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HomeMy WebLinkAboutWTR2700896(1) W-896A BEGINNING OF FILE FILE met �. I . 896A /,, YV , • �4 b! 5 j Or A yy tr r �- I# :aI r tv t ♦�r i s + ' •.} r ,. � it �"�" _ AW P�N F i N! rt"ra r n �. e � ��'*i'' Yk f1.� • '`��+�p.!'+�.•"���.. °•`�� slit ` y k IN �' �,�^ , r.r �� ;� .�k � i"".. � tom, I. '�• '� + r' yy yy F .♦�7� � MA ,pM Y >�W CITY OF RENTON MATERIALS ISSUED WATERWORKS UTILITY w , 410 TO STOREKEEPER: t 127I DrLv..%.Wl,,maf.idw LON6 A<Rtt �RNS - D.r OUANT UNIT ACCOUNT MATERIAL COST AMOUNT OF OV FIRD NUAIRFR COST Pp w""tf SA 14 Qtt LL-- Ill v0cI46 V'(1NjhrIL 7FR�IRt IF -' 434- Il Ayr So. P A 1$o3a IWn bk Nammpldt m LA Wcic �nkA„ kerb met` `rK0 AD LAkk( % -X SVIN6 6m, �11f/t III � 6N¢ ••tlt .y.I IL i0 � -1nfp� 129IPa-- C Aber..IrW.1.tnirN in pod seNni�n I At.rhuM Ab«F A bV i USHS 131731R181) .,.r STATE OF WASNINOTON ... DEPARTMENT OF SOCIAL AND HEALT1. _RVICES WATER BACTERIOLOGICAL ANALYSIS If instructions are not followed,Sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH -IOIY YEAR AM ❑ PM •hl JYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: PUBLIC I.D. NO. LE CLASS J ❑ INDIVIDUAL 3 I 1 NAME OF SYSTEM C SPECIFIC LOCATION WHERE SAMPLE COLLECT SY81M1 ORMENrlaak NAME AND TELERONE NO i I.vawlrrewrxr.M.Ma.b1eYI,A 4,. * SAMPLE COLLECTED BY:Rome* A ftrsIf MA16"r r SOURCETYPE ElSURFACE ❑WELL ❑ X SPRING ❑ PURCHASED 'E- or OT INATtON ar OTHER SEND R€Pi1RT TO-cIPrnt Full Name Aeons end LP CPea) IfT Il I 1i'�.'1 .t ?00 MtLl j\NF SW �\ t+`•l:t ,� __ WASHINGTON` Kh TYPE OF SAMKE WIKr an:r d+.n 1m.cnumnl 1 1. [ DRINKING WATER ❑ Chlorinated(ResWual: Total—Free) Check treatment­) ❑ Filtered ❑ Untreated or Other 2 RAW SOURCE WATER 3. TrLriJI NEW CONSTRUCTION or REPAIRS 4. OTHER(Specify) COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE j PPFVIOUS lAS NO PREVIOUS SAMPLE COLLECTION DATE REMARKS LABORATORY RESULTS(FOR LAB USE ONLrI M COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE: ^ MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old 1 �00 m1 1. ❑ Coniluenl Growth ❑ Not In Proper Container 1!