HomeMy WebLinkAboutWTR2702820(1) W-27-2820
BEGINNING
OF FILE
FILE TITLE W I . ' ��
A
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Mi
1
- WATER PROJECT FILE
LABRADOR PLAT
q�
`' •, Shortl?taC($HPL•p�_1 �
REVES'T FOR PROJECT q Prelim.i Iat (PPY
CAG p
To: Technical Services Date ` WO# ?SyC$ Greens
II'' ,,
From: Plan Review/Project Manager Arc I / WuV �
Project Name Lc(6yadoy PIJ
CIO ch+naus mu)
Description of Pro;=, 52 / P/a HvwiTt7 CggDZOJ
Circle Size of Waterline: 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" i8�� C61c One: New cr Extension
Circle Size of Stor aline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) 2700 I-a kC WoU 111 4 7d t7 yvc/ /i
Dvlpr/Contractor/Owner/Cnslt: 6.drbvgWC"q 1 0,111 /I3✓)evt �ON57,
Cye rh.0c.maa)
i
r
Check each discipline involved in Project Ltr Drwg K of sheets per discipline
f3 Trans-Storm O ❑
(Road.ay/Drai'ua<) (O(f sn'unprvv<menuxlndude basin none) (include TYSC sneeu)
CY Transportation (Sl91111"60na.wcliuden•Ushuns) ❑ ❑
13 Wastewater ❑ ❑
—/ S+niurySera Alvin Cineludc basin none)
lY'Water (Mains.Valm,Hydnnu) ❑ ❑ )
(InUud<wmponm 6 Heriaonul CN Slweu) !
❑ Suface Water ❑ ❑
improvements (TTL )�neivd<bu�n n,�nd
ITO-yG'ASC�D i2-
TS Use Only - I I . A k-.�I
uOU-P—,A7—•gS_ U S • ".;k .�
Ly'TP,- 'a7-3 a,
�7 p V ) IcJ
- -c30 O-a 0 LtttA l CAI-a_
PIA- 2 7-, gap ,.•Lt&t_
w- Z ?o
Rewrit Address: ..
City Clerk's Office
City of Renton tI YT OR ��f}yy�2 5 a.se
1055 South Grady Way eI/p/M Ig +
Renton,WA 98055 KING COONrY, UA
*229650-156 to 160
0523059001 ,9005 to 9o09,
9012-9013, 9018, 9019, 9031 ,
DILL.OF SALE IProperty T'n areal Number. * ,
Project Fllea: LUA-00-065 ptreetlnienoruon l,1C A2 VD Addres: Rent.On, WA
RR NF
Reference Numbers)of Documents assigned or released:r.Iditmnol reference numbers are on page
Grantor(s): Grantee(s):
I. Labrador Ventures LLC 1. City of Renton,a Municipal Corporation
2.
The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells end delivers to
the Granter,as named above,the follow ing described personal property:
1\'A'rF.R SYSTEM: Length Size Troe
1 A6 L F of ii DI Water Mail.
2374 L.F.of _ ram_" _ nT Water Main
L.F.of `.Pater Main
each of _ 6 r' Gate Valves
each of R m Gate Valves
a �L_ each of Fire Hydrant Assemblies
0
o SANI TARY SEWER SYSTEM: Lengh Size Type
1 21 S L.F.of 6" _ Pvr Sewer Main
0 376 L.F.of _ all PVC Sewer Main
0 1 e 71 L.F.of ur a •• Seacr Main
11 each of dam '• Diameter Manholes
each of Diameter Manholes
o each of Diameter Manholes
0
r`s STORM DRAINACE SVSI'EM: Latgth Liza TyE
256 L.F.of .__Wt .. -RI2 Storm Line
1647 I.T.of 12u N12 Storm Line
673 L.F.of 15rr N12 Storm Line
_ each of Storm Inlet/Outlet
each of ____" T Storm Catch Basin
—1.(J_ each of " IT _ Manhole
STREET IAIrROVENIENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pnvement)
Curb,Guncr,Sidewalk _L.F.
