entry point monitoring schedule...facility source: surface water facility class: class 4 ep001 ep001...

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BOWLING GREEN CITY OH8700311 ENTRY POINT MONITORING SCHEDULE 2021 ENTRY POINT SCHEDULE Community System Type: Operating Period: to 1/1 12/31 Sampling Location Facility ID: SMP ID: 8759903 EP001 Facility Name: BOWLING GREEN CITY Effective Date: 01/01/2021 THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM. Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule. Also, monitoring schedules may be revised during the year based on sampling results. For water emergencies that occur after hours, please call 800-282-9378 ** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021 Chemicals Monitoring Requirements Facility Class: CLASS 4 Facility Source: Surface Water EP001 EP001 Sample(s) Required between INORGANICS 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below: ANTIMONY, TOTAL - 1074 ARSENIC - 1005 BARIUM - 1010 BERYLLIUM, TOTAL - 1075 CADMIUM - 1015 CHROMIUM - 1020 CYANIDE - 1024 FLUORIDE - 1025 MERCURY - 1035 NICKEL - 1036 SELENIUM - 1045 THALLIUM, TOTAL - 1085 Not Required NITRITE - 1041 Sample(s) Required between NITRATE - 1040 1 1/1/2021 and 1/31/2021 Sample(s) Required between 1 2/1/2021 and 2/28/2021 Sample(s) Required between 1 3/1/2021 and 3/31/2021 Sample(s) Required between 1 4/1/2021 and 4/30/2021 Sample(s) Required between 1 5/1/2021 and 5/31/2021 Sample(s) Required between 1 6/1/2021 and 6/30/2021 Sample(s) Required between 1 7/1/2021 and 7/31/2021 Sample(s) Required between 1 8/1/2021 and 8/31/2021 Sample(s) Required between 1 9/1/2021 and 9/30/2021 Sample(s) Required between 1 10/1/2021 and 10/31/2021 Sample(s) Required between 1 11/1/2021 and 11/30/2021 Sample(s) Required between 1 12/1/2021 and 12/31/2021 Not Required RADIOLOGICALS Sample(s) Required between SYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 4/1/2021 and 4/30/2021 Sample(s) Required between 1 5/1/2021 and 5/31/2021 Sample(s) Required between 1 6/1/2021 and 6/30/2021 Sample for all the analytes listed below: ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037 Not Required SYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 2 Sample(s) Required between SYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 3 1 4/1/2021 and 6/30/2021 Sample for all the analytes listed below: BHC-GAMMA (LINDANE) - 2010 DIQUAT - 2032 GLYPHOSATE - 2034 METHOXYCHLOR - 2015 POLYCHLORINATED BIPHENYLS (PCB) - 2383 Not Required SYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 4 Sample(s) Required between VOLATILE ORGANIC CHEMICALS (VOC) 1 6/1/2021 and 10/31/2021 Paired Sample Set Required between TOTAL ORGANIC CARBON (TOC) 1 1/1/2021 and 1/31/2021 Paired Sample Set Required between 1 2/1/2021 and 2/28/2021 Paired Sample Set Required between 1 3/1/2021 and 3/31/2021 Paired Sample Set Required between 1 4/1/2021 and 4/30/2021 Paired Sample Set Required between 1 5/1/2021 and 5/31/2021 Paired Sample Set Required between 1 6/1/2021 and 6/30/2021 Paired Sample Set Required between 1 7/1/2021 and 7/31/2021 Paired Sample Set Required between 1 8/1/2021 and 8/31/2021 Paired Sample Set Required between 1 9/1/2021 and 9/30/2021 Paired Sample Set Required between 1 10/1/2021 and 10/31/2021

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Page 1: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759903EP001

Facility Name: BOWLING GREEN CITY

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 4Facility Source: Surface Water

EP001

EP001

Sample(s) Required betweenINORGANICS 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ANTIMONY, TOTAL - 1074 ARSENIC - 1005 BARIUM - 1010 BERYLLIUM, TOTAL - 1075 CADMIUM - 1015 CHROMIUM - 1020

CYANIDE - 1024 FLUORIDE - 1025 MERCURY - 1035 NICKEL - 1036 SELENIUM - 1045 THALLIUM, TOTAL - 1085

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 1/1/2021 and 1/31/2021Sample(s) Required between1 2/1/2021 and 2/28/2021Sample(s) Required between1 3/1/2021 and 3/31/2021Sample(s) Required between1 4/1/2021 and 4/30/2021Sample(s) Required between1 5/1/2021 and 5/31/2021Sample(s) Required between1 6/1/2021 and 6/30/2021Sample(s) Required between1 7/1/2021 and 7/31/2021Sample(s) Required between1 8/1/2021 and 8/31/2021Sample(s) Required between1 9/1/2021 and 9/30/2021Sample(s) Required between1 10/1/2021 and 10/31/2021Sample(s) Required between1 11/1/2021 and 11/30/2021Sample(s) Required between1 12/1/2021 and 12/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 4/1/2021 and 4/30/2021Sample(s) Required between1 5/1/2021 and 5/31/2021Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 2

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 3 1 4/1/2021 and 6/30/2021 Sample for all the analytes listed below:

BHC-GAMMA (LINDANE) - 2010 DIQUAT - 2032 GLYPHOSATE - 2034

METHOXYCHLOR - 2015 POLYCHLORINATED BIPHENYLS (PCB) - 2383

Not RequiredSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 4

Sample(s) Required betweenVOLATILE ORGANIC CHEMICALS (VOC) 1 6/1/2021 and 10/31/2021

Paired Sample Set Required betweenTOTAL ORGANIC CARBON (TOC) 1 1/1/2021 and 1/31/2021Paired Sample Set Required between1 2/1/2021 and 2/28/2021Paired Sample Set Required between1 3/1/2021 and 3/31/2021Paired Sample Set Required between1 4/1/2021 and 4/30/2021Paired Sample Set Required between1 5/1/2021 and 5/31/2021Paired Sample Set Required between1 6/1/2021 and 6/30/2021Paired Sample Set Required between1 7/1/2021 and 7/31/2021Paired Sample Set Required between1 8/1/2021 and 8/31/2021Paired Sample Set Required between1 9/1/2021 and 9/30/2021Paired Sample Set Required between1 10/1/2021 and 10/31/2021

Page 2: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759903EP001

Facility Name: BOWLING GREEN CITY

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 4Facility Source: Surface Water

EP001

EP001

Paired Sample Set Required betweenTOTAL ORGANIC CARBON (TOC) 1 11/1/2021 and 11/30/2021Paired Sample Set Required between1 12/1/2021 and 12/31/2021

A paired sample set refers to one source water and one treated water sample. A source water alkalinity is also required at the same time theTOC sample is taken.

Page 3: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759903EP001/LT2001

Facility Name: BOWLING GREEN CITY

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 4Facility Source: Surface Water

EP001

LT2001

Sample Set Required WEEKLY*TOTAL MICROCYSTINS 1

Total microcystins sample set refers to one raw source water sample at LT2001 and one finished water sample at EP001. A week is definedas Sunday through Saturday.

*Weekly sampling unless requirements for reduced monitoring are met. Current reduced monitoring schedules can be found athttp://epa.ohio.gov/ddagw/HAB.aspx. Reduced monitoring is contingent on a public water system continuing to experience NO raw orfinished water total microcystins detections. Any total microcystins detections during routine (weekly) or reduced sampling will triggeradditional sampling. Please refer to the website above for specifics on follow-up sampling requirements.

