W912CJ-17-T-0003_Appendix_B_-_BSSP_WS-2710702.pdf

Attachment B

California Department of Public Health - Drinking Water Field Operations Branch - Monterey District

Small Water System Bacteriological Sample Siting Plan

Systems serving >1,000 Population with 3 or More Wells

I. System Information Sy tern Name & ID Number: Fort Hunter Liggett; WS#2710702

P S Classification: Community Small Water System

Ac ive Service Connections: 207

M nthly Population (fo Community systems) Da;ily Population (fo~Transient or Non-Transient Norn Community systems)

S urce(s):

(Number of residences and/or buildings served by the system)

Average monthly population: 6,200 (Residents or number of individuals served each day by system during busiest month)

4 wells: 2710702-002 (Well 236); 2710702-005 (Well 382);

271 0702-007 (Well 383); 2710702-011 (Well 380R)

(List all water supply sources wells, springs, lakes, etc).

II. Routine Sampling Frequency

Th water system must collect 2 routine samples at a frequency of once every __ w=e-=-e'-'-k ___ _

# of Sample/s month or calendar quarter

Ill. Routine and Repeat Sampling Sites utine Sample Site No. 1: ROU B-320 DPTMS - Bathroom Faucet (Calendar Week 1) Routine distribution sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs or the entry point to the distribution system).

If th s routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of the res It. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 samples. If you routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat Sample Set No. 1:

ROU B320 DPTMS - Bathroom Faucet (Calendar Week 1)

Repeat sample site No. 1:

(Collect one sample at the original routine sample site)

B318 WWTP (Wastewater Treatment Plant) - Bathroom Faucet Repeat sample site No. 2:

(Collect one sample within five connections upstream)

B331 ITAM (Integrated Training Area Mngmt Office) - Bathroom Faucet Repeat sample site No. 3:

(Collect. one sample within five connections downstream)

Repeat sample site No. 4:

(Collect one additional sample within five connections upstream or downstream)

• A routine sample site must be designated for each pressure zone or separate area served by the water system. The routine sample sites must be rotated such that they are all sampled on a regular basis. If this water system must designate more than one routine sample site, please do so on the following page and submit a rotation schedule if applicable.

Apr ram\Technical Handouts\Form for SWS Baell Site Sampling Plan Monterey District 05 Revised 3/1 O

Ch ck one of the following:

D Only one routine sample site is necessary to adequately represent the system. Additional routine and repeat sample sites are not attached.

D This water system contains more than one pressure zone or separate area.

(This section need only be completed if your water system must designate more than one routine sample site.)

Ro tine Sample Site No. 2: ROU B238 Headquarters - Bathroom Faucet (Calendar Week 1) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample site No. 2:

Repeat sample s ite No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 2:

ROU 8238 Headquarters - Bathroom Faucet (Calendar Week 1)

(Collect one sample at the original routine sample site)

ROU B259 ECS shop - Bathroom Faucet

(Collect one sample within five connections upstream)

ROU B237 - Bathroom Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream)

Ro tine Sample Site No. 3: ROU 8229 Barracks - Bathroom Faucet (Calendar Week 2) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

If this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of he result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1 :

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample s ite No. 4:

Repeat Sample Set No. 3:

ROU B229 Barracks - Bathroom Faucet (Calendar Week 2)

(Collect one sample at the original routine sample site)

B190 - Bathroom Faucet

(Collect one sample within five connections upstream)

B259 ECS shop- Bathroom Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream)

Apr gram\Technical Handouts\Form for SWS Bacti Site Sampling PlanPage '}_ of '2> Monterey District 05 Revised 3/10

Ch l ck one of the following:

D Only one routine sample site is necessary to adequately represent the system. Additional routine and repeat sample sites are not attached.

D This water system contains more than one pressure zone or separate area.

(This section need only be completed if your water system must designate more than one routine sample site.)

