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HomeMy WebLinkAboutWTR2702722_4Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED_ COUNTY NAME MONTH DAY YEAR ✓ / ,)0 r7 DAM X]PM K� h TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: v PUBLIC ❑ INDIVIDUAL I.D. No. �' f D L CIRt GROUP (serves only 1 residence) J NAME OF SYSTEM SPECIFIC LOCATIO WHERE SAMPLE COLLECTED TELEPHONE NO. V\C �1 _ C b DAY ) 2,3.r - 2 (o IC LA i A�+� S O y SO S` EVENING f ,SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE ❑ GROUND WATER UNDER S RFACE INFLUENCE C SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or rR COMBINATION WELL FIELD INTERTIE or OTHER SENDRE OF T TO: (Print Full Name, Address nd Zip Code) / II G�7f /C -e a0y, b ^ WASHIN(;TON 'E OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: DRINKING WATER check treatment ❑ Filtered ❑ Untreated or Other_ ❑ REPEAT SAMPLE Previous coliform presence Lab # Date Total Free) ❑ RAW SOURCE WATER Source # Is] m ❑ Total Coliform H NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) -,2-a 2.2� REMARKS:— i � 4J c SS2 216 (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present OSATISFACTORY, REPEAT ❑ E. Coli present ❑ E. Coli absent Coliforms absent SAMPLES REQUIRED E]Fecal Fecal absent resent p ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM T . /100 ml E. COLT :i�\ /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED RECEWPUITABLE SAMPLE NOT TESTED BECAUSE: BECAUSE: nfluent growth ❑ Sample too old *TC Wrong container OC IT5 ❑ Incomplete form I culture ❑ CITY OF R s UTILITY E s debris LAB NO. (7 DIGITS) 1 DATE, TIME RECEIVED I RECEIVED BY DATE REPORTED I LABORATORY: REMARKS DOH 305 002 (REV. 4/92) WATER SUPPLIER r:opY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tior, for the presence of coliform organisms in the water and indicates the bacteriological quality of idle 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 Wader Systems must report the results of Drinking WatF_ r Analysis to the State as specified in WAC 246-290-480. SATISFACTORY RESULTS: The absenr:e of coliforrns frorn any sample is satisfactory. Proper +ter, maintenance and bacterio!Cgic: ,i monitoring should be cr}n- . tinned rout�nrly to insure the safety of the ,vater supply. UNSATISFACTORY RESULTS: , Any co!iiorm presenc:? is w satis°actn i. fir,: rr- c;ir.e of cn!ifor•r.s indicates the system is not proper!, protected aga;nst co: tnnin,it;nn and may be unsafe for humiir, cor-- SUrTIP110-1. iid be inyestlaated IPAJv1 - I - AT LYE v,.d !e;)eat_samu!es suom;tted. Contact your local health d�-partrn.-�nt or DOH Regional Office for assistance in deterrnii-!ng the sc irce of contan-Inatinn and corrective procedures. When fecal coliforms or E cot, are reported present in a sample, the IM. ,,1EDIA.TE ACTION REQUIRED by a Public System is: 1. it % estigate to determine the cause and correct the situ._ition. Your local health department or DOH Regional Office can assi ,t you. 2. Submit repeat samples as specified in WAC 246-290 '80. 3. Publicly notify the users of the public water systerrr 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 numerous to count. "Excess Debris" means that particulates in the water interfere 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 !ocal health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Water Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE C ECTE I TIME COLLECTED COUNTY NAME MxON)TH DAY YEAR f/ I ' 0 � ❑ AM PM F 7 TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC ° ❑ INDIVIDUAL I.D. No. / LCr� C^ J O CI LE GROUP B (serves only 1 residence) NAME OF SYSTEM l ( �, O SPECIFIC �UO. ew AT�ER MnOlf%it0, DAY (PLE COLLECTED PHON)NZ3�-2L7(D O� '50 �; Ll e1 s EVENING ( ) SAMPLE COLLIE TED BY: (Name) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE ❑ GROUND WATER UNDER SURFACE INFLUENCE SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or ® COMBINATION WELL FIELD INTERTIE or OTHER SEND R�POT O: (Print Full Name, Address and Zip Code) jl 1. `� � y0 f WASHINGTON'i�LJ�J` (/ 'E OF SAMPLE (check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: DRINKING WATER _Total _Free) check treatment ❑Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source # F m ❑ Total Coliform ❑ NEW CONSTRUCTION or REPAIRS --��❑ Fecal Coliform ❑ OTHER (Specify) /��_ 27—,; - 2- REMARKS: / Zo c -3 290 (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, REPEAT ❑ E. Coli present ❑ E. Coli absent Coliforms absent SAMPLES Fecal resent REQUIRED ❑ Fl Fecal absent p ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM /100 ml E. COLIt�— /100 MIL FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid cultureo- ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) I DATE, TIME RECEIVED I RECEIVED BY DATE REPORTED 1 LABORATORY: REMARKS DOH 305 002 (REV. "2) WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examira- ll ri for the [iiesence of colltorm organisms In the,'water and indice.tes ine b_ cleriolooical quality of the Sample. The presence of coiIfurm � organisrns (:> used by health organizations worldwide as an indicator for fi e- possible preseor-c- Of other r'Isease causing organisms. REPORTING OF RESULTS: Groi,p.i^_Pohiii, Water mi; t rq)(Dri tile, resui.