filtration plant where a disinfectant is added.
• Any disinfection treatment facility for a groundwater source. All treatment facilities associated with wells within the same aquifer may be considered as single plant.
• A purchased water connection with another PWS that uses a disinfectant. More than one connection delivering the same water from the same seller may be considered as a
single plant.
Booster chlorination stations do not count as plants. Emergency filtration plants, treatment facilities and purchased water connections are not counted unless they are put into
service.
For consecutive water systems, monitoring is performed based upon wholesaler’s source water type and the consecutive system’s population.
383-3301-306 / FINAL January 19, 2008 / Page 42
Additional important information about TTHM and HAA5 monitoring for all system types and sizes:
• Blended systems (i.e., systems with both SW/GUDI and GW sources) are considered SW systems under this rule. For TTHM/HAA5
monitoring, these systems must refer only to the surface water tables to determine their requirements.
• DEP will compute altered monitoring determinations at the end of each quarter. For a system on annual monitoring, this means that altered
monitoring determinations will generally be revealed after the July-September quarter. That is the quarter that systems on annual monitoring
must do their monitoring since the month of warmest water temperature will undoubtedly occur during that quarter. PWSs should indicate on
their monitoring plans that, when on annual monitoring, the samples will be taken during the month of warmest water temperature during that
quarter.
• DEP will compute M/R compliance:
o at the end of each quarter for systems on quarterly monitoring;
o at the end of each calendar year for systems on annual monitoring; and
o at the end of each 3 calendar-year period for systems on 3-year monitoring.
• DEP will compute TTHM and HAA5 MCL compliance only when a system is on quarterly monitoring. That is, a PWS can only incur a
violation when on quarterly monitoring. The one exception is when a system on annual monitoring exceeds four times the MCL. Since that
will trigger quarterly monitoring, and the annual sample will count as the first quarter of quarterly monitoring, the system will already be in
violation because it will be impossible for any results in the subsequent three quarters to cause the RAA to be less than the MCL.
383-3301-306 / FINAL January 19, 2008 / Page 43
Chlorine Dioxide (1008) (Entry Point)
PWSs Required
To Monitor
PWSs that treat with
Chlorine Dioxide
MCL
# Samples
0.8 mg/L
1
Frequency
Daily
Sample
Type
E6
(only when
chlorine
dioxide
treatment is
in use.) 5
(Exclude consecutive
systems unless they
treat with chlorine
dioxide.)
Sample Location
Specifics
Each EP treated
with chlorine
dioxide.
(Purchased water
connections are
excluded.) 7
Altered Monitoring
No altered monitoring.
However, distribution
system monitoring (D) is
required if an “E” sample
>MRDL (see below).
Report
State
Reporting
Frequency
SDWA-S Form:
Monthly
The number of entry
point samples required
and the number of entry
point samples taken each
month, based on the
number of “entry point
treatment days.” 8
Within 10 days
after the end of
each month.
SDWA-1 Form:
All entry point Chlorine
dioxide detail result
information (may be
reported on same form as
“D” samples).
Note: When
chlorine
dioxide
treatment is not
in operation,
the PWS must
still report
SDWA-S form
information,
indicating 0
samples
required and 0
samples taken.
It is a violation if:
MRDL (11/13)
Non-acute violation (11) if:
1. Any 2 consecutive daily
“E” samples >MRDL and
all “D” samples <MRDL;
or
2. Failure to take any “E”
sample the day after any
“E” sample is >MRDL.
Acute violation (13) if.
Any “E” sample >MRDL and:
1. At least 1 of 3 “D” samples
next day >MRDL; or
2. System fails to take 3 “D”
samples the following day.
M/R (27)
Major: <90% of all samples
(E & D) taken or reported.
Minor: 90-99% of all samples
(E & D) taken or reported.
Chlorine Dioxide (1008) (Distribution System)
PWSs that treat with
Chlorine Dioxide
(Exclude consecutive
systems unless they
treat with chlorine
dioxide.)
0.8 mg/L
3-sample set
Only the day
after an “E”
sample
>MRDL.
D
If no Cl booster –
close to first
customer.
If Cl booster – close
to first customer,
average, and end of
distribution system.
NA
All “D” Chlorine dioxide
detail result information
on SDWA-1 form.
(May be reported on same
form as “E” samples.)
(See above)
Monthly (only
when an EP
sample exceeds
the MRDL,
which requires
that a 3-sample
set be taken in
the distribution
system).
MRDL (11/13)
See Chlorine dioxide entry
point table above.
M/R (27)
See Chlorine dioxide entry
point table above.
(See above)
5
However, if a daily “E” sample exceeds the MRDL, an “E” sample and follow-up “D” samples must be taken the next day, even if chlorine dioxide treatment isn’t being used the next day.
DEP will not track “E” samples by specific entry point; only that the correct number of samples was taken per month.
7
If any chlorine dioxide samples exceed the MRDL in the selling system, DEP may require the purchasing system to conduct chlorine dioxide monitoring.
8
An “entry point treatment day” is equal to one entry point through which water treated with chorine dioxide was delivered to the distribution system for any portion of 1 day. For example, two entry
points delivering chlorine dioxide treated water from two separate treatment plants for 14 days is equal to 28 “entry point treatment days.”
6
383-3301-306 / FINAL January 19, 2008 / Page 44
Chlorite (1009) (Entry Point)
PWSs Required
To Monitor
CWSs & NTNCWSs
that treat with
chlorine dioxide
MCL
# Samples
Frequency
Sample
Type
1.0 mg/L
1
Daily
E9
(only when
chlorine
dioxide
treatment is
in use.)
(Exclude consecutive
systems unless they
treat with chlorine
dioxide.)
Sample Location
Specifics
Each EP treated
with chlorine
dioxide.
Altered Monitoring
No altered monitoring.
(Purchased water
connections are
excluded.) 10
Report
All daily entry point
chlorite results on SDWA1 form.
Note: The state will use
the chlorine dioxide
sample information
reported on an SDWA-S
form to determine how
many chlorite samples are
required for the month.
State Reporting
Frequency
Monthly
Within 10 days
after the end of
each month that
Chlorine dioxide
treatment is used.
It is a violation if:
MCL (02)
None. MCL exceedance used
only as trigger.
For any “E” result >MCL,
additional 3-sample “D”
sample set required.
M/R (27)
See distribution system
chlorite table below.
Chlorite (1009) (Distribution System)
PWSs Required To
Monitor
CWSs & NTNCWSs
that treat with
chlorine dioxide
(Exclude consecutive
systems unless they
treat with chlorine
dioxide.)
MCL
# Samples
Freq
Sample
Type
1.0 mg/L
3-sample set
Mo
D
(all 3 on
same day.)
(Must be
tested by
certified lab.)
(only when
chlorine
dioxide
treatment is
in use.)
Sample
Location
Specifics
All samples are
“D” samples, but
the monitoring
plan must
indicate the
following:
1 sample near
first customer.
1 sample at
average
residence
location.
1 sample at
maximum
residence
location.
Altered Monitoring
Report
Reporting Freq
Increased monitoring: Any time
a daily E sample result > MCL
(1.0 mg/L), a set is required the
next day. 11
All “D” Chlorite results on
SDWA-1 form.
Monthly
Entry point and
distribution system sample
results may be reported on
the same form.
Quarterly, if on
reduced
monitoring.
(Note: This set can be used to
meet the monthly “set”
requirement.)
Reduced to: 1 set Reduced to: 1
set per Q if: 12
• All chlorite samples (both E &
D samples) <MCL value (1.0
mg/L) for 1 year.
or
If any sample
>MCL value
while on reduced
monitoring, must
resume monthly
reporting
immediately.
It is a violation if:
MCL (02)
Average of any 3-sample “D”
sample set >MCL. (The state
will average each 3-sample set
monthly.)
M/R (27)
Major: <90% of all samples
(E & D) taken or reported.
Minor: 90-99% of all samples
(E & D) taken or reported.
Resume to 1 set per month if:
• Any qrtrly D sample exceeds
MCL value (1.0 mg/L); or
• Any daily E sample exceeds
MCL value (1.0 mg/L)
(requiring an additional “set”
to be taken the next day).
9
DEP will not track “E” samples by specific entry point, only that the correct number of samples was taken per month
If chlorite samples exceed the MCL value in the selling system, DEP may require the purchasing system to conduct chlorite monitoring.
