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Pub Insp Wtic (Sep 09) Revised
Pub Insp Wtic (Sep 09) Revised
Date :
Name of Laboratory (if any) Total number of Tanks Any unlined galvanised iron (GI) water pipes/fittings in the premises? Name & Signature of Registered Customer / Date Low Level Tanks : No Intermediate Level Tanks: Yes. High Level Tanks :
No
Yes. Leak was repaired on: Time Final Reading Before Turn-on Time
Time
Time
I, the undersigned, hereby certify that all the above water storage tanks are in a condition fit and safe for the storage of potable water in accordance with the Public Utilities (Water Supply) Regulations and the Singapore Standard CP48 - Code of Practice for Water Services. I also certify that all downfeed and distributing pipes from the tanks had been thoroughly flushed until clean before water from the tanks was put into use and there are no leaks in the pipes and fittings at the above premises. 2 The attached reports from a SAC-SINGLAS accredited laboratory show that the water samples taken from every tank passed the chemical and bacteriological examinations. _________________________________________ Signature of Licensed Water Service Plumber/ Date
RELEASE 0
Condition of Water: Water dirty with sediment Water dirty with oil film Water dirty with colour Water dirty with smell Water contaminated Water samples fail to comply with chemical/ bacteriological analysis
Security of Tank: Room/enclosure housing water tanks not locked Access to high level tanks not locked Inspection manhole cover not locked Inspection manhole not properly covered Inspection manhole cover not hinged or chained to tank Cover for inspection manhole not provided
Note: The checklist given above is meant only as a guide to assist in the inspection and certification of the water storage tank. It is by no means an exhaustive list.
RELEASE 0