Loading...
HomeMy WebLinkAboutWTR2702825 WTR-27-2825 BEGINNING OF FILE } a WATER PROJECT FILE ABERDEEN AVE NE UTILITY IMPNJVEMENTS Lsucks Testing Leborstorles,Inc. 940 S.Hitrney Seattle.WA w08 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTI(W READ MSTR LK;TIDNS ON BAG(OF GOLDENROD War e 1"Vuol4rM M no1101bwed,wnlpb we M WeRe L MATE COLLECTED TIM�CDLLE.CTEy COUNTY NNE uOPte 0Ar rWi V AM ❑IY K1r e ty?EOFSYSTEM IF PUKIC IVITHL OOMPLETE: PUBLIC r --OROIP ❑WOVIDIML I I.D.MB. I 8 A. R wwreifr nrI`W NAME OF SYSTEM — ---- Grry v - V I C>a✓ 1lRE SIMPLE OOUXTED TELEPIIONEND. plu a14�1*8_,.%.— DAYI 1 /IT/A: :f'lAr —1y r j-,jo ` �aXt�r.✓ OIS�''_ EYEiANo( ) _ SAMPLE COLLECTED BY:INMiw) SYSTEM OVINERAgR.:(Nwm) 1 IRVA l�t!_ JCS(/✓- A9L r�Q ORObEp r 9TYPE WA/FR UNDER EIPLIIEHICE ❑, IRFAOE WYW1ELal REm ❑SPRRC ❑WRGIASE w ❑«0 j{AK INTEME RE►ORTTO(PRO FIN Nnnw,AOetmIo WO 21P_Ooft) �— Gaty o A� /tom/a-r!A✓ _�i N IbS yTT t.1 rre:S TYPE OF SAMPLEWw or#,aw Iq,m wluml ❑d1Ee(RITiYMTER Ll cmmkoNE tfte w:_TOW_ iwl china twu w11 PORNOREPEAT [.]lFetWOw OIw e1 Q Prvr oomwmE -y wwrwncw lIe F aw `7 Y RAW SOURCE WATER Swast `YAK Onil. NEW CONSTRUCTION w REPAIRS IhOM CNwm 0 OTHER(Sp") Me tm ONLYIORMMLWO WATER RESULTS l ilMSAIISFACTORY.CaNeIRr pOtMlt SATISFACTORY, Gw mro M>rN REPEAT E.ON pIMMII E.0 OttNM SAMPLES REQUIRED MaN 7muM FgltttMA OTHER LAISMATM NUULTS TOTAL OOLPOIIM—.—_1100 w1 E.COLT ..__.MOON FECAL WUFORLI_—-MOD W PLATE COUNT AN ANOIIER SAMPLE REQURED SAMPLE NOT TESTED BECAUSE' TEST UNSUITABLE&CAUSE C J Swwb w NO [ ]Cw%N l w0wln wmrg mm~ U TNTC r❑w wobb bml TwWoAln ENsraAtn. SL E REVFR%SEIr OF GREE N O(N•V TOR[7Ii'LANAMON Ul lit, LOW ITdWTy an,"Amamium PFCMNEDEr it/S-/01 I1 �' AW 6Q )tAeBITM I A� e.Mw. i WNrEWATTYw WATER RUPPI HER COPY Laucks Testing Laboratories,Inc. 940 S Harney Seattle,WA 98108 _ WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY U Instructions are not Iosowed,sample wiN be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH MY YEAR Rat, 0Fm TYPE OF SYSTEM IF PUBLIC SYSTEM.COMPLETE. J;LpUBuc ❑INDIVIDUAL LD.N0. ' C V C19CLE GROUP o-A' .wI J !`'E) NAME OF SYSTEM 5 -- �/ ytiL "='Za '0 A.;. Je6z7 ).—� SPEOFIC LOCATONYAIERE SAMPLE 00LFT'.TED TELEPHONE NO. AbC•-.:IjA?L Avd.— DAY $�a +� mt EVEN a SAMPLE COLLICTED BY Name) S TEM OWNEWMGR:(Na,nel SOURCE TYPE O NO WATER UNDER SURFA MLUEEICE ❑SURFACE ❑WELL w WELL FIELD❑SPRING ❑TNT RASED W❑COMBINATION SEND REPORT TO:(nitre FyN Nama.Ackil yq ZZi�pp Cc�a4 �ET�K �•.�MQ LlX.1 AL'a1% ; MI7'iE. M7/Tres r T\'^E nlF SAMPLE(aaack only one In tlNa caMmnl ROUTINE []CnlwlnalW IReaiaunl Tolel Foal DRINKING WATER cI,BCA 1TAtmaM L FINNW ❑Unlrwil nr Olaw L REPEAT SAMPLE PreviouT mlilami Preawrce LAP a Dote RAW SOURCE WATER 111 a 9 a E I D- ❑Tolal Calenmi LrNEW CONSTRUCTION W RlINdRS ❑F.Im DONM,n OTHER REMARKS (LAB USE ONlLYI DMWWQ WATl11 IRBUILTS UNSATISFACTORY,COkbmw Weawlt ❑SATISFACTORY. Cokf r aeaent REPEAT ❑E.CcM tasawe ❑c Cale wwre SAMPLES REQUIRED ❑Eats or..wa ❑Fecal ablent U"I LABORATORY ROMTII e TOTAL COLIEORMn., 1100 m1 E.COL1 1100M1 FECAL COLIFORM , 1100 m1 PLATE COUNT MI ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE TEST UNSUITABLE BECAUSE ❑Sampla lm wd [j Canscant WOwla ❑wmv cantamw 1 ❑TNTC �]kwwnpwo tw. ❑Twee ca1wM ❑ _. _. ❑EXCMe aeWM sale RMAM Ift OF GREEN COPY FOR EXPLANATION OF REBERTS W NO(fowls Dan,TIME t[CENED ""NED aY DATE IaaORTEO IAaOFRTaEN: IXar a Nw eav MFI WATER SUPPLIER COPY Laucks Testing Laboratories, Inc. 940 S.Hamey Soattte,WA 98108 WATER BACTERIOLOGICAL ANALYSIS SREEPLE COLLECTION:READ INSTRUCTIONS ON FLACK OF GOLDENROD COPY I/InatnwNona an not followed,Semple will be nlestee. DATE COLLECTED TIME COLLECTED COUNTY NAME A10HTH MY YE,µ I h I r� 1 t ®AM ❑PM ",InC TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE n -. W PUSLIc n INpVIDLAI I,o. ( �Q r C' GROUP nv:wmPinc.H o > n LA" e NAME OF SYSTEM 9PF HF L 'WHERE SAAIPwE CCILECTED lE1.EPtIONE y:�utx+ � rot EVENING L w SAMPL COLLECTED BY INtanal SYSTEM OWNEWMOR I I BOWE TYPEM GROUND WATER UNDER SURFA I CE INfLUENCE ❑SURFACE [a WELL w ❑SPRING ❑PURCNASED w EI COMSINATHON WELL FIELD INTERTIE wOTHER REPORT r IPnul Fun g ►�._fie :A��i�P� � T, 1. ("0H MD TYPE OF SAMPLE IclwNEl aMy ww m IIa column) ROUTINE 0�-IChx ,I AtE alai FlaQ DOUTINE WAIEN IRu�Iual 7 cback tMtm ,t ❑F m ❑Um� El REPEAT REPEAT SAMPLE ----- PYw COW) m Minna Lab n L Date F7AP(��U^rGT•cir �?A&61 [[I RAW SOURCE WATER Sou"F 1 r TE�QEe�uui CWiMmr DALIN CONSTRUCTION or REPAHNS „1\ j"�Eac4 fd�fiam ❑OTHER ftwoyl (LA9 USE ONLn OFAM 7C7:ab"m r"F pUNSARuACTORYDa9am.p...Pt ❑�eAMaRTIERACTom. REPEAT [3 E.QOM t>'etwm []SAMPLESr, �-1REQUIRED 0 fatal Pwrant E] GRIM WOaF1T011Y RHULTS _iOTAI COLPORM I{ /IOO mI E.COLI j'�/1 _flow .—..�.- FECAL COUFORM 1100 rM PLATE COUNT AM ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED SECAUSE TEST UNSUITABLE EECAe ..❑AallIII tee ukl ❑Cwouom Sm"I Wmv OaMaNwr ❑t1 TNT' InCutt10NM Iwm u Tw w Cu"". ._._.._.._... ❑Eecaaa eEOna RlR A 1 M t ..N RVF R (P )All N FR Ue 40.(10IOnis oMl,JTI�W NWAW PlpUMOV MTE NtgRTlp UMNWAMW. r lOwiorv. ... 1 1 l WAIF I:; r, H COPY I— Laucks Tasting Laboratories, Inc. 940S Harney Seattle,WA 98 108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTIONS READ INSTRUCTIONS ON RACK OF GOLDENROD f,OPy N tn,ltuaeona aea Rot t*"Wad,SOMPW wla be taiaeted. ZrE COLLECTED Ta/E OLLECTf,D COUNTY NAME TH Wr ��- C]AM ®PM t�C TYPE OF SYSTEM R P IC 8YVTENA COMPLETE: ®PUBLIC ' p INOrv1DUAl DL WI 7 / �' O ` C G W IYrvM UMv 1.eowYy Rw &I / NAME OF SYSTEM i � BAAN'LlCDLulcm TELEPNONENO. c`^nitn•-Ll ern s SANIFLL LLEC DaYitaml 7nuoY 3R.I�, r, /1 r� !,lot, SOURCE TYPE oROWIp WATER UNDER E INr8lM�C Lt1ENGE ❑SURFACE.®WELL or WELL FIELD SPR0/0 ❑ 11A8ED w Q(X1MaINATgN w OTHER P011T i0:M'MR FIs NW04ACENM alaZiP Cotla) C I: T Y TYPE OF SAN PLEioAtoa war alto Mt a1Y aaM DRNtNI arnl RWTa DOOMMae lROMAW -.._.Total F.. eMek t WATER tltAlnianl E]FRaraa Untraata0 or LNKa, f J REPEAT SAMPLE _ RaVIWa aNltarm VraaanT'x Lae L RAW SOURCE WATER Sou cal a® t�NEW CONSTRUCTION or REPAIRS 1J 1 C]OTHER ISPan�Nly Ili MARKS _-.�,w .._._....._. 4 , as aim ILA,USE Dan DRINKING WATER RESULTS I.]UNG._TISFACTOIW,Costar,,Ross REPEAT E.Cat paamt O gool abaSAMPLES1r �tfewRlIX/aIED lJ f, waraAt of,W OTHER LASOUTiM%wATa TOTAL MIFORM A/100,I E.Cou A r100 Mt ..