Page 4: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759903LT2001

Facility Name: BOWLING GREEN CITY

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 4Facility Source: Surface Water

LT200

LT2001

Sample(s) Required betweenCYANOBACTERIA SCREENING 1 12/27/2020 and 1/2/2021Sample(s) Required between1 1/10/2021 and 1/16/2021Sample(s) Required between1 1/24/2021 and 1/30/2021Sample(s) Required between1 2/7/2021 and 2/13/2021Sample(s) Required between1 2/21/2021 and 2/27/2021Sample(s) Required between1 3/7/2021 and 3/13/2021Sample(s) Required between1 3/21/2021 and 3/27/2021Sample(s) Required between1 4/4/2021 and 4/10/2021Sample(s) Required between1 4/18/2021 and 4/24/2021Sample(s) Required between1 5/2/2021 and 5/8/2021Sample(s) Required between1 5/16/2021 and 5/22/2021Sample(s) Required between1 5/30/2021 and 6/5/2021Sample(s) Required between1 6/13/2021 and 6/19/2021Sample(s) Required between1 6/27/2021 and 7/3/2021Sample(s) Required between1 7/11/2021 and 7/17/2021Sample(s) Required between1 7/25/2021 and 7/31/2021Sample(s) Required between1 8/8/2021 and 8/14/2021Sample(s) Required between1 8/22/2021 and 8/28/2021Sample(s) Required between1 9/5/2021 and 9/11/2021Sample(s) Required between1 9/19/2021 and 9/25/2021Sample(s) Required between1 10/3/2021 and 10/9/2021Sample(s) Required between1 10/17/2021 and 10/23/2021Sample(s) Required between1 10/31/2021 and 11/6/2021Sample(s) Required between1 11/14/2021 and 11/20/2021Sample(s) Required between1 11/28/2021 and 12/4/2021Sample(s) Required between1 12/12/2021 and 12/18/2021

Cyanobacteria screening sample is to be collected biweekly from raw source water at sample point LT2001 unless requirements for reducedmonitoring are met. Current reduced monitoring schedules can be found at http://epa.ohio.gov/ddagw/HAB.aspx. As of 12/31/17, all publicwater systems are responsible for contracting with a lab certified to perform cyanobacteria screening (qPCR). Please review the website forfurther information pertaining to follow-up sampling requirements for cyanobacteria screening gene detections, and certified labs that canperform analysis.

Page 5: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/202130TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/202130 2/1/2021 andSample(s) Required between 3/31/202130 3/1/2021 andSample(s) Required between 4/30/202130 4/1/2021 andSample(s) Required between 5/31/202130 5/1/2021 andSample(s) Required between 6/30/202130 6/1/2021 andSample(s) Required between 7/31/202130 7/1/2021 andSample(s) Required between 8/31/202130 8/1/2021 andSample(s) Required between 9/30/202130 9/1/2021 andSample(s) Required between 10/31/202130 10/1/2021 andSample(s) Required between 11/30/202130 11/1/2021 andSample(s) Required between 12/31/202130 12/1/2021 and

Sample(s) Required between 1/31/202130TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/202130 2/1/2021 andSample(s) Required between 3/31/202130 3/1/2021 andSample(s) Required between 4/30/202130 4/1/2021 andSample(s) Required between 5/31/202130 5/1/2021 andSample(s) Required between 6/30/202130 6/1/2021 andSample(s) Required between 7/31/202130 7/1/2021 andSample(s) Required between 8/31/202130 8/1/2021 andSample(s) Required between 9/30/202130 9/1/2021 andSample(s) Required between 10/31/202130 10/1/2021 andSample(s) Required between 11/30/202130 11/1/2021 andSample(s) Required between 12/31/202130 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS201 WWTP 901 DUNBRIDGE RD.

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 and

Page 6: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS201 WWTP 901 DUNBRIDGE RD.

Dual Sample Required between 11/14/2021at: DS201DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS202 ALLIANCE CHURCH 1161 NAPOLEAON RD.

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS203 14776 CAMPBELL HILL RD.

Dual Sample Required between 2/14/2021at: DS203DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2035/8/2021 andDual Sample Required between 8/14/2021at: DS2038/8/2021 andDual Sample Required between 11/14/2021at: DS20311/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS204 WESTER TOWER 1120 S. MAIN ST.

Dual Sample Required between 2/14/2021at: DS204DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2045/8/2021 andDual Sample Required between 8/14/2021at: DS2048/8/2021 and

Page 7: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BOWLING GREEN CITYOH8700311

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2DS204 WESTER TOWER 1120 S. MAIN ST.

Dual Sample Required between 11/14/2021at: DS204DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: BOWLING GREEN CITY DISTRIBUTION SYSTEMFacility Class: CLASS 2LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202130LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 8: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BRADNER VILLAGE WATEROH8700412

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8760636EP002

Facility Name: BRADNER UTILITIES OFFICE STU 2

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP002

EP002

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 1/1/2021 and 3/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Sample(s) Required betweenVOLATILE ORGANIC CHEMICALS (VOC) 1 1/1/2021 and 3/31/2021Sample(s) Required between1 4/1/2021 and 6/30/2021Sample(s) Required between1 7/1/2021 and 9/30/2021Sample(s) Required between1 10/1/2021 and 12/31/2021

Page 9: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BRADNER VILLAGE WATEROH8700412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION Facility Class: CLASS 1DS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 10: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BRADNER VILLAGE WATEROH8700412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION Facility Class: CLASS 1DS202 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS202DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Not RequiredLEAD - 1030 AND COPPER - 1022

Page 11: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

GRAND RAPIDS VILLAGEOH8700711

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: GRAND RAPIDS VILLAGE DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20212TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Sample(s) Required between 1/31/20212TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: GRAND RAPIDS VILLAGE DISTRIBUTION Facility Class: CLASS 1DS201 17600 SAYLOR LANE HYDRANT

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 and

Page 12: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

GRAND RAPIDS VILLAGEOH8700711

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: GRAND RAPIDS VILLAGE DISTRIBUTION Facility Class: CLASS 1DS201 17600 SAYLOR LANE HYDRANT

Dual Sample Required between 11/14/2021at: DS201DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: GRAND RAPIDS VILLAGE DISTRIBUTION Facility Class: CLASS 1DS202 17460 SYCAMORE ROAD

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: GRAND RAPIDS VILLAGE DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 13: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

LAFFERTY LEISURE VILLAGEOH8701112

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759910EP001

Facility Name: TREATMENT PLANT

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 14: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

LAFFERTY LEISURE VILLAGEOH8701112

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTIONDS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTIONDS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 15: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

LAFFERTY LEISURE VILLAGEOH8701112

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 16: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

MAURERS MOBILE HOME PARKOH8701412

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759911EP001

Facility Name: MAURERS MHP

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 17: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

MAURERS MOBILE HOME PARKOH8701412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: MAURERS MOBILE HOME PARK DISTRIBUTIODS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: MAURERS MOBILE HOME PARK DISTRIBUTIODS201 18330 BRIM ROAD LOT #246

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 18: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

MAURERS MOBILE HOME PARKOH8701412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: MAURERS MOBILE HOME PARK DISTRIBUTIOLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 19: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTH BALTIMORE VILLAGEOH8701611

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759912EP001

Facility Name: NORTH BALTIMORE VILLAGE

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 3Facility Source: Surface Water

EP001

EP001

Sample(s) Required betweenINORGANICS 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ANTIMONY, TOTAL - 1074 ARSENIC - 1005 BARIUM - 1010 BERYLLIUM, TOTAL - 1075 CADMIUM - 1015 CHROMIUM - 1020