Asphalt Povemenu _ _ Sy or 22.0,D_ _.L.F.of_ 32 Width
STREET UlGli'rING:
It of Poles
By this conveyance,Grantor will warrant anti defend the sale hereby made unto the Gmntoe agaust a nail every Mrsoo
or persons,whomsoever,lawfully clmiming or io claim the same. llus convevance shall bWA the bens,executors
administrators and assigns forever _
11 WILE.SI'S\rPki\ga11NISOUTBILLSALE.DO(UtAP page I
I
Form 94 0001 Pot
IN WI OF,I ha hereunto set my hand and seal the day and year as written below.
INDIVIDUAL FORM OFACRNOWLEDGMEhT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that
signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
REMESENTATIVE FORM OFA RNOH LEDGaIENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
I certify
yIthat
'I"kitnow/orr"have"satisfactory evidence that
CVj"j&V 0/(wcfMae(/E,VM-67 LCG signed this instrument,on rath
m stated that ekaMYAay wasiw authonzeJ to execute the inswment and
m �IOUNIR H, TOUbIA ack7'Jo'w�led ed it esthey//�bsdlir and
0 ofµ�0 ✓ ALL to b— e�hee and voluntary act o(such'
c SiATE OF IYASHI NCTON parties For c
o P nspnas+aaosioned in the instrument
NOTARY- •PUBLIC
o Not Public in and for the State of Washington
Notary(Pnnt)
My appointment expires: d/o1/o
c Dated: 3 y�o
N
CORPORATE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
On this_day of , 19_`,before me personally appeared
to me known to
be of the corporation that
N O 14 H, T 0 AA executed the within instrument,and acknowledge the said instrument to be theft"
uTON and voluntary act and deed of said corporation,for the uses and purposes therein
mentioned,and each on oath stated that he/she was authorized to execute said
NOTARY-••• B110 instrument and that the seal affixed is the corporate seal of said corporation.
91 OWL, N 07
i
Notary Public in and for the State of Washington
Notary(Print) _
My appointment expires:__
Dated: 1
Page 2
PROJECT CLOSING 04 Find Cost Data
FINAL,COST DATA AND INVENTORY and Inventory
SUBJECT: CITY PROJECT NUMBERS: WTR- 27-2820
WrW'I'- 27-2820
Clover Creek Slyp,
Name of project 1R0- 41-
2820
TED• An_2R2n
TO: City of Renton FROM: Tgumar Engineers
Plan Review Section b 612 R l g l s t P 1
Planning/Building/Public Wnrks [Cant WA gRnni Cu J t a E-102
.
200 Mill Avenue South
Renton,WA 99055 DATE: naraunhor 14tha 7nnn
Per lite request of the City of Renton,the following Information is furnished concerning final costs for improvements
installed for the above referenced project.
3YA3MR SYSTEM CONMULIIUN COSTS
Ley,rh Size Type
L.P.of fill nT WATERMAIN
LF.of Rrr nT WATERMAIN
L.F.of WATERMAIN
LF.of WATERMAIN
11 BACilof _ ram_ • _ DT GATE VALVES
r 1A BACII of AllnT GATE VALVES
P.ACII of GATE VALVES
]� EACH of fill FIRE HYDRANT ASSEMBLIES $ 337.232
(('nit of rim Hydrants must he listed separately) S ,2,n n n
(Incldde Engineering and Sales I'm If applicable $ 2 T,n n n
TOTAL COST FOR WATER SYSTEM S 7 T T n
SANITARY.S,GWER SYSTEM' STORM DRAINAGE S�YS'fftM
Length Sim Y Type Length Size Type
J 21 5 LX of _6— PVC SEWER MAIN L.P.of rr STORM LINT
L.F.of a --�— _2__ " ,J1LL`_
T23 �_ PVT` SEWER MAIN _]6A7 L.P.of 1� ' ��_ STORM LINP
1423 l.F.of 15hh Py(1 SEWER MAIN 67i L.F.of Irl" N12 STORM LINE
11 PA of 4 8 rr ` DIAMm'F:R MANIJOLPS RA of _ ' STORM IM%rIOUTIRT
EA of DIAMETER MANIm1.FS .fey_ F.A of " T STORM CATCIIRASIN
(Including Engineering and SakaTu PA of _..L..L.._ STORMCATCNRASIN
1 If appacaN<) S _ (b'Imhng FngiM dng and Snke Tar
TOT ALCOST FOR SANITARY SE VPa SYSTEM s 'tdg_7nj1_ tapplicablq g 40,781
10tAI."IS I IOR SrORaI DRAINAOF SYSTEM $44g,%aa
S IREITT IMPROVEMENTS: (bwluding Curb,Gutleq Sidewalk,Asphalt Pavement and Slicer Lighting)
Spa G 2 g ---------- --
SIGNAIAUTItN): (Including Eng.Design Cmsts,City Pcnnll Pees.WA St Sales Tax)-----'------
(
STREPr LIGHTING: (Including tint,Design Cosa,City Penult Fees.WA St Sales Tax)
i S 71 a SSA
_Mounir (Tom) H, Toum�_ �125-2�-Ofi6'+
I`ttnt signatory name da It R
(SIGNATT IRE)
fnrtrW(TMIUAT7.D0CAdr (Signnrory ount he arulmrir agen�
I or owner of subject developm—eliff
! I
r ✓
J �/t
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 98055
*229650-156 to 160
0523059001 ,9005 to 9009,
9012-9013, 9018, 9019, 9031 ,
9049
7t
DILL OF SALE Properly Tat arcel Number.