—__.. EFCAL CCU FORM 1100" Pt WE COUNT n,l 'LAMP,E NOT TESTED SFCAURF II SI 1 IIARLt xl C AUtit t�sa,Ple too ok SEP 19 Yam," 1 a, 1K ❑Wrap contain. SE. LJ hwornpil rr, CITY OF�Wtua D _.._._. UTILITY ,�a. flows aIN RavERaa tuoe Or oaask Coot F R KPLANA ION IA,W nOgRa OaTE.TNAttlrgM1tO taGMOav DATE aEPORRTO IAaDM1VIIM «. ,.ov eav eta VVAI E R SIIVPt'ER itV"t - Laucks Testing Laboratories, Inc. 940 S.Harney Seattle,WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N Mslrmll0m ere not followed.UmPle WIN be rejected. DATE COLLECTED TIME COLLECnD COUNTY NAME ArCNM MY I" _�_: (' EIAM e TYPE OF SYSTEM I N PUBLIC SYSTEM,COMPLETE: Pa1.IC e INDIVIDUAL CfRCA{Olgl! . C_ LD.No. S I S I U A • NAME OF SYSTEM b^ SPECIFIC U)CFXY11MtERE,N.Pt6 gLLKfP TELEPHONE la DAY I y [VQMNXL ,COLLECTED BY:RYrne) S TEM OWNER IF}errl SOURCE TYPE GROUND WATER UNDER INFLUENCE -- ❑SURFACE 1)NELL or ❑SPRING❑PORCPAM or❑CONNN ATXUN WELL FIELD INTERNE wOTHER S NERONi 1 (Fmt Fu4 Nertn.ACGNe wl ip Cady -`—.-___ TYPE OF SAMPLF(eMek only one M tN•ookn ) L]RIXDRINXITININOE C lM Po lR"xkW:_ W_..Friel <' owt ❑ .Mch InAtnlent r❑RiA•eo REPEAT SAMPt E PmYm,cdlNnn Wesenca 'BD e __ i ❑RAW SOURCE WATER Sc ece a mS F—m Cl TOw CwI VIEW CONSTRUCTION w REM RS ❑room Coml 7 tYq RAs uw OMLT oRwNNa ee1TER RBsaTs []UNSATISFACTORY.CoMlorme Raw ❑SATISFACTORY. REPEAT OE Cob P owd ❑E.CnN eheent IMEOKR60 ❑SAMPLES Few Present ❑i,aw Aw � _ //��OTHER LADORAY M RBMB.Ts . TOTAL COLFOR A N 1100.1 FECAL COLFOfeA __noo M /w ANOTHER SAMPLE REOUNIEEDD SAMPLE NOT TESTED BECAUSE: %p 1 TESfOFEUITMI�BEGUSE: smtPOteoeN CITY povnn vAaq oaaerw UTILITY ri 9V S•orrlolye Aonrl Tweq adhee SEE REVERSE OW OF ONION COPY FOR EXPLANATION OF RESULTS W PD(?Dom ATE,TMN nfc"D RECENEn sY Mn RlT�e, IAeMATt1RY eFre•F r l ow ww Fev r•l WATER vimPt+�,..,ro, Laucks Testing Laboratories, Inc. 9E0 S Harney Se!VN,WA 98108 Y�LL1 WATER BACTERIOUMICAL ANALYSIS SAMP t.I COLT I C1ION RFAD INSTRUCTIONS ON BACK W GO ✓ENR00 COPY R InEtru alone am not toaowBA,ample WIII be siBOtBA. DATE COLLECTED TIME COLLECTED COUNTY NAME MOI OAY YE/R ❑�M 'o . TVPF Of 6VSTEM IF PUBLM.SYSTEM,COMPLETE: PUBLIC INDIVIIXIAL � - C t)ROUP NAME OF SYSTEM ^ SPEW YRRRE 2gM�qr�VOL__ TED TELEP ONE N Al RAY b �BAMPIE ILL By,'aarmalVV SYSTEM OWNERMpR.INrnAI 1 e' �� IF SOURCE TYPEGROUNO WATER UNDER SURFACE INFLUENCE • ❑SURFACE ❑SPRING Q PURCHASED w COMBINATION �wPEEIL FIELD INTERTIE aOTHER Fm am, IF NM�AOtlreYA TJ J'J.IIr"C'�)t;�; TYPE OF.•;AMPLE(CMrA wily one In m1.Cnlunw,l ❑ROUTINE ��EBIe���IIIeeeIII DRINI(INO WATER C�C.,�w E _ FM) MCA c neAtmMl �FA D iEAT SAMPLE UnMw OSw._ RIhP PmAwe cuAtorm MM pealI LWa AUG 0" IITIUY S TYS r Cl RAW SOURCE WATER 9 ARV I� m ❑TUW Cwk n, UMOA NEW CONSTRUCTION a REPAIRSFai COTHER(SWIfVsn>I'.t{,��51. ... 1+1,�_•G2�'. 7 I As Let ONLY)OISIMI110 EEATaa FXW^TgSS._gATT.q�...FF.�� ❑LAI:AnVACTORY,CWINrmu Prwn ❑Ceylarrnitliwn REPEAT ❑E 00hpielm E ( EBEtl,i SAMPLES "BOOM ❑Fegl Pweutl 0 Fw.el A4eem oTNq LAW"no11Y ma"Te TOTAL COHFOAM :,Oom1 F COLI . ' 100 ML FECAL COUFORM_,_oo0 tin PLATE COUNT AM -- --ANOTHER S SAMPLE REQUIRED SAMPLE NC' T420 SEC" TEST UNSUITABLE BECAUSE. 