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1993 - Park Place Lead & Copper Study
City of Sebastian POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 ❑ FAX (407) 589-5570 July 29, 1993 Mr. Steve Surowrecki/Byron Stroud Fleetwood Homes 604 North Frontage Road Plant City, FL 33566 Re: Lead and Copper Used in Potable Water Plumbing Systems in Fleetwood Manufactured Homes Dear Mr. Surowrecki: The City of Sebastian currently provides potable water service to the manufactured home development of Palm Lake Club. The City is obligated, by law, to conduct a lead and copper survey in this development to determine the levels of lead and copper in the drinking water within the residences. Samples will be taken at the customers' taps inside their homes. As part of the survey, information must be provided as to the type of materials that are used in the home. The survey, of course, is primarily concerned with any lead solder used in the plumbing, and with copper used in the pipes, brass or bronze fittings, valves, and fixtures. I would appreciate a letter from you describing the types of materials used in the potable water systems within your Fleetwood Homes. Possibly you could provide me with the specifications on the material used and the standards to which the materials comply, i.e. ASTM, NSF. Also, I would like to know the years in which Fleetwood Homes used lead and copper in its plumbing. Palm Lake Club has been in existence since 1990. Therefore, all of the homes erected within the development should be manufactured no earlier than 1989. Please send me a letter as soon as possible so that I can include it with the testing information to be submitted to the Florida Department of Environmental Regulation. Sincerely, �/J Richard B. Votapka, P.E. Utilities Director RBV/nsv Lawton Chiles Governor Florida Department of Environmental Protection Central District ---------------- v - 3319 Maguire Boulevard, Suite 232 Virginia 11. Wetherell Orlando, Florida 32803-3767 Serrelary September 1, 1993 0 r3" 780/27 5z6as-ta FI 3J573 Attention: F)ri ham. =-nd.c- R, '_ Cou ty - PW PWS Name: 5e bo r�t�.,., Cz 1-)-.11 PWS ID No. 8111135- Dear 311135 Dear nWne, Pursuant to the EPA Lead and Copper Rule (56 FR 26460) and DEP Rule 17-551, Florida Administrative Code, you are required to submit a Materials Survey and Site Sampling Plan to DEP that identifies a pool of targeted sampling sites for tap water monitoring. All community and non -transient non -community water supply systems serving a population of 3,300 people or less shall begin the initial monitoring period July 1 through December 31, 1993. The Materials Survey and Site Sampling Plan must be approved by DEP before any tap samples can be taken. As of the date of this letter, we have not received the Materials Survey and Site Sampling Plan for your system. These must be submitted on the appropriate forms (copy enclosed). Please submit these plans no later than September 30, 1993, or, if unable to do so, send a letter detailing why they have not been submitted and what steps are being taken to comply. You may contact Mrs. Mary Pace at (407) 894-7555, or Florida Rural Water Association at (904) 668-2746, if you have any questions concerning this letter. Thank you for your cooperation in resolving this matter. Sincerely, W F — lsor Ing Wa pliance/Enforcement WE:mp Enclosure cc: T�d_L " IC, V/' CPHU Florida Rural Water Association, Tallahassee Mary Pace, DEP-Drinking Water Compliance/Enforcement Printed an recycled paper. DER..,. , iT Iv w T„Y U" ,, n.. �. l..a ... f,...., Florida Department of Environmental Regulation DER A14... Tei. 7e , Offs NW, 26 66, Sw. Ro.O T.IWuus, Fb,b 32)90.2.00 (FJwJ ., H UE4) Sampling Plan for Lead and Copper Tap Samples and Water Quality Parameters GENERAL INSTRUCTIONS: Complete all parts of this form, attach any maps and written narrative describing the sampling plan and submit to the Department 30 days prior to the beginning of a six-month monitoring period for lead and copper in drinking water. The Department will notify a system of approval of a Sampling Plan in writing which will provide the system notice to proceed. Submit a revised Sampling Plan using this form if any changes in the selection of sampling sites must be made. When no changes have been made, no resubmission is necessary prior to sampling during the next six-month sampling period. , The last part of this form includes a certification within which a system's authorized representative attests to the accuracy of the information used in preparing these plans and its conformance with the requirements of Chapter 17-551, Florida Administrative Code, to identify sampling sites for lead and copper that are at the highest risk level for exposure to lead and copper in drinking water. Submission of any false statement of representation in this form is a violation of the law. Attach additional sheets as necessary. PART I WATER SYSTEM INFORMATION Water System Name: System type (circle one): CWS or NTNC Identification Number (PWS -ID): Population served: Population Interval (circle one): A B C D E F G Contact person: Contact phone number: Mailing address: Estimating Population Served, Population Interval and the Number of Sampling Sites. The minimum number of tap sample sites for lead and copper (LC) and water quality parameter (WOP) distribution system sample sites is based on a system's population served interval which is selected from the table below. For the purposes of Chapter 17-551, F.A.C., the population served is the sum of the number of permanent residents and the number of additional non -transient persons to whom the system is available, such as school children, office and commercial employees and seasonal residents. I POPULATION SERVED POPULATION INTERVAL LC SITES WOP SITES A greater than 100,000 100 25 B 50,001 to 100,000 60 10 C 10,001 to 50,000 60 10 D 3,301 to 10,000 40 3 E 501 to 3,300 20 2 F 101 to 500 10 1 G less than 101 5 t paoA 1 of 1 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS PART III MATERIALS SURVEY DEM 1— . Ixp.l wro Mn 1.Y Y.., ry.. Ir. I�.n .., <r...