A04_SOW_White_Sandy_Water_Filtration_w-Attachment.pdf

11/2025 White Sandy Potable Water Filtration

Statement of Work MT – SOW – 1

STATEMENT OF WORK (SOW)

PROJECT: This is a project to provide and install water filtration equipment at White Sandy Campground located at 6563 Hauser Dam Rd, Helena, Montana 59602. The water filtration will be located in the White Sandy Campground pump room. The project includes filtration for iron (Fe), total dissolved solids (TDS), Sulfate (SO4), water hardness and associated pump room modification to meet the completion of the project to meet the project SOW, specifications, and drawings.

This site is owned by the Bureau of Land Management.

Existing infrastructure includes well (see well log), well pump and constant pressure system supplied by Franklin Electric SubDrive 300. Available flow rate is ~ 15 gpm. Existing pump room dimensions and layout are included in Drawings.

1.0 GENERAL INFORMATION

1.1 The successful vendor will be responsible for providing all product specifications and shop drawings. Work includes all material, labor, transportation, equipment, supervision and the performance of all operations as required by the SOW.

1.2 For all the requirements required by the Bureau of Land Management, see the information contained in project drawings. The Specifications attached supplement this Statement of Work.

1.3 Submittals: The successful vendor will submit the following for approval to the Government at the Bureau of Land Management (BLM) Butte Field Office.

a. Initial product specifications plus product submissions for all materials and equipment – electronic copy. Allow two weeks for review and approval.

b. Final as-built pump room filtration drawings and specifications and/or operations manuals– electronic copy.

2.0 DESCRIPTION OF WORK

2.1 White Sandy Water Filtration: Process system will meet the criteria outlined in the attached Drawings and Specifications

a. Performance criteria for filtration equipment will be noted in Section 223000 of the Specifications

b. Backflush, if needed, must be disposed of in an approved manner (BLM Engineer will approve)

Statement of Work MT – SOW – 2

1. Backflush shall be chemically suitable to be disposed of in existing sewer drain field or on site.

2. Backflush shall be routed from filtration equipment to the disposal site (drain field or on site) in the most effective manner.

3. Backflush flow rate must not exceed 15 gpm

c. Pump room

1. All pipe in pump room shall be PVC or galvanized steel of an appropriate size so no individual pipe experiences a velocity of >5fps.

2. All material (pipe, valves, fittings, etc) installed in pump room shall be NSF 61 Certified.

3. See further information in Section 220500 of the Specifications

2.2 Electrical for White Sandy Pump Room

a. All electrical work needed for filtration equipment (outlets etc.) will be done to industry standards/existing codes for the State of MT.

b. See further information in Section 260050 in Specifications.

3.0 INSTALLATION

3.1 Install equipment in accordance with manufacturer’s specifications or installation instructions.

3.2 Install piping adjacent to equipment to allow service and maintenance

3.3 Make piping connections between dissimilar metal water piping with dielectric fittings

3.4 Leak test and disinfect the water distribution and storage facilities in accordance with DEQ Circular 3 and/or in accordance with state and local codes. A signed document providing the disinfection procedure used will be provided to project COR.

3.5 Water treatment adjustment:

a. Prepare chemical solutions/media and set the initial parameters for filtration

b. Adjust the equipment to meet performance criteria set Section

22300 of Specifications

Statement of Work MT – SOW – 3

4.0 ATTACHMENTS

4.1 Drawings

4.2 Specifications

4.3 Water Quality Tests for White Sandy Well

5.0 MEASUREMENT AND PAYMENT

5.1. White Sandy Water Filtration System

5.3 BASIS OF PAYMENT:

a. Payment: The accepted quantities will be paid for at the contract price per unit of measurement, respectively, for the pay item shown in the bid schedule. Price and payment shall be full compensation for furnishing and delivering all material, including all test requirements, labor, equipment, tools, and incidentals necessary to complete the work described in this section. Payment will be made under:

Payment Pay Unit

Electrical Additions for Process Equipment ....................................................... Lump Sum Iron Removal Ion Exchange System................................................................... Lump Sum Sulphate Ion Exchange System ........................................................................... Lump Sum Water Softening Ion Exchange System .............................................................. Lump Sum Pressure Tanks .................................................................................................... Lump Sum Pump Room Modifications ................................................................................. Lump Sum

End of Section

Statement of Work MT – SOW – 4

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ANALYTICAL SUMMARY REPORT

The analyses presented in this report were performed by Energy Laboratories, Inc., 3161 E. Lyndale Ave., Helena, MT 59604, unless otherwise noted. Any exceptions or problems with the analyses are noted in the report package. Any issues encountered during sample receipt are documented in the Work Order Receipt Checklist.

The results as reported relate only to the item(s) submitted for testing. This report shall be used or copied only in its entirety. Energy Laboratories, Inc. is not responsible for the consequences arising from the use of a partial report.

Energy Laboratories, Inc. verifies the reported results for the analysis has been technically reviewed and approved for release.

If you have any questions regarding these test results, please contact your Project Manager.