0 SwnP4100 wtl CwN wt BTwm tl❑YAwp cwnwmr L]TNtC ❑InpenlPlRe torn C]q,rola P1rRwe ❑..._____-___ ❑Eaone neOrA m m F E Slot Of GREEN COPY r 1R EAP NATI) F mm LABM R 00tei PATE.TWA lack,wo REOSFapBY OATS REPORIEO 71a 2 M MIIIEBM.AAN WATER SUPPLIER COPY 1 -- ^I M— - "ucks Testing Laboratwlss,Inc. i�OV 900 S,Harney Seattle.wA 9510! WATER BACTERfOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSI HOt1 NS ON SACK Or GOLDENROD COPY N II4O1ratlSM ON not fORowed,SWAPIe IN be alb. DATE COLLECTED Ty.IE COLLE 1f,0 COUNTY NAML MONrn My W&A �AM ❑PM TY OF SYSTEM I LIC MTEM.ODAiIETE PUBUC IF ❑INDIVIDUAL F / UP NAME OF SY TEM — n W(IIIE COUFCTED TELEPHONE ND, �— ffF� DA �ZYC 2/0 y7ii�rl� °1�C EVENING 1 SAMPLE COL. RSYSTEM OWNWon ( an ) ORATE TYPE UNDER SURFACE INFI IKNCE ❑SURFACE ISQ WELL or ❑SPRING ❑PURCHASED or Cl COMBINATION ll FIELD INTERvIE POTHER NO EPU i rmt Fyll�;Ay�lm�a�P•a�jlefOe{�'�f.� ry � TYPE OF SAMPLEWW"only erw M MW aoMeanl ❑ROUTINE DRINKING Va TVA Cl ChWWA%d 0%6".-_-. T" -Fml Mace lnleenere °F" ❑ REPEAT :, C ' IVED ❑ cWl" _ PnWuw collbrtn oneenae lb e Dole CITY OF RENIENJ IµW1 !7TEMti ource ❑RAW SOURCE WATER S e r4EW CONSTAUCTION or REFAMB „���. ❑Fecal�:nenx„ u OTHER(SwOv).._._ A."Use ONLYi 111411"WoO WATM No"" ❑UtSATISFACTOM,Deep"plyenl ❑SATISFACTORY RtPBAT 1.Doll cwaarm.YM.M Pgeea E.Cee abeam F RewaRew �Feui eeewa DTtIBR LADONATORY WWATS _.— --- TOTALCOUFORM [,nW ml E OULI FECAL Mb IFORM _ 1100 nN PLATE COUNT.__hrJ ANOTHERSAMPLEREOUMID _. . SAMPLE NOT TESTED BECAUSE TEST UNSUITABtE RI, ❑SrNM loo or! ❑Coneuenl ara Wtn ❑Wront aonwm ❑TNTC kwor"I ale earn ❑TWW oW re _.... ..._ _._. ❑l+ceee Oebm Yt REV@Rta BIOS OF OREtN COPY FOR EEPLANATMN OF RESULTS W NO O DKPTa MTE Tat!mc"o MCNVep e• vWA70 WATlR sUPPUER CnPT' Laucks Testing Laboratories,Inc. 940 S.Harr v Seattle,WA 98ID8 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N IrstroctlOna WO lEW Eo01mod,SE11010 WIN Be relacted. DATE COLLECTED TIME COLLECTEDCOUNTY NAME Moue, DAY YEAR `) T.0T'YTPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE O PUBLIC [�INDIVM±UAL fiFTl �� I y J L CHICLE GROUPr...w.,.„ L.�J V �... NAME OF SYSTEM C I T`( V 1 jiLw 5►I o E_T PLAT —` LIT`i h CF TC• I SPECgClppA1NINEiIyNlyiyRltbLLECTEp TELEPHONE NO. F' �. L•TY JTSL,.! PLAT EVENING SAMPLE COLLECTED BY OA.,) SYSTEM 0Wt4 MW MRSII,o cl DOLNRCE TYPE GROUND WATER UNUER SURFACE MIFLUENCE SURFACE ❑WELL FIELD U 9PRu+o❑MafIEOR�°r�aC TqN SEND IWKW TO:�FUB Nrne,Adaa.P am ZIP� i_ Tl F . rT wI ITIi IT'. F't I YPF OF SAMPLETcPPtk aar an n EIY 60%w ,) ROUTINE DRINKING WATER ❑crvt�1 //�� •x,.l chn nPM l ❑Flh~ REPEAT SAMPLE 11 Un'—wA PtT S PrPvxPM cnNlum,I.PAYnts Lar r ctr y((Y'� , DAIP "•SV�ToA $ , I TeAF (-]RAW SOURCE WATER Suwt.R u r ❑To1M Cw� La NEW CONSTWAy"WXAURB [j FPCAI CNlbnn OTHER ISpwMYI_ me RF MARKS [LAB USL ONLY)DRSIRM WArUR RESULTS BaAA ❑UNSATISFACTORY.CPNrmupnaRll ❑CWaPN tlLrN REP61T F.OttoPrwant ❑ w E.Cal tlM R60111RlED Fecal par,1 ❑p6m AWMM OTRM LASOMPt IpSULTS TOTAL COLIFORM AOOm E CO.I r100 ML .�... FECAL COLWORM..