1. Drinking Water Operator Training January 29, 2014 Davis County and Salt Lake County Health Departments

2. Salt Lake Valley and Davis County Health Departments Fluoridation Regulations Overview/History Overview/History Fluoride Levels Fluoride Levels Reporting/Monitoring Reporting/Monitoring Operator Safety Operator Safety Underfeeds/Overfeeds Underfeeds/Overfeeds Training Training

3. A Little History….. November 2000: Davis County voted in favor of water fluoridation September 4, 2001: Regulation signed into effect Set optimal level at.9 control range:.8-1.4 mg/L November 2004: Davis County again voted in favor of water fluoridation February 8, 2005: Revised Regulation signed into effect An attempt at more uniformity with SLCoHD June 2007: Revision of optimal level of fluoride Set optimal level to.8 control range.7-1.0 mg/L

4. A Little History….. November 2010, The Annual Control Range was changed: Davis- 0.6 to 0.8 mg/L with an annual average of 0.7 mg/L. 0.6 - 0.7- 0.8 SLVHD- 0.6 to 0.9 mg/L with an annual average of 0.7 mg/L. 0.6 - 0.7- 0.9 0.6 - 0.7- 0.9

5. A Little History….. August 13, 2013 August 13, 2013 Better defines training requirements and requires that documentation of training be submitted to the County by the 15 th of January of each year. Better defines training requirements and requires that documentation of training be submitted to the County by the 15 th of January of each year.

6. Powers and Duties of Local Health Departments Responsibilities Require fluoridation at Optimal Levels Require submission of reports of fluoride addition and analysis Provide Fluoride Surveillance The regular review of monitored data and Split Sample results to ensure that fluoride levels are maintained by the Public Drinking Water Supply Distribution samples (in addition to required Water Supplys samples)

7. Monitoring (Davis) Sampling Daily, at representative points in the Distribution System When there are several zones or areas, the sample sites can be rotated from day to day, providing the entire system is covered in one week (Davis). Monthly Split Sample Ensures accurate testing equipment testing equipment

8. Split Samples One sample is split One sample is split One sample is analyzed by field kit used for compliance sampling One sample is analyzed by field kit used for compliance sampling One sample is submitted to the lab for laboratory analysis One sample is submitted to the lab for laboratory analysis These samples should be within 20%. If not, a repeat is required. If still not in the range, lets evaluate any potential issues! These samples should be within 20%. If not, a repeat is required. If still not in the range, lets evaluate any potential issues!

10. Investigative Samples (Davis) Results of samples collected by Davis County Health Department may also be taken into consideration to determine compliance. Minimum 2 samples/month/system (Davis) Investigative samples are processed in our NELAC/State certified lab.

11. Compliance Compliance is determined by taking the annual average of the field tests results taken by water system Compliance is determined by taking the annual average of the field tests results taken by water system Split sample results and the calculated dose support the validity of the field test results Split sample results and the calculated dose support the validity of the field test results

12. 2013 Fluoride Compliance Averages (Davis)

13. Monitoring (Salt Lake) Fluoride concentrations, including natural and added fluoride, need to be recorded daily. Weekly samples must be taken at representative locations through out the distribution system Systems meeting the annual control range may reduce sampling to twice/month and each site A monthly Split Sample result (for equipment calibration verification) must be submitted with the monthly report

14. Investigative Samples (Salt Lake) The investigative samples are analyzed by SLCoHD and serve as secondary verification of fluoride concentration throughout the system. The investigative samples are analyzed by SLCoHD and serve as secondary verification of fluoride concentration throughout the system. Several samples are taken each month throughout the county at random locations Several samples are taken each month throughout the county at random locations

15. 2013 Fluoride Average Salt Lake County

16. Pocket Colorimeter, Fluoride Analysis Only does fluoride Only does fluoride SPADNS Method SPADNS Method Factory calibrated Factory calibrated Be aware of interfering Be aware of interfering substances substances

17. Fluoride Reagents

18. Interferences

19. Fluoride Analysis Materials needed: Materials needed: Colorimeter kit Colorimeter kit Distilled Water Distilled Water Beakers Beakers Standards may be used Standards may be used to check for accuracy. to check for accuracy.

