HomeMy WebLinkAboutM24I0128 AmTest Bacteria FINAL 20240913 RPT 01AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
8:45 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-B 7th East Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-01
Lab Reference Number: M24I0128-01
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
8:20 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-A Mech Room Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-02
Lab Reference Number: M24I0128-02
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
8:30 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-A 7th North Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-03
Lab Reference Number: M24I0128-03
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
9:00 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-A 7th South Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-04
Lab Reference Number: M24I0128-04
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
9:45 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-B 7th West Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-05
Lab Reference Number: M24I0128-05
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
8:00 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-A Podium Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-06
Lab Reference Number: M24I0128-06
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
9:20 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-B Mech Room Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-07
Lab Reference Number: M24I0128-07
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
09/11/2024
Month Day Year
Time Sample Collected
9:30 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#:
System Name:
Contact Person: Chris Ayles
Day Phone: (971) 222-6216
Email: chrisa@trademarkplumbingLLC.com
Cell Phone:
Send results to: (Print full name, address and zip code or e-mail)
Chris Ayles, NA NA, WA NA
SAMPLE INFORMATION
Sample collected by (name):
Specific location where sample collected: BLD-B West Podium Special instructions or comments: Solera
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 9/11/2024 12:00:00PM
Receipt Temp (C): 4 C
Date Reported to DOH: 09/13/2024
DOH Lab- Sample# 0660-M24I0128-08
Lab Reference Number: M24I0128-08
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
P
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: Absent/100mL E. coli: Absent/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and