11
DEP will look for the additional 3-sample “D” set whenever an elevated “E” result is reported.
12
DEP will enforce reduced (quarterly) monitoring or resumed monthly monitoring when the stipulated conditions are met. Eligibility for reduced (quarterly) monitoring is evaluated annually.
10
383-3301-306 / FINAL January 19, 2008 / Page 45
Bromate (1011) (Entry Point)
PWSs Required
To Monitor
CWSs & NTNCWSs that
treat with ozone
MCL
# Samples
Frequency
Sample
Type
0.010 mg/L
1
Mo
E 13
(Must be
tested by
certified lab.)
(Exclude consecutive
systems unless they treat
with ozone.)
Sample Location
Specifics
Each EP treated
with ozone.
(Purchased water
entry points are
excluded.) 14
Altered Monitoring
Till March 31, 2009:
Reduced to: 1 per EP per Q if:
• RAA of monthly source bromide
<0.05 mg/L for 1 year.
State
Reporting
Frequency
Report
All EP Bromate
detail result
information on
SDWA-1 form.
Resume to: 1 per EP per month if:
• RAA of monthly source bromide,
computed quarterly, > 0.05 mg/L
Q
Within 10
days after the
end of the
quarter, but
results may be
reported each
month during
the quarter.
Beginning April 1, 2009:
It is a violation if:
MCL (02)
RAA, computed qrtrly,
of monthly averages of
all samples >MCL.
M/R (27)
Major: <100% of
samples taken or
reported.
Minor: NA
Reduced to: 1 per EP per Q if:
• RAA of monthly bromate < 0.0025
mg/L
Resume to: 1 per EP per month if:
• RAA of monthly bromate > 0.0025
mg/L
Bromide (1004) (Raw Source Water) – Optional monitoring to determine eligibility for reduced monitoring (Effective until March 31, 2009)
PWSs Required
To Monitor
CWSs & NTNCWSs that
conduct bromate
monitoring, and that wish
to reduce bromate
monitoring.
If on reduced bromate
monitoring, bromide
monitoring is required.
MCL
# Samples
Frequency
Sample
Type
Sample Location
Specifics
None
1
Mo
R
Each source treated
with ozone.
(Must be
tested by
certified lab)
Altered Monitoring
Not required if PWS does not wish to
reduce bromate monitoring.
Monthly monitoring of sources treated
with ozone is necessary if PWS wishes
to reduce bromate monitoring to
quarterly.
Monthly monitoring of sources treated
with ozone is required if PWS is on
reduced bromate monitoring, because if
RAA of monthly bromide results,
computed quarterly, is >0.05 mg/L,
routine bromate monitoring must
resume.
Report
All monthly
source water
Bromide detail
result
information on
SDWA-1 form.
State Reporting
Frequency
Q
(Only if
monitoring is
conducted)
Within 10 days
after the end of
each quarter, but
results may be
reported each
month during
the quarter.
It is a violation if:
MCL (02)
None. Used as a
trigger for reduced or
resumed routine
bromate monitoring.
Trigger = 0.05 mg/L.
M/R (27)
Only when on reduced
bromate monitoring.
Major: <100% of
samples taken or
reported.
Minor: NA
Note: There may be little incentive for reduced monitoring, because the PWS would then have to conduct monthly bromide monitoring.
13
14
DEP will not track “E” samples by specific entry point, only that the correct number of samples was taken per month.
If bromate samples exceed the MCL value in the selling system, DEP may require the purchasing system to conduct bromate monitoring at the interconnection.
383-3301-306 / FINAL January 19, 2008 / Page 46
Disinfection Byproduct Precursors [Total Organic Carbon (TOC) - 2920] (Raw Source Water and Plant)
PWSs Required
To Monitor
MCL
# Samples
Frequency
Sample
Type
SW CWSs & NTNCWSs
that have conventional
filtration must conduct
TOC monitoring at the
filtration plant and at the
raw water source.
See the
Step 1 table
(3-by-3
matrix) for
removal
percentage.
1 set
Mo
R&P
(Not required at
consecutive systems.)
(Determine
d by the
alkalinity
and TOC
present in
the source
water.)
Monthly source water TOC
monitoring is optional for
other SW systems (i.e.
systems without
conventional treatment)
that wish to reduce
TTHM/HAA5 monitoring.
(See the altered monitoring
column of the TTHM/
HAA5 tables)
(Comprised
of 1 raw
water sample
and 1 plant
sample taken
at the same
time.)
Sample Location
Specifics
Mandatory:
SW systems with
conventional filtration
must sample:
• Each SW source;
• Each filter plant
(post
sedimentation).
Optional:
(Must be
tested by
certified lab.)
Other SW systems
(serving > 500 people
and wanting to meet
4.0 mg/L of TOC
criteria for reduced
TTHM & HAA5
monitoring) may
sample each surface
water raw water
source. (see
TTHM/HAA5 table.)
PWSs who only use
purchased surface
water may use the
wholesaler TOC
results to qualify for
reduced monitoring.
Altered Monitoring
TOC monitoring at a conventional
filtration plant may be reduced to Q
if the post-sedimentation TOC (Plant
sample) RAA is:
a)
b)
< 2.0 mg/L for 2
consecutive years; or
< 1.0 mg/L for 1 year.
Report
Conventional
filtration
systems:
All monthly “R”
& “P” TOC
results on
SDWA-1 form.
Thus, reduced TOC monitoring is
plant specific.
Resume to monthly monitoring if:
• TOC RAA for the conventional
filtration plant is > 2.0 mg/L.
For other SW systems, TOC
monitoring is optional. SW systems
serving >500 people and wishing to
reduce TTHM & HAA5 monitoring
must demonstrate that the annual
average of monthly source water
TOC level is <4.0 mg/L. Once on
reduced TTHM & HAA5
monitoring, no additional TOC
monitoring is necessary for these
systems.
State Reporting
Frequency
Q
Within 10 days
after the end of
each quarter, but
results may be
reported each
month during
the quarter.
Other SW
systems
(optional to
reduce TTHM &
HAA5
monitoring):
It is a violation if:
Treatment Technique
(46)
The TOC removal
performance ratio for
any conventional
treatment plant is
<1.00 based on the
RAA of performance
ratios, computed
quarterly; and none of
the alternative
compliance criteria
(ACC) are achieved.
(See ACC listed at the
end of this job aid.)
M/R (27)
All optional
monthly “R”
TOC results on
SDWA-1 form.
Associated with
conventional filtration
systems only.
Major: <90% of all
samples (R & P) taken
or reported. Also for
failure to take “R” and
“P” TOC samples and
alkalinity samples at
same time.
Minor: 90-99% of all
samples (R & P) taken
or reported.
Step 1 Required Percent Removal of TOC by Enhanced Coagulation and Enhanced Softening (3 x 3 Matrix) 15
Source-water alkalinity (mg/L as CaC03)
Source-water TOC (mg/L)
>2.0-4.0
>4.0-8.0
>8.0
0-60
>60-120
>120 16
35.0 %
45.0 %
50.0 %
25.0 %
35.0 %
40.0 %
15.0 %
25.0 %
30.0 %
15
Enhanced coagulation is the treatment technique for removal of DBP precursors. Systems practicing precipitative softening must perform enhanced softening as the treatment technique for removal
of DBP precursors.
16
Systems practicing enhanced softening must meet the TOC removal requirements in this column.
383-3301-306 / FINAL January 19, 2008 / Page 47
Disinfection Byproduct Precursors [Alkalinity] (1927) (Raw Source Water)
PWSs Required
To Monitor
MCL
# Samples
1
Mo
SW CWSs & NTNCWSs
with conventional filtration
Frequency
R
(Not required for
consecutive systems.)
Sample Type
Sample Location Specifics
Altered Monitoring
Report
Same
locations and
times as
source water
TOC.
May reduce to Q for a plant if the postsedimentation TOC RAA is:
All “R” alkalinity results on
SDWA-1 form.
Q
Within 10 days
after the end of
each quarter, but
results may be
reported each
month during the
quarter.
a) <2.0 mg/L for 2 consecutive years;
or
b) <1.0 mg/l for 1 year.
Resume to monthly monitoring if TOC
RAA is >2.0 mg/L.
It is a violation if:
Treatment Technique (46)
See TOC table above.
M/R (27)
See TOC table above.