CYANIDE - 1024 FLUORIDE - 1025 MERCURY - 1035 NICKEL - 1036 SELENIUM - 1045 THALLIUM, TOTAL - 1085

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 1/1/2021 and 1/31/2021Sample(s) Required between1 2/1/2021 and 2/28/2021Sample(s) Required between1 3/1/2021 and 3/31/2021Sample(s) Required between1 4/1/2021 and 4/30/2021Sample(s) Required between1 5/1/2021 and 5/31/2021Sample(s) Required between1 6/1/2021 and 6/30/2021Sample(s) Required between1 7/1/2021 and 7/31/2021Sample(s) Required between1 8/1/2021 and 8/31/2021Sample(s) Required between1 9/1/2021 and 9/30/2021Sample(s) Required between1 10/1/2021 and 10/31/2021Sample(s) Required between1 11/1/2021 and 11/30/2021Sample(s) Required between1 12/1/2021 and 12/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 4/1/2021 and 6/30/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Sample(s) Required betweenVOLATILE ORGANIC CHEMICALS (VOC) 1 10/1/2021 and 12/31/2021

Paired Sample Set Required betweenTOTAL ORGANIC CARBON (TOC) 1 1/1/2021 and 1/31/2021Paired Sample Set Required between1 2/1/2021 and 2/28/2021Paired Sample Set Required between1 3/1/2021 and 3/31/2021Paired Sample Set Required between1 4/1/2021 and 4/30/2021Paired Sample Set Required between1 5/1/2021 and 5/31/2021Paired Sample Set Required between1 6/1/2021 and 6/30/2021Paired Sample Set Required between1 7/1/2021 and 7/31/2021Paired Sample Set Required between1 8/1/2021 and 8/31/2021Paired Sample Set Required between1 9/1/2021 and 9/30/2021Paired Sample Set Required between1 10/1/2021 and 10/31/2021Paired Sample Set Required between1 11/1/2021 and 11/30/2021Paired Sample Set Required between1 12/1/2021 and 12/31/2021

A paired sample set refers to one source water and one treated water sample. A source water alkalinity is also required at the same time theTOC sample is taken.

Page 20: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTH BALTIMORE VILLAGEOH8701611

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759912EP001/LT2001

Facility Name: NORTH BALTIMORE VILLAGE

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 3Facility Source: Surface Water

EP001

LT2001

Sample Set Required WEEKLY*TOTAL MICROCYSTINS 1

Total microcystins sample set refers to one raw source water sample at LT2001 and one finished water sample at EP001. A week is definedas Sunday through Saturday.

*Weekly sampling unless requirements for reduced monitoring are met. Current reduced monitoring schedules can be found athttp://epa.ohio.gov/ddagw/HAB.aspx. Reduced monitoring is contingent on a public water system continuing to experience NO raw orfinished water total microcystins detections. Any total microcystins detections during routine (weekly) or reduced sampling will triggeradditional sampling. Please refer to the website above for specifics on follow-up sampling requirements.

Page 21: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTH BALTIMORE VILLAGEOH8701611

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759912LT2001

Facility Name: NORTH BALTIMORE VILLAGE

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 3Facility Source: Surface Water

LT200

LT2001

Sample(s) Required betweenCYANOBACTERIA SCREENING 1 12/27/2020 and 1/2/2021Sample(s) Required between1 1/10/2021 and 1/16/2021Sample(s) Required between1 1/24/2021 and 1/30/2021Sample(s) Required between1 2/7/2021 and 2/13/2021Sample(s) Required between1 2/21/2021 and 2/27/2021Sample(s) Required between1 3/7/2021 and 3/13/2021Sample(s) Required between1 3/21/2021 and 3/27/2021Sample(s) Required between1 4/4/2021 and 4/10/2021Sample(s) Required between1 4/18/2021 and 4/24/2021Sample(s) Required between1 5/2/2021 and 5/8/2021Sample(s) Required between1 5/16/2021 and 5/22/2021Sample(s) Required between1 5/30/2021 and 6/5/2021Sample(s) Required between1 6/13/2021 and 6/19/2021Sample(s) Required between1 6/27/2021 and 7/3/2021Sample(s) Required between1 7/11/2021 and 7/17/2021Sample(s) Required between1 7/25/2021 and 7/31/2021Sample(s) Required between1 8/8/2021 and 8/14/2021Sample(s) Required between1 8/22/2021 and 8/28/2021Sample(s) Required between1 9/5/2021 and 9/11/2021Sample(s) Required between1 9/19/2021 and 9/25/2021Sample(s) Required between1 10/3/2021 and 10/9/2021Sample(s) Required between1 10/17/2021 and 10/23/2021Sample(s) Required between1 10/31/2021 and 11/6/2021Sample(s) Required between1 11/14/2021 and 11/20/2021Sample(s) Required between1 11/28/2021 and 12/4/2021Sample(s) Required between1 12/12/2021 and 12/18/2021

Cyanobacteria screening sample is to be collected biweekly from raw source water at sample point LT2001 unless requirements for reducedmonitoring are met. Current reduced monitoring schedules can be found at http://epa.ohio.gov/ddagw/HAB.aspx. As of 12/31/17, all publicwater systems are responsible for contracting with a lab certified to perform cyanobacteria screening (qPCR). Please review the website forfurther information pertaining to follow-up sampling requirements for cyanobacteria screening gene detections, and certified labs that canperform analysis.

Page 22: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTH BALTIMORE VILLAGEOH8701611

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NORTH BALTIMORE VILLAGE DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20214TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20214 2/1/2021 andSample(s) Required between 3/31/20214 3/1/2021 andSample(s) Required between 4/30/20214 4/1/2021 andSample(s) Required between 5/31/20214 5/1/2021 andSample(s) Required between 6/30/20214 6/1/2021 andSample(s) Required between 7/31/20214 7/1/2021 andSample(s) Required between 8/31/20214 8/1/2021 andSample(s) Required between 9/30/20214 9/1/2021 andSample(s) Required between 10/31/20214 10/1/2021 andSample(s) Required between 11/30/20214 11/1/2021 andSample(s) Required between 12/31/20214 12/1/2021 and

Sample(s) Required between 1/31/20214TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20214 2/1/2021 andSample(s) Required between 3/31/20214 3/1/2021 andSample(s) Required between 4/30/20214 4/1/2021 andSample(s) Required between 5/31/20214 5/1/2021 andSample(s) Required between 6/30/20214 6/1/2021 andSample(s) Required between 7/31/20214 7/1/2021 andSample(s) Required between 8/31/20214 8/1/2021 andSample(s) Required between 9/30/20214 9/1/2021 andSample(s) Required between 10/31/20214 10/1/2021 andSample(s) Required between 11/30/20214 11/1/2021 andSample(s) Required between 12/31/20214 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NORTH BALTIMORE VILLAGE DISTRIBUTION Facility Class: CLASS 1DS201 13240 DESHLER RD

Dual Sample Required between 1/7/2021at: DS201DISINFECTION BYPRODUCTS 1/1/2021 andDual Sample Required between 4/7/2021at: DS2014/1/2021 andDual Sample Required between 7/7/2021at: DS2017/1/2021 and

Page 23: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTH BALTIMORE VILLAGEOH8701611

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NORTH BALTIMORE VILLAGE DISTRIBUTION Facility Class: CLASS 1DS201 13240 DESHLER RD