`_-. of Drinking r.;. - to d 2 430 �att:r Ana; �,�. to the Sta as �.pe+^�fi� In ��,:;C - 46-;'90- �� SATISFACTORY RESULT S: he ab­nce (. coliforni�, from) ry s:7ri is sl'_�'>faFfor , Prrp:_r c ;irt�,n malnierance ai ir7 !)2 `F.rir710.)I;::;il ti70!iliprn i7 ho_:Iti be _' mut•nely to insure tt,r = f t: water Supply. UNSATISFACTORY RESULTS: Ar'; cf: iform! presence Is jnsaii`_; actfw,; l ile [)rr-5, rx_= of coGforrn., aic9t::'._ th syst;;m not proF?er! rro,`ectr + and r-ray he trnEl afe for'_Llr:iar �pn- �ulii ii_)r1. Ur�rtisfactur. an ol- _ d b riives� .aced HvIMED1- AI L� and _epcoat_samnl ,.;itn"ri!«d, ­o!itact lvuui rle0h dejJar'in`ient or DOH P,egic• i ffiC,c to( .j,,sistance Ir: Jetf rmin�i'.�;J in= JGUCC 'it c(,:itaniirtai Cr'i it id corre, �fr1- proca dUfe�i. When fecal ,:o:iforms or Ec,cli are repertad present jn a sample tti: IMt,.,1ED1ATE ACTION REQUIRED b',, a Pflplic .Svstrm-, is i . Invu-stigate to diet; rmine tt,e CaLISe :,nd correci the SifLlr:C r:. •)'ul.lr local health -ie artment of DOH Regional Office corn iSsi3t you. 2. Suur,iit repeat as spt-c!`ied Ir, VVAC 2 :'3- 90 180 3. P'_Ibiir_ly notify the iisers of the publicc, water systers a3 specified in WAC 24 -290-=180. 4. Contact your local ti,4th department or DOH Regional Office as specif;ed in WAC 2.16-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have growl into a continuous maFs which makes counting impossible. "TNTC" means bacteria are too numerous to count. "Excess Debris" means that particulates iri the vv" tter interfere with the interpretation of test results. "Turbid Culture" means an overgrov;th of other bacteria can interfere with coliform analvsis. 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, RES_A_MPLE: 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 vvithin 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 sample was tested OR the Department of Health, Drinking Water Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE COLLECTED TIMJE COLLECTp COUNTY NAME MONTH DAY YEAR k, '" (,� IV Z CAI ❑AM kPM TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC ❑ INDIVIDUAL CIF�E GROUP (serves only 1 residence) NAME OF SYSTEM o 1: SPECIFIC LOCATION WHEF]� SAMPLE COLLECTED DAY TELEPHONENO. 26 �6 e0 �) Z h "C' ' ` EVENING ( ) 'SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) It r / SOURCE TYPE ❑ GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or COMBINATION WELL FIELD INTERTIE or OTHER (j�SEND EPORT TO: (Print Full Name, Address and Zip Code) • �rl 6 ems-- C i r , ^ F WASHINGTON 3E OF 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 # Date ❑ RAW SOURCE WATER Source # Is] ❑ ❑ Total Coliform ❑ NEW CONSTRUCTION or REPAIRS 7 ❑ Fecal Coliform ❑ OTHER (Specify)�2, 9 %'p2 / 9 �' REMARKS: 3 (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, Coliforms absent REPEAT ❑ E. Coll present ❑ E. Coli absent SAMPLES ❑ REQUIRED Fecal present ❑ Fecal absent OTHER LABORATORY RESULTS TOTAL COLIFORM /100 ml E. COLI � /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SANAMI�iGi IV E `J SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old OCT �, _ Snf�h�ent growth I ❑ Wrong container TNTC ❑ Incomplete form CITY OI�S'►t!'ture ❑ UTILITY24%FNEIebris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: REMARKS DOH W5 002 (REV. 4/92) WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tion 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 WAG 246 290-430. SATISFACTORY RESULTS: Tne absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriologic�a monite, inn -,nould be con-' timied routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: Any coliform presence is unsatisfactorv. Th peesc;ice ,if coll`on—� : IndlccTes thy' s%sl rn Is nOT properly protected against contar-!imat!on a7Td may be unsate for huriari con- c�,.rrrlption. Un rat!sfactgry sa�i-ipl__ hould be irvestyated'MMED1- ATE_LY and repeat samples suornitted. CGniaGt your vocal health department or DOH Regional Office for assistance in determining tl-,e source of contaminn�ion and correct ..e procedures. When fecal colif firms or E.coN arc-, reportru, aresen, it a sample. the IM141EDIATE ACTICN REQUIRED by a P_:bllc System is: 1. !nvestigate to determine the cause and correct itre situation_ Your !oval health depTrtnrent or DOH Regional Office can assist you. �. Subrrrit repeat samples as specified in WAG 246-290-480. 