Pro}act Pilea: LUA-00-065 rtnwsecnon: xE1 A7 �tVJD Address Renton, WA
Reference Nnmber(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
I. Labrador Ventures LLC I. City of Renton,a Municipal Corporation
2.
The Greater,a m a .we,for,and in consideration of mutual nefits, erc y grants,bargaim,sorb and-deliver ro
the Grantee,as named above,the following described personal property;
\PATER SYSI EA1: Len�lh. Size Tj�e
1A6 L.F.of 60. DT Water Main
2174 L.F.or _grr " nT Water Main
L.F.or Water Mam
each of fill note Valves
-4 each of _.Rot _ Gate Valves
— 11_ each of Fite Hydrant Assemblies
SANI FARM SEWER SYSTEM: Length Size lvoe
1215 L.F.of ,6 n ovr•_ Sewer Main
376 L.F.of __ A„ " PV" Sewer Mein
s/9 i L.F.of __Lr n " Sewer Maiu
— 11 each of _ 48" _ Diameter Manholes
each or _ Diameter Manholes
each of Diameter Manholes
SI'OItM DRAINAGE.SYSTEM: Length Size
fib_ L.F.of __.gar .tLI2_ Storm Line
1647 L.F.of 12r' " ,j{12 Storm[.Inc
b73 L.F.of 1S1' _ " ,N12 Storm IInc
_ each of _ Storm Inlet/outlet
each of T Storm Catch Destn
�. each of T 7 Manhole
STREET IMPROVEAI ENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Outlet.Sidewalk_5,100 L.P.
Asphali Pavement .______SY or 2j00___.,.L.r.of,__3Zr _ Width
STRIFEI LIGHTING:
g of Poles
try 11 .conveyance,Grantor will warrant and defend the sale hereby mode unto the Grantee ngainsl sit and every person
or P .ons,whoms"ver,lawfully claiming in to claim the sanx. This conveyance shall bind the heirs,executors,
a,l...... rotor;and assigns forever. A r+DCO. r111A.ibe )e_
1t1HLE.SYSV RMt1411NDOLrMiLLSALBAOC\MAB pole 1
I'
' I
PROJECT'CLOSINO I4 Find ::ost Wta
FINAL COST DATA AND INVENTORY and Inventory
I11EC.1': CITY PRo1ECr NUMBERS: WTR• _ 27-2820
I Clover Creek 1�- 27-2820
Nam of project TRO- 41 -2820
TED- 4n_2R2n
YU: C{ry of Renton FROM: _Toumal Engineers
Ilan Review Section 2 S 191et Ple Fuite 5-102 i
IMAnninteMolldingpWhlic Works Want , WA l eatQAn j
200 Mill Avenue South
Renton,WA 99035 DATE: naramhay lithe 2n/1n
I Per the request of the City of Renton,the following information is furnished concerning find costs for improvements
installed for the above referenced project
WA'IBE SYSTEM CDRMf.LIRNf COSTS;
L.entith Site Type
_18A LP,of _ We `TIT WML•RMAIN
2 i 7 A LF.of ttt� �L_ WATURMAIN
I.F.of WATRRMAIN
