Loading...
HomeMy WebLinkAboutWTR272890(5)t 6123 am- J � uk/o3ct,rj/ sVumtr".d16 tiz4 ("(5 / 6- I WJ C44,/ i, 3 5 Wt Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY II Iris LIuI•LIu11s are IIUL I01 oweu, JOIIIp a YYIII uC rejwL LCu. DATE COLLECTED TI E COLLE FAD COUNTY NAME MONTH DAY YEAR /1('/01 (, ---KAM 2 ❑PMIYI TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE:^ PUBLIC CIRCLE GROUP INDIVIDUAL i I.D. No. S (A) g (serves only 1 residence) � NAME OF SYSTEM C11', lle L 41 SPECIFIC LOCATI N WHERE SAMPLE COLLECTED TELEPHONE NO. J LC I/ AEI DAY ( ) EVENING( ) /, SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE [—]GROUNDWATER UNDER SURFACE INFLUENCE or MBIOTHATION ❑ SURFACE ❑ WELL or ❑ � SPRING ❑ FIELD MTERT ESED oCOr SEND REPORT TO: (Print Full Name, Address and Zip Code) `)I aI - 41, E- it min r: d s 6 %' 1 WASHNGTON TYPE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total Free) DRINKING WATER check treatment ❑ Filtered nEE1 th r ❑ REPEAT SAMPLE s h Previous coliform presence L.fl Date _Jl. ❑ RAW SOURCE WATER SouioT R fit❑ Total Coliform NEW CONSTRUCTION or REPAIRSUTI� _i ❑ Fecal Coliform OTHER (Specify) REMARKS: (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present SATISFACTORY, Coliforms absent REPEAT ❑ E. Coli present ❑ E. Coli absent SAMPLES l ecapresent Fecal absent ❑ ❑ REQUIRED F OTHER LABORATORY RESULTS TOTAL COLIFORM A00 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 9( Lv 10,16 DATE REPORTED " LABORAT RY: REMARKS DOH 305 002 (REV. 4192) _ WATER SUPPLIFR COPY r Me analysis performed odrtnts amnKing water sample is an examtna- 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 organizztions 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` a: SATISFACTORY RESULTS: The absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriological monitoring should be con- tinued routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: I Any coliform presence is unsatisfactory. The presence of coliforms indicates the system is not properly protected against contamination and may be unsafe for human con- sumption. Unsatisfactory samples should be investigated IMMEDI- ATELY and repeat samples 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 the public water systems as A specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional 'Office as specified in WAC 246-290-480. b.. °PEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a.continuous mass which makes counting impossible. "TNTC" means bacteria are oo numerous to count. "Excess Debris" means that particulates in he water interfere with the interpretation of test results. "Turbid !Culture" means an overgrowth of other bacteria can interfere wit toliform analysis. If any box indicating an unsuitable test is check , he presence of coliform bacteria could not be determined and a new Sample must be obtained for testing. A `sample too old. (Sample to be tested must be received within 30 hours).. Pof in proper container. (Bottle to be used for testing must be, urchased 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: I Contact your local health department OR the laboratory where this pampie was tested OR the Department of Health, Drinking Water Program Regional Office. f ME Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 rM WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY . If instructions are not followed, sample will be rejected. SAMPLE COLLECTED BY: (Name) P J,13 SOURCE TYPE "GROUNDWATER UNDER SURFACE INFLUENCE 0 SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or 0 COMBINATION WELL FIELD INTERTIE or OTHER SEND R PORT TO: (Print Full Name, Address and Zip Code) �) A7_f(�li4�� .