3. Publicly notify the users of the public water systems as specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional Office as specified in WAC 24-6-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a continuo -us mass which makes counting impossible. "TNTC" means baoteria are too numerous to count. "Excess Debris" means that particulates in the water interfere 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: Sampie 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 sample was tested OR the Department of Health, Drinking Water. Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE COLLECTED I TW COLLF,C,T COUNTY NAME MONTH DAY EAR DAM J (Q f �AM Y❑ PM r o, Ca TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC CIRCLE GROUP ❑ INDIVIDUAL LD. No. B (serves only 1 residence) -71 NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO. DAY ( , 1 30 SO str it AAA,I r EVENING ( ) / SAMPLE COLLECTED BY: (Name) SYSTEMOWNER/MGR.: (Name) f �,C- £,OURCE TYPE ❑ GROUNDWATER UNDER SURFACE INFLUENCE ❑ SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or COMBINATION WELL FIELD INTERTIE F5kor OTHER SEND R�PORT/TO: (Print Full Name, Address and Zip Code) 00 fs , yf- /� ri WASHINGTON TYPE OF SAMPLE (check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: _Total _Free) DRINKING WATER check treatment ❑ Faelo L- ❑ REPEAT SAMPLE CBVED Previous coliform presence Lab # Date / / CITY OF MS ❑ RAW SOURCE WATER Source ❑Total Coliform EW CONSTRUCTION or REPAIRS ❑ Fecal Coliform OTHER (Specify) Gv -a2- a209-;�-- REMA13KS: tt f (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, Coliforms absent REPEAT ❑ E. Coli present ❑ E. Coli absent SAMPLES t Fecal absent Fecal present REQUIRED F ❑ p ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM i /100 ml E. COLI /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: - REMARKS DOH 305 002 (REV. 4/92) WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER Tne an,,j!/sis performed or, this water sample is an exarnina- !iori fcl—he pre.sencp of roilfnrm orointsms in the water and indicates' the barterioiooical quality of rile arnpie. The presence of coliforll� oioanisms IS Lised by on; worldwide as an indical(-54r fir the possible pleselice cJ other dis,?a�e causing organisivis. REPORTINGOFRESULT'S: G:nlic-.- A Pur-11jo 'vlator n ir:Port the (-if Ar).�lv,is to the Stale 3S --p-1—i`1..rj)j-.`iA1 C'' SATISFACTORY RESULTS: -i�jsence of ccliicirfn� f;onl ""Iv "am'Oe is maintenance and mor-itj,;ng,:�-injjIc1 be. ron- V e V u(--o (cuunely T(-,, ii-e lieiat r soppl UNSATISFACTORY RESUUfS; A r,,-V -,i presenc.-is 4or ,,�r;-,6ncE -�F colifnr-s ti-,C �IYISIG�111L i7 I 'perl", b r-, u n S E,'c for hur-T13,1 i- U!�snfls!ar-tc--v s,-,rrpleL. should he inv-ss'ig- t,�d IiMMEDI- a A AI-ELY ard repeal oepa!'Lrn�nt or DOH Reg--):,"i(` c r assistaoce in determining 'I i, ..= scl, , ruo of ccrt,-.mlna! I c;n and cr re( t:ve procedures. 0!her-, iec.,J coliformz or F.I-Ioli ar -eported ;present in a sample, th:.- ;f,v1I`v1ED11ATF ACTION REQLARED L)� '. a P,-j'nlic Systerr is: 1 . investigate to determine thy= and ;or'ect the sit—vion. 'jio '�'-LJT C)C�11 ��ealth dciL DOH, ReL nal Office can C 'ass's t you'. SUbmit reppa.Z cts spe,,: lied in V%AG 2116-2n'!J-480. 3 Publicly notify tale users --)[ the public water systen-ts as specified in WAC 246-29(;-480 Contact your local r-211h department or DOH Regional Office as SDC,-it1eJ in WAt,' 2,-- 6-290-480. TEST UNSUITABLE: Resamr1c, Immediately "Confluent Growth" means t-)a-iera have grown into a continuous mass which makes counting impossihip. 'ITNTC" means bacteria are tuo !-,unierous to count. "Excess Debris" means that particulates in the water interfere with the inUrpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with col!f(-)r-m analysis. If any box indicating an unsuitable test is checked, the presence of cc!iform bacteria could not be determined and a new sample must be obtained for Testing. RESAMPLE: Sample too old. (Sample to be tested rriust be received within 30 hours), Not in proper container. (Bottle to be used for testing must be purchased from a certified I ' ab vvjthin 6 months.) Insufficient volume. (Sample Must be at least 100 rnl) If not tested, a new sampie must be s�,bmitted for analysis. FOR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where thi; sample was tested OR the Department of Health, Drinking Water Program Regional Office. "\J � �I.�IIJI f_,, -i � `} /tic The Fleur Company, Inc. 716 Monroe Ave. NE Renton, WA 98056 Tel: 425-255-2528 fax: 425-23 5-4318 AS -BUILD EXISTING UNCOVERED UTILITIES Renton South Downtown Water Main & Storm Sewer — Phase STREET NAME: W'e it-) rive -r` 5 thS7— DESCRIPTION — DATE: STATION OFFSET ELEV. OR DEPTH . 