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Task Task! Activity /Description *May Support PHAB Deliverables/Outcomes Payment Information <br />Number StandardslMeasures Due DateiTime Frame and/or Amount <br />See Special Instructions for task activity. • Up to 3 hours of work: I <br />$250 <br />• 3-6 hours of work: <br />$500 <br />• More than 6 hours of <br />work: $750 <br />Payment is inclusive of <br />all associated costs such <br />as consulting fee , travel, <br />lodging, per diem. <br />Payment is authorized <br />upon receipt and <br />acceptance of completed <br />T A Report within the 30- <br />day deadline. <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />4 LHJ statTperforming the activities under Prior to attending the training, submit Annually LHJ shaH be paid <br />tasks 1,2 and 3 must have completed the an "Authorization for Travel (Non-mileage, per diem, and <br />mandatory Sanitary Survey Training. Employee)" DOH Form 710-013 to lodging costs in <br />the ODW Program Contact below for accordance with the <br />See Special Instructions for task activity . approval (to ensure that enough current rates listed on the <br />funds are available). OFM Website <br />htm://www.ofin.wa.gov/r <br />---- <br />esources/travel.asQ <br />*For Information Only: <br />Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a <br />Standard/Measure . More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: <br />hno :llwww.ohaboal'd.o rwwp-conten tl uploadrJPHAB-Slandards-and -Measures -Version -I.O.pdf <br />Program Specific ReguirementslNarrative <br />Special References (RCWs, WACs, etc) <br />Chapter 246-290 WAC is the set ofmles that regulate Group A water systems. By this statement of work, ODW contracts with the LHJ to conduct sanitary surveys (and SPIs, and <br />provide technical assistance) for small community and non-community water systems with groundwater sources . ODW retains responsibility for conducting sanitary surveys (and <br />SPls, and provide technical assistance) for small community and non-community water systems with surface water sources, large water systems, and systems with complex <br />treahnent. <br />Exhibit A, Statements of Work Page 11 ofl9 Contract Number Cl7114