+ � MF COLIFORM Q. ❑ TNTC Cl IRNOf1101en1 leOd /w n - Providetl-Pease ase Read FECAL COLIFOR 3. ❑ EFcess Debris Inslructions on Form i ❑ MPN ❑ MF 4. ❑ ❑ 1/,Do m FOR 1015MING WATER SAMPLES ONLY.THESE RESULTS ARE: SATISFACTORY ❑ UNSATISFACTORY s P'.ANA'ION OF RESULTS LAB NO. DATE.TIME RECEIVED- fecmm Illy �j DATE REPORTED LABOH.ATORr; ov REMARKS 1 E WATER SUPPLIER COPY DeRS ISITe1Rt211 J C , STATE OF WASWNGTOR J DEPARTMENT OF SOCIAL AND ItEALTA�.4PIDea WATER BACTERIOLOGICAL ANALYSIS &AMPLE C6I.LtGt1W. REP, ':,rK UE Ii6J'E ., 1 InS1ruCtiOnS are not followed, sample will be releoted. I DATE COLLECTED TIME COLLECTED COUNTY NAME d MONTH DAY YEAR i ( `Y _i �AM ' O PM ! TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE Lq PUBLIC CRME DAIS ❑ INDIVIDUAL I.D. No. —� % r: L 1 2 $ 4 H. w NAME OF SYSTEM SPECIFIC LOCATION WRERE MPLE SOLLE $isTEM ORWIM Mp 1ELEROM NO rw ancnm w e.awA nn.ESA rw.wu r_ [JF'r�\� ��♦ r ail r"' � � �" ' i— 6j( SAMPLE COLLECTED BY:INaswl LfNQ NAE(.tlT SOURCETYPE ❑ SURPACE ❑ WELL ❑SPRING ❑ PURCHASED X COMBINATION OTHER SEND RC RT TO:PRnt fuR Nme Aaweaa arW�ro Mi4 Ave Sa ASH NOroR� TYPE OF SAMPLE icr,H.dp we m inn ca,�,m 1. ❑ DRINKING WATER ❑ CRlaineled lResiOw'a_Tola1__FIN) oheck treatment--j ❑ Filtered ❑ Untreated Or OtM:r 2. Q RAW SOURCE WATER 3. iLQ4J� NEW CONSTRUCTION or REPAIRS I 4. OTHER(SPec11T) COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOUS I AR NO PREVIOt#SAMPLE COLLECTION DATE REMARKS *M6 VJ_0ALAI946__ 51vtz 2 4__. _ LASORATORY RESULTS(FOR LAS USE ONLY) MPN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED �S rw•.o::.mw �m BECAUSE: MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old /'Do mI 1. ❑ Conflwnt Growth ❑ Not rn Proper Container MF COLIFORM 2. ❑iNTO: InsPlowded— lease ahem tro mr Prov�dee—Please Read 3. ❑ ESteeS Deeds 11"IM lions On Form FECAL COUFOR E ❑ MPN O MP 4 ❑ E] 7 �Dp dX 11 FOR 09MMO WATEIII SAMPLES ONLY.THESE RESULTS ARE: ` Iff SATISFACTORY ❑ UNSATISFACTORY r ;VATE E EVF11 L SIDE Or L,nEEN COPY FOR EXPLANATION OF RESULTS ' . "YE.Te4E RECEIVED— RECEIVED ev t EPORTED LABORATOIIY; / REMARKS E 1 WATER SUPPLIER COPY j es ST,TE OF WASHINGTON ;r, SlMl6rltT a SOCIAL AND HEALTH NICES''' WATER BACTERIOLOGICAL ANALYSIS { >AMuPLE COLLECTION RLAO INS iRUfli0liS ON • 1 InalmC110M NB not tollowad,BMnple will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH 7DAY YEAR W ❑ PM \n PE Of SYSTEM IF PUBLIC SYSTEM,COMPLETE: f 0.ASS ❑ NDRADIIAL I.D. No. I e V5 ()0a A NAME OF SYTATIE SPECIFIC LOCAnOR ERE SAMRE WLLE SYSIEM!71 ` TEttf""*$.;' M\^IYn p Y�caotl,Iw,Yrm,I WnrYN _ SAMPLE COLLBCTED BY:INMaN aQLEF,& HAIEN1 / F):\RJ \ I\W"i SOURCE TYPE ❑SURFACE ❑WELL El SPRING ❑ PURCHASED ?