EmailMe Form - SURFACE WATER GRADE SHEET

Category

Surface Water
Plant *
Inspector (Note: Each Inspector Must Fill Out Their Own Form) *
Grade Sheet Submittal Options: *
If you prefer to upload a scan of your score sheets instead of filling out the online form, please do so here:
I. Raw Water Intake Equipment
( Yes = 1 point, No = -1 point) *

Yes No

Has a Generator
(Yes = 1 point, No = 0 points) *

Yes No

Operable Raw Water Flow Meter

Is Facility Visited Daily
Overall Condition of Raw Water Intake Equipment *
II. Flash Mixer/Flocculation
(Yes = 1 point, No = 0 points) *

Yes No

Is Area Lighted

Is Area Free of Chemical Build Up
Floc Formation *
Overall Condition of Flash Mixer and Area *
III. Sedimentation Basins
(Yes = 1 point, No = 0 points) *

Yes No

Is Area Lighted

Has Continuous Sludge Removal
(Yes = 1 point, No = -1 point) *

Yes No

Basin Free of Sludge Build-Up
Floc Settlement *
Overall Condition of Sedimentation Basins and Surrounding Area *
IV. Filtration
Filtration Type *

Surface Water

	Yes	No
Has a Generator

	Yes	No
Basin Free of Sludge Build-Up

(Yes = 1 point, No = -1 point)

	Yes	No
All Loss of Head (DP) Indicators Operable
All Rate of Flow Indicators Operable
All Wash Water Agitators Operable
Surface of Media Clean
Media Level Checked During the Previous 12 Months at the Proper Level

(Yes = 2 points, No = -2 points)

Yes No

All Loss of Head (DP) Indicators Operable

All Rate of Flow Indicators Operable

(Yes = 1 point, No = 0 points)

	Yes	No
Are Rake & Hookgage or Other Advanced Flow Rate Equipment Available
Is There a Standard Operating Procedure for Backwash
Are Rate of Flow Indicators Checked Using a Hookgage

(Yes = 2 points, No = 0 points)

Yes No

Are Rake & Hookgage or Other Advanced Flow Rate Equipment Available

Is There a Standard Operating Procedure for Backwash
V. Clearwell
(Yes = 1 point, No = -1 point) *

Yes No

Is Clearwell Properly Protected
(Yes = 1 point, No = 0 points) *

Yes No

Is Clearwell Level Indicator Working Properly
Overall Condition of Clearwell *
VI. Chemical Feed Equipment
(Yes = 1 point, No = -1 point) *

Yes No

Spare Disinfectant Feeder

Spare Corrosion Control Feeder

Spare Coagulant Feeder
(Yes = 1 point, No = 0 points) *

Yes No

Is Weight of Chemical Usage Recorded
Overall Condition of Chemical Feed Equipment and Area *
VII. Extra Equipment

	Yes	No
Is Clearwell Properly Protected

	Yes	No
Is Clearwell Level Indicator Working Properly

	Yes	No
Is Weight of Chemical Usage Recorded

(Yes = 1 point, No = 0 points) *

	Yes	No
Flouride Being Fed
Corrosion Inhibitor Other Than Lime, Soda Ash, etc. Being Used
Powdered Activated Carbon, Potassium Permanganate, or other Oxidation Chemical is Being Fed
Particle Counters or Advanced Turbidity Equipment Being Used

VIII. Maintenance & Operation Records

(Yes = 1 point, No = -1 point) *

	Yes	No
Makes Monthly Determination of Unaccounted for Water
Are Turbidimeters Verified Weekly & Calibrated Quarterly
Records Indicate Monthly Rate of Flow Measurements on Each Filter

(Yes = 2 points, No = -1 point) *

Yes No

Has Standard Operating Jar Test Procedure for Facility

	Yes	No
Has Standard Operating Jar Test Procedure for Facility

(Yes = 1 point, No = 0 points) *

	Yes	No
Produces Monthly Operating Report for Previous Year
Produces Bacteriological & Chemical Results for Previous Year
Produces Consumer Confidence Report for Previous Year
Raw & Finished Water Flow Meters Have Been Calibrated in the Past Twelve (12) Months
System Has a Cross-Connection Policy
Calibration Charts for Feeders Updated Within the Past Six (6) Months