Dual Sample Required between 10/7/2021at: DS201DISINFECTION BYPRODUCTS 10/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NORTH BALTIMORE VILLAGE DISTRIBUTION Facility Class: CLASS 1DS202 300 E CHERRY ST

Dual Sample Required between 1/7/2021at: DS202DISINFECTION BYPRODUCTS 1/1/2021 andDual Sample Required between 4/7/2021at: DS2024/1/2021 andDual Sample Required between 7/7/2021at: DS2027/1/2021 andDual Sample Required between 10/7/2021at: DS20210/1/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NORTH BALTIMORE VILLAGE DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Not RequiredLEAD - 1030 AND COPPER - 1022

Page 24: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEMBERVILLE VILLAGEOH8701712

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759913EP001

Facility Name: PEMBERVILLE VLG TREATMENT PLANT STU 1

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 25: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEMBERVILLE VILLAGEOH8701712

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8760637EP002

Facility Name: PEMBERVILLE VLG TREATMENT PLANT STU 2

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP002

EP002

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 26: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEMBERVILLE VILLAGEOH8701712

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PEMBERVILLE VILLAGE DISTRIBUTION SYSTEFacility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20212TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Sample(s) Required between 1/31/20212TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PEMBERVILLE VILLAGE DISTRIBUTION SYSTEFacility Class: CLASS 1DS201 430 PERRY ST

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 27: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEMBERVILLE VILLAGEOH8701712

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PEMBERVILLE VILLAGE DISTRIBUTION SYSTEFacility Class: CLASS 1DS202 542 EAST ST

Dual Sample Required between 9/30/2021at: DS202DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PEMBERVILLE VILLAGE DISTRIBUTION SYSTEFacility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 28: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG CITY WATEROH8701803

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/202130TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/202130 2/1/2021 andSample(s) Required between 3/31/202130 3/1/2021 andSample(s) Required between 4/30/202130 4/1/2021 andSample(s) Required between 5/31/202130 5/1/2021 andSample(s) Required between 6/30/202130 6/1/2021 andSample(s) Required between 7/31/202130 7/1/2021 andSample(s) Required between 8/31/202130 8/1/2021 andSample(s) Required between 9/30/202130 9/1/2021 andSample(s) Required between 10/31/202130 10/1/2021 andSample(s) Required between 11/30/202130 11/1/2021 andSample(s) Required between 12/31/202130 12/1/2021 and

Sample(s) Required between 1/31/202130TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/202130 2/1/2021 andSample(s) Required between 3/31/202130 3/1/2021 andSample(s) Required between 4/30/202130 4/1/2021 andSample(s) Required between 5/31/202130 5/1/2021 andSample(s) Required between 6/30/202130 6/1/2021 andSample(s) Required between 7/31/202130 7/1/2021 andSample(s) Required between 8/31/202130 8/1/2021 andSample(s) Required between 9/30/202130 9/1/2021 andSample(s) Required between 10/31/202130 10/1/2021 andSample(s) Required between 11/30/202130 11/1/2021 andSample(s) Required between 12/31/202130 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS201 6130 BROOKHAVEN - HYDRANT

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 and

Page 29: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG CITY WATEROH8701803

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS201 6130 BROOKHAVEN - HYDRANT

Dual Sample Required between 11/14/2021at: DS201DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS202 RIVERCREST PARK - HYDRANT

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS203 127 W. FIFTH STREET - SINK

Dual Sample Required between 2/14/2021at: DS203DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2035/8/2021 andDual Sample Required between 8/14/2021at: DS2038/8/2021 andDual Sample Required between 11/14/2021at: DS20311/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS204 HYDROPILLAR 26155 SCHEIDER RD HYDRANT

Dual Sample Required between 2/14/2021at: DS204DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2045/8/2021 andDual Sample Required between 8/14/2021at: DS2048/8/2021 and

Page 30: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG CITY WATEROH8701803

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG, CITY OF DISTRIBUTION Facility Class: CLASS 2DS204 HYDROPILLAR 26155 SCHEIDER RD HYDRANT

Dual Sample Required between 11/14/2021at: DS204DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 31: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG ESTATES MHPOH8701912

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759915EP001

Facility Name: PERRYSBURG ESTATES MHP

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 32: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG ESTATES MHPOH8701912

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG ESTATES DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG ESTATES DISTRIBUTION Facility Class: CLASS 1DS201 23720 LIME CITY ROAD LOT 123

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 33: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PERRYSBURG ESTATES MHPOH8701912

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PERRYSBURG ESTATES DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 34: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

VILLAGE GREEN MHPOH8702412

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759916EP001

Facility Name: STU 1 FOR WELL IN FRONT OF PARK

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 35: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

VILLAGE GREEN MHPOH8702412

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8761161EP002

Facility Name: STU 2 FOR WELL NEAR POOL/OFFICE

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP002

EP002

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 36: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

VILLAGE GREEN MHPOH8702412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: VLG GREEN MHP DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: VLG GREEN MHP DISTRIBUTION Facility Class: CLASS 1DS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 37: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

VILLAGE GREEN MHPOH8702412

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: VLG GREEN MHP DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 38: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

TONTOGANY VILLAGEOH8702503

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TONTOGANY, VILLAGE OF DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TONTOGANY, VILLAGE OF DISTRIBUTION Facility Class: CLASS 1DS201 17342 HARLEY WOOD DR.

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 andDual Sample Required between 11/14/2021at: DS20111/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 39: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

TONTOGANY VILLAGEOH8702503

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TONTOGANY, VILLAGE OF DISTRIBUTION Facility Class: CLASS 1DS202 18614 MAIN ST.

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TONTOGANY, VILLAGE OF DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 40: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

TWIN MAPLES MHPOH8702712

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759919EP001

Facility Name: TWIN MAPLES MHP TREATMENT PLANT

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 41: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

TWIN MAPLES MHPOH8702712

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TWIN MAPLES MHP DISTRIBUTIONDS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TWIN MAPLES MHP DISTRIBUTIONDS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 42: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

TWIN MAPLES MHPOH8702712

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: TWIN MAPLES MHP DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 43: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

WAYNE VILLAGEOH8703112

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759920EP001

Facility Name: WAYNE VILLAGE

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 44: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

WAYNE VILLAGEOH8703112

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: WAYNE VILLAGE DISTRIBUTION SYSTEM Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: WAYNE VILLAGE DISTRIBUTION SYSTEM Facility Class: CLASS 1DS201 158 CHURCH ST

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 45: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

WAYNE VILLAGEOH8703112

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: WAYNE VILLAGE DISTRIBUTION SYSTEM Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 46: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD -WESTONOH8703211

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WESTON DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20212TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Sample(s) Required between 1/31/20212TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WESTON DISTRIBUTION Facility Class: CLASS 1DS201 20780 MAIN ST.

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 andDual Sample Required between 11/14/2021at: DS20111/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 47: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD -WESTONOH8703211

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WESTON DISTRIBUTION Facility Class: CLASS 1DS202 13537 CENTER ST.

