HomeMy Public PortalAboutPRR 15-1729REQUESTEE:
AMENDED REQUEST
RECORDS REQUEST (the "Request")
Date of Request: 111312015
Requestor's Request ID#: 787
Custodian of Records Town of Gulf Stream
REQUESTOR: Airline Highway, LLC
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 all communications and transmittal letters to the Palm Beach
County Health Department in regard to any recommendation or requirements to boil water
which existed in whole or in part during the month of August 2014; and any test results which were
provided to the Palm Beach County Health Department in 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 costs, asserted by the Agency (as defined in
Florida Statute, Chapter 119.01 (Definitions)), in advance of any costs imposed to the Requester by
the Agency.
I:P/NPR/FRR
04.22.13 FORM
Date /Time
ral ID 1
Transmission Report
08 -19 -2014 09: 17:50 a.m. Transmit Header Text
5617370188 Local Name 1
This document : Confirmed
(reduced sample and details below)
Document size : 8.5 "x11 "
Fax
Town of Gulf Stream Transmission Letter
I FAX Cover Sheet
To:
Palm Beach County Health Dept.
Attn: Scott Harrimn
Phone: (561) 837-5900
(561) 282 -1208
(Date: August 19,2014
Number of pages including cover sheet: 4
rrum:
Town of Gulf Stream
100 Sea Road
Gulf Smote, FL 33433
Phone: (561) 276 -5116
Fax: (561) 737 -0188
RE1v1ARIGS:
There is a BOIL WATER ORDER in effect.
Plmw see attached
Tota l Pages Scanned: 4 Total Pages Confirmed:4
�loh I Remote Station Start Time
�.. 383 5612821208 09: 15:49 a.m. 08 -19 -2014
Line
1-
Abbreviations:
HS: Host send PL: Polled local MP: Mailbox print CP: Completed TS: Terminated by system
HR: Host receive PR: Polled remote RP: Report FA: Fall G3: Group 3
WS: Waiting send MS: Mailbox save FF: Fax Forward TU: Terminated by user EC: Error Correct
BOIL WATER ORDER
August 18, 2014
There has been a break in a water line in an area
near your home. Your water has been shut off to
make the necessary repairs. When the water is
turned back on, you will be under a precautionary
boil water until further notice. The time frame is
dependent on testing of the water following return of
service. Please review the methods for disinfecting
water for consumption listed on the back of this
notice.
If you have any questions please contact the Town
Hall at 561 -276 -5116.
/,. '- .b,
William H. Thrasher
Town Manager
Town of Gulf Stream
Residents Affected:
2925
Polo Drive
2943
Polo Drive
2945
Polo Drive
3011
Polo Drive
3023
Polo Drive
3121
Polo Drive
3133
Polo Drive
3145
Polo Drive
3157
Polo Drive
3211
Polo Drive
3223
Polo Drive
3247
Polo Drive
3251
Polo Drive
3259
Polo Drive
2900 Gulf Stream
Road
2910 Gulf Stream
Road
2930 Gulf Stream
Road
3032 Gulf Stream
Road
3054 Gulf Stream
Road
3112 Gulf Stream
Road
3120 Gulf Stream
Road
3126 Gulf Stream
Road
3138 Gulf Stream
Road
3212 Gulf Stream
Road
3232 Gulf Stream
Road
3262 Gulf Stream
Road
3288 Gulf Stream
Road
DRINKING WATER MICROBIAL SAMPLE COLLECTION
& LABORATORY REPORTING FORMAT
(62- 550.730 Rep "Formal Exetl 0111995, RcASW 02=10)
JUPITER ENVIRONMENTAL LABORATORIES, INC.
150 S. Old Dixie Highway Jupiter, FI 33458
Report Number. IL E0 In Sub-Contract Lab ID: E86546 L
Analysis Requested: (check all that apply)
®Tatai Callfonn/E. col! []Total Coliform/Fecal ❑Enlerococc ❑Coliphage ❑HPC
Public Water System (PWS) Name(- Town of Gulfstream
PWS Address: loo &VD— R
PWS or PWS Owners Phone M
Fax
Receipt Date & Ti
ysls Date & Time:
pie Preservation: (ZOn Ice ❑Nat On Ice jg 4 °C
fectant Check: Ballot Detected[] mg/L
sample does not meet the following NELAC requirements:
❑Other,
PWS I.D.
City: CT u I 4! C +ron m
Collector: J. Russell Collectors Phone #:561. 575-0030
Type of Supply: (check only one)
[]Community Water System ❑Non - Transient Non - community Water System []Transient Non- community Water System
❑Limited Use System ❑Bottled Water ❑Private Well ❑Swimming Pool ®Ol her. i (,SPf .I4 ( "n er_ ctI'Cx am
Reason for Sampling: (check all that apply)
[]Distribution Routine [][Distribution Repeat ❑Raw (triggered or assessment) ❑Raw (triggered or assessment) additional []Well Survey
[]Clearance ❑Replacement (also check type of sample being replaced) ®Boil Water Notice []Other
Sample Collection Date: 8/19/14
Sample Disin-
Sample Point Sample fectanl
(Location or Specific Address) Collection Type' Residual pH Fecal, E. call,
Time Non- Total Data Lab
(m9 L) Colifo m Colifortn Enlekococd,aor Qualifier' Sample#
1 ( Hydrant (Middle Rd) 1 12:55 1 D ( 2.8 1
of disinfectant residuals for distribution routine & ropeat
.° Free chlodne or Total chlorine (circle one)
®DPD Calorimetric ❑Other.