20. Some notes on using this method (SPADNS): Samples may be stored in Samples may be stored in glass or plastic for at least 7 days glass or plastic for at least 7 days when kept refrigerated. when kept refrigerated. Watch expiration dates of reagents Watch expiration dates of reagents

21. Some notes on using this method (cont.): SPADNS reagent contains enough arsenite to eliminate up to 5 mg/L chlorine SPADNS reagent contains enough arsenite to eliminate up to 5 mg/L chlorine Aluminum may be an issue for surface treated water Aluminum may be an issue for surface treated water Be sure that your meter is not getting any error codes when turned on and reagents are fresh and in good condition. Be sure that your meter is not getting any error codes when turned on and reagents are fresh and in good condition. DI water quality is very important, when testing for Fluoride… first step in troubleshooting is trying another source of DI water DI water quality is very important, when testing for Fluoride… first step in troubleshooting is trying another source of DI water

22. Some notes on using this method (cont.): Cleanliness of sample cells is very important… Keep these items for fluoride use only. Acid wash cells after use (1:1 HCL) and rinse three times with DI water and air dry Cleanliness of sample cells is very important… Keep these items for fluoride use only. Acid wash cells after use (1:1 HCL) and rinse three times with DI water and air dry Temperature of sample and DI water must be the same… temperature differences will affect results. Also reagent temperature should be the same. Temperature of sample and DI water must be the same… temperature differences will affect results. Also reagent temperature should be the same.

23. Some notes on using this method (cont.): If you are pipetting, both the reagent and the sample must be pipette… pipetting errors cause the most errors in results. If you are pipetting, both the reagent and the sample must be pipette… pipetting errors cause the most errors in results. It is technically possible to get tighter results using the pipetting procedure … However many customers are able to get tighter results by switching to the AccuVac method which is less technique sensitive. Bulk SPADNS can be contaminated. Contamination is eliminated with the AccuVac. It is technically possible to get tighter results using the pipetting procedure … However many customers are able to get tighter results by switching to the AccuVac method which is less technique sensitive. Bulk SPADNS can be contaminated. Contamination is eliminated with the AccuVac.

24. Fluoride Compounds and Application Equipment Plan Reviews, Evaluation of Fluoride Equipment, Fluoride Compounds, Chemical Feed Equipment and Methods Refer to Rules for Public Drinking Water Systems, R309-535-5. Fluoridation. Fluoride Chemical Standards AWWA standards and/or ANSI/NSF Standard 60

25. Does this meet AWWA standards and/or ANSI/NSF Standard 60 ???

28. New Requirements!

29. Operator Safety References Refer to R309-525-11 Chemical Addition, Division of Drinking Water Refer also to R315-9 Emergency Controls, Environmental Quality, Solid and Hazardous Waste Refer also to R614 Labor Commission, Occupational Safety and Health

30. Operator Safety (continued) The Material Safety Data Sheet (MSDS) Should be posted at all chemical injection sites Spill Response Recommended Disposal Health Hazard Data First Aid Special Protection Storage

31. Storage of Fluoride Compounds Prevent cross contamination Allow enough room for storageAllow enough room for storage Separate other chemicals from fluoride chemicalsSeparate other chemicals from fluoride chemicals Keep dry chemicals dry!Keep dry chemicals dry! Bags and drums shall be stored on pallets

32. Liquid Chemical Storage (fluorosilicic acid) Tanks must: … Have an overflow and a receiving basin or drain capable of receiving accidental spills or overflows, … Fluorosilicic acid must not be allowed in the storm drains or sanitary sewer. Vent any unsealed fluorosilicic acid containers to the atmosphere

37. Accidental Release In the event of an uncontained or accidental release to the environment in excess of five gallons, operators are to follow the Accidental Release Measures instructions found on the MSDS. notify the Department within 24 hours.