LP.or WATRRMAIN
11 _ EACll or _ 6„ DI GATE VALVES
III EACII of tq_ nT GATE VALVES
EACH of OATS VALVES
11— EACH of f; _ FIRE HYDRANT ASSEMBLIES i 337.232
(Cott of rim llydnnle must tee listed sepal.rely) S ,�^n^
(Include Engineering and Sedate Taxi!applicable S 2 T e nnn
TOTAL COST FORWATERSYSMI $
SANI1ARY58WLR SYSTRM STD M ORAINAUM
I engih Site Type LerlSlh Site Type
_j 215 L.P.of 611 _ PVC SEWER MAIN 2S6 L.F.of t�� N12 STORM LINE
423 I.P.of Rn • _ PVC SEWER MAIN 16A7 LP.Of �� " N12 STORM LINE
1! 423 L.T.of 511 PVC SEWER MAIN F7i L.P,of 1511 • ,M12 STORM LINE
11 EA of 4 e,l " DIAMRIER MANIIOLES RA M STORM INL.ETAWTUST
IAA of MAMIr1 ER MANII01-6e ig_ PA of _ ' T STORM CATCIIRASIN
(Includiry unlineedng and Saka Tu _ n RA of _LT__ STORM CATCIIaASIN
T l At.LUST
S _ (Including PnalneerMl and Tax
TOTAL CYST FOR SANITARY SEWEa SYSTEM STA9.2n0 If gplicahk) � 40,781�
1 Of Al.(11SI IOR STORM Ills AINAGP SYSI FM $448.588
STREtir IMPR0V6MnNTS: (Including Club,Outten,Sidewalk,Aspltsll Pavement and Street Lighting)
SK NAULAI": (haduding Eng.Design Costs,City Permit Feet,WA$I Sales Tax)
STRREI'LIOHTINO: (Including ling.Iksign Coin,C by Permit Pate%,WA Si Sales Tex)
_Mounir-�glnl H. Toum�� /2a-2s1-066g
Print signatory name - -
'7�._
1SI0NATU111tR)
IattxATISTUAT!Itill'A,A (S{pulory mutt Ir Rullsoll agent g
of uwner of subject develop
Laucks Testing Laboratories.Inc. Laucks Testing Laboratories,Inc.
940 S Harney Seanle.WA 98108 940 S"n%f Seattle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLEC-ION READ INSTWX;TOW ON BAN OF GOL DENRUD COPY ttAMPLE COLLECTIDN READ INSTRXTIONS ON BACK OF GOLDENROD COPY
of BIakwaUGM YM tat 1191, W,wornpls M11 be rala bwll. E Illsa mmons 11111,AM McOWGa,SOmple Wa M IMiaaEaa, j
KITE COLLECTEO TI COLLECTED GOIINTY NAME TE LECTED COUNTY NAME
MDNM sin TWI Z,(J aaRN WY YWaI
-; AM nFM , ? y, ❑PM
j TYPE OF SYSTEM I IF KOM Evmw Op1a1LETE: 1 OF SYSTEM r FLAK E'AIBI,
K" so"GROUP
� 1t"MYOUX1.0.1b. 1 I II0 � R IA.Ib le I L
AYM[O�MTEM ,,, ••• ,,,•••���•...iii I m OF riaml
i C17-Vcv ryc. rI
T�oRwlmwwu D iP� 1arwLowlDswlaEMLy�LEaaLEDTLD TYiP/gllNp —
w«r dP r 'Aww DAY 4 J.w WY! )
tee4aY.1[.. MEENa� J iA/O f3'P�MAa t aaZAIE_ '! EYEMMa_�-..�.
'EAABAE OOLLECISO SM INEBW a'rsmEDYRINWM:AMMAN sAArla ar.OaRW sYiTFMorREERRpHE,_�NMM)
`I Al Abu ;" +,/ x7 17 r'I ,..