� l.r YwnMr .M W,,,I (yrl.v I.I..rr„I. DEM Ary .1. M, r IPJtr< In q DEMI Fill out the following Materials Survey table to summarize the results of the records review performed under Part II of this Form to identify a sampling pool of lead and copper tap sampling sites. Enter the number of single family residences (SFR), multiple family residences (MFR) and other buildings (BLDG) by site type that have been identified in the system's sampling pool. In A show the interior plumbing characteristics by structure type. Show in B, the number of known lead service lines in the entire distribution system. Show in C, the number of connections that are affected by lead components. The total number of sites in the sampling pool is listed in D by type of structure. The total number of connections in the distribution system is listed by type of structure in E. MATERIALS SURVEY. SUMMARY TYPE OF STRUCTURE SFR MFR BLDG, NUMBER OF SERVICE CONNECTIONS A. INTERIOR PLUMBING MATERIAL SITE TYPES Lead Pipe Copper Pipe With Lead Solder Installed After 1982 Copper Pipe With Lead Solder Installed Before 1983 Brass Faucets Point -of -Use or Point -of -Entry Treatment Devices Lead -Lined Water Coolers Other Lead Plumbing Components B. SERVICE LINE SITE TYPES' x r;!,x.....o...:: w ,:..... Now -�-yt r , `' ` Lead Service Lines Total Initial Number of Lines That Are Entirely Lead and Subject to Replacement Partial Lead Lines Goosenecks Pigtails C. DISTRIBUTION SYSTEM SITE TYPES Connections Within 100 ft. of Lead Components D. TOTAL NUMBER OF SITES ",t�a+.>,. �,�.... ..c v�.r, •2--;s ..-_g•:c.-..<+Fa.+s.t::, c.., .,a ... ,d,...z,...-ad—..—.cw-k ,_„... K .an•��"' `x =n 51, .ny'� E. TOTAL NUMBER OF CONNECTIONS I . TPn ne Iof 7 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS PART IV LEAD AND COPPER TAP SAMPLING PLAN DER Fr.m d U-Hi'yAll F.m Til. 3,wlin M.n fo 1<.d.rd [ Ln S. 1. ..d W Mal' M1nmro. Elf.d.. Dau SWI DER Af9 iuiim Nu. fFill.d in bF DER) Pape 5 of 7 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS DLR Fn. F",m T"k %.m Iw Pl.n 4• IIaJ .M Cm.r ralmu.e D", ' Iw1 DER AMIi L. Nn. PART VI SAMPLING PLAN CERTIFICATION RJkJ x hr DIA) Site Selection Criteria. Whenever possible lead and copper tap sample plans must include tier 1 sites exclusively. Explain the selection of other than tier 1 sites and, if sites were changed from one monitoring period to another, why this was necessary (attach additional pages if necessary). Lead Service Line Sites. When lead service line sites are identified they must comprise at least fifty percent of the selected samples. Explain why the percentage of lead service line sites is not at least fifty percent of the required number of sampling sites (attach additional pages if necessary). Water Quality Parameter Sampling Plan. If any WQP sampling sites are not also microbiological sampling sites, explain how the selected distribution system water quality parameter sampling sites represent water quality throughout the distribution system based on the distribution of population, the different sources of water and treatment methods, and an even distribution of sampling throughout the six-month sampling period (attach additional sheets as necessary). WQP Analytical Procedures Certification If the WQPs will not be analyzed by a certified lab, list the analytical procedures that will be used to determine their values. The approved test methods are listed in Chapter 4 of "The Lead and Copper Rule Guidance Manual, Volume I: Monitoring" (ref: Rule 17-555.335(2), F.A.C.) WQP METHOD EPA ASTM SM USGS pH Conductivity . EAlkalinity 2550 I certify that the information listed and checked in Part II of this form was used to perform the materials survey in order to identify the total number of lead service lines in this water system and to establish the sampling pool and sampling plans. I further certify that the number of lead service lines reported in Part III of this form is the total known number of lead service lines in this water system and that the selected sampling sites in Part IV are the highest risk sites available. Signed Name Title Date Paee 7 of 7 IPLEASE PRINT) L,-,.4 4— LG ba,,Ao,I C- Q 1( $ iS SS G i 4s 10r i c a I Department of Envlronmcntal Regulation i��n � ��� 1 ..n, -.. .,,,i 1..-n \...e �.� 1...✓�.�.,--a. � I 111✓l`\I 'n✓n-. \. ,: •-�I. n, MM1I,IR\• Certification of Lead and Copper Tap Sample Collection Methods Water System Name: Contact person: System type (circle one): CWS or NTNC Contact phone num Identification Number (PWS -ID): Mailing address: Population served: I certify that: Each first draw tap sample for lead and copper is one liter in volume and has stood motionless in the plumbing system of each sampling site for at least six hours. Each first draw sample collected from a single-family residence has been collected from the cold water kitchen tap or bathroom sink tap or routine drinking water source. Each first draw sample collected from a non-residential building has been collected a, an interior tap from which water is typically drawn for consumption. Each first draw sample collected during an annual or triennial monitoring period has been collected in the months of June, July, August or September. Each resident who volunteered to collect tap water samples from his or her home has been properly instructed in the proper methods for collecting lead and copper samples. I do not challenge the accuracy of those sampling results. Enclosed is a copy of the material distributed to residents explaining the proper collection methods, and a list of the residents who performed sampling. SIGNATURE Or AUTHORIZED PWS REPRESENTATIVE: NAME (Please Print): TITLE: DATE: DRArT January 19, 19K_' Florida DF` Fn"" 114"1'"" F. Tm< Cm,fwien of ln�n,n< la Department of Environmental Regulation "n rmrgllq aw4Mp, True term Off. Bid, 26W Bw, S. b6 Ulm.... FWn.