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MixNESOrx Appendix2 <br /> s' { r � <br /> � • DEPARTI�FNTOFHEAtTN <br /> Estimates for Fluoridation Equipment and Engineering Costs <br /> It is helpful to estimate and detail the expected costs associated with process equipment, analytical <br /> equipment, and engineering services. General cost estimate information is available in the form of <br /> excerpts from "Water Fluoridation: A Manual for Engineers and Technicians" (CDC), available upon <br /> request. MDH plan review fee estimates are available upon request. <br /> Recipients of funds intended for fluoridation process equipment must submit and,receive approval of <br /> plans and specifications from the MDH Drinking Water Protection Section Administrative Unit prior <br /> to installation. <br /> Fluoridation process equipment, fluoride analysis equipment, and/or engineering costs will include, <br /> but will not be limited to (not all items may be applicable or necessary): <br /> Chemical feed pump(s) $ <br /> Chemical supply scale(s) $ <br /> Bulk storage tank $ <br /> Day storage tank $ • <br /> Chemical transfer pump $ <br /> Chemical feed tubing, pipe(s), and/or injector(s) $ <br /> Electrical wiring $ <br /> Engineering costs $ <br /> MDH plan review fee (e.g. $150 chemical feed installation) $ <br /> Fluoride analysis equipment $ <br /> Miscellaneous costs $ <br /> Total Estimated Costs: $ <br /> Contact information of PWS owner or certified operator (please print) <br /> Name: <br /> Phone number: / <br /> E-mail address: <br /> Signature: Title: Date: • <br /> -10- <br /> 50 <br />