HomeMy WebLinkAboutWTR2702036PROJECT NAME: GOniG AG/ S /D "" PP--r-1 f6'cTt1SA)
ALIAS:
CONTRACTOR (IF KNOWN):
PROJECT NUMBER:
LvT,2.. Z7 - z o 3
WORK ORDER NUMBER: 9 -% 30 3
STATE CONST. REPORT
SIGNED BY:
YEAR PROJECT TAKEN INTO PLANT:
RECORDED BILL OF SALE:
RECORDED EASEMENT:
COST DATA INVENTORY: PIPE,/� `Sdy o HYDRANT $.
BACKFLOW TESTS: Y N
PURITY TEST: no. taken I/ Test No(s)
PRESSURE TEST: to - Z - 97
}'izv�jEG7 MANA,f�EE2:
Documentl\
11iE!1' RECORDED R=- RIN TO:
Officc of the City Clcrk
Rcnton Municipal Building
200 hfill Avcnuc South
Rcnton, WA 98055
Utilities
EASEMENT
THIS INSTRUMENT, made this 3 0 day of M a r c h
by and between and
(aim pf� a rlpc Gnnux(.) Naffm (s)I
FMFRAI n RACTNG ASSnETATTON ( SG ) and
and
and
Projcct rilc # W ^ Z03&
Parccl Tax Account N's
Gmntor(s) Namc
RTSQ
19 92
hercinafter called "Grantor(s)," and the CITY OF RENTON, a Municipal Corporation of King County,
Washington, hereinafter called "Grantee."
That said Grantor(s), for and in consideration of the sum of $ 0.00
paid by Grantee, and other valuable consideration, receipt of which is hereby acknowledged, do by
these presents, grant, bargain, sell, convey, and warrants unto the said Grantee, its successors and
assigns, an easement for public utilities (including water and sewer) with necessary appurtenances over,
under, through, across and upon the following described property (the right -of --way) in King County,
Washington, more particularly described as follows:
See attached.
Utilitics Eascmcnt
Shcct 1 of 2
:fo—wp ropmymuom Ut.'E / I -I /Ma 9I /bh
APPROVED LEGAL
For the purpose of constructing, reconstructing, installing, repairing, replacing, enlarging, operating and
maintaining utilities and utility pipelines, including, but not limited to, water, sewer and storm drainage
lines, together with the right of ingress and egress thereto without prior institution of any suit or
proceedings of law and without incurring any legal obligation or liability therefore. Following the initial
construction of its facilities, Grantee may from time to time construct such additional facilities as it may
require. This easement is granted subject to the following terms and conditions:
1. The Grantee shall, upon completion of any work within the property covered by the easement,
restore the surface of the easement, and any private improvements disturbed or destroyed during
execution of the work, as nearly as practicable to the condition they were in immediately before
commencement of the work or entry by the Grantee.
2. Grantor shall retain the right to use the surface of the easement as long as such use does not
interfere with the easement rights granted to the Grantee. Grantor shall not, however, have the right to:
a. Erect or maintain any buildings or structures within the easement; or
b. Plant trees, shrubs or vegetation having deep root patterns which may cause damage to or
interfere with the utilities to be placed within the easement by the Grantee; or
c. Develop, landscape, or beautify the easement area in any way which would unreasonably
increase the costs to the Grantee of restoring the easement area and any private improvements therein.
d. No digging, tunneling, or other form of construction activities shall be done on the property
which would disturb the compaction or unearth Grantee's facilities on the right -of --way, or endanger the
lateral support facilities.
e. No blasting shall be done within fifteen (15) feet of the right-of-way.
This easement shall run with the land described herein, and shall be binding upon the parties, their heirs,
successors in interest and assigns. Grantors covenant that they are the lawful owners of the above
properties and that they have a good and lawful right to execute this agreement.
Signatures of Grantors:
and
REPRESENTATiyE FORM OF ACKNOWLEDGEMENT
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that and
signed this instrument, on oath stated that he/she/they was/were authorized to execute the instrument
and acknowledged it as the
and
11
to be the free and voluntary act of such parry/parties for the uses and
purposes mentioned in the instrument.
