Exhibit 10 - Turb CT - WCCG.pdf

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OHA - Drinking Water Program - Turbidity Monitoring Report Form County: Douglas Cartridge or Bag Filtration

System Name: USFS WOLF CREEK CG UMPQUA NF 10 #: OR4192762 WTP: WTP-A MonthlYear:

PSI Before PSID When to Daily Turbidity Highest Reading of

DAY PSI After Filter PSID Reading 1 Filter Change Filter the Day

[NTUj [NTUj

1"1 - - .. -' -

Cartridge Filtration Monthly Summary (Answer Yes or No)

95% of daily turbidity readings :5 1 NTU? Yes I No CT's met everyday? (see

All CI2 residual at entry point ~ 0.2 mgtl?

All daily turbidity readings :5 5 NTU? Yes t No back) Yes I No Yes I No

Notes: PSI = pounds per square inch PRINTED NAME: PSID = pounds per square inch difference

(before filter - after filter) SIGNATURE: DATE: PSID When to Change Filter = Manufacturer's recommendation; may need to look in manual for manufacturer's specifications when ·to change the filter, at what PSID.

PHONE #: ( ) CERT#:

Including continuous turbidity data , If applicable, for optimization recording purposes. Compliance values In Dally Turbidity Reading" Column may not correspond to continuous readings' maximum.

OHA - Drinking Water Program - Surface Water Quality Data Form

I USFS WOLF CREEK CG UMPQUA NF 10 #: OR4192762 WTP-: WTP-A Month/Year:

Date / Minimum CI2 Contact

Actual Required Peak Hourly

Residual at 151 Time Temp pH CT Met? 2 Demand

Time User ( C ) 2 ( T ) CT CT Flow

[ppm or mg/L] [minutes] CXT [0 C] Use tables Yes / No [GPM]

1 /

2/

3/

4/

5 /

6/

7/

8/

9/

10/

11 /

12./

13/

14/

15/

16/

17 /

18/

19/

20/

21 /

22/

23/

24/

25/

26/

27/

28/

29/

30/

31 / If CI2 at entry pOint < 0.2 mg/l , OR CT not met, notify DWP by end of next business day.

Download form at: www.public.health .oregon .gov/HealthyEnvironments/DrinkingWater/Monitoring/Documents/turb-cartridge.pdf