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HomeMy WebLinkAboutWTR2700655(2) W-655 WELL #9 - Drilling VTR-9 1 #2 Corre,pondence BEGINNING OF � `� � F�ILEa/ 6FILE lITLE �OF GA45 U/cp yUSouAau a� a OR (LL�NG • e OF RE v Ft a z PUBLIC: WOR!LS DEPARTMENT DESIGN/UTILITY ENGINEERING 0 235-t631 14 MUNICIPAL WILDING 709 MILL AVE.E0. RENTON.WASH.99955 e iEP Fc rvlE BAH8APA SH�NP;jCH June 15, 1983 MAY(:. MEMORANDUM To: Larry Warren, City Attorney FROM: Eon Olsen, Utility Engineer SUWECT: W-665 Well !9 Production 6 Observation Well Drilling Please review the attached contract as to legal fors. Thank you. IGaTd—t.;Omen NJI: kd MAIL TO: • Statement of INDUSTRIAL NTATISTICIAN INTENT TO PAY Department of Labor • Industries PREVAILING WAGES E.upleymeat Standards Divisioe 'Public Works Contract) General Administration Building Olympia, WA 98504 1206, 753-I0I9 Contract t'.imber W-665 Well #9�1Ft'_ Contract Awarding Public Agency Date Bid Was Due_Mar 9 190 3 CITY OF RED7TOIJ County in Which Work Performed Ring Caltaty Add. 200 Mill Ave. S.__ Location Within County City of Renton it Renton, 4A 98055 Prime Contractor Armatrong Dril ling, Inc. Phone Contractor's Regist.-etion Certificate No, 0012 Do You Intend To Ilae Su6trmtrccton? Yes 1..i No X In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized repre.^native of AKinstrong 11 11 inn. Inc- 10715 _- 6cth Ave_ E_ PuyAIIun I1w 9R77a a'mara ar n. mrarrral ,1�iw1 '_ do hereby certify that the following rates of hourly wage and hourly fringe benefits will he paid to all laborors,workmen and mechanics employed by me upor the foblic works project described above and that no laborer,workman or mechanic will be paid less than the"prevailing rate of wage"as determined by the Industrial Statistician of the Department of Labor and '.ndustries. PLEASE NOTE: If apprentices are W be used they must be registered with the State Apprenticeship Council or the, must be paid prevailing journeyman wages. ivAn amm"1RD NUMBER RATa or .:/.Ta Or eOUPLY Or wo"Kits m.CRLY ?,%Y rn,Nrla 1061371YB OWNER - OPERATOR NO SU8CONT:;A'P0RS 1 NoTR: At4ch Additions' Sheet, an Needed. so,i ,IyY. TN(' r r'al r By C �1 Subscribed end sworn to bt.oro me J .n E. Armstrong �TM1" this _1.4ih day of ,LNae For V• 1 us.Only --� APPROVED l8 p Depart Bt of Labor • Industries lidos 1 I Statbh ae Nurary /1.tl'e in and M Ito Sraa yl W 'rynn. BY 1 30 19fZi arrianlE u, WaJarytoa .— BEFORE FINAL SETTLEMENT caa be made on any public works projerc,the prime mntraetcr and each mid every subcontractor[oust submit form I.1 700-7"Aillidavit of Waper Paid"to the officer charged with the disbursement of public funds. EACH AFFIDAVIT OF WAGES PAID MAST BE CER71FIF.D BY THE. INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF LABOR AND INDUSTRIES BEFORE 1T IS SUBMITTED TO SAW OFFICER. FROGRESIS PAYMENTS: Each voucher claim submitted to an owner by a contractor for payment on a project estimate shall state that prevailing wages have been paid in accordance with the prefiled statement or Atatementa of intent W pav prevailing wages on file with the public agency. COMPLETE AND MAIL ENTIRE SET FOR APPROVAI TO Employment standards Division, Department of Labor .,trice, General Administration Building, Olympia, Washingtoi [JB Ovim rRIBUTE APPROVaD STATEMENTS AS FOLLOWS. PORIGINAL CONTRACT--AWAWRNG AGENCY ODUPLICATE-ANIIUaTIUAL STATISTICIAN IReMm,a hr t7 IzzrmlLDE tXIPYI TRIPLICATE-PKIMS IXINTRMTOR YELIAW QUADRUPLICAT&-gUBCONT8At9'.dt 11'.1e111 aua r ra sae Qa Ira '�r MIX, engineering July 1, 1983 51082.0n Department of Social and Health Serv,c�S 1409 Smith Tower Seattle, Washington 98104 Attn: Mr Moe Batra, District Engineer Subject: Renton Well No. 9 Relocation Dear Moe: Following our discussion - Wednesday, June 29, 1983, we have revised the location of the City r Renton's proposed Well No. 9. discussed this relocation results in the well being further from she Cedar River which makes it easier for ns to comply with the �w,e law regarding Cedar/Sammamish Instream Resources Protection Program Further, the revised location results in a small section of an existing sanitary sewer beir3 with in the 100 foot sanitary radius of the oroposed well. At your direction, we plan to erase ,he existinq sanitary sewer (which - made of concrete P-pe) in a poured-ill-place concrete perimeter which will provide sutstantial additional protection frnm accidental breakage by any means. A set of revised plans is cncloseJ with this letter for your review and consideration for approval . Thant you for your prompt consideration of this matter, please contact me at your earliest convenience regarding any concerns that this may present. Respectfully suomitted, R142 ENGINEERING, P.S. Richard H. .rbert, D.E. cc Mr. Ron Olsen, City of Renton 1410 Market Street,PO.Box 1180,Kirkland,Washington 98=(206)B27-6400 e.n,N Vt ll„A. ,T-'I 1 9 k%kl aW,lf rt DEPARTMENT Of SOUAI AND 4ALTH SERVICES is,+inxrh in»« V'y . veana July 18, 1983 City of Renton 200 Hill Avenue South Kenton, Washington 98055 Subject- City of Renton Renton Well No. 9 Relocation King County Gentler en: The plans for the above project received In this office on July 6, 1983 have been reviewed and, In accordance with the provisions of WAC 248-54 are hereby Found Satisfactory, 'R041DEC, That: 1. The top of the well casing is sealed to the, first impervious soil layer nu: no less than eighteen feet as required under WAC 173-160, 2. The sanitary sewer line within 100' radius Of the well •'te, should be completely cased In concrete after it hat been determined that the eKistin7 wastewater lines are structurally sound. Sincerely, c4eoe-464�1__ Moe R. 6atra, R. E. Regional fnglneer Water Supply 6 Waste Section MRB:ta A CC: Seattle-King County Health Dept. RH2 Engineering < CfyYr0 -•M1.rM� . • • _ itJ-��S / ' W y -- _ � .. *, _ �� , „_ ��_,,ice _ — — - z � � � �_ <- �e4 � �- < ( � ` LL �._ _.