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Home My WebLink AboutWTR2701904(1) W 788 !_.1.D � 1 1 w 1 C�OS19T DATA ANU INVLNIORY SUBJECT: / LC/R a CITY PROJECT NUMBERS: W-� � �.w. S_ ---N7iM� OF'6ROJE T -- TO: CITY OF RENTON FROM: UTILITIES DIVISION 200 MILL AVE. S0. RENTON WA 98055 DATE: Per your request, the following information is furnished concerning costs for improve- ments installed for the above referenced project. HATER SYSTEM: Length Size Type 3_Z L.F. OF /� D.2. WATERMAIN L.F. OF WATERMAIN L.F. OF ,Zj.s. WATERMAIN �L� 44" L.F. OF WATERMAIN d(v _- EACH OF '-�`" GATE VALVES EACH OF GATE VALVES EACH OF _ GATE VALVES �� Size Type SUBTOTAL $ EACH OF FIRE HYDRANT ASSEMBLIES $ (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). TOTAL COST FOR WATER SYSTEM $_ SANITARY SEWER SYSTEM: Length Size Type L.F. OF SEWER MAIN L.F. OF SEWER MAIN L.F. OF SEWER MAIN _._ EACH OF 'DIAMETER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM $ STORM DRAINAGE SYSTEM: Length Size Type L.F. OF _ STORM LINE L.F. OF STORM LINE L.F. OF STORM LINE — = L.F. OF STORM LINE TOTAL COST FOR STORM DRAINAGE SYSTEM $ STREET IMP VEMENTS: (Including Curb, Gutter, Sidewalk) TOTAL COST FOR STREET IMPROVEMENTS $ --'jSiGNAfURE (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) (gyp ' 27 3i / r _ 0,531 /4- 7 � 2-0 r �'v 3S� r ss Si S S~- Date: 30*N 87 City of Rehm . Public Works Department a page; 6 Project: SW Brady Wiy Street Improvement (LID 1 336) Contract Number: CA8 016-06 Contractcr8ary Merliao Construction Co Estimate Number: 5 Closing Date. IVJI87 Item Brs Description T Unit Est. Bnit Previous Previous This This Total Total Ni. No. 5 Wantity Price quantity Amount Quality Amonnt quantity Amount SC1EDM ' 9" Ol. .65 12" Ductile Iron Pipe Class S #intal Foot JK,00 25.45 52.00 14201.10 0.00 5W.00 14201.10 Tyton Joint, m/ Polyethyleni Encasement 02. .65 12" Ductile Iron Pipe Class 54 #Lineal Foot 202.OD 31.W 200.00 6200.00 0.00 200.00 6200.00 Tytm Joint, 07 Polyethylene Encasement and Bonded Joints 03. AZ B" Ductile Iron Pipe Class 52 Lineal Foot 6.50 20.00 D.DO 0.00 0.00 0.00 0.00 TYten Joint, w/ Polyethylene Encasement 04. .65 6" Ductile fron Pipe Class 52 'Lineal Foot 79.50 15.30 AUG, 673.20 0.00 44.00 6P.20 Tytm Joint, v polyethylene Encasement 05. .65 10" Utile Iran Pipe Class 52 #Lineal Foot 20.00 dS.DO 0.DO O.OD 0.00 0.00 0.00 EYtm Joint, %/ Polyethylene Encasement 06. .65 12" Bate Valve Assembly with Each 0.00 2,000.00 O.W NOD 4.00 MOD 4.00 8000.00 Concrete Vault 07. .65 B" Bate Valve Assuhly with Each 0.00 0.00 0.0" 0.00 0.00 0.00 0.00 Cast Iron Valve Bon DO. .65 Corey Type Fire Hydrant Assembly each 5.00 2,000.00 4.OD 8000.00 0.00 4.00 8000.00 0.7, .65 Furnish 6 Install Cement Concrete Cubic ):Lard 10.00 75.00 3v,00 26Y.100 0.00 35.00 2625.00 for Thrust Olockmq '0. .65 10"bite Valve Assembly with 'Each 1.00 BDV.00 0.00 0.00 0.00 0.00 0.00 Cut Iron Valve Box 11. .65 24" Steel Casing i)OD Lineal Feet) Lump So 0.00 0.00 0.00 0.00 0.00 0.00 0.o0 Complete in Place Rem,e ano Calvage Existing Main Llisp Sum 0.00 0.00 D.00 0.00 0.00 0.00 0.00 NW Rants 114DO Lineal Feet) 13. .65 raunditixn Ititersal Class "A" Ton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Data: 30-Nov-B7 City of Renton . Puhiic Mucks Oeparteent Pager 7 Project: SW Grady Nay Street Improvement MD 1 3301 Contract "or. ClG 016-66 CmtractorGary herlino Construction W Estimate fluster: 5 Closing late: 1411/87 Itee Bars Description T Unit Est. Unit Previous Previous This This Total Total No'_�'' T Quantity Prue Quantity haunt tLamity h%ont Auantity Aewrt A. .65 Bankrun Gavel for Trench Backfill Ton 1,280.00 6.50 O.W 0.00 o.a, 0.00 0,00 15. .65 kowt Concrete class 8 Ton 5.00 31.35 0.00 O.OD O.OG D.00 O.ro for Pavewt Patching lb. .65 Asphalt Treated Base for Pavement Ton 28.00 25.35 O.W 0.00 Patching 0.00 0.0 0.00 17. .65 5/8', Gushed Bock far Paveeent aim 150.00 16.00 0.00 0.00 0.00 0.W Subgrade, mad Trench aackfill 0.00 18. .65 Cathodic Protection Test Station Each 2.00 MOD 2.J0 70D.00 Type 1 0.00 2.W IW.W 19. .65 Cathodic Protection Test Station 'Each 1.00 350.00 0.00 O.DO Type F 0.00 0.00 0.00 20. .bs Change Order "or 4 'Euh 0.00 3,600.00 3.00 IOf100.W 0.OD 3.00 1f1800 fN1 Complete eater tieins ftayww M SW Seneca Av SO 1 E of Rand Av SN 21. .65 Change order Ilamber 6 'lump sir 0.00 11,064.65 1.00 11054165 D.DD 1.00 110abS instalf 1561.P. 12' lack Joint materaain across QC 22. .67 Change order Abler 7 'Lump No 0.00 26,1N.00 1.W 268S0.00 0.00 1.00 �26850.00 Install Sant Sears L appurtances .