IX. Safety
(Yes = 1 point, No = -1 point) *

Yes No

Has Gas Mask with Unexpired Canister or SCBA Available, or Comparable Safety Equipment Available if Feeding Disinfectant Other Than Chlorine

	Yes	No
Has Gas Mask with Unexpired Canister or SCBA Available, or Comparable Safety Equipment Available if Feeding Disinfectant Other Than Chlorine

(Yes = 1 point, No = 0 points) *

	Yes	No
Has Safety Displays & Posters
All Areas of the Plant Safe to Work Except as Noted by Appropriate Signs
Can Produce Evidence of Completing Any Safety or First Aid Seminar or Class
Do Disinfectant Rooms Have Proper Ventilation
Is an Operable Shower Available Near the Fluoride Area

X. Laboratory & Laboratory Equipment

(Yes = 1 point, No = -1 point) *

	Yes	No
Has Operable pH Meter
DPD Chlorine Test Kit or ADEM Approved Method for Chlorine Testing Is Used
Has Operable Zeta Meter or Streaming Current Monitor
All Chemical Reagents are Dated & Un-Expired
All Process Control & Tank Level Monitoring Equipment Operable & Calibrated Within the Past Year

(Yes = 1 point, No = 0 points) *

Yes No

Is There Equipment for Continuously Monitoring Turbidity
Overall Condition of Laboratory Area *
XI. Water Quality Performance (January - December)

	Yes	No
Is There Equipment for Continuously Monitoring Turbidity

(Yes = 2 points, No = 0 points) *

	Yes	No
Maximum Filter Effluent Turbidity is 0.10 NTU or Less
Fluoride Concentration Averaged Between 0.5 mg/L & 0.8 mg/L
Settled Water Turbidity Averaged Less Than 1.0 NTU
TOC Performance Ratio Results Reported to ADEM were 1.0 or Greater
DBP in Compliance for the Last Year

Maimum Monthly Filtered Water Turbidity *
<.1 (If number not listed on this bar, choose NA and mark on the next)

.010 .015 .020 .025 .030 .035 .040 .045 .050 NA

Maximum Monthly Filtered Water Turbidity
<.1 (If number not listed on this bar, choose NA and mark on the next)

.055 .060 .065 .070 .075 .080 .085 .090 .095 N/A

Maximum Monthly Filtered Water Turbidity 1 2 3 4 5 6 7 8 9 10
.1 or Above (If number not listed on this bar, choose NA and mark on the next)

.10 .15 .20 .25 .30 .35 .40 .45 .50 .55 NA

Maximum Monthly Filtered Water Turbidity
.1 or Above (If number not listed on this bar, choose NA and mark on the next)

.60 .65 .70 .75 .80 .85 .90 .95 .999 NA

Maximum Monthly Filtered Water Turbidity
(Yes = 1 point, No = 0 points) *

Yes No

Plant is Approved for High Rate Filtration
XII. Appearance
Interior of the Plant *
Exterior of the Plant *
Overall Rating of the Plant *
XII. General
One Point for Each AWPCA Conference Attended in the Past Three (3) Years by Plant Personnel (3 points Maximum)
One Point for Each Member of AWPCA
Overall Rating of Plant Operations *
A Note on Scoring:
Due to limitations of the form, please save and resume when complete to see the valid score for the options selected. Sorry for the inconvenience while we look into better options.

	Yes	No
Spare Disinfectant Feeder
Spare Corrosion Control Feeder
Spare Coagulant Feeder

	.010	.015	.020	.025	.030	.035	.040	.045	.050	NA
Maximum Monthly Filtered Water Turbidity

	.055	.060	.065	.070	.075	.080	.085	.090	.095	N/A
Maximum Monthly Filtered Water Turbidity	1	2	3	4	5	6	7	8	9	10

	.60	.65	.70	.75	.80	.85	.90	.95	.999	NA
Maximum Monthly Filtered Water Turbidity

	.10	.15	.20	.25	.30	.35	.40	.45	.50	.55	NA
Maximum Monthly Filtered Water Turbidity

I. Raw Water Intake Equipment

II. Flash Mixer/Flocculation

III. Sedimentation Basins

IV. Filtration

V. Clearwell

VI. Chemical Feed Equipment

VII. Extra Equipment

VIII. Maintenance & Operation Records

IX. Safety

X. Laboratory & Laboratory Equipment

XI. Water Quality Performance (January - December)

XII. Appearance

XII. General