38. Liquid Spills Use spill control pillows or dams Use spill control pillows or dams to contain liquid from spreading to contain liquid from spreading Neutralize with lime Neutralize with lime Avoid flushing to public sewer or on-site septage (septic tank) system Avoid flushing to public sewer or on-site septage (septic tank) system

39. Overfeed Requirements Public notification may be required if fluoride levels reach 2.0 mg/L Public notification is required if fluoride levels reach 4.0 mg/L

40. Overfeed Requirements If over 2.0, notify Health Department and supervisor. Determine malfunction/repair If over 2.0, notify Health Department and supervisor. Determine malfunction/repair If over 4.0, if malfunction is not found, immediately turn off fluoridation equipment, sample throughout distribution system. After repairs are complete, with supervisors permission, restart If over 4.0, if malfunction is not found, immediately turn off fluoridation equipment, sample throughout distribution system. After repairs are complete, with supervisors permission, restart If over 10.1, as above, but restart system with both Health Department and Supervisor approvals If over 10.1, as above, but restart system with both Health Department and Supervisor approvals

41. Underfeed Requirements For less than 2 weeks: No action needed if equipment is off line For 2 weeks - 6 months: Contact the Health Department in writing with a proposed plan of action and an anticipated correction date by week three.

42. Required Training A minimum 6 hour training course must be taken before operation of fluoridation equipment Training includes: Operator safety Maintenance/operations Fluoride chemicals Regulatory requirements

43. Required Training An ongoing training must be taken every 2 years An ongoing training must be taken every 2 years A 3 hour course that includes: A 3 hour course that includes: Operator safetyOperator safety Regulatory updates/reviewsRegulatory updates/reviews Operations/maintenanceOperations/maintenance

44. Training Possibilities All day course typically every year though AWWA All day course typically every year though AWWA WBWCD, usually every year WBWCD, usually every year CDC 6 hour training on CD (contact me for a copy) CDC 6 hour training on CD (contact me for a copy) Water Fluoridation: Principles and Practices, in Sacramento fall course in Murfreesboro, TN Water Fluoridation: Principles and Practices, in Sacramento fall course in Murfreesboro, TN Thatcher Thatcher

45. Water Fluoridation: Principles and Practices CDC Sponsored course Water Fluoridation: Principles and Practices CDC Sponsored course Murfreesboro, Tennessee: usually in September each year, dates have not yet been announced Murfreesboro, Tennessee: usually in September each year, dates have not yet been announced Sacramento, California: Sacramento, California: February 11 to February 13, 2014 http://www.cdc.gov/fluoridation/engineering/tr aining.htm CDC-Sponsored Water Fluoridation Training

46. http://www.cdc.gov/mmwr/PDF/rr/rr 4413.pdf

47. Contact Information Davis County Davis County Fluoride Regulation: Davis County Fluoride Regulation: http://www.daviscountyutah.gov/documents/heal th/environmental//fluoridation_regulation.pdf http://www.daviscountyutah.gov/documents/heal th/environmental//fluoridation_regulation.pdf http://www.daviscountyutah.gov/documents/heal th/environmental//fluoridation_regulation.pdf http://www.daviscountyutah.gov/documents/heal th/environmental//fluoridation_regulation.pdf Dee Jette: 801-525-5111 Dee Jette: 801-525-5111 deejette@co.davis.ut.us Angie Jones (reports) 801-525-5115 ajones@co.davis.ut.us Angie Jones (reports) 801-525-5115 ajones@co.davis.ut.us ajones@co.davis.ut.us For spill reporting call EH emergency phone @ 801-807-8872 (after hours, emergencies). For spill reporting call EH emergency phone @ 801-807-8872 (after hours, emergencies).

48. Salt Lake County Fluoride Regulation: Salt Lake County Fluoride Regulation: http://www.slvhealth.org/envRegs/reg33flouridation.html http://www.slvhealth.org/envRegs/reg33flouridation.html http://www.slvhealth.org/envRegs/reg33flouridation.html Lili Benavidez: 385-468-3898 libenavidez@slco.org Lili Benavidez: 385-468-3898 libenavidez@slco.orglibenavidez@slco.org Submit monthly reports to drinkinwatersamples@slco.org Submit monthly reports to drinkinwatersamples@slco.orgdrinkinwatersamples@slco.org For spill reporting after hours and weekends call Emergency Response # 801-580-6681 For spill reporting after hours and weekends call Emergency Response # 801-580-6681 Contact Information