�. , Of piPe, PVC pipe, Ni, connect 6 inpect Subtotal Schedule - 0' f81,113 45 fB4OW.W feg,113 gS 6.11 Sales Tax $6,570.23 ".00 $7,21&3 Total Schedule .. D" lB7,6e1.1/ f8,64mo 1g6,334.1e Iv1-�/nano '� 4:9, 4az. /y vls 42 6 �Mz7 wf or Date: 21-Oct-B7 City of Renton . P,11C Works Department ��NG! �dr ' Page: 7 Project: SW Grady Way Street improvement MD 1330) Contract k*er: CAB 016-86 Contractor Valley Cement Construction Co. Estimate Humber: 9 4 Final Closing Date: MIX Item Ws Description T lit Est. Lint Previous Previous This This Total Total Po' No. I Quantity Price Quantity Amount Ouantrty Amount Ouantity Amount SDEALE D" 01. .65 12- Ductile Iron Pipe Class 52 atineal Foot 2460.W M65 20BD.00 M1 .00 0.00 0,00 20B0.00 53a'S2.00 Tytgn Joint, w7 Polyethylene Encasement G2, ,65 17" Ductile Iron Pipe Class_ 54 +Lineal Foot 53,00 31.00 323.00 10013.00 0.00 O,W 323.W 10013.00 Tytmn Joint, wy Polyethylene Encasement and Bonded Juints 03, .65 8" Ductile Iran Pipe Class 52 Lineal Foot 175A 20.00 168.50 3370.00 0.00 %DD 168.50 3.70.00 Tyton Joint, w! Polyethylene Encasement W. .65 b" Ductile Iron Pipe Class 52 kineal Foot 340.00 15.30 20•50 3985.65 0,00 0.00 260.50 39BS b5 Tyton Joint, w7 polyethylene Encasement 05. .6` 10" Ductile Iron Pipe Class 52 +lineal Foot 20.00 65.00 0.00 0.00 iL43 G.OJ %00 DAD TAM Joint, m7 Polyethylene Encasement 06. .65 12" Wte Valyp Asseebly with Each 10.00 M.A^ l0.o 20t1p5.00 0.00 0.0D 10.00 20000.00 Concrete Vault 0'„ A 6" Gate Valve Assembly with Each 1% 600,00 3.00 180: tip 0.00 0.00 3.00 1800.00 Cas, Iron Valve Bar OS. .65 Carey Type Fire Hydrant Assembl, Each 12.00 20DO,00 7.00 140W.00 0.00 OA I.W 14000.00 O9. .61 Furnish t Install Cement Concrete Cubic Yard 2G.W MW 46.50 W17.50 0.00 0.W 4B.50 3637.50 for Thrust Blacking 10. •65 10 'Gate Valve Assenbly with ,Each 1.00 B00.00 OSO O.W 0.00 0.00 0.00 0.00 Cast Iron Valve Box, 11. .65 24" Steel Cdsing (100 Lineal Feet! Lump Sum 1.00 75W.0 MOO 7500.00 0.Oo 0.00 1.00 750D.00 Docplets in Place 17. .65 ReaOYe and Salvage Existing Main Lump Sum 1,00 90W.00 0.90 MOM 0.00 0.00 0.90 BI00,00 and Hydrants t1400 Lineal feet) 13. .65 Foundation Material Class "A" To, 125.00 MC 143.24 1217.54 0.00 0.00 143.24 1217.54 Date: 21-Ctt-87 City of REaten , Public Wks Department Page: a Project: SW Grady Way Street lmprovewt IL1D 1 3301 Contract ft%Oer: CAG 016-U Contractor Valley Cement Construction Co. Estimate Number: 9 6 Final Closing Date: 7/21/97 Item Ears Description T Unit Est. knit Previous Previous This mats Total natal No. No. .0 Quantity Prue Quantity Amount Nantity Aawnt Dantity Amount 14. .65 Bankrun Cravel for Trench Backfill ion 1280.00 6.50 0.00 0.00 0.00 0.00 0.00 0.00 :`. .65 Asphalt C:?'ICrete Class B Ton 14.00 31.00 15.00 465.00 0.00 0.00 15.00 465.00 <cr Pavement Patching 16. .63 Asphalt Treated Base fa 'rave�.e t Tn 2B,M 25,00 0.00 0.00 MO 0.00 0.00 0.00 Patching 17. .65 5/9" Crushed Rock for Pavement *Ton 150.00 I6.00 MO NOD 0.00 0.00 0.00 0.00 Suhgrade, and Trench Backfill IB. ,65 Cathodic Protection Test Statiori Each 2.00 I50,00 0.00 0.00 0.ev 0M O.M 0.00 Type 1 S. .65 Cathodic protection Test Station +Each 1.00 150.00 oo)o O.DD MD 0.00 0.00 0.00 Type F 20. .65 C.D. it 41.ineol Font 0.00 25.65 90.0D 2308.so 0.00 90.00 23D8.50 12' DIP Class 52 0.00 21. .65 L.D. 11 *Cubic Yard 0.00 75.00 6.60 M.w 0.00 6.60 495.00 Cement Concrete for Thrust Flocking 0.L40 :2. .ff C.D. 11 *Each 0.00 200.00 4.00 800.00 0.00 4.00 MOD 22 li2 Degree Bands 0 .00 .1 .65 CA, 11 *Lineal Foot 0.00 75.00 20.00 ISM.00 MO 0.00 20.00 1500,00 24' Casim Pipe 24. .65 C.0,13 *Lirsal Foot 0.00 33.00 70,00 2,30.OD 0.00 0.00 70.00 270.00 'r- 16' M. Pipe ,Cl 25. .65 C.0.13 *Each 0.00 3000.Go 1.00 3W0.00 0.06 MO 1.00 JO&Q0 Manholes 17' Dap 26. .6 C.0.13 *Each 0.00 2900.00 1.00 28DO.C9 0.00 0,00 1.00 2800,00 Manholes 15' Deep 27, ,15 C.u.13 *Linear Feet 0,00 29.00 0,00 0.00 0.00 OAK Mc 0.00 Date: 21-kt-B7 CitY of pPOM . Public Works *artment page: q Project: SW Brady Gay Street Improvement (LID i 3301 Contract tiumber: CAB 016-% Contractor Valley Cement Construction Co. Estivate timber: 9 W Final Closinq Date: 71207 Item ,ars Description T Wit Est. Wit Previous Previous This This Total Total No, R)• t Quantity Price Quantity Amamt Quantity Amount Quantity Alwt IS' F.W.C. Sear Pipe 26. .65 C.9.13 slump Sun 0.0.1 950.00 0.00 0.00 (1.00 0.00 0.00 0.00 Connect to ex. Metro line 29. .65 ;:,(.i3 atinear Feet 0.00 2.00 D.00 D& C-A 0.00 0.00 0.00 IN. Inspection 30. .65 I.E.C. 13 rLup sum 0.00 4972.60 010 0.00 0.00 0.00 0.00 0.00 Well points 31. .65 Deadman Thrustblork *Lump sum 0.00 974.(A 1.o0 974.OD 0.00 D.00 1.00 974.00 r ' Subtotal Schedule " D" 4142,08.19 40.0D 40.00 4142,04B.19 9.1Y. Saks Tax 411,505.90 10,00 40.00 411,505.90 Total Schedule " D" 4120,554.09 $0.00 WA SIS3,7A.09 LLuc Testing Laboratories, Inc. Invoice 94O Smth Harney Slreel.Sealik.Washingior1981O8 1,200767-5060 Chemistry Microbiology and Technical Services City of Renton Utility Engineer Invoice #91519 200 Mill Avenue South September 30, 1987 Renton, WA 98055 For the analysis of WATER $108.00 during the month c° September, 1987 -------------------------"-"""-"--- *8148058 - 8148073 8117180 GAG CHARTER 116, LAWS OF 19C5 CITY OF RENTON CERTIFICATION 1. THE IINOEREIarte DD NEREBV erRnFv UNDER n_NALTr OF FEIUUAT, THAT THE YATEIHALS HAVE �j �L1,.Fl,a-�'-!' .7YL�C//rrD//S, S-3c$',!