�- WASHINGTON 3E OF SAMPLE (check only one in this column) ❑ ROUTINE ❑Chlorinated (Residual: _Total _Free) DRINKING WATER ❑CEIVE® check treatment ❑ Untreated or Other ❑ REPEAT SAMPLE 2 7 2001 Previous coliform presence Lab AUG# Date CTTYOF"-RENTGN- UTILITY SYSTEMS ❑ RAW SOURCE WATER Source # I ❑Total Coliform Q' NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) R ARKS: (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforws present SATISFACTORY, Coliforms absent REPEAT ❑ E. Coli present ❑ E. Coli absent SAMPLES Fecal absent Fecal resent ❑ p ❑ REQUIRED F OTHER LABORATORY RESULTS TOTAL COLIFORM A 00 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 /J s D� ❑ Turbid culture (\ ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED ; � - RECEIVED BY ? j 2- DATE ` REPORTED LABORATORY: 3 REMARKS � DOH 305 002 (REV. 4/92) WATER SUPPLIER COPY FOR DRINKING WATER Pe analysis poerdformed on this drinking water sample is an examinar 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 jorthe-possible presence of other disease causing organisms. Group A Public Water Systems must report the results of Drinking Water Analysis to the State as specified in WAC 246-290-480. ?1 1 SATISFACTORY RESULTS: -.701 The absence of coliforms from any sample is satisfactory. Pro system maintenance and bacteriological monitoring should be c tinued routinely to insure the safety of the waterappi is unsatisfactory. Frhe presence o c fforms indicates the system is not properly protected against contamination and may be unsafe for human con sumption. Unsatisfactorysamples should be investigated IMMEDI- ATELY and meat samples submitted. Contact your local health ,department or DOH Regional..Office for assistance in determining. the source of contamination and corrective procedures. M" hen 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 situatio Your local health department or DOH Regional Office c assist you. 2. Submit repeat samples as specified in WAC 246-290-48 3. Publicly notify the users of the public water systems specified in WAC 246-290-480. 4,. Contact your local health department or DOH Region Office as specified in WAC 246-290-480, TEST_ UNSUITABLE: Resample Imrhediateiy y "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 Jhe water interfere with the interpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with oiiform analysis. If any box indicating an unsuitable test is checked, he presence of coliform bacteria could not be determined and a new Sample must be obtained for testing. frst�AmrLr 7 Sample too old. (Sample to be tested must be received within 30 hours). Pot in proper container. (Bottle to be used for testing must be purchased from a certified lab within 6 months.) nsufficient volume. (Sample must be at least 100 ml) f not tested, a new sample must be submitted for analysis. A- �OR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Watec Program Regional Office. AUG-17-2001 FRI 01:01 PM KING 00 FAX N0, 2968431 P 040 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 TI E COt_LECTFO COUNTY NAME MONTH I DAY I YEAR 4— : _�O t O NAM ❑PM K)h TYPE OF SYSTEM ' PUBLIC SYSTEM, COMPLETC: PUBUC GIR�C�E GROUP INDIVIDUAL gauss only I rec,Aencul ��JJ NAME OF SYSTEM /_ 'e' C ee" SPECIFIC LOCAT WHERE SAMFLE COLLECTEO TELEPHONE NO. W% `U vAu Ik e'/+S7 DA6 'Y 5/DE Or— 4�' EVENING ?__ __— SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Nauru) oi. s. Gti 1 4 . S SOURCE TYPE L GROUND WATER UNDER SURFACE INFLUENCE []SURFACE RTIE ❑WELL or FIELD []SPRING ❑ NTECHASED or I� oOMBINATION Wr OTHER SEND REPORT TO: (Print Full Name, Addlese and Zip Code) — -- 'E OF SAMPLE (check only one in this column) [] ROUTINF ❑ Chlorinotcd (Residual: _Total _ Free) DRINKING WATER check treatment F1 Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous cotifortm prassnco Lab fi Data / 1 ❑ RAW SOURCE WATER Source # F m ❑ Total Coliform tQ NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform OTHER (Specify) —__--•---._ _.__-r . --- RE RKS: (LAS USE ONLY) DRINKING WATER RESULTS UNSATISFACTORY, CcliformS Present SATISFACTORY, Coliforms Dbsent REPEAT ❑ E. Cali present [ ] E, Cali absent SAMPLES Fl pent Elecaresent Fecal abs ❑ � REQUIRED OTHER LABORATORY RESULTS TOTAL COUFORM 1100 mi E. COLT __/100 ML FECAL COUFORM _ —1100 ml PLATE COUNT _•__ /ml ANOTH=R SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: Sample too old ❑ Confluent growth Wrong container TNTC ❑ Incomplete form ❑ Turbid culture ❑ _ w-__-_ ❑ Exceas debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAS NO, (7 DIGITS) DATC, TIME RECCVCD I;ECE1vE0 DV DATE nEnO11TED UOOnAT Py PEMAPK� --� �+ DOH 005 002 MV 4'U DIP CENTER COPY _-- AUG-23-2001 THU 11:43 AM KING CO FAX N0, 2968431 r -�� Laucks Testing Laboratories, Inc, -.. 