1YP! LJOROUNDVATER UHIDCR SURFACE MFll1FNCE TYPE MNTERLIM"SURFACE
p SURFACE O WELL W SPRING C.I PURCIM$EU a I 1 GOAyyNT1011 []SURFACE X WELL a p 8MM0 p PLWCIMSED W n COArEIATKIII
WELL FIELD INTERTIE_--__n WELLFIELD MTERTE-__—_.a
stND REPORT TO: gMlNny,rganTwAgw POUT II — !`OWs)
4 :, 'L.�!C rDn �r��-/.►rirEil Yne iA^ �=7Jr ..i* 2== c.w*Tdll� yrfi.
!Sep r✓ _'� [wA.r�y IY/f�f ,�Q �,� •f b/C'IMl1 Ll i. �_._— _—+.-..-.
' �t'.' v1IMwgIw o i
TYPE OF SAMPLEtd a 0*an n W Gala#) TYPE ORFOpSUUAMPLE W P aa/anG M aW Oakmont
EII
G� WAT �LSa1eWEM IRWe#E_Rfa_flaal pORIHALMOWAIER ❑dMRE#IGC IRFaM1aI:_...TaW._._FwGI
aIGaAG "I" "Baal aMatYaMIMIK ---.II`R1'1 FERwE
U»GMEFaOM tAaveaa O#W
p PWAMOOM FowG Laba --_.- .-.REPEAT 88AMAPUFI RE
buG eG SAMPLEAT PNan1a LAD a
DGM I I UAN I _
1 (_RAWSOI.IW;FWATEII SaawGl.� �] TMIOGaan 1,RAW SOURCE'WATER Sauq Dam Tam Ca4lara
NEWCONSIRIICIIONa REPAIRS s 8HGMCGSG11n NEW CMST RUC ENNor RF BURS , PwI CaAAnn
OTHER(SEwN) /,(J- 2 7- ZY2 A OMFR ISP.atyl yv 2�"2�2�
REMARKS REMAFM
• �_. (IN USE ONLY)BMMIKMa WATER RESULTS _- -- (LAB USE DRY,DMNKMD MVITER RW&M
[]IRISATI8FAC101W.Ooas#r MaMaK I CA ]UNSATISFACTORY.CaMOraN E+aNfY �M11MY1C ,
NEPEA7 �..�E.ON Plush �E.Cali Pratt v � 1f15 complementLOMMMM OOGGaaawlMM
[]
a&o I_I P«aPaWM f_I F-1 WwM RralnRD L F�rInOM �]Raw PIMP
oTTeRM111O1UTDRrRETALn oTNERuaDRATDaraiwln
I TOTAL COUFORN. 1100,111 E C011 • , 1100M TOTAL COLIFORM :, n00M f cot 1100"
FECAL COLIFORM_ ADD 1M %ATE COUNT Nall FECk COUFORAI_.. 1100 m PLATE COUNT AM
ANOTFaR SAAR'll RI pIRf:ll � ANOTHER SAMPLE Rtgl1RFD
SAMPLE NOT TESTED BECAUSE TFSI UNSUITAN E RI CAUSE AI SAMKE NOT TESTED BECAUSE TEST LMSUITAN L&FCAUSF
[] A Na o10 [..I Lw^mt Pawn so"WG as Ow^nm 1p M
wmme M I'I TNTC Vb""FINNIW TNTC
I )NM IV* tan I I Twrw Q^m • BeeveMW ta" TIrm c AA N
( �ESarG OGbN LmwMWM
TIC III.A14SI S101.k1l We 1 N CVPY I OR 1 MPI ANAL 11 N,A I If k111 iEt REVEJESES" LY 61111 v ")A EIPLANATgN or REBUI Ii
WAD.IT DAITIm DATS.TMal MIWD MCE1WDn W=Ra" DA1A.t" Dav
//� = �D��P ►
Wnri[Pp11Im IA/VMTp1`/ nDWAMMO
rrGTr
11n#a#Ma MM
WAT'Ep 9UPPLtCR tYTPY ;:'Y
Loucks Tasting Laboratories,Inc. Loucks Testing Laboratories,Inc.