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WESTON DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 48: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

OTTERBEIN-PORTAGE VLY RETIREMENT CENTEROH8703812

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759923EP001

Facility Name: OTTERBEIN PORTAGE TREATMENT PLANT

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 49: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

OTTERBEIN-PORTAGE VLY RETIREMENT CENTEROH8703812

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: OTTERBEIN-PORTAGE VALLEY DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: OTTERBEIN-PORTAGE VALLEY DISTRIBUTION Facility Class: CLASS 1DS201 1008 TULIP CT

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 50: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

OTTERBEIN-PORTAGE VLY RETIREMENT CENTEROH8703812

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: OTTERBEIN-PORTAGE VALLEY DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 51: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD- PORTAGEOH8704103

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD PORTAGE RUDOLPH DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20214TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20214 2/1/2021 andSample(s) Required between 3/31/20214 3/1/2021 andSample(s) Required between 4/30/20214 4/1/2021 andSample(s) Required between 5/31/20214 5/1/2021 andSample(s) Required between 6/30/20214 6/1/2021 andSample(s) Required between 7/31/20214 7/1/2021 andSample(s) Required between 8/31/20214 8/1/2021 andSample(s) Required between 9/30/20214 9/1/2021 andSample(s) Required between 10/31/20214 10/1/2021 andSample(s) Required between 11/30/20214 11/1/2021 andSample(s) Required between 12/31/20214 12/1/2021 and

Sample(s) Required between 1/31/20214TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20214 2/1/2021 andSample(s) Required between 3/31/20214 3/1/2021 andSample(s) Required between 4/30/20214 4/1/2021 andSample(s) Required between 5/31/20214 5/1/2021 andSample(s) Required between 6/30/20214 6/1/2021 andSample(s) Required between 7/31/20214 7/1/2021 andSample(s) Required between 8/31/20214 8/1/2021 andSample(s) Required between 9/30/20214 9/1/2021 andSample(s) Required between 10/31/20214 10/1/2021 andSample(s) Required between 11/30/20214 11/1/2021 andSample(s) Required between 12/31/20214 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD PORTAGE RUDOLPH DISTRIBUTION Facility Class: CLASS 1DS201 15164 MERMILL RD.

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 52: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD- PORTAGEOH8704103

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD PORTAGE RUDOLPH DISTRIBUTION Facility Class: CLASS 1DS202 17205 BAYS RD.

Dual Sample Required between 9/30/2021at: DS202DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD PORTAGE RUDOLPH DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Not RequiredLEAD - 1030 AND COPPER - 1022

Page 53: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD - WTLN 200OH8704203

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WATERLINE 200 DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 1/31/202110TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/202110 2/1/2021 andSample(s) Required between 3/31/202110 3/1/2021 andSample(s) Required between 4/30/202110 4/1/2021 andSample(s) Required between 5/31/202110 5/1/2021 andSample(s) Required between 6/30/202110 6/1/2021 andSample(s) Required between 7/31/202110 7/1/2021 andSample(s) Required between 8/31/202110 8/1/2021 andSample(s) Required between 9/30/202110 9/1/2021 andSample(s) Required between 10/31/202110 10/1/2021 andSample(s) Required between 11/30/202110 11/1/2021 andSample(s) Required between 12/31/202110 12/1/2021 and

Sample(s) Required between 1/31/202110TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/202110 2/1/2021 andSample(s) Required between 3/31/202110 3/1/2021 andSample(s) Required between 4/30/202110 4/1/2021 andSample(s) Required between 5/31/202110 5/1/2021 andSample(s) Required between 6/30/202110 6/1/2021 andSample(s) Required between 7/31/202110 7/1/2021 andSample(s) Required between 8/31/202110 8/1/2021 andSample(s) Required between 9/30/202110 9/1/2021 andSample(s) Required between 10/31/202110 10/1/2021 andSample(s) Required between 11/30/202110 11/1/2021 andSample(s) Required between 12/31/202110 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WATERLINE 200 DISTRIBUTION Facility Class: CLASS 1DS201 30351 LEMOYNE RD.

Dual Sample Required between 1/14/2021at: DS201DISINFECTION BYPRODUCTS 1/8/2021 andDual Sample Required between 4/14/2021at: DS2014/8/2021 andDual Sample Required between 7/14/2021at: DS2017/8/2021 andDual Sample Required between 10/14/2021at: DS20110/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 54: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD - WTLN 200OH8704203

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WATERLINE 200 DISTRIBUTION Facility Class: CLASS 1DS202 28430 MAIN ST.

Dual Sample Required between 1/14/2021at: DS202DISINFECTION BYPRODUCTS 1/8/2021 andDual Sample Required between 4/14/2021at: DS2024/8/2021 andDual Sample Required between 7/14/2021at: DS2027/8/2021 andDual Sample Required between 10/14/2021at: DS20210/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD WATERLINE 200 DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202120LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 55: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FIVE POINT MHPOH8704312

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759928EP001

Facility Name: FIVE POINT MHP

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredRADIOLOGICALS

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 56: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FIVE POINT MHPOH8704312

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: FIVE POINT MHP DISTRIBUTIONDS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Sample(s) Required between 1/31/20211TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: FIVE POINT MHP DISTRIBUTIONDS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 57: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FIVE POINT MHPOH8704312

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: FIVE POINT MHP DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 58: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STONY RIDGE KOA CAMPGRD & STORE

2021 MONITORING SCHEDULE

OH8735212 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

04/16/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: STONY RIDGE KOA CMPGRND DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 59: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STONY RIDGE KOA CAMPGRD & STORE

2021 MONITORING SCHEDULE

OH8735212 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: STONY RIDGE KOA CAMPGROUND & STOREGround Water

8759947

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 60: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

ST JOHNS HILLTOP PRESCHOOLOH8739112

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759957EP001

Facility Name: ST JOHNS HILLTOP PRESCHOOL

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 61: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

ST JOHNS HILLTOP PRESCHOOLOH8739112

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: ST JOHNS HILLTOP PRESCHO DISTRIBUTIONDS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: ST JOHNS HILLTOP PRESCHO DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 62: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEE WEE STONY RIDGE DARISNAK

2021 MONITORING SCHEDULE

OH8739512 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: PEE WEE STONY RIDGE DARI DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 63: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PEE WEE STONY RIDGE DARISNAK

2021 MONITORING SCHEDULE

OH8739512 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: STONY RIDGE DARISNAKGround Water

8759959

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 64: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

SYCAMORE GROVE BAR

2021 MONITORING SCHEDULE

OH8739712 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: SYCAMORE GROVE DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 65: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

SYCAMORE GROVE BAR

2021 MONITORING SCHEDULE

OH8739712 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: SYCAMORE GROVE BARGround Water

8759960

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 1/1/2021 and 3/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 66: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HARTUNG BROTHERS AMLC

2021 MONITORING SCHEDULE

OH8740512 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to4/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: SUP01 Facility Source:

Facility Name: HARTUNG BROTHERS AMLC DISTRIBUTIONGround Water

DS1

At least 1 negative Total ColiformBacteria sample prior to servingwater to the public

TOTAL COLIFORM - SEASONAL STARTUP

*** Seasonal start-up sample does not count for routine compliance requirements. Collect at least one special purpose (SP) sample for totalcoliform (TC) analysis at the service connection considered to be most susceptible to contamination. The sample must be TC negative before thesystem may serve water to the public. If the sample is positive, contact your Ohio EPA District Representative for additional requirements. Ifyour start date is different from last year, please contact your Ohio EPA District Representative.***

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 67: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HARTUNG BROTHERS AMLC

2021 MONITORING SCHEDULE

OH8740512 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to4/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: HARTUNG BROTHERS AMLC DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 4/1/2021 and 4/30/2021

Sample(s) Required between1 5/1/2021 and 5/31/2021

Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 68: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HARTUNG BROTHERS AMLC

2021 MONITORING SCHEDULE

OH8740512 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to4/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: HARTUNG BROTHERS AMLC TPGround Water

8759963

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 69: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PRINCIPLE BUSINESS ENTERPRISESOH8741612