Dated
Notary Public in and for the State
of Washington residing at
My appointment expires:
Utilitics Eucmcnt
Shect 2 of 2
CorpoRtc Form
PlornWpfopmgmVom AMaI-I/Mar9Ilbh
EXHIBIT "A"
A STRIP OF LAND 15 FEET IN WIDTH WHICH IS 7.5 FEET ON EACH
SIDE OF THE FOLLOWING DESCRIBED LINE;
THAT PORTION OF HENRY A MEADER'S DONATION LAND CLAIM NO 46,
SECTION 25, TOWNSHIP 23 NORTH, RANGE 4 EAST, W.M. DESCRIBED AS
FOLLOWS;
COMMENCING AT THE MOST SOUTHWESTERLY CORNER OF AN EXISTING
WATER EASEMENT RECORDED UNDER A/F NO. 8601080910, RECORDS OF
KING COUNTY, WASHINGTON; THENCE NORTH 01004115" EAST A
DISTANCE OF 7.5 FEET TO THE TRUE POINT OF BEGINNING;
THENCE NORTH 87004157" WEST A DISTANCE OF 35.00 FEET TO A
DESIGNATED POINT "A";
THENCE CONTINUING NORTH 87004157" WEST A DISTANCE OF 245.00
FEET TO A DESIGNATED POINT "B";
THENCE CONTINUING NORTH 87004'57" WEST A DISTANCE OF 350.00
FEET TO A DESIGNATED POINT "C";
THENCE CONTINUING NORTH 87004'57" WEST A DISTANCE OF 10.00
FEET AND TERMINUS OF SAID DESCRIBED CENTER -LINE, ALSO
BEGINNING AT SAID DESIGNATED POINT "A"; THENCE
NORTH 02055'03" EAST A DISTANCE OF 17.5 FEET AND TERMINUS
OF SAID CENTER -LINE DESCRIPTION;
BEGINNING AT SAID DESIGNATED POINT "B"; THENCE
NORTH 02055'03" EAST A DISTANCE OF 17.5 FEET AND TERMINUS
OF SAID CENTER -LINE DESCRIPTION;
BEGINNING AT SAID DESIGNATED POINT "C"; THENCE
NORTH 02055'03" EAST A DISTANCE OF 17.5 FEET AND TERMINUS
OF SAID CENTER -LINE DESCRIPTION;
506:ng Commcrlrl Alrplehc Grojp
P.0. Box 3707
SCW!' e. WA 98124-2207
!"AFAZAr
March 27, 1992
R-4067-RHW-1039
City of Renton
Municipal Building
200 Mill Avenue South
Renton, WA 98055
Subject: I.ongaeres Park
Easement for Temporary Fireline
The Boeing Company intends to grant a utilities easement to the City of Renton
for a temporary 10" water main at Longacres Park. This temporary water line is
for fire protection of temporary horse barns that rill be erected in June 1992 and
removed in September 1992 by Emerald Racing Association.
Sincerely,
James J. Nelson
Director of Facilities and Services
Boeing Commercial Airplane Group
Org. 6-4061, MS 75-66
Phone 237-9765
WASHINGTON THOROUGHBRED BREEDERS ASSOCIATION
Publishers of WASHINGTON THOROUGHBRED magazine
George Daly
Business Manager
Located at the southeast corner of Longacres Race Course
P.O. Box 88258, Seattle, WA 98138 • (206) 226-2620 / 772-2381
Emerald Racing Association
Dale Hayen
Stable Superintendent
P.O. Box 1077 Renton, WA 98057 • (206)226-3131
Gate (206) 227-6710 • Res. (206) 255-8993 • M (206) 949- 596
•, .
