Filter Backwash Recycling Rule Recordkeeping Form - Connecticut Department Of Public Health

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FILTER BACKWASH RECYCLING RULE RECORDKEEPING FORM
The following recycle flow information must be collected and retained on file for review and
evaluation by the Connecticut Department of Public Health beginning June 8, 2004 pursuant to
Section 19-13-B102(h)(8)(B) of RCSA.
SYSTEM NAME______________________________________________________________
1
PWSID_____________________________OPERATING PERIOD
______________________
2
Type of Recycle Stream
Frequency at which flow is returned
Spent Filter Backwash
Thickener Supernatant
Liquids from Dewatering Process
Other
Other
3
Filter Number
Filter Information
Average Duration of
Backwash (in minutes)
Maximum Duration of
Backwash ( in minutes)
Average Backwash
4
Flow
(in gpm)
Maximum Backwash
4
Flow
(in gpm)
Run Length Time of
5
Filter
(include units)
Criteria for Terminating
6
Filter Run
Is treatment or equalization provided for recycle flows?____________Yes ______________No
Type of Treatment Provided
Physical Dimensions of Unit
Typical Hydraulic Loading Rate
Maximum Hydraulic Loading Rate
Type of Chemical Used
Average Dose of Chemical (mg/L)
Frequency of Chemical Addition
Frequency of Solids Removal
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