35 1� y S++ 61 >at JY 'a IS ' Ll j �S - Sk 6-7 AT 11-1 � - �7- r i� , 16f �l //7 t 01 14 f-s-Y 007' (!S-77L��, / 6 r �t• r �r _ 60 / -o i co KATSPAN FOREMAN: ti�Y o City of Renton PLANNING/BUILDING/ ♦ PUBLIC WORKS DEPARTMENT �N�o� Utility Systems - Fifth Floor 1055 South Grady Way Renton, WA 98055 TO: Jim Voigt The Fluer Co. 716 Monroe Ave NE Phone: (425) 255-2528 Fax Phone: (425) 235-4318 FROM: Date: 11 /26/01 Rick Moreno City of Renton Phone: (425) 430-7208 Fax Phone: (425) 430-7241 SUBJECT: As -Built Info. I Number of pages including cover sheet 4 REMARKS: ❑ Original to ❑ Urgent ® Reply ❑ Please For your be mailed ASAP Comment review Jim - As I mentioned on the phone, please utilize this information and transpose the data on a fresh set of plan s. Any information that differs from the original plans, please mark in Red ink. I also, expect that data from Katspan be included with your submittal. I will accept your disclaimer on the submittal, but I need your approval with your submittal. Also, there is the matter of installing the 4 survey monuments. If you are unable to do this, by December 3rd. Let me know. I may have to delete this item from this project and add it to the overlay in the spring. I have to close out the project by Dec. 6th in order to get the final pay estimate out by the end of the year. Your help in closing out this project is critical at this stage. Call me if you have a problem with meeting this deadline or need some additional information. 113 da *4-N" JLN%.11t,vjL I. Ahead of the curve 71q �3.20 15,30 63 f /� G� �to �o w - ------------ 371 12 ern IV 370 i7,t 4 0 7 3a' ; - o b' _ lox"Aj, I �. C'', go . r lam. Oa)-,� -_ bi x4, 2 _ 3 `l o` FROM : FAX NO. : Dec. 06 2001 09:06AM P2 The Fleur Company, Inc. 716 Monroe Ave. NF Renton, WA 98056 Tel: 425-255-2528 fax. 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Renton South Downtown Water Main & Storm Sewer — Phase I STREET NAME: GG C.B. NO. RIM ELEV. PLANS ASPH. ELEV. EXISTING CUT/FILL REMARKS 22 L3, Q /G 12 -3 G 2 Y3 27 ✓ 7 � v7-�a 2,IA &y �_ 2411,1,0 � x f I i FROM FAX NO. Dec. 06 2001 09:05AM P1 Fax To: r 1 Oj 0 From: Fax: �/,2 s ' �/�� ��.� `� Pages: Phone: Date: Re: CC: ❑ Urgent I or Review q Please Comment ❑ Please Reply ❑ Please Recycle -Comments: oft FROM FAX NO. Dec. 06 2001 09:06AM P3 The Fleur Company, Inc. 716 Monroe Avc. NE Renton, WA 98056 Tel 425-255-2528 Fax 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Edenton South Downtown Water Main & Storm Sewer — Phase I STREET NAME: ' C.B. NO. RIM ELEV. PLANS ASPR. ELEV. CUYTILL � REMARKS EXISTING OO .29 c `' 3 I 33-3,14 23,9, �f s� .a` '-FD.5�D .3 Z" lICs7- I 3 1// 7 7�s io G G 1 9 77-3y gs &46. 3 C !' FROM FAX NO. Dec. 06 2001 09:06AM P4 Ile Flew- Company, Inc. 716 Monroe Ave. NE Tel: 425-255-2528 Renton, WA 98056 fax. 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Renton South Downtown Water Main & Storm Sewer - Phase 1 STREET NAME: r Sr_ �. // Si�7 2 " / 2 ,,�-7-G .7 C.B. NO. RIM ELEV. PLANS ASPH. ELEV. EXISTING CUT/FILI. REMARKS 3 W, — 3 $. G 7 Zsl A F ,3117 39, 2� FD x x �- FROM Katspan, Inc. 13221 NE 126th Place .•.' Kirkland, WA 98034 FAX NO. (425) 821-5619 • Fax: (425) 821-5209 KATSPI 012NA Extra Work Order Customer Project �'' V �i 1 �✓ �" ��D�m tC Date I I kC.Qn-�.,i Pk,s Z Employees on Project Class Hours Rate S e 4 Katspan Equipment Kat Pa" Hours Rate y CGt ST aLI I y ::Y- d -3 1 U Ll I � i Rental Equipment No. Hours Rate � I Dec. 06 2001 09:07AM P5 a Sheet kof—L-- Job# IIEWO# Description of Work E� r� LI A 1 d `^�dl TG i wyN^e I -^-dam✓ .. �Tl�✓►+. � �✓e'�� � rw � w� L I i.✓ e. rc u� S �� S� fi 3 S f Comments I ' iOwn rs Re r n tive Signature: Date: Fore s nature:~ Date: - - — - L,White - Office Job File / Yellow - Customer / P nk o Manager / Gold - Foreman Klp"e 109 (VIo) N t,v paT 4 r 4-4-01 (,aAotr �: 35,o2 Z ► `� 33'' tt)e,H:5 ILp t% ol-V 0 0-1 � •C1 1� / � 5t l rc i\ _ �_ ��-� --� _ -----�---- --- ♦-------.♦ --� 1Z 5� '-` 5 Av. So . W•�kia� � f LA - �:> �= N I U 0 I I T I � I CT 2�Sw,,•-- 3 - -.- - - - - - '-T CZ I U1. (A + t Z---> Page 1 of 1 G I2.&vS E I-V t ss. o Z r �i file:/i A:AMVC-002F.JPG AO q\ U/1" V 4/4/01 ghgr,f FAM IAA t, "JP,? �� n �a -Vll,-WJ 3 11,9 e-- -" i ---,-V-) . 51�11W ' j9, -?'?I ?7k -70,4 O e ' E/ (�431�3•g��5.5) ;14302.15 6f, 40 ��� = I i�-5Z2 �U�2ovc� -*I i /y r'aA4-S 0 10SCI ct (#D 7v = 5jc? Tws -- - --- --- -- --------------------------- �d'Id �41, C The Fleur Company, Inc. 716 Monroe Ave. NE Tel: 425-255-2528 Renton, WA 98056 fax: 425-235-4318 AS -BUILD EXISTING UNCOVERED UTILITIES Renton South Downtown Water Main & Storm Sewer — Phase 1 STREET NAME: W�r (t-3 Nt'•z DESCRIPTION — DATE: STATION OFFSET ELEV. OR DEPTH r ►�,- T- I S ' .4 S++ �� tN KATSPAN FOREMAN: _a _ r The Fleur Company, Inc. 716 Monroe Ave. NE Tel: 425-255-2528 Renton, WA 98056 fax: 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Renton South Downtown Water Main & Storm Sewer — Phase 1 STREET NAME:_/(iE C.B. NO77-;,3. PH. ELEV. C7�_e REMARKS ISTING 22 Gl> 23 -53. 