v / p,s
3557J
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY -UNTIL VALIDATED
Owner
Address 1 Q n Ox (O»
2 w a . q Sa57
INSPECTIONS
CONSTRUCTION
PERMIT
(Public Right -of -Way)
H Am 36 1 q 2
Date Issued
S4u6 30)1gg2
Expiration Date
Reference Data S% X 20, 01 ' = i, O DO —
1k�, SPK- UT ,• 1*mw fk-� AM NoT APPOCkote
far "It o Pbtiw W p vue .,
NUMBE /�V ,
Location of Work
Lo ;ACRES -Zpo TRAc ► -
(gif PM wo CaAL oSmpnow)
FEES
Sanitary Sewer/Storm Water Permits
Right -of -Way Construction
Right -of -Way Inspection Fees
Water Inspection/Approval Fee
Special Utility Connection Fee, Water
Water Latecomer Fee
Special Assessment District, Water
g 1�000�85
N A
Sewer Inspection/Approval Fees f
Special Utility Connection Fee, Sewer
Sewer Latecomer Fee
Special Assessment District, Sewer
Special Deposit, Private Latecomer
Special Deposit, Cash Bond
TOTAL FEE
Description of Work (qo OF 'oV G1ftE k 2 k�tDQ/tH-rs
and Number of Feet IWM, i►� (�x ' u
('cam 000to QyroS C W - 20fin, lco% wa Via( PneTtrr;w bo .
Contractor
VMiL
6XCAlfMi44
'WC .
Business
License gL)q
Address 333o
&,f V ftu.Ei
Rom
Bond kA /a
I
9f� 'A �+�► A , g g 55 Telephone
�20
IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL 235-2631 FOR INSPECTION.
Call between 8 AM and 9 AM for
inspection in afternoon; call
before 12 Noon the day before
for inspection in morning.
SPECIFY TIME FOR INSPECTION.
APPLICANTc2.-�C" l / Lf�l�•->�_Z
PUBLIC WORKS DIRECTOR
CALL 235-2620 for street signs CALL BEFORE YOU DIG
48-HOUR LOCATORS
and lighting. 1-800-424-5555
I �_
KOHL EXCAVATING, INC.
K 3330 East Valley Rd.
Renton, Washington 98055
251-8820
August 30, 1991
City of Renton
200 Mill Ave. South
Renton, Wa. 98055
Subject: CAG-072-91
Highland Pump Station Isolation Valves
Attention: Richard L. Moreno
Gentlemen:
Thefollowingis a list of names and addresses plus phone
numbers for emergency use:
1. Ivan Christianson
23030 - 164th S. E.
Kent, Wa. 98042
Office Phone: 251-8820 - Kelly Answering Service
after hours.
Home: 271-0028
2. Mike Skagen
19910 32nd St. Court East
Sumner, Wa. 98390
Home: 862-8968
The Responsible officer: Ivan Christianson
Job Foreman: Joseph Williams
Bonding Agent: Hurley Atkins & Stewart
Sincerely,
KOHL EXCAVATING, INC.
Mike W. Skagen
MN.
ACCOUNT #: NAME: Lim `.. _�_Kors�bar►�_5�_
INVOICE: #: --
DATED:----
W/O # STD --
DESCRIPTION: T;� - • +� - -. --- ---
WORK PER101):
FUNCHON # :�511 FUNC1'It )lxl ;t — _--
LABOR: LABOR:
HRS $ $ 11%'SA IIRS_--
BENEI-IT 42.2% 56-w; BENEFITS 42.2%_�—
OVERIIEAD 150/, ZS • ZA $ lA3.G(A OVERHEAD 15%
EQUIPMENT: EQUIPMENT:
# IIRS RATE TOTAL # IIRS RATE TOTAL
@ z8.3% 113s2
$
MATERIALS $ _ MATERIALS
STOCK 20%u ___ $ STOCK 20%
OTHER $ OTHER
TAX \•' % TAX %
SUBTO'TAI. STOCK20%
OTHER:
CHLOR. PUMP:
SIIU T-01'('ILARGE:
IIRS @ MAW
DAYS @ $40/DAY
INVOICE TOTAL.
