Laserfiche WebLink
J1 STATE OF CALIFORNIA <br /> DEPARTMENT OF HEALTH SERVICES <br /> DIVISION OF DRINKING WATER AND ENVIRONMENTAL MANAGEMENT <br /> DRINKING WATER FIELD OPERATIONS BRANCH <br /> CHLORINATION DA]'A <br /> System Name System No <br /> Source of Information, <br /> Collected by Date f <br /> Logagion: <br /> Type of Disinfectant Used: <br /> Application: <br /> Water Treated: f raw,. filtered, etc.) <br /> Oxidant Demand Character: <br /> Point of Application: <br /> Mixing; <br /> Contact Tone: (minutes) <br /> Minimum Contact Time Before Residual Test: <br /> How was Contact Time Measured or Determined: <br /> Water.Flow Variation: <br /> Average Daily: <br /> Maximum Daily: <br /> Peak Hourly Flow: <br /> Machine: <br /> E Holds setting well? <br /> Make: <br /> Type: <br /> Capacity: <br /> Condition: <br /> Housing: (type) <br /> Insulation: <br /> Heating: <br /> Chemical Added: <br /> % Available Disinfectant, Form <br /> Cylinder or Crock Capacity: <br /> Stock on Hand: <br /> Safety Features: (Locks, Lighting, Ventilation, Alarms, Etc) <br /> Operation and Maintenance: <br /> Spare Parts on Hand: <br /> ' Ability to Make Repairs: <br /> Equipment Inspection Frequency: <br /> Residual Tests: <br /> Test Made: (DPD, etc_) <br /> Type of Instrumentation: <br /> Continuous/Giab: <br /> Where Test Made: <br /> Type: (Total, Free, Combined, Other). <br /> Records: <br /> Frequency of Equipment'Calibration: <br /> Reliability Features: <br /> Auxiliary Power: <br /> Automatic Switch-over: <br /> Condition of Scales: (if any) <br /> Alarms: (if any) <br /> Defects or Remarks: <br /> a:disidf_doc Updated November 22, 1996 <br />