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HomeMy WebLinkAboutWTR2702809 WTR-27-2809 BEGINNING OF FILE � a WATER PROJECTS CAMBRKM APARTMENTS Emir • 1 • Shor(PIaC(SHP(.•N�__i ) REQUEST FOR PROJECrit Prelim.Plat (PPN--�_ ) CAO N �� ) To: Technical Services Date o t_ !1./�Q WON rt 9 Greenfl From: Plan Review/Project Manager 4 �1/ytfeh Project Name _V"I {)rr AP.7v- C..' I , t' (70 drnaas Description of Project: / 2 - ti'yL , -j r•-.k Circle Size of Waterline: 8" {tr01 12" Circle One: or Fx(ension Circle Size.of Sewerline: 8" 10" 12" C61C One: New or Extension 1. •r Circle Sim of Stomiline E I IS' 18" 24" Circle Ono: New) or Extension Address or Street Names) A S 2 O 1V E Dvlpr1contractor/Owner glslt� rou yn$ G h crl .Z C Check each discipline involved in Project Lir Drwg N of sheets pe;discipline W O lrans•Storm 2' Sfcr�rtl..;r , 1 y,� ta,4�k47.R+, ., ❑ ❑ i'Z , _. (aoadrayNrainj,) (tlfrtib lrry�m.eercnu rndude buin name) - (include TESCdKuu) ❑ 'I'mnsporution (Sip,J adaN Q] ,IiudoM1 UahGna) ❑ ❑ C 4 ❑ Wastewater 1. akC kr�'buin ❑ ❑ C co Saniury Sever M ndu bae n none) C] Water ff�a� dvrr ( amyl ❑ �_ . . L...._..... . (Indudr mmroal+e k Modmnul CN Shnu7 Cl Suface Water ❑ ❑ Improvements i udebumname) -- _ TS use aniy a ge)9 $o� 0110`--_ 77,TZ _ -...._._ WNr-a7. aer'9 - .i. ' ----- - Yin- a1-d?80% 01 Pt,R-ai-a8og ' 1 02,.08 00 TUE 10:22 FAX 767 5U63 6ACCKS TESTING Loucks Testing Laboratones,Inc. 940 S.Mar^Ry SND A,WA 9BtCR WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GDLOENR00 COPY N 1ASIF000"I ate net IPKPWPd,114"10 Wig be NIJOCta0. OA`E COLLECTED TA NE COLLECTED COUNTY NAM MOW.. DAY VVA E OF SYSTEM IF PUBLIC SYSTEM,COMPLETE, PUBLIC INDIVIDLAL CITE GNCVP t.D.Na � � � a NAME OF SYSTEM SPECPKSI�0 F LIPF COWS ID TELE O `/yy DAY( 1 NEVING( I S1MP^�jDDLIECT Y INPI I SYSTEM OWNEPoMGR INMOI S i n jY\ �.bt cSlQ7 SOURCE TYPE Lj GROUND WATER UNDER RFA.)I INFWENCE -- SURFACE XWELL FIELD SPRING [ M01JACHASEOO COMINWATION �E�D �*p lFo� n��AmP.Ma�iiClC//Ii7Lr„ll] TYPE OF SAMPLEIFNPFL onq-I-ft dw c:01 l ROUTINE Cnld�nxlao IRnq:v Tilly DRINKING WATER &OP,lMlm\nI LFnMV REPEA^SAMPLE MI oua 40Ix01m pmxrox .n F -. Daw RAW SOURCE WATER Saimo#[S m C]Taw CPMHm NEW CONSTRUCTION a REPAIRS ❑Paul Cagam OTHER ISMa N1 RE IlLAB USE ONLVI OMN IIaO ORATOR MNK1T�S ❑UNSAASFACTOIYx.Collfa Ownm U SATISFACT'ORY. ^ GdNYmF WWI REPEA' 'J E Cd.Pwunt L_E Cd.aALrt SAMPLES cmw Cw[YII �,FKN MSxnl REWIRED OTHER LABORATORY RESULTS TOTAL COLIFORM n00 mI E.COLT&1100 MIL FECA6COLIFORM_I100m1 PLATE COUNT_I. ANOTHER SAMPLE RFOUAID SAMPLE NOT TESTED BECAUSE TEST UN3,14'ABLE BECAUSE C3 SAmaw W.PIa C C" Im OwMIn C WwnB tomamM p TNT, r�IrKo*tlm ram Tu,PA tuxew _ Ex,•n Aaena SEE HLVLIISE 310E Or GREEN COPY FOP tXPLANAMON Of RBEULTE Jn.J RpiOrral Opt ^Mt 4cb.Fo RECIVEOS+ J.� .s143y *I -Sol 0A•E xt"C'I'tO L"Cft 1 quM.F OP:EvtER COPY