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[null,null,"Lead and Copper Sample Site Submission Form "]
[]
[]
["The Lead and Copper Rule (LCR) requires all community and non-transient non-community water systems to sample at locations that may be particularly susceptible to high lead or copper concentrations in accordance with Utah Administrative Code R309-210-6. The LCR establishes a tiering system for prioritizing sampling sites. A materials evaluation is required to help classify sampling sites into tiers. Water system owners and operators must perform a materials evaluation prior to lead and copper tap monitoring. This form defines the monitoring requirements, tiering system for prioritizing sampling sites, and includes a site selection certification form for submittal to the Department. This form is intended to help with site selection."]
[]
[]
[]
["Enter System Name, Number, and Population"]
["System #",null,"System Name",null,null,null,"Population (from waterlink.utah.gov)"]
["Table 1: Lead and copper Sampling Requirements "]
["A system may become eligible for a reduced monitoring schedule upon the completion of two consecutive rounds of standard sampling "]
["Size Category ","System Size","Number of Sample Sites Required"]
[null,null,"Standard ",null,"Reduced "]
["Large",">100,000",100,null,50,null,"Your Requirement "]
[null,"50,001 to 100,000",60,null,30]
["Medium","10,001 to 50,000",60,null,30,null,"Standard ","Reduced "]
[null,"3,301 to 10,000",40,null,20,null,{"$f":"IF(ISBLANK(I9),\"\",IF(I9>100000,\"100\",IF(I9>=10001,\"60\",IF(I9>=3301,\"40\",IF(I9>=501,\"20\",IF(I9>=101,\"10\",\"5\"))))))","v":""},{"$f":"IF(ISBLANK(I9),\"\",IF(I9>100000,\"50\",IF(I9>=10001,\"30\",IF(I9>=3301,\"20\",IF(I9>=501,\"10\",IF(I9>=101,\"5\",\"5\"))))))","v":""}]
["Small ","501 to 3,300",20,null,10]
[null,"101 to 500",10,null,5]
[null,"100 or less ",5,null,5]
["Verification of Plumbing Materials "]
["To identify sites that are at the highest risk for elevated lead and copper concentrations the construction and repair materials within your distribution system and the buildings connected to your system should be verified. 100% of tier 1 and 2 sites and 20% of tier 3 and representative sites must be verified in your sample site plan. Information on plumbing materials may come from the following sources:"]
[]
["Visual and physical inspection (perferred method)",null,null,null,"Meter istallation records "]
["Plumbing codes",null,null,null,"Permit files"]
["Plumbing permits",null,null,null,"Existing water quality data"]
["Distribution Maps and drawings",null,null,null,"Interviews with personnel and inspectors"]
["Inspection and maintenance records",null,null,null,"Community surveys "]

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[null,null,null,null,"Lead and Copper Rule Sample Site Plan Worksheet"]
[]
[null,null,null,null,"Water System Name ",null,"System Number ",null,null,"Totals "]
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[null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(K29:L180,\"Routine\")","v":0},null,{"$f":"COUNTIF(K29:L180,\"Alternate\")","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"Tier 1","Tier 2","Tier 3","Representative "]
[null,null,null,null,null,null,null,null,null,{"$f":"COUNTIFS(C29:C180,1,K29:K180,\"Routine\")","v":0},{"$f":"COUNTIFS(C29:C180,2,K29:K180,\"Routine\")","v":0},{"$f":"COUNTIFS(C29:C180,3,K29:K180,\"Routine\")","v":0},{"$f":"COUNTIFS(C29:C180,\"Rep\",K29:K180,\"Routine\")","v":0}]
[null,null,null,null,"Number of Routine Sites Required:",null,"Population ",null,null,"% Verified ","% Verified ","% Verified ","% Verified "]
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[]
[null,null,null,null,"System Type "]
["Community Water System "]
["Tier 1 ",null,"Tier 2 ",null,null,"Tier 3 ",null,"Representative "]
["Single family residences with:",null,"Buildings or multi-family Residences with:",null,null,"Single family residences with:",null,"No tiered site is available"]
["Lead pipes ",null,"Lead pipes",null,null,"Copper pipes with lead solder installed before 1982",null,"Is an accurate repesentation of the average structure in the system "]
["Lead service lines",null,"Lead service lines"]
["Copper pipes with lead solder installed between 1982-1988",null,"Copper pipes with lead solder installed between 1982-1988"]