____..__.___.__..__�� , PRECONSTRUCTION CONFERENCE u0 PROJECT: � 9 nn DATE: 9 ADDRESS/LOCATION: (OCL, PROJECT f �o� S _ PERMIT / WORK ORDER f _ ♦ f f f ! f 1 ! ! ! ! R i f f ! i f f ! ! ! ! ! ! i i i i i i i i ! f ! f i ! THOSE IN ATTENDANCE NAME COMPANY PHORE RCNiow � ti.All n `/ _ 82 t-t�aoQ Sty Of Renton Engineering DepAveat 235-2631 PRECONSTRUCTION CONFERENCE DATE: Tuesday, July Igth, 198, TIME. 10:00 A.M. PLACE: 4th Floor Conference Room DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT Name: Armstrong Drilling Phone: 1-845-1672 Project: Well No. 9, Cedar River Park (North Sidej Pro,l. I: _ W-665 NAME OF APPOINTED INSPECTOR Bill Kullberg Please check departments to be notified and specify person to attend. K Engineering Dept, _pun Mnnaand0 K_ Fire Dept. -Ed Woo_;2_n or Jim Mathews x_ Pe.ice Dept. Ray Saude K Street Dept. DIOn Miller % traffic Dept. Paul Lumhpii r _ Utilities Dept. Ron Clsen K Wdter Shop -Larry Saviaoe _ K Other Cary Morrison K Park Dept. John Webley Additional outside departs nts you may wish to notify. Department of Transportation K Pacific N.M. Bell Company X Puget Sound Power { Light Company Telepr-mpter Cable TV Company x _ Washington Natural Gas Company K Other RH2 Engineering WATER AND SEWER PROJECTS PRESENTLY UNDER CONSTRUCTION IN THE CITY OF RENTON WATER PRC.IECT M W-665 SEWER PROJECT U DATE 7-19-83 WATER PROJEC TITLE Well No. 9 PROJECT LOCATION Cedar River Park DEVELOPER City of Renton ADDRESS 200 Mill Ave. So., Renton WA 98055 PHONE 235-2631 EMERGENCY PHONE CONTRACTOR Armstronq Drilling inL. ADDRESS 10715 66 .ve. East. PHONE 345-1672 EMERGENCY PHONE 847-6346 FOREMAN Dave Chavone PHONE 84S-1677 EMERGENCY PHONE 893-3723 City of Penton inspector Bill KullDerjq_` __`_„ other Inspector INTEROFFICE CORRESPONDENCE Date_jlzt�a3 _ To; Utility Engineering FROM; Maxine E. Motor, City Clerk SUBJECT: CAG 046-83 Armstrong Drilling Well No. 9 ..................................'.................-............ ...... ------'- We return herewith fully executed document(m� ,;,, above- x captioned, copy of which we have retained for our official public records. Copies should be forwarded to Armstrong Drillino and the other for your file. Pursuant to your memo of we return herewith documenNsl, as above. 'Opt toned, which ur:e been signed by city Officials and need to be forwarded for further executio- by We return herewith recorded document(s), as Above-captioned, ropy of which we FA a retained for our official puutic records. Copies should be turwarded to appropriate parties and retained as necessary for your illes. r� Pies" file a fully executed copy with the City Clera's office L for our permanent records when received. Thank you. MEM;db cc; 4 t N /M Arm N/AIV 04.4 1�fiwF R CAS a' �?t rr ae t.9w tG N 235 -x 31 �'lC`t 4r��,fJ�4A'�r� �(/JG-Y (�✓4M�l /t/:..t` , '✓�l ��.9�-1 C'/�t �:G.,. fir ,,.,. t+z tB..,g...e.r;,,,5 aa•:- G�i Oa/1O v yAer-cgcoe.PC, Sty- 9Sso • �ie� i94� Z44eerl .y b C. Syr/°•i-t.' „� l t � /x '�y A� • Engineering August 3, 1983 51082.00 CITY OF RENTON 200 Mill Avenue South Renton, Washington 98055 BILLING STATEMENT Invoice 02075 For engineering services through July 31, 1983, in conjunction with Nell 09: CONTRACT AMOUNT EARNED PREVIOUSLY AMOUNT AMOUNT_ _ _THUS FAR _ _ BILLED_ DUE Tasks 1-6 $17,335 $12.295.06 fll, 1.11 $411.75 Tasks 7-8 f 3,400 S 3,400.00 f 3,400.00 -0- IOTA; AMOUNT DUE 'rlc IN1010E: 5411.75 G"ARTAR 116• lows AF lycd CITY OF li[TiTON CERTW4C;ATION ac ip r: xOrpNffO e0•nex.e,l�l�xC U.YO ir�rr�xi , zerrv,. y�....r , N........ toIN e'i i {.O'�xiuyry�yNx 4Y/MOa1R��i iY rt sie��i'Mt ciihri xx,e CWM� gig 421 /Ooy>/,5 S01 37 ba- (is) p ?