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Ѐ290.41(c)(3)(A)&(G)oftherules)ASXAW,.Includethefinalwellpumpcapacityin_gpm_Ԁandfeet,_t.d.h._ " fAW,ASXf5.ASXAW,  &0 ' Threebacteriologicalanalysisreportsshowingrawwellwatertobefreeof_coliform_Ԁbacterial $ contamination;reportsmustbeforsamplesofraw(untreated)waterfromthedisinfectedwell,collected `% onthreesuccessivedays,andsubmittedtoalaboratory certifiedoraccredited by_TCEQ_.(Section J& 290.41(c)(3)(A)&(F)oftherules.)AUQASXԀ#ASXAUQ!#Ԁ#- ASX#ASX -''5%'5% fAW,ASXf6.ASXAW,  &0 ' Chemicalanalysisreportsforwellwatersamplesshowingthewatertobeofacceptablequalityforatleast#- ASX#ASX -, 0) themostproblematiccontaminantslistedbelowAW,ASX(Section290.41(c)(3)(A)&(G)oftherules,andSection290.104and * 290.105ofDrinkingWaterStandards).#ASXAW,5##- ASX#ASX -Reportsmustcomefroma certifiedoraccredited laboratoryforinterim + useofthewell.Maximumcontaminantlevel(_MCL_)andsecondarycontaminantlevel(_SCL_)unitsarein pD, mg/l(exceptarsenic).. -'5%'5% ~^h'Sp x08"$&@)+-H024P79<X>@h,pX~A,,ASX0  #ASX,A, #AW,ASX_MCL_0p5%5%PRIMARY0 p5%p5%_SCL_ԀSECONDARY0 5% 5%05%5%_SCL_ԀSECONDARY005%5%005%05%_SCL_ԀSECONDARY!~ /5%5% 0  10(asN)Nitrate0 5%5%0 5% 5%0.2Aluminum0 5% 5%05%5%5.0Zinc05%5%005%5%005%05%300SulfateA"!05%5% 0  1(asN)Nitrite0 5%5%0 5% 5%1.0Copper0 5% 5%1,000TotalDissolvedSolids05%5%300Chloride08"5%5%"!18"5%8"5% O0  10_g_/lArsenic0 5%5%0 5% 5%0.3Iron0 5% 5%05%5%2.0Fluoride005%5%>7.0pH005%05%08"5%5%o#C"28"5%8"5% 0  0'5%5%4.0Fluoride0 '5%'5%0.05Manganese$"3 5% 5% %Ӏ15Grossalpha(_pCi_/liter#-AW,#AW,-#ASXAW,h #AW,ASX)*0 x #-AW,]&##- -&#- -AW,-$#5x5%x5% Ѐ5Radium226/228(_pCi_/liter#-AW,1'#AW,-#ASXAW,'#AW,ASX)* %U$6 Ѐ50Betaparticle(_pCi_/liter#ASXAW,*(#AW,ASX#-AW,'#AW,-)* &$7 0  30Uranium(%g/liter#-AW,)#AW,-#ASXAW,(#AW,ASX)*#-AW,)##- -)#- -AW,-0 5%5%0x 5% 5%(WHERE:#-AW,n*##- -O*#- -_pCi_/liter=_pico_Ԁcuriesperliter,%g/liter=microgramsperliterAW,-)#ASXAW,+##- ASX+#ASX -AW,ASX&%8x5%x5% #ASXAW,),#g,0  0'5%5%*_Radionuclide_Ԁwateranalysesrequiredonlyinselectedcountieslistedonthebackofthischecklist.For 'g&: moreguidancesee HowtoConduct_Radionuclide_ԀTestingforWellCompletionInterimApprovalAW,ASX#-AW, ,#AW,-Ԁat:Q(%';'5%'5%   Ӏ#-AW,6.##- --#ASX -AW,ASX )'< 4p IO  5  http://_www.tceq.state.tx.us_/permitting/_water_supply_/_pdw_/chemicals/_radionuclides_/_pdw_rad.html_6)/IO=/2  7 qk/ )z(= y.#ASXAW,.#ASXASX7.  &0 ' Bycheckingthisbox,_submitter_ԀagreestocontacttheDrinkingWaterQualityTeamat512/2394691within *)? 120daysofreceivinginterimapprovaltoschedulefinalapprovalsampling.Thesewillbecollectedby +h*@ _TCEQ_Ԁcontractors,analyzedbyacertifiedlab,andpaidforbythePublicWaterSupply.#- ASX.#ASX -R,&+A'5%'5% 8.  &0 ' Bycheckingthisbox,_submitter_Ԁacknowledges#- ASX3#ASX -ԀthatPublicWaterSupplysystemsaresubjecttoapplicable -,C TexasAdministrativeCode30Chapters290,291,292and293.Moreinformationcanbefoundat .`-D 512/2394691,#ASXASX1#Ԁ4M IO  5  A`2ASXhttp://www.tceq.state.tx.us/nav/util_water/#-A`23#64IO42  7 o*5#- -45#,-  -Ԁand#-  -!6#4N IIO  5  - -http://www.tnrcc.state.tx.us/oprd/rules/index.html6h6IO|62  7 #6Ԁ#- -6#.J/.E'5%'5%  0.F qJ qR q     ;B^ -;X.X;B^ԀListofCountieswhere_Radionuclide_ԀTestingisRequired     #;B^X;X.78##- ;B^8#Q( 4 <DL h,pXXQ oSX -oUQoSXPleasebeawarewhenyoureviewyourradiologicaldatathatifthereporthasgrossalphaover15_pCi_/Land  _uraniums_Ԁarenotreported,youwillhavetoresampleor_reanalyze_Ԁandresubmit_radionuclide_Ԁresults.Ifyousee rF grossalphaplusradium228over5_pCi_/L,anddon'thaveradium226,youwillhavetoresampleor_reanalyze_Ԁand , resubmitcompleteresults.Formoreinformationgoto:#oSXoUQ9##- oSXq9#n0 -Ԁ#- n0v<#ASX -AW,ASX  #-AW,<##- -<#- -4s 'IO  5    http://_www.tceq.state.tx.us_/permitting/_water_supply_/_pdw_/chemicals/_radionuclides_/_pdw_rad.html_6u=IO=2  7 =#- -V=#-XZ0X -;X.XX-XZ0  #-XZ0XX;X.g?#;X.XX-XZ0=   p    x    (     CONTINUED $   #;B^X;X.H?#;X.X;B^S( X S5%S5%(*X3addd Xdd Xdd XSS,dd ,dd +  $   $#;B^X;X.@#;P;B^COUNTY 'V *  'STATE V *  CODE#   _Atascosa_ 6, F   @007@6007 5+)F   @007 @ 5_Bexar_ 6, ^  .@015.@6015 5+)^  .@015 .@ 5Bosque 6,  2@0182@6018 5+) 2@018 2@ 5_Brazoria_ 6,  4@0204@6020 5+) 4@020 4@ 5_Brewster_ 6, V* 6@0226@6022 5+)V* 6@022 6@ 5Burnet 6, n ;@027;@6027 5+)n ;@027 ;@ 5_Concho_ 6,  H@048H@6048 5+) H@048 H@ 5_Culberson_ 6, " K@055K@6055 5+)" K@055 K@ 5_Dallam_ 6, f:  L@056L@6056 5+)f:! 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