Ro tine Sample Site No. 4: ROU B151 Operation & Maintentance (O&M) - Bathroom Faucet (Calendar Week 2) Routine and repeat sample locations cannot Include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 4:

ROU B151 Operation & Maintenance (O&Ml- Bathroom Faucet

(Collect one sample at the original routine sample site)

B80 Post Exchange - Bathroom Faucet

(Collect one sample within five connections upstream)

B176- Bathroom Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream)

Ro tine Sample Site No. 5: ROU 8101 Hacienda - Bathroom Faucet (Calendar Week 3) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 5:

ROU B101 Hacienda - Bathroom Faucet (Calendar Week 3)

(Collect one sample at the original routine sample site)

San Antonio Mission - Faucet

(Collect one sample within five connections upstream)

880 Post Exchange - Bathroom Faucet

(Collect one sample within five connections downstream)

Apr gram\Technical Handouts\Form for SWS Bacti Site Sampling PlanPage 8 of €> Monterey District 05 Revised 3/10

D Only one routine sample site is necessary to adequately represent the system. Additional routine and repeat sample sites are not attached.

D This water system contains more than one pressure zone or separate area.

(This section need only be completed if your water system must designate more than one routine sample site.)

Ro tine Sample Site No. 6: ROU Primitive Campground Faucet (Calendar Week 3) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of t pe result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 samples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample s ite No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 6:

ROU Primitive Campground Faucet (Calendar Week 3)

(Collect one sample at the original routine sample site)

B630 Hunting Registration - Bathroom Faucet

(Collect one sample within five connections upstream)

B318 WWTP (Wastewater Treatment Plant)- Bathroom Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream)

Ro tine Sample Site No. 7: ROU 82205 MPRC - Outside Tap (Calendar Week 4) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample s ite No. 1:

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 7:

ROU 82205 MPRC - Outside Tap

(Collect one sample at the original routine sample site)

B2205 MPRC - Bathroom Faucet

(Collect one sample within five connections upstream)

B630 Hunting Registration - Bathroom Faucet

(Collect one sannple within five connections downstream)

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D Only one routine sample site is necessary to adequately represent the system. Additional routine and repeat sample sites are not attached.

D This water system contains more than one pressure zone or separate area.

(This section need only be completed if your water system must designate more than one routine sample site.)

Ro tine Sample Site No. 8: ROU 8723 ASP - Outside Tap (Calendar Week 4) Routine and repeat sample locations cannot include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of t e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 8:

ROU 8723 ASP - Outside Tap (Calendar Week 4)

(Collect one sample at the original routine sample site)

8723 ASP - Bathroom Faucet

(Collect one sample within five connections upstream)

Primitive Campground Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream) tine Sample Site No. 9: ROU 880 Post Exchange - Bathroom Faucet (Calendar Week 5) Routine and repeat sample locations cannot include water sources (I.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample site No. 1:

Repeat sample site No. 2:

Repeat sample site No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 9:

ROU 880 Post Exchange - Bathroom Faucet (Calendar Week 5)

(Collect one sample at the original routine sample site)

8190 - Bathroom Faucet

(Collect one sample within five connections upstream)

San Antonio Mission - Faucet

(Collect one sample within five connections downstream)

Apr gram\Technical Handouts\Form for SWS Bacti Site Sampling PlanPage t;? of ~ Monterey District 05 Revised 3/10

Ch lck one of the following:

D Only one routine sample site is necessary to adequately represent the system. Additional routine and repeat sample sites are not attached.