• 111W -2.W �'�"< Du< !m+• w) DEA .yglwunn No (F,IId m bl DQ) Certification of Training for Homeowners Collecting Tap Samples Water System Name: Contact person: System type (circle one): CWS or NTNC Contact phone number: Identification Number (PWS -ID): Mailing address: Population served: PART I SAMPLING INSTRUCTIONS Samples are being collected to determine the contribution of faucet fixtures and household pipes and/or solder to the lead and copper levels in tap water. This sampling effort is required by the Florida Department of Environmental Regulations, and is being accomplished through the cooperation of homeowners and residents. A sample is to be collected after an extended period of stagnant water conditions (i.e., no water use during this period) within the interior piping. Due to this requirement, either early mornings or evenings upon returning from work are the best times for collecting samples. The collection procedure is described in more detail below. 1. Prior arrangements will be made with the customer to coordinate the sample collection event. Dates will be set for sample kit delivery and pick-up by water department staff. 2. A minimum of 6-8 hour period which there is no water use must be achieved prior to sampling. The water department recommends that either early mornings or evenings upon returning home are the best sampling times to ensure that the necessary stagnant water conditions exist. 3. A kitchen or bathroom cold -water faucet is to be used for sampling. Place the sample bottle (open) below the faucet and gently open the cold water tap. Fill the sample bottle to the line marked "1000-m1" and turn off the water. 4. Tightly cap the sample bottle and place in the sample kit provided. Please review the sample kit label at this time to ensure that all information contained on the label is correct. 1 5. IF ANY PLUMBING REPAIR OR REPLACEMENT HAS BEEN DONE IN THE HOME SINCE YOUR PREVIOUS SAMPLING EVENT, NOTE THIS INFORMATION ON THE LABEL AS PROVIDED. 6. Place the sample kit outside of the residence in the location of the kit's delivery in order that water system staff may pick up the sample kit. 7. Results from this monitoring effort will be provided to participating customers when reports are generated for the State unless excessive lead and/or copper levels are found. In those cases, immediate notification will be provided (usually 10 working days from the time of sample collection). CALL: at if you have any questions regarding these instructions. If you fully understand the samoie collection proceoure, sign the certification on Page 2 of this form. Page 1 of 2 Florida Departm-ent of E77,Z47-077.772eWal Reg71167ti077 Twin Office Rldp, o 2600 131:iir Sione R(md o '(;dla hassre. 1'I,iriva 42 99- -ioO Public Drinking Water System Laboratory Analysis Reporting Format for Lead and Copper Tap Samples CERTIFIED LABORATORY NAME: HRS CERTIFICATION NUMBER: LABORATORY CONTACT AND PHONE NUMBER: SUBCONTRACTORS NAME, CERTIFICATION NUMBER, AND PHONE NUMBER The attached sampling analytical results were submitted by the following public water system. Each sample container contained one liter of solution (=100m1). All samples were to the best of our knowledge taken properly by the following system and analyzed in accordance with the requirements listed on page 26560 of the June 7, 1991 Federal Register. Tap sampling dates were reported for each sample received. PUBLIC WATER SYSTEM'S DER I.D. NUMBER: PUBLIC WATER SYSTEM'S NAME: (MUST BE INCLUDED WITH SAMPLE SUBMITTAL) I do HEREBY CERTIFY that all data submitted are correct. SIGNATURE NAME(PRINT) LABORATORY DATE DER/ACPHU REVIEWING OFFICIAL: DATA SUBMITTAL (CHECK ONE) SATISFACTORY ( ) UNSATISFACTORY NOT PROPERLY IDENTIFIED( ) Format 17-551.950(10) June 1992 Lead and Copper Tap Sample Analysis And Result Ranking Report Format System Name: Date Submitted to Lab: PWS -ID: Analysis Date: _/_/_ Laboratory Name: Lab Analysis method: Lab -ID: Lead or Copper (list one): Contact Person: Method Detection Limit: Phone: ( 1 90th Percentile Value: Format Reference: Rule 17.551.951(1). =-A.C. Paoe 1 of 2 I A] II RANK 1 ffceM�np 1 LOCATION CODE UB SAMPLE ID. DATE SITE SAMPLED LEAD 1 mph I COPPER I mpA I NO TIER I� I I I I II II I II{ Format Reference: Rule 17.551.951(1). =-A.C. Paoe 1 of 2 Systern Name: System Type (circle one) PWS -ID: Contact Person: Phone: IILOCATION -ID Ent.y Point D.sbib. Sysr. Distribution and Entry Point Water Quality Parameter Reporting Format SAMPLINGI TEMPERATURE DATE deorees C or F CWS or NTNC CONDUCTIVITY Population Interval (chack one) A_ B_ C_ D_ [_ F or G Monitoring Period Imonddyear): From _)_ to WOP Round (circle one): 1St or 2nd Number of Sampling Sites Required Iso, i.....n,dans) Number of Sampling Sites Reported pHI CALCIUM. I ALKALINITY I ORTHOPIIOSPHATC I SILICATES .—d�On . mon neon man Dosuoa/ Can. Do •aoe/ Con, Dusaoal Con. rorinat Reference: Section 17-551.951(3), F.A.C. n,�n t nr o SEP 06 '93I 11. :27 BIO SERUICES OF UERO P.02 REVIEW CHECKLIST' LEAD and COPPER RULE Form 17-551.950(1), Sampling Plan for 1�ead and Copper Tap Samples and Watcr Quality Parameters Pk? -K PLACE W nTt7z STcM PWSII):/(�� Pop. Served ( �S'a ) PWS Name: i4'nt- Plo« /[; ,� S� dGa•�r� PWS Type: Cw or NTNG Consecutive Yea IC Mailing Address: a�-Z! A711L �w ,r4 --L Consolidated Yes 4S Required b of Samples: / City, State Zip: be, vv Awe 4F 31 �6 0 `C Tap Samples ( 10 ) ePcI) REVIEW ITEM DATE Yes/No 1. The PWS submitted it Sampling Plan and supporting Mal`eria'Ts Survey and Records Rev:ay. v 2. The Plan was submitted using Form !7-551.950(1). 3. The Plan is consolidated with that of another system (if yes go to 28)_ PRa+trilm itq ., r , a .StlSe.sinNAmnfo es ' ...r. 4. All Part I information is complete. T 5. The Population Served includes seasonal and other additional non -transient population such as employment and school population. i , 6. The population interval is correctly identified. vtA 7. The optional review methods have been checked by the system. (b) The system's authorized representative certified on Page 7 that the Records Review was completed and used to identify sampling sites. x a'�v%+' { �.r+„C'^"J�a'^^:eZ.7 s. -3"i•2:F'} rk°.y�y` 7 X' t, .ear .... ��', t. 1=11 p1 .a,$ealt 'F .ya§�kYM ``p'Wp'..Y.. 8. The Type of Structure is shown for 'he sites summarized in Part 111. 9. The Plan identifies the total number of lean service iines (LSL) in Part B. dote . $3e � w...a K .....,w"�i'Y?3:°e k„ .h: :9X .S'u�:�'..�•n°'>T'��e�.:.