Amend 1 - Attach 3 STNF Admin Sites_BSSP_Mar 2026.pdf

United States Department of Agriculture, Forest Service

Shasta-Trinity National Forest Headquarters 3644 Avtech Parkway Redding, CA 96002

(530) 226-2500, (530) 226-2490- TDD, FAX (530) 226-2486

Internet Address: https://www.fs.usda.gov/stnf

Junction City Guard Station – Non-Public Non-Transient (NPNT)

BACTERIOLOGICAL SAMPLE SITING PLAN

System Information: Water System Name: N/A Name of Facility: Junction City Guard Station CA System Number: N/A Physical Address of Facility: 43600 CA-299, Junction City, CA 96048 Facility Phone: 530-623-5419 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 3 Population Served: 16 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Sampling Station F1 – Sampling Station

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Office Hose Bib location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Fountain Hose Bib 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

F4 – Well Sampling Tap (inside Pump House) (source)

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the Forest Service Staff to ensure site access.

Report Prepared by (name, title, and phone): Fred Perrin, Env. Engineer/COR, (530) 561-0545

Signature: Date: Mar 11, 2026 https://www.fs.usda.gov/stnf fperrin Rectangle

Callout F2 Office Hose Bib fperrin Callout R1/F1 Sampling Station fperrin Callout F3 Fountain Hose Bib fperrin Callout F4 Well Sampling Tap fperrin Callout F4 Note: Pump House Shed Must be Removed By Staff to Access the Sample Tap. Sampler shall run downstream valves to force the well pump to operate in order to take a raw sample.

Oval

Headquarters 3644 Avtech Parkway Redding, CA 96002

Big Bar Guard Station – Non-Public Non-Transient (NPNT)

Name of Facility: Big Bar Ranger Station CA System Number: N/A Physical Address of Facility: 28451 State Hwy 299, Big Bar, CA 96010 Facility Phone: 530-623-6106 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 10 Population Served: 10 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Office Utility Sink (Bldg 2021) F1 – Office Utility Sink (Bldg 2021)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Barracks Hose Bib (Bldg 1014) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Barracks Hose Bib (Bldg 1016) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the lross Line fperrin Typewritten Text Water Tank fperrin Typewritten Text Drinking Water Sampling Map fperrin

Well Sample Tap inside of Pump House. Door Must Be Unlocked By Staff to Enter.

Headquarters 3644 Avtech Parkway Redding, CA 96002

Burnt Ranch Guard Station – Non-Public Non-Transient (NPNT)

Name of Facility: Burnt Ranch Guard Station CA System Number: N/A Physical Address of Facility: 200 School House Rd Burnt Ranch, CA 95527 Facility Phone: 530-629-2859 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 4 Population Served: 10 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Sampling Station (in trailer loop) F1 – Sampling Station (in trailer loop)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Engine Bay Hose Bib (right of front office door) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Barracks Hose Bib (backside of Bldg 1141) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the fperrin Rectangle fperrin Rectangle

United States Department of Agriculture, Forest Service State of California—Health and Human Services Agency

Shasta-Trinity National Forest Department of Health Services Headquarters Division of Drinking Water and Environmental Management

3644 Avtech Parkway Redding, CA 96002 415 Knollcrest Drive, Suite 110, Redding, CA 96002

(530) 226-2500, (530) 226-2490- TDD, FAX (530) 226-2486 (530) 224-4800, FAX (530) 224-4844

Internet Address: https://www.fs.usda.gov/stnf Internet Address: www.dhs.ca.gov

Mule Creek Guard Station – Clark System CA5301113 – Public-Transient Non-Community (P-TNC)

System Information: Water System Name: Clark System Name of Facility: Mule Creek Guard Station (connected to Campgrounds) CA System Number: CA5301113 Physical Address of Facility: 47950 CA-3, Trinity Center, CA 96091 Facility Phone: 530-286-2222 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: GS: 3 (CG: 35) Population Served: GS: 5 (CG: 300) Sampling Frequency: Monthly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Clark, Minersville, & Bushytail Campgrounds

Campgrounds operated seasonally Open: beginning of April/May Close: end of October Mule Creek Guard Station operated seasonally Open: beginning of April/May Close: end of October/Nov