940 S Harney Seattle.WA 98108 940 S.Harney SeaOle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTI% READ INSTHUCTIONS ON BACK OF(ADENROO COPY SAMPLE COLIECTICN:READ RTSTTNICTIONS ON BACK OF GMDENAM COPY
N RNII1tsIlstR aw Ilst hneYEq,oallWa vIM r ulaoloB. N NRNFIOUaaa aae IAu1Ie11saM,oaeMM We M NWAI.
DAT COLLE EO TIME CCLLECtED P OA
I10MM , m vaAA fJ tlmrN BAY YAM d
I N --- ' ""
fin
OF SYSTEM N PUBLIC inorm TYPF OF FMU N PUIIC MAMA COEIRa1E;
muc CMCIE OROLIP � On"SilO1M
tI INCINIDUAILGo."o 5 c� L- ab B ` R�«�` to F� ®e
NMIE OF SYSTEM NAME OF SYSTEM 1
PWM�OCATN1M1Nala CEEO RLEPNOIK NO -- �EWICW(YI ralE SA1R[OQ1lCRD TELEN101R No.
Wo 884o8 0(41644004. ay t LOU E384vIia 1, *AAQL� 1 )
V, guAw CIF4'e 0400 -S — Z" C6,uw rVr. 4*z4m
N T" Ply EYE/!Fq BIegN er _
SISAPI!COLI.ECTMft(FaRIR) MTEMOWNEI9MOR.:pwml SAMPLE COLLECTW M(IaFlaat M OWNERAgR.:(NNN)
TIAN 11wwA{�3crti. 1j11 3_LC� fjAn,"TkJVMY'Sun/ R.41/ Jot !-
WURCEME 0���EFPll��—O��ROUND WATER UNDER SURFACE WLDENM —_— BOINICE TYPE��,W�WIOI w WATER Cmm MJRFAcF PMLDENC!
I LISURFACE
`'�IltglFIELD SPROIO [� R SED ar WERrIElJa OT&VM ❑SURFACE „-WEtI FIELD MING Q�PURCWISIED nO T10N
r,lElq NfPORT (�IMwNMM,AAIw aM 001e) I REPORT IO:..(PRIF Ra FIRM;AOaww3b 000
uEV ae°r_.�"�1t11t.e.`--"�:wry��u�r.. . ��*/ ofi(�M'r✓RJ wA7bIK. L.77crT7etE
lue a Ter . 'gi ,y/ p/A.! Ib55 .'�oary fF GR�EoVkA•l
ePAnRya PE - Mr'O r yrlRewrae <.
i TYPEp MMREpREa aayarr RTNt oOIRerO 1YPE OF SAMREFA.'a MFalR alar aRUlml�r�
RRppUU �RWTINE
OMSL� YM1111 ❑CAIRIaYa NaaMla_RIII_—_FIeM DRINKING WATER
gratkoeaallorK Iyl��'fl Pa1R! aMCL►w.11wq
❑FITSPLE (AauMaoaa REPEATS E MLpr Lob A i Mmp.Nrw Ltl.p1YeER1aaNM—
hY Der
RAW SOURCE WATER A T'f`� (1%NOW" �MWSWRCE WATER 9owaaElar�Pr'I� TOW CaMam
NEW CONSTRUCTION or RE PAIRS
2.�.2000 (PJS MMWIRIA NEWCONSTKMTIONa REPAIRS LFJEB�l222U�0 F. Call" )
OTHER ISp iy) [ OTHER(SPwryl
REwRK1 P.Z V UITY UY Huila RlMARIS. �. Z ,4ITY Uf SYSTEMS
rt
F ,,.
WMONIY)DRWKOGWAIMNMLU ILAA'MONLn WAWJti WMMM AT!
1NIM11�MCTcltr,caNRRN pMRK Q SA eTMFAC IC ❑~TISFACTORY.OoMRRop m 11 'I CAT.+ISSFAC10Rrs a
REPEAT 1,clSPaaRe E.Oall aaaRM OaMaarRFo.aa REPEAT flow~ I.OMIESa1M
IMINFaaRM �PMYa1oMa RlOUKIED FMa1PMMa �hMa1RPIa
OtlllTt LANOPAWWM At _ OrAMLANOMMWNEM U ---
- -----------
TOTALCOLIFORIA MEOW I.COM S_naSIM roTAI COLNORM ._..._/Im IN coou.�!-naSM
FECAL COLIFORM 1100 m1 PLATE000Nt._.._ AN FECALCOOFORM ...ACE N RATE COW ...,. AN
ANOTHER 9AMRF RF OIIREO ...._ ANOTHCR GMPL!REpRIlD
SAMPLE NOT TESTED SF CAUSt. 1 F ST UNSUII AIR t W UAUVr SAMPLE NUT TESTED BECAUSE TESTLWSUITAaEaFCAUW.