•71 toll 7v� 1410 Market Street,P0.Box 1 180,Kirkland.Washington 98033Q061827.6400 AfCftyfp 1 Engineering n[r; 1083 „tom August I5, 1983 S1081.0 United States Geological Survey ',201 Pacific Avem,e Suite 520 Acoma, WA 99402 Attention: Mr. Tom Kane Subject: Renton Well No. 9 Water Right Certification Dear Tom: The City of Renton is currently in the process of drilling Well No. 9, a new production well in Cedar River Park in the City of Renton. In accordance with the Cedar-Sammamish Basin Instream Resources Protection Program, the use of the new well can not reduce the surf ce flows to the Cedar River by more than 5% of the low flow level established by the Department of Ecology. Before Well 9 can be certified and a water right obtained, the City must demonstrate that the well does not affect the stream flows by more than 51, In Accordaice with Section 173-508-060(2) of the Washington Administrative Code which Slates' InstreAm floes established in this section shall be measured At the existing J.S. Geological Survey ganging station no, 12.1190.00 on the Cedar River at Renton. Washington we are requesting on behalf of the City of Renton that the City have access to the flow recordings taken at the gauging station during the pump to;t of Well No. 9, This data will be used in conjunction with other data taken during the pump test to determ* ne if there is significant hydraulic continuity between the well and the River. This will obviously affect the amount of the water right granted to the City. We anticipate that A 40 hour pump test will be conducted during the week of August 22, although difficulties in drilling the well may delay the test. We will notify you by telephone of the exact dates of the test when they are known, In addition to requiring copies of the flow rate recnrdings in the River during the pump test, we would find it useful to have acne%. to the gauging 1410 Market Street.HO So) 1180.Kirkland,Wash,nyion98033(206)827.6400 united States Geological wrvoy August 15, 1983 Page 2 station during the tests. This would permit us to make immedi-.ce observations of the effects of our operations on the River and adjust our pumping rate, if necessary, based on the extent of the hydraulic continuity between the well and the River. It would also permit us to coordinate the start of our test with a period of extended constant flow rate in the River. If our test is started close to a hange in River flow rate due to the Yeattle operation at Landsburg, it may lie very difficult to make meaningful conclusions about hydraulic continuity. We are looking forward to your prompt response to this request, and will make ourselves available to answer any questions you may have regarding this p mject. Thank you for your consideration. Si ncerely, RH2 ENGINEERING, P S. Daniel R. Ervin Engineer cc: Mr. Bob Bergstrom, City of Renton ,/lr. Ron Olsen, City of Renton Mr, Dave Garland, Department of Ecology \' t 1� August 25, 1983 J t1082.0 Department of Ecology 4350 150th Avenue N.t. Redmond, Washington 98052 Attn: Mr. Davqq Garland, Resourcr Manage- 5ub,lec' : City of Renton Well No. 9 Dear Dave: This letter provides information regarding the status of the well drilling in Cedar River Park for the City of Renton Well No. 9, Drilling for the 8-i,xh diameter observation well was started on July 25, 1983, and completed on August 11 1983. Water was encountered between 33 feet and 65 feet only although d ri 111ng was continued to a depth of 400 feet, We had hoped to find an aguiter below the known water bearing strata, however, all of the material below 65 feet is very fine clay and silt. The well was perforated with a mills knife in the strata and was backf111eJ with beitonite clay t , the perforations. Drilling for the 24-inch diameter production well, which is located 92 feet from the observation well was started on August 12, 1983. On August 15, the welt casing had been advanced to 85 feet and no water was presc it. Drilling was suspended while the situation was reviewed with our hydrogeologic suhconsultant, Mart-Crowser and Associates, and the City Engineering staff, It was rnnrloded thAt the Droduction well was located on the dry side of an underground 'cliff" and further drilling would not be productive. It was decided to relocate the production well between the two observation wells already in the Park that are known to penetretr the aouifer. The production well wa,, therefore, relocated. 'he new productior well location is shown on the attached map. Drilling in the new location was started on August 19, 1983, and we anticipate completion by August 26. We are planning to test pump the week of August 29, although erilline difficulty ma) delay the test. We will notify you by telephone when the exact dates art known. RECEIVED ) / L«e'.u.<u G.4..ft w.. 6w'. At! fir,^mil V•,' . � . , AUG 291983 v 11111,i ,M1SIIII,.IN 1410 Market Street,P.O.Box 1180.Kirkland.Washington 980331206182T•6400 Department of Ecology • Auyust 25, 19" Page 2 Please call me at 827-6400 if you have gues, ins or comments. Thank y,u for your consideration. Sincerely, RH2 EEN�GINNEEEERRING, P.S. Richard H. Harbert, P.E. cc City of Renton Mr. Ron Olsen Mr. Bob Bergstrom Dept of Social & Health Services Mr. Moe Batra Engineering August dl, 19P3 simmn CITY OF RFNTON 200 Mill Avenue South Rrnrm, Washington 99n55 Attention: Mr, Rob Pernstrom suhtp": Well No, u nPSinn nPar Poh: WP have completed our review Of the recommendations made by Hart i.rowspr AM Associates for the Aesign of well No. A. The aquifer in the vicinity of the production well containS ry fine sand unlike that eocounterM in the other wells in the Part, T -fore, our hydrogeologic suhconsultant, Hart CrOwSer and Associates, has rectmneoded that a fin, screen and Sand filter he installed to reduce the amount of sand Pumoed from the