Table 570.1 Baseline Data -- All Waterworks |
Public water system ID no. |
System name |
Reporting month and year (reporting quarter and yeara) |
Location (county) |
Number of connections, monthly average (maximum for reporting perioda) |
Population served, monthly average (quarterly average and maximum daya) |
Total source water withdrawn, gpd |
Total source water treated, gpd |
Total finished water produced, gal/month (for each entry point) or Total water purchased, gal/month (at each consecutive connection) |
Operator name (printed and signature) |
Operator classification (Class 1 to Class 6) |
Operator DPOR certification no. |
Name and contact information of the emergency contact person (text, voice phone number) |
Required for an unclassified waterworksa |
Table 570.2 Chlorine Disinfection |
Chlorine compound used (chlorine gas, calcium hypochlorite or sodium hypochlorite) |
Amount of chlorine compound used at each application point, lb/day |
Residual disinfectant concentration (measured as total chlorine, free chlorine, combined chlorine, or chlorine dioxide) at entry point, mg/L |
Chlorite concentration (if chlorine dioxide is used), daily measurement at entry point, mg/L |
Table 570.3 Chlorine Residual in the Distribution System |
Chlorine compound used (chlorine gas, calcium hypochlorite or sodium hypochlorite) |
Residual disinfectant concentration, measured as total chlorine, free chlorine, combined chlorine, or chlorine dioxide, mg/L (collected with each total coliform bacteria sample, in accordance with approved sampling plan) |
Table 570.4 Rechlorination in Distribution System |
Chlorine compound used (chlorine gas, calcium hypochlorite or sodium hypochlorite) |
Amount of chlorine compound used at each application point, lb/day |
Free chlorine residual concentration before rechlorination, mg/L |
Free chlorine residual concentration after rechlorination, mg/L |
Free chlorine residual, mg/L (measured and reported with each total coliform bacteria sample, in accordance with approved sampling plan) |
Table 570.5 Iron and Manganese Treatment by Oxidation, Detention and Filtration |
Source water iron and manganese concentrations, mg/L (each source) |
Oxidant amount used, lb/day |
Finished water iron and manganese concentrations, mg/L (each filter) |
Finished water pH (each filter) |
Filter hours between backwash (each filter) |
Table 570.6 Iron and Manganese Treatment by Ion Exchange |
Ion exchange material (type, manufacturer, and product name) |
Source water iron and manganese concentrations, mg/L (each source) |
Finished water iron and manganese concentrations, mg/L (each unit softener) |
Finished water pH (each unit softener) |
Head loss, psi (each unit softener) |
Regeneration date and method (each unit softener) |
Backwash date and duration of washing (each unit softener) |
Backwash rate, gpm (each unit softener) |
Table 570.7 Sequestration of Iron and Manganese |
Chemical used (manufacturer and product name) |
Quantity used, lb/day (average) |
Source water iron and manganese concentrations, mg/L (each source) |
Finished water (entry point) iron and manganese concentrations, mg/L |
Finished water (entry point) treatment chemical concentration, mg/L |
Treatment chemical residual concentration, mg/L (value at distal end of distribution system, report at same frequency as free chlorine residual testing) |
Table 570.8 pH Adjustment or Corrosion Control by Chemical Addition |
Chemical used (manufacturer and product name) |
Quantity used, lb/day (average) |
Source water pH |
Finished water (entry point) pH |
Finished water (entry point) treatment chemical concentration, mg/L (if required water quality parameter for compliance with lead and copper) |
Table 570.9 Cation Exchange Softening |
Cation exchange material (type, manufacturer, and product name) |
Regeneration date and method (each unit) |
Backwashing date and duration of washing (each unit) |
Softener influent hardness, mg/L as CaCO3 (each source) |
Softener effluent hardness, mg/L as CaCO3 (each unit) |
Stabilization chemical type, weight, daily dosage |
Finished water (entry point) pH |
Finished water (entry point) alkalinity, mg/L |
Finished water (entry point) hardness, as CaCO3 |
Table 570.10 Fluoridation |
Chemical used (manufacturer and product name) |
Fluoride used, lb/day |
Fluoride dosage, mg/L (daily) |
Water treated, MGD |
Finished water (entry point) fluoride concentration, mg/L (maximum, minimum, and average) |