Sffim"Ne ow I01-ft nt 6""e Sm"wm cbnA aam
W-1 a11YRT i TNTC I_J Wnno t'anw~ TNTC
-1 lnaallPlEM M1111 luldd culNN �y' NM ARm TVM ruISn
E".dotes
I au f1lA RSt SIDC p GI 1 N(X*'4 I 011 l lth AN A wee I RF I IU LR R.4 -AK 00 (0111 N LXVY FL IPI ANAI ION Ol III SPATS
NwIta m DAM TWO[1unmo na:v.em W110.00IaITa WA.1 a IIIpNa0a1'
Cl i
mpo"a
Des MTR111R0 1 � DAMNFORTtp
I ,
' y1ylY,y „I.MM.
� IO�MW,MY aM tY�q WIiM�NY {
INTERPRETATION OF RESULTS INTERPRETATION OF RESULT'S
FOR DRINKING Ili FOR ORIN11i WATER
The analysis pnHorrrr:!.Or :fi,6 d-..x-ny*at!?camph,is In exit,i ,a, Theamalyale perfarmedon rus dt,^itmg water eampMTs sAvttsamtht
lion tot the presence cl col+t erl ofea,asr 1 0 Ih i -1 catet lion for the presence at colilcrm organism's,n tht,*Xff, arfe.:calop.
the baotedoMgrtet lual,tr ,)I its sr•.,ole the iiifso,':.• s l 0 ifG: the bacteriological aahly of Me sample
organems is itself or roWth Orgeri.auorn, ourldie,lu as am nit tatc• p V ay Tha oildo, s of riTcalcolif f
for the possible prHenee of other orseA•#cn.:siny CryAr 9ms for thefp s si used try heannO then abf8ff woddwide? A tnd;qWf
Tor the possible presence of Other dtseaee cnustnp OtpaA Sms.
RVAR_ M Qp RESULTS; REPQRTING.QE MAULTS:
Group A Public Water Systems must rapon the t,,e wits or f`r:-.,,Op Group A Putnc Water Systems:ndef report tharnraultif atirmo 1p.
Water Analysis to IM.19gta a$ apetftled M WAf, ".46•7Afw481) Water Analyse t: the State as speotRad in VMC 2a#•Pea aoi T;
SATtUACMY.RESULTS, SAI15 AMIR]LRESiULM '• oW • • r ry`'
The absence CI Cohl,rms from any sample .. axiald,fury, F,.i.ar Tha absence vP cohfncros Item ar'y sample ,a sat•¢rdcl0ry 4'•tv.p#r,,,
system maintenance and bscutfofnprcal rnpRltpnng SMl:f bo cane system traditional and baet"W"reat monitoring sfMdk ba`ttop•.
dnued roulmely to Insure the safely Cf the water sup," lmued routinely to.nsus the"rely of the WAIc+ suoGlt
UNSAIMill QHYAESYLM tiNSALIsEACTORY RESyLIS
Any cohform presence is unsatisfactory Any COMOM presence to unsahafeytory
The presence of cohMrma trtdrratea the system to not pf"t+ r The presence of tahtonns indicates. the %yetere isy not Pleporly
protected against 00Atamihatigrl and may 64 unaaTe(Or ry Tian protected a d+nst Cdntaminatlbn anP r:r� nsale(Ol f.!Ran pwn
sumphon llrlli�iiSDC4!Y..iiStl7llIE�GYQ.Di_Txls'�911Yd Itltgtd i'� p ,gy,.19.HGSfi i,A6.,P CLLRCIaIfI..IlI.�?Oy1$ 3,T1Y11,t.faMT.w.