well. The fine Screen will rMuce the transmisS'vity of the we' I below that of the otter wells, and we anticipate a permantnt production rate in the 1.500 to 2.500 gallon per minute range. The re.ommendation for des qn of Well 9 is as follows: o Install a 3E slot, 16-inch +ipP sire screen between 65 feet anti lm feet hPlow gre„r,d le`Tl. n Fili the annular Space between the IF-inch screen and the 24-inch casino with "Aqua Pa filter sand. The Permanent Iongl Pr^. pumpinq -ate and total production will he based upon the flow rate nM essary to suppress the dynamic water level to AS feet heinw grade (which is necessary to maintain SuhmorgPnce of the Screen). A PUmP should he installed that will fit ' side the 16-inch screen So that the pump suction can he placed below Ere top of the Screen . This confiquration will result in maximum yi Pin from the w,ll. 1410 Market Street,P.O Box r1W Kirkland,Wa3hingIOngM(M9V4" s CITY OF RENTON • auqu5t 31, 1RR3 Rage 1 Following vou- verbal neaaentc AM approval in our meeting yesterday, we are transmitting this WOmation to the well driller. Rl ease Call if you have questions or require additional infortutien, Sincerely, RH? EENNGGGIINEEFFRRINNGG. P.S. Richard H. Harbert, P.E. Cc Ron Olsen - City of Renton CITY OF RENTON • DEPARTMENT OF ENGINEERING MUNICIPAL BUILDING 200 MILL AVE SOUTH, RFNTON, WA 98055.235-2031 PROJECT YCLL NO 9_ PRO60E5S PAYMENT ESTIMATE NO 1 Contract No CAG 016-83 Comra010r ARNSTR NG DRILLING Clan 09/14/83 9 Oate SMN] of 1 It No D•scr,pt,o, Un.t Unit P ,ce Est t PR_VIOUS THI TOTAL S ESTIMATE TOTAL TO DATE Oty Amount Qty I Amount Qry I Amount SCHEDULE A, PRDDUCTIDA WELL I. Ibbilization, Demobilization, Sit* PrIl""tiOn and Cleanup L.S. I,DOO.00 4- 501 SSOO.DO SDI SOO,00 2. Drill for 22-Inch Casing IL.F. 72.00 100 _0_ 116 8,352.00 116 81352.00 3. Furnish and Install 21-loco Casing 1L,F, 18.00 100 -0- 121 2.178.00 121 1 2,178.00 1. 24-Itch Deiw Shoe L.S. 1.285.00 -0- 100% 1,285.DO 100%1 1.285.00 S. 30-Itch Sanitary Seel L.S. 900.00 I -0- 03 8 0 -0• 6. F.,ish and Install well Screen Red Accessories L.F. 501.00 25 -0• 10 20,040.00 10 20,0/0.00 7. Furnlsn and Install 25-Inch Riser Pipe IL.F. 20.DO 5 •0- 66' 1.320.00 66' 11720.00 8, rurnisN, ;nstall and AM" Test P^ 'L.S. 1.200.00 -0- 0 _p- 9. Test Pump yell Hour SO.DO /0 .0- / 0 0 _p- 10. Devell,•vaent and Other Authorized I York Im"', I 60.00 75 -0- 53 3.100.00 53 3.180.00 11. Disposal of waste water L.S. I 1,200.00 I C. • 0 -0 i 12. CHANGE ORDER No. 1 12A Drill for 21-Incn Casing L.r, 72.00 -0- at 5,C32.00 81 5,832.DC 120 Furnish and Install 71-1och Casing �,.i. ! I8.D0 •0- 86 1.548.00 86 1,5/8.00 12C 30-lnct Sanitary Seal L.S. 9O0,pp •0- 1001 900.00 100t 900.00 120 Credit for yell 5rean $ite 1 Change L.S. i [3,600.00] -0- 1001 (3,600.00) IOD1I 13.600.D01 12F Credit for Salvage of 21- Inch Casing L.F. 14.00 -0- 140 11,960.00] 120 [l.%0.001 12F Pea Gravel for Abandcrvnent C.Y. 13.28 -0- 10 132.80 10 132.80 12G Cement for AbandoneenL C.N. 62.52 -0- ,5001 156,31 .5001 156.31 SCHEDULE Bx._O85ERVATION WELL I. mobilization, Demobilization, 1 Site Preparation and :leanup L.S. SOC.00 -0- 100% 500.00 I 1001I 500.00 2, brill for 8-Inch Casing L.F. 16.00 400 -0- e00 6,400.00 400 6,100.00 3. Furnish and Install 8-Inch Casing L.F. 5,00 400 -o- 362 1,810.00 1362 1.810.00 1. 8-1nch ;rive Shoe I.S. IDC.00 .0- 100% 1DO.DO 10011 100.00 S. 12-Inch Sanitary Seal L.S. 300.D0 _o- 100% mn.r 1003 300.00 6. -ate Casing L.F. 6.00 30 _0- Y5 I50.00 2S I 15p.O0 7. " and Install Casing Seel 1.5. A0.00 -0- 100% 3,0.00 100i 310.00 i 6, f .nish and Inscs" and Remove Test R,/0 L.S. 6DO.00 -0- OL 8 I 0 -0- 9. Test Punp Wall Hour 50.DO 10 _C_ 8 8 0 •0- 10. Develop tent and Other Authorized Hourly York Hour 60-DO 15 -0- 13 780,OD 13 780.00 SOCIDIAL ALL ITEMS AND CHANGE OR ERS 50,211.11 50,214.11 9.1% SALES Tax 1,067.1' 1,067.7a Tppial INCL. SALES TTOF 54.581.45 54,281.45 LESS SL RETAIMGF (0F SUBTOTAL) 2,510.71 2 510.71 LESS AMOUE PRENIOSTIV PAID -0- _,AIBUfiT DUE THIS ESTIVATE __. ._. f51.770.74 51.770.7/ CITY OF RENTON Sbet 1_of —L PUBLIC WORKS DEPARTMENT Cnudr Date 09/20/83 CHANGE ORDER Order 1 w.b.r rl OrdenJ by Try nicer mWrr, tent of Sect.. e.1 of the L� Stan"'d Spectflottom IhM1AI Contfa- MO LAG 046-A7 GI Ch.nte P,.r.$ J by Contractor To: ARMSTRONG DRILLING COMPANY 10715 -56th Avenne Fact Puyallup, WA 98378 1,Nksned by. n N r,. Y� _ j e o+ Fw Names J 1_.,,• /Q - 17 -R Sip bate /! wt a redenl Aid No. Prolert Title Well No. 9 Prodi.Ljinn and Obs�rpAtion Well Drillin Coset"t glu" by SuAKp Itvhe. gequ"edl —ester rU,�eCt N0. W66 sy -- — — �tnty-'uTA,'7-- —�— . . . . . . . . . . . . . . . . . . . . . DESCRIPTION or WRR • . . . . . . . . . . . . . . . . . . . You an ordered to perfon the ro.lovinE described sort upon rt<etpt of so, eppnved copy of this chin, urder' Relocate Well No. 9 water production well to 40' north of Well No. 8 observation well. Abandor eaistinD water production well per AWWA Al-11. 