Exhibit 03 - Bench Sheet - TLRS.pdf

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Attached to
Operations and Mantenance of Water, Wastewater and Water Treatment Systems on the Umpqua National Forest
Solicitation number
AG-04T1-S-12-0010
Issued by

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Exhibit - 3. Water Treatment Bench Sheet Tiller Ranger Station

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TREATMENT REPORT

Bench Sheet

Water System: USFS Tiller Ranger Station PWS# 4101092 Month/Year ____________________

Raw Filt. Raw Filt Alum Soda Ash Cl2 Poly WTP Sys Alum Soda Ash Cl2 Poly Alum Soda Ash Cl2 Poly

Turbidity Production Chemicals/50 gal:

Meter reading end of this Month: Cl2:

Average Meter reading end of last Month: Soda Ash: Operator:

High Monthly Production: Alum:

Low Average Daily Production: Polymer:

Highest Day: Date:

Operator

Initials Temp

Chemical Dosages mls/min

CL2 Resid Chemical UsepH Storage

Tank % Full

Back-wash

Flow

Meter

Chemical Feed Pumps Stroke/SpeedDaily Flow

(GPD)

Date

Master

Meter

Raw

Turbidity

Filter

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