90 �,3, 6S Z 5" 23 3 , 3 3.3 . o 1 y2 23� 33. SD C Af2 The Fleur Company, Inc. 716 Monroe Ave. NE Tel: 425-255-2528 Renton, WA 98056 fax: 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Renton South Downtown Water Main & Storm Sewer — Phase 1 STREET NAME:— C.B. NO]!PL:ANS ELEV. ASPH. ELEV. CUT/FILL REMARKS EXISTING 00 z9 2 3 Rio 3 C, D 3f 3 :3 02 3.51- i3 C O-i le /- S' , The Fleur Company, Inc. 716 Monroe Ave. NE Tel: 425-255-2528 Renton, WA 98056 fax: 425-235-4318 AS -BUILD OF EXISTING GRADES FOR CATCH BASINS Renton South Downtown Water Main & Storm Sewer — Phase I STREET NAME: S� 7' 2/ C.B. NO. RIM ELEV. PLANS ASPH. ELEV. EXISTING CUT/FILL REMARKS &,/., 3 76 94/ F,3 7 3-:!7, 7e e2 Wf.-r 71 as, 09, 7- z�w 7 I I� (3) The Fleur Company, Inc. 716 Monroe Ave. NE Renton, WA 98056 Tel: 425-255-2528 fax: 425-23 5-4318 AS -BUILD EXISTING UNCOVERED UTILITIES Renton South Downtown Water Main & Storm Sewer — Phase 1 STREET NAME: -2LL/ DESCRIPTION — DATE: j STATION OFFSET ELEV. OR DEPTH 5-3, a3 y, 3, S, e Se We i- Gas e�vl�e S3, �� 1 3 , o l �/ `T'00 l y' 31 tof IJ-506- 1q' Sewer lD�� y �e S t1"c " e !y 3' L1 Aa I A- KATSPAN FOREMAN: G � 0 Sewe �od er�7�e levl frd r�c� 7-e 13 THE FLEUR COMPANY GADE SHEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 KATSPAN _ DIGITAL PAGER 469-0095 /- REDMOND, WA fax 425-235-4318 S 0RM DRAIN GRADES 1��-Z72212 STATIONING PER PLANS STA. HUB ELEV. % GRADE DESIGN GRADE C/F COMMENTS /.O� 0 \ 3 f �rf ��'� CITY OF RENTON THE FAR COMPANY GRADE SHEET Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 /g�o / _KATSPAN_____ /, �141� Js 4 y,��' DIGITAL PAGER 469-0095 RENTON, WA fax 235-4318 STORM GRADES STATIONING PER PLAN STA. HUB ELEV. % GRADE DESIGN GRADE C/F COMMENTS egg f 3 7 o d $ eeA 4 .9 7 0 9/. / G - -- �-1 . 97 0 11--16,6 3S S. 31.28 2 -' -1- ,32 S/ G,139 Q C .8 9.6 %/w pye 1,A� THE FLEUR COMPANY GRADE SHEET CITY OF RENTON Construction Surveyors & STORM (425) 255-2528 ,PROJECT —SOUTH _DOWNTOWN _W_ATER �✓,�-�0� _KATSPANDIGITAL PAGER 469-0095 f� REDMOND, WA. fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS HUB % DESIGN STA. ELEV. GRADE GRADE C/E COMMENTS 0 �k= d .3z, 3X C _,57Z9 T 3197 =� B is `" �-- g. y i `, Y Iq 7.1 o �/ Z 4 5 31 .3z. r 3 f i 2,,P. 79 C dye 13 THE FLEUR COMPANY GRADE SHEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 KATS PAN DIGITAL PAGER 469-0095 W/Z'/ REDMOND, WA ��Li/�r�� fax 425-235-4318 S ORM DRAIN GRADES p-Z72212 STATIONING PER PLANS STA. HUB ELEV. % GRADE DESIGN GRADE C/F COMMENTS a J 9 �/ 3 /. /3 C 3 i 7fP,,�,e- Z 1 CITY OF RENTON THE FAR COMPANY DE SHEET Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _KATSPAN_____ j���,r�jvJ5 4 yes' DIGITAL PAGER 469-0095 RENTON, WA fax 235-4318 STORM GRADES STATIONING PER PLAN STA. HUB ELEV. % GRADE DESIGN GRADE C/F COMMENTS f y87 .3 3 ? el leg . ?;74 A y 0 3/.i -7y G 31 Ag t•6 .3�� 3/ /3 C ,3 7y p DS,/ O 3 /9 3 97 31.28 J ►9 3/ .1 7 C •y '15; /-1-.32 Z/ G,�39 la / 32 Q 32. ,P y8 C8 3 33.i7 CZs-3 a e.8 O 3z • 9G � •-3 y� 18 33. /.S- Py� THE FLEUR COMPANY GRADE SHEET CITY OF RENTON Construction Surveyors PROJECT & STORM (425) 255-2528 _SOUTH _DOWNTOWN _WATER /�� _KATSPAN�GG//i/"15 /wE, �, DIGITAL PAGER 469-0095 f% REDM0ND, WA. fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS 0,17 o0 4 2 a -77, 3 7 13197 C -5- c8�a �ziw,� ,S7,s' leg 3. 1?2 . Y 3-51 s� 249Z, ,37. o do 9 s� l 3 f8/ J9. 2 r,3 �s 6S G ,Q 7 i THE FLEUR COMPANY GRADE HEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _K_A_TSP_A_N DIGITAL PAGER 469-0095 S REDMOND, WA �t�s -s fax 425-235-4318 STORM DRAIN GRADES P2722/41,,, STATIONING PER PLANS STA. HUB ELEV. % GRADE DESIGN GRADE C/F COMMENTS _6 � 1/Z 72. Z CITY OF RENTON THE FAR COMPANY GRADE SHEET Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _K_A_T_S_P_A_N____-_ &/-'GL S Xl/E. S. DIGITAL PAGER 469-0095 ,� RENTON, WA fax 235-4318 /- � STORM GRADES STATIONING PER PLAN HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS 5 f 92 -?6- t0-E- 9p s 3° !o :4e A s k 4 T. a 0 Xod 0 eKam/ /% Lf 1 9 ^� �^ .7 ..3 �J ll i ' �/•1 % 4+ L 0 A B . 4/ 3INN-- 0 7.2 7 CB /3 37, 13E CITY OF RENTON THE FAR COMPANY GRADE SHEET Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _Z S DIGITAL PAGER 469-0095 _KATSPAN RENTON, WA fax 235-4318 STORM GRADES STATIONING PER PLAN HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS s f1-5- .3 7 71 SBf. o ,3 3.3.7 7 f _ Z- -9�-oo6-- cB�y 0 f /7'L f Cd LW 3S. 8 9 O /4/0 46o4o s-�z =�HE FAR COMPANY GRADE SHEET CITY OF RENTON :: � ---- Construction Surveyors PROJECT SOUTH DOWNTOWN —WATER & STORM (425) 255-2528 e6IZQ�e DIGITAL PAGER 469-0095 _KATSPAN_______ / REDMOND, WA. �D -����� 0/ fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS d 0 //3 -2 6 0 �-✓ r�, ,� ,� yQ e, /59 4-4 96 /o S. v n yz 7 !� moo, Z_ �n r 13 2 �. ; / 0 i 9 L 3 S c / EE e e2 G6 2, 2 _5 a� -7 r�`7oz G 8 THE FAR COMPANY GRADE HEFT CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 KATSPAN DIGITAL PAGER 469-0095 REDMOND, WA. �I_'27Z211 fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS HUB % DESIGN STA. ELEV. GRADE GRADE C/E COMMENTS c /3 2 -3 ZlP .3e,, zs 3 8 6 b- s � v 3/. 