� • `CFI O-DJ BTCN FURNISHED, THE IERVICES RLNDERCO OR THE EABOR PERFORMED AB DESCRIBED HEREIN, AND THAI THE CMIN a A UU,T, WE AND UNPAIO OBLIGATIOV AGAINST TM CT OF RENTON, AND THAT 1 AN ANO4�D xq Al1TWNTICAIL JIND CERTO7 TO �. .-W... OCT 6 1987 t ERGINEF.P.m..DEFT. l CI1V DF il�PiT0�1 �� Net 30 Days lIM ARIA uFd„ry a IMFs laemN«we br 11H,e NIMCal.Inclueing NAimA IFr RNII,NNt,AIIIAI aAFEAY el W a. manly.,hall e pr I IN Amoum U IhR lter VNI A I WAM BONI rwleaswa L Luc . InvoiceTesting , Inc. 940 South Hamey Slleel.Seattle.Washinglon 98108 12061 i67-5060 Chemistry.11ill, bQ .and Technical Services City of Renton Utility Engineer Invo'lca 4100191 200 Mill Avenue South July 30, 1987 Renton, WA 98055 For the analysis of WATER --------------------- $148.50 during the month of July, 1987 -----------------"- *8148030 - 8148051 #6141eo33 *,3Y - 4)O%566S' _ IV- 87s- 119149036,3q� ?8- CJO//SD/D- G� - 88(� �IZD• _ 1,10t#V50/1 - /�- 8(nS /�• Is SEP 2 1987 /0 - /jo# '/9&OQ — - 81 Cf•7s rj -:n"I" OPT, { 8iy80Ll# - cJO# cy9lo,2 l�- �� Cr /S loa # 8/y6'0QaZY �- 1J0�+`SooB - rJ_ �7S /3•S0 f#81L1?o'/yf yS �Jo#y�So - G�J- 7Ffb' /3.sn #8 80 11/G t j O'`fqg W - goo 4 OF RENTON CERTIFICATIO�W = yYgi/l �wuG c 1. 111E VNDERSIONFD p0 MEPEOY CERTIFY UNDER A/O//O(�O//S S?jg /O• y//�) OU.' F NI ED. THE' TWAT THE MAT t•'1 VF ha,t,(JT� -C H' `/- GEC.J FURNISHED. THE BE RVtCES R.... AS TNEG CUIM F S A JUST ODE RISED AND VNPAiO OPEIOATION AGAINST THE CITY GP hEN1GN, AND T'UT 1 AN AU• LAIK MORIZFD TO AUTNFNTICATE Ali CERTMY TO "HIM. / w RIG •/ V Net 30 Days Tho Sol*"as t liability Ilia,.amoluni.1 apo(a� nes $.mCNs+m.v t.Onc devil aae emq++9uo1i ae wM wise rayuas or warramR snap. INS Luc Testing Laboratories, Inc. Invoice 9404xilhtlamey5�mr�.ScaNle.WashIRQMn9RIQA 1906 fi7-5060 _ Chemistry Miclob"cTgy anti Technical Services City of Renton Utility Engineer Invoice #91483 200 Mill Avenue South August 31 , 1987 Renton, WA 98055 For the analysis of WATER _____________ $40.50 during the month of August 31, 1987 ------------------- *8148052 - 8148057 f# /4ilOS� r -S& 8i5��SG - CJDSDO� - GJ -.87S !d(• 7S CJ- 86� G, 7S rZaQ = L10. SD 41v"A+C 'f49/yP�3 V4/D/h,-jf/4. 538'1,0- V1( �J t,l'Uvu L'( Ilb, LHPL. Ur 1`_ JJ —77 CITY OF RENTON CERTIFICATION 7 ^1j1T,�, 1, THE UN(NiRSIONED DO NERFSV CFOTIFV UNDER - PCNMTY Oi PERJURY. TNAT THE MATCRIALS NAVE R;LV iURNIaNFO, THE SCRVICES REND[RCD OR THE V RnR P[PEORMED A6 DEICRIOED NE REIN, ADO tNAI lilt CNAIM 1S A JUST. OUE AND UNPAID ORTIDI '. a ��d1 AOAMDT THE City OF RNTOH.E ADO THAT 1 AV 01 I.UtHORI=ED TO AUTHENTKAT AND C RTIpV TO �� 2 SAIJCLANA ., I SYS•ETa �� ;� 1 Net 30 Days 11M aMe UnM1,lY d INtl1 IMdllevwa br IAe]O amDes.Intl M alfw Id nApl meii,e,a1rM MAMNIi M Idl ar wenM1Y eNNI R mI e.ieeA n,r emWnl d 1Mt uartxca SenRlee mry ee TeeareMl Mror eneMD Vr,Nea dMrwlae rerluaReF o"sIs its(Rldrl JSNS ].113IRlE:I STATE OF WASHINGTON STATE OF WASHINGTON DEE ARTMENT OF SOCIAL HEALTH SERVICES ' DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLEC ION READ IIl RUCT IONS ON BACK'i)F GO!OENRUD COPY SAMPLE 0AECTION. READ INSTRUCTIONS ON BOCK OF BDLDENROD COPY a It instructions are not followed,sample will be rejaeled. It Instructions are not followed,sample wiliFbe rejected GATE COLLECTED 71 gLLECTEID COUNTY NAME DATE COLLECTED TIME COLLECTED COUNTYNAME-- MONTN DAY YEAR %'-- tt,, MONTH r DAY YEAR CTAM ' ___"' PM TYPE OF SYSTEM IF PUBLIC SYSTEM,COMP!ETE: TYPE OF SYSTEM IF PUBLIC SYSTEM.Coal,TE'. LSPIIeLIC s o C E cl Ass CkPUBLI, 'AclE CIASK INDIVIDUAL I.D. No. T / f, c> L 3 4 I.D. No, „ ,N.N ❑ INDIVIDUAL p ,,, 2 3 a (w.er mry 1...L NAME OF SYSTEM NAME OF SYSTEM n A.1-7e)x ��, 7 1 SPECIFIC LOCATION WHERE SAMPLE COLLECTED SYSTEM ONrEP/IAiR ILOKIE AND TELEPIONE tq. SPEC1 LDC nON HERE g11MPlE CDLIECTE SV$PMQMER/IAGA NMAF AMi T�',FPIGIk NO I i.xaclw Ie se1m1 IW ewwK Iwmao� �«y d yl o ! ' '?uiau d aJ roc lug zi t•�>z.A/ "6� 1h�'' r t IFNC SAMPLE COLLECTED 8Y:(NemN/ SAMPLE COLLECTED BY:RIeal { � 1 SOURCE TYPE v A'I'` Ag�J« "a `-+-- —` n t !