Template for a Facility Study and Report
The following is an example table of contents for a Source Water Assessment
report:
- Title: SOURCE WATER ASSESSMENT FOR [FACILITY]
- Prepared by: [AUTHORS & AFFILIATION]
- Location of preparer: [CITY/POST, STATE]
- Date: [MONTH, YEAR]
- Contents:
- Executive Summary
- Introduction
- Background
- Purpose and scope
- Description of study area
- Source water assessment
- Surface-water supply
- Watershed delineation
- Quality of stream water
- Time of travel of streamflow
- Potential sources of surface-water contamination
- Ground-water supply
- Description of ground water flow system
- Quality of ground water
- Time of travel of ground water
- Potential sources of ground-water contamination
- Selected references
- Appendices (typical)
- Bibliography of reports from Technical Information Center
- Facilities with permitted discharges
- Streamflow sites for data collection
- Surface water quality data
- Well records and site inventories
- Ground water quality data
- Waste generation and storage facility site inventories
Data Forms
These are Microsoft Word documents
- Site Questionnaire for Inventory of Potential Surface and Ground
Water Contaminant Sources
Page 1 |
Page 2
Modify/customize for each installation.
Copy form onto two sides of single 8.5x11 sheet of paper.
- Site Inventory of Potential Surface and Ground Water Contaminant
Sources
Page 1 |
Page 2 |
Page 3 |
Page 4
Copy form onto two sides of 11x17 sheet of paper and
fold. Align as pages 4,1 and pages 2,3.
Return to front page
Last modified: 27 Jan 1999 gtf