["Non-Community Non-Transient Water System "]
["Tier 1 ",null,"Tier 2 ",null,null,"Tier 3 ",null,"Representative "]
["Any building with:",null,"Any building with:",null,null,"Not applicable ",null,"No tiered site is available "]
["Lead pipes ",null,"Copper pipes with lead solder installed before 1982",null,null,null,null,"Is and accurate representation of the averge structure in the system "]
["Lead service lines"]
["Copper pipes with lead solder installed between 1982-1988"]
["Enter Your Sample Site Information in the Fields Below"]
["If lead service lines are present in the system %50 of the lead and copper samples must be taken in the areas served by those lines. Site selection must be made in order of priority. For example, all possible tier one sites must be used before a tier two site is selected and so on. A sufficient number of alternate sites should be indentified for use in the event that a routine site becomes unavailable.  "]
["Type of Structure (Single family residence, Multi-family residence, Building)","Year built","Tier ","Site ID #","Location (address)","Contact",null,"LSL (Y/N)","Home Plumbing Material","Plumbing Verified (Y/N)","Site Type",null,"Received Sampling Instructions (Y/N)"]
[null,null,"1/2/3/Rep",null,null,"Name","Phone",null,null,null,"Routine","Alternate "]
[null,null,null,"LC001"]
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["     ",null,null,"LC132",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC133",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC134",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC135",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC136",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC137",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC138",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC139",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC140",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC141",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC142",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC143",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC144",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC145",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC146",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC147",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC148",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC149",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC150",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC151",null,null,null,"     ",null,null,null,null,"     "]
["     ",null,null,"LC152",null,null,null,"     ",null,null,null,null,"     "]

{"sheet":"Schools","index":2,"n_rows":8,"n_cols":8,"rows_kept":8,"cut":false,"hidden":false,"merged":[[9,4,9,5],[8,4,8,5],[0,2,4,7],[5,5,5,7],[15,4,15,5],[14,4,14,5],[13,4,13,5],[12,4,12,5],[11,4,11,5],[10,4,10,5],[6,4,6,6],[7,4,7,5],[16,4,16,5],[27,4,27,5],[26,4,26,5],[25,4,25,5],[24,4,24,5],[23,4,23,5],[22,4,22,5],[21,4,21,5],[20,4,20,5],[19,4,19,5],[18,4,18,5],[17,4,17,5],[28,4,28,5],[39,4,39,5],[38,4,38,5],[37,4,37,5],[36,4,36,5],[35,4,35,5],[34,4,34,5],[33,4,33,5],[32,4,32,5],[31,4,31,5],[30,4,30,5],[29,4,29,5],[40,4,40,5],[51,4,51,5],[50,4,50,5],[49,4,49,5],[48,4,48,5],[47,4,47,5],[46,4,46,5],[45,4,45,5],[44,4,44,5],[43,4,43,5],[42,4,42,5],[41,4,41,5],[52,4,52,5],[63,4,63,5],[62,4,62,5],[61,4,61,5],[60,4,60,5],[59,4,59,5],[58,4,58,5],[57,4,57,5],[56,4,56,5],[55,4,55,5],[54,4,54,5],[53,4,53,5],[80,4,80,5],[79,4,79,5],[78,4,78,5],[77,4,77,5],[64,4,64,5],[75,4,75,5],[74,4,74,5],[73,4,73,5],[72,4,72,5],[71,4,71,5],[70,4,70,5],[69,4,69,5],[68,4,68,5],[67,4,67,5],[66,4,66,5],[65,4,65,5],[85,4,85,5],[84,4,84,5],[83,4,83,5],[82,4,82,5],[81,4,81,5],[93,4,93,5],[6,8,6,9],[0,0,4,1],[98,4,98,5],[97,4,97,5],[96,4,96,5],[95,4,95,5],[94,4,94,5],[92,4,92,5],[90,4,90,5],[89,4,89,5],[91,4,91,5],[88,4,88,5],[76,4,76,5],[87,4,87,5],[86,4,86,5]]}
[null,null,"School and Daycare Facility Inventory List  (Optional)"]
[]
[]
[]
[]
[null,null,"System #",{"$f":"IF(ISBLANK('Intro '!B9),\"\",'Intro '!B9)","v":""},"System Name ",{"$f":"IF(ISBLANK('Intro '!D9),\"\",'Intro '!D9)","v":""}]
["Type of Facility ","Year built","Name of School or Daycare","Address","Contact ",null,null,"Lead service line"]
["School, Daycare, Other ",null,null,null,"Name ",null,"Phone","Yes/No "]