0 7 C y— ,� 40 , // ..7/, o 7 C y — N j;V Z '9 .5 7 7 C.54 /. s' 0 df�74Eao 3,S3D Wo 32. zz �� 08 // /,,a P . 72,33 �� THE FAR COMPANY GRADE SHEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 KATSPAN DIGITAL PAGER 469-0095 REDMOND, WA DZ 72215 fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS 11,87419 74/8 / 'Ile ye. p0/8 // e13 7 77 341, 9/ � � �' r � - 8 7 �Z, r e 2z z 1� S 3.;�- �a 32, .3.3 e 3 0 /r'9 7 3z.�� C 3 �� . ?3 e / C .3 sz N �/9 �` 7 /�f /' �•�3�. 06 C8 7 .e7 � 92,E-7 c JZo 11� G 7 36.07 ZZ97 C�zo fl 8 0 7 B 3_57 C2= Ale ylo�� ��� THE FAR COMPANY GRADE SHEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 KATSPAN DIGITAL PAGER 469-0095 REDMOND, WA fax 425-235-4318 STORM DRAIN GRADES STATIONING PER PLANS STA. HUB ELEV. % CRADE DESIGN GRADE C/F COMMENTS /1 9�167 rR 7 J. K,,07 1 22, B 3 i 7 `.&'7 36,07 L'3Zo 4119 C B e5P - 0 RIO, 36.2y t6 to C 2 �y S�4474,4 C,�813 3 0, 38 js. g 2 CZ Py� THE FLEUR COMPANY GRADE HEET CITY OF RENTON Construction Surveyors PROJECT SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _K_A_TSP_A_N DIGITAL PAGER 469-0095 REDMOND, WA G1/ 145 /��'�,S fax 425-235-4318 STORM DRAIN GRADES V2722I41�, STATIONING PER PLANS STA. HUB ELEV. % CRADE DESIGN GRADE C/F COMMENTS _2/ l/Z l9 CITY OF RENTON THE FAR COMPANY GRADE SHEET Construction Surveyors PROJECT -SOUTH DOWNTOWN WATER & STORM (425) 255-2528 _K_A_T_S_P_A_N______ �-ZZ 3 �f� DIGITAL PAGER 469-0095 lRr/,. RENTON, WA fax 235-4318 Ivv STORM GRADES STATIONING PER PLAN HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS ft a d' 9 /2 e 3,57, .1° {.. z4l' G 0 52.�?8 .:5 i 74- 4 G 3 ? a ,% 3 1-3 0 e p4fd -&/3 CITY OF REN TON THE FAR COMPANY GRADE SHEET Construction Surveyors PROJECT WATER & STORM (425) 255-2528 -SOUTH-DOWNTOWN _KATSPANG s %�ii� DIGITAL PAGER 469-0095 ! RENTON, WAfax 235-4318 STORM GRADES STATIONING PER PLAN HUB % DESIGN STA. ELEV. GRADE GRADE C/F COMMENTS L�725 1-3 _5 741-5- 3771 -5`';9 74S 7 -39 2.5 0 5' 7 3 C� .� o _ r r' . ?-� 0 / �/ �; / h�f A 6e4z� 9_ -:!5- Ve [�` ry YI DESI(;IVED -BY PILCHUCK SITE PRO-kIi-i-L REFEI�FVC, F DESIGNED BY CITY OF RENTON CONTRACTORS, INC. STANDARD REPLACEMENT JOB NOTES: 1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL "ONE -CALL" 48 HOURS PRIOR TO CONSTRUCTION, 1-800-424-5555. 2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS STANDARDS PROCEDURES MANUAL. 3. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF 24 HOURS PRIOR TO BEGINNING CONSTRUCTION. USE AD -POST TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND DELIVER FLYERS. 4. NOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYER #1443 A MINIMUM OF 48 HOURS PRIOR TO AN OUTAGE. 5. NOTIFY IN WRITING, USING THE APPROPRIATE FORM LETTER AND THE LIST OF FREQUENTLY ASKED QUESTIONS, ALL SINGLE FAMILY RESIDENTIAL CUSTOMERS OF THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED, PER GAS OPERATING STANDARD DC2 (PAGE 22). ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE. 6. PROJECT MANAGER TO MAKE EMSO RUN IMMEDIATELY PRIOR TO STARTING CONSTRUCTION. 7. ANY CHANGE IN ROUTE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY PSE REPRESENTATIVE. 8. COMPLETE "PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST LEAD) INSTALLATION. 9. INSTALL REPLACEMENT MAINS PER GAS OPERATING STANDARDS 6.22 AND 6.23 FOR INSERTIONS AND RETIREMENTS. MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS AS DETERMINED BY THE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 10.3. 10. GAUGE (USE MANOMETER FOR LP SYSTEMS) AND MONITOR USE OF ALL STOPPERS AND SQUEEZES TO ENSURE ADEQUATE FEED. 11. INSTALL ONE POUND ANODE FOR EVERY 1000 ' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSE OPERATING STANDARDS 14.2 AND 14.5. 12. INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS STANDARDS PROCEDURES P0201 AND P0303 AND PSE GAS OPERATING STANDARD 10.2 TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS. 13. SEAL ENDS OF ABANDONED OR INSERTED MAINS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATING STANDARDS 6.22 AND 6.23. 14. REMOVE, OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE IS INSERTED. 15. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. 16. INSIDE METER SETS SHALL BE MOVED OUTSIDE WHERE POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER PSE GAS OPERATING STANDARD 6.28. 17. INSTALL CURB VALVE AT PROPERTY LINE OR 5/8 " PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICES PER PSE GAS OPERATING STANDARD DC2 (PAGES 20- 21). INSTALL TEST LEADS AND ANODES ON ISOLATED STEEL SERVICES PER PSE GAS STANDARDS PROCEDURES P0201 AND P0303. 18. REPLACE EXISTING BARE STEEL SERVICES WITH MPE PIPE. TEST AND TIE OVER EXISTING, ACTIVE PE SERVICES TO NEW MPE MAIN. 19. REPLACE ALL "NO RECORD" SERVICES AND 1 1/8 " PE SERVICES INSTALLED PRIOR TO 1985. 20. ACTIVE SERVICES DENOTED BY XX 21. REFER TO PSE GAS OPERATING 6.8 FOR MAIN AND SERVICE COVER REQUIREMENTS. 