`✓ SOURCE TYPE ❑ SURFACE ❑WELL ❑ SPRING G PURCHASED LS'�-"'BINATION OMEVNIATION i or OTHER ❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED I or OTHER STREPORT To(Front Fen ".Addleae• zip coal / -7 .TAB (�T•/1-/r ,.Jo ��J�.j- SEND REPORT TO:(Print Feu Namo,Ao rose era weer I WASHINGTON 1 IZCy{A rygSNINGTONV — TYPE bi RAMeLE TIME OF SAMPLE Cnx.x onq an m ms cdumm .,;-a.mn1 1, ❑ DRINKING WATER ❑ Ghillinated(Residual:_Tota1�-Free) 1� ^ 1. ❑ DRINKINGV...TER ❑ Chlorinalpd(ReslduaL—Total_Fres) checK treatment--► ❑ roared !. coach treatment--al ❑ fillerW ❑ Untreated or Other ❑ Untreated or Other_ $. ❑ jjiWV'SOURCE WATER 2. ❑ RAW SOURCE WATER 3. LYNEW CONSTRUCTION or REPAIRS 3. ® NEW CONSTRUCTION wAWARS 4. ❑ OTHER ISpecify)-__ -_ 4 ❑ OTHER(Specify)- _ COMPLETE IF THIS SAMPLE 1S A CHECK.AMPLE OMPLE'E IF THIS SAMPLE IS A CHECK SAMPLE ) PREVIOU5 LAB NO PREVIOUS I AB NO PREVIOUS SAMPLE CCLLEC ON DATE "REVIOUS SAMPLE COLLECTION DATE REMARKS' REMARKS'. LABORATORY RESULTS(FOR 1.A8 USE ofYtrl LABORATORY RESULTS(FOR LAB USE oNLrt M5N-COLIFORM ETD PLATE COUNT SAMPLE NOT TESTED MPN-COLIFORM STD PLATE COUNT SAMPLE NOT iESTEO �5 BECAUSE'. BECAUSE. MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old MPN DILUTION TEST UNSUITABLE El Sample Too Old �OU mI 1. ❑ Confluent Growth ❑ Not in Proper Container 413 pe t, ❑ Confluent Growth ❑ N01 m Proper Container MF COLIFORM f-T MF COLIFORM / 2. ❑ TNTC ❑ insufficient Flexes Read ,0. ❑ TNTC ❑ InsoDlplcnt Intorrnalion 1 10o n1 Provided ns on F Form /too,w Provided-Please Raw 3. ❑ Excess Debris Instructions on Form Instructions on Form FECAL COLIFORM FECAL COLIFOR 3. ❑ Excess Debri� ❑ MPN ❑ MF 4 ❑ ❑ ❑ MPN MF 4 ❑ ❑ --FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE'. r,' ' KING WATER SAMPLES ONLY,THESE RESULTS ARE. SATISFACTORY ❑ UNSATISFACTORY SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS UB NO DATE TIME RECEIVED-- RECEIVED BY _ 48 NO DATE TIME RECE•:ED- RECEIVED BY DA E REPORTED J LABORATORY. DATE REPORTED LABORATORY r REMARKS REMARKS WATER SUPPLIER COPY ar WATER SUPPLIER COPY yr 1. DSHS 13.1 ra IS1 III) STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICEen WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECT ION. READ INSTRUCTIONS ON BACK OF GOLDENROD COPY 4? If {nstructions are not followed,sample will he rejected. DATE COLLECTED TIME)COLLECTED COUNTY NAME MONTH DAY YEAR f C_Y AM r TYPE OF SYSTEM IF PUBLIC SYSTEM,_COMPLETE: }`(f �uc I.D. No. qq CIRCLE CLASS ❑ / / L.� -1, J 3 4 INDIVIDUAL —.1. wblMq �� NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLI.ECTE SYSTEM CMTAR/MEP NAME AND TElEnDNE NO. 1 U.,mC IN i Nlwp,ll�.I�Ipn,1./ '4 — r'`4 // SAMPLE COLLECTED BY (Name) SOURCE TYPE ❑SURFACE ❑ WELL ❑SPRING ❑ PURCHASED 3-r__*_ NATKON d OTHER SEN�REPORT TO:(Print Full Mom.Aakaae SnO Zip CuMI WASHINGTON Y� TYPE OF SAMPLE Mhc.an4 wa m mu columns 1. ❑ DRINKI NO WATER ❑ Chlormaleo l RBe.dual. Total—Free) Chack Ireatmenl—) ❑ FJtered ❑ Untreated or Other._ _ 2. ❑ R SOURCE WATER 3. L7rn'NEW CONSTRUCTION or REPAIRS 4. ❑ OTHER ISPecily)- COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PR StAllNO PR' IOUS SAMPLE COLLECTION DATE REMARKS: -7 '?6 LABORATORY RESULTS(FOR LAO USE ONLY) MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE'. I MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old /'W mI 1. ❑ Confluent Growth ❑ Not m Proper Container MF COLIFORM 2. ❑ TNTC ❑ Ing,ftiPmVIdCien11esse Read /Ih u1 InstrueC-Please Read instruction,on Form FECAL COLIFORM 3. ❑ Excess DBB114 ❑ MPN u MF 4 ❑ ❑ w MI FOR D"KIW WATER SAMPLES ONLY,THESE RESULT$ARE: SATISFACTORY ❑ UNSATISFACTORY ;t SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS { "END DATE T ME RECEIVED- RECEIVED BY DATf REPORT•O LABORATORY REMARKS 6 WATER SUPPLIER COPY r, CITY OF RENTON MATERIALS ISSUED S.O.N.. WATERWORKS UTILITY W.o. me. 4 4 50 TO STOREKEEPER. ry I �GI PL IA.btboi.q itwb.i.t b _ l / T OUANT ACCOUNT OftlVERED UNIT NUMBER MATERIAL COST AMOUNT Te Q utkj LAG, CISV Fp.oSFet-- • Qr I Abe..rn.bnol r...,.d in good t.diti.n Abov. n' on 111 by A"..M.bri.l.rd.r.d AY }S� Y Signd fignd �y SiyMd CRY OF RENTON MATERIALS ISSUED s.o.N.. WATERWORKS UTILITY TO STOREKEEPER: D.I{...n.tolb.:ng nwb.i.1 a Deb ouAvr. UNIT ACCOUNT MATERIAL UNIT DELIVERED NUMBER COST AMOUNT i y 14 Ste^ tijo I Aber.otabrial nniwd in ge.d<ondilien I A►......alit,..Illld AY I Abu .4 Ull .pmod b/ Signd- I Sis"d 1 fi n.V B E____ ___ I DI 11173 1R 141 DsHS 1}ITJ(4461) STATE OF WASHINGTON ) STATE OF WASHINGTON j DEPARTMENT OF SOCIAL AND HEALTH eERVICES\, iI, DEPARTMENT IF SOCIAL AND HEALTH SERVICE6 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION. READ INSTRUCTIONS ON BACK OF GOLDENROD COPY 1AM E CCL'JCTION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY R instructions are not followed, sample will be rejected. + instructions are not followed, sample will be rejected. DATE COLLECTED T ME QqLLECTEO COUNTY NAME i DATECOLLECTED TIMECfOLLECTED COUNTY NAME MONTH DAY YEAR / II MONTH// DAY YEAR c� AM ❑ PM J ❑ PM I < TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: w.