SUVA (Specific Ultraviolet Absorption at 254 nm) (2923) (Raw Source Water or Plant)
Optional monitoring to meet alternative compliance criteria using SUVA
PWSs Required
To Monitor
SW CWSs & NTNCWSs
with conventional filtration
and wishing to meet
alternative compliance
criteria (ACC) using
SUVA. (See ACC listed at
the end of this job aid.)
MCL
# Samples
Frequency
1
Mo
R or P
(Must be
tested by
certified
lab.)
Sample Type
17
(Plant sample
must be prior
to addition of
an oxidant.)
Sample Location Specifics
Altered Monitoring
Report
NA
All “R” and / or “P” SUVA
results on SDWA-1 form.
Q
Same locations
as source water
or plant TOC.
(Only if monitoring is
conducted.)
Within 10 days after
the end of each
quarter, but results
may be reported each
month during the
quarter.
(Not required for
consecutive systems.)
It is a violation if:
Treatment Technique
(46)
See TOC table above.
M/R (27)
See TOC table above.
Magnesium Hardness (as CaC03) (1918) (Raw Source Water and Plant)
Optional monitoring to meet alternative compliance criteria when practicing enhanced softening
PWSs Required
To Monitor
SW CWSs & NTNCWSs with
conventional filtration and
enhanced softening and wishing to
meet alternative compliance criteria
(ACC) by reducing magnesium
hardness.
MCL
# Samples
1
Mo
Frequency
Sample Type
R and P
Same locations as
source water and plant
TOC.
(Plant sample
must be prior
to addition of
an oxidant.)
Sample Location
Specifics
NA
Altered Monitoring
All “R” and “P” magnesium
hardness results (as CaC03)
on SDWA-1 form.
Report
Q
(Only if monitoring
is conducted.)
(See ACC listed at the end of this
job aid.)
(Not required for consecutive
systems.)
17
Since almost all plants provide water at the entry point that contains an oxidant, plant finished water SUVA should be measured in jar test simulations.
383-3301-306 / FINAL January 19, 2008 / Page 48
Within 10 days
after the end of
each quarter, but
results may be
reported each
month during the
quarter.
It is a violation if:
Treatment Technique (46)
See TOC table above.
M/R (27)
See TOC table above.
Alternative Compliance Criteria (ACC) for Enhanced Coagulation Systems
SW CWSs & NTNCWSs that have conventional filtration may use any of the following alternative compliance criteria to comply with the treatment
technique for control of DBP precursors:
(1) If the source water TOC is less than 2.0 mg/L (based on a running annual average).
(2) If the treated water TOC is less than 2.0 mg/L (based on a running annual average).
(3) If the following three running annual averages are met: source water TOC is less than 4.0 mg/L, the source alkalinity is greater than 60 mg/L (as
CaC03), and the distribution system TTHM levels are 0.040 mg/L or less AND HAA5 levels are 0.030 mg/L or less. If the system meets these
TOC and alkalinity levels but not the TTHM and HAA5 levels, they may choose to do the following:
•
Make a clear and irrevocable financial commitment to use technologies that limit TTHM to 0.040 mg/L or less and HAA5 0.030 mg/L
or less.
•
Make this financial commitment on or before the applicable compliance date.
•
Ensure the technologies are operational no later June 30, 2005.
(4) If the TTHM levels are 0.040 mg/L or less AND HAA5 levels are 0.030 mg/L or less (as running annual averages) and the system uses only
chlorine for primary and residual disinfection.
(5) If the source water SUVA values are 2.0 L/mg-m or less (as a running annual average).
(6) If the finished water SUVA values are 2.0 L/mg-m or less (as a running annual average).
Alternative Compliance Criteria (ACC) for Enhanced Softening Systems
SW CWSs & NTNCWSs that have conventional filtration and that practice enhanced softening 18 may use the either of the following alternative
compliance criteria to comply with the treatment technique for control of DBP precursors:
(1) Softening that results in lowering the treated water alkalinity to less than 60 mg/L (as CaC03), measured monthly and calculated quarterly as a
running annual average.
(2) Softening that results in removing at least 10 mg/L of magnesium hardness (as CaC03), measured monthly and calculated quarterly as an annual
running average.
18
Enhanced softening means the improved removal of disinfection byproduct precursors by precipitative softening.
383-3301-306 / FINAL January 19, 2008 / Page 49
SECTION 10: CASE STUDIES
CASE STUDY #1 - MOUNTAIN VALLEY WATER COMPANY
The Mountain Valley Water Co. is a CWS serving a population of 5,500 people. The system has a
surface water source that supplies a conventional filter plant. The system uses chlorine gas for
disinfection, and there is one entry point to the distribution system.
Referring to Section 9 and based on the requirements of the PA Filter Rule, the Interim Enhanced
Surface Water Treatment Rule (IESWTR) and the D/DBPR, the Mountain Valley Water Co. is required
to:
•
Continuously monitor the disinfectant residual at entry points to the distribution system.
•
Report an entry point disinfectant residual value each day
▪
If the residual disinfectant concentration is not less than 0.2 mg/L for more than a 4-hour
period, report the lowest measurement for each day.
▪
If the residual disinfectant concentration is less than 0.2 mg/L for more than a 4-hour
period, report the lowest measurement for each 4-hour period.
•
Measure disinfectant residual from the distribution system (a total of 6 sites) at the same time
and the same locations as the coliform samples taken for compliance with the microbiological
MCL and report the average residual value each month (see Table I).
•
Measure source water TOC & alkalinity and treated water TOC.
•
Collect TTHM/HAA5 samples - 1 sample set per plant per quarter.
Note: There are additional turbidity monitoring and reporting requirements under the PA Filter Rule
and IESWTR that are not discussed in this example.
During the month of May 2004, the system had a few problems with their disinfection treatment. On
May 4, 2004, the disinfectant residual dropped below the required concentration of 0.2 mg/L for more
than 4 hours until 11:45 p.m. (2345 hrs.). Consequently, the system was required to notify DEP. The
disinfectant residual fell to a low of 0.1 mg/l at 11:23 p.m. (2323 hrs). Note that 2 measurements were
reported for May 4 (1 for each 4-hour period the disinfectant residual concentration was below
0.2 mg/L).
On May 5, 2004, the chlorine residual was not detected in one of the distribution system samples. At
that time the Mountain Valley Water Co. had the option to either collect a sample at the same location
and have it analyzed for heterotrophic bacteria or notify DEP for assistance to determine the cause,
potential health risks and appropriate remedial measures to take. The system chose to have a sample
analyzed for heterotrophic bacteria. The HPC result was less than 500/mL, so the system was in
compliance.
383-3301-306 / FINAL January 19, 2008 / Page 50
The following examples show completed SDWA-1 and SDWA-S forms for reporting both the entry
point (example 1) and distribution system (example 2) chlorine residual results. Since daily entry point
disinfectant residual measurements must be reported, multiple SDWA-1 pages are needed to complete
the required reporting. Note in Example 1 that the lowest reading on May 4 occurred at 2323 hours at a
level of 0.1 mg/L. Because one of the distribution system samples yielded a nondetectable chlorine
residual, the sample must also be reported on a SDWA-1 form. This result may be reported on the same
SDWA-1 form as the entry point measurements (example 1). However, a separate SDWA-1 form is
needed to report the HPC result (example 3), and the box at the bottom of the SDWA-S form must be
checked (example 2).
The system collected the monthly TOC and alkalinity samples on May 14, 2004. The system has chosen
to sample the source water monthly for SUVA, so the UV254 and DOC samples were also collected on
May 14, 2004. The TTHM/HAA5 samples for this quarter were collected on May 14, 2004.
Examples 4-6 show completed SDWA-1 forms for reporting TOC (example 4A), alkalinity (example
4B), UV254 (example 5A), DOC (example 5B), SUVA (example 5C), and TTHM/HAA5 (example
6A-B) results. Because systems are only required to report TOC, alkalinity, and SUVA data quarterly,
the examples show all the TOC, alkalinity, and SUVA results for the second quarter 2004.