BARSACCOUN'T# 146k Suocx� 36S Go cX20W 1-12lb-A •5521
COMMENTS:
713o - A A k CIL
$'y - nio t� Ooti Sit cis t2c,ka
31A.( -_
AUTHORIZATION OF SPECIAL BILLING
DATE: 3�3c�� fZ
PROJECT NAME: LAKEACM lehtE 0
PROJECT NUMBER -
WORK ORDER NO-
1 M mvrm o Nb'
It.is the intent of this letter to authorize the City of Renton to bill the undersigned for all costs
incurred relative to the above -referenced project, by the City of Renton for the following work
WA'M
Puff"
` -K •1,
VwTKUWu
161 CITi
orr WkxTr i
W-+U
W-W
Td
Op
(cnt�s�cTia*� '�
ffifYi4+C
ai't ur
t�L t-tAW
C�iy�n'�o +1ST Wc�tK � Z 4pCs�)
"- YOU WILL BE BILLED TIME AND MATERIAL
' FOR ANY WORK DONE BY CITY STAFF TO
REPAIR DAMAGES
BILLING TO BE SENT TO:
Name: ✓7�3� E /-,! y ��/ —
Address: /' O• RoX i > >
City. /.?
Attu:
Phone No.: —2 2, 6 — �31-3 /
Owner/Develo , Contractor or
Authorized Agent
REVIEW SHEET - PERMIT FEE AND RATES
PROJECT NAME:
LOCATION:
1. SANITARY SEWER (EACH CONNECTIO
Residential
$ 60.00
Commercial
$ 80.00
Industrial
$100.00
Repair
$ 20.00 $
2. STORM SEWER (EACH CONNECTION)
Residential $ 20.00
Commercial $ 50.00 O
Industrial $100.00 $
3. RIGHT-OF-WAY CONSTRUCTION (Length
includes sidewalks, curbs, excavations and improvements)
0-35' $ 30.00
36' - 100' $ 60.00
Over 100' $ 90.00 $
4. INSPECTION/APPROVAL FEES
For replacements & improvements in r/w, easements on -site and off -site
Includes: Cost o-WD,w6 'ALb �" !� Fee
Sanitary Sewer $ $ N/A
Water $' �_� X 5 `�c $
�+---
Storm Sewer $ i $
Street, Walk & Curbs $ - _ _ $
5% of the first $100,000
4% of that amount over $100,000, X �
MAKC-
but less than $200,000-�-�-
3% of any amount over $200,000
The applicant will be required to submit separate cost estimates for each item
if L _�
improvement, subject to approval by the Public Works Department.
5. Bond not required N� h
$1000 Performance Bond Required
Construction Bond Required (100% cost of work in R/W)
6. Contractor required to have current City business licence? Yes
Other
7. Latecomer Agreement - Water ✓
Latecomer Agreement - Sanitary
Latecomer Agreement - Storm
8. System Development Charge - Water* (fwar. w) O / A
System Development Charge - Sanitary N /A
9. Special Assessment Area Charge - Water
Special Assessment Area Charge - Sanitary
10. Approved Water Plan 0 V.
Approved Sanitary Plan
Approved Storm Plan
CITY OF RENTON
Business License
8
8 8 8 9
9
2WMILL AVE S
88 8
8 8 S
b6
RENTON, WA 98055
8
9 8 9 gas
B
8
B 8
38
i WWo application for a City of Renton Business License in accordance with the provisions of Title V,
pAw" Chapter 1, Code of General Ordinances of the City of Renton and agrees to comply with all the
of tab ordinance. Licensee shall further comply with any and all other City Codes, Ordinances, State Laws
i
Irn WOtcable to the business activity licensed hereunder. Post this license at place of business
z 3 0 EAST
V A L L E Y R 0
LICENSE NO
909
ISSUE GATE
02/11/91
KOHL EXCAVATING INC
3330 E VALLEY R9
RENTON WA 981-J55
KOHL EXCAVATING, INC.
3330 East Valley Road
Renton, Washington 98055
251-8820
March 26, 1992
LongaCres Park
P. 0. Sox 1077
Renton, Wa. 98057
Re: Temporary Fire Protection System
Attn: Dave Little
We propose to furnish and install the temporary 10" fire protection
system per Touma Engineer's drawings dated 3-20-92, foz7 the lump
sum price of $20,000.00. Listed below is a cost breakdown
associated with this work.
10"
Cl. 52 Ductile Iron
- 640 L.F.
@$20.00 $12,800.00
Fire
Hydrant Assembly -
3 ea.
@$1500.00 4,500.00'
10"
Gate Valve -
1 ea.