� COOMTHIERTION i p SEND� :l,PnI FWI rN7m,A disk s—Indi i� 'Tv(AM f .y1hr,A� f10 'Go L- � WASHINGTON TYPE OF SAMPLE t. DRINKING WATER ❑ CNbrinatedlResidual_Tola)_Freel check treatment ❑ Flltered r ❑ Unheated or Gins, 2."Q RAW SOURCE WATER ` a. NEW CONSTRUCTION a REPAIRS { F1 /. OTHER ISW.1yl If1 COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOIIS AO NO PRE11 SAMPLE COLLECTION DATE j ufMBKs A art r 4946 �mIII 3j 4 _—T- LABORATORY RESULTS 1FOR LAS USE ONLv1 MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE MPN DILUTION TEST UNSUITABLE ❑ SampM Too Old ❑ Co"uoent Growth ❑ NOI in Proper Container MF CO'_�,DRM �uu nu "' Provided— Read Inslruclions on on F Form FECAL COLIFORN 3. ❑ Evicess Deeris ❑ MPN ❑ MF 4. ❑ ❑ /IWO FOR ,Q/R�F� LNG WATER SAMPLES ONLY,THESE RESULTS ARE. Ed SATISFACTORY ❑ UNSATISFACTORY SEE EVERSE SIDE OF GREEN COPY FOR E XPIANATION OF RESULTS LAB NO. DATE,lime RECID"i RECEIVED BY 1 DATE REPORTED LAOORATORY. rl � i WATER SUPPLIER COPYIN 1 r ITT f•` MKS 131!3 P181) li STATE OF WASHINGTON N i 0 DEPARTMENT OF SOCIAL AND HEALTH NN:ES ) I 1 WATER BACTERIOLOGICAL ANALYSIS 4 ANr i �Cl 1. 4, ,n tA, I .rL lr;lL., ",;1_p` 9 Nlnstructlons We not followed,Wittl Will DB ry*Ct@d. DATE COLLECTED TIME COLLECTED COUNTY NAME I. MONTH/1 DAY YEAR 1 1JI i'.. AM ❑ PM TYPE OF SYSTEM iF PUBLIC S TEM,COMPLETE: ly PUBLIC '•D• kO• /j LAC.E CUSS 2❑ INDIVIDUAL / 4 rEr �.. L 1',2 3 A 1 mF 1 rfepxinq NAME OF SYSTEM SPECIFIC IOGTBN IEIIE$AYPI.E COILS IBI TILERIONE NO IM 4lflwn W A'xllYl M1f flNgn.rurrrlYN v, ->.� . . SAMPLE COLLECtED BY:IHrn,, RIfME MAl SOURCE TYPE ❑SURFACE ❑WELL ❑ SPRING ❑ PURCHASEDCOMBINATION } or OTHER SEND V TO:tRlnl Fun N.me.Apere...np nP CWq T .,...w fmlolmhn� I — �. 'rS ,'--'!°H• �� MILL All tLf - = 'L- TYPE OF SAM%E -_WASHMOTON rcrq..mll mo.,m.rwmn DRINKING WATER ❑I� CMwlnatrO lResitluaP._Total_Free) check 0"Invant FiItwW I-� Unveatetl«OtNer • Z.4RAW SOURCE WATER 3. NEW CONSTRUCTION or REPAIRS 4. OTHER ISwityl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PR69UUS IAB NO PREVIOt�SAMPLE COLLECTION DATE I REMARhe. i 1�1- d96 A 1U 0* 4g44 eoP 4 4 LABORATORY RESULTS tFOR LAB USE ONLY) COLIFORM STD PLATE COUNT SAMPLE NOT TESTED RECAUSE: MPN DILUTION TEST UNSUITABLE ❑ Sample Top Old �00 ml 1. O Conlluenl Growth ❑ Not in Proper Container MP COUFORM 2. ❑TNT6 O PS."Idaid In..c R n �IXI m Provltlep_please Reap FECAL COLIFOR 3. ❑ Excess Debris Instructions on Fonn El MPN 0 MF 4 0_ ry A00 ml J FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE: SATISFACTORY ❑ UNSATISFACTORY GC F EVERSF SIDE OF GREEN COPY FOR EXPLANATION OF RESUL Iti LAS HO. t� TBM RECFIY� �y^ 1lCEIYED BY 1 J1 � I DATE REPORTED UBORRORV I � REMARh$ 4 WATER SUPPLIER COPY P I Q L%f '?Y/ssur• 75pe gA � � tOA 6 youY4 -get- Chak I�j�1[u_ $I+. 