__/100m PLATE COUNT inl ANOTHER SAMPLE REWIREDIRED _ SAMPLE NOT TESTED BECAUSE TEST LINSUIIABI L SE(:AIISI [1 SAmaA 10P da 0 C.,%.t W mh ILA-, L)TureM wo^ u -.... __. ❑EwsN donna BEE REVERE 10♦,�� R[[N C ►Y FOR 1 A►LANAfl N 0/R • LTS wNO000TEI DAT[.n cl�l o RF1'MYTO Pv o 'v DATE IIPORTru —_ TORYr PIMMeL ''j aPi w cYPAY MM WAGER SUPPI'.FR COPY Loucks Tasting Laboratories, Inc. 840 S Harney Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPI.0 r OLLECTION.READ INSTRUCITONS ON BACK OF GMFNAOD COPY It ina'ructlone am not followed,sample will be mocted. DAIS COLLECTED TIME COLLECTED I COUNTY NAME , I.ItNIrN (Al YIAR AM IO PM F�1 ✓� TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLE'TE'. T� [gPUBLIC L]INOmwAL I. No. 7 e- n CTAO®wP /NAA^PA Of SYSTEM (/t 1 �l N ELEPH K qu 901�ECTED TELEPHONE NO.of • A N: EVEM SAMPLE COLLECTED BY panne) SYMMOWNV M011.: SO4PCE TYPE Lj GROUND WATER UNDER&AIIAC1 WILLENCE SURFACE (] PURGY"M ar 0 CAEABBMT*N [] ®WELL FIELD INTENTIE w otNBR SEND REPORT TO(Print FW Ne,w.Adelaw a1M pp0y 1= I: II YF. .. (( .. •�L • FYC a-• ?�a TYPE OF SAMPLE(che k o01 orw M tMe Ceatnlnl L)ROUTINE r DRINKING WATER I''l 'erMNKD�I(Rwn,wl TdAI _F.")ClWk tn.tm.nt LJ fLAKnea ad REPEAT SAMPLE ❑ �/ R Pnlv�wa<oNM,nCmwMa tM+l, V t>.t. FFB 1910Jf C/r �]RAW SOURCE WATER Sowc.a I fI x� T�hTb,e, ANEW CONSTRUCTION o REPAIRS f�i R•1.1�. ,.� , []OTHER(SPacit,) c,I A (LA0 USE ONi.vl DRINKINO WATER RESULTS []UNSATISFACTORY,CoMmabr ..0 SACWdy,M Wwnt REPEAT []E.Cob pnwnl L]E Coh Want I E G 0F.wl tKeeeRt L]i.wl Waarn (�OTIIN1lAaORA1011V R19u1 rA TOTAL COLIFORM .(+./10D ml E.COLT f, ta'Mt FECAL COLIFORM /100ft PLATE COUNT m. ANOTNFR SAMPLE NFoIRRED SAMPLE NOT rESTED BECAUSE. TEST UNSUITABLE BECAUSE L]1imple 1ao old [I GonMwn provAn wmv Dame ler (_]TNTC wn,now.tam TUrbd U1111e. Lj Ellmae dit* I AN NP 1t D*TW an.TlMF wmwo MICRON) Iu l �awwtLo IMgMToll I � HEWN. u l%YIftl 9M wY awe WAI'E.R SUVFi <' N CUF`V Laucks Testkq Laboratories, Inc. 940 S HN110Y Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N Instructions am not followed,ample Will be rolwted. GATE COLLECTED TIME LOLL F��D COUNTY NAME MDNTN a i4 bl ❑AM ®PM /V1 TVPE OF SYSTFM IF PUBLIC SYSTEM,COMPLETE: '- 'AfusuC • (ypOLp INDIVIDUAL ' 9 s f1 � iO®ROIM ❑ I.D.Na !f �••.w rµ�'MlawlN OF YSIcMI 7rT COl1E�TED TELEPHONE Np. C .).! ..;� ( DAY EVENING E eY mmn* SyWMOWNER?MGR INma1r SUUACE TYPE Lj GROUND WATER UNDER SIRNA MtLUENCE ❑SURFACE ®WELL d ❑SPRING ❑PURCHASED a ❑COMe1NArKNr WELL FIELD INTERTIF n OTHER SE RE TO:IPAn falIt. "Zip -' --, ; �. r _ TYPE OF SAMPLE IeMOA Dolt one In Vat cork..) ❑ROUTINE DRINKING WATER ❑OAIFnnAIW JLaPtl al Total "wk hMimenl ❑Felwad KE��It w- []REPEAT SAMPLE Pnv I'•� " Q rous cartdm P'Nance La Y /�•f�i Dta 9Aft ❑RAW SOURCE WATER Source t S 'C ".a1 Cd,rorm Q NEW CONSTRUCTION,.RERAIRS •cal Coledm r]OTHER(SPearr) REMARKS: ! J (W USE ONLY)DAM ON WATM RN"Ts ❑LR6AT18FACTOIY,CWM„e PFWArN b F abaft aREPEAT OE Cam PeeMK Q L Oak accent MEO)IMO ❑No Pleura o Facet awn OTMM LARMTOM MM IG TOU1L CMWOFN Ansoml E,CO.I_ /,00ML FECAL COLIFOe/ ._../t0o u RLATE COUNT , mN ANOTtIEa aldAP1.E tle0UV1ED NOT TE111/M4rCAAlN6: TEST UNINATABLE WCAUSF ON , MGM ❑Cane"M IVORY, owrnoeeMYnr [I rNTC 1 .01 oft tam, ❑Toad ao" __..