�.,TeYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: ( CIRCLE CLASP LL PUBLIC ORCLE CLASS tT6uBLlc LD. No. % :_ z a n I. Mo. C z s A ❑ INDIVIDUAL ❑ INDIVIDUAL ...arlr r reetlercH ,rauamcH NAME OF SYSTEM NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE CC,LECTEO SYSTEM DNNFR/MBI.NME AND TIEEV E NO SPECIFIC LOCATION WHERE SAMPLE COLLECTE SYSTBCDNNE WR*WAND TELERM NO IY\Aclren IpY rs M�Wlgn,IMnY,nl ire nHMn 4p!xnpd.Irrn flMbrr.lnunipnl •1 - I SAMPLE COLLECTED BY:INamal SAMPLE COLLECTED BY:INamal i SOURCE TYPE ,.., �.pM SOURCE TYPE r ❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED '�4_a MBIINAATION ❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED I�J'op OTHER OTHER SEND REPORT TO (Prrm Full Name.AHM»a and Z•P c net SEND REPORT TO:(Print Fun NMrr.ACdrnan Ina Zlp Ccael t _ _WASHINGTON_ 1 < .WASHINGTON�� TYPE OF SAMPLE TYPE OF SAMPLE 1 ICnnt\mi/ran in rMn caM/rrnl rV iec�enN pr.a n i6 Columns 1. ❑ DRINKING WATER ❑ Chlorinated(RBsldual:__Tolal__Freed 1. ❑ DRINKINGWATER ❑ Chlorinaletl(Reaiduac_Total_Fref) check treatment—)• ❑ Filtered Check treatment--* ❑ Filtered rrrrrr-��-----1��////// ❑ Untreated or Other— ❑ Untreated or Other 2. �MW SOURCE WATER 2. ❑ AW SOURCE WATER 3. NEW CONSTRUCTION or REPAIRS 3. NEW CONSTRUCTION or REPAIRS 4. ❑ OTHER(SpeellY) 4. ❑ OTHER(Specify)_ COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE 1 r PREVIOUS it NO _ PREVIOUS 1.AS NO PREVIOUNr SAMPLE COLLECTION DATE_ PREVIOU4 SAMPLE COLLECTION DATE— REMARKS: REMARKS: LABORATORY RESULTS(FOR LAM USE ONLY) LABORATORY RESULTS(FOR LAO USE OILY) ZPNCOLIFORMI STD PLATE COUNT SAMPLE NOT TESTED MPN COLIFORM STO PLATE COUNT SAMPLE NOT TESTED \ BECAUSE: / BECAUSE: i MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old AOC ml 1. ❑ Confluent Growth ❑ Not in Proper Container ADO ml 1. L-1 Confluent G1UWth Not m Proper Container MF COLI FORM MF COLIFORM Insufficient Inlolmaticn 2. ❑ TNTC ❑ Insufficient Information 2. ❑ TNTC Provided-Please Read And mI Provded—Please Read /00 ml Instructions on.:Orm Instructions on Form FECAL COLIFORM $. ❑ Excess Debris FECAL COLIFORM 3. ❑ Excess Debris 17 MPN ❑ MF 4 ❑ ❑ ❑ MPN ❑ MF 4 ❑ ❑ /100 ml /,,n,, FOFI_VINKING WATER SAMPLES CNLY,THESE RESULTS ARE FOR?ININKING WATER SAMPLES ONLY.THESE RESULTS ARE. t RJ SATISFACTORY Cl UNSATISFACTORY SATISFACTORY ❑ UNSATISFACTORY SEE REYERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS DATE,LIME RF.CEIVEO— AjREGEiVeOLEY _48 NO DIS ME R A .T ECEIVED— RECEIVED LAB—NOE l pAiE REFOnitU LABORATORY. GATE RE TED LABORATORY. 1 REMARKS REMARKS WATER SUPPLIER COPY r1 - WATER..SUPPLIER COPY t1 DSHS 13173(AT E1) OSHS 13173 t141811 ` STATE OF WASHINGTON DEPARTMENT STATE OF WASHINGTON 1 D DEPARTMENT OF SOCIAL AND HEALTH SERVICES DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS If inslructlOns are not followed, sample will be rejected. s If instructions are not followed, Sample will be rejected. GATE COLLECTED TIME COLLECTED COUNTY NAME DATE COLLECTED TIME'COLLE�TEU COUNTY NAME MONTH DAY YEAR ` L'0 MONTH DAY YEAR L ; AM PM AM ATM TYPE OF SYSTEM ' IF PUBLIC SYSTEM. OMPLETE TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE. Br,I rl si [� PUBLIC CIF LLASS �USLIC I.D. NO. ❑ INDIVIDUAL LD. No. t z 3 4 El INDI I AL �� t 2 3 NAME OF SYSTEM '{ NAME OF SYSTEM r I . SPECIFIC LOCATION WHERE SAMPLE COLLECTEDSYSTEMOWIM/MGR NML ANDTELERNAEND SPECIFIC LOCAL TI1� 0� KY��SAMPPLLE'DOWECTE SYSTEM OWNER,MfA NAME AND TELEPHONE NO IN.bNM^1.4 ix g . .',;� Ctr^r 61 _ SAMPLE COLLECTED BY:INarn•I SAMPLE COLLECTED BY:I04m41 A6Ft1uL vac Ihvp•� kVou1, QNfouR IUM12114 IrAlIr-A, SOURCE TYPE SOURCE TYPE r-1 COMBINATION ❑ SURFACE ❑WELL ❑ SPRING ❑ PURCHASED r}�„MOTHEATION ❑ SURFACE ❑WELL ❑ SPRING ❑ PURCHASED µ'&OTHER OTHER SEND REPORT TO:IPnm Fgl1 Name.Ar1Cre•a ane Z'Ip GMe1 SEND REPORT TO:1Pnm>oil Name.AdCrees arm ZIP Coae1 • WASHINGTON '}y WASHINGTON TYPE OF SAMPLE TYPE OF SAMPLE �oMc.Dory«N n Nn cowmmi ICnRY May wN^IMf rdumnl Total_FlAin rI---II WAIIIER ❑ Chlor'naled lResiduaL_Total_Free) i 1. ❑ DAINKINGWATER ❑ CMorineled lResitlual._ 1. L� checkDIRINKI Gment- check treatment--1 ❑ Filte'e0 shack treatment-� ❑ Filtered ❑ Untreated or Other C Untrea'ed or Other 2.� RAW SOURCE WATER 2. 0 RAW SOURCE WATER I NEW CONSTRUCTION d11RArRS .3. C1 NEW CONSTRUCTION or REPAIRS 4. ❑ OTHER I`-pecify) 4. ❑ OTHER ISTeCllyl -- COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOUS I AS NO PRE'llOUS I AB NO -- PREVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE �T COLLECTION DATE REMARKS: E / REMARKS: ` Z Z LABORATORY RE8ULT8(FOR LAB USE ONLY) LABORATORY RESULTS IFDR LAB USE ONLY/ COLIFORM STD PLATE COUNT SAMPLE NOT TESTED PN-COLIFORM STD PLATE COUNT SAMPLLBECAUSE. NOTTESTED t N BECAUSE � /5 a no."e.e ❑ MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old MEN DILUTION TEST UNSUITABLE Sample Too Old /1p0 m1I ❑ Not in ProPer Container /106 ml i. ❑ Con'luenl GIOW to ❑ Not In Proper Container 1. ❑ Coneuent Growth MF COLIFORM _ Insulthclent information MF COLIFORM 2. ❑ TMTG 2. 