)man perforating disinfectant analysis Is (a" Instructions on reverse):
❑A certified operator (# _ f
❑Supervised by certified operator (#
®Employed by a certified lab []Employed by DEP or DOH
[]Authorized representative of supplier of water
Unless otherwise noted, all tests are performed in accordance with
NELAC standards, and the results relate only to the samples.
Date and time PWS notified by lab or positive results:
Date Report Issued:aH (7l � I jsiyvp Ihsulls:
�'1�il�ltli� 1►- a��f/R
Town of Gulfstream
❑Satisfactory DEP /DOH USE ONLY
❑Incomplete Collection Information
[]Repeat Samples Required
❑Replacement Samples Required
Project: Boil Water Notice
'F& Sun* Tree ee IwnM lm, I 116.
' Fa MIr.m. 6lnemry lmmlu„ bee n 6
Date Reviewed by DEP /DOI I:
'nezFmL+kwal.+ae�6aflm.
4Yim1 FbiN.1m.. r
DEP /DOH Reviewing Official:
.ma,.e ee, [uie nd6o, Tr61.1.
' reow< rm. m:. �mrsne,. ea. m, ,.,m,.n.,m.m..uanleraam�a,.up.e a,e e.u,me[a.vw mm:veden. mom, m,peeitr.nnae.
Page 1 or I
DRINKING WATER MICROBIAL SAMPLE COLLECTION
& LABORATORY REPORTING FORMAT
(62550 raa Rtym Fnmut Eeealvn 011INS. ReNW 0=110)
JUPITER ENVIRONMENTAL LABORATORIES, INC.
150 S. Old Dixie Highway Jupiter, FI 33458
Receipt Date & Time: 8/2 /14 14:10
ysis Date & Time: �Q
pie Acceptance Criteria:
pie Preservation: (Eon Ice []Not On Ice ®4 °C
dectant Check: ®Not Detected❑ mg[L
sample does not meet the following NELAC requirements:
Report Number: ]HSM o Sub - Contract Lab 10: E86546
Analysis Requested: (check all that apply)
®Total ColiforrnlE. coli []Total Colifonn /Fecal ❑Enterococci ❑Coliphage ❑HPC ❑Other.
Public Water System (PWS
PWS Address: 8 Sc
PWS or PWS Owners Phone #:
Fax #:
Collector: J. Goodhue Collector's Phone It 561 -575 -0030
Type of Supply: (check only one)
❑Community Water System ❑Non - Transient Non- community Water System ❑Transien nityWater System��
[]Limited Use System ❑Bottled Water ❑Private Well ❑Swimming Pool ®Other. l71Q,�('.L4"1_'1 yp_
Reason for Sampling: (check all that apply)
❑Distribution Routine ❑Distribution Repeat ❑Raw (triggered or assessment) []Raw (triggered or assessment) additional ❑Well Survey
❑Clearance ❑Replacement (also check type of sample being replaced) ®Boil Water Notice []Other:
Sample Collection Date: 8120/14
Town of Gulfstream
Project: Boll Water Notice
❑Satisfactory DEP /DOH USE ONLY
❑Incomplete Collection Information
❑Repeal Samples Required
❑Replacement Samples Required
F.Sv kTp RI.iw sm I I&
'F >•+�w Mn&�QI <+N��w..me& Date Reviewed by DEP /DOH:
'rwnaek.n..on•<s4<+•. DEP /DOH Reviewing Official
'onl.d in Ft, Mnk 1. rad< 6uk 621 W. TAI< I.
'rmokvrmmn+nmr��,m. mum +mm+�mur.m<w cwrwwmlm.wm.a uvlu9+F�.W6 aam eke,,,. soim comas., m<.,mr
Page I of I
Tobecorripletedby,collect or
of sam le
To
be completed
by lab
nalysis
method(s)
: SM 9223B
Sample
#
Sample cif
(Location or Specific c Address)
Sample
Coll
Time
Time
Sample
p
Type'
Disin-
fectant
Residual
m
( �)
pH
Non-
Coliform
Total
Coliforn
Fecal, E. coli,
Entemcocd, 3 or
Cori ha e
Data
Qualifier'
Lab
Sample #
1
Hydrant (Middle Rd)
10:45
D
2.8
A
/1
Average of disinfectant residuals for distribution routine &repeat
samples.' Free chlorine or Total chlorine (circle one)
Disinfectant Residual Analysts Method:
®DPD Cobrimetric []Other:
Unless otherwise noted, all tests are performed in accordance with
NELAC standards, and the results relate only to the samples.