�Y •). r :rar 10. Each site is assigned a three -digit ID number and a tier number. I 11. The Plan identifies a sampling pool of sampling sites that exceed the . required minimum number to allow for replacement contingencies. A 50 percent buffer is recommended. 12. The Plan shows the (s)elected and (o)ptioual sampling sites. 1 13. The number of selected sites equals or exceeds the required minimum number. Page 1 of 3 n G REVIEW ITEM Yes/No 14. A contact person, address and phone number has been listed for each selected site. l7 15. The site structure type, home plumbing material and whether the site is served by an LSL has been listed. 16. (a) All sampling sites are tier 1 sites, or (b) The system selected some tier 2 sites, and documented that it had reviewed all service connections to identify all tier 1 sites and contacted all tier I site owners or occupants and selected tier 2 sites because there are too few available tier 1 sites to select the required minimum number of sampling sites, or (c) :'he system selected some tier 3 cites, and documented that it had re.yjp,.w_Pd_Al serylpe,.connections to identify all tier l .and tier 2 sites and contacted the owners and occupants cf all tier 1 and tier 2 sites and selected tier 3 sites because there were too few available tier 1 and tier 2 sites to select the minimum number of available sampling sites, or (d) The system selected tier 4 sites, and documented that it had followed the protocol in (a) through (c) above and selected tier 4 sites only after reviewing all service connections and finding that there are too few available tier 1, 2 or 3 sites to select die required minimum number of sampling sites. 17. If LSLs are present, the system has targeted all of these sites up to a maximum of 50 % of the minimum number of sampling sites. /t' % 18. The Plan identifies the number and percentage of selected sampling sites served by LSLs. // / t4- 19. (a) The percentage of selected ISL sampling sites does not exceed 50 p percent, or (b) Exceeds 50 % only if a sufficient number of tier 1 sites with lead pipe or lead solder in their home plumbing are not available. arf$�?azaitiltiarth�smMitxzir�tndt m�yst�i� �tiayt3ela�,cbmplletingtttus partf� „rr� %ptkt�T�?o the start flf� srnpitdg period unlessttt�)tas excezdetI anMactaofi levet, ., s..kx.[.:. 4 a..: +. ,y .:,.:e �... e, a la :.__:..•," ...,. .T.°: by sf.A'.G:.`dk S +.,"...tl ... rs ...i es.�n 53 20. The WQP Plan identifies the required minimum number of distribution system sampling sites based on the population interval. 21. The WQP Plan identifies a sampling site at each entry point. 22. The WQP Plan assigns each site an ID number. 23. The WQP Plan provides a location description or street address for each sampling site. 24. The WQP Plan's target sampling dates show a seasonal distribution of sampling of the two samples taken at each site. Page 2 of 3 0 E< 3 Page 2 of 3 REVIEW ITEM Yes/No 25. The WQP Plan identifies which approved analytical methods will be used. 26. The system's authorized representativ;, stated (see form, page 7) that the WQP Plan represents the entire distribution system, reflects all treatment types, all sources of water, and the distribution of the population served.. 27, For consecutive systems, all WQP entry point samples are at the interconnection points with the supplying system. �/ f 'ea; �4a J,`"'vb5 38 web eYlII>r".sa..43'+1 $ : 49A.} v ,� $otsoltda c'o�n�secutive stem tl?ay.�eon�olt8 1,sampltn hplans�yitih;a x'g% Ri(� , ti's' 'u.tl. a♦y� 4 =AV Tr 'AWYiaMAY y RI ,�y Lit Y1% 54�l�hµi��++a+�i2aa+.3333Lyccccycy�Mnnnnn�3j x � •Su .'i'XY. n' ..��� Yi•iu�: 28. An agreement among the consolidated systems was submitted. 29. Initial monitoring is complete for all systems. 30.None of thesystems exceed an action level. 31. There are at least five samples per system in the proposed Plan. t S&L It;"1:t WE ed artap1 an rt oto. uatno r crlarr�s�`w eDy3Rin�[e<ui�#��attg I.e 32. Replacement sites are as close as possible to dropped sites. 33. (a) Replaced sites have become unavailable, or (b) Tier change due to LSL, plumbing modifications, or (c) Prior measurements art under the lead action level. 34. All sites are the highest tier level. 35. For reduced monitoring, all LC tap sampling sites have been field verified. 36. Reduced monitoring, LC Samples are scheduled in June - September. CER KATION OF REVIEW U SEP 06 193 12:31 BIO SERUICES OF UERO P.al REVIEW ITEM Yes/No 25. The WQP Plan identifies which approved analytical methods will be used. 26. The system's authorized representativ. stated (see form, page 7) that the WQP Plan represents the entire distribution system, reflects all treatment types, all sources of water, and the distribution of the population served.. 27. For consecutive systems, all WQP entry point samples are at the interconnection points with the supplying system. kr s`'"� N'S ^+MayF",Si `"" t "'A .afki swv' E u.P•cxi 'Smkt asg a "�3., .eb.dC, .. ,f,����� C�ri�olxtlale'��a;L�;onsecu"Iiu� ss�,stem"�S ma�A.�sR�idaie��s�p'i "lm ;xplatu�tth`a'"�c.. 28. An agreement among the consolidated systems was submitted. 29. Initial monitoring is complete for all systems. 30. None of the iystems exceed an action level. 31. There are at least five samples per system in the proposed Plan. Riset�Saznpltng an . iu�b� i� ramgl�n xtbttoxT M s 3 n <> t tgnttorin evnsoltt98"I 12"M pr w� m; luig site trltrst�b�hanged� ^ a?'" ';...a`�::�.>s.>.' .,�<,uy�✓ :r: �ia ` .Ys.: "*. r.'> S$'Y5'3 A`�'.F+ww'nN 'c., ..i :swx;a 32. Replacement sites are as close as possible to dropped sites. 33. (a) Replaced sites have become unavailable, or (b) Tier change due to LSL, plumbing modifications, or (c) Prior measurements are under the lead action level. 34. All sites are the highest tier level. 35. For reduced monitoring, all LC tap sampling sites have been field verified. 