HomeMy WebLinkAbout24 SATISFACTORY PURITY SAMPLES W 4255 TOWN ON 12THAmTest 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
03/13/2025
Month Day Year
Time Sample Collected
11:45 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant 5 Sta 2406.85 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-01
Lab Reference Number: M25C0114-01
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
TOWN ON 12TH - 3924 NE 12TH ST
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
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
03/13/2025
Month Day Year
Time Sample Collected
11:20 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blow Off Row 1 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-02
Lab Reference Number: M25C0114-02
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:25 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 12+30 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-03
Lab Reference Number: M25C0114-03
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:15 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Stand Pipe Row 6 Tie in
POC
Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-04
Lab Reference Number: M25C0114-04
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:33 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Stand Pipe Row 4 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-05
Lab Reference Number: M25C0114-05
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:30 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 10+60 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-06
Lab Reference Number: M25C0114-06
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:25 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 17+62.51 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-07
Lab Reference Number: M25C0114-07
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:30 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 52+86.05 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-08
Lab Reference Number: M25C0114-08
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:10 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blowoff Row 1 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-09
Lab Reference Number: M25C0114-09
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:47 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Stand Pipe Row 4 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-10
Lab Reference Number: M25C0114-10
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:05 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blow off row 5 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-11
Lab Reference Number: M25C0114-11
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:35 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blow Off Row 6 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-12
Lab Reference Number: M25C0114-12
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:00 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 16+75.03 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-13
Lab Reference Number: M25C0114-13
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:30 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Stand Pipe Row 6 tie in Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-14
Lab Reference Number: M25C0114-14
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:08 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 12+30 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-15
Lab Reference Number: M25C0114-15
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:22 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blow Off Row 3 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-16
Lab Reference Number: M25C0114-16
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:40 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 17+62.51 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-17
Lab Reference Number: M25C0114-17
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:04 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Blow Off Row 3 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-18
Lab Reference Number: M25C0114-18
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:15 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 10+60 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-19
Lab Reference Number: M25C0114-19
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
11:05 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 14+07.71 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-20
Lab Reference Number: M25C0114-20
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:48 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 14+02.71 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-21
Lab Reference Number: M25C0114-21
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:50 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Row 5 Blow Off Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-22
Lab Reference Number: M25C0114-22
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:45 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Hydrant Sta 16+05.73 Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-23
Lab Reference Number: M25C0114-23
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST
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
03/13/2025
Month Day Year
Time Sample Collected
10:20 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#: 71850L
System Name: City of Renton
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Brad Stocco
Specific location where sample collected: Row 6 Blow Off Special instructions or comments: W-4255/C23002010
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: 3/13/2025 12:25:00PM
Receipt Temp (C): 12.9 C
Date Reported: 03/14/2025
DOH Lab- Sample# 0660-M25C0114-24
Lab Reference Number: M25C0114-24
Method Code: SM 9223 B (Presence/Absence), SM 9223 B
(Presence/Absence), ,
Lab Use Only:
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
E-MAILED ON 3/14/25 TO:
BRAD STOCCO, PAT PIERSON, EMINA SULYCH, YONG QI
TOWN ON 12TH - 3924 NE 12TH ST