sume to In t 1 m m t � , on t
AILLY ens feDOH eempL sTL si attp l in local n#Itdopartim , AY 'L Y Anil Weat-Sams1At LXMM*C Contact Your loco; haaRh
sawfoaofcoirDOHRsprona! fl+ceforatriko fires. tf4m+,r• If,r "ParlmontOrCOHRegtora;Olfxeheassrsthnc#,lifetcrmmr20.p • {
Wu.W of COnlamrAanOn tmlf CPttaitWa prpe#dyfaL . soutc#Of contamination and co!rnrtive procedures ,iJf
When local Cohlorma or E ca i are reported present in a son life, th.' When total cotdorm i ter C Coll ".fol'ar:Ud pros Ynt In a sa0:y a,1h;'
IMMEDIATE ACTION REQUIRED by a Put , System is, Cl
AC I ION REQUIR by a Pub]; Sir tam u-
I investigate to doterTmo theca-.'..x and tn!'4(t IP#nih.btton. 1 Inveshga4 k`dMerntim st a caaee Ind:or•.pri Tyr situation.
Your local health depanm,m.t or DOH Rep crp! ORlca „r+ Your la,al health departmnnt Or DOH H#pnMai Office tan
inlet you SUM you
'
2 Submit repeal samples as specified In WAC not 79C 4P,� p Submit repeal samples as Specified in WAf;pit 290,460
3 Publicly M n hfy the wea of putdtr. water x,sl*ins n•, spew 3, Ili AMIN the Itself,of public water S, :am! As sdsc" f
r tied In tied m WAC•24kPW 480
ga8•$gQ�480� [
4, Conlamyr +hur loWiwrshh daps"Ahom or DOH Regional 4. Contact your;pt�eal health department a, Dtlr. Regional
Office as specified inWAX! 46 2g0 4M 011 as spsci ed:n Wait 246,290 400.
IEST_UN IU A6LL Hesample Inu'ni ik T2,3T UNSjLaMLE, Rasample Immediately
Confluent OtaMM"mes•ts ba'tnra have yrolen into a Mn .F,uONa "Confluent Growth"moans bacteta have aqt twn ntv a ,Mnhngf us I,
mass wh-th makes eounhny anposs�n'w 'TNTE"nr„ens'+nr - n a•:, { mass wmeh makes counting imjtossl¢k "TNTC"moans eartef,n ere
100 numerous te count "fteaaaOrlif moans Ihro 1 n.,. 1
Me Water mtarf#to with the lnf#rpreta110n of test 'e..' tutbrtl 'tea mtm#faw tc cOulN. YseaM OoerMr'meats lhrmr uarutn,lerw to
cgRkest moan#an overyu,wth Or other baJSIM cnr urh�o v. r the water irllorlar#with the Mt#rpretallpn Of test rowits, TlNbld
<SYIWm"mean#an overyrowlh of char aaslet4s Can 'ntoHata wlih
conform analysts It any no,indicating all unsurtnb '' st r;.i" Million"analy#U It any box indlcat:rp dr.unsultab•,fast is Checked.
the prssonco of",14orm bacteria cot not hill deters ry and a I r., the ptesance of colifatm bacteria co,+id •ol be dnletm nod and a held
sample must be obtained for looting Sample must be obtained for tealing
RESAYPLE.
Sample too old (Sample to be tesl+sd mkt be m4C+,vsd whin hot is MMMPLL
Sample too old.{Semple to 00 tested rnukl be lete+wed Whets?0 hears)
Not in proper coatamN. (Some to be used tot meeting meat Gs Not in proper contamer. (gOthe to be used lot tosdtlg must be
purchased from a cart am lab within 6 t im4pi 1 purchased from A Coltifled lab within 6 mo theA
Insulhclem volume.. (Sample must be al e4s1 lief) n,.! Ins0fictont volume. (8401016 most be at leap t00 n,
It not tested,a new Sample must be sabrodted for analysis If not looted.A now sample must be submitted for analysis.
MR ORatATIRN; MRAQ{I IMMLIUMMAIML
Contact your local health department OR the ybor rtory where p-.t Oori your ii health department OR The !ablI fy whory tlna
sample WAS tested OR to Department of Health, Drinkio;t Watt, sample was tested OR the Department of Health, OrMlionj Watt,
Program Regional Office. Program Regional Office,