110514 �17c Tr `/B .,,sr. - 1{I.s•a _ 7141035 b�. plss 3/4 DNA "Mk. . f�C i 26 112 IYh S4r♦ tAb" 215 'Barn S 1. 7 A f eh / 7 -S>OJwj -�d. 4 A D9 u_ $eere S& ♦ 11U rjL, S A?(So� A dAW bc. 118 (0 3 4 '31 )(JA ti� PW V(W?. Cb( St w 12c424- Y .. Burot 6A 68 / 7A t 7l© .. 6 ' wc�� Dva _ "3 n SP. is II0 5 6 5 S�B NI.Saa m+Xi` * 713039 3/4' 9CiA i pF RF PUBLIC WORKS DEPARTMENT 4 M z DESIGN/UTILITY ENGINEERING 0 235-2631 0 MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON,WASH.99055 9 AR �. ❑qy rED SEPtEN,OEP , T DATE: 1 [ A RE: 3 ATTN: GENTLEMEN. i WE ARE SENDING YOU a ATTACHED a UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: o SHOP DRAWINGS o PRINTS O REPRODUCIBLE PLANS a SPECIFICATIONS { a COPY OF LETTER a COPIES T DESCRIPTION v Ap l M4 ` 16FA a 1pftvita Yo ui n _PtI\ 5,614PA5 IAVEm AT lfiftTw& DiCUA . A�ad,t CYl«. I. THESE ARE TRANSMITTED AS CHECKED BELOW: a FOR APPROVAL o APPROVED AS SUBMITTED o RESUBMIT _ COPIES FOR APPROVAL o FOR YOUR USE ❑ APPROVED AS NOTED o SUBMIT COPIES FOR DISTRIBUTION o AS REQUESTED o RETURNED FOR CORRECTIONS o RETURN CORRECTED PRINTS a FOR REVIEW AND COMMENT o _ a PRINTS RETURNED AFTER LOAN TO US COPIES TO: ,/ ✓ SIGNED ^ TITLE IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE 4 aQiGINI- Ul" HAi4i4 ,o \Brim(, 5(fiN" 'et, G• r M Y l.: RECORD OF LONG DISTANCE CALL DATE ------ - - CALLER TO AREA CODE (-) NUMBER PERSON CALLED COMPANY/AGENCY - - - - - - - - - - - - - - - CALLED FROM EXTENSION 235- - AUTHORIZATION OF SPECIAL BILLING DATE: III 7 PROJECT NAME: _ 06A( , BARNS 1 L,Nk%Jt ✓7Y»1t • _ PROJECT NUMBER: W- 8945 A WORK ORDER NO. : 4946 It is the intent of this letter to authorize the City of Renton to bill the undersigned for all costs incurred relative to the above-referenced project, by the City of Renton for the following work: WQfc✓ �aAin ,10 -cat. '�CSt9 N �prinTh�c✓ 5 3frM5 0 BILLING TO BE SENT TO: c Name:VikiN4 a4TOHl IC 5Pmrr�c0 Address 3434 1" Ame $o City:_ �6h'"LE State{UA Z c 9813¢ j Atten: I Phone No. :All- 4696 i i ner Deve oper, Contractor or Authorized Agent I i VIKINC XUTOMATIC SPRINKI A CO. 3434 FIRST AVENUE SOUTH TELEPHONE 422465E SEATTLE. WASHINGTON GSI!