383-3301-306 / FINAL January 19, 2008 / Page 51
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 1
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
03
0999
Total Chlorine
05/01/04 to 05/31/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
.35
05/01/04
301
.35
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
05/01/04
E
0652
05/02/04
101
05/02/04
E
2311
.30
05/03/04
101
05/03/04
E
1252
301
.15
05/04/04
101
05/04/04
E
1950
301
.10
05/04/04
101
05/04/04
E
2323
301
.80
05/05/04
101
05/05/04
E
1655
301
.82
05/06/04
101
05/06/04
E
0922
301
.77
05/07/04
101
05/07/04
E
1548
301
.73
05/08/04
101
05/08/04
E
0719
301
.68
05/09/04
101
05/09/04
E
2100
301
.67
05/10/04
101
05/10/04
E
1910
301
.62
05/11/04
101
05/11/04
E
0737
301
.58
05/12/04
101
05/12/04
E
1803
301
.59
05/13/04
101
05/13/04
E
0839
301
.55
05/14/04
101
05/14/04
E
2141
301
.54
05/15/04
101
05/15/04
E
1015
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Sandy Medina
DATE: 06/04/04
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 52
Pink - Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 1 (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
03
0999
Total Chlorine
05/01/04 to 05/31/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
.56
05/16/04
301
.51
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
05/16/04
E
1148
05/17/04
101
05/17/04
E
2201
.55
05/18/04
101
05/18/04
E
1314
301
.52
05/19/04
101
05/19/04
E
2059
301
.54
05/20/04
101
05/20/04
E
1411
301
.55
05/21/04
101
05/21/04
E
1737
301
.53
05/22/04
101
05/22/04
E
0603
301
.57
05/23/04
101
05/23/04
E
1508
301
.55
05/24/04
101
05/24/04
E
1214
301
.54
05/25/04
101
05/25/04
E
0722
301
.54
05/26/04
101
05/26/04
E
0914
301
.56
05/27/04
101
05/27/04
E
2222
301
.59
05/28/04
101
05/28/04
E
1231
301
.53
05/29/04
101
05/29/04
E
1417
301
.51
05/30/04
101
05/30/04
E
1318
301
.56
05/31/04
101
05/31/04
E
1138
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Sandy Medina
DATE: 06/04/04
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 53
Pink – Laboratory
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
SUMMARY ANALYSIS
SDWA-S
PWS Name: Mountain Valley Water Co.
PWS Address: RD 2
Locust Valley, PA 17945
EXAMPLE 2
PWS Phone: 717-555-3333
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
3540002
09
0999
Total Chlorine
D
SAMPLING POINT
ID
NAME
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
6
6
Average Result
LAST SAMPLE
DATE
SAMPLE PERIOD
MMDDYY to MMDDYY
MMDDYY
05/01/04 TO 05/31/04
5/25/04
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
0
301
1
Total Coliform Sample:
0.52
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY: Sandy Medina
PHONE
ID
DATE: 06/04/04
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted along with
this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on an SDWA1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 54
Pink - Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 1 (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
03
0999
Total Chlorine
05/01/04 to 05/31/04
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
301
0
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
05/05/04
003
*TRANSACTION CODE: COLIFORM = 05
SAMPLE
MMDDYY
TYPE
TIME
05/05/04
D
1700
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Sandy Medina
DATE: 06/04/04
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 55
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 3
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
3001
Heterotrophic Bacterial
05/01/04 to 05/31/04
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
315
480
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
05/07/04
003
*TRANSACTION CODE: COLIFORM = 05
SAMPLE
MMDDYY
TYPE
TIME
05/05/04
D
1710
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 06/07/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 56
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 4A
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
2920
TOC
04/01/04 to 06/30/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
2.6
4/12/04
580
1.8
580
METHOD
RESULT
(Incl. Decimal)
580
SAMPLE
MMDDYY
TYPE
TIME
301
04/04/04
R
0840
4/12/04
301
04/04/04
P
1340
2.8
5/18/04
301
05/14/04
R
0815
580
1.7
5/18/04
301
05/14/04
P
1315
580
2.9
6/11/04
301
06/10/04
R
0920
580
2.0
6/11/04
301
06/10/04
P
1420
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab., Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 07/07/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 57
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 4B
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
1927
Alkalinity
04/01/04 to 06/30/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
50.0
04/04/04
584
57.4
584
62.7
METHOD
RESULT
(Incl. Decimal)
584
SAMPLE
MMDDYY
TYPE
TIME
301
04/04/04
R
0840
05/14/04
301
05/14/04
R
0815
06/10/04
301
06/10/04
R
0920
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Sandy Medina
DATE: 07/05/04
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 58
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 5A
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
2922
UV254
04/01/04 to 06/30/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
3.9
04/07/04
583
3.6
583
3.8
METHOD
RESULT
(Incl. Decimal)
583
SAMPLE
MMDDYY
TYPE
TIME
301
04/04/04
R
0840
05/14/04
301
05/14/04
R
0820
06/10/04
301
06/10/04
R
0950
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 07/05/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 59
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 5B
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
2919
DOC
04/01/04 to 06/30/04
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
2.2
04/12/04
580
1.7
580
1.9
METHOD
RESULT
(Incl. Decimal)
580
SAMPLE
MMDDYY
TYPE
TIME
301
04/04/04
R
0850
05/18/04
301
05/14/04
R
0825
06/11/01
301
06/10/04
R
0930
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 07/05/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 60
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 5C
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
05
2923
SUVA
04/01/04 to 06/30/04
ANALYSIS
METHOD
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
1.8
04/13/04
2.1
2.0
RESULT
(Incl. Decimal)
SAMPLE
MMDDYY
TYPE
301
04/04/04
R
05/19/04
301
05/14/04
R
06/14/04
301
06/10/04
R
*TRANSACTION CODE: COLIFORM = 05
TIME
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 07/05/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 61
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 6A
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
03
2950
TTHM
04/01/04 to 06/30/04
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
211
0.072
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
05/21/04
001
*TRANSACTION CODE: COLIFORM = 05
SAMPLE
MMDDYY
TYPE
TIME
05/14/04
M
1320
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 06/09/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 62
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Mountain Valley Water Co.
Address:
RD 2
Locust Valley, PA 17945
Phone: (717) 555-3333
EXAMPLE 6B
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
3540002
03
2456
HAA5
04/01/04 to 06/30/04
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
206
0.023
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
05/22/04
001
*TRANSACTION CODE: COLIFORM = 05
SAMPLE
MMDDYY
TYPE
TIME
05/14/04
M
1320
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab. Inc.
PHONE: (717) 555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 06/14/04
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 63
Pink – Laboratory
CASE STUDY #2 - HOMETOWN WATER COMPANY
The Hometown Valley Water Co. is a CWS serving a population of 23,000 people. The system has two
(2) surface water sources that supply two (2) separate treatment plants. Both treatment plants use direct
filtration, chlorine dioxide for taste and odor control and chlorine gas for disinfection. There are two (2)
entry points to the distribution system (one from each treatment plant).
Based on the requirements of the PA Filter Rule and the D/DBPR, the Hometown Water Co. is required
to:
•
Continuously monitor the disinfectant residual at each surface water entry point to the
distribution system.
•
Report an entry point disinfectant residual value each day
•
If the residual disinfectant concentration is not less than 0.2 mg/L for more than a
4-hour period, report the lowest measurement for each day.
•
If the residual disinfectant concentration is less than 0.2 mg/L for more than a
4-hour period, report the lowest measurement for each 4-hour period.
•
Measure disinfectant residual in the distribution system (a total of 25 sites) at the same
time and the same locations as the coliform samples taken for compliance with the
microbiological MCL and report the average residual value each month.
•
Measure the chlorine dioxide residual at each entry point each day that chlorine dioxide is
used and report the results.
•
Measure the chlorite level at each entry point on each day chlorine dioxide is used and
report the results.
•
Report the number of entry point treatment days (the total number of days chlorine
dioxide was used at each treatment plant during the month).
•
Collect at least one chlorite 3-sample set from the distribution system each month.
•
Collect TTHM/HAA5 samples - 4 samples per plant per quarter.
Note: There are additional monitoring and reporting requirements under other rules that are not
discussed in this example.
During the month of November 2002, the system used chlorine dioxide for 10 days at one treatment
plant and 15 days at the second treatment plant. Therefore, the total number of entry point treatment
days was 25 (10 for entry point 101 + 15 for entry point 102 = 25 entry point treatment days).