___..___ ❑Euats debN 5FE nl VERSE 51DC OF GfiE N me No FAPLANATION Of RESML' . I"NO A?lxeral wn Tarlx, REnao REDENFD n. I I µ 4 x ) If'I W 'A f}, DATE REIOR70 U&MAYORY lb,aetara.w WATF,R SUPPLIER COPY Loucks Testing Loborstodoe,Inc. 940 S Harney Seattle.WA 9B10B WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY IF Instructlone are not followed,"triple will be rejected. tlli CIXLECTED TIM@COLLE.CTED COUNTY µWE MUNty DAr YEAR T 1U Yw._ i. fir/ r I CAM TjPE OF SYSTEM IF PUBLIC SYSTEM,COI.PLEIE: TTT���� k INDIVIDUAL LD.No, 7 4 - In C C pc Ewa,onn,+.n.Nr OF Y8T9A /' I t n � I\ EaEG7�ICLocomiment {t TELrp""No. DAY SAEIPLE COLLEMO BY oft SYSTEM OWNINUMOR.:O/�nel fi%Wt1+n I rI , J -S{�UR_F TYPE ORp1ND WATER UNDEP INFLUENCE LJ SUre=ACE P WELL. ❑SP INQ ❑PURCHASED or❑COMMNAy" _ WELL FIELD NTETIE or OTHER LND DEPORT TAt.IPgpt FYrnte.AaMeEs,oq v Go" + —� y r r � h t k i TYPE OF;AMPLE Jc,wo,oMy om r Mla columnl ❑ROUTINE DRINKING WATER UCNamatW jResaoal Tot, tnel ctaecA h tmwn ❑F,n ❑REPEAT SAMPLE Pnvww ca�bnn we.wwY Lab. oat. C! RAW SOURCE WATER S El RAWE Total Conm for NEW CONSTRUCTION a REPAIRS �, Fecal Cahoon Ol HFR ISpec'M REMAfKKB T� __ILAB USE oNLrl opopuma WATSR RaalllIM v UNSATISFACTORY CNnorme pawn ❑Sg71SFACTORV. e REPEAT L�E Ca, CoHormeeWrn prawn ❑E Cap abeeni R SAMftD ❑Fawl ebNnl _-7{_Ol/1SR LASORA1pRY AMA-M TOTAL COI.IFORM 1100 ov E.COLI A-//00 MIL FECAL coLEORM /100 nW PATE COUNT /ml ANOTHER SAMPLE RFOUNIED SAMPLE NOT TESTED BECAUSE TERI UNSL,TABI E SECALISt ❑camae too ,Id (-�Confluent pinwM ❑Wmq corna.w Lj TNTC ❑InconVWle Alnn ❑Tu+bM cu" ❑ [-f EavNoae debna SILL REVERSL Sol. F GR N CUPr F R EKpt a•.' n OF lit a'. ue NG 11 on,�w�w � MT[ ilyl KTYMU At" I nH�NMTURY wuw. tTwrFarPev Nl WATER SUPPLIER COPY E Laucks Testing Laboratories, Inc. 940 S.Harney Seattle.WA DOI08 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N Instructions are not followed,sample will be rejected. DATE COLLECTED T ME COLLECTED COUNTY NAM( NK)NTH DAY YEAR �_ ILO /o <2�,1 �AM ❑PM �I r'',-, TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE 5dPUsLlc �INDIVIDUALb5� /A\ n..w aryr I ..ewkl v \:J NAME OF SYSTEM , .VVI ` V Tell SPECIFIC LOCATION vma+e SIMPLE COLLECTED TELEPHONE NO. SAMPLE COLLECTED OY:8 W41 SYW MA OWNEWMGA Mena) i \, r A\y ft SOURCE TYPE OMOUIID WATM SURFACE INP.UENCE 0SURFACCOWIFILLor WILL FAD Q MNTMO ❑ INASED w�COMW OTHER INIERISEND REPORT IO:IPrXX NaM,I�pEalNl yp OOM) l�I�A �.F f�I� +T Y1.1 • 1171 1Ti r C" ' i-a , TYPE OF SAMPLE(check only= b1 Sea cokPrr4 ❑ TINE ODNNKINGWATER ❑aarnmed miYamm, a—Famo dia:*tnMtmem ❑FWAud ❑UNaFNeda OMer�_.. _. . ❑ftYI&A 001 le, pree4roe Lob a Om yy,._. ❑RAW SOURCE WATER S .e T F I''T_-, ❑Tom C I�b NEW CONSTRUCTION or WSMIiS ❑lam CONNam OTHER fSpeceyl REMARKS. IUe USE ONLY)DRINKING WAI ER RESULTS ❑UNSATISFACTORY CaNlmms Preallo []SATCuMMne el1aM1 REPEAT ❑E CON pment ❑E.CO.ebeent REQUIRED I�FwN Meee^I ❑Feoel SAMPLES Mernt O"M11 LABOMTOW WAGMTS _ _ TOTAL COLIFORM t /100ml E.COLT 1100ML FECAL COLIFORM 1100 nV PLATE COUNT_.._hnl