Lab ID Client Sample ID Collect Date Receive Date Matrix Test

H24070746-001 Devils Elbow PWS 07/25/24 11:15 07/25/24 Aqueous Metals by ICP/ICPMS, Total Alkalinity to pH 4.5 Conductivity Hardness Anions by Ion Chromatography Nitrogen, Nitrate + Nitrite pH Metals Digestion by E200.2 Solids, Total Dissolved

HydroSolutions

Project Name: Lindsay Drilling Devil's Elbow

Work Order: H24070746

303 Clarke St

Helena, MT 59601-6224

August 09, 2024

Energy Laboratories Inc Helena MT received the following 1 sample for HydroSolutions on 7/25/2024 for analysis.

LABORATORY ANALYTICAL REPORT

Client: HydroSolutions

Project: Lindsay Drilling Devil's Elbow

Lab ID: H24070746-001

Client Sample ID: Devils Elbow PWS

Collection Date: 07/25/24 11:15

Matrix: Aqueous

Report Date: 08/09/24

DateReceived: 07/25/24

Prepared by Helena, MT Branch

Analyses Result Units Analysis Date / ByRL Method

MCL/

QCLQualifiers

PHYSICAL PROPERTIES

H 07/25/24 13:11 / eer0.1s.u.7.6pH A4500-H B

07/25/24 13:11 / eer°C16.0pH Measurement Temp A4500-H B

07/25/24 13:11 / eer5umhos/cm1730Conductivity @ 25 C A2510 B

07/25/24 13:45 / ctl20mg/L1340Solids, Total Dissolved TDS @ 180 C A2540 C

INORGANICS

07/26/24 16:44 / eer4mg/L360Alkalinity, Total as CaCO3 A2320 B

07/26/24 02:17 / eer1mg/L13Chloride E300.0

07/26/24 02:17 / eer1mg/L615Sulfate E300.0

07/29/24 20:00 / SRW1mg/L717Hardness as CaCO3 A2340 B

NUTRIENTS

08/07/24 19:07 / JAR0.01mg/L0.03Nitrogen, Nitrate+Nitrite as N E353.210

METALS, TOTAL

07/29/24 20:00 / slj1mg/L133Calcium E200.7

08/06/24 23:19 / dck0.02mg/L0.98Iron E200.8

07/29/24 20:00 / slj1mg/L94Magnesium E200.7

08/06/24 23:19 / dck0.001mg/L0.013Manganese E200.8

07/29/24 20:00 / slj1mg/L131Sodium E200.7

Report

Definitions:

RL - Analyte Reporting Limit MCL - Maximum Contaminant Level

QCL - Quality Control Limit ND - Not detected at the Reporting Limit (RL)

H - Analysis performed past the method holding time

ANALYTICAL SUMMARY REPORT

The analyses presented in this report were performed by Energy Laboratories, Inc., 3161 E. Lyndale Ave., Helena, MT 59604, unless otherwise noted. Any exceptions or problems with the analyses are noted in the report package. Any issues encountered during sample receipt are documented in the Work Order Receipt Checklist.

The results as reported relate only to the item(s) submitted for testing. This report shall be used or copied only in its entirety. Energy Laboratories, Inc. is not responsible for the consequences arising from the use of a partial report.

Energy Laboratories, Inc. verifies the reported results for the analysis has been technically reviewed and approved for release.

If you have any questions regarding these test results, please contact your Project Manager.

Lab ID Client Sample ID Collect Date Receive Date Matrix Test

H24060488-001 Pumphouse Potable (Site 1)

06/17/24 14:52 06/17/24 Drinking Water Metals by ICP/ICPMS, Dissolved Metals by ICP/ICPMS, Total Alkalinity to pH 4.5 Bacteria, Private Water Supply Conductivity Ferrous Iron by colorimetry Hardness Hardness as CaCO3, grains/gallon Anions by Ion Chromatography Iron, Ferric Langelier Index Nitrogen, Nitrate + Nitrite pH Metals Digestion by E200.2 Preparation, Dissolved Filtration

MCAWW

Sodium Adsorption Ratio Solids, Total Dissolved - Calculated

H24060488-002 Irrigation (Site 2) 06/17/24 15:19 06/17/24 Drinking Water Same As Above

Bureau of Land Management Butte

Project Name: White Sandy 04692

Work Order: H24060488

106 N Parkmont Butte, MT 59701-7222

July 08, 2024

Energy Laboratories Inc Helena MT received the following 2 samples for Bureau of Land Management Butte on 6/17/2024 for analysis.

Digitally signed by Wanda Johnson Date: 2024.07.09 08:22:39 -06:00

Project: White Sandy 04692 Client Sample ID: Pumphouse Potable (Site 1)

Collection Date: 06/17/24 14:52

Matrix: Drinking Water

Client: Bureau of Land Management Butte

Lab ID: H24060488-001D

Report Date: 07/08/24

Analyses Result QualifierSafe/Unsafe Analysis Date / ByMethod

Received Date: 06/17/24 16:30

LABORATORY ANALYTICAL REPORT

Units

Sampled By: Not Provided

Prepared by Helena, MT Branch

MICROBIOLOGICAL

AbsentColiform, Total A9223 BSAFE 06/17/24 16:39 / kmhper 100ml AbsentColiform, E-Coli A9223 B 06/17/24 16:39 / kmhper 100ml

Comments: The notation "SAFE" indicates that the water was bacteriologically SAFE when sampled.

