HomeMy WebLinkAboutDisposition Forms_10-13_02/28/2013 RECORDS DISPOSITION DOCUMENT NO — 0
Revised: 12/20/11 PAGE ' OF 1 PAGES
1. AGENCY 2. DEPARTMENT Utilities G000bu p4-a 3. BUREAU
Village of Tequesta N/A
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name and Telephone Number)
345 Tequesta Drive Lori McWilliams, MMC
Tequesta, FL 33469 561- 768 -0443
6. SUBMITTED BY: I hereby certify that the records to be disposed of are 7. NOTICE OF INTENTION
correctly represented below, that any audit requirements for the records
have been fully justified, and th t further retention is not required for any The scheduled records listed in Item 8 are to be disposed of in the
litiga ' n pending or i i ent. _ manner checked below (specify only one):
Signature & X__�]a. Destruction 0 b. Microfilming and Destruction
0 a.1 Shred L a.2 Recycle
Nathan Litteral, Water Plant Superintendent 0 c. Imaging and Destruction
Name and Title d. Other
8. LIST OF RECORD SERIES
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
Item No. Dates in Action and Date
Cubic Completed After
Feet Authorization
Consumer Confidence Rept. 3 years 2001 -2008 ,
correspondence
9. DISPOSAL AUTHORIZATION: Disposal for the above listed records 10. DISPOSAL CERTIFICATE The above listed records have been
authorized. Any deletions or modifications are indicated disposed of in the manner and on the date shown in column g.
(Witness to the Records Disposition)
Signature: �JV Vim- Date: OL��� Signatu Date:
Print Name: Lori McWilliams Print Name:
Print Title: Village Clerk Print Title:
NOTE: Upon disposition retain this form for your records
Terriault, Michelle
From: M i keal-E ison@doh. state. fl. us
Sent: Thursday, February 14, 2013 11:41 AM
To: Terriault, Michelle
Cc: Nathan Litteral; Sudell, Michael; Lanham, Kyle; Collings, John; Gibbs, Robert; Watson, Derek;
Scott — Harrison @doh. state. fl. us
Subject: RE: Boil Water Notices & Lift Notices
Michelle:
Thank you very much for your inquiry and the opportunity to provide you with the correct answer. I checked
the rules, consulted with my manager, and confirmed that the official time to retain public notices issued by
your facility is at least 3 years. ECR -II samples are not required by FDEP but are required by Palm Beach
County Environmental Rule II (ECRII) which fit within the criterion for chemical samples results, and shall be
maintained for at least 10 years. Please review the table bellow or Chapter 62- 550.720. F.A.C. for other records
retention requirements.
. Records Retention Requirements or Public Water Systems
• The following records must be retained on -site for the specified time frame:
• Bacteriological Sample Results - 5 years
• Chemical Sample Results - 10 years
Consumer Confidence Reports - 3 years S �S �-- 1 r?
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• Correspondence to /from the Department - 10 years
• Lead and Copper Tap Sampling Results - 12 years
• Monthly Operation Reports - 10 years
• Maintenance and Calibration Records - 3 years
Sincerely
Mikeal E. Addison, BSIH, EHP, CPO
Environmental Supervisor II
Bureau of Water Programs
Division of Environmental Public Health
Palm Beach County Health Department
(561) 837 -5908 Office Telephone
(561) 837 -5293 Fax
From: Terriault, Michelle [ mailto :mterriault(a)teguesta.org
Sent: Thursday, February 14, 2013 9:47 AM
To: Addison, Mikeal E
Cc: Nathan Litteral; Sudell, Michael; Lanham, Kyle; Collings, John; Gibbs, Robert; Watson, Derek
Subject: Boil Water Notices & Lift Notices
Hi Mikeal —
1
Boil Water Notices: our Village Clerk thinks we should keep them for 3 years, then destroy them (correspondence). But
we want to check the proper protocol with you.
Also, this is to confirm our conversation of a retention of 10 years for ECR II.
Thank you so much for your help with this.
Regards,
Nic" ?VM6"et
Village of Tequesta
Water Treatment Facility
901 N. Old Dixie Hwy.
Tequesta, Florida 33469
Tel.561- 768 -0490
Fax.561- 768 -0711
Email: mterriault @teguesta.org
r.
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