22. SCOPE OF JOB: RETIRE EXISTING 4" WI, 4" STW AND 2" ST IP MAIN. INSTALL NEW 1-1/4", 2", 4" AND 6" MPE IP PIPE. ALSO REPLACE ALL EXISTING STEEL SERVICES TO 5/8" MPE AND TEST & TIES ALL EXISTING 5/8" MPE SVC TO NEW MAIN. 23. PROJECT MANAGER: DAVID NARO AT (206)948-4019. 24. COORDINATE INSTALLATION WITH DICK POLKINGHORN AT (206)396-0421. 25. DR 1933 CAN BE SHUT DOWN AS LONG AS TEMPS ARE GREATER THAN 35F. INSTALL A GAUGE DOWNSTREAM AND MONITOR FOR 1 HOUR. PEAK HOUR WOULD BE THE BEST READ ON THE SITUATION. PRESSURES SHOULDN'T DROP BELOW 30 PSIG. MONITOR CHART ID 409 AT AUBURN AVE S AND CRESTWOOD DR S IN RENTON (SKYWAY) PLAT 205.078. PRESSURES SHOULDN'T DROP BELOW 25 PSIG. PLEASE NOTIY GAS CONTROL SO THEY CAN MONITOR DR #376 WHICH IS FEEDING THE SYSTEM AS WELL AS A RTU AT 12701 76 AVE S. 42 41 40 39 38 37 5 9# CP ANODE 66-00025 36 1 4" MPE TRANSITION FITTING 78-00811 35 1 4" BOTTOM OUT STOPPER 76-00766 34 1 4" VALVE SUPPORT BOX 76-00878 33 1 4" MPE POLYVALVE 56-00809 32 1 1-1 4" MPE TRANSITION FITTING 78- 00808 31 1 1-1 4" SERVICE TEE 78-00671 30 1 1-1 4" WELD CAP 52-00635 29 3 1-1 14" MPE TEE 78-00229 28 2 1-1 4" X 90° MPE ELL 60-00324 27 2 1-1 4" MPE CAP 52-00629 26 1 4" WELD CAP 52-00689 25 1 2" X 1-1 4" kfPE REDUCER 72-00399 24 1 VALVE BOX SUPPORT 76-00876 23 1 1-1 4" MPE POLYVALVE 99-95648 22 100' 1-1 4" MPE IP PIPE 70-00169 21 1 2 2" BRANCH SADDLE 76-00075 20 6 6" X 4" MPE REDUCER 72-00518 19 4 6" MPE TEE 78-00424 18 1 2" SHORT STOPPER 76-00740 17 8 2" X 90' MPE ELL 60-00484 16 5 2" MPE TRANSITION FITTING 78-00809 15 7 TEST LEAD BOX" (2 WIRE) 50-00307 14 70' #10 TEST LEAD 85-00930 13 4 2" SERVICE TEE 78-00711 12 3 2" WELD CAP 52-00675 11 1 4" X 900 MPE ELL 60- 00674 10 4 VALVE BOX SUPPORT 76-00877 9 6 COMPLETE ROAD VALVE BOX 50-00370 8 4 2" MPE POLYVALVE 56-00259 7 9 4" X 2" MPE REDUCER 72-00504 6 3 4" MPE TEE 78-00413 5 2260 #14 GAUGE DETECT WARNING WIRE 85-00940 4 3 2" MPE CAP 52-00649 3 955' 6" MPE IP PIPE 70-00586 2 912' 4" MPE IP PIPE 70-00466 1 293' 2" MPE IP PIPE 70-00261 ITEM QTY. DESCRIPTION PART NO. BILL OF MATERIALS FITTER (CHECK BOX IF COMPLETE) Work area left in Clean & Safe condition ❑ Complete all Pipe Tables and Gas Pressure Starnp ❑ Field changes Red -Lined on as -built ❑ Material verified and Changes noted on paperwork ❑ All Valve & Tie-in Locations noted on as -built ❑ Note beginning of Main, EOM & Line of Main locations ❑ Show Rope Locations & Cul-de-sac Radius ❑ Foreman's Signature Company Employee ID# GAS MAIN INSTALLATION / RETIREMENT I / R SIZE PROP.FT. ACTUAL FT. TYPE MANUFACTURER 1-114" 100' MPE 2" 293' MPE 4" 912 ' MPE 6" 955' MPE PROJECT PHASE NOTIFICATION ORDER # GAS MAIN 10425438 109008845 RETIRE MAIN & SVC 108510068 SVCS 109008873 GAS MAIN PRESSURE & TESTING TYPE TEST: PRESSURE; TESTED BY: DATE ON: / / TIME ON: DATE OFF: / / TIME OFF: DESIGN: PSIG SYS MAOP: PSIG CONSTRUCTION COST CODES. 011-102-01 CALL 1-800-424-5555 2 BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES PROP. 4" MPE IP MAIN OO16' W C/L DEACTIVATE EX. 4" WI IP MAIN AT 12'S CIL--\ OO 4" MPE TEE 4" X 2" MPE REDUCER- 21'W, 15'S C/L X 90' MPE ELL 17 21'W, 17'S C/L EX. 4- sr \IP 1z'S 2 DETAIL NOT TO SCALE REUSED 2" EX. VALVE - SERVICE TEE 37 15 >6 16'W, 18'S C/L \R EX. Sza T °' 18'S 4" XMPE REDUCER 7 16'W, 20'S C/I, PROP. 4" MPE IP MAIN O�6'W C/L DETAIL B - B 4" MPE TEE OOO (DlO 4" X 2" MPE REDUCER 10 2" MPE POLYVALVE 16'W, 10'S C/L DEACTIVATE EX. 4" ST IP 12'W INSTALL 2" MPE IP MAIN AT 10'S C/L OO w� DEACTIVATE EX. 4" WI IP 12'S 4" X 90' MPE ELL T 15'S, 16 -W C/L 11 2" WELD CAP 12 'S, 19'W C/L 2" SERVICE TEE 13 8f4 17'S, 19-W C/L 37 15 >6 A - A 2" SHORT STOPPER 11415 161837 4'W, 18'S C/L PROP. 4" MPE IP MAIN 10'W C/LOO 2" X 90' MPE ELL /->8'S, 10'W C/L 17 c %2" SERVICE TEE 40'N, 9'W C/L 2" X 90' MPE ELL 17 O'N, 12'W C/L O2" MPE POLYVALVE 9 10 12'W, 13'S C/L O7 19 20 6" MPE TEE 6" X 4" MPE REDUCER 4" X 2" MPE REDUCER 12'W, 15'S C/L 6" X 4" MPE REDUCER 15'S, 11 ' W C/L 20 L a 4" X 2" MPE REDUCER w 4 18'S, 9'W C/LO i 2" WELD CAP 39'N, 9'W C/L12 4 715 ACTIVATE EX. 4" WI IP 12'S t 2's ROP. 4" MPE IP MAIN 'S C/LOO to w / 4" MPE TEE OOO X 2" MPE REDUCER 9'W, 15'S C/L PINCH AND FUSE 9'W, 17'S C/L 2 DETAIL C - C NOT TO SCALE FIELD NOTES: - LOWER EXISTING 2" STW IP MAIN FROM 40'N AND 40'S C/L TO 54" COVER. - VERIFY EXISITNC FIBOR OPTICS BANK DEPTH AND INSTALL BELOW. PROP. 6" MPE IP MAIN (DO 18' E- W P/L O2" MPE CAP 18 ' E- W P/L, 12' S C/L 21 2" BRANCH SADDLE 17' E- W P/L, 12 - S C/L 17 2" X 90' MPE ELL 15'S C/L, 17' E- W P/I, 8(20)e6" MPE TEE 6" X 4" MPE REDUCER 4" X 2" MPE REDUCER- 18 ' E- W P/L, 15 - S C/L PE POLYVALVE O9 10 WE, 17'S CIL 20 25 e 6" MPE TE 19 6" X 4" MPE REDUCE 4" X 2" MPE REDUCE 2" X 1-1/4" MPE REDUCE 215'S, 18'E-W P/ PROP. 6" MPE IP Al 18 ' E- W P/L 3 5 DEACTIVATE EX. 4" WI IP MAIN DEACTIVATE EX. 4" WI IP 12'S 19'E- W P/L AND 12 -S C/L 6" MPE TEE O 19 20 PROP. 6" MPE IP MAIN 6" X 4" MPE REDUCER >5'S C/L 4" X 2" MPE REDUCER 16'E, 15'S C/L SS EX. 4" III IP 2'S s 4 PROP. 6" MPE IP MAIN i 1s's W V R EX. 2. T EX. 4 w IP 12'S PROPOSED CB IS VERTICAL OF T T PEI RELIEF TO BE CUT &CAP EXISTINF RELOCATE, SEE D.R. DRAWIN P MAINGATE60" COVER,RLIEF.ALL X—INGMPE 109009039 FOR DETAIL AT APPROX. 