Sample Locations: The following describes the routine sample location taken during operational months and where follow-up (repeat) samples will be taken in the event of a “positive” routine sample:

Routine Monthly Sample Location: Follow-up (repeat) Sample Location:

1. R1 – Sampling Station 1. F1 – Sampling Station

(building location name and description) (routine sample location name & description) Water samples will be collected from this 2. F2 – Yard Hydrant Hose Bib location during the months of (circle): (up-stream location name & description)

1st Qtr: Jan. Feb. Mar. 3. F3 – Barracks Hydrant Hose Bib 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept. 4. F4 – Pump House Sample Tap 4th Qtr: Oct. Nov. Dec. (source)

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up samples the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the Forest Service Staff to ensure site access.

Forest Recreation Staff and Concessionaire will follow the start-up and shut-down procedures for the campgrounds and take monthly samples from April/May-October. The campgrounds can be isolated from the Guard Station during the winter months.

Report Prepared by (name, title, and phone): Fred Perrin, Engineer/COR, (530) 561-0545 http://www.dhs.ca.gov/

Headquarters 3644 Avtech Parkway Redding, CA 96002

Coffee Creek Guard Station – Non-Public Non-Transient (NPNT)

Name of Facility: Coffee Creek Guard Station CA System Number: N/A Physical Address of Facility: 1 S. Derrick Flat Rd, Trinity Center, CA 96091 Facility Phone: 530-266-3212 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 18 Population Served: 10 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Sampling Station (Bldg 1482) F1 – Sampling Station (southwest of Bldg 1482)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Office Utility Sink (Bldg 2017) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Barracks Hose Bib (southside of Bldg 1482) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

F4 – Well Sampling Tap

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the

Signature: Date: Mar 13, 2026

4"Ø P

VC

3"Ø PVC

3"Ø P

V C

1"Ø PVC

5.3' 1"Ø SDR-9

1"Ø S

D R

-9

1"Ø PVC 2"Ø PVC

3"Ø P

V C

H 1"Ø SCH40 PVC

EX. 1-1/2"Ø

2" Ø

S C

H

P V

C

NEW

1-1/2"Ø

SCH40

PVC

1/2"Ø PVC

DRAIN

SCH40 PVC PIPE

GALV. STEEL PIPE

COPPER SERVICE TUBING

PROPOSED PIPE REPLACEMENT

SCALE 1" = 20'

SHASTA-TRINITY N. F.

MANAGEMENT UNIT

A/E

F O

R E

S T

RECOMMENDED BY

SCALE

DATE

APPROVED BY

DRAWN BY

DESIGNED BY

REVIEWED BY

SHEET OF

DRAWING

D R

A W

IN

G

N A

M E

P R

O

JE

C T

N A

M E

REVISIONSDATENO.

FOREST

REGION

SOUTHWEST

PACIFIC

R5

SERVICE

U S D A

S H

A S

T A

-T R

IN

IT

Y N

A T

IO

N

A L

F O

R E

ST

C of fe e

C re ek G ua rd

S ta tio n

W at er S ys te m

B S

S P

Weaverville Ranger District

L. Ross

T. Moxness

P. Cates

G. Rand

02/24/2014

BSSP

1 1

NONE

fperrin Callout R1/F1 - Sampling Station fperrin Callout F2 - Office Utility Sink fperrin Callout F3 - Barracks Hose Bib fperrin Callout F4 - Well Sampling Tap fperrin Callout To sample, you must operate the HAND-OFF-AUTO Switch at the Panel (100'east). Put in HAND to force the well on, MUST TURN BACK TO AUTO WHEN SAMPLE COMPLETED or else water will continue to run.

fperrin Callout Well Pump Control Panel HAND-OFF-AUTO Switch HAND = Manually On (SAMPLING ONLY) Auto = Float Switch (NORMAL POSITION)

Headquarters 3644 Avtech Parkway Redding, CA 96002

Sims Guard Station – Non-Public Non-Transient (NPNT)

Name of Facility: Sims Guard Station CA System Number: N/A Physical Address of Facility: 19111 Mears Ridge Rd, Castella, CA 96017 Facility Phone: 530-337-6502 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 2 Population Served: 10 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Sampling Station (Bldg 2323) F1 – Sampling Station (Bldg 2323)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Barracks Hose Bib (Bldg 1485) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Engine Bay Hose Bib (Bldg 2323) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the

Signature: Date: Mar 17, 2026

Drinking Water System Sampling Map

Well fperrin

To Sample at the Well Sample Tap, you must have access inside this building to operate the HAND-OFF-AUTO Switch. Put in HAND to force the well on, MUST TURN BACK TO AUTO WHEN SAMPLE COMPLETED.