0 This water system contains more than one pressure zone or separate area.

(This section need only be completed if your water system must designate more than one routine sample site.)

tine Sample Site No. 10: ROU 8120 - Bathroom Faucet (Calendar Week 5) Routine and repeat sample locations cannot Include water sources (i.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of t e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 mples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat sample s ite No. 1:

Repeat sample site No. 2:

Repeat sample s ite No. 3:

Repeat sample site No. 4:

Repeat Sample Set No. 10:

ROU 8120-8athroom Faucet

(Collect one sample at the original routine sample site)

B101 Hacienda- Bathroom Faucet

(Collect one sample within five connections upstream)

8128 Gibb Hall - Bathroom Faucet

(Collect one sample within five connections downstream)

(Collect one additional sample within five connections upstream or downstream)

Ro tineSampleSi~No.11: NIA~~~~~~~~~~~~~~~~~~~~~~~~~~~ Routine and repeat sample locations cannot include water sources (I.e. Wells, storage tanks, pressure tanks, fire hydrants, blow-offs, or the entry point to the distribution system).

this routine sample contains coliform bacteria, the water system must collect a set of repeat samples within 24 hours of being notified of t e result. (If your routine sampling frequency is equal to or less than one sample per month, the repeat sample set must consist of 4 amples. If your routine sampling frequency is greater than one sample per month, the repeat sample set need only consist of 3 samples.)

In addition, please see Section VI for instructions on source water monitoring for compliance with the GWR when a routine distribution bacteriological sample shows the presence of total coliform bacteria.

Repeat Sample Set No. 3:

Repeat sample site No. 1:

(Collect one sample at the original routine sample site)

Repeat sample site No. 2:

(Collect one sample within five connections upstream)

Repeat sample s ite No. 3:

(Collect one sample within five connections downstream)

Repeat sample site No. 4:

Apr gram\Technical Handouts\Form for SWS Bacti Site Sampling PlanPage -112_ of B Monterey District 05 Revised 3/10

IV. Routine Sampling During The Month Following A Positive Sample

WhE n 1 or more samples are positive for total coliform in a month, the water system is required to collect 5 routine distribution saml:>les during the following month. These 5 samples can !be collected over the course of the month or all on the same day.

Plec: se list the locations from which these 5 routine distribution samples will be collected:

NIA

V. System Map o r System Schem atic

Attach a system schematic or map that shows the piping layout of the distribution system, the location of all routine and rep1 at sample sites, raw water sources, storage facilities, pressure zones, the entry point of water into the distribution system and the direction of water flow.

VI. Raw Water Source Sampling for Compliance with the Groundwater Rule

Groundwater systems with 3 or more active wells: in addition to required distribution repeat sites, each well must be sarr pied when a routine distribution bacteriological sample shows the presence of total coliform bacteria or your water system mu~ t sample the raw water sources in accordance with your Department approved BSSP Addendum if conducting representative trig~ ered source monitoring, labeling the samples as "Special or Other".

If• source water samole result is oositive for E. coli. notification to CDPH and a Tier 1 Public Notification are reauired within 24 hours of notification to the water system of the E. coli positive result

If the source water is E. coli negative but total coliform positive, contact CDPH for further instructions

Provided below is a link to USEPA's website providing additional guidance on the Groundwater Rule:

http://www.epa.gov/safewater/disinfection/gwr/compliancehelp.html

VII. Quarterly Coliform Monitoring of Disinfected Wells

Bae eriological monitoring of raw water source/s with disinfection is intended to detect a degradation of the groundwater quality that would otherwise be masked by the chlorination treatment. The water system shall initiate a minimum of at least quarterly raw water monitoring for coliform bacteria from each well with disinfection treatment. Should a well sample show positive for coli1orm bacteria, please contact the Monterey District office for follow-up procedures.

• Source Name & Primary Station Code# Site No. 1: _.......;;;O"""T..:..H=E:.:..R;::...-_W=e=ll-=2=36;::;....:..;RA::....:..:..W"-'(=2:..:..7..:..;10:o.,;7-=0=-2--=0=0=-2).__ __

• Source Name & Primary Station Code# Site No. 2: _ __;:O;..:.T..:..;H:.:E:.:..;R:.....-_W:::..:..::;e.:.:..ll ..:.3:.:82::..:...:RA:..:W.:.:...if~2.:...71.:..::0 .... 7..:.0=-2-~0.=.:05:..il~--

