Month/ Year

System/T.P.
PWSID #
UV Reactor

Maximum Validated Flow Rate

Minimum Validated Flow Rate
Target Log Inactivation
Target Pathogen
Dose Required (Dreq'd)

Process Train
Operator Signature

Calculated Dose
Validated Dose=
VF x CF
Calclated Dose = Dose that is calculated by Validated PLC Algorithm
VF = Validation Factor

Dose Requirements
Operational Data
Doserec'd1
Run Time (hrs) Total Production
Sensor Correction
2
Gallons
Factor2
(mj/cm )
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00

CF = UV intensity sensor correction Factor

The CF is only applie if sensors do not meet recommended criteria
(NOTE - a CF will not be needed in most cases)
Data at Daily Minimum Validated Dose

Validation Factor (VF)

18,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

[A]
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40

Calculated Dose3

[B]
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0

[C]
66
711
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Daily Minimum
Validated Dose4
[D] ([C]/VF/[B])
66.4
711.1
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Flow Rate

Minimum

Minimum

Total Off-

gpm

UV

Water Temp

Speciation Volume

420 gpm
300.00
28.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

(%)
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65

C
18.3
23.9
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8
-17.8

(MG)
0
0
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Dreq'd is the dose required for the target log inactivation without a VF or Sensor CF applied and can be found in UVDGM Table 1.4

1
2

Sensor CF will be 1 if no CF is used

Calculated dose is calculated using the dose algorithm in the PLC

The validated dose is the dose based on the calculated dose that is normalized on the Validation Factor and Correction Factor

Off speciation worksheet (Figure 6.5) should be used to calculate daily off speciation volume. If UVT, flowrate, and/or Validated dose occur simultaneously, the off speciation time should only be counted once.

Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Run time
Hours
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00

Flow Meter at Flow Meter at

Start
End
Gallons
Gallons
0
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000
18,000

Water
Temperature
F
65
75

Total Water
Pumped
Gallons
18,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Average
Flow Rate
GPM
300.00
28.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Retention
Time
Seconds
7.1
76.6
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Intensity
Reading
%
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65
65

Dosage
(WS/cm)
66,372
711,129
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