Person performing disinfectant analysis is (see instructions on reverse):
❑A certified operator (# )
Date and time PWS whiled by lab of milwa ra ults:
Date and time DEP/DOH roI(M1REb la��,'ver Its:
Date Repo rt Issued: (�J'(
[]Supervised by certified operator (# )
Lab Signature:
rue: j,0 l aC( f) Cl�lQ.f
®Employed by a certified lab []Employed by DEP or DOH
[]Authorized representative of supplier of water
Town of Gulfstream
Project: Boll Water Notice
❑Satisfactory DEP /DOH USE ONLY
❑Incomplete Collection Information
❑Repeal Samples Required
❑Replacement Samples Required
F.Sv kTp RI.iw sm I I&
'F >•+�w Mn&�QI <+N��w..me& Date Reviewed by DEP /DOH:
'rwnaek.n..on•<s4<+•. DEP /DOH Reviewing Official
'onl.d in Ft, Mnk 1. rad< 6uk 621 W. TAI< I.
'rmokvrmmn+nmr��,m. mum +mm+�mur.m<w cwrwwmlm.wm.a uvlu9+F�.W6 aam eke,,,. soim comas., m<.,mr
Page I of I
Total Panes Scanned :3
e� /r
Town of Gulf Stream Transmission Letter
FAXCaverShea; I Date: Aagust22,2014
Number of including cover sheet: including sheet:3 /,V
To:
Transmission Report
Palm Beads County Health Dept.
Town orcuif stream
c
Date /Time
08 -22 -2014 08: 26:27 a.m. Transmit Header Text
Gulf Stream, FL 33483
Local ID 1
5617370188 Local Name 1 Fax
^ I
Fax: (561) 737 -0188
I
This document: Confirmed
% ��—
V"ft-r
(reduced sample and details below)
"x11"
(J V
Document size: 8.5
Total Panes Scanned :3
e� /r
Town of Gulf Stream Transmission Letter
FAXCaverShea; I Date: Aagust22,2014
Number of including cover sheet: including sheet:3 /,V
To:
Fmm:
Palm Beads County Health Dept.
Town orcuif stream
Attn: Scott Harrison
100 Sea Road
Gulf Stream, FL 33483
Phone: (561)837.5900
Phone: (561) 276-5116
Fax: (561) 282 -1208
Fax: (561) 737 -0188
REMARKS:
The BOIL WATER ORDER has been RESCINDED.
Please see attached.
Total Panes Confirmed : 3
,00 nemolealanon Martnme Duratlon Pages Line Mode lob Type Results
413 5612821208 08:24:08 a.m. 08-22-2014 00:01:00 313 1 G3 HS CP14400
Abbreviations:
HS: Host send PL: Polled local MP: Malibox print CP: Completed TS: Terminated by system
HR: Host receive PR: Polled remote RP: Repart FA: Fail G3: Group
WS: Waiting send MS: Mailbox save FF: Fax Forward TU: Terminated by user EC: Error Correct
The BOIL WATER
ORDER has been
RESCINDED
August 21, 2014
If you have any questions please contact the Town Hall at 561-
276 -5116 or the Police Department at 561 -573 -8701.
Lam- i
1
William H. Thrasher
Town Manager
Town of Gulf Stream
Residents Affected:
2925 Polo Drive
2943
Polo Drive
2945
Polo Drive
3011
Polo Drive
3023
Polo Drive
3121
Polo Drive
3133
Polo Drive
3145
Polo Drive
3157
Polo Drive
3211
Polo Drive
3223
Polo Drive
3247
Polo Drive
3251
Polo Drive
3259
Polo Drive
2900 Gulf Stream Road
2910 Gulf Stream Road
2930 Gulf Stream Road
3032 Gulf Stream Road
3054 Gulf Stream Road
3112 Gulf Stream Road
3120 Gulf Stream Road
3126 Gulf Stream Road
3138 Gulf Stream Road
3212 Gulf Stream Road
3232 Gulf Stream Road
3262 Gulf Stream Road
3288 Gulf Stream Road
TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
January 23, 2015
Airline Highway, LLC [mail to: records @commerce - group.com]
Re: GS #1729 (PRR 787 (Amended))
Please provide all communications and transmittal letters to the Palm Beach County Health
Department in regard to any recommendation or requirements to boil water which existed in whole
or in part during the month of August 2014; and any test results which were provided to the Palm
Beach County Health Department in August of 2014.
Dear Airline Highway, LLC [mail to: recordsla,commerce- grouo.coml,
The Town of Gulf Stream has received your public records requests dated January 13, 2015. If
your request was received in writing, then the requests can be found at the following link
hqp: / /www2.gulf- stream. org/ WebLink8 /0 /doc /34755/Pagel.mxx. If your request was verbal,
then the description of your public records request is set forth in the italics above. Please refer to
the referenced number above with any future correspondence.
You can find responsive documents at the same link.
We consider this matter closed.
Sincerely,
Town Clerk, Custodian of the Records