On Nov. 7, 2002, there was a malfunction in the chlorine dioxide treatment at treatment plant 301; the
entry point chlorine dioxide residual measurement was over 0.8 mg/L, and the chlorite level was over
1.0 mg/L. Therefore, on Nov. 8, 2002, the system was required to collect a chlorine dioxide 3-sample
383-3301-306 / FINAL January 19, 2008 / Page 64
set in the distribution system and a chlorite 3-sample set in the distribution system. (Note: The chlorite
samples will satisfy the monthly chlorite distribution system sampling requirement.)
However, during the month of December 2002, the system did not use chlorine dioxide at either
treatment plant.
The system has chosen to measure source water TOC each month at each source to qualify for reduced
TTHM/HAA5 monitoring.
The following examples show completed SDWA-1 and SDWA-S forms. Examples 1 and 2 show the
distribution and entry point chlorine residual results. Examples 3 - 5 show the chlorine dioxide and
chlorite sample results. Example 3 shows the number of entry point treatment days; example 4A shows
both the chlorine dioxide entry point residual values and the chlorine dioxide distribution system
3-sample set results; example 4B shows the entry point chlorite results; example 4C shows the chlorite
distribution system 3-sample set results; example 5 shows how to complete the SDWS-S form for
chlorine dioxide during months the treatment is not used at any plant.
Since daily entry point disinfectant residual measurements must be reported, multiple SDWA-1 forms
are needed to complete the required reporting. Note that in examples 2 and 4A, both entry point and
distribution system sample results are reported on the same SDWA-1 form. The distribution system
chlorite samples must be analyzed and reported by a certified lab so these results must be reported on a
different SDWA-1 form (example 4C) than the entry point chlorite results (example 4B).
The system collected the monthly TOC samples on Nov 18, 2002. Because systems are only required to
report TOC data quarterly, the example shows all the TOC results for the 4th quarter of 2002. The
TTHM/HAA5 samples for this quarter were also collected on Nov 18, 2002.
Examples 6 and 7 show the completed SDWA-1 forms for the TOC and TTHM/HAA5 results for the
4th quarter of 2002.
383-3301-306 / FINAL January 19, 2008 / Page 65
3800-FM-WSFR0127
7/2003
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
SUMMARY ANALYSIS
SDWA-S
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
PWS Name: Hometown Water Co.
PWS Address: RD 1
Hometown, PA 16803
EXAMPLE 1
PWS Phone: (814) 867-8209
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
4130065
09
0999
Free Chlorine
D
SAMPLE PERIOD
LAST SAMPLE DATE
MMDDYY to MMDDYY
MMDDYY
11/01/02 TO 11/30/02
11/25/02
SAMPLING POINT
ID
NAME
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
25
25
Average Result
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
301
0
Total Coliform Sample:
Tested for Fecal?
0.8
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY: Matt Jones
PHONE
ID
DATE: 12/03/02
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted
along with this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on an
SDWA-1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 66
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 2
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
0999
Free Chlorine
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.7
11/01/02
301
0.8
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
11/01/02
E
0628
11/02/02
101
11/02/02
E
0640
0.8
11/03/02
101
11/03/02
E
0705
301
0.8
11/04/02
101
11/04/02
E
0615
301
0.7
11/05/02
101
11/05/02
E
0743
301
0.9
11/06/02
101
11/06/02
E
0825
301
0.7
11/07/02
101
11/07/02
E
1550
301
0.8
11/08/02
101
11/08/02
E
1620
301
0.7
11/09/02
101
11/09/02
E
1727
301
0.7
11/10/02
101
11/10/02
E
0915
301
0.7
11/11/02
101
11/11/02
E
1140
301
0.7
11/12/02
101
11/12/02
E
0250
301
0.7
11/13/02
101
11/13/02
E
1645
301
0.9
11/14/02
101
11/14/02
E
0418
301
0.9
11/15/02
101
11/15/02
E
0725
301
0.9
11/16/02
101
11/16/02
E
1010
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 67
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 2 (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
0999
Free Chlorine
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.9
11/17/02
301
0.8
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
11/17/02
E
1354
11/18/02
101
11/18/02
E
1242
0.8
11/19/02
101
11/19/02
E
0807
301
1.0
11/20/02
101
11/20/02
E
0934
301
1.0
11/21/02
101
11/21/02
E
1143
301
1.1
11/22/02
101
11/22/02
E
0521
301
1.1
11/23/02
101
11/23/02
E
0615
301
1.1
11/24/02
101
11/24/02
E
0822
301
1.0
11/25/02
101
11/25/02
E
1830
301
0.9
11/26/02
101
11/26/02
E
1540
301
0.9
11/27/02
101
11/27/02
E
0755
301
0.8
11/28/02
101
11/28/02
E
1415
301
0.9
11/29/02
101
11/29/02
E
0550
301
0.9
11/30/02
101
11/30/02
E
1300
301
1.1
11/01/02
102
11/01/02
E
1920
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 68
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 2 (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
0999
Free Chlorine
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
(Individual Filter)
SAMPLE
METHOD
RESULT
(Incl. Decimal)
MMDDYY
(Loc, EP, or Plant)
MMDDYY
TYPE
TIME
301
1.1
11/02/02
102
11/02/02
E
0710
301
1.2
11/03/02
102
11/03/02
E
0705
301
1.2
11/04/02
102
11/04/02
E
1520
301
1.2
11/05/02
102
11/05/02
E
1655
301
1.3
11/06/02
102
11/06/02
E
0830
301
1.1
11/07/02
102
11/07/02
E
1117
301
1.0
11/08/02
102
11/08/02
E
1834
301
1.1
11/09/02
102
11/09/02
E
0721
301
1.2
11/10/02
102
11/10/02
E
1356
301
1.2
11/11/02
102
11/11/02
E
2219
301
1.3
11/12/02
102
11/12/02
E
0411
301
1.1
11/13/02
102
11/13/02
E
0516
301
1.2
11/14/02
102
11/14/02
E
2010
301
1.0
11/15/02
102
11/15/02
E
1850
301
0.9
11/16/02
102
11/16/02
E
1935
301
0.9
11/17/02
102
11/17/02
E
0326
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 69
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 2 (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
0999
Free Chlorine
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.8
11/18/02
301
0.9
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
102
11/18/02
E
0640
11/19/02
102
11/19/02
E
0408
0.8
11/20/02
102
11/20/02
E
1530
301
1.0
11/21/02
102
11/21/02
E
2410
301
1.0
11/22/02
102
11/22/02
E
0937
301
1.1
11/23/02
102
11/23/02
E
0812
301
1.2
11/24/02
102
11/24/02
E
1054
301
1.2
11/25/02
102
11/25/02
E
1423
301
1.1
11/26/02
102
11/26/02
E
0509
301
1.2
11/27/02
102
11/27/02
E
1947
301
1.3
11/28/02
102
11/28/02
E
0749
301
1.1
11/29/02
102
11/29/02
E
2320
301
1.0
11/30/02
102
11/30/02
E
2041
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 70
Pink – Laboratory
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATIONS
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
SUMMARY ANALYSIS
SDWA-S
PWS Name: Hometown Water Co.