4:1 brt, uteri els sod wasurreent to be in scrota.,., •.th the provisions of the St.nderd .'t ficatio,, end Sprci.l provtions for the type of c.mstrurtlon involved. ORIGINAL CONTRACT CLT 'PPENT CONTRACT ESTIMATED Nrt CHANGE ESTIMATED CONTRACT AMOUNT AMOUNT THIS ORDER TOTAL APIER CHANGE S 47,000,00/�----��M`Lry�5 17 000.00 3 3,009.11 S 50,009.11 AGE pp AGENCY UsSE APPR RE�DD "PROVED:E s ngen<a Lto'Si 47"<'•<� --T�Ct— APPROVAL RECCHQNDED O APPROVED DISTRICT STATE-AID ENGINEER Lily Deis: i CITY OF RENTON Shaer -, I of _I PUBLIC WORKS DEPARTMENT l?.anyo Date 09120M CHANGE ORDER ,ra�iR�er 1 n OTdenJ by fnpncer under tarts of Sects" bl of the Conenct No. CAG 046-81 LX.1 Standard Spee,f,ueltona (APOA) ChAnya proposeJ by Contractor To: ARMSTRONC DRILLING COMPANY )15 - 66th Avenue East < Puyallup. WA 98378 na. br- ^_ �+- - oA to at w Meet t `=\✓I J - _1?13_ Sian Result id \Wl cJ —louse Federal Aid ND. T {I^ � e �c1�C„s Project Title WelLBQ,_LTr3durtjOn and - Observation Well Drilling Centaur Sawn by SNAedy+ (Nitta u4w.td1 Water r0 eCL N0. W66 --L77nan`Ey-'u-Tae� . . . . . . . . . . . . . . . . . . . . . DESCRIPTION Or HORR • . • • . • • • . • • . row an ordered to perPon the fotioainy descnb.d work upon nc.ipt of an approved copy of this chary. order- Relocate Well No. 9 water production well to 40' north of Well No. 8 observation w 0 1. Abandon existirg water production well per AWWA Al-11. III work, oaten Mls and seaouTeaent to be in accordance with the provisions of the Standard Speciflcallons and Special Proviatona for the type of .net ruction involved. ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET CHANGE ESTIMATED CONTRACT AMOUNT MIOUNT THIS ORDER TOTAL AFTER CHANGE : 47,000.00 E 47,000.00 E 3,009.11 : 50, )09.11 Ace AGENCT USE APTROv' RE NDED "PROVED: —_— — ? "t/.(•!r t X't_c�Vr I,e.6, .�c��j_l�t tulrcC nyantii Tale — -- A.blae Co slya 11:nce hPp"AL RECOMMENDED am mall D1S1AIC7 STATE•A1D ENGINEER Dale: am test im. 49M NTH AVENUE N.W.,.SEATTLE. WASHINGTON 00107•ag7.E00/7q.17M AN4'd'FIS RE1Utd' CLIENT! City of Renton OATS RECEIVED: 10/4/83 REKIRI TO: 800 Edrmnds \.enue N. Penton, WA )8052 DATE REPORTED: 10/18/83 Laboratory Sample Nv. 71042 D, . Client Identification 9:00 Well 9 Penton (Nt 6.0 -- Arsenic (m3/1) <0.001 0.05 Ban:m (mg/l) <0.25 1.0 Cadmlm (mil) 0.0001 0.01 Chroidum (mg/1) <0.001 0.05 Iron (DWI) <0.05 0.3 Lead (mg/1) 0.003 0.05 Kv,,' ese (mg/1) <0.03 0.05 M=mury Owl) <0.0002 <0.00021 0.002 Selenim(mg/1) <0.002 0.01 Silver (m3/1) <0.0003 0.05 Sodium (ny/1) 5.71 5.6 - Hardness (m1/1 as Ca(L3) 56.7 56.71 --- conductivity wunas/cnil 170. 700. Tuxb�dity (NM) 0.36 1.0 Color (color units) <5. 15. Fluonde (mg/1) <0.10 2.0 Nitrata + Nitrite (m7/1 as N) 0.3= 10.0 *Washington State drinking water Maxinem Contamin.cit Level allowed. f � REIORM) BY John IA. Blunt JNB:bc D Fngineerinq �ti bar 1 October 7, 1983 j l 51082.00 -w CITY OF RENTON 200 Mill Avenue South Renton, WA 98055 BILLING STATEMENT Invoice :149 CONTRACT AMOUNT AMOUNT EARN[, PREVIOUSLY AMOUNT THUS FAR BILLED DUE For engineering services throught Se,•eenber 3d, 1983, in conjunction with Well M9: T.,S .S 1-6 $17,335 18,878.54 13,626.99 $33 708.01 TOTAL AMOUNT DUE THIS INVOICE: $3,708.01 City of Renton Accounting Codes Project No. W-665 W0,' 4111 Account No. 401/000/15.501.37.63.(18) 421/000/15.501.37.65.(15) Y � p1ARTi8 llb, LA/r5 OF ltiw CITY QF RENTON CERTIFICATION I. 1N( Vr�,9t.YNn Yl1 N NI\, Pi NN11r r y, N• YIIN IVIN•.\NIP ItIN I. \n• • l tnUN PI 111 Vx41 V Y U(y�v.\,�� INf .I,IM i, ( I 11. Vu^ w ,•.N II•.•a\Y{INtI INt [il♦ , ,1,1\NIN/.N I.oYI PM•VINU M. U IU ♦VfNIFIi..1,1 ,,N�V 1V f\IU Cl�1Y/ • 1141,I I. ./ 1 /L(Cf W)'♦, t. /!PC lty�•�'i. it 1410'Aerket Strer„P O Box 1181 Wdshmgic.i 9803312061827.6400 `'�• CITY OF RENTON • DEPARTMENT OF ENGINEERING MUNIC'P'AL BUILDING 200 MIµ AVE BOOTH RENTON. WA 9605Sr 235-2631 PROJECT_3ILi v...2 __-._ PROGRESS PAYMENT ESTIMATE NO ? r'AL onerect No CAG 046-63 Cenvacto._ARMSTRONG DNILLIK Culp Due 1'.l':S;B3 ShPu>-ov.l. ^e„1 Eat JPPIEVIOUS TOTAL THIS ESTIMATIE1 TOTAL TO DATE Mel Dovai a� van un.i P„Pe Otv I Oly Ancuoml I 04Y Y Antt m AnvPum Or SCHEDULE A, PRODUCTION WILL -- I Mobilization, DmrobiliAuiw' S0% 500.00 50 500.00 100% 1000.00 SIG Preparation And C1Nnvo :-). 1.000.00 2.1 Drill for 24-Imt, Cuing ,.f. 72.00 100 116 8352.00 116 8352.00 3. Furnish ald Wuall ?4-Inch Casing IL.F. 18.00 100 121 2178.00 1121 2178.00 a. 14-loco Drive shoe I.A. I'm.00 100% 1285.00 l0(1%' 1285.00 S. 30-Inch Sanitary Seal IL.S. 900.00 O% 0 1100 900.00 100%I 900.00 6.I Furnish and Inttall well Screen and Accessories Fist, I Sot.00 IS 20040.00 140 20040.00 7.1 Furntsn tw and Install 2S-Into 66' 1320.00 166 1320.00 Riser P I L.F. i 20.OD 5 e. Furnish, tnsu,t and Remove 0 1200 lU0 .00 I100%1 1200.00 tat pare: 1L.S. I.tD0.D0 0 9. Test Pumo well 1 $0,00 40 0 0 27 1350.00 127 1350.00 10. Da glopnent old Other Autnori ted York IHRIe i 60.00 IS 53 13180.00 53 3180,00 I106 6360.00 11. Disposal of Waste Water It.i. I 1.100.00 0 0 10CI 1200.00 11001 1200.00 I :2. CHRNGE ORDER NO. I I I I !,A Drill car 24•inch Casing J. 72.00 81 15832.00 181 5832.00 P Furnish and Install 24-inch Casing F. I IR.00 86 1548.00 186 1548.00 :2C 30-Inca Sanitary Seal A. I 900.00 100% 900.00 100% 900.00 1t0 Credit for will Screen Stu Change L.S. i [3.b00.Dol 100% [3600.00] , I 100% [3600.00] tit Credit for Salvage of 24-Inch using L.F. 14.00 140 [1960] 70i 1`9801 210 [2940.001 12F ha Gravel for Aoandcneent C.F. 13.21 10 132.80 10 132.80 12G Cement for Abandonment 62.52 2.5, 156.31 12.5 156.31 S[HEDUI[ aOeSFR'.:vION 11FLL i 1. MDbililstlPn, DemOblli2stion, I Site Preparation and Cleanup L.S. SOO.00 100'. 