940 S, Harney Soattle, 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 TIM COLLECTFW COUNTY NAME MONTH OAY YEAR 2 8 qAM PM TYPC OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC / O CIRC�{GRUP INDIVIDUAL LD. No, (� e (eaves only 1 reeiaa>cel NAME OF SYSTEM /� C/ . Oi /G G'_4� --- SPECIFIC LOCATION WHERE SAMPL7EVFNING EPHONENO. oew v4 ll- oNY SO' Der oc �0 I -- P. 02 i SAMPLE COLLECTED BY: (Nalnte) SYSTEM OWNER/MGR.: (Nome) SOURCE TYPE UMUNDWATER UNDER SURFACE INFLUENCE SURFACE [] WELL or ❑ SPRING [] PURCHASED or WCOMBINATION WELL FIELD INTCRTIE _ or OTHER SEND R PO(Print Full Name, Address and Zip Code) !! w.� � ._ weRaiuMllN �LL3 J )E OF SAMPLE (check only one In this column) ROUTINE Chlorinated (Residual DRINKING WATER chockueatmont ❑ Filtered Untreated or Other_ [] REPEAT SAMPLE Prevlous collform presence Lab it Date _J /- Total _ Froo) RAW SOURCE WArF_R Source u U ❑ Total Collform NEW CONSTRUCTION or REPAIRS ❑ Fecal Cal+form E] OTHER .�.._.._-- I (LAS USE ONLY) DRINKING WATER RESULTS �] UNSATISFACTORY, Coliforms present 56SATISFACTORY, olilorms abJunt REPEAT E. Coli present E. Coll absent SAMPLES rr---11 Fecal resent lJ p Fecal absent REQUIRED .. .�.�_ OTHER LABORATORY RESULTS TOTAL COLI FORM /100 ml E. COLI —1100 ML FECAL COLIFORM _ /100 mil PLATE COUNT _!ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED OCCAUSC: TEST UNSUITABLE OCCAUSE: ❑ Sample too old ❑ Confluent growth Wrong container ❑ TN1C 71 Incomplete form L _! Turbid culture ❑ ❑ Gxcas: debrief SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION UP ntaua.ra LAB NO, (r DIGITS) DATE, TIME RCCOVEDn: c� nECCaV[O DV OATEREPORTED LABORATORY: HEMARKr � `+ rvw+ w m> ron! ..nn� DAILY INSPECTION DIARY DAY: f,(�� � DATE: C) WORK PERIOD: a.m./p.m. to � a m./p.m. WEATHER: �y� �/,Y TEMP. MAX _:;�F MIN _!�6°F PRECIPITATION: -- WORK ACCOMPLISHED TODAY: %_Vl t Lam C,O ✓i S �it�V ��. a --a G L6 � . �Go to I'ec O.- A .�t- �1r.�/Q� �// `/�,-vim O --7 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY 06 3 ® % REPORT DAY: /(� �1�j�-y DATE: / /Q WORK PERIOD: a.m./p.m. to a REPORT DAY: 0,� WEATHER: TEMP. MAX K-0 °F MIN ( 0°F PRECIPITATION: WORK ACCOMPLISHED TODAY: 9 I&Z-*7,�Ou, " e - Sew e- j6v1v, . " s��e CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _l DAY: ���1a DATE: / /(Q WORK PERIOD:'a.m./p.m. to WEATHER: TEMP. MAX e% OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: e-) F ir, C /72,,�e57-� Xis X 3:0 REPORT; a.m./p.m. A> !/�isu� �7rs�titiP 1 s�x� xl1z, !%v/1 , , . CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY O REPORT �k DAY: / �-� DATE: / lol 0/ WORK PERIOD: a.m./p.m. to j-a.m./p.m. WEATHER: TEMP. MAX eO -F MIN 2-F PRECIPITATION: WORK ACCOMPLISHED TODAY: G%l) CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY ,�S? REPORT �6 DAY:i/jj�/Ly DATE: CJ/� /Q/ WORK PERIOD:m./p.m. to a.m./p.m. WEATHER: Ole-7 TEMP. MAX 8 ,;' °F MIN 6 --3 °F PRECIPITATION: WORK ACCOMPLISHED TODAY: ,�„��/ .O/!S7 Zf/ G7�0 �'► /ice-6�f�ic (_O /D/ /C� GQ� f�u 1— �-�re a CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY a RE ORT l� DAY: }E� DATE: B/ 01 WORK PERIOD: (0 a.m./p.m. to (-- a.m./p.m. to i WEATHER: C��Q,�3�� TEMP. MAX 80 OF MIN (,C °F PRECIPITATION: WORK ACCOMPLISHED TODAY: 1� CE: %v1 c \ "i;77cyL_ gC -e 0(�A TiU/1 J -- Alu"%e t l ©o'l S't /tiff L-T i C �- W4UAv wt/ .' SA-,-' _-7r-4-6�1c. Co I OF CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPQRT AY:, l% Ql? DATE: WORK PERIOD: �p a.m._/p.m. to � a.m./p.m. L/p EATHER: �/L/zz�� TEMP. MAX 6,6 °F MIN.°F PRECIPITATION: ORK ACCOMPLISHED TODAY: It CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY /b�� DAY: le-6 DATE: q, / /�/�� WORK PERIOD: .m./p.m. to a 3am./p.m. 7.6w WEATHER: TEMP. MAX 72°F MIN � G°F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY ' A, Q �_ 3Q REPORT DAY: (0 Z; DATE: 1 /I� /01 WORK PERIOD: a.m./p.m. to 3 a.m./p.m. WEATHER: TEMP. MAX 7 7 OF MIN O OF PRECIPITATION: —�— WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE .f INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY 330 DAY: /fi / DATE: / / D WORK PERIOD: a.m./p.m. to a.m./p.m WEATHER: (J' 116nL, 5Z TEMP. MAX '20 °F MIN _Q°F PRECIPITATION: -Zft�,— WORK ACCOMPLISHED TODAY: REPO T a 671-4=- /5�4 - CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY �---- REPO DAY: (/ DATE: / /� WORK PERIOD: G a.m./p.m. to a.m./p.m. WEATHER: C,Zlel(',,)-S7 TEMP. MAX 7c✓°F MIN ?