ANOTHER SAMPLE REOUARED SAMPLE NOT TESTED KCAUSE: TEST UNbUITABLE BECAUSE: SMPW too old ❑cono,—,Pmmh ❑wmN ooretwer, ❑TNTC ❑nlconlPlNe form ❑7'r 0u LiLawu dxKw SEE REVERSE SIDE OF OFTEN COPY FOR EXPLANATION OF RESULTS LMNO(y DIOPS) DAtt,TIME RECENED "VOWDKY I , tMTE"Doer ED Vl01Mi0N1Y Don1n WATER SUU PPLIER WPY 0-- 1 Laueks Tasting Laboratories, Inc. 940SNArnnv S„Wort,.WA98106 WATER BACTERIOLOGICAL ANALYSIS SAMPL.E COLLECTION:READ INSWXTIONS ON BACI(Of GOI DENROO COPY It Instntctlons sn not followed,mw4*WIII De rejected. DATE COLLECTED TNE COLLECTED COUNTY NAME MDNTR DAY YEAR IC` I() ; ( I p•AM ❑PM �') 1.1C, PE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE. PUBLIC INDIVIDUAL I, .�. I �.. L j¢GROUP A J In..�..vr 1 n.wrw �!� NAME OF SYSTEM SPECPICLG0xn0N sAABSEG0LLW® TELBPNDNE ND. r- NL 1tA• 3t20 Q"z � 1R�1- IE1�7 LAC 0 Tc uI E , 1 EVENING SAWLE OOUACTED Or IW.»I SYSTEM OWNERIMGR.:(Nrne) RCE TYPE GAOUNO WATE UNDER SURFACE INFLUENCE ❑SURFACE ❑WELL w ❑SPAMG �]PURCHASED a9 COMBINATION WELL FIELD INTERNE wOTHER rREPORT M( Fue Nellie,AWPeY s jlp Cotle4 F .l ..4 It- "I OF SAMPLEIMIsae sAy sne YI We otllueVll ]ROUTINE DRINKING WATER �DKbrInMM(R"I Al T"'I F., cl a :nNlmMi ❑Fite ❑UnN lwi a Dow ❑REPEAT SANBILE Prevloae colttarro Plveenoe t ab a ItMe„—//_.... L]RAW SOURCE WATER Swr I, ❑tow Co to ' NEW CONSTRUCTION a,RERAW& r]F.h;al CoMam OTHER(SWIM HE MARKS MAO USA.OMLI DRINKING WATER RESULTS UNSATISFACTORY.CoNbrme 1,".1..��'.— [�SAll"CTORY IIEPEAT ❑E,coo IKe , LfU]�c Galt ebe CoeMne e(feeM IIF.ITUIf1E0 ❑FWM Pleven Fein MRrn ____'•'��-��OTHER LABORATORY MMMTS TOTALCOLIFORM,f_.1100ml E COLIAL 1100 ML FECAL cOLMUf1At ,/100 ml PLATE COUW__AN —�-- ANOP:R SAMPLE REOLARED SAWLE NOT TESTED BECAUSE'. TEST LMOU ABLE EECAUI* E,Senwle teo aid ❑Consent Poo1n •Q w q oaaiii~ TNTC I❑-t 1. 1 _ _ ❑EKoew debts 1 REVFRBI of W lTR FN CWIV rOR 'APLANATION OF AESUI IF n-^, v Done DATE.MA I N:IPM AFCMN n m MTE wpS�TSQ/ IAnOFUTGM` L r l( P J 1 1 • g tI eewm.wl { �` WATER SUPPLIER COPY Laucks Tos"Laborstonles,Inc. . 930 S Harney Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDEN800 COPY 11 instructions are not followed,sample will be rejected. t1ATL COLLFCrLO TIME COLLECTED I COUNTY NAME M(WIN MY o AM ryPF Of SYSTEM I IF PUBLIC sraTISM.00FMELTT: Q PUBLIC r �(A E GROUP INDIVIDUAL LO,lea 7 + X 5 (. (_ C ZA )B . '. I NAME OF SYSTEM /• I ' SPF'C6�LOCAlI1p1 VA1ER"WEU COLLECTED TELEtN10NE N0 II 7/ DAY ti S/jMPLE COLLECTED BY lNr1r) arBTEM OYytEEWIM3R..INr^N �L SOURCE TYPE E-�I OROUND WATER FINDER SURFACE INFLUENCE Q SURFACE LJ WELL w ❑SPRINO C]PURCHASED or❑COANIteLTI(NE WELL FIELD INTERTIE arCT1ER SEND REPORT TO:IPrclt FUN Name.A4o art0 Zq C-* a.11.. � N .� vwe • FOFS*-AMPLEleaecit only one M tMa L.1 Cmantet«,lR..Xww:—TMII�." WATERiment ❑r-yF'KwlLJ unoeateo w Otl- AMPLEoll%am pn,ence I.ab a„._ neN /_�.. !