500.00 I 300% 500.00 2. Drill for 9-inch Casing F. 16.00 40D 400 � 640r.00 i I 400 6400.00 3. Furnish and Install B-Inch Casing L.F. S.DO 400 362 . 1810.00 362 I810.00 i I 4. e•Inrn Drive Sow L.S. 100.00 100%i 100.00 100% 100.00 i S. 12•Ihch sanitary seal L.S. 300.00 100%'. 300.00 100% 300.00 6. Perforats Casing L.E. 6100 30 25 151,01 25 150.00 7. Furnish and Install Casing Seat L.S. 310.00 100% 310.00 100A 310.00 9, Furnish and Install and RMeore I 0% 0 Test Pero L.S. 600.00 09 0 3. Tat P^ well Hour SO.00 40 2 ® 4 0 13.I Developrnnt and Ot", Authorized Ho,rly Work 1IRS Nour 60.00 15 13 780.00 13 780.00 SUB TOTAL '.L ITEMS AND CMNG( OR 7350.00 157564.11 e.11 SALES T 595.35 44zzg66p666Z72225.699 SA 8 7 c 51770.74 TppTAI INCCL. SALES TTAA l[Ss SL NttAIMGE (OF SO6TOTALI LESS AMOUNT PREVIOUSLY PAID _~I DUE THIS ESTIMATE•_^ 7577.85 7577.A5 -- -- -- ---- -... _.e0v -.r.r, DATE 10-18-83 TO: FINANCE DIRECTOR FROM: PUBLIC WORKS DIRECTOR SUBJECT: PROGRESS PAYMENT CON1'2ACTOR: Armstrong Drilling ESTIMATE / 1 CONTRACT F CAG-046-83 PROJECT: Drilling Well rg ' 1. C0TRACTOR EARNINGS THIS ESTIMATE S 50,214.11 2. SALES TAX @ 8.1% 4,067.34 3. TOTAL CONTRACT AMOUNT THIS LSIIMAIE S 54,281.45 4. EARNINGS PREVIOUSLY PAID CONTRACTOR S -0- ____ 5. EARNINGS DUE CONTRACTOR THIS ESTIMATE S 41,703.40 6. • L95 x_Line 1 SUBTOTAL - CONTRACTOR PAYMENTS S 47,703.40 7. RETAINAGE ON PREVIOUS EARNINGS S _ -0- 8. * RETAINAGE ON EARNINGS THIS ESTIMATE 2,510.71 9• SUBTOTAL - RETAINAGE S 2,510.71 10. SALES TAX PREVIOUSLY PAID S -O- il, SALES TAX DUE THIS ESTIMATE 4,067.34 12. SUBTOTAL - SALES TAX S 4,067.34 GRAND TOTAL E 54,281.45 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines S =nd 11): ACCT. a _ 421/000/1'_•._ '.37.65.(,1,g) S51,770.74 F 1 ACCT. RETAINED AMOUNT (Line 8): ACCT. M 421/000/15 ,C1.37.65,I151 _ $ 2,510.71 F 1 ACCT. A CHARTER IIS, LAWS OF ILWSS TOTAL THIS ESTIMATE S 54.281.4�_ CITY OF RENTON CERTIFICATION *RETAINAGE: 5% of amount. t.w wx .M".•.a,I.,,a wwn w wrAwr 1MA, n.a AL.cWu krrx I.;.,r vr:»�o M� t�rncu r.nuo w nK u;on,aCwm a"Sum w•w AMo rrAt 1,Y N..�, 4 A any WI AW W/40 MucAM, a^v,u AI on a Au+or AMp nut i y� wiWnero ro wnunprn AW axm.p u�u, RH2 ENGINEERING, P• 1410 Market Street KIRKLAND. W SHINGtON 98033 l�� WJLr ll N1W WL6 ars 11 10 83 To City of Renton Ron Olsen — PUBLIC WORKS DEPAR MEN-- NT 200 Mi11 Avenue SoutF'---"----- WE ARE SENDING YOU I'A A'00" L. U _— — ..--.--_rWer sparete cover na --`-- C] Snob draw,naa ❑ Prime ------ ro �P ems: CI Plan � SOY of teller Cl CMnQe We, E' SaItWtef Ll Spciaratiom m Fin-1 Pal, Cap" ItAR ft. 1 10/14/83 Contract 140. CA8 0l6--- 83, Mel THESE ARE TRANSMITTED as chlkeo below For approval APProveC as subm,ttM -X For your usena—__cp,es for approval [i APDrorelf as noteo As repuesteo O Returned for corr o.. U 9ebmn mP"s for U,stnbuWn S For rav,ew and comment C' gym—"—i*rm-w PriMa C FOR BIDS DUE. -- __ — 79 REMARKS �_O PRIM RETURNED AFTER LOAN To US COPY m SIGNED: Dan Ervin T'K• CITY OF RENTON • DEPARTMENT OF ENGINEERING • • MUNICIPAL SUILDINS 200 MILL AVE SOUTH, RENTON. WA 98O5502O5.253' PROJECT YiLL HjQj_ PRCHIRESS PAYMENT ESTIMATE NO.?# FINAL Contract No CAG 046=83 Contract., ARNSTRDNG [>ILLING 10 14 ClpawO Date 83� ( ghee)l p1L It Ea, PREVIOUS TOTAL Tty5 ESTIMATE TOTAL 10 DATE Deec"Pl'on Unn Und Pnc• Q1r O Qty Amount QtY_ 4moHn1 QIY Amp H SCHEDULE A, PRODUCTION 6L _ 1. tiliyen, b izat+On, . . 50Sih Preparation And clehl 1,OU0.00 500.00 50 E0.00 100% 1' 70.00 Z. Drill for 24-Inch Casing iL.F, 72,00 ID0 116 18352.00 I 116 b352.00 N]. Furnish and Install -Inch I Casing L.F. 18.00 IDO 121 2178.00 I 121 2178.00 1. N•Inch Drive Shoe L,S. 1.285.00 100%� 1285.00 100%, 1285.00 5. 30 Inch sanitary Seal L.S. 900.00 0% 0 100 900.00 100%, 900.00 S. furnishand And so Install Well Screen 40 120040.00 I 40 20040.00 and Accessories '�1.F, SOLDD 25 7. Furnish and Install 25-Inch Riser Pipe t.F. to.oD 5 66' 1320.00 66 1320.00 8. Furnish, Install and Remove Test Pump L,S. j 1,20c DD I B B 300 1200.00 100%, 1200.00 9. Test Pump Yen I 50.DO 40 B 0 27 1 1350.00 27 1350.00 10. De,etuomnt and Other Authorizen Port !mbar 60.DO 75 53 3180.00 53 3180.00 106 6360.00 II. Disposal of Waste Water IL.9. I 1,200.00 0 0 1001� 1200.00 100% 1200.00 :2. CHANGE ORDER RD_1 ZA Drill for 24rinch Casing 'L.F. 112.00 81 5832.00 81 5832.00 121 Furnish and Install 24-Inch Casing iL,v. 18.D0 86 1548.00 86 1548.00 12C 30-inch Sanitary Seal L.S. 900.00 100% 900.00 100% MIN 120 Credit for Well Screen Size Ch"ge : .s. [3,600.00] 100%. [3600.001 1100% [3600.001 121 Credit for Salvage of 24-Inch Casing L.T. i 14.00 140 [19601 70 [980] 210 [2940.00] 12F ha Gravel for Abandonment ,C.r. 13.28 10 132.80 10 132.80 12G Cement for Abandonment C.Y. 1 62.52 2.5tu 156.31 2.5 156.31 SCHEDULE B•.OBSERVATION WELL 1. Mobilization, DamoDil nation, i Site Preparation and Cleanup L.S. 500.00 100"' S00.00 100% 500.00 2. Drill for 8-1nch Casing L.F. 16.00 400 400 5400.00 400 6400.00 3. Furnish and Install 8-Inch Casing L.F. 5.00 600 362 1810.00 362 1810.00 4. n.inch Drive $hoe 1L.S. 100.00 100% 100.00 100% 100.00 5. 