PWS Address: RD 1
Hometown, PA 16803
EXAMPLE 3
PWS Phone: (814) 867-8209
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
4130065
09
1008
Chlorine Dioxide
E
SAMPLE PERIOD
LAST SAMPLE DATE
MMDDYY to MMDDYY
MMDDYY
SAMPLING POINT
ID
NAME
11/01/02 TO 11/30/02
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
25
ANALYSIS
METHOD
25
Average Result
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
301
0
Total Coliform Sample:
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY: Matt Jones
PHONE
ID
DATE: 12/03/02
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted
along with this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on an
SDWA-1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 71
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 4A
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
1008
Chlorine Dioxide
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.6
11/02/02
301
0.7
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
11/02/02
E
0910
11/05/02
101
11/05/02
E
0900
0.9
11/07/02
101
11/07/02
E
0855
301
0.8
11/08/02
101
11/08/02
E
0915
301
0.7
11/09/02
101
11/09/02
E
0840
301
0.7
11/12/02
101
11/12/02
E
0905
301
0.6
11/16/02
101
11/16/02
E
0850
301
0.6
11/18/02
101
11/18/02
E
0915
301
0.5
11/24/02
101
11/24/02
E
0920
301
0.4
11/28/02
101
11/28/02
E
0845
301
0.7
11/02/02
102
11/02/02
E
1010
301
0.7
11/05/02
102
11/05/02
E
1000
301
0.6
11/07/02
102
11/07/02
E
0955
301
0.6
11/08/02
102
11/08/02
E
1015
301
0.6
11/09/02
102
11/09/02
E
0940
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 72
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 4A (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
1008
Chlorine Dioxide
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.5
11/11/02
301
0.5
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
102
11/11/02
E
0930
11/12/02
102
11/12/02
E
1005
0.4
11/16/02
102
11/16/02
E
0950
301
0.4
11/18/02
102
11/18/02
E
1015
301
0.4
11/19/02
102
11/19/02
E
0855
301
0.5
11/21/02
102
11/21/02
E
0925
301
0.4
11/24/02
102
11/24/02
E
1020
301
0.3
11/27/02
102
11/27/02
E
0840
301
0.4
11/28/02
102
11/28/02
E
0945
301
0.5
11/29/02
102
11/29/02
E
0935
301
0.4
11/08/02
001
11/08/02
D
301
0.2
11/08/02
002
11/08/02
D
301
0.2
11/08/02
003
11/08/02
D
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 73
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 4B
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
1009
Chlorite
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.5
11/02/02
301
0.7
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
101
11/02/02
E
0915
11/05/02
101
11/05/02
E
0905
1.1
11/07/02
101
11/07/02
E
0900
301
0.6
11/08/02
101
11/08/02
E
0920
301
0.6
11/09/02
101
11/09/02
E
0845
301
0.6
11/12/02
101
11/12/02
E
0915
301
0.5
11/16/02
101
11/16/02
E
0855
301
0.4
11/18/02
101
11/18/02
E
0920
301
0.5
11/24/02
101
11/24/02
E
0925
301
0.5
11/28/02
101
11/28/02
E
0850
301
0.4
11/02/02
102
11/02/02
E
1015
301
0.5
11/05/02
102
11/05/02
E
1005
301
0.5
11/07/02
102
11/07/02
E
1000
301
0.5
11/08/02
102
11/08/02
E
1020
301
0.5
11/09/02
102
11/09/02
E
0945
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 74
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 4B (Cont.)
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
1009
Chlorite
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.4
11/11/02
301
0.4
301
METHOD
RESULT
(Incl. Decimal)
301
SAMPLE
MMDDYY
TYPE
TIME
102
11/11/02
E
09350
11/12/02
102
11/12/02
E
1010
0.5
11/16/02
102
11/16/02
E
0955
301
0.3
11/18/02
102
11/18/02
E
1020
301
0.4
11/19/02
102
11/19/02
E
0900
301
0.4
11/21/02
102
11/21/02
E
0930
301
0.6
11/24/02
102
11/24/02
E
1025
301
0.6
11/27/02
102
11/27/02
E
0845
301
0.5
11/28/02
102
11/28/02
E
0950
301
0.5
11/29/02
102
11/29/02
E
0940
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME:
PHONE:
APPROVED BY: Matt Jones
DATE: 12/03/02
LAB ID
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 75
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 4C
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
1009
Chlorite
11/01/02 to 11/30/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.5
11/08/02
120
0.4
120
0.4
METHOD
RESULT
(Incl. Decimal)
120
SAMPLE
MMDDYY
TYPE
TIME
001
11/08/02
D
0810
11/08/02
002
11/08/02
D
0850
11/08/02
003
11/08/02
D
0930
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Sure Test Lab
PHONE: 814-233-1122
LAB ID
APPROVED BY: Jane C Loled
DATE: 12/08/02
56789
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 76
Pink – Laboratory
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
SUMMARY ANALYSIS
SDWA-S
PWS Name: Hometown Water Co.
PWS Address: RD 1
Hometown, PA 16803
EXAMPLE 5
PWS Phone: (814) 867-8209
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
4130065
09
1008
Chloride Dioxide
E
SAMPLING POINT
ID
SAMPLE PERIOD
NAME
MMDDYY to MMDDYY
LAST SAMPLE
DATE
MMDDYY
12/01/02 to 12/31/02
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
0
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
0
Average Result
Total Coliform Sample:
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY: Matt Jones
PHONE
ID
DATE: 01/06/03
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted
along with this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on an
SDWA-1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 77
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 6
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
05
2920
TOC
10/01/02 to 12/31/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
2.2
10/17/02
582
2.0
582
METHOD
RESULT
(Incl. Decimal)
582
SAMPLE
MMDDYY
TYPE
TIME
301
10/15/02
R
1430
11/19/02
301
11/18/02
R
0925
1.9
12/17/02
301
12/16/02
R
0715
582
1.9
10/17/02
302
10/15/02
R
1455
582
1.7
11/19/02
302
11/18/02
R
1005
582
1.8
12/17/02
302
12/16/02
R
0740
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Sure Test Lab
PHONE: 814-233-1122
LAB ID
APPROVED BY: Jane C Loled
DATE: 1/07/03
56789
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 78
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 7A
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
2950
TTHM
10/01/02 to 12/31/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
0.014
11/20/02
217
0.027
217
METHOD
RESULT
(Incl. Decimal)
217
SAMPLE
MMDDYY
TYPE
TIME
001
11/18/02
D
0825
11/20/02
002
11/18/02
D
0855
0.011
11/20/02
003
11/18/02
D
0915
217
0.037
11/20/02
004
11/18/02
M
0940
217
0.009
11/20/02
005
11/18/02
D
1015
217
0.018
11/20/02
006
11/18/02
D
1045
217
0.021
11/20/02
007
11/18/02
D
1120
217
0.033
11/20/02
008
11/18/02
M
1135
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Sure Test Lab
PHONE: 814-233-1122
LAB ID
APPROVED BY: Jane C. Loled
DATE: 01/07/03
56789
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 79
Pink – Laboratory
3800-FM-WSFR0129 7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROECTIONS
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
PWS Name: Hometown Water Co.
Address:
RD 1
Hometown, PA 16803
Phone: (814) 867-8209
EXAMPLE 7B
PWS ID
TRANS*
CONTAM ID
CONTAMINANT NAME
SAMPLE PERIOD
MMDDYY TO MMDDYY
4130065
03
2456
HAA5
10/01/02 to 12/31/02
ANALYSIS
LOCATION ID 1
LOCATION ID 2
(Individual Filter)
METHOD
RESULT
(Incl. Decimal)
MMDDYY
(Loc, EP, or Plant)
206
0.008
11/20/02
206
0.011
206
SAMPLE
MMDDYY
TYPE
TIME
001
11/18/02
D
0830
11/20/02
002
11/18/02
D
0900
0.005
11/20/02
003
11/18/02
D
0920
206
0.022
11/20/02
004
11/18/02
M
0945
206
0.003
11/20/02
005
11/18/02
D
1020
206
0.007
11/20/02
006
11/18/02
D
1050
206
0.010
11/20/02
007
11/18/02
D
1125
206
0.021
11/20/02
008
11/18/02
M
1140
*TRANSACTION CODE: COLIFORM = 05
DIS. RES. & TTHM = 03
LAB. NAME: Sure Test Lab
PHONE: 814-233-1122
LAB ID
APPROVED BY: Jane C. Loled
DATE: 01/07/03
56789
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers
within 24 hours of determination.
White - Data Processing
Yellow - Water Supplier
383-3301-306 / FINAL January 19, 2008 / Page 80
Pink – Laboratory
CASE STUDY #3 - ACME INDUSTRIES
ACME Industries is a small NTNC groundwater system serving 980 people. The system has 2 wells
that are disinfected with sodium hypochlorite in the same treatment building prior to storage.
Referring to Section 9 and based on the requirements of the D/DBPR, ACME Industries is required to:
•
Measure disinfectant residual in the distribution system (a total of 1 site each quarter) at
the same time and the same locations as the coliform samples taken for compliance with
the microbiological MCL (both routine and check samples) and report the average
residual value.
•
Collect TTHM/HAA5 samples - 1 sample per plant. The system is on reduced triennial
monitoring during the 2005-2007 period, so the TTHM/HAA5 samples must be collected
during the month of warmest water temperature (in the 3rd quarter).
NOTE: The reporting requirements for distribution chlorine measurements is independent of the
reporting requirements for the coliform results.
