Epb 219- Waterworks Records Page 3

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Daily Log Supplementary Information - Example
_______________________-
____________________
__________________
Water Treatment Plant
Date
Signature
The following departures from normal operating procedures occurred on the following date and
time: ________________________________________________________________________
The following instructions were given to depart from normal operating practice and were given
by:
Upset conditions occurred as described below (including times/date/location) and the following
steps taken to notify and resolve upset conditions: _____________________________________
Low disinfectant conditions existed at (location/time/date) and the following measures were
taken to restore proper disinfectant levels: ___________________________________________
Equipment calibration and/or instrument calibration occurred on the following date/time and the
results are noted below: _________________________________________________________
Maintenance was performed on equipment on the date and time as noted below:
The following actions taken to ensure the normal operation of waterworks:

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