12-Inch Sanitary Seal IL,S, 300.00 100% 300.00 100% 300,00 6, Perforate Cuing 6.00 30 25 150.00 25 150.00 7• Furnish and Install Casing Sep L.S. 310.O0 100% 310.00 100% 310.00 8. Furnish and Install and Remove Test pump L.S. 600.00 0% B 0% B 9. Test Pump Well Hour $0.00 40 B 0 0% 0 ID. 0er61 oDnent and Other Authorized Hourly Wort Hour 60.D0 15 13 780.00 13 111,11 SUBTOTAL ALL ITEHS AND CHANGE OR IRS 7350.00 57564.11 0.1% SALES TAR 59q55.3355 4662.69 TOTAL INC` yA11,,CS TAz 7367.50 62Z26'QQ LESS SL REtAI Nl�GC IOF SWTOtu) 367 50 2878 (741 LESS AHGUNT PREVIOUSLY PAID 51770. .. AMOUNT DUE THIS ESTllgTE._` _ 7577,85 7577.85 - A6 OAT[ December 30, 1983 TOE FINANCE DIRECTOR FROM PUBLIC WORKS DIRECTOR SUBJLCI : PROGRESS PAYMENT CONTRACTU7: ARMSTRONG DRILLING ESTIMATE I 2 8 Final CONTRACT ACAS O46-83 PROJECT: Drilling Well 1. CONTRACTOR EARNINGS THIS ESTIMATE S 7.350.00 2. SALES TAX B 8.1% _ 595.35 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE S 7.945.35 4. EARNINGS PREVIOUSLY PAID CONTRACTOR f 47,703.40 S. EARNINGS DUE CONTRACTOR THIS ESTIMATE S_6.982.50 6. • 95% x Line 1 SUBTOTAL - CONTRACTOR PAYMENTS f 5,i.685.90 7. RETAINAGE ON PREVIOUS EARNINGS f 2,510.71 B. • RETAINAGE ON EARNINGS THIS ESTIMATE 367.50 _ 9. SUBTOTAL - RETAINAGE S_2,878.21 10. SALES TAX PREVIOUSLY PAID S 4,061 34 _ 11. SALES TAX DUE THIS ESTIMATE 595.3S 12. SUBTOTAL - SALES TAX f 4,662.69 GRAND TOTAL f 62,226.80 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCT. A 421/000/15.501.37.65(15) f 7,577.85 I2 6 Fin ACCT. N $ A RETAINED AMOUNT (Line 8): ACC' . A 421/000/15.501.37.65(15) f 367.50_ _ 12 8 Fin ACCT. A -------- f— -- A— CHA11TEA 110. LAWS OF 1886 TOTAL THIS ESTIMATE S 7,945.35 CITY OF RENTON CERTIFICATION -RETAINAGE: 5% of amount. l M IFYMC,m N•MU,C ,u R."P /fIW, l,Nl nq 1 nl� w• LY•Fwr.wo M �OIVm MMpYD M M Vy'.p•r,MOMO U OfMId iww.re TM, M tur r� ui.ow u,o ur+o 1 , oMRnno` �wwn M wn p ,a ma wo nur w l/l/l(/l'W'1` WMORI�ty WIW1G�A W�A YD GUI FL 325 Rev. 10/14/70 Cataract No. C.A.O. 046-83 NOTICE CIF COMPLETIINI OF PUBLIC WORKS OORMACT To: Excise Tax division Datet 1200i83 Audit Section Tax ;omission Olympia, Washington. Do Not. Uw *� Prom: City of Renton Engineering Division AseigrAd tot 200 Mill Avenue South Renton, WA 98055 Ate Asaigmrdt P.W.0. IAvDer t Data, Oentlamn: Notice is hereby given relative to .he cemplation of contract or pro,ect described below: :bscription of ,ontract W-665. Drilling of Well No. 9 and Observation Weal 7ontractorts Name t Armstrong Drilling Co., Inc. Contract�rws Address 10715 - 66th Ave. E. , Puyallup, WA 98373 :Ate Work Comereed August .. 1983 :ate Work Completed November 15. 1983 Date Work Accepted, January 9, 1984 Surety or Bonding .-ompax>,v Safeco Insurance Co. Agent's Address : Bratrud Middleton Insurance Brokers P.O. Box 11205 - Tacoma, WA 98411 Contract Amount S• 47,000.00 Amount Disbursed : $ 59,348.59 Additions 10,564.11 Amount Retained t 2,878.21 `Ales Tax t 4,662.69 Total : 62,226.80 Total 62,226.80 By Disbursing officer - Finance Director THREE COPIES OF. T41S NOTICE MUST BE CCTf2LETED BY THE DISRDRSIM OFFICER AND MAILED TO THE DEPA.'MMYT OF REVENUE AT OLYMPIA, WASHINOTON IMMEDIATELY AFTER ACCEPTANCE OF THE WORE DONE UNDER THIS CONTRACT. NO PAYMENTS SHAL1 BE MADE FROM RETAINED FUND UNTIL RECEIPT OF D S �, CA , A. . ACCORDANCE WITH SAIL CEPTIFICATE. • DATE Jcamber 30, 1983 TO: FINANCE DIRECTOR FROM: PUBLIC WORKS DIRECTOR SUBJECT: PROGKESS PAYMENT C"RACTOR: ARMSTRONG DRILLING ESTIMATE I 2 8 Final CONTRACT Y CAG 046-83 PROJECT: Grilling Well No a I. CONTRACTOR EARNINGS THIS ESTIMATE S 7.350 00 2. SALES TAX ® 8.1% _ '25 '7 _ 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE E ),945.355 4. EARNINGS PREVIOUSLY PAID CONTRACTOR S47,703.40 5. EARNINGS DUE CONTRACTOR THIS ESTIMATE T--L982.50 6. ` j951 a line 11 SUBTOTAL - CONTRACTOR PAYMENTS S 54,665,90 7. RETAINAGE JN PREVIOUS EARNINGS B. • RETAINAGE ON EARNINGS THIS EST,AATE 367.50 _ 9• SUBTOTAL - RETAINAGE 10. SALES TAX PREVIOUSLY PAID $ 4,067 34 11. SALES TAX DUE THIS ESTIMATE 595 35 12• SUBTOTAL - SALES TAX $ 4,662.69 GRAND TOTAL S_ 62,226.80 FINANCE DEPARTMENT ACTION PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCT. t 421/000/15.501.37.650 5) E 7,577.85 I2 b Fin ACCT. F S RETAINED AMOUNT (Line 8): _ ACCT. M 421/000/15.501.37 65(15) S_ 367.50 /2 d Fin. ACCT. F CHARTER 116. LAWS OF -.9E6 TOTAL THIS ESTIMATE S 7.945.35 CITY OF RENTON CERTIFICATION `RETAINAGE: 5% of amount. l M Nw 4V w.:,m•C r,r u wwn a wIMA, M ' n,l w ll[ ,wW N M\.,,1p M aaw wi1wD a M ww w�gw,o V yaq,y� 1�A YO nMl 1M CIYY ��M,.W M011FC OM1M'q���1 M PT M �wh MO IIw,1 y4 W��OC q wM.'nw ro arw.q Mo ear ® • RECEIVED rs D.AUIT OF JOL 41964 WA TES PAID ON It if[K WORKS(ON IN A(I DEPARTMENT OF LABOR AND INDUSTRIES EMPLOYMENT STANDARDS DIVISION Olympia, WA NStN Contract Awarding Agency City of Renton Well N9 Comm Number CAC-046-03 W-665 Contr"I B d r.