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759966EP001

Facility Name: PRINCIPLE BUSINESS ENTERPRISES

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 70: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PRINCIPLE BUSINESS ENTERPRISESOH8741612

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PRINCIPLE BUS ENTERPRISE DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PRINCIPLE BUS ENTERPRISE DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 71: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD HIGH SCHOOLOH8742912

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759969EP001

Facility Name: EASTWOOD HIGH SCHOOL

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 72: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD HIGH SCHOOLOH8742912

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: EASTWOOD HIGH SCHOOL DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: EASTWOOD HIGH SCHOOL DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 73: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PIONEER HI BRED INTERNATIONALOH8745412

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8759984EP001

Facility Name: PIONEER HI BRED TP

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 74: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PIONEER HI BRED INTERNATIONALOH8745412

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PIONEER HI BRED DISTRIBUTIONDS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: PIONEER HI BRED DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 75: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FUEL MART 767

2021 MONITORING SCHEDULE

OH8746612 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: FUEL MART 767 DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 76: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FUEL MART 767

2021 MONITORING SCHEDULE

OH8746612 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: FUEL MART NO 767Ground Water Facility Class: CLASS A

8759991

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 77: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

CHURCH OF THE GOOD SHEPHERD - WAYNE

2021 MONITORING SCHEDULE

OH8747112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: CHURCH OF THE GOOD SHEP DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 78: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

CHURCH OF THE GOOD SHEPHERD - WAYNE

2021 MONITORING SCHEDULE

OH8747112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: CHURCH OF THE GOOD SHEPHERDGround Water

8759994

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 79: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HIGH STAKES INC AMLC #1

2021 MONITORING SCHEDULE

OH8747612 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to6/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: SUP01 Facility Source:

Facility Name: HIGH STAKES,INC. A.M.L.C DISTRIBUTIONGround Water

DS1

At least 1 negative Total ColiformBacteria sample prior to servingwater to the public

TOTAL COLIFORM - SEASONAL STARTUP

*** Seasonal start-up sample does not count for routine compliance requirements. Collect at least one special purpose (SP) sample for totalcoliform (TC) analysis at the service connection considered to be most susceptible to contamination. The sample must be TC negative before thesystem may serve water to the public. If the sample is positive, contact your Ohio EPA District Representative for additional requirements. Ifyour start date is different from last year, please contact your Ohio EPA District Representative.***

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 80: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HIGH STAKES INC AMLC #1

2021 MONITORING SCHEDULE

OH8747612 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to6/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: HIGH STAKES,INC. A.M.L.C DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 6/15/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 81: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HIGH STAKES INC AMLC #1

2021 MONITORING SCHEDULE

OH8747612 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to6/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: HIGH STAKES INC AMLCGround Water

8759996

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 82: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STICKEL AMLC #2

2021 MONITORING SCHEDULE

OH8748112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to5/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: SUP01 Facility Source:

Facility Name: STICKEL AMLC 2 DISTRIBUTIONGround Water

DS1

At least 1 negative Total ColiformBacteria sample prior to servingwater to the public

TOTAL COLIFORM - SEASONAL STARTUP

*** Seasonal start-up sample does not count for routine compliance requirements. Collect at least one special purpose (SP) sample for totalcoliform (TC) analysis at the service connection considered to be most susceptible to contamination. The sample must be TC negative before thesystem may serve water to the public. If the sample is positive, contact your Ohio EPA District Representative for additional requirements. Ifyour start date is different from last year, please contact your Ohio EPA District Representative.***

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 83: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STICKEL AMLC #2

2021 MONITORING SCHEDULE

OH8748112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to5/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: STICKEL AMLC 2 DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 5/1/2021 and 5/31/2021

Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 84: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STICKEL AMLC #2

2021 MONITORING SCHEDULE

OH8748112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to5/1 10/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: STICKEL AMLC NO 2Ground Water

8759999

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 85: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PIONEER INN

2021 MONITORING SCHEDULE

OH8748712 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

04/16/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: PIONEER INN DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 4/1/2021 and 4/30/2021

Sample(s) Required between1 5/1/2021 and 5/31/2021

Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Sample(s) Required between1 11/1/2021 and 11/30/2021

Sample(s) Required between1 12/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 86: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

PIONEER INN

2021 MONITORING SCHEDULE

OH8748712 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: PIONEER INNGround Water

8760003

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 87: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STONY RIDGE KOA CAMPGRD

2021 MONITORING SCHEDULE

OH8749012 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: SUP01 Facility Source:

Facility Name: STONY RIDGE KOA CAMPGRND DISTRIBUTIONGround Water

DS1

At least 1 negative Total ColiformBacteria sample prior to servingwater to the public

TOTAL COLIFORM - SEASONAL STARTUP

*** Seasonal start-up sample does not count for routine compliance requirements. Collect at least one special purpose (SP) sample for totalcoliform (TC) analysis at the service connection considered to be most susceptible to contamination. The sample must be TC negative before thesystem may serve water to the public. If the sample is positive, contact your Ohio EPA District Representative for additional requirements. Ifyour start date is different from last year, please contact your Ohio EPA District Representative.***

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 88: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STONY RIDGE KOA CAMPGRD

2021 MONITORING SCHEDULE

OH8749012 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: STONY RIDGE KOA CAMPGRND DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 4/15/2021 and 4/30/2021

Sample(s) Required between1 5/1/2021 and 5/31/2021

Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 89: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

STONY RIDGE KOA CAMPGRD

2021 MONITORING SCHEDULE

OH8749012 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: STONY RIDGE KOA CAMPGROUNDGround Water

8760006

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 90: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HOSANNA LUTHERAN CH-GRAND RAPIDS

2021 MONITORING SCHEDULE

OH8749112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: HOSANNA LUTHERAN CHURCH DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 91: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

HOSANNA LUTHERAN CH-GRAND RAPIDS

2021 MONITORING SCHEDULE

OH8749112 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: HOSANNA LUTHERAN CHURCHGround Water

8760007

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 92: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD MIDDLE SCHOOLOH8749812

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8760011EP001

Facility Name: EASTWOOD MIDDLE SCHOOL

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Not RequiredVOLATILE ORGANIC CHEMICALS (VOC)

Page 93: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD MIDDLE SCHOOLOH8749812

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: EASTWOOD MIDDLE SCHOOL DISTRIBUTION Facility Class: CLASS 1DS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: EASTWOOD MIDDLE SCHOOL DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 94: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

MT ZION UNITED BRETHREN CHURCH

2021 MONITORING SCHEDULE

OH8750012 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: MT ZION UNITED BRETHREN DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 95: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

MT ZION UNITED BRETHREN CHURCH

2021 MONITORING SCHEDULE

OH8750012 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: MT ZION UNITED BRETHREN CHURCHGround Water

8760012

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 96: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

SUNOCO FOOD MART 10 - HOP IN

2021 MONITORING SCHEDULE

OH8750412 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: SUNOCO FOOD MART 10- HOP IN DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 97: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

SUNOCO FOOD MART 10 - HOP IN

2021 MONITORING SCHEDULE

OH8750412 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: SUNOCO FOOD MART 10 - HOP INGround Water Facility Class: CLASS A

8760016

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 98: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FAITH UNITED METHODIST CHRCH-LUCKEY

2021 MONITORING SCHEDULE

OH8750812 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: FAITH UNITED METHODIST DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 99: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

FAITH UNITED METHODIST CHRCH-LUCKEY

2021 MONITORING SCHEDULE

OH8750812 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: FAITH UNITED METHODIST CHURCH-LUCKEYGround Water

