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Task Task! ActivitylDescription Number <br />DOH will provide a cabler and GPS unir <br />for the LHJ to gather source data during <br />a routine sanitary survey. DOH expects <br />the LHJ to commit to using the tablet and <br />GPS/or afive-year period_ <br />2 Trained LHJ staff will conduct Special <br />Purpose Investigations (SP I) of small <br />community and non-community Group A <br />water systems identified by the OOW <br />Regional Office. <br />See Special Instructions for task activity . <br />------- <br />Exhibit A, Statements of Work <br />Revised as of May 16, 2016 <br />*May Support PHAB Deliverables/Outcomes StandardsIMeasures <br />5. Any other supporting <br />documents. <br />*Final Reports httVC heen reviewed <br />and accepted by the OOW Regional <br />Office. <br />The LHJ surveyor will record at leas/ <br />Mo (2) CPS data points. jar each <br />source, into the pre/oaded Excel <br />template on the tablel and submit <br />thaT data file wilh the associated <br />sanitary survey_ <br />Provide completed SPI Report and <br />an y supporting documents and <br />photos to OOW Regional Office . <br />-- <br />Page 4 of7 <br />AMENDMENT #7 <br />Due DatelTime Frame Payment Information <br />and/or Amount <br />connections and each <br />community system . <br />Payment is inclusive of <br />all associated costs such <br />as travel, lodging, per <br />I diem. <br />I Payment is authorized I <br />upon receipt and <br />acceptance ofthe Final <br />Sanitary Survey Report <br />within the 30 day <br />deadline. <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />Completed SPI Reports Upon acceptance of the <br />must be received by the completed SPI Report, <br />I OOW Regional Office the LHJ shall be paid I <br />within 2 working days of $800 for each SPI. <br />the service request. <br />Payment is inclusive of <br />all associated costs such <br />as travel, lodging, per <br />diem. <br />Payment is authorized <br />upon receipt and <br />acceptance of completed <br />SPI Report within the 2 <br />working day deadJine _ <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />- <br />Contract Number C 1 7114-7