0 TNTC ❑ Insufficient Information Provided-Please Read -- ml Provided-Please Reod __�00 nn y InslrucLuns on Form Instructions on Form 3, ❑ Excess Debris FECAL COLIFORM 3. ❑ Excess Debris FECAL COLIFOR ❑ MPN ❑ MF ❑ MPN ❑ MF 4. ❑ ❑ 4. ❑__ ❑ — /oD ml OD ml FOR D NKING WATER SAMPLES ONLY,THESE RESULTS ARE: 1 FOR 9RINKING WATER SAMPLES ONLY.THESE RESULTS ARE: SATISFACTORY ❑ UNSATISFACTORY In SATISFACTORY ❑ UNSATISFACTORY EF REVERSE!HUE OF REEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GHEEN COPY FOR EXPLANATION OF RESULTS TIME RECEIVED- RECEIVED BY LAB NO DATE,TIME RECEIVED- RECEIVED BY LAB Ncl DATe. DATE REPORTED LABORATORY DATE REPORTED LABORATORY: REMARKS iI REMARKS - I WATER SUPPLIER COPY 4Y. ' WATER SUPPLIER COPY ea i MEw ti✓snrcc a 4o : ZQ$o.C> « /2 �u� s rasa. �GL S21 323.Oo tF /2 " /�crSaoJ CA. St) tv i2 " GV 3 8 GV COsr- 41 13a, 020. C) 9 Cry i R pJf 7 AfV00eAJf- 4S6Y � $11 t Sdcv+.cetl TO i3a0 LF G .pT P� cr G Y /1Y0 R.SSY ITEM # MAINS ! r- i Bork i Location Length Size Of Order # Of Pipe Pipe W- 1,00 '7`I/ 7DK� =0¢ S�i/i�fT �cv� . !✓. /CoOL•ice• �-� Gam"L .soN,E•s AVE N• .E./C Z I tV N 2¢ _/2s0 [ •f• rS60 JNA4,7,0 lJrJ�oAD_ ._ �80/- - � . f(vScJ• .._ 4 �. /Z r f `/J- �� '' ' �C�•L!'-� l, hv l�Ju .tC ac .�d ti� /ot G L ✓- i%3 ��y �.,�-.,.�. �� h �C_�1 -�2 1�.:� - � ��so [. F ' 12�•D. j 77F/1i-J7v vrfd — iT C•J - 77:" ✓y.�Li ,.. .- l`otEa . .tio,Gt ✓ _ _ _�9/ �`-!3z"_D:. W. 403 ,3ZS L f Lam" YV- '7�8 4yo ciD__ N�. 3 �-- y1i- 79� , 'f�lq'� �( � .lO 9, i rt- i1� C,f LEA c1r,r f L �D C,f. �„ �• Sheet y AMP ✓sl�u€ LsAgth Siss Of Add., Exten., or Hind Of Of Pips Pips Betterment Pipe Poo, Le /d 0 /. F. /a •• r�,l I 74,ee AA4T ArAWr' � jDOK i.VTD PC,9.uT Ti0'/CFN iNly Pj..- D Apt � I CITY OF RENTON PUBLIC WORKS DEPARTMENT �Gu. Barbara Y. Shinpoch, Mayor Richard C. Houghton, Director MEMORANDUM March 27. 1987 TO: Bob Bergstrom Don Monaghan Ron Olsen Vince Lee Gary Norris FROM: Dick Houghton SUBJECT: HOV Lanes - Tukwila to South Renton Attached find set of plans and contract provisions fu: your review and comments. These comments are to be formulated for a meeting on: April l6th (Wednesday) 10:00 a.m. My Office Please arrange your schedules and be in attendance to discuss this matter. � 9 :pmp 200 Mill Avenue South - Renton, Washington 98055 - (206) 235.2569 DSH513-In(A1411) � If�� DSHS 13-1n(1111411 STATE OF WASHINGTON STATE OF WASHINGTON / DEPARTMENT OF SOCIAL ANL HEALTH SERVICES DEPARTMENT OF SOCIAL AND HEALTH SERVICIll WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS SAMPLE - A ,� EiOIDE'.71) CI`„1 READ INSTRUCTION: IdOLDENRDU COPY It instructions are not followed, sample will be rejected. It instructions are not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME ' DATE COLLECTED TIME COLLECTED COUNTY NAME My TH �./�FY Y H MONTH ,,r/..4R 3rA-r AM ❑ PM a t 1 / AM ❑ PM ///Ca PE OF SY//STEM IF PUBLIC SYSTEM,COMPLETE:, TYPE SYSTEM If PU@LIC SVSTOM,COMPLETE; PUBLIC I.D. No. �'7 CMCLE LASS uc LD. No. iJ r' LI CLASS ❑ INDIVIDUAL r �' D L 2 3 4 ❑ INDIVIDUAL 1 .i 3 a iemres wuv�.waMNai I......wW, «ae,,.H NAME/OF SYSTEM / A /\1 NAME OF/SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLL:CTE SYSTEM UAWIMGR N E AND TEIEPHW NO SPECIFIC LOCATION WHERE SAMPLE COUECTED SY EM MOiMCA NINE AND 41U MNE NO «.nrn..iu•xrm,o,..upw iwm.,N / /' i M Nmiw,MP��1«wow,.fowgYry //� Gy' r /.!_''.6. SAMPLE COLLECT D BY:(Nww SAMPLE COLLECTED BY:INanrN SOURCE TYPE SOURCE TYPE 1 COMBINATION r,,/COMBINATION O SURFACE ❑ WELL El SPRING ❑ PURCHASED or OTHER ❑ SURFACE ❑ WELL ❑SPRING ❑ PURCHASED kL or OTHER SE B REPORT TO:IPHnt FUH/Ny.�r�!,Addrap arM Zip 1 / ` SFrND REPORT TO:IPr of Full NPma,Adilm"and Zip C.O,) !,f` WASHINGTON /i< > .^ ""�`" 'T r�� _ WASHINGTON� ' TYPE OF SAMPLE TYPE OF SAMPLE 1Vmn1 mn.c.wi.we .iwa cwr•m �•:.omv mn.mn c. 1. ❑ DRINKINGWATER ❑',I ChlorlaRMClReslduel:�_Total_free) 1. '❑ ORINKINGWATER ❑ Chlonffeled(Residual—Total_Ffeel Check treatment---III J Filtered cheCk treatment Flo ❑ Filtered ❑ Untreated or Other k ❑ Unhe.I.d o.Other 3. , Z. � RAW SOURCE WATER 1 _. �-PAW SOURCE WATER v 3. NEW CONSTRUCTION or REPAIRS NEW CONSTRUCTION or REPAIRS v( 4. ❑ OTHER(Specify) __ tl 4. ❑ OTHER(Specify) 4 COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE i � PREVIOUS I48 NO nqv VIOUS I All NO PREVIOUS SAMPLE COLLECTION DATE _ PREVIOUS SAMPLE COLLECTION DATE REMARKS: REMARKS'. LABORATORY RESULTS IFOR LAB USE ONLY) LABORATORY RESULTS fFoR LAB USE ONLY). MPM COLIFORM STD PLATE COUNT SAMPLE NOT TESTED MPN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE: ? BECAUSE: MPN DILUTION TEST UNSUITABLE ❑ Semple Too Old MPN DILUTION .EST UNSUITABLE ❑ Sample