8760020

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 100: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

ZION LUTHERAN CHURCH - LUCKEY

2021 MONITORING SCHEDULE

OH8750912 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: ZION LUTHERAN CHURCH DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 101: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

ZION LUTHERAN CHURCH - LUCKEY

2021 MONITORING SCHEDULE

OH8750912 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: ZION LUTHERAN CHURCH - LUCKEYGround Water

8760021

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 7/1/2021 and 9/30/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 102: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

THOMAS LOEW PROPERTIES

2021 MONITORING SCHEDULE

OH8751012 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: THOMAS LOEW DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 103: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

THOMAS LOEW PROPERTIES

2021 MONITORING SCHEDULE

OH8751012 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: THOMAS LOEWGround Water

8760022

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 7/1/2021 and 9/30/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 104: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

OHIO OPERATING ENGINEERS-CYGNET

2021 MONITORING SCHEDULE

OH8751412 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: OHIO OPERATING ENGINEERS DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 105: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

OHIO OPERATING ENGINEERS-CYGNET

2021 MONITORING SCHEDULE

OH8751412 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: OHIO OPERATING ENGINEERSGround Water

8760722

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 106: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

CROSSWINDS GOLF CLUB

2021 MONITORING SCHEDULE

OH8751612 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: CROSSWINDS GOLF CLUB DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 107: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

CROSSWINDS GOLF CLUB

2021 MONITORING SCHEDULE

OH8751612 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: CROSSWINDS GOLF CLUBGround Water

8760962

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 108: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD-MIDDLETON TWPOH8752212

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD-MIDDLETON TWP DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/20212TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Sample(s) Required between 1/31/20212TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/20212 2/1/2021 andSample(s) Required between 3/31/20212 3/1/2021 andSample(s) Required between 4/30/20212 4/1/2021 andSample(s) Required between 5/31/20212 5/1/2021 andSample(s) Required between 6/30/20212 6/1/2021 andSample(s) Required between 7/31/20212 7/1/2021 andSample(s) Required between 8/31/20212 8/1/2021 andSample(s) Required between 9/30/20212 9/1/2021 andSample(s) Required between 10/31/20212 10/1/2021 andSample(s) Required between 11/30/20212 11/1/2021 andSample(s) Required between 12/31/20212 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD-MIDDLETON TWP DISTRIBUTION Facility Class: CLASS 1DS201 14611 PRAIRIE LAKE

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 109: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD-MIDDLETON TWPOH8752212

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD-MIDDLETON TWP DISTRIBUTION Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Not RequiredLEAD - 1030 AND COPPER - 1022

Page 110: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BUDDY'S PLACE CONVENIENCE STORE

2021 MONITORING SCHEDULE

OH8752612 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: BUDDYS PLACE LCC DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 1/31/2021

Sample(s) Required between1 2/1/2021 and 2/28/2021

Sample(s) Required between1 3/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 4/30/2021

Sample(s) Required between1 5/1/2021 and 5/31/2021

Sample(s) Required between1 6/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 7/31/2021

Sample(s) Required between1 8/1/2021 and 8/31/2021

Sample(s) Required between1 9/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 10/31/2021

Sample(s) Required between1 11/1/2021 and 11/30/2021

Sample(s) Required between1 12/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 111: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

BUDDY'S PLACE CONVENIENCE STORE

2021 MONITORING SCHEDULE

OH8752612 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: BUDDYS PLACE LCCGround Water Facility Class: CLASS A

8762295

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 7/1/2021 and 9/30/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 112: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD-FOSTORIA NORTHOH8752712

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD FOSTORIA NORTH DISTRIBUTIONDS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD FOSTORIA NORTH DISTRIBUTIONDS201 6255 FOSTORIA ROAD

Dual Sample Required between 1/7/2021at: DS201DISINFECTION BYPRODUCTS 1/1/2021 andDual Sample Required between 4/7/2021at: DS2014/1/2021 andDual Sample Required between 7/7/2021at: DS2017/1/2021 andDual Sample Required between 10/7/2021at: DS20110/1/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD FOSTORIA NORTH DISTRIBUTIONLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 113: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD -TOLEDO SVCE AREAOH8752812

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS000

Not RequiredASBESTOS - 1094

Sample(s) Required between 1/31/202120TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/202120 2/1/2021 andSample(s) Required between 3/31/202120 3/1/2021 andSample(s) Required between 4/30/202120 4/1/2021 andSample(s) Required between 5/31/202120 5/1/2021 andSample(s) Required between 6/30/202120 6/1/2021 andSample(s) Required between 7/31/202120 7/1/2021 andSample(s) Required between 8/31/202120 8/1/2021 andSample(s) Required between 9/30/202120 9/1/2021 andSample(s) Required between 10/31/202120 10/1/2021 andSample(s) Required between 11/30/202120 11/1/2021 andSample(s) Required between 12/31/202120 12/1/2021 and

Sample(s) Required between 1/31/202120TOTAL CHLORINE - 1000 1/1/2021 andSample(s) Required between 2/28/202120 2/1/2021 andSample(s) Required between 3/31/202120 3/1/2021 andSample(s) Required between 4/30/202120 4/1/2021 andSample(s) Required between 5/31/202120 5/1/2021 andSample(s) Required between 6/30/202120 6/1/2021 andSample(s) Required between 7/31/202120 7/1/2021 andSample(s) Required between 8/31/202120 8/1/2021 andSample(s) Required between 9/30/202120 9/1/2021 andSample(s) Required between 10/31/202120 10/1/2021 andSample(s) Required between 11/30/202120 11/1/2021 andSample(s) Required between 12/31/202120 12/1/2021 and

Samples should be collected at the same time and place as the Total Coliform samples.

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS201 26609 LIME CITY RD. PERRYSBURG

Dual Sample Required between 2/14/2021at: DS201DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2015/8/2021 andDual Sample Required between 8/14/2021at: DS2018/8/2021 and

Page 114: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD -TOLEDO SVCE AREAOH8752812

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS201 26609 LIME CITY RD. PERRYSBURG

Dual Sample Required between 11/14/2021at: DS201DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS202 9570 FREMONT PIKE PERRYSBURG

Dual Sample Required between 2/14/2021at: DS202DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2025/8/2021 andDual Sample Required between 8/14/2021at: DS2028/8/2021 andDual Sample Required between 11/14/2021at: DS20211/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS203 3117 MIDDLETON PIKE LUCKEY

Dual Sample Required between 2/14/2021at: DS203DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2035/8/2021 andDual Sample Required between 8/14/2021at: DS2038/8/2021 andDual Sample Required between 11/14/2021at: DS20311/8/2021 and

Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS204 28523 E RIVER ROAD

Dual Sample Required between 2/14/2021at: DS204DISINFECTION BYPRODUCTS 2/8/2021 andDual Sample Required between 5/14/2021at: DS2045/8/2021 andDual Sample Required between 8/14/2021at: DS2048/8/2021 and

Page 115: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

NORTHWESTERN W AND SD -TOLEDO SVCE AREAOH8752812

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: NWWSD TOLEDO SVCE AREA DISTRIBUTION Facility Class: CLASS 1DS204 28523 E RIVER ROAD

Dual Sample Required between 11/14/2021at: DS204DISINFECTION BYPRODUCTS 11/8/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Page 116: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

DOLLAR GENERAL STORE-PEMBERVILLE 13981

2021 MONITORING SCHEDULE

OH8753012 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: DOLLAR GENERAL STORE-PEMBERVILLE DISTGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 117: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