Headquarters 3644 Avtech Parkway Redding, CA 96002

Lakeshore Guard Station – Non-Public Non-Transient (NPNT)

Name of Facility: Lakeshore Guard Station CA System Number: N/A Physical Address of Facility: 20207 Lakeshore Dr, Lakehead, CA 96051 Facility Phone: 530-238-2416 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 4 Population Served: 10-20 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: N/A Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Canteen Filling Station (Bldg 2818) F1 – Canteen Filling Station (Bldg 2818)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 – Volleyball Hose Bib (Bldg 1484) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 – Hose Bib (Bldg 2818) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

F4 – N/A

Note: Whenever a routine sample is total coliform-positive, take three (3) repeat samples (F1-F3). Take three (3) follow-up samples the following month (F1-F3). Work with the Forest Service Staff to ensure access.

Lakeshore Guard Station - Drinking Water Sampling Map

Callout R1/F1 fperrin Callout F2 fperrin Callout F3 fperrin Line fperrin Typewritten Text N

Headquarters 3644 Avtech Parkway Redding, CA 96002

Turntable Bay – Non-Public Non-Transient (NPNT)

Name of Facility: Turntable Bay CA System Number: N/A Physical Address of Facility: 19642 Turntable Bay Rd, Lakehead, CA 96051 Facility Phone: 530-238-2507 Mailing Address: Attn: Engr. 3644 Avtech Parkway, Redding, CA 96002 FAX: 530-226-2486 Service Connections: 4 Population Served: 3-5 Sampling Frequency: Quarterly

Sample Collection & Testing:

Water samples will be collected by:

Training Declaration: The following personnel have been trained (pursuant to CCR 22 section 64415) to perform field tests and/or collect water samples:

1.

2.

3.

Testing Laboratory:

Mailing Address of Laboratory:

State Lab Code: Phone #: Fax #:

Raw Water Sampling: Is water continuously treated with chlorine? YES NO

Map of System: A map of the distribution system showing the source (well, spring, etc.), storage tanks, treatment facilities, distribution piping, routine sample locations, and follow-up (repeat) sample locations is required. Have you enclosed this map? YES NO

Operational Period: If operating seasonally, give normal open and close dates:

System operating all year? YES NO Open: Close:

Sample Locations: The following describes the routine sample location taken during operational months and where the follow-up (repeat) sample will be taken in the event of a “positive” routine sample:

Routine Quarterly Sample Location: Follow-up (repeat) Sample Location:

R1 – Hose Bib 4 (Bldg 2122) F1 – Hose Bib 4 (Bldg 2122)

(building location name and description) (routine sample location name & description) Water samples will be collected from this F2 –Hose Bib 5 (Bldg 2122) location during the months of (circle): (up-stream location name & description) 1st Qtr: Jan. Feb. Mar. F3 –Hose Bib 1 (Bldg 1642) 2nd Qtr: Apr. May Jun. (down-stream location name & description) 3rd Qtr: July Aug. Sept.

4th Qtr: Oct. Nov. Dec.

Note: Whenever a routine sample is total coliform-positive, take four (4) repeat samples (F1-F4). Take three (3) follow-up sample the following month (F1-F3). A follow-up may be requested for F4 as necessary. Work with the

Sampling Plan

12621

12622

12620 fperrin Rectangle fperrin Rectangle fperrin Callout F4 - Well Sample Tap

Sampler Must Open Downstream Valve for the Pressure Switch to Turn On the Well Pump fperrin Callout R1/F1 - Hose Bib 4 fperrin Callout F2 - Hose Bib 5 fperrin

F3 - Hose Bib 1

CALIFORNIA

Water Boards State Water Resources Control Board Division of Drinking Water

364 Knollcrest Drive, Suite 101, Redding, CA 96002 www.waterboards.ca.gov

BACTERIOLOGICAL SAMPLE SITING PLAN (BSSP)