36. Reduced monitoring, LC Samples are scheduled in June - September. C7FR KATION OF REVIEW 1 nave reviewed the Sampling Plan for Lead and Copper Tap Samples and. Water Quality Parameters, and I find the Plan described therein is sufficient to meet the requirements of Rule 17-551.400(2), F.A.C. and 40 CFR 141.86. The system listed above is advised to commence the monitoring described herein. O The Plan is not satisfactory. The following review items are insufficient and need'to be corrected: Please revise and resubmit for additional review by the Department before the beginning of any monitoring. Reviewer Reviewer Page 3 of 3 rogram Office: Date: 1 -212 --fl 3 SEP 06 '93 12131 BIO SERUICES OF UERO P.02 The Nater Quality Parameter Plan was no: included in this submittal. I; your tap samples exceed the action. level :o: lead or copper, you will then need to test the water quality parameters. Please submit the plans for Nater Quality Parameters to DER for approval before proceeding with that portion of the testing. SEP 06 i OF fL 93 12:32 BIO SERVICES OF UERO Florida Department of Environmental Regulation T_m Tarte OT 9W, Y 41.4 4 Rad TJW... Fl , r-3 Y2A P.03 OF3 F.,a / H-09 Vfbn Fan TIJn S,1 F}sIft ra r -.J CM C4¢r Tp 3.n d WWI QwFl R.YI Etkn:w N� I4?3 DER Awlia N. E 501 to 3,300 (FdW m br DER, Sampling Plan for Lead and Copper Tap Samples and Water Quality Parameters GENERAL INSTRUCTIONS: Complete all parts of this form, attach any maps and written narrative describing the sampling plan and submit to the Department 30 days prior to the beginning of a six-month monitoring period for lead and copper in drinking water. The Department will notify a system of approval of a Sampling Plan in writing which will provide the system notice to proceed. Submit a revised Sampling Plan using this form if any changes in the selection of sampling sites must be made. When no changes have been made, no resubmission is necessary prior to sampling during the next six-month sampling period. The last part of this form includes a certification within which a system's authorized representative attests to the accuracy of the information used in preparing these plans and its conformance with the requirements of Chapter 17-551, Florida Administrative Code, to identify sampling sites for lead and copper that are at the highest risk level for exposure to lead and copper in drinking water. Submission of any false statement of representation in this form is a violation of the law. Attach additional sheets as necessary. PART I WATER SYSTEM INFORMATION Water System Name: �0." PlaLf,, Of—Cr— 5{%&J Contact person: :yvvyt P BJvthrj System Type (circle one): CWS or NTNC Contact phone number: Ltfo+j sr. ;-2 fr ct Identification Number, (PWS -ID): Q, %4(frl Mailing address: dwlt p✓✓"( q ✓W at.—, Population served: 3Ifo-35V -2 P A -� v'e ro Begc,L, ►�, �1frb 0 Population Interval (circle one): A B C D E© G Estimating Population Served, Population Interval and the Number of Sampling Sites. The minimum number of tap sample sites for lead and copper (LC) and water quality parameter (WQP) distribution system sample sites is based on a system's population served interval which is selected from the table below. For the purposes of Chapter 17.551, F.A.C., the population served is the sum of the number of permanent residents and the number of additional non -transient persons to whom the system is available, such as school children, office and commercial employees and seasonal residents. POPULATION SERVED POPULATION INTERVAL A greater than 100,000 6 50,001 to 100,000 C 10,001 to 50,000 0 3,301 to 10,000 E 501 to 3,300 101 to 500 G less than 101 LC SITES 100 60 60 40 20 10 5 WQP SITES 25 10 10 3 2 1 1 Page 1 of 7 DRAFT January 19, 1993 SEP 06 '93 12:32 BIO SERUICES OF UERO P.04 SArvIrLINU rLrly rurt LCrau AIVU l.Ur'r'tK 1 Ar bAMrLtJ AND WATER QUALITY PARAMETERS oea Fan ,r.ssi.4ai' Fare T"nb 3�piure Pun fa l.rd ,ed Caemr Tie u�C W.nr pWin hnnern Elfutiw Oee 19p] DER Apokm pia PART II RECORDS REVIEW `cues m by DERI Locate and review existing plans, drawings and reports of the water system and also those kept -by county or municipal building departments or code enforcement offices to Identify the required number of sampling sites and the total number of lead service lines in the distribution system. Identification of Interior Plumbing Material Types. Identify single family and multiple family residences and buildings that have interior plumbing containing lead pipe, solder containing lead and built before January 1, 1983 and after December 31, 1982; and structures with brass faucets and those with point -of -entry or point -of -use devices. Required sources of review to determine the composition of interior plumbing materials 1. Plumbing or building codes. 2. Plumbing or building permits. 3. Contacts within the building department, municipal clerk's office, or state regulatory agencies for historical documentation of the service area development. 4. Review of drinking water sampling results,such as those from lead testing in schools. Identification of Lead Service Lines and interviews to determine the number and that contain lead. Required sources of review. Optional sources to determine the composition of interior plumbing materials. Check the ones that have been utilized. Interviews with building inspectors. Survey of service area plumbers about when and where lead solder was used from 1983 to present. Survey of residents in the sections of the service area where lead pipe and/or copper pipe with lead solder is suspected to exist. Interview of local contractors and developers -/-- J0^--5- - 4c - Components with Lead Content. Review available records and conduct location of lead service lines and water distribution system components 1. Distribution system maps and record drawings. 2. Information collected on the presence of lead and copper required under 40 CFR 141.42 (special monitoring for corrosivity). 3. Capital improvement plans and/or master plans for the distribution system development. 4_ Current and historical standard operating procedures or operation and maintenance (O&M) manuals for the type of materials used to install service connections - Optional sources of review. Indicate by a check mark which of the sources listed below were used. Interviews with utility employees familiar with past construction practices. Service line sampling where lead service lines are suspected to exist but their presence was not otherwise confirmed. Review of permit files. A community survey was performed. Interviews of pipe suppliers, contractors, and/or developers were conducted. S. utility records including meter installation records, customer complaint investigations and all historical Interview of local contractors and developers documentation which indicate and/or confirm the Other, please attach written narrative. location of lead service connections. 