*ning late May 9, 8) Dare Conran Awarded May 9, a Date Wolt Completed October 11, 83 STATE or W'ASHINGTON 1�e Couat) is Which Wort Performed KAng County COUNTY OF Pierce 1-- Location Within County Cedar River Park - Renton, WA u-_ - W a Statement of Intent Filed" Yes a ♦„ ❑ In compliarla with RCW 311.14.040 I, the undersigned, being a duly authorized reprrsentauee of ArmstrgN .prilllnq, Inc. 10715 - 66th Ave. 9. Puyallup, WA 98373 'Casir,aw,N dlu wtraY.I iAaYe., do hereby certify that the fallowing rates of hourly wage and hourly fringe benefits have been paid to the laborers, workmen and mechanics employed by me upon the project described above and that no laborer, workman or mechanic has been paid less than the "prevailing rate of wage- as determined by the Indus. trial Statistician of the Department of Labor and Industries List below each classification of labor e:,,ployed by you upon the prolect described above and the rate of hourly pay and hourly fringe benefits paid to each classification. Please Note If apprentices have been employed on this project, provide this additional information name, registration number and stage of progression. Craft Rue of H.ir W llourh mmrb pay Fringe aenehi.Post Water Well Drilling, owner - operator No Subcontractor Non'. Attaoh Addoim.l sheers s Needed ARMS T RO DRILLING, INC. Subscribed and swornPRES. s to before me Armt r Ong this 31M day of JkUUARV Ial 1.o,n tb/aer.a A IMrtM R.111tiit¢1wdinrio,M use lNM1rnE lniyc eenrfpNirtNnf.wn the pua,diny a.F r ........of RCM "I.,aW ho,Yen sami" ��• tt" /lf INDI'STRIAL STATISTICIAN Nola .Gann snA for the h •o/W'uMaston, D ARTMENT OF LABOR AND INDI QRIES nndx In wwhinptor, INSTRUC-i'IOS3 � U.,. 12 JAN 1984 1. Pursuant to RC W 39.12.0I0 cupiea of this form m be implewd b actor and each of his sub contractor. Complete this form in triplicate and have it notarized. 3. Submit all forms for certification u. Employment Standards Division,Department of I.ub„r and Industrie>. General Administration Building,Olympia, Washington 9M04. g. File a ei nifled copy with the Coalrael Awarding Agency. CONTRACTORS ARF RESPONSIBLE FOR ONIAIIING AND HIAN6 AFFIDA\lIS of the SUN• CONTRACTORS. This is required by law and payments an not lawfully be made until such affidavits are riled. 1.4101 AlhYrx.l wags 1>•ail t„r-ws' � r � K*fgq FhLWN y ,1�U,N\Nlf G4Crmx I Mrs I,. tT ATI Of N AN V CTON DEPARTMENT OF LABOR AND INDUSTRIES .n rMwral 4NMwramxt l4taAr V • l$Plxa 11 a•NrMrm W1GH Jenuary 6. 1984 City of Renton Public 'Works Department 200 Mill venue S Renton, WA 93035 Re, firm No. 424.316-00-R Contract No. CA4-04"3 Uwltlement �1�(t:/��• Please be advised that the Department ut tabor and Industries does hereby release the City of Renton front any further liability pursuant to RCW 51A2.030 and RCW 11.12.070 as would otnerwise incur in connection with a contract calling for water well Jr Illing. © Tnls ce.!ificate does not release Armstrong Drilling, Inc., irnm Liability for additkatai cuntributio which later may be determined to be due with respect to the above mentioned contract or any other contracts said contractor may have performed. Very truly yours, '/I'L4C, Kay d Klarrw17 ,Administr. Give Assistant t ontram Compliance Unit Phonet (2Jn)733.4393 ccul.KK.1c.4.92 cc to Armstrong rhilling, Inc. 11715- 66t1i Avenue E Puyallup, W A 99373 I. Depen—t o1 A~I f F eenae*ee mv:xoa Re No... �� ! awn wx.w.ee a anW. g' ....... o�v^•w..weeaNp,m Mfae Certificate of Payment of State Excise Tavel by Public N orks Contractor ArEntron; firillinr co. Inc. r� uyva u SAth Ave. CWC 58100 1MyailuP. W. 96l C JU We hereby certify that taxes, increases and peralties due o^to become i ue tram the above named contractor under Chapter 160. Laws of 1935. as amended, with respect to the following public works contract: k ' rtaltn£:_af,aell;.,aa...,4, .end_quomatien„Well ...... ,___.... ..) trtonFopiosar 4*1vGlon . ............ together with till other taxes, increases and penalties due from such contractor, have lxrn paid in full or that they are, in the Department's opinion, readily collectible without recourse to the slate's lien on the retained percentage, This certificate is issued pursuant to the provisions of Chapter 60.36 Revised Code of Washington for the sole purpose of informing the state, county or municipal officer charged with the duty of iisbursmg Or authorizing the payment of public funds to said contractor that the Department of :evenuc hereby releases the slate's lien on the retained percentage provided by tl : Chapter for ex, ae I :xes due from said contractor. This certificate does not release said contractor from liability for additional tax which may be later !rmfned to be due with respect to the above mentioned contract or other activities. Date at Olympia, Washington. ifgi. ry...Zq. .I,.41'i3..._. ....... STATE Or WASnrNOTON DEPARTMENT Or REVENUE cemlWap oDlee. ROOTING:White Copies—Diki ureina Ualeee.Canary Coppv—Conoector. EV 414111111 Will, Pink Copy—rile,Goldenrod Copy—Special Flle. ENDING F FIL FILE TITLE �— 6(o6 5u��y e3 IJrk� 9 Ote U #9 Cif s7� # a �P- rLLiNG