—OF PRECIPITATION• - - WORK ACCOMPLISHED TODAY: i �.- v _ A-s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 1 DAILY INSPECTION DIARY DAY: DATE: �/Z �-/(j� WORK PERIOD: _3 c a.m./p.m. to 3 a.m./p.m. REPORT # 7e z-11 WEATHER: (�%/�ry TEMP. MAX 7�°F MIN 6,2- °F PRECIPITATION: — WORK ACCOMPLISHED TODAY: 7.7 . 1 '7 i'li l L 'T ' [, ''--� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY ---- T-1 DATE: a.m./p.m. to - --? I j-as�-.m./p.m. E � DAY: E: WORK PERIOD: WEATHER:, TEMP. MAX 7C.) -F MIN 60 -F PRECIPITATION: SI?C) WORK ACCOMPLISHED TODAY: -- x, Ile 7:71-1 7' CONTRACTOR SIGNATURE near. INSPECTOR SIGNATURE DAILY INSPECTION DIARY _ Q 3 REPORTT DAY: �C DATE: C..7 / O/ WORK PERIOD: a.m./p.m. to -> a.m./p.m. WEATHER: S 1)OCk_v2/J TEMP. MAX -F MIN (Ce°F PRECIPITATION: 5� � WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY DATE: ///GAO WORK PERIOD:G a.m./p.m. to J a.m./p.m. /G WEATHER: �%!n, �lS TEMP. MAX OF MIN r2-OF PRECIPITATION: WORK ACCOMPLISHED TODAY: A/ C--j ,� 'Sa "/ fly �7.'- ��7/v r 7-ri CONTRACTOR SIGNATURE i INSPECTOR SIGNATURE DATE: A,', S :-r,> c aF V'p.,v1 4 - \,uCS.T S ,aE 0000 Gok,3� S0 Co r► S-T� . „tE:- o` ( A+UCJ �e / eo. sT> /,q.v I )- — �s .ZI-() t LAC7-S—r- S, 2>E o` 11t4-- S DAILY INSPECTION DIARY O U e77 3 REPO T DAY: �r�1)/!�7 DATE: //�/Cj/ WORK PERIOD: a m./p.m. to J' a.m./p.m. o WEATHER : /& TEMP. MAX 72OF MIN 60 OF PRECIPITATION: — - WORK ACCOMPLISHED TODAY: l /' f--) /7 /a //7 / /7 f- CONTRACTOR SIGNATURE TNSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY C9 O - G REPORT DAY: �/� 2 DATE:/ �� WORK PERIOD: m./p.m. to a.m./p.m. WEATHER: ft"ASr TEMP. MAX ";7 OF MIN %C°F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE 6 ivt INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY �- M _-> 30 REPORT # DAY: I U DATE: /7 ,b/ WORK PERIOD: (p a.m./p.m. to -3 a.m./p.m./0>1�"K WEATHER: TEMP. MAX OF MIN rp C7°F PRECIPITATION: - WORK ACCOMPLISHED TODAY: A—Ache-1 or/J-1t,yG7/ems nel4&"0- v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: pni;z DATE: /(�, /C'� WORK PERIOD: a.m:/p.m. to z a.m./p.m. WEATHER: C ���, TEMP. MAX OF MIN °F PRECIPITATION: - WORK ACCOMPLISHE TODAY: y�F /i-IG Ap- /. /r nA i. r AILC_Ll+r 00 v1 S TtLV t-T, G 1 / �Lam ✓ �i " - -;, 1, c� . � i G i p ✓I s-, f � - r /r.4 ; �_ /hP A Z �{ -4 ),-Ik// c, /37"- rr �- c CONTRACTOR SIGNATURE INSPECTOR SIGNATURE i-3 DATE: DAILY INSPECTION DIARY r rJ' 11 REPORT W DAY: e DATE: ©�/ i�G0( WORK PERIOD: /p.m. to a.m./p.m. WEATHER:jTEMP. MAX '�°F MIN S� °F PRECIPITATION: --� WORK ACCOMPLISHED TO AY: C, its T ke%?,ar AL,c h e / Cl ; I174oyclnor O r 5 " /c- — -iz,4-�/ c_ /f C /7 Xq G �0 . T , In con ec'-Asa�� 6 / / e- X/_jD / / / Iyl.4�/ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY /- }%'- --- REPORT DAY: vi' 7J DATE: (S /dL/ C,i WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: ( k, , TEMP. MAX %Z °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: h CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / / WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: ��1t,TEMP. MAX °F MIN °F PRECIPITATION: -P+- WORK ACCOMPLISHED TODAY: (n .ter _S s�z, U C 7, 0 1-7 tsu , /,? •` S"q- 7L: C�y S YZ�IC C), — if- — v .4// . .�� 9 [� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Sent By: ARCHER CONSTRUCTION INC' 253 872 7277; Jul-31-01 1:18Pm; Paae 1/1 ARCHER CONSTRUCTION, INC. 7855 5o. 206th St, - Kent, WA 98032 - (253) 872-7222 % FAX (253) 872-7277 AR-CH-EI-219-DR July 31, 2001 Mr. Laslo Csuha City of Renton 1055 South Grady Way Renton, WA 98055 Re: Time Extension of Contract #CAG 01-043 Project WTR-27-2890 Dear Mr. Csuha: Via Fax #425-430-7241 Archer Construction is requesting a 20 day time extension to complete the above referenced job. The time extension is needed due to the sewer conflict, vault lids and the additional time needed to obtain the valves that are required by Boeing, If you have any questions please give me a call. Sincerely, Wade Archer President