DOLLAR GENERAL STORE-PEMBERVILLE 13981

2021 MONITORING SCHEDULE

OH8753012 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: DOLLAR GENERAL STORE-PEMBERVILLEGround Water Facility Class: CLASS A

8762489

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 7/1/2021 and 9/30/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 118: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

COMMUNITY HEALTH SERVICES PWS

2021 MONITORING SCHEDULE

OH8753212 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: COMMUNITY HEALTH SERVICES DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 119: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

COMMUNITY HEALTH SERVICES PWS

2021 MONITORING SCHEDULE

OH8753212 Transient NoncommunitySystem Type:

Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: COMMUNITY HEALTH SERVICESGround Water

8762491

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 120: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

WAGONER HOME RENTALOH8753213

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

CommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8762492EP001

Facility Name: WAGONER HOME RENTAL

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

Facility Class: CLASS AFacility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Sample(s) Required betweenSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1 1 6/1/2021 and 10/31/2021 Sample for all the analytes listed below:

ALACHLOR (LASSO) - 2051 ATRAZINE - 2050 SIMAZINE - 2037

Sample(s) Required betweenVOLATILE ORGANIC CHEMICALS (VOC) 1 4/1/2021 and 6/30/2021

Page 121: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

WAGONER HOME RENTALOH8753213

2021 DISTRIBUTION SCHEDULE

CommunitySystem Type: Ground Water Rule Substantial System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

** REMINDER: ** Consumer Confidence Report (CCR) is due July 1, 2021

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION SYSTEMDS000

Sample(s) Required between 1/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 2/28/20211 2/1/2021 andSample(s) Required between 3/31/20211 3/1/2021 andSample(s) Required between 4/30/20211 4/1/2021 andSample(s) Required between 5/31/20211 5/1/2021 andSample(s) Required between 6/30/20211 6/1/2021 andSample(s) Required between 7/31/20211 7/1/2021 andSample(s) Required between 8/31/20211 8/1/2021 andSample(s) Required between 9/30/20211 9/1/2021 andSample(s) Required between 10/31/20211 10/1/2021 andSample(s) Required between 11/30/20211 11/1/2021 andSample(s) Required between 12/31/20211 12/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION SYSTEMDS201 ADDRESS NOT KNOWN

Dual Sample Required between 9/30/2021at: DS201DISINFECTION BYPRODUCTS 7/1/2021 and Sample for all the analytes listed below:

1) TOTAL HALOACETIC ACIDS (HAA5) – 24562) TTHM - 2950

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION SYSTEMLC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/20215LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 122: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD ELEMENTARY SCHOOLOH8753214

ENTRY POINT MONITORING SCHEDULE

2021 ENTRY POINT SCHEDULE

Nontransient NoncommunitySystem Type: Operating Period: to1/1 12/31

SamplingLocation

Facility ID: SMP ID:

8762493EP001

Facility Name: EASTWOOD ELEMENTARY SCHOOL

Effective Date: 01/01/2021

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

Facility Class: CLASS 1Facility Source: Ground Water

EP001

EP001

Not RequiredINORGANICS

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Not RequiredSYNTHETIC ORGANIC CHEMICALS (SOC) GROUP 1

Sample(s) Required betweenVOLATILE ORGANIC CHEMICALS (VOC) 1 4/1/2021 and 6/30/2021

Page 123: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

EASTWOOD ELEMENTARY SCHOOLOH8753214

2021 DISTRIBUTION SCHEDULE

Nontransient NoncommunitySystem Type: Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

DISTRIBUTION MONITORING SCHEDULE

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION SYSTEM Facility Class: CLASS 1DS000

Sample(s) Required between 3/31/20211TOTAL COLIFORM (TCR) - 3100 1/1/2021 andSample(s) Required between 6/30/20211 4/1/2021 andSample(s) Required between 9/30/20211 7/1/2021 andSample(s) Required between 12/31/20211 10/1/2021 and

Chemicals Monitoring Requirements

SamplingLocationSamplingLocation SMP ID:

Facility ID: DS1 Facility Name: DISTRIBUTION SYSTEM Facility Class: CLASS 1LC### Refer to your Lead and Copper plan for SMP IDs

Sample(s) Required between 9/30/202110LEAD - 1030 AND COPPER - 1022 6/1/2021 and

Lead consumer notice must be completed no later than two business days after receipt of the sample results. The verification form forconsumer notice must be submitted to Ohio EPA no later than five business days after receipt of the sample results. Lead and copper samplemonitoring point (SMP) IDs (LC###) must be current and reflect properly tiered sites according to OAC Rule 3745-81-86. Submit lead andcopper SMP ID revisions to your Ohio EPA District Office. Forms and templates are available online athttp://epa.ohio.gov/ddagw/pws/leadandcopper.aspx. For questions contact your Ohio EPA District Office representative.

Page 124: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

DOLLAR GENERAL - BRADNER STORE #21251

2021 MONITORING SCHEDULE

OH8753215 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

DISTRIBUTION MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: DS000 Facility Source:

Facility Name: DOLLAR GENERAL BRADNER DISTRIBUTIONGround Water

DS1

Sample(s) Required betweenTOTAL COLIFORM (TCR) - 3100 1 1/1/2021 and 3/31/2021

Sample(s) Required between1 4/1/2021 and 6/30/2021

Sample(s) Required between1 7/1/2021 and 9/30/2021

Sample(s) Required between1 10/1/2021 and 12/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or

Page 125: ENTRY POINT MONITORING SCHEDULE...Facility Source: Surface Water Facility Class: CLASS 4 EP001 EP001 INORGANICS 1 Sample(s) Required between 6/1/2021 and 10/31/2021 Sample for all

DOLLAR GENERAL - BRADNER STORE #21251

2021 MONITORING SCHEDULE

OH8753215 Transient NoncommunitySystem Type:

Ground Water Rule Minimal Treatment System

Operating Period: to1/1 12/31

01/01/2021Effective Date:

THIS SCHEDULE MAY NOT INCLUDE ALL MONITORING REQUIREMENTS FOR YOUR SYSTEM.Contact your district office to review additional monitoring for operating parameters, and/or other monitoring requirements not included on this schedule.

Also, monitoring schedules may be revised during the year based on sampling results.

For water emergencies that occur after hours, please call 800-282-9378

Chemicals Monitoring Requirements

ENTRY POINT MONITORING SCHEDULE

SamplingLocation SMP ID:

Facility ID: EP001 Facility Source:

Facility Name: DOLLAR GENERAL - BRADNERGround Water

8762494

Not RequiredNITRITE - 1041

Sample(s) Required betweenNITRATE - 1040 1 6/1/2021 and 10/31/2021

Well

DistributionSystem

Where to Collect Samples For a Small Public Water System

EP00# = First available tap after treatment*. Use for NITRATE and NITRITE samples

* If system does not have treatment, EP00# is the first tap after the well.

Save a dime. Sample on time!

Failing to sample for total coliform or nitrate will cost you $150 or more in penalties for each monitoring violation. A list of drinking water sample collection services that can assist you with collecting water samples is located at: http://epa.ohio.gov/portals/28/documents/PWS/DWSample.pdf.

PressureTank

Treatment*

Raw Tap

RS00#

orLT200#

GWR00#

DS000

DS000 = Taps in Distribution System. Use for TOTAL COLIFORM (TCR) samples

SUP01 = Seasonal Startup Sample. Collected before serving water to the public.

EP00#

SUP01or