Coliform Bacteria Sampling Plan for Public Water Systems

Public Water System Information:

Name of Water System: System Number:

Street Address: Ph. No.:

Mailing Address: Email:

Service Connections: Population Served:

Sampling Frequency:

Water Sample Collection:

Water samples collected by: Trained in Sampling? circle: Yes/No Name of State-Certified Laboratory:

Mailing Address:

Phone #: Fax #:

The Laboratory was sent a copy of this BSSP on: (date)

Raw (Untreated) Surface Water Source Sampling:

The Surface Water Treatment Rule requires that your public water system collect at least one sample per month from the “raw” (untreated) surface water for each of your surface water sources. The raw samples shall be analyzed using “density” analysis and reported to the Division on Drinking Water by 10th day of the following month.

Raw (Untreated) Groundwater Source Sampling:

Are groundwater sources continuously treated with chlorine? YES NO Please collect at least one “raw” (untreated) sample every 3 months from each ground water source that is treated with disinfectant. Please list below the water sources which are continuously treated and the months when raw water samples will be taken:

1. Months sampled: 2. Months sampled:

3. Months sampled: 4. Months sampled:

5. Months sampled: 6. Months sampled:

Map of System:

Please attach a map of the water distribution system showing the sampling locations for all routine and repeat coliform samples.

Guard Station - Quarterly (Year-round) | Campground - Monthly (Seasonal May 1-Oct 1)

Guard Station - Campground - USFS Recreation Crew

Ash Creek Fire Station-STNF CA4700722

10 miles East of McCloud on Hwy 89

P.O. Box 1620, McCloud, CA 96057

530-964-2749 frederick.perrin@usda.gov

Guard Station - 3 | Campground - 13 Guard Station - 10| Campground - 200 (+/-) x

BSSP for Public Water Systems

364 Knollcrest Drive, Suite 101, Redding, CA 96002 www.waterboards.ca.gov

Coliform Bacteria Sampling Locations:

Routine Sample Location: Follow-up (Repeat) Sample Location:

1. →→→ 1.

(location name or address) (Same routine sample location tested positive) Description: 2.

(hose bib, sink faucet, etc.) (up-stream location name or address) Water samples will be collected from this 3.

location during the months of (circle): All (down-stream location name or address) 1st Qtr: Jan. Feb. Mar. 4. Raw (UNTREATED) Ground Water Sources 2nd Qtr: Apr. May Jun. A Repeat Sample must be collected from EACH Raw 3rd Qtr: July Aug. Sept. (Untreated) Ground Water Source that was in use at time 4th Qtr: Oct. Nov. Dec. of Positive Routine Sample.

Routine Sample Location: (if required) Follow-up (Repeat) Sample Location:

2. →→→ 1.

(location name or address) (Same routine sample location tested positive) Description: 2.

(hose bib, sink faucet, etc.) (up-stream location name or address) Water samples will be collected from this 3.

location during the months of (circle): All (down-stream location name or address) 1st Qtr: Jan. Feb. Mar. 4. Raw (UNTREATED) Ground Water Sources 2nd Qtr: Apr. May Jun. A Repeat Sample must be collected from EACH Raw 3rd Qtr: July Aug. Sept. (Untreated) Ground Water Source that was in use at time 4th Qtr: Oct. Nov. Dec. of Positive Routine Sample.

Routine Sample Location: (if required) Follow-up (Repeat) Sample Location:

3. →→→ 1.

(location name or address) (Same routine sample location tested positive) Description: 2.

(hose bib, sink faucet, etc.) (up-stream location name or address) Water samples will be collected from this 3.

location during the months of (circle): All (down-stream location name or address) 1st Qtr: Jan. Feb. Mar. 4. Raw (UNTREATED) Ground Water Sources 2nd Qtr: Apr. May Jun. A Repeat Sample must be collected from EACH Raw 3rd Qtr: July Aug. Sept. (Untreated) Ground Water Source that was in use at time 4th Qtr: Oct. Nov. Dec. of Positive Routine Sample.

Routine Sample Location: (if required) Follow-up (Repeat) Sample Location:

4. →→→ 1.

(location name or address) (Same routine sample location tested positive) Description: 2.