6, Drinking water sampling results that indicate that a structure is susceptible to lead in drinking water. Page 2 of 7 DRAFT- January 19, 1993 0� SEP 06 '93 12:33 BIO SERUICES OF UERO P.05 SAMPLING NLAIN f -Uri LM/Au r,vu %,wr r w • , n, DEP F. • nssi.vavi ANO WATER QUALITY PARAMETERS Fmn T•k �,a a= Elrsti.• n.. 199) DEA Aee ,i Ns PART III MATERIALS SURVEY ,Fi1kE in by DER) Fill out the following Materials Survey table to summarize the results of the records review performed under Part II of this Form to identify a sampling pool of lead and copper tap sampling sites. Enter the number of single family residences (SFR), multiple family residences (MFR) and other buildings (BLDG) by site type that have been identified in the system's sampling pool. In A show the interior plumbing characteristics by structure type. Show in B, the number of known lead service lines in the entire distribution system. Show in C. the number of connections thatareffected by structure. The total number components. The total number of sites in the sampling pool is listed in D by type of connections in the distribution system is listed by type of structure in E. TYPE OF STRUCTURE MATERIALS SURVEY SUMMARY SFR I MFR I BLDG NUMBER OF SERVICE CONNECTIONS A. INTERIOR PLUMBING MATERIAL SITE TYPES 3 LeaCopd Copper:._ Mme 1983 7 M�MMM Brass DevicesPoint-of-Use or PoinT-of-Entry Treatment SMMM Lead -Lined Water Coolers Other Lead Plumbing Components B. SERVICE LINE SITE TYPES r y Lead Service Lines Total Initial Number of Lines That Are Entirely - e Lead and Subject to Replacement r C. DISTRIBUTION SYSTEM SITE TYPES Connections Within 100 ft. of Lead Components D. TOTAL NUMBER OF SITES z E. TOTAL NUMBER OF CONNECTIONS /165 1�^ Page 3 of 7 DRAFT January 19, 1993 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS PART IV LEAD AND COPPER TAP SAMPLING PLAN DDR F. 111511,01M1 Fan.rN F_MJur" U. M lud"coo T.>fmoW W Wem1 Q,"" prereor Eftwi. Dw In DFA ApokKim Ho. meed Y by Do to m m m Pipe 5 of 7 DRArT January 19, 199 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS PART IV LEAD AND COPPER TAP SAMPLING PLAN MF. / n. /r -r—1 ram TW s - r el a lu0 w caw Tw s W w w 1).oB ati Ekalw 11 IW) . OfiR ArplMem Na. {FN 4- —.,DM m n,aP S r%f 7 iI DRAFT January 19, 1993 Total Tier 1 Sites TYPE - LOCATION LL nlz CONTACT PERS9N LSL , Y!N HOME : PLUMBSNt, MATERIAL FIELD VERIFIEb Y(N SITE, STATUS .. 510 - TRAINB+G STATUS YIN .4 x NAF1) PHONE S SPA SI -l2 d1(0 f.laE4t J?ew �, � t. u�� Cl't-A 3`[�3 vW 1 3 &, ba�1 -38YSS5 33 1 h„ , (l IA/oV-Lf- b�. Fs�t-�� 51, R. u Ll.ak TXaA.Sf-cS S'-3�an 59 1 L 30 - 1y F k) d ti� �� f3F F' r3 F (� 0 tj f✓ VT n,aP S r%f 7 iI DRAFT January 19, 1993 Total Tier 1 Sites I Total Tier 2 Sites Total Tier 3 Sites >� Total Tier 4. Sites n,aP S r%f 7 iI DRAFT January 19, 1993 SEP 06 '93 1235 BIO SERUICES OF UERO w.1. P.08 9j1,551,P5W1. ANu 1lVA I rM UUAL1 I Y I'AHAML I LRS F. Tab §Mdl Py k� cam, Trp S-Wv W W,vr Qaab Ants en Elan,. 13r IPPI OFR App6o Na. PART VI SAMPLING PLAN CERTIFICATION mideyDoti Site Selection Criteria. Whenever possible lead and copper tap sample plans must include tier f sites exclusively. Explain the selection of other than tier t sites and, if sites were changed from one monitoring -period to another, why this was necessary (attach additional pages if necessary). Lead Service Line Sites. When lead service line sites are identified they must comprise at least fifty percent of the selected samples- Explain why the percentage of lead service line sites is not at least fifty percent of the required number of sampling sites (attach additional pages if necessary). Water Quality Parameter Sampling Plan. If any WQP sampling sites are not also microbiological sampling sites, explain how the selected distribution system water quality parameter sampling sites represent water quality throughout the distribution system based on the distribution of population, the different sources of water and treatment methods, and an even distribution of sampling throughout the six-month sampling period (attach additional sheets as necessary). WQP Analytical Procedures If the WQPs will not be analyzed by a certified lab, list the analytical procedures that will be used to determine their values. The approved test methods are listed in Chapter 4 of "The Lead and Copper Rule Guidance Manual, Volume I: Monitoring" (ref: Rule 17-555.335(2), F:A.C.) WaP METHOD EPA ASTM sM USGS [pH Conductivity Calcium Alkalinity Orthophosphate Silica Temperature 2550 Certification I certify that the information listed and checked in Part II of this form was used to perform the materials survey in order to identify the total number of lead service lines in this water system and to establish the sampling pool and sampling plans. I further certify that the number of lead service lines reported in Part III of this form is the total known number of lead service lines in this water system and that the selected sampling sites in Part IV are the highest risk sites available. Signed e2_ v —, Name rc+N` P. r WV+--& / IPLFA6E PWNT7 Title Cev r, �,' e OpCra {'g ✓ Date S cl3 Page 7 of 7 DRAFT January 19, 1993 ^SEP 06 '93 12:36 BIO SERUICES OF UERO P.01 a DER F. rest �.950r1i 2 /✓.i'_'�-\�' DER T.r! Surmr Ol.n Iv Led W Cm¢r WYmFlorida Tre Sv W W w -m 0mhi N-- W— We!� Department of Environmental Regulation DER Am"u N'- J T. To...