Based on the monitoring and reporting requirements specified in the SWTR and the D/DBPR, all
distribution chlorine residual measurements taken in conjunction with coliform samples for TCR
compliance are routine samples regardless of the reason for the coliform monitoring. Therefore, the
chlorine residual data is reported at the end of each month in which the residual is measured. The
average result is the arithmetic average of all the chlorine residuals measured within a month. If only 1
residual measurement is taken, that value is reported as the average result.
Note: There are additional monitoring and reporting requirements under other rules that are not
discussed in this example.
The Total Coliform Rule (TCR) routine sample collected on July 27, 2007 was positive for total
coliforms. The system collected the 4 required TCR check samples over 4 consecutive days: July 30 Aug 2. The system then collected the 5 required “follow-up” routine TCR samples later in August over
a 5-day period from Aug 13 - Aug 17. As required by the D/DBPR, the chlorine residual was measured
each time a TCR routine or check sample was collected. The sample dates and residual measurements
for July and August are detailed in the table below.
July
Date
August
Residual (ppm) Date
Residual (ppm)
7/27/07
0.1
8/1/07
0.07
7/30/07
0.05
8/2/07
ND
7/31/07
0.1
8/13/07
0.5
8/14/07
0.3
8/15/07
0.3
8/16/07
0.2
8/17/07
0.3
383-3301-306 / FINAL January 19, 2008 / Page 81
The average result for July & August would be calculated as follows:
•
July: (0.1 + 0.05 + 0.1) / 3 = 0.083 ppm
•
August: (0.07 + 0 + 0.5 + 0.3 + 0.3 + 0.2 + 0.3) / 7 = 0.24 ppm
The system collected the TTHM/HAA5 samples on August 2, 2007 from the maximum residence
location (Distribution Location ID 004).
The following examples show completed SDWA-1 and SDWA-S forms for the third quarter D/DBPR
data. Examples 1 & 2 are the SDWA-S forms for the July & August chlorine residual measurements.
Examples 3 & 4 are the SDWA-1 forms for the TTHM/HAA5 results.
383-3301-306 / FINAL January 19, 2008 / Page 82
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
Safe Drinking Water Act
SUMMARY ANALYSIS
SDWA-S
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
PWS Name: ACME INDUSTRIES
PWS Address: 4201 ORCHARD DRIVE
OUR TOWN, PA 17095
EXAMPLE 1
PWS Phone: 717-867-5309
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
2345678
09
0999
Free Chlorine
D
SAMPLING POINT
ID
NAME
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
1
SAMPLE PERIOD
LAST SAMPLE
DATE
MMDDYY to MMDDYY
MMDDYY
07/01/2007 TO 07/31/2007
07/31/07
3
Average Result
0.083
301
Total Coliform Sample:
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY:
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
PHONE
ID
DATE:
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted along with
this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on an SDWA1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
383-3301-306 / FINAL January 19, 2008 / Page 83
3800-FM-WSFR0127
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
Safe Drinking Water Act
SUMMARY ANALYSIS
SDWA-S
INSERT AN “X” IN THE BOX IF ANY
RESULTS ARE OUT OF COMPLIANCE
WITH REQUIRED LEVELS
†
PWS Name: ACME INDUSTRIES
PWS Address: 4201 ORCHARD DRIVE
OUR TOWN, PA 17095
EXAMPLE 2
PWS Phone: 717-867-5309
PWSID
TRANS
PARAM ID
PARAMETER NAME
SAMPLE TYPE
2345678
09
0999
Free Chlorine
D
SAMPLING POINT
ID
NAME
ROUTINE
REQUIRED
NUMBER OF SAMPLES
ROUTINE
CHECKS
TAKEN
TAKEN
1
SAMPLE PERIOD
LAST SAMPLE
DATE
MMDDYY to MMDDYY
MMDDYY
08/01/2007 TO 08/31/2007
8/17/07
7
Average Result
0.24
301
Total Coliform Sample:
Tested for Fecal?
Any Fecal Positives?
Yes
No
No
Yes
LABORATORY
NAME
APPROVED BY:
NUMBER OF SAMPLES
OUT OF COMPLIANCE
ROUTINE
CHECK
ANALYSIS
METHOD
PHONE
ID
DATE:
NOTE: In the event of results out of compliance:
1. Disinfectant residual: Samples yielding undetected results must be listed on an SDWA-1 form and submitted
along with this form. Optional HPC results also must be submitted on an SDWA-1 form.
2.
Coliform: All routine total coliform-positive results, all check samples, and all fecal analyses must be listed on
an SDWA-1 form and submitted along with this form.
CHECK (X) if any SDWA-1 forms are being submitted as per Notes 1 or 2 above:
3.
Notify the department within 24 hours of an MCL or PLR violation.
383-3301-306 / FINAL January 19, 2008 / Page 84
3800-FM-WSFR0129
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
EXAMPLE 3
PWS Name: ACME Industries
Address:
4201 Orchard Drive
Our Town, PA 17905
Phone:
717-867-5309
PWS ID
2345678
TRANS*
03
CONTAM ID
2950
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
211
0.012
TTHM
07/01/07 to
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
08/13/07
004
*TRANSACTION CODE: COLIFORM = 05
SAMPLE PERIOD
MMDDYY TO MMDDYY
CONTAMINANT NAME
09/30/07
SAMPLE
MMDDYY
TYPE
TIME
08/02/07
M
1225
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab, Inc.
PHONE: 717-555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 08/31/07
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
383-3301-306 / FINAL January 19, 2008 / Page 85
3800-FM-WSFR0129
7/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER STANDARDS AND FACILITY REGULATION
BACTERIOLOGICAL/RESIDUAL DISINFECTANT/TURBIDITY/DBP ANALYSIS
SDWA-1
EXAMPLE 4
PWS Name: ACME Industries
Address:
4201 Orchard Drive
Our Town, PA 17905
Phone:
717-867-5309
PWS ID
2345678
TRANS*
03
CONTAM ID
2456
ANALYSIS
METHOD
RESULT
(Incl. Decimal)
206
0
HAA5
07/01/07 to
LOCATION ID 1
LOCATION ID 2
MMDDYY
(Loc, EP, or Plant)
(Individual Filter)
08/14/07
004
*TRANSACTION CODE: COLIFORM = 05
SAMPLE PERIOD
MMDDYY TO MMDDYY
CONTAMINANT NAME
09/30/07
SAMPLE
MMDDYY
TYPE
TIME
08/02/07
M
1225
DIS. RES. & TTHM = 03
LAB. NAME: Accurate Results Lab, Inc.
PHONE: 717-555-6464
LAB ID
APPROVED BY: Abe Beeker
DATE: 08/31/07
01913
NOTE: Notify the department in writing of any MCL or PLR violation within 48 hours of its determination, or of any individual filter turbidity triggers within
24 hours of determination.
383-3301-306 / FINAL January 19, 2008 / Page 86
APPENDIX I
DEP AND COUNTY HEALTH DEPARTMENT OFFICES CONTACT LIST
Note: MCL notification post cards are to be addressed to: PA DEP - Water Standards and Facility
Regulation, at the address from the list below of the appropriate county district office having jurisdiction
over the water company. For counties marked with an asterisk (*), address to the appropriate CHD,
which is an agent of DEP for the Safe Drinking Water Program. Note: Original paper or electronic
SDWA monitoring report forms must be sent to DEP’s Harrisburg central office address (see Section 7).