Too Old 1. ❑ Conlloenl Growth I El Not ml Not in Proper Co ntainer 1. ❑ Confluent Growth ❑ Not In Proper Container MF COUFORM MF.COLIFORM f 2. ❑ INTO ❑ InSOHIed— lease Read 2. ❑ TNTC ❑ Insufficient Information �00 mI Provitlell—Please Read /00,r, Provided—Please Read Inyiruchons on Form Instructions on Form LEGAL COLIFORM 3. ❑ Excess Debris FECAL COUFORM 3. ❑ Excess Debris .El MPN40 MF 4. ❑. ❑ I U MPN L7 MF 4. ❑ ❑ /00mi �W FOR"INKING WATER SAMPLES ONLY.THESE RE*LTS ARE: FOR DRI ING WATER SAMPLES ONLY.THESE RE�KTS ARE: `t SATISFACTORY el ❑ UNSATI&ACTORY SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS EE REVERSE SIDE OF GREEN COPY FOR EXPLANA TION OF RESULTS LAB NO. DATE.TIME REf.'EIVED— RECEIVED BY LAO NO. DATE.TIME IVIED lW[C�EIVED— I�CyVED BY pATE J4D LABORATORY. DATE RE A LABORATORY: 77 D�T REMARKS REMARKS A WATER SUPPLIER COPY ». WATER SUPPLIER COPY i M DSHS 1}P31R,811 W-.W•g ottHetsnamta,, y�""aS� STATE OF WASHINGTON ^'. $ / i STATE Of WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES Iii J DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS \S;RUiaiONS UN BACKUT GCiDLNROD GGPY If instructions are not followed,sample will be rejected. If instluclionS are not followed,sample whi be rejected. DATE COLLEC EED TIME COLLECTED COUNTY NAME p DATE COLLECTED TIME COLLECTED COUNTY NAME �,.JpAY iYjAR MONTH AY vLAR f I LJ AM ❑ I MONTH PMPM TYPE OF SYSTEM IF PUBLIC SYSTEM.COMPLETE: , TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE'. ., L/� / CIRCLE CLASS �-WBLIC CIAB4 LT WBLIC (' L d)2 3 4 ❑ INDIVIWAL I.D.ID NO `/' / 2 3 I.D. No. 't G ❑ INDIVIDUAL iw..+or.r nwlewcy u.r 1M1 I n.,a.,w.. EM NAME OF SYSTEM NAME OF SYST SPECIFIC LOCATION WHERE SAMPLE COLLECTE SYSTEM tLY IMGR %AMEARD TELERIONE NO SPECIFIC LOCATION WHERE SAMPLE COLLEGE SYSTEM Ot00/MfA fTFIEIH@a ND. IY Yn<YMI �.nn al.l✓J.IWnIYnl MY11nM IW i?Clx'W.IM WIRw.1WnIW1 / ��.I . P. YN SAMPLE COLLECT SAMPLE COLLECTED B BV:1MarrW SOURCE TYPE SOURCE TVA COMBINATION w OTHER ❑ SURFACE ❑ WELL ❑SPRING ❑ PURCHASED O1 OTHER ❑ SURFACE ❑ WELL ❑ SPRING El a OTHER ZIP S SEND REM �`.�Fuu AtMu ant Zlp Rta) Er�EPORT TO'. H Full ttnnd I 1'_ IPrH se a i r WASHINGTON WASHINGTON ttPE OF SAMPLE ,. TYPE OF SAMPLE 1`(PE OF A m 5.oy,nv, Ew.q 1.1 +caemp 1. ❑ DRINKINGWATER ❑ „hlorinaletl(Residual'_Total_Frpel 1. Dhed, rearm R ❑ Chlorinated LResiduaC_Total_,,.Free) checL Ireatmenl—i ❑ Filtered ch¢ck treatment--7. ❑ Filtered ❑ Untreated or Other ❑ Untreated O,Other 2, RAW SOURCE WATER Z.,R RAW SOURCE WATER 3. NEW CONSTRUCTION or REPAIRS 3. NEW CONSTRUCTION or REPAIRS 4. ❑ OTHER(Specify) __ 4. ❑ OTHER ISpecifYl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PRFVIOUS I All NO PREVIOUS 1 AB NO PREVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE COLLECTION DATE REMARKS: REMARKS LABORATORY RESULTS IFOR LAO USE ONLY) LABORATORY RESULTS fOR ua USE oNLn fj-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED MPtI COLIFORM I STD PLATE COUNT SAMPLE NOT TESTED BECAUSE BECAUSE' / . /mI Sample Too Old MPN DILUTION TEST UNSUITABLE ❑ Sample TOO Old MPN DILUTION TEST UNSUITABLE ❑ �W mI Confluent Growth Not in Proper Container j_/1OO MI i. ❑ Confluent Growth ❑ Not in Proper Container 1, ❑ ❑ f MF COLIFORM ❑ TNTC P Insufficient Information MF COLIFORM . 2. ❑ TNTC ❑ Insufficient Information ❑ Prowtletl—Please Read /DO mI Provitletl—Please Reatl �pO mI Instructions on Form FECAL C.OLIFOR 3, ❑ Fxcass Debris Instructions on Form FECAL 3, ❑ Excess Debris �I COLIfOR ❑ MPN ❑ MF 4. El Q ❑ MPN H MF 4.❑ ❑ FOR,DYIOWING WATER SAMPLES ONLY.THE.E RE*LTS ARE: FOH INKING WATER SAMPLES ONLY,THESE RE4yL1.105 ARE. SATISFACTORY ❑ UNSATISFACTORY ❑ SATISFACTORY A". ❑ UNSAT14ACTORV SFE REVERSE SIDE OF GREEN COPY FOR EXPLANATION GF NESULTS _ 3EE RE rER.,F SIDE OF GREEN COPY FOR EXPLANATION OF RRivEO ev ��p MTFr. 'AE CEIVEO— LAB NO. DATE,TIME RECEIVED— �m By LAB�f ' z >, 41/ DATE REPORTED ,rt.�- LABORATOR .�., I_✓ LAtioFwionr '� REMARKS P.EMARKS WATER SUPPLIER COPY or WATER SUPPLIER COPY ®E r TI+ DSNS 13-173 -;81) J STATE OF WASHINGTON t/�"�, DEPARTMENT OF SOCIAL AND HEALYN SERIMCES\ ' WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION. READ INS'R"CTIONS ON BA-, OF GOLDENROD CGPY If Instructions are not followed,sample will be rejected. DATE COLLECT EU TIME COLLECTED COUNTY NAME MONTH DAY YEAR L lI C� AM ❑ PM T-TY_PPEc'OF SYSTEM IF WBLICSYSTEM,COMPLETE: tVTUOuc on.,... I.D. NO. 'J / S r•'J �. CIRCLE CIA$$ ❑ INDIVIDUAL —.—` + q t.nm.o�a NAME OF SYSTEM -- : r , SPECIFIC LOCATION WHERE SAMPLE COLT E SYSTEM ONNER,MGR NAMEP O TELEMW NO 1. Iw n.moos.I re xwwn.tanwm / ` t ot h .SAMPLE COLI ECTED BY:(N.) j SOURCE TYPE ,., r.