• OR RWM. ] 0b sum SJY6r�. Flwd• J_J9?2a0 (nlbd in br DER) 11,,,E W P�� Sampling Plan for Lead and Copper Tap Samples and Water Quality Parameters GENERAL INSTRUCTIONS: Complete all parts of this form, attach any maps and written narrative describing the sampling plan and submit to the Department 30 days prior to the beginning of a six-month monitoring period for lead and copper in drinking water. The Department will notify a system of approval of a Sampling Plan in writing which will provide the system notice to proceed. Submit a revised Sampling Plan using this form if any changes in -the selection of sampling sites must be made. When no changes have been made, no resubmission is necessary prior to sampling during the next six-month sampling period. The last part of this form includes a certification within which a system's authorized representative attests to the accuracy of the information used in preparing these plans and its conformance with the requirements of Chapter 17-551, Florida Administrative Code, to identify sampling sites for lead and copper that are at the highest risk level for exposure to lead and copper in drinking water. Submission of any false statement of representation in this form is a violation of the law. Attach additional sheets as necessary. PART 1 WATER SYSTEM INFORMATION Water System Name: 0 .J _C14 1w 1 System type (circle one): CWS or NTNC Identification Number (PWS -ID): 33)' 1 1 3 F Population served: ✓ GJ =} O Population Interval (circle one): A B C D E F oG Contact person: Ta Ne ? 6v,iovJ Contact phone number: 001)565- frtf Mailing address: 6�0-S&Lv"Cd.0 4Wj,-,c, l p-w&ot.l_ rL 3256 O Estimating Population Served, Population Interval and the Number of Sampling Sites. The minimum number of tap sample sites for lead and copper (LC) and water quality parameter (WOP) distribution system sample sites is based on a system's population served interval which is selected from the table below. For the purposes of Chapter 17-551, F.A.C., the population served is the sum of the number of permanent residents and the number of additional non -transient persons to whom the system is available, such as school children, office and commercial employees and seasonal residents. Dnoi n eTMN CFRVFD POPULATION INTERVAL LC SITES WOP SITES A greater than 100,000 100 25 B 50,001 to 100,000 60 10 C D E F 1.s: 10,001 to 50,000 60 10 3,301 to 10,000 40 3 501 to 3,300 20 2 101 to 500 10 1 less than 101 5 1 Page 1 of 7 DRAFT January 19, 1993 RUICES SEiL:�Vli% E 02`.vivn .rIou ,u'rm iirzimrLGA AND WATER QUALITY PARAMETERS UERFom F. Tpb ; Vlw r, for led W Gcoer Tap $,I "W W,b1 QWIIl1 P.... Effwiw Clue Im DER Apo"m No. PART 11 RECORDS REVIEW "1"'""'°L" Locate and review existing plans, drawings and reports of the water system and also those kept by county or municipal building departments or code enforcement offices to Identify the required number of sampling sites and the total number of lead service lines in the distribution system. Identification of Interior Plumbing Material Types. Identify single family and multiple family residences and buildings that have interior plumbing containing lead pipe, solder containing lead and built before January 1, 1983 and after December 31, 1982; and structures with brass faucets and those with point -of -entry or point -of -use devices. Required sources of review to determine the composition of interior plumbing materials 1. Plumbing or building codes. 2. Plumbing or building permits. 3, Contacts within the building department, municipal clerk's office, or state regulatory agencies for historical documentation of the service area development. 4. Review of drinking water sampling results,such as those from lead testing in schools. Optional sources to determine the composition of interior plumbing materials. Check the ones that have been utilized. Interviews with building inspectors. Survey of service area plumbers about when and where lead solder was used from 1983 to present. Survey of residents in the sections of the service area where lead pipe and/or copper pipe with lead solder is suspected to exist - Interview of local contractors and developers �L i'1d �i1+sPec��erJ Identification of Lead Service Lines and Components with Lead Content. Review available records and conduct interviews to determine the number and location of lead service lines and water distribution system components that contain lead. Required sources of review. 1. Distribution system maps and record drawings 2. Information collected on the presence of lead and copper required under 40 CFR 141.42 (special monitoring for corrosivity). 3. Capital improvement plans and/or master plans for the distribution system development. 4. Current and historical standard operating procedures or operation and maintenance (O&MI manuals for the type of materials used to install service connections_ .n 5. Utility records including meter installation records, customer complaint investigations and all historical documentation which indicate and/or confirm the location of lead service connections. S. Drinking water sampling results that indicate that a structure is susceptible to lead in drinking water. Optional sources of review. Indicate by a check mark which of the sources listed below were used. Interviews with utility employees familiar with past construction practices. Service line sampling where lead service lines are suspected to exist but their presence was not otherwise confirmed. Review of permit files. A community survey was performed. Interviews of pipe suppliers, contractors, and/or developers were conducted. Interview of local contractors and developers Other, please attach written narrative. r !4 LLsp« i D d Page 2 of 7 DRAFT January 19, 1993 SEP 06 '93 12 38 BIO SERVICES OF VERO ANO WATER QUALITY PARAMETERS PART III MATERIALS SURVEY Fill out the following Materials Survey table to summarize the results of the records review performed under Part II of this Form to identify a sampling pool of lead and copper tap sampling sites. Enter the number of single family residences (SFR), multiple family residences (MFR) and other buildings (BLDG) by site type that have been identified in the system's sampling pool. In A show the interior plumbing characteristics by structure type. Show in B, the number of known lead service lines in the entire distribution system. Show in C, the number of connections that are affected by lead components. The total number of sites in the sampling pool is listed in D by type of structure. The total number of connections in the distribution system is listed by type of structure in E. MATERIALS SURVEY SUMMARY A- INTERIOR PLUMBING MATERIAL SITE TYPES TYPE OF STRUCTURE SFR I MFR I BLDG 11 NUMBER OF SERVICE CONNECTIONS Lead Pipe �J P.03 Capper Pipe With Lead Solder Installed After 1982 DER Fare Pigtails / 11-551.9'0111 F�vrn TiJ. 4nmI, PI.,. rm Ic.a W Copper Ts9 s. " W W , 0x14. 