UTILITIES - FIRE PROTECTION Sent By: ARCHER CONSTRUCTION INC; 253 872 7277; Jul-5-01 12:29PM; Page 1/1 ARCHER S�, U peps : 700 J 7� 1Q'13 CONSTRUCTION, INC. 7855 So. 206th St. - Kent, WA 98032 • (253) 872-7222 / FAX (253) 872-7277 AR-CH-EI-219-DR May 21, 2001 Mr. Laszlo Csuha City of Renton Project: 10" meter relocation RE: Time extention Laszlo, Fax: (425) 430-7241 We are requesting (7) additional working days be added to our contract due the timely process of receiving ouT entrance badges for the meters located on the Boeing Company property. Also we received our notice to proceed dated 6-18-01, w/ start date of 6-25-01. Due to the lengthy submittal process on the 14" gate valves, that were ordered on 6-18-01 with a delivery time of 4-6 weeks, this will also possibly be a issue with our time duration, Please call if you have any questions! Sincerely, Scott L Trautmann Project Manager UTILITIES • FIRE PROTECTION CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-72071055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 206'h ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 1 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 6/29/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6/25/01 Monday Mostly Cloudy 1 6/26/01 Tuesday Overcast 1 6/27/01 Wednesday Light Rain 1 6/28/01 Thursday Clear 1 6/29/01 Friday Light Rain 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 0 5 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time .............................................. Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ 'Working Days Remaining ............................................. Summary of Week's Activities: Contractor have not started construction....... 'Show only extensions approved by letter from City "Use negative totals to show overrun in time C 0 30 5 25 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:Divisions\Utility\Water\Laszlo\Boeing-vault/correspondence/WORKDAY1 CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-72071055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 206`h ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 2 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 7/06/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/2/01 Monday Sunny 1 7/3/01 Tuesday Sunny 1 7/5/01 Thursday Sunny 1 7/6/01 Friday Sunny 1 Daysthis week.......................................................... Days previously reported. ........................................... Total days to date ...................................................... 4 5 9 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ ,Working Days Remaining ............................................. Summary of Week's Activities: Contractor have not started construction....... 'Show only extensions approved by letter from City "Use negative totals to show overrun in time «i; 0 30 9 21 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:Divisions\Utility\Water\Laszlo\Boeing-vault/correspondence/WORKDAY2 CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-72071055 South Grady Way, Renton, WA 98055 Contractor Archer Construction, Inc. Address 7855 S. 206'h ST. City Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 3 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 7/13/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/9/01 Monday Sunny 1 7/10/01 Tuesday Sunny 1 7/11/01 Wednesday Sunny 1 7/12/01 Thursday Sunny 1 7/13/01 Friday Sunny 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 9 14 CURRENT STATUS Working Days Specified In Contract ..................................... " Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... HE 7 37 Less Working Days Charges ............................................ 14 "Working Days Remaining ............................................. 