�/� El SURFACE C3 WELL ❑ SPRING ❑ PURCHASED T. A (INATION Or OTHER SEND DEPORT TO:(Prim Full Na",AOerasx and lip Coael 4 WASHWGTON C TYPE OF SAMPLE i�nen om.o..,n tns cowmen 1. ❑ DRINKING WATER ❑ Chlorin#W'(Resldeal: ,_Total_Fraei CheCk treatment—B, ❑ Filtered ❑ Untn aced. Other �. ��TTT❑yyyyyyRAW SOURCE WATER I 3. NEW CONSTRUCTION or REPAIRS 4. OTHER(Spit llYl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREViOUS LAB NO PREVIOUS SAMPLE COLLECTION DATE_ i REMARKS: I LASIOATORY RESULTS(FOR LAB USE ONLY) I MPM-COLIFORM STD PLATE COUNT I SAMPLE NOT TESTED j �/.�1 II BECAUSE: J - j'J wCn non.trvo ITl MPN DILUTION TEST UNaUITABLE ❑ Sample Too Old /'00`nl 1. ❑ Conlluent Growth ❑ Not in Proper Container MFtCOLIFORM 2. ❑ TNTC ❑ Insulllclenl Information Read �00'.n Prpvloeo—Plea"ease Read instruclions on Form FECAL COLIFCR 3. ❑ Excess Deons MPN MF d. ❑ /I W ml ❑ FOR 1A)WINO WATER SAMPLE(;ONLY.THESF RENULTS ARE: VSATiSFACTORY I ❑ UNSATISFACTORY -E REVER Sk SIDE OF GREEN COPY FOF 6YPLANATION OF R�.„ g; S LAS NO. OATS.TIME RECEIVED— RECEIVED BY DATE REPORTED A it LABORATORY. /. j; rvf ,EMARKSf i WATER SUPPLIER COPY All �a w- 7Cr r CITY OF RENTON PUBLIC WORKS DEPARTMENT CONTRACT CHANGE ORDER AGREEMENT CONTRACT CAG 016-86 S.W. Grady Way Street Improvements CONTRACTOR _ Valley Cement Construction Company, Inc. SUMMARY OF PROPOSED CHANGE 1 . Furnish and Install 12" Class 52 Ductile Iron waterline per attached sketch. 90 L.F. 12" D.I. Cl . 52 @ $ 25.65 per L.F. _ $2,308.50 6.6 c.y. Thrust Blocks @ 75.00 per C.Y. = 495.00 22-1/20 Bends - 2 Each @ 200.00 per Each = 400.00 24" D.I. Casing - 20 L.F. @ 75.00 per L.F. 1 ,500.00 Subtotal $4,703.50 8.1% Sales Tax 380.98 TOTAL $5,084.48 Credit for waterstop not used in RCBC: 302 L.F. @ 3.00 per L.F. ($ -906.00) Net Change Order M1 $4,178.48 All work, materials and measurements to be in accordance with the provisions of the Standard Specifications and Special Provisions for the type of construction involved. URNINAL cU1i(RA CURH[jT CUNTRA-G ESf ES1IHAil:U CUN -RRAC7 AMOUNT I AMOUNT I THIS ORDER I TOTAL AFTER CHANGE$1 ,867,899.39 ` $1 ,867,899,39 $4,178.48 $1 ,872,077.87 SIGNATURES: CONTRACTOR DATE _ PROJECT ENGINEER Y 1/~ DATE APPROVEU BY 4 _ _ _ DATE ~- � jPub�ic Nor s�tiector� .6ry17 7b^T d0 /'�36^lILY d.�.M LTJ/', /,Wr•KL WdINtl � nr.IfN�L�/ 3GI■C`xJh/9 _. 7 /N /benfr7S. Q'Y`rLE7E AE•N Idl'OW •L1.SbS 3E�N01E 2Tx'L.S i"rll gr M6 +lam �v -- ,X"vle C'ran MJ 7Ha/576✓ rJ/ I..Ay New 1'L" P+4RRLtir.- To ELT, ASLAVWANO z-�z•jsa. .. vr2T Rwuc FJ(Z- ----....rr' I 20 D S w! 3• I M 4 f_'U r.fi�..r \\ — IL �a6LP) C,2C1555ECT/G3',I- 57A. G -t-co SPEED LETTER TO: DATE: 74Z PROJECT: S. W. GP.ODY wAY_ SUBJECT:::-did / F/ *lp M41aZ _ 1 sG renkle� atn� Cds la�Gr1T' S qf� PACIFIC WATEI /ORKS SUPPLY CO. INC. P.O. Box 3515 a Seattle,WA 98124 (206)223-0400 TO No- G� DATE Joe No. "NAMEAttention: "LOCATION _ Gentlemen: CUSTOMER WE ARE SENDING YOU Ll Herewith ❑ Under hE separate cover the following items ❑ Plans ❑ Shop Drawings ❑ Purchase Order ❑ Specifications ❑ Samples ❑ Copy of letter ❑ Tracings L7 Catalogue Cuts ❑ ❑ Prints ❑ Change Order ❑ — COPIES DATED NO ,pDESCRIPTION n�/� 14A-7 �L bw W4vr� u (kAt sR (A, a,ks 190 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Submit Copies for distributlon ❑ Fo•your use ❑ Approved as noted ❑ Resubmit—copies for approval ❑ As requested ❑ Returned for cor-ectlons 0 Return Corrected prii As ❑ For review and comment ❑ L 1 -- -- ❑ FOR BIDS DUE 18 Cl PRINTS RETURNED AFTER LOAN TO US REMARKS — COPYTO SIGNED: I PACIFIC WATEr /ORKS SUPPLY CO. INC. '•^ �'� F�� P.O. Box3515 a Seattle,WA98124 (206)223-0400 TO V81 y No. t 'I troeno. rDAIE Attention: C�� -NA�XT%Gentlemen: WE ARE SENDING YOU 9 Herewith Cl Under separate cover the to!lowing Items ❑ Plans ❑ Shop Drawings ❑ Purchase Order ❑ Specifications ❑ Samples ❑ Copy of letter El Tracings V Catalogue Cuts ❑ Prints ❑ Change Order Cl COPIES DATED NO DESCRIPTION Cr qQ 1 VCR c�g E;AL A 17.6r0 I THESE ARE TRANSMITTED as Chalked Below: Lai/ For approval ❑ Approved as submitted ❑ Submit. copies for dlstrfbutbn 7 For your use ❑ Approved as noted t.jJ/R_esubm�lt`_—�ooples for approval /1 C9 Return)SAC-corrected prints IN As requested ❑ Returned for corrections rl For review and comment ❑ ❑ L7 FOR BIDS DUE _19 () PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: -- AUTHORIZATION OF SPECIAL BILLING DATE: Y�Z�op- PROJELT NAME: J 61-1 67 ra.- PROJECT NUMBER: v,/ -- '7 rr WORK ORCER NO. : `/`/3D 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: Water line cc,nnections for S.W. Grady Way Improvements, Lind Avenue S.W. to Grady Way 11rid4e, contract c,AG 016-66 BILLING TO BE SENT TO- Name: yALI1,T CEMWr CIDNSTRUCPION, INC. Address P 0 Box 838 _ City: Auburn State: WAZ.C. 98071 Atten: Stanley F. Davis, V.P. Phone No. : 624-2043 --s7 we'er/Develo er, ontractor or Authorized A ent ENDING OF FILE FILE TITLE w mow / V Engineer ( n9 Pfojec