• TRANSMITTAI LETTER T0: CfhLij�j, 1. Jul DATE 19--y6 C- Ltlj p F 12 4 - " -2r u mIILL 4uf S • 19O � r ATTENTION IZtyy OC S�: /v PROJECTS GENTLEMEN: WE ARE SENDING x HEREWITH UNDER SEPARATE COVER THE FOLLOWING COPI F ti DESCRIPTION Li-77rwe, Fnvw Q//� NL vb "ov s4 COMMENTS: I I YOUR APPROVAL PLEASE RE7URN_APPROVEO SET TO US I I CUSTOMER APPROVAL DEC 3 0 1096 I I CONSTRUCTION NO RETURN REQUIRED FOR YOUR REFERENCE AND FILE NO RETURN REOUII EO I I PLEASE RETURN_ COPIES TO US WITH RECOMMENDATIONS COPY TO: VERY TRULY YOURS, I — DUANE B. FORD P.E. — [��1 �•�:_'J su 1='.I,1 DUCTILE IRON PIPE RESEARCH ASSOCIATION 2421 WITTKOP WAY . SACRAMENTO, CA 98825 DEC 241996 TELEPHONE I9151 927-SS68 4 SEAT Tle.',ti.SH REPLY Gleh HaRti�E,�on DATE V tz��K� AL +o �a4;c sP`01,jieler Cn . 4 I s+ Ave Soo+� SegWc-, l JA 7Bl3y MESSAGE DATE i T`'IQ 34�'�-f`�� BNh S4Lt Cly l SoL� s4R.•K�ale E�'14'I' WQS Y'eG?�WEcrI! rOdp>, , hud �-+ro � llowtl.L� C�fr•�l.ra��r15�'ICS.' Re5is4-wJj : 1Z,Joeo /t_t.•..E P44 : 4 . 5 2eJex : + ®o r.�,c11 aNs , fir QPPeHAtX Of ►Yt'I.S�/�IA�U9� Cl.G S//}21.5 -Y'lu8 SaI..,��. re�LCEreS �10 reCo�REw�@ti�'�� 1H+UER 6EEP 'Et 1-W IU✓, ILR 'CUR HIE MA't WHITE AND PINK COPIES • / I , PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED PERMIT NUMBER Owner Location of Work4,6J Address ,per /a-� � -/— A /O —A /- 43 t4.. /O - 43o4 aJ INSPECTIONS FEES CONSTRUCTION Side Sewer Storm Sewer PERMIT Right-of-Way Construction Sp. Utility Conn. Fee - Water (Public Right-of-Way) Water Latecomer Fees Water Insp./Approval Fees Sp. Utility Conn. Fees - Sewer /� -/S- / Sewer Latecomer Fees UJ Sewer Insp./Approval Fees Date Issued Inspection Fees - / r _- &7 Special Deposit - CASH BOND Expiration Date TOTAL FEE , •''� Description of Work and Number of Feet Ax'4 -y. .L U _ �' Contractor C C 02L� l% Business HS_/ Address License / Bond -C.'?�/QY Telepho�:��/ K`T•G IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. CALL 235-2631 FOR INSPECTION. Call between 8 AM and 9 AM for APPLICANT inspection in afternoon; call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTov BF" -IFY TIME FOR INSPECTION. Dn CALL 235-2620 for street signs CALL BEFORE YOU DIG BY (,A-/lK[�.a1).. Aj� - and lighting. 48-HOUR LOCATORS 1-800-424-5555 WATER AND SEWER PROJECTS PRESENTLY UNDER CONSTRUCTION IN THE CITY OF RENTON WATER PROJECT 0 SEWER PROJECT 0 DATE /T . WATER PROJECT TITLE Lal/6i9t/FS yUS UVGfr6r PROJECT LOCATION /7 Z DEVELOPER t)lI�//lJ(� ADDRESS -24 PHONE (y 2.2 EMERGENCY PHONE 271 - CONTRACTOR_ 7j� ADDRESS PHONE EMERGENCY PHONE FOREMAN Q AJ M f} PHONE EMERGENCY PHONE 244 3 Op 9 City of Penton Inspector_ Other inspector --- Y