23 Summary of Week's Activities: Contractor have not started construction....... Laszlo Csuha, Project Manager 425-430-7207 'Show only extensions approved by letter from City "Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H: Divisions\Utility\Water\Laszlo\Boeing-vault/correspondence/WORKDAY1 L/ CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-72071055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 2061h ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 4 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 7/20/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/16/01 Monday Cloudy 1 7/17/01 Tuesday Cloudy 1 7/18/01 Wednesday Partially Cloudy 1 7/19/01 Thursday Partially Cloudy 1 7/20/01 Friday Sunny 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 14 19 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ —Working Days Remaining ............................................. Summary of Week's Activities: Staking, Potholing, Locating Utilities....... 'Show only extensions approved by letter from City ""Use negative totals to show overrun in time 30 7 37 19 18 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H: Divisions\Utility\Water\Laszlo\Boeing-vault/correspondence/WORKDAY4 J CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-72071055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 20Vh ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 5 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 7/27/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/23/01 Monday Sunny 1 7/24/01 Tuesday Sunny 1 7125/01 Wednesday Sunny 1 7/26/01 Thursday Sunny 1 7/27/01 Friday Sunny 1 Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 19 24 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ -Working Days Remaining ............................................. Summary of Week's Activities: Excavating, Installing vault, sewer relocation....... 'Show only extensions approved by letter from City —Use negative totals to show overrun in time 30 7 37 24 13 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H: Divisions\Utility\Water\Laszlo\Boeing-vault/correspondence/WORKDAY5 CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-7207, 1055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 206th ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 6 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 8/03/01 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7130101 Monday Cloudy 1 7/31/01 Tuesday Partially Cloudy 1 8/01/01 Wednesday Partially Cloudy 1 8/02101 Thursday Partially Cloudy 1 8/03101 Friday Cloudy 1 Daysthis week.......................................................... Days previously reported. ........................................... Total days to date ...................................................... 5 24 29 CURRENT STATUS Working Days Specified In Contract ..................................... * Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ —Working Days Remaining ............................................. Summary of Week's Activities: Relocating sewer, excavation, assembly of new water....... *Show only extensions approved by letter from City —Use negative totals to show overrun in time 30 27 57 29 28 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H: Divisions\Utility\Water\Laszlo\Boeing-va ult/correspondence/WORKDAY6 CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS WATER UTILITY ENGINEERING (425) 430-7207, 1055 South Grady Way, Renton, WA 98055 Contractor Address City Archer Construction, Inc. 7855 S. 206'h ST. Kent State WA Zip 98032 Contract Number Project Name Statement Number CAG 01-043 Relocation of 10" water meters for Boeing Renton plant 7 WTR-27-2890 Number of working days charged to your contract for the week ending Friday 8110101 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/06/01 Monday Sunny 1 8/07/01 Tuesday Sunny 1 8108/01 Wednesday Sunny 1 8/09/01 Thursday Sunny 1 8/10/01 Friday Sunny 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 29 34 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges .......................................... "Working Days Remaining ............................................. Summary of Week's Activities: Assembly of new water, Thermite welding, Pipe joint bonding....... "Show only extensions approved by letter from City ""Use negative totals to show overrun in time tit, 27 57 34 23 Laszlo Csuha, Project Manager 425-430-7207 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H: Div isions\Utility\Water\Laszlo\Boeing-vau It/co rrespondence/WORKDAY6