136'W, 15'S C/L 2" MPE CAP O 16'S, 17'E C/L , 2" BRANCH SADDLE 18 ' S, WE C/L 21 ' MPE E 18' S, WE C/L 17 DETAIL D - D NOT TO SCALE 1-1/4" MPE POLYVALVE g 23 24 O "'TIVATE EX. 2" ST IP 215'S ''ALL 1-1/4" MPE IP INSERT MAIN ?15'S C/L O 22 DETAIL E - E 291-1/4" MPE TEE FIELD LOC. __-___ O22 DEACTIVATE EX. 2" ST IP 215'S INSTALL 1-1/4" MPE IP INSERT MAIN NOT TO SCALE IP 215's CTIVATE EX. 4" WI IP 19'E-W P/L 1-1 /4" X 90' MPE ELL28 213'S C/L, 2'E EDGE PAVG. 1-1/4" MPE TEE 29 a 213 S C/L, 2 E EDGE PAVC. 1-1/4" MPE CAP 27 FIELD LOC. _ ----- cv w 1-1 /4" X 90' MPE ELL ---- - -�s 28 217'S C/L w DETAIL F 1-1/4" WELD CAP 30 FIELD LOC. -_-___ \_1-1/4" SERVICE TEE 15 14 FIELD LOC. ______ 32 F 4" MPE POLYVALVE FIELD LOC. 9 33 34 6" X 4" MPE REDL 20 FIELD LOC. DETAIL M - M NOT TO SCALE DETAIL G NOT TO SCALE 4" BOTTOM OUT STOPPER 37 /L 15 35 36 14 PlLPzs DEACTIVATE EX. 4" WI IP MAIN 'E IP MAIN OO C CALL 1-800-424-5555 2 BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES NOT TO SCALE SEE DETAIL G — G /8" 79'S 984 SEE DETAIL E—E I IN 4 PROP 6 MPE IP MAIN 3 5 18 ' E- W P/L O O I. w e I � „ M EX. 1/2" 108'N C� Q 1972 v EX. 8 69'N `n 1 86 * Q EX. 1/2" 68'N� 610 1968 EX. 1 /2' 79 ' S� 6>2 1970 0. 60'R/W ss P ..'S 22 5IPEI --._z4— —�786 w Cl CASING SEE DETAIL D — D FIELD NOTES: INSTALL PROPOSED 6" MPE IP MAIN AT 8 �'- OF COVER AT X-ING BY THE PROPOSED STORM DRAIN APPROX. f 2' E ( 9 ' W C/L) EDGE CITY PARK (AS SHOWN). SEE CITY PROFILE ATTACHED FOR DETAIL. / / I — — O I co 5 zz o DEACTIVATE EX. 2" ST IP 215'S O 4 INSTALL 1-1/4" MPE IP INSERT MAIN I I� I 4 w w � Iv a I 0, I EX_3/4" 213'S c 1935 ^ y� EX. 3/4", 1-1/4" 95'S _ 1996 42S 7IP 15' SEE DETAIL F — F DEACTIVATE EX. 4" WI IP 19'E-W P/L II II 4 w ci �I qt ^11I TIE-IN AT 40'N, 9'W C/L REQUIRED 54" COVER TO AVOID PROPOSED SS MAIN. SEE CITY PROFILE ATTACHED FOR DETAIL. IF I � � V I �I t cq w I) Ilk awl I � cvclm w h I I � EX. 1/2" 162'N w _ 1970 LEX. 1/2" 162'N to 1972 �I txl N A I c DEACTIVATE EX. 4" WI IP MAIN 12' S C/L 5TH ST 6" Cl DEACT 9'S — P P. EX. 4" W P 12' Ex. B" WATER MAIN TO BE ABANDONED) 13 14 >5 16 2" SERVICE TEE TEST LEAD BOX 37 2" MPE TRANSITION FITTING 12'W, 25'N C/L 12 2" WELD CAP 12 W, 16'N C/L Co 110 F. 160' sLo I EX. 2" STW IP 18'S I AT 435'N, 16'W C/L REQUIRED 60" COVER. AT 327'N, 16'W C/L REQUIRED 48" COVER. * EX. 1 /2" 226 ' S' v 1971 � ( PROP. 4" MPE IP MAIN 16'W C/L SEE DETAIL C — C [(FOR TIE-IN & NEED TO LOWER E.Y. z' STW FROM 5'N, 5'S C/L AT 60" COVER.) I� i N a FIELD NOTES: EEX. 5,8" 144' AT 32'E, 15'S C/L FOR 1980 PROPOSED 4" MPE IP- oI p MAIN REQUIRED 48" 6 R/W � EX. 518" 144'N J i w w �, COVER TO AVOID Q 19RO 1 o Q) :0 PROPOSED SS MAINN, I I i _ 6" CASINc__T � x I 1 k N I W, AT 119'W, 15'S C/L FOR * a n PROPOSED 4" MPE IP MAIN ~I w REQUIRED 48" COVER TO o AVOID PROPOSED SS MAIN. co ro' s/lr 6' Cl DEALT 9 ' S - 6 9 E125 - � 36 PAVING $ #1933 n -� 71 296 PROP. 6" MPE IP MAIN m 4 3015 ' S C/L ( 00,, L i �/ I Eli NI m I RETIRE EX. D. R. #1933 I INSTALL NEW D. R. , SEE DRAWING N a #109009039 FOR DETAIL. w SEE M— M FOR EX. RELIEF DETAIL ~ s R/W (ON SHEET 2/3) ^ w� FIELD NOTES: CUT & CAP AT EXISTING RELIEF AND CUT & CAP AT EXISTING OUTLET D. R. #1933. SEE NOTES #25 ON SHEET FOR D. R. PROCEDURE. w Q cl co Q, rn e rn to rn I w w o R_ 618 PROP. 4" MPE IP MAIN 0015'S C/L PLOT PLAN - SCALE: 4T 17 2" X 900 MPE ELL 25'N, 10'W C/L 8 >0 2" MPE POLYVALVE 9 �23'N, 10'W C/L I ST FIELD NOTES: NEW WATER MAIN AT 15'N, 12-W C/L. LOWER PROPOSED GAS MAIN AT 60" COVER INTERSECTION OF S 4TH ST & WELLS AVE S EE DETAIL B I I 1 EX 5/8" 182'S N w1980N y o O co 1978 co M d I'l DEACTIVATE EX. 4" ST IP MAIN o I i AT 12-W C/L � U � Q � w c �Icz AT 186'N, 16'W C/L REQUIRED 48" COVER. cn I imJ R. w Q) DEACTIVATE EX. 4" WI IP MAIN NSTALL 2" MPE IP INSERT — �2'S C/L �n I " 1 60' /W AT 34'N, 16'W C/L REQUIRED 48" COVER. �I SEE DETAIL A — A S 5TH ST ro . s/r 60'R/W 36'PAVING 6" C DEACT. 9'S - 6BE212 EX 4" WI IP 12'S - 1912 23'W ZZ w B' S 'co co w w � Lo to I w w w 60s 1s _7d JTJ s�IL (2) 2" X 90' MPE ELL 75'E, 10'S C/L & >7 75'E, 12'S C/L NOTES: REQUIRED 48" COVER AT THIS LOCATION. MULTIPLE PRESSURE TEST INFORMATION FOR IP MAINS SEGMENT ID TYPE OF TEST TEST PRESSURE ON OFF TYPE OF PIPE PIPE MANUFACTURER TEST BY DATE TIME DATE TIME KEY + _> EX. SERVICE IS EXCESSIVELY OFFSET - RUN NEW SERVICE FROM METER TO MAIN TIE IN AND TEST C&C => INACTIVE SERVICE -CUT AND CAP AT MAIN IF PRACTICAL, OTHERWISE 0 LP T&T => EX. SERVICE IS ADEQUATE -TIE OVER AND TEST * => ACTIVE GAS CUSTOMER, EX. SVC TO -BE REPLACED END OF MAIN MPE CAP DE'W C/L CALL 1-800-424-5555 2 BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES