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Home My Public Portal AboutPRR 14-1327RECORDS REQUEST (the "Request") Date of Request: 8/29/14 Requestor's RequestID#: 790 REQUESTEE: Custodian of Records Town of Gulf Stream REQUESTOR: Commerce Gp, Inc. REQUESTOR'S CONTACT INFORMATION: E -Mail: records @commerce - group.com Fax: 954-360 -0807; Address: 1280 West Newport Center Drive, Deerfield Beach, FL 33442 REQUEST: please provide a copy of the drinking water microbial sample collection & Laboratory reporting format, as prepared by Jupiter Environmental Laboratories Inc. during the month of July and August of 2014. ADDITIONAL INFORMATION REGARDING REQUEST: THIS REQUEST IS MADE PURSUANT TO PUBLIC RECORDS ACT, CHAPTER 119 OF THE FLORIDA STATUTES AND IS ALSO REQUESTED UNDER THE COMMON LAW RIGHT TO KNOW, THE COMMON LAW RIGHT OF ACCESS; AND ANY STATUTORY RIGHT TO KNOW (INCLUDING, WITHOUT LIMITATION, ANY STATUTORY RIGHT OF ACCESS, AS APPLICABLE). THIS REQUEST IS ALSO MADE PURSUANT TO THE RIGHTS OF THE REQUESTOR PROVIDED IN THE FLORIDA CONSTITUTION. IT IS REQUESTED THAT THIS RECORDS REQUEST BE FULFILLED IN ELECTRONIC FORM. IF NOT AVAILABLE IN ELECTRONIC FORM, IT IS REQUESTED THAT THIS RECORDS REQUEST BE FULFILLED ON 11 X 17 PAPER. NOTE: IN ALL CASES (UNLESS IMPOSSIBLE) THE COPIES SHOULD BE TWO SIDED AND SHOULD BE BILLED IN ACCORDANCE WITH Section 119.07(4) (a) (2) ALL ELECTRONIC COPIES ARE REQUESTED TO BE SENT BY E -MAIL DELIVERY. PLEASE PROVIDE THE APPROXIMATE COSTS (IF ANY) TO FULFILL THIS PUBLIC RECORDS REQUEST IN ADVANCE. It will be required that the Requester approve of any casts, asserted by the Agency (as defined in Florida Statute, Chapter 119.01 (Definitions)), in advance of any costs imposed to the Requestor by the Agency. I:P/NPR/FRR 04.22.13 FORM DRINKING WATER MICROBIAL SAMPLE COLLECTION & LABORATORY REPORTING FORMAT (azesd.nd Re nbq Fam,ar E"M aovraes. Ra 0=10) JUPITER ENVIRONMENTAL LABORATORIES, INC. 150 S. Old Dixie Highway Jupiter, FI 33458 '4;1 575 -WI M Report Number.. _H JO jZO Sub - Contract Lab ID: E86546 Receipt Date & Time: 1� ysis Dale & Time: ipie Acceptance Criteria: pie Preservation: SOn Ice dectant Check: ®Not Date sample does not meet the Analysis Requested: (check all that apply) ®Total ColifamdE. coli ❑Total Coldoml/Fecal ❑Enterecocci ❑Coliphage ❑HPC ❑Other. Public Water System (PWS) Name: Town of Gulfstream PWS I.D. 450-0565 PWS Address: 100 Sea Rd. City: Gulfstream PWS or PWS Owner's Phone #: 561- 573.8702 Brian Fax #: Collector J. Russell Collector's Phone #: 561 - 575-0030 Type of Supply: (check only one) SCommunity Water System ❑Nan - Transient Non-community Water System ❑Transient Non - community Water System ❑Umited Use System ❑Bottled Water ❑Pdvate Well ❑Swimming Pmt ❑Other. Reason for Sampling: (check all that apply) SDistribution Routine ❑Distribution Repeat ❑Raw (triggered cr assessment) ❑Raw (triggered or assessment) additional []Clearance ❑Replacement (also check type of sample being replaced) []Boil Water Notice []Other. Sample Collection Sample Point Sampe Collection Sample Dlsin- fectant pH Fecal, (Location or Specific Address) Time Type' Residual (mg/L) Non- Colifonn Total Colifortn Enterol Cali SP 43 (11 Hidden Harbour) 11:20 D 0.8 rt A SP #7 (3223 N Ocean Blvd) 11:38 D 0.8 n. „ of disinfectant residuals for distribution routine & repeat e Free chlorine or Total chlorine (circle one) 1 0.8 SDPD Colorimetric ❑Other. 3fson performing disinfectant analysis Is (see Instructions On reverse): ❑A certified operator (# ) ❑Supervised by certified operator (# SEmployed by a certified lab ❑Employed by DEP or DOH ❑Authorized representative of supplier of water Town of Gulfstream 100 Sea Rd. Gulfstream FL 33483 Attn: Brian Fw Lmge Tfpv.e Imivl,e, rtm I I b 'Fa Am MnT vin�runlmrYm 116 Plot rvrM Rwa�v e1Nin. b.n,,,amibnm Amlwla,M' Cal eu4nl On Ice S.- °C mglL ❑Well Survey Data I Lab Qualifier' I Sample # Unless otherwise noted, all tests are performed in accordance with NELAC standards, and the results relate only to the samples. Dais and eme PWS w0ed by lab Dale and time DEP /DOH rolified by llayabYYf positive re Wlts: Date Re. Issued: /T714f � Z-{- Lab Signature: J` c A I Title: Ago- e7- ' (Y)r171 I Collection Information nples Required nt Samples Required DEP /DOH Reviewing 're.,rrs rw msmnnr s.a....,.., �,e...m�m,oxrm.,•, mw.,FFaMe�w w m.,eM(IYSnr s.aoa. mm xawnxeFlw nrole,nitr,nnF DRINKING WATER MICROBIAL SAMPLE COLLECTION & LABORATORY REPORTING FORMAT (6245D,= Repmtlrp Fammt Eff m 0111995, Rmwme a2Re10) JUPITER ENVIRONMENTAL LABORATORIES, INC. 150 S. Old Dixie Highway Jupiter, FI 33458 56 1.g75.0p0 I(1 Report Number.11.4 {O —N Sub- Contract Lab ID: E86546 Analysis Requested: (check all that apply) ® Total Coliforn/E. col! ❑Total ColifomVFecal ❑Enterocoed ❑Collphage ❑HPC Public Water System (PWS) Name: Town of Gulfstream PWS Address: 100 Sea Rd. PWS or PWS Owners Phone #: 561- 573 -8702 Brian Fax #: Collector J. Russell Type of Supply: (check only one) ®Community Water System ❑Non - Transient Non - community Water System ❑Limited Use System ❑Bottled Water [:]Private Well ❑Swimming Pool Receipt Date 8 Time: G W IS ysis Date 8 Time: G .pie Acceptance Criteria: 3 (� ple Preservation: ®On ice ❑Nat On Ice ®_ °C dectant Check: ®Not Detected❑ mg /L sample does not meet the following NELAC requireme ❑Other. PWS I.D. 450 -0565 City: Gulfstream Collector's Phone #: 561- 575-0030 ❑Transient Non - community Water System ❑Other. Reason for Sampling: (check all that apply) ®Distribution Routine ❑Distribution Repeat ❑Raw (triggered or assessment) ❑Raw (triggered or assessment) additional []Clearance ❑Replacement (also check type of sample being replaced) ❑Boil Water Notice []Other: Sample Collection Date: 8119114 ❑WeII Survey Town of Gulfstream 100 Sea Rd. Gulfstream FL 33483 Attn: Brian rm smpl[ rrpe ae im. I le 'nem tyn..pmm�e[stnm. 'pefm,tl m fimdtA�meni Co�IW46El ❑Satisfactory DEP /DOH USE ONLY ❑Incomplete Collection Information ❑Repeat Samples Required ❑Replacement Samples Required DEP /DOH Reviewing Official 'fampM[Mmmm,nnrl amine ,im�emmmminul�Nm�emMpquWim[,m �e atl x4dntl9W ao nm mtludtnw mphm mmpbmil[a,ant[. To be completed by collector of sample To be completed by lab nalysls Melhod(s : SM 92238 Sample Sample Point Sample Sample Disin- fedant # (Location or Specific Address) Collection Time Type Residual pH Fecal, cofi Q Non- Coliforn Total Coliform Enlerococd,or Data Qualifier' Lab Sample # Cali ha e a 1 SP #4 (2775 Ave Au Soleil) 12:05 D 1.0 d 'A` _ 2 SP #8 (1120 N Ocean Blvd) 12:40 D 0.6 A a$_ a vemge of disinfectant residuals for distribution routine & repeat samples,` Free chlorine or Total chlorine (circle one) 0.8 Unless otherwise noted, all tests ere performed in accordance with NELAC standards, and the results relate only to the samples. Disinfectant Residual An Method: a ®DPD Colodmetdc []Other. he[]Other. Ot Person performing disinfectant analysis is (sae Instructions on reverse): : Date act time PWS notified by lab or positive resultsDate ❑A certified operator (# t and time oEP/oo i5 d e lab Y posive results: Dale Report Issued: ❑Supervised by certified operator (# 1 Lab Signature: Title: (U Wf n f � ^_ I ef. Mry �nn ®Employed by a certified lab []Employed by DEP or DOH []Authorized representative of supplier of water Town of Gulfstream 100 Sea Rd. Gulfstream FL 33483 Attn: Brian rm smpl[ rrpe ae im. I le 'nem tyn..pmm�e[stnm. 'pefm,tl m fimdtA�meni Co�IW46El ❑Satisfactory DEP /DOH USE ONLY ❑Incomplete Collection Information ❑Repeat Samples Required ❑Replacement Samples Required DEP /DOH Reviewing Official 'fampM[Mmmm,nnrl amine ,im�emmmminul�Nm�emMpquWim[,m �e atl x4dntl9W ao nm mtludtnw mphm mmpbmil[a,ant[. TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via a -mail September 4, 2014 Commerce GP, Inc. [Mail to: records @commerce- group.com] Re: GS #1327 (790) Please provide a copy of the drinking water microbial sample collection & Laboratory reporting format, as prepared by Jupiter Environmental Laboratories Inc. during the month of July and August of 2014. Dear Commerce GP, Inc. [Mail to: records @commerce- group.com], This letter provides you with the full production of public records you have requested in your email dated August 29, 2014 that can be viewed at the following link: htti)://www2.gulf- strearn.org/WebLinkS/O/doc/20130/Paizel.asDx. Be advised that these records are available at the same link. We consider this matter closed. Sincerely, Town Clerk Custodian of the Records