(hose bib, sink faucet, etc.) (up-stream location name or address) Water samples will be collected from this 3.

location during the months of (circle): All (down-stream location name or address) 1st Qtr: Jan. Feb. Mar. 4. Raw (UNTREATED) Ground Water Sources 2nd Qtr: Apr. May Jun. A Repeat Sample must be collected from EACH Raw 3rd Qtr: July Aug. Sept. (Untreated) Ground Water Source that was in use at time 4th Qtr: Oct. Nov. Dec. of Positive Routine Sample.

F2 - Building 11301

F3 - Building 2217

Sampling Station

F1 - Sampling StationR1 - Sampling Station

Campgrounds - Rec. Staff Guard Station - Sampling Contractor fperrin Typewritten Text

HB CS 24/25

fperrin Typewritten Text

HB CS 24/25

fperrin Typewritten Text

HB CS 24

fperrin Typewritten Text

HB CS 16

fperrin Typewritten Text

HB CS 18

fperrin Typewritten Text Hosebibb Campsite 18 fperrin Typewritten Text

HB CS 18

fperrin Typewritten Text

HB CS 20

fperrin Typewritten Text

HB CS 16

fperrin Typewritten Text

HB CS 13

fperrin Typewritten Text Hosebibb Campsite 13 fperrin Typewritten Text

HB CS 13

fperrin Typewritten Text

HB CS 1

fperrin Typewritten Text

HB CS 10

fperrin Rectangle fperrin Rectangle fperrin Rectangle fperrin Rectangle fperrin Typewritten Text Hosebibb Campsite 24/25 fperrin Rectangle fperrin Line fperrin Line fperrin Line fperrin Line fperrin Line

Line

BSSP for Public Water Systems

364 Knollcrest Drive, Suite 101, Redding, CA 96002 www.waterboards.ca.gov

NOTE: (1) Analytical results of all required samples collected in a calendar month shall be reported to the Division of Drinking Water not later than the 10th day of the following month. (2) The Division of Drinking must be notified by the end of the day on which the water system receives analytical results indicating the presence of Escherichia coli (E. coli), unless the notification or determination occurs after the Division of Drinking Water office is closed, in which case the Division of Drinking Water must be notified within 24 hours. (3) The water supplier shall also require the laboratory to immediately notify the Division of Drinking Water of any positive bacteriological results if the laboratory cannot make direct contact with the designated contact person within 24 hours. (4) If one or more samples in the repeat sample set is total coliform-positive, the water system shall collect and have analyzed an additional set of repeat samples and shall repeat this process until either no coliforms are detected in one complete repeat sample set or the water system determines that the MCL for total coliforms specified in California Code of Regulations, Title 22, Section 64426.1 has been exceeded and notifies the Division of Drinking Water. (5) Laboratory reports shall be retained by water system for a period of at least five years and shall be made available to the Division of Drinking Water upon request. (6) Please collect all routine samples early in the week and month to allow time for repeat samples.

Report Prepared by:

Print Name:

Signature:

Title: Date:

fperrin Typewritten Text Fred Perrin fperrin Typewritten Text Environmental Engineer fperrin

3/17/2026

Drinking Water System Sampling Map Year-round Use

Polygon fperrin Callout R1/F1 - Sampling Station fperrin

Ash Creek Guard Station - Site Plan

Cattle Camp Campground Loop A - Seasonal fperrin Polygon fperrin Polygon fperrin Polygon fperrin Polygon fperrin Callout HB Host Site fperrin Callout

HB CS 16

fperrin Callout

HB CS 17

fperrin Callout

HB CS 18

fperrin Callout

HB CS 20

fperrin Callout

HB CS 25

fperrin Callout

HB CS 24/25

fperrin Callout Drain fperrin Callout

HB CS 24

fperrin Callout Drain fperrin Line fperrin Text Box To Loop B fperrin Text Box

HB CS ##

fperrin

Hosebibb Campsite ##

Cattle Camp Campground Loop B - Seasonal fperrin Polygon fperrin Text Box 2 Drains fperrin Callout

HB CS 1

fperrin Callout

HB CS 3

fperrin Callout

HB CS 13

fperrin Callout

HB CS 10

fperrin Callout HB near Restrooms fperrin Line fperrin Text Box To Loop A fperrin Text Box

HB CS ##

fperrin

Hosebibb Campsite ##