County
PWS ID#
1st 3 Digits
Adams
701
*Allegheny
502
Armstrong
503
Beaver
Bedford
Berks
Blair
Bradford
*Bucks
504
405
306
407
208
109
Butler
Cambria
Cameron
Carbon
Centre
*Chester
510
411
612
313
414
115
Clarion
Clearfield
Clinton
Columbia
616
617
418
419
Crawford
Cumberland
Dauphin
Delaware
Elk
*Erie
Fayette
620
721
722
123
624
625
526
Forest
Franklin
Fulton
Greene
627
728
429
530
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
431
532
633
434
235
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
736
637
738
339
240
441
Address
150 Roosevelt Ave. Ste. 200
York, PA 17404
Allegheny Co. Health Dept., PDWWM, Bldg #5,
3901 Penn Ave., Pittsburgh, PA 15224-1347
Armbrust Prof. Ctr., 8205 Route 819
Greensburg, PA 15601
715 15th St., Beaver Falls, PA 15010
3001 Fairway Dr., Altoona, PA 16602
1005 Cross Roads Blvd., Reading, PA 19605
3001 Fairway Dr., Altoona, PA 16602
600 Gateway Dr., Mansfield, PA 16933
Bucks Co. Health Dept.,
Neshaminy Manor Center, Bldg. K,
Doylestown, PA 18901
121 N. Mill St., New Castle, PA 16101
286 Industrial Park Rd., Ebensburg, PA 15931-4119
600 Gateway Dr., Mansfield, PA 16933
5 West Laurel Blvd., Pottsville, PA 17901-2454
186 Enterprise Dr., Phillipsburg, PA 16866
Chester Co. Health Dept.,
Gov’t Services Center, Suite 295,
601 Westtown Rd., West Chester, PA 19382-6237
1st Floor, White Memorial Bldg., Knox, PA 16232
186 Enterprise Dr., Phillipsburg, PA 16866
208 W. Third St., Suite 101, Williamsport, PA 17701
309 N. 5th St., Suite D,
Sunbury, PA 17801-2003
230 Chestnut St., Meadville, PA 16335-3481
909 Elmerton Avenue, Harrisburg, PA 17110
909 Elmerton Avenue, Harrisburg, PA 17110
2 E. Main St., Norristown, PA 19401
321 N. State St., North Warren, PA 16365
Erie Co. Health Dept., 606 W. Second St., Erie, PA 16507
Fayette Co. Health Center,
100 New Salem Rd., Uniontown, PA 15401
321 N. State St., North Warren, PA 16365
909 Elmerton Ave., Harrisburg, PA 17110
3001 Fairway Dr., Altoona, PA 16602
Fayette Co. Health Center,
100 New Salem Rd., Uniontown, PA 15401
3001 Fairway Dr., Altoona, PA 16602
286 Industrial Park Rd., Ebensburg, PA 15931-4119
1st Floor, White Memorial Bldg., Knox, PA 16232
909 Elmerton Avenue, Harrisburg, PA 17110
Room 400, Samter Bldg., 101 Penn Ave.,
Scranton, PA 18503-2025
1661 Old Philadelphia Pike, Lancaster, PA 17602
121 N. Mill St., New Castle, PA 16101
1661 Old Philadelphia Pike, Lancaster, PA 17602
4530 Bath Pike, Bethlehem, PA 18017
2 Public Square, Wilkes-Barre, PA 18711-0790
208 W. Third St., Suite 101, Williamsport, PA 17701
383-3301-306 / FINAL January 19, 2008 / Page 87
Telephone
Number
(717) 771-4481
(412) 578-8380
(724) 925-5400
(724) 847-5270
(814) 946-7292
(610) 916-0100
(814) 946-7292
(570) 662-0830
(215) 345-3324
(724) 656-3160
(814) 472-1900
(570) 662-0830
(570) 621-3118
(814) 342-8200
(610) 344-6237
(814) 797-1191
(814) 342-8200
(570) 327-3675
(570) 988-5500
(814) 332-6899
(717) 705-4708
(717) 705-4708
(484) 250-5900
(814) 723-3273
(814) 451-6700
(724) 439-7431
(814) 723-3273
(717) 705-4708
(814) 946-7292
(724) 439-7431
(814) 946-7292
(814) 472-1900
(814) 797-1191
(717) 705-4708
(570) 963-4521
(717) 299-7601
(724) 656-3160
(717) 299-7601
(610) 861-2070
(570) 826-2532
(570) 327-3675
County
PWS ID#
1st 3 Digits
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
642
643
444
245
146
447
Northampton
Northumberland
348
449
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
750
151
252
653
354
455
Somerset
Sullivan
Susquehanna
456
257
258
Tioga
Union
259
460
Venango
Warren
Washington
661
662
563
Wayne
264
Westmoreland
565
Wyoming
York
Out of State
266
767
999
Address
321 N. State St., North Warren, PA 16365
121 N. Mill St., New Castle, PA 16101
3001 Fairway Dr., Altoona, PA 16602
HC 1 Box 95B, Swiftwater, PA 18370
2 E. Main St., Norristown, PA 19401
309 N. 5th St., Suite D,
Sunbury, PA 17801-2003
4530 Bath Pike, Bethlehem, PA 18017
309 N. 5th St., Suite D,
Sunbury, PA 17801-2003
909 Elmerton Avenue, Harrisburg, PA 17110
2 E. Main St., Norristown, PA 19401
HC 1 Box 95B, Swiftwater, PA 18370
600 Gateway Dr., Mansfield, PA 16933
5 West Laurel Blvd., Pottsville, PA 17901-2454
309 N. 5th St., Suite D,
Sunbury, PA 17801-2003
286 Industrial Park Rd., Ebensburg, PA 15931-4119
600 Gateway Dr., Mansfield, PA 16933
Room 400, Samter Bldg., 101 Penn Ave,
Scranton, PA 18503-2025
600 Gateway Dr., Mansfield, PA 16933
309 N. 5th St., Suite D,
Sunbury, PA 17801-2003
230 Chestnut St., Meadville, PA 16335-3481
321 N. State St., North Warren, PA 16365
Fayette Co. Health Center,
100 New Salem Rd., Uniontown, PA 15401
Room 400, Samter Bldg., 101 Penn Ave.,
Scranton, PA 18503-2025
Armbrust Prof. Ctr., 8205 Route 819
Greensburg, PA 15601
2 Public Square, Wilkes-Barre, PA 18711-0790
150 Roosevelt Ave., Suite 200, York, PA 17401-3381
PA DEP, Bureau of Water Standards and Facility Regulation, Division of
Operations Monitoring and Training, PO Box 8467, Harrisburg, PA
17105-8467
383-3301-306 / FINAL January 19, 2008 / Page 88
Telephone
Number
(814) 723-3273
(724) 656-3160
(814) 946-7292
(570) 895-4040
(484) 250-5900
(570) 988-5500
(610) 861-2070
(570) 988-5500
(717) 705-4708
(484) 250-5900
(570) 895-4040
(570) 662-0830
(570) 621-3118
(570) 988-5500
(814) 472-1900
(570) 662-0830
(570) 963-4521
(570) 662-0830
(570) 988-5500
(814) 332-6899
(814) 723-3273
(724) 439-7431
(570) 963-4521
(724) 925-5400
(570) 826-2532
(717) 771-4481
(717) 772-4018
APPENDIX II
DEPARTMENT OF ENVIRONMENTAL PROTECTION
FIELD OPERATIONS REGIONAL OFFICES
DEP Regional Offices
Northwest Region
Northcentral Region
Northeast Region
230 Chestnut St.
Meadville, PA 16335-3481
Main Telephone:
814-332-6945
24-Hour Emergency: 1-800-373-3398
208 W. Third St., Suite 101
Williamsport, PA 17701
Main Telephone:
570-327-3636
24-Hour Emergency: 570-327-3636
2 Public Square
Wilkes-Barre, PA 18711-0790
Main Telephone:
570-826-2511
24-Hour Emergency:
570-826-2511
Counties: Butler, Clarion, Crawford,
Elk, Erie, Forest, Jefferson, Lawrence,
McKean, Mercer, Venango and Warren
Counties: Bradford, Cameron,
Clearfield, Centre, Clinton, Columbia,
Lycoming, Montour, Northumberland,
Potter, Snyder, Sullivan, Tioga and
Union
Counties: Carbon, Lackawanna,
Lehigh, Luzerne, Monroe,
Northampton, Pike, Schuylkill,
Susquehanna, Wayne and Wyoming
Southwest Region
Southcentral Region
Southeast Region
400 Waterfront Drive
Pittsburgh, PA 15222-4745
Main Telephone:
412-442-4000
24-Hour Emergency:
412-442-4000
909 Elmerton Ave.
Harrisburg, PA 17110
Main Telephone:
717-705-4700
24-Hour Emergency: 1-877-333-1904
2 E. Main St.
Norristown, PA 19401
Main Telephone:
484-250-5900
24-Hour Emergency:
484-250-5900
Counties: Allegheny, Armstrong,
Beaver, Cambria, Fayette, Greene,
Indiana, Somerset, Washington and
Westmoreland
Counties: Adams, Bedford, Berks,
Blair, Cumberland, Dauphin, Franklin,
Fulton, Huntingdon, Juniata, Lancaster,
Lebanon, Mifflin, Perry and York
Counties: Bucks, Chester, Delaware,
Montgomery and Philadelphia
383-3301-306 / FINAL January 19, 2008 / Page 89