HomeMy WebLinkAboutWTR2700940 Shattuck 'Ave. S. (Tobin to T i I I i cum) W--940
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Testing Laboratories, Inc. hmice
940 South HarryY&.Seattle.Washington9tA08 (206)767-5060
Chemistry.Mier biology and Technical Services
City of Renton Utility Engineer Invoice #91670
200 Mill Avenue South
Renton, WA 98055 February 29, 1988
For the analysis of WATER
during the month of February„ 1488 ------------------------------------- $47.25
#8148011-8148017
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CHARI C t 116. LAWS OF 1SG5
D CITY OF RLNI�iV CERTIFICATION
�j (�E J�p THE U xr11(NCD M H raY c-^TIF/ UNDEP
IIIHR 3 1988 PENALTY OF FI-RJUAV T:'.,: is!i :AT:: 'A18 HAVE
3Ei.4 FURN 7-'U. THE & " RSUF':;"O OR THE
V304 PER1OIae[D A9 - 'ry AL.^,Ct„ IHD THAI
THE CMIM IS A JU'T %' .AJJ UNPAII C4610AMN
CITY OF RENTON ANNIE TUT (..TV OF HCNI'aN. AM THAT 1 AV
AUTHORIZED TD AUTHENTICATE ANO ClMi1PT TO
Engineering Dept. RJ'AI CLAM
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Net 30 Days !l
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TY OF UTILITIES
REINTON WORK ORDER - DISTRIBUTION DEPARTMENT O r
PROJECT NO... {�/�V- �l�� !_ DATE 4 U' 19 Lg
PROJECT NAME....
FUNCTION? CRIPTION pOF PROJECT,
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BY CITY FORCES ❑ CONTRACT ❑ IF CONTRACT NO.
1
CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
ESTIMATED COST FUNDING SOURCE ACTUAL COS"
AGREEM//EE�NTS ❑ IF$0, NO. SPECIAL BILLING ❑ IF SO,
COMPLETED _ /���''''
APPROVED BY `6�-�lC. /"1•'Ct A.t:
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Y
ITY OF RENTON WATER DEPARTMENT
Pressure Test & Purification Test Form
PROJECT NO. I
NAME OF PROJECT ;, 1 , , 1 t • 1 I. n�i
PRESSURE TEST TAKEN BY k. 0 '; ON z - G
AT A PRESSURE OF t, PSI, FOR 1 S MIN.
TEST ACCEPTED ON 1 �• fi
PURIFICATION TEST TAKEN BY
PURIFICATION TEST RESULTS, SAMPLE M1 --i
SAMPLE s2
SAMPLE M3
REMARKS:
DSNS 13-IM"If
STATE OF WASHINGTON `
DEPARTMENT OF SOCIAL AND HEALTH SERVICES �/
WATER BACTERIOLOGICAL ANALYSIS
S1IMPLE COLLECTIGN RLAD INSI HUG'^1NS GN BA'oK OF GOLDENROD COPY_
It instructions are not lbllowed,sample will be rejected.
ATE COLLECTED Till COLLECT D COUNTY NAME
MONTH/ I DAY TEAR
Z / 1 /oJ AM O PM
TYPE OF SYSTEM IF PUBLIC YSTEM.COMPLETE:
l ' O ( lE CLASS
iPueuc I.D. No. 7 ((/{ 3 a
INDN.DUAL
NAME OF SYSTEM
♦
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SPECIFIC'_OCATIDN'WHETE SAM"L COLLEC.. SYSTEM pwNEP:MCA HOME ANDiELEPiCwE ND.
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S}I.ttu1 ( ) LS5 t`3I
I SAM LE COLLECTED BY'.IN rme1 �
A69buit, �iAfovF ' lCN1"l . IuSQf SOURCE TYPE ,. MBINATION
❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED I�or OTHER
SEN REPORT O t FWI NAme.gtpr�seruno ZIP GaEe„
Zoo htu n�F s� na05G
PR 4A1 IAJA �_WASHINGTON
TYPE OF SAMPLL
IGMC aniv�^e.` ni4 cumni '
❑ Chlorinated lReaidual:._To1a1_Free) i
�, ❑ DRINKING WATER ❑ Filtered
check treatment��
❑ Untreated or Other
Q, RAW SOURCE WATER
3. NEW CO,:STRUCTION or�R+MB
4. OTHER(SPaelfY)---
COMPLETE IF THIS SAMPLE IS : GHECK SAMPLE
REVIUI5 LAB NO
PREVIOUS SAMPLE COLLECTION DATE I
EMARKS:
_-
-_-- I
1A80R1 ORY RESULTS(FOR W USE ONLY) 1
ME'N 4'LIFORM STD PLATE COUNT SAMPLBEC E NOT USEES TED
iw..
MEN DILUTION TEST UNSUITABLE Sample Too Old
_/00 mI T. ❑ Confluent Growth ❑ Not in Proper Container
ME COLIFORM 2 ❑ TNTC ❑ Insufficient Information
Provided—Please Read
/00 mI instructions on Form
FECAL COLIFOR 3. [3 EKcesa Debrla
MPN ME 4. ❑ ❑
M m1
..OR O KING WATER SAMPLES ONLY,THESE RESULTS ARE
SATISFACTORY ❑ UNSATISFACTORY
REE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
DATE PMENECEIVEU— RECEIVED BY
� ueNO —7 {
DATE f RTED LASURATORY
REMARK
j
WATER SUPPLIER COPY "•
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