@$ 700.00 700.00
Polywrap - included in above
Testing, Flushing, Purification - Lump sum $2,000.00
Imported trench backfill provided by others -
(estimated to be 200 tons)
Crushed rock surfacing provided by others.
Lump sum price includes removal of all piping and fire hydrants
at the conclusion of racing with materials to be retained by
Kohl Excavating.
Please contact me if you have any questions.
Sincerely,
KOHL EXCAVATING, INC.
Mike W. Skagen
(FAX) 251-8039
KOHLE"299PL
WGE D2F0700290
TnTAI P _ Gt
CITY OF RENTON WATER DEPARTMENT
Pressure Test $ Purification Test Form
P - '79 -5y
PROJECT NO.
NAME OF PROJECT
PRESSURE TEST TAKEN BY
AT A PRESSURE OF--� PSI, FOR MIN.
TEST ACCEPTED ON 6 2,Q / q 'Z
PURIFICATION TEST TAKEN BY-H. (_Z)y P6.�4 ON (L 19 2,
PURIFICATION TEST RESULTS, SAMPLE #1 ����� K2
Sk Ly# 2
SAMPLE`#3
REMARKS: :2j:d p. �'� �j _ = T �!\I C l TC?
W-LL,F LEIZ"Dtl,P.
NAME OF DEVELOPMENT
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
C
ADDRESS LFE)"GALQ_:f5-C, 1\A-,E- -C rZ ALL
INSTALLATION CONTRACTOR KU14L- IF-- xGAv AT1
WATER PROJECT NO. W - 2d 3
NUMBER OF HYDRANTS _v' j0
HYDRANT LOCATIONS gyp, �►�iD of-fVnACK.
( oEF- Z7 'TH 4 LA WD
5 + 4.5 - e:.. TZA"ur__
2 ..f7)T& . I -4 Cp 0
3.
4.
5.
6.
INSPECTOR f'�e v t t�S �y fifty
� S
(FOR FIRE DEPT. USE ONLY)
HYDRANT NO.
CITY OF RENTON WATER DEPARTMENT
Pressure Test $ Purification Test Form
PROJECT NO.
NAME OF PROJECT
PRESSURE TEST TAKEN BY
AT A PRESSURE OF PSI, FOR
TEST ACCEPTED ON
ON
PURIFICATION TEST TAKEN BY ON
PURIFICATION TEST RESULTS, SAMPLE #1
SAMPLE #2
SAMPLE #3
REMARKS:
MIN.
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
NAME OF DEVELOPMENT
ADDRESS
INSTALLATION CONTRACTOR
WATER PROJECT NO.
NUMBER OF HYDRANTS
HYDRANT LOCATIONS jp, �,J0 of 7CAr
( c�FF- 27 TH 4 LA ND
1. 7 - ��• r.i c-E.
2.
3.
4.
5.
L
(FOR FIRE DEPT. USE ONLY)
HYDRANT NO.
INSPECTOR
NAME OF DEVELOPMENT
ADDRESS
INSTALLATION CONTRACTOR
WATER PROJECT NO.
NUMBER OF HYDRANTS
HYDRANT LOCATIONS
1.
2.
3.
4.
5.
N
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
(FOR FIRE DEPT. USE ONLY)
HYDRANT NO.
INSPECTOR
N
_7,r
1
awl-rjZANC�
'�v-co tit�v b �YDY.4i.1TS kv gyp. e440 c5F-
Lv NL, AcYZ,r--S Ttz�r- , \tl - 20 3 Co
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S133HS OOL btil'LL
S133HS OOL Lbl-LL
S133HS OS lbl-LL
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION. READ INSIkUCFIONS ON HACK OF GDI I)FNROD COPv
If instructions are not followed, sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME
MONTH DAY YEAR
❑ AM ❑ PM
TYPE OF SYSTEM IF PUBLIC SYSTEM. COMPLETE
j. PUBLIC CIRCLE GROUP
❑ INDIVIDUAL I.D. No.