• Source Name & Primary Station Code # Site No. 3: _.......;;;O"""T..:..H=E:.:..R""'". --W=e=ll-=3.;:;.83;::;....:..;RA::....:..:..W"-'(""2:..:..7..:..;1 O:o..;7..;;;0=-2--=0=07"'-').__ __

• Source Name & Primary Station Code# Site No. 4: _.......;;;O"""T..:..H=E:.:..R;::...-_W=e=ll -=3=80:.:R~RA::....:..:..W;::...(=2:..:..7..:..;10:o.,;7...::0=-2--=0;..:.1..:.1l.___

The quarterty raw water coliform samples should be labeled as "Other" and will not be counted towards compliance with the Total Coliform Rule for distribution monitoring.

If a quarterly source sample tests positive for coliform and E. coli negative, CDPH recommends that the water system col ects a confirmation sample within 24 hours of notification and request analysis using an enumeration method.

If a source sample tests positive for E. coli, contact COPH for further instructions.

Ap'1'com\Teoho;oa1 Haodo,t.lforn> 10< SWS B•oU SUe S•mphog PlaoP•ge 7 of & Monterey District 05 Revised 3/10

VIII. Personnel and Laboratory Notification

Tra ned Sampler: Mary Janson 805-535-5302 (Sample collection must be performed by a person trained in sample collection. Provide name & phone# of sampler.)

Ce1 ified Laboratory: FGL Environmental 805-392-2000 (Provide the name and phone # of the certified lab doing your water analysis testing.

I Arrangement must be made for weekend and holiday analysis testing if needed.)

Notification: Laboratory to notify persons designated below within 24 hours whenever a sample is found to contain colifonn bacteria. (Listed personnel shall contact the California Department of Public Health as indicated in Section IX.)

Alma L. Zavala 1.

Rick Potts 2.

(Name)

(Name)

831-386-2623 831-386-2623

(Daytime Phone #)

831-386-2514

(Daytime Phone#)

(Evening Phone #)

831-682-0589

(Evening Phone #)

IX. Notification to the California Department of Public Health

The water system must notify the California Department of Public Health, Drinking Water Program, Monterey District Office, with n 24 hours of a violation of the total coliform maximum contaminant level exceedance or when any sample is fecal or E. coli pos tive.

Jan Sweigert, P.E. (Daytime Phone#) (831) 655-6934 (Evening Cell#) (831) 236-4311 Dis .rict Engineer Office (831)-655-6939 (Day or Night-Leave Message) CDPH-Drinking Water Field Operations Branch-Monterey District

Ch~ryl Sandoval, R.E.H.S.

Su~ervisor-Drinking Water Protection Services Mo terey County Health Department

(Daytime Phone#) (831) 755-4552 or 755-4507 (Evening Cell#) (831) 809-2220 (Home#) (831) 758-6838

X. Monthly Summary of Distribution System Coliform Monitoring Report (MSR)

Pe on responsible for reviewing & confirming accuracy of laboratory colifonn analysis reports, signing & submitting the MSR.

MSR (enclosed) is due by the 10th of each month following completion of analysis.

Nale: Michael Moeller Title: Compliance Manager

Sig jatureofSystem Representative: ~ f> · ~ Date: 4/'f/.iOIZ.

KEEP A COPY OF THIS FORM FOR YOUR REFERENCE AND USE

Ade itional Information: When responding to a laboratory report of bacterial contamination, keep in mind the following:

1. Coliform bacteria should not be present in drinking water and the presence of coliform indicates a potentially serious problem. Appropriate investigation should be performed immediately.

2. Check water system components such as water sources, filtration and/or chlorination equipment and storage tanks for indications of unusual conditions or problems.

3. Correct oroblems immediatelv, do not wait for results of follow-uo to take action.

Ap'T "m\T"hmoal Haodo""\Fo~ lo< SWS " " '' $'" S•mplmg Pl'"P•ge J2_ of 6 Monterey D1stnct 05 Revised 3/10