0.r wm 06.i— o.N 1 W5 DER Allialia. No- Other Lead Plumbing Components IFabe e H DER) Fill out the following Materials Survey table to summarize the results of the records review performed under Part II of this Form to identify a sampling pool of lead and copper tap sampling sites. Enter the number of single family residences (SFR), multiple family residences (MFR) and other buildings (BLDG) by site type that have been identified in the system's sampling pool. In A show the interior plumbing characteristics by structure type. Show in B, the number of known lead service lines in the entire distribution system. Show in C, the number of connections that are affected by lead components. The total number of sites in the sampling pool is listed in D by type of structure. The total number of connections in the distribution system is listed by type of structure in E. MATERIALS SURVEY SUMMARY A- INTERIOR PLUMBING MATERIAL SITE TYPES TYPE OF STRUCTURE SFR I MFR I BLDG 11 NUMBER OF SERVICE CONNECTIONS Lead Pipe �J Partial Lead Lines Capper Pipe With Lead Solder Installed After 1982 $ Pigtails Copper Pipe With Lead Solder Installed Before 1983 C. DISTRIBUTION SYSTEM SITE TYPES ' Brass Faucets 1!� D. TOTAL NUMBER OF SITES Point -of -Use or Point -of -Entry Treatment Devices Lead -Lined Water Coolers 8 Other Lead Plumbing Components B. SERVICE LINE SITE TYPES Lead Service Lines Total Initial Number of Lines That Are Entirely Lead and Subject to Replacement Partial Lead Lines Goosenecks Pigtails C. DISTRIBUTION SYSTEM SITE TYPES Connections Within 100 ft. of Lead Components 1!� D. TOTAL NUMBER OF SITES E. TOTAL NUMBER OF CONNECTIONS Page 3 of 7 DRAFT January 19, 1993 7 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLES AND WATER QUALITY PARAMETERS PART IV LEAD AND COPPER TAP SAMPLING PLAN DCN Fenn / IiSSI.W411 Fore Ti& Su 1� , PNn f I "C, T;p S"ro W W.Ici Qw*Nm yn Mot.I IWI DER Appl:.tim No. tFw 6 by Dull Total Tier 1 Sites Total Tier 2 Silas Total Tior 7 Sites Total Tier 4 Sites Page S of 7 DRAFT January 19, 1993 1 o GONT� CT PERSON LSL fioME FIELD SITE TRAINING ID TIER TYPE Li)CATION' PLUMBING VERIPIBD STATUS STATUS ' '- MATERIAL YIN =_SIO -. YIN I P6 - Ar,r 2 (I%G- u, kck - 30 rJ Iib, S 0 490 t P' womc I R 10k S 533 0 N b S I ,At I cI P.,I.,,n (2,l" I/� .5s1� Q.lo LJ S y Total Tier 1 Sites Total Tier 2 Silas Total Tior 7 Sites Total Tier 4 Sites Page S of 7 DRAFT January 19, 1993 1 o XPEENE SEP 06 '93 12:39 BIO SERUICES OF UERO P.04 SAMPLING PLAN FOR LEAD AND COPPER TAP SAMPLtZ:i D�P� .n, 9 1 AND WATER QUALITY PARAMETERS T P Su,mlu ud Wire Oulln A,..aien Elrecuc [Y,e 19� DER AP k"Um No, iPulm m s, oEu PART VI SAMPLING PLAN CERTIFICATION Site Selection Criteria. Whenever possible lead and copper tap sample plans must include tier f sites exclusively. Explain the selection of other than tier 1 sites and, if sites were changed from one monitoring period to another, why this was necessary (attach additional pages if necessary). Lead Service Line Sites. When lead service line sites are identified they must comprise at least fifty percent of the selected samples. Explain why the percentage of lead service line sites is not at least fifty percent of the required number of sampling sites (attach additional pages if necessary). Water Quality Parameter Sampling Plan. If any WQP sampling sites are not also microbiological sampling sites, explain how the selected distribution system water quality parameter sampling sites represent water quality throughout the distribution system based on the distribution of population, the different sources of water and treatment methods, and an even distribution of sampling throughout the six-month sampling period (attach additional sheets as necessary). WQP Analytical Procedures If the WQPs will not be analyzed by a certified lab, list the analytical procedures that will be used to determine their values. The approved test methods are listed in Chapter 4 of "The Lead and Copper Rule Guidance Manual, Volume I; Monitoring" (ref: Rule 17-555.335(2), F.A.C.) WQP METHOD EPA ASTM s USGS pH Conductivity Calcium Alkalinity Orthophosphate silica Temperature - 2550 Certification I certify that the information listed and checked in Part It of this form was used to perform the materials survey in order to identify the total number of lead service lines in this water system and to establish the sampling pool and sampling plans. I further certify that the number of lead service lines reported in Part III of this form is the total known number of lead service lines in this water system and that the selected sampling sites in Part IV are the highest risk sites available. Signed c1 Name 7:TtWF P 13L)v+00 IPLEASE PAjNTIII Title (evT, 1 i e. d Da 2va.'I-o V. Date / c! YJ3 Page 7 of 7 DRAFT January 19, 1993 CITY OF SEBASTIAN UTILITIES DEPARTMENT DATE: September 3, 1993 TIME: 8:45 A.M. [ ] CONFERENCE WITH [X] TELEPHONE CONFERENCE WITH JANE BURTON OF BIO SERVICES, INC. SUBJECT: Lead and Copper Materials Survey and Site Sampling Plan for City Hall Water System RESUME OF CONVERSATION: I told Jane that yesterday I received a letter dated September 1, 1993 from the Florida Department of Environmental Protection stating that they had not received the Materials Survey & Site Sampling Plan for the Sebastian City Hall water system, PWS ID No. 3311135. Jane said that she sent the Survey and Plan off to the DEP at the same time that the Survey & Plan was sent off for the Park Place system. She said that she had received acknowledgement from the DEP that confirmed the Park Place Survey & Plan was delivered. I asked Jane to send me a copy of that correspondence. Jane said that she would contact Mary Pace at the DEP about the City Hall's Survey & Plan. I asked her to let me know the status of the plan after she speaks to Mary. ORIGINATED BY: � COPY TO: aeKoibucton