(serves only 1 residence) I i A B
NAME OF SYSTEM
SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO.
lie, kitchen tap Cw school, fire station, fountain)
DAY( 1
EVENING ( )
PLE COLLECTED BY: (Name) I SYSTEM OWNER/MGR.: (Name)
SOURCE TYPE ❑ GHOUND WAI ER UNDER SURFACE INFLUENCE
❑ SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION
WELL FIELD INTERTIE or OTHER
SEND REPORT TO: (Print Full Name, Address and Zip Code)
= SAMPLE (check only one in this column)
ROUTINE ❑ Chlorinated (Residual: _ Total Free)
DRINKING WATER
check treatment — > Filtered
❑ Untreated or Other
❑ REPEAT SAMPLE
Previous coliform presence Lab # _
Previous coliform presence Date
"1 RAW SOURCE WATER Source # S- m D Totai Coldorm
,CI NEW CONSTRUCTION or REPAIRS F. Fecal Coliform
Ll OTHER (Specify) ._
RFNIARKS
L' �LPATCP` '47SULTS' FOR i A.0 NSF '.Nl ✓.
r
F`.tr-L"AL,AU3F
Sample too old ❑ ConfluuoT g[ owilh
❑ Wrong container E] TNTC
❑ Incomplete form ` Turbid cu'ture
❑ ! Excess aebris
DRINKING WATER SAMPLE RESULTS
❑ REPEAT SAMPLE REQUIRED, Coliforms present L'SATISFACTORY. Conforms absent
J E. Coli present ❑ E. Coll absent
❑ Fecal present I- � Fecal absent
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
DATE. TIME RECFIVFn RF(:FIVFr)
DATE REPORTED LABCRATORY:
FIT- ARKS
DOH 3M,002 IREV 7 9I f
WATER SUPPLIER COPY
INTERPRETATION OF RESULTS
FOR DRINKING WATER
The analysis performed on this drinking water sample is an examination for
the presence of coliform organisms in the water and indicates the
bacteriological quality of the sample The presence of coliform organisms is
used by health organizations worldwide as an indicator for the possible
presence of other disease causing organisms.
REPORTING OF RESULTS:
Group A Public Water Systems must report the results of Drinking Water
Analysis to the State as specified in WAC 246-290-480.
SATISFACTORY RESULTS
The absence of coliforms from any sample is satisfactory. Proper system
maintenance and bacteriological monitoring should be continued routinely
to insure the safety of the water supply.
UNSATISFA CT_0MLg'E2ULTS:
Any colif(.._.,. --once is unsatisfactory.
The presence of coliforms indicates the system is not properly protected
against contamination and may be unsafe for human �'-)nsumption.
Unsatisfactory samples should be investi9al, ' +^ - IATELY and repeat
rzn'�,�s submitted. Contact your local health department or DOH Regional
Office for assistance in determining the source of contamination and
corrective procedures.
When fecal coliforms or E.coli are reported present in a sample, the
IMMEDIATE ACTION REQUIRED by a Public System is:
1. Investigate to determine the cause and correct the situation.
Your local health department or DOH Regional Office can
assist you.
2. Submit repeat samples as specified in WAC 246-290-480,
3. Publicly notify the users of public water systems as specified in
WAC 246-290-480.
4. Contact your local health department or DOH Regional Office
as specified in WAC 246-290-480.
TEST UNSUITABLE: Resample Immediately
"Confluent Growth" means bacteria have grown into a continuous mass
which makes counting impossible. "TNTC" means bacteria are too numer-
ous to count. "Excess Debris" means that particulates in the water inter-
fere with the interpretation of test results. "Turbid Culture" means an
overgrowth of other bacteria can interfere with coliform analysis. If any box
indicating an unsuitable test is checked, the presence of coliform bacteria
could not be determined and a new sample must be obtained for testing.
RESAMPLE:
Sample too old. (Sample to be tested must be received within 30 hours).
Not in proper container. (Bottle to be used for testing must be purchased
from a certified lab within 6 months.)
Insufficient volume. (Sample must be at least 100 ml)
If not tested, a new sample must be submitted for analysis.
FOR ADDITIONAL INFORMATION:
Contact your local health department OR the laboratory where this sampler
was
Regilets,Drtp�er� pj Health Water Program
�,nOR
SOS CREEK
WWII ER & SEWER DISTRICT