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Currency [0]/Explanatory TextG5Explanatory Text %0 : Followed Hyperlink 1Good;Good  a%2 Heading 1G Heading 1 I}%O3 Heading 2G Heading 2 I}%?4 Heading 3G Heading 3 I}%235 Heading 49 Heading 4 I}%6( Hyperlink 7InputuInput ̙ ??v% 8 Linked CellK Linked Cell }% 9NeutralANeutral  e%"Normal :Noteb Note   ;OutputwOutput  ???%????????? ???<$Percent =Title1Title I}% >TotalMTotal %OO? Warning Text? Warning Text %XTableStyleMedium2PivotStyleLight16`MChlorine Dioxide8fVf@ @ZRU3  @@  y8*'Chlorine Dioxide Systems Monthly Report (In addition to the DBPR report) System Name: PWSID#: Reporting period:5Signature: ____________________________Date:_________Type of Chlorite monitoring: Reduced RoutineSample > 0.8 mg/L? Clorite(mg/L) > 1.0 mg/L?Date Daily Sampleyes/no93-sample set for Chlorite (and additional sets if needed) 1st customer Average time Max. timeAverageWere any averages > 1.0 mg/L?: No YesWere any samples > 1.0 mg/L?:1st 2nd3rdWere any samples > 0.8 mg/L?:This is an acute violation'Were daily Chlorite samples > 1.0 mg/L? ClO2 (mg/L)  .Were any of the daily ClO2 samples > 0.8 mg/L?  +Are any 2 consecutive days ClO2 >0.8 mg/L?   ClO2 = Chlorine Dioxide Location of sample,3-sample distribution set for ClO2 if needed!" DIf yes, a 3-sample distribution set must be taken the following day.%If yes, this is a non-acute violationEIf yes, a 3-sample distribution set must be taken the following day. 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