Table 570.11 Microfiltration or Ultrafiltration |
Hours unit in operation |
Source water flow, gpd |
Filtrate volume, gpd |
Recirculated during suspension mode (volume or percent of feed flow, per day) |
Waste volume, gpd |
Maximum stabilized flux, gpd/ft2 |
Source water turbidity, NTU bench test (daily) |
Source water turbidity, NTU in line (collected at same time as bench test) |
Source water turbidity, NTU in-line (maximum daily) |
Source water alkalinity, mg/L as CaCO3 (daily) |
Source water hardness, mg/L as CaCO3 (daily) |
Source water temperature,°C (daily) |
Source water pH (daily) |
Filtered water turbidity, NTU bench test (daily) |
Filtered water turbidity, NTU in line (collected at same time as bench test) |
Filtered water turbidity, NTU in line (maximum daily) |
Pressure loss across pre-filter, psi (daily) (if pre-filters are automatically cleaned, reporting is not required) |
Number of membrane modules in use (daily) |
Direct integrity test start time (daily) |
Direct integrity test starting pressure, psi (each membrane unit, daily) |
Direct integrity test final pressure, psi (daily) |
Direct integrity test duration, minutes (daily) |
Direct integrity test pressure decay rate, psi/minute (daily) |
Direct integrity test Log Removal Value (daily) |
Trans-membrane pressure, psi (daily) |
Trans-membrane pressure before clean-in-place, psi |
Trans-membrane pressure after clean-in-place, psi |
Cleaning solution used (manufacturer and product name) |
pH of rinse water after clean-in-place |
Calibrations completed (itemized instruments with dates completed) |
Module repairs or replacements (itemized with dates repairs or replacements) |
Entry point log inactivation of Giardia by disinfection (daily) |
Table 570.12 Reverse Osmosis |
Hours unit in operation |
Pre-filter inlet pressure, psi (daily) |
Pre-filter outlet pressure, psi (daily) |
RO Inlet pressure, psi (daily) |
RO outlet pressure, psi (daily) |
Total permeate flow, gpd |
Concentrate flow (bypass), gpd |
Finished water flow, gpd |
Total finished water (entry point) flow, gpd |
Pre RO TDS, mg/L (daily) |
Post RO TDS, mg/L (daily) |
Pre RO turbidity, NTU (daily) |
Post RO turbidity, NTU |
Pre RO conductivity, µS/cm (daily) |
Post RO conductivity, µS/cm (daily) |
Finished water conductivity, µS/cm (daily) |
Source water pH (daily) |
Permeate pH (daily) |
Finished water (entry point) pH (daily) |
Module repairs or replacements (itemized with dates of repairs or replacements) |
Table 570.13 UV Disinfection |
All waterworks using ultraviolet (UV) disinfection must report the following: |
Total run time, hours (per unit) Lamp status for each reactor train Lamp age for each reactor train Total production, MGD or gpd Flow Rates, minimum, maximum and average, MGD or gpd for each reactor train |
To receive disinfection credit, the following shall also be reported: |
Number of off-specification events Total off-specification volume, gal Percent off-specification volume UV Intensity setpoint, W/m2 (if using intensity setpoint approach, daily) UV Intensity for each reactor, minimum, W/m2 (if using intensity setpoint approach, daily) UV Intensity sensor calibration date for each reactor Required dose, mJ/cm2 (if using calculated dose approach) UV Transmittance (UVT) for each reactor, daily percentage (if using calculated dose approach) Calculated dose for each reactor, daily minimum, mJ/cm2 (if using calculated dose approach) Validated dose for each reactor, daily minimum, mJ/cm2 (if using calculated dose approach) UVT analyzer calibration date (if using calculated dose approach) UV intensity sensor correction factor |
Table 570.14 Ozone Disinfection |
All waterworks using ozone disinfection must report the following: |
Ozone applied, lb/day and mg/L. |
Bromate concentration (mg/L), at the entry point to the distribution system, monthly. |
To receive disinfection credit, the waterworks shall also report: |
Minimum ozone concentration Cinitial from first sample point (Effluent Method) or Cgeo (Log Integration Method) in all contactors during peak flow, daily. |
Minimum and average ozone concentration Cfinal (mg/L) for each contactor in service, daily. |
Log Inactivation by ozonation, for Giardia, virus and, if applicable, Cryptosporidium, daily at peak flow and the minimum CT, daily. |
12 Va. Admin. Code § 5-590-570
Statutory Authority: §§ 32.1-12 and 32.1-170 of the Code of Virginia.