The notation "UNSAFE" indicates that the water was bacteriologically UNSAFE when sampled.

Qualifiers:

Pumphouse Potable (Site 1)

FRDS Analyses Result QualUnits Analysis Date / ByRL Method

MCL/

QCL

LABORATORY ANALYTICAL REPORT

PWS #: MT0004692

Client Sample ID: Pumphouse Potable (Site 1)

Collection Date: 06/17/24 14:52

Matrix: Drinking Water

Client: Bureau of Land Management Butte Lab ID: H24060488-001 Report Date: 07/08/24

Date Received: 06/17/24

Compliance Sample:

Name: WHITE SANDY CAMPGROUND

Federal ID#: MT00945

Collector's Name: Not Provided Contact Phone #: (406) 227-3570

Facility ID:

SamplingPoint/Location: SP001 / Pumphouse Potable (S

DS001

Sample Type: SPNO

Project ID:White Sandy 04692

Prepared by Helena, MT Branch

PHYSICAL PROPERTIES

H 06/18/24 11:15 / SRW0.1s.u.7.11925 A4500-H BpH

06/18/24 11:15 / SRW°C14.21996 A4500-H BpH Measurement Temp 06/18/24 11:15 / SRW5umhos/cm25801064 A2510 BConductivity @ 25 C 07/03/24 16:45 / JCS0.31997 A2330 BLangelier Index 07/03/24 16:45 / JCS1mg/L22701930 A1030 ESolids, Total Dissolved - Calculated

If a sample temperature at the time of collection is not provided, the Langelier is calculated using a default temperature of 20 degrees C.

INORGANICS

06/18/24 10:05 / SRW4mg/L2101927 A2320 BAlkalinity, Total as CaCO3 06/18/24 10:05 / SRW4mg/L2501928 A2320 BBicarbonate as HCO3 06/18/24 10:05 / SRW4mg/LND1929 A2320 BCarbonate as CO3 06/19/24 23:32 / SRW1mg/L201017 E300.0Chloride 06/19/24 23:32 / SRW1mg/L15301055 E300.0Sulfate 06/19/24 23:32 / SRW0.1mg/L0.11025 E300.04Fluoride 07/01/24 11:24 / slj0.01unitless0.401047 CalculationSodium Adsorption Ratio (SAR) 07/01/24 11:24 / slj1mg/L16801918 A2340 BHardness as CaCO3 07/01/24 11:24 / sljgrains/gal981918 CalculationHardness as CaCO3 - Grains

NUTRIENTS

06/27/24 15:46 / JAR0.01mg/L0.011038 E353.210Nitrogen, Nitrate+Nitrite as N

FERROUS IRON BY COLORIMETRY

06/18/24 16:13 / dpw2mg/L21 A3500FeBIron, Ferrous

METALS, DISSOLVED

07/02/24 03:52 / slj0.02mg/LND E200.7Iron, Ferrous

METALS, TOTAL

06/28/24 17:15 / kjb1mg/L3351016 E200.7Calcium 06/28/24 17:15 / kjb0.02mg/L24.51028 E200.7Iron 07/01/24 11:28 / slj0.03mg/L3.58 CalculationIron, Ferric 06/28/24 17:15 / kjb1mg/L2041031 E200.7Magnesium 06/28/24 17:15 / kjb1mg/L71042 E200.7Potassium 06/28/24 17:15 / kjb1mg/L381052 E200.7Sodium

Report Definitions:

RL - Analyte Reporting Limit MCL - Maximum Contaminant Level QCL - Quality Control Limit ND - Not detected at the Reporting Limit (RL) H - Analysis performed past the method holding time

Pumphouse Potable (Site 1)

Client: Bureau of Land Management Butte Work Order: H24060488

QA/QC Summary Report

07/08/24Report Date:

Analyte Result %REC RPDLow Limit High Limit RPDLimitRLUnits QualCount

Prepared by Helena, MT Branch

Method: A2320 B Batch: R195837 Lab ID: MBLK 06/18/24 09:14Method Blank Run: PHSC_101-H_240618A Alkalinity, Total as CaCO3 2ND mg/L

Lab ID: LCS 06/18/24 09:18Laboratory Control Sample Run: PHSC_101-H_240618A Alkalinity, Total as CaCO3 101 90 1104.0610 mg/L

Lab ID: H24060323-002ADUP 06/18/24 09:36Sample Duplicate Run: PHSC_101-H_240618A3 Alkalinity, Total as CaCO3 104.0 1.1190 mg/L Bicarbonate as HCO3 104.0 1.1230 mg/L Carbonate as CO3 104.0ND mg/L

Qualifiers:

RL - Analyte Reporting Limit ND - Not detected at the Reporting Limit (RL)