| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Source is protected from contamination (animals, waste, run-off) | ||||
| Area around source is clean and free of debris | ||||
| Fence or protective barrier is intact | ||||
| Access to source is controlled | ||||
| Warning signs posted (if required) |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| No visible oil, foam, or foreign material on water | ||||
| No unusual color, odor, or taste observed | ||||
| No signs of algal growth or blooms |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Intake structure in good repair | ||||
| Protective covers or hatches present and secure | ||||
| No evidence of vandalism or damage |