____ I I RAW SOURCE WAIFR Swnce e[� �._] ��Toth cw'w NEW CONSTRUCTKYN w HE FAIRS of ecal Colltwm U OTHER ISPeo tyy) . NF.MMK6. D 7T it♦ - WI 719i 10 ILAS USE ONLYI OIYNK'No WATER RESULT* 0t~TiBFACTOR'Coilloms Meant 7SAilSFACY10V REPEAT ❑E.Ca PIMA ❑E.Call saint D ❑NeY MesrK ❑IsaIEWM 01INI R WOIUAOIFI IIMIILH TOTALCOL;;; ,..r/00m1 E.COu ,ROE MI. �... RECAL CIXMORM_ItOD M PLATE COLNET_.._ AN ANOTt1lR EAIBIIIE 1*OUM1lU SAMILE NOT TOM IECyM: TEST UNSUITABLE.BECAUSE ❑ Epp yE Q Ca N wl ptawtn �tNpNI001 AM CrJC�ENT l] ,ITJi stco"gm%lean Tumw Cu%un _. ❑EAow deble B F.RFVER HOE OF OR1 COPY FOR E%PI.ANAiIOM OF RFSVI l'. IAe NO if dglry WII,Taft lEck.40 11FCtM r n. toil HtPlJl�T4O�� LAtlOMTdlry ' 1 AB/�lea ,1\t 1 I1 0111111E MFa't A WATCR SUPPLEPR COPY Loucks Testing Laboratories,Inc. 940 S Harney Seattla.WA 98108 WATER BACTERIOLOGICAL ANALYSIS 1 SAMPI E COLLE LION READ INSTRUCTIONS ON BACK OF GOLDENROD COM K instruchms Are not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME kIpN1N/ I YEAP �• 1 1 L4, ❑AM Ql ''S 1 r1 TYPE OF SYSTEM rF PUBLIC SYSTEM,Ej0A1PEEIS: 3 PUHLK: ••❑INDIVIDUAL 1,p, h ' S tY ` onav Ni OF SYSTEM 1 MICMNCI a 1 SaAMIE COLLECTED TELEPHONE NO. I' i EVENING 1 1 _ SAMPIS COLLECTED BY Mill SYSTEM OWNEWWR..tN FnaI E TYPETy GROUND WATERUNDER SURF E INFL4O UENCE SURFACE [3 WELL C]SPRNo ❑NIRERTSE Dor COMBINATION S�NC1 REPORT TO:tPmu Full fall Aptll'M end Zip Cpr __�,_ t 1. N�, r E. 1 � ♦ ___ N rrrm < TYPE OF SAMPLEIchwk m1ll'a a os eeROUTINE Allalad DRUNKARD WATER IwCk tnamlw,l ❑Folmd L ]Unav eed arO1Mt_ REPEAT SAMPLE provAww pMNPm P,...Pc• LAe a,. l.j RAW SOURCE WATER Swap a CS] m ❑Tra I Co18pm I_-j NEW CONSTRWTION a REPAIRS ❑FKN cvmwm i ❑OTHER MWIN) nl M411n`+ _ ILAH USE ONLY)DRINKING WATER MMR.TS [.�UNSATISFACTORY.Catoonns prewnl _, ❑CeYlbrnRTNFACTORY 'REPEAT ❑E.Coll pleeent ❑F.Ca,sbwnlSAMPLES �Yhrlp YwN RFQUOIED ❑Fepl Pnaanl ❑Fecw abwN OTNSR LABORATORY MNNB eT 101AL COLIFORM/` 1100MI E ootl A,n00ML FECAL LCOUf0RM 1100 m1 PLATE COUNT,.._AN ANOTHER SAMPLE REQUIRED !AYKE NOT TESTED BECAUSE. TEST UISkOTAM BECAl1BC Hswrplo wo m ❑CbnMww Mpw1a WILYISdpeanw ❑TNTC klbelf0Mle am ❑1~R'laee ❑Ekpaa d ft F R F CMY FOR -LAIIATIOIF F ,Aa N0(?Dom MTF.TIME MGtIVN RFOFNp W 11'3`00 1 'O iGd We RNWRM LAI011A W I R+aa I WATER SUPPLIER COPY 1 Laucks Testing Laboratories,Inc. 940 S.Harney Seamy WA 9810e 1 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY It intro%otn are not followed,sample will be nisotsd, DATE COLLECTED TIME Cot CTED COUNTY Nikki,ktUNTR MY VEAR —. t `. ,-E..V ❑AM ;i FM 1 VAC PE OF SYSTEM I PUBLIC sYsTEM,COMPUM: T'IIBLIC 1 ❑INDIVIDUAL , ' ( C I,ElOf101N A B NAME OF SYSTEM U I. ram__ 1 11, "I ' rapp LOCHMAN WHg& COLLECTED IMPIgHE NO 1 DAY - SAkv%nOOLLECTEDsYhalos) SYSTEM OWNER/MOR. INAmol SrJP=TYPE Lj GROUND WATER UNDER SUR—FACE INf LUENC€ 0$*ACE (DWELL w ❑SPRING ❑PURCHASED or ❑COMBINATION WELL FIELD I NTERTIE or OTHER SEND REPORT TO (Pent Full Name,Adam wtftCoft 4r. .. 1 ; TYPE.Of SAMPLE IcAaeA 1*on,In ma column) ❑HDUNNE CnIwiMHd IFINMual Total FrM) DRINKING WATER ❑ Dock tnatmwt L1 ratomN C]REPEAT SAMPLE PnvKw.ndlbnn pnanµv, Lob Date 1 ...._. C�RAW SOURCE WATER Soum a L7 m ❑Tom c-klwm NE W CONSTRUC IION w REPAIRS ❑FenY CoaMxm ❑OTHER ISWityl . . _ __.._... _.. REMARKS NUR use oNLh OIBNItRIs wATSR RSMN.Ta Q UNSATISFACTOIYI.CoNMms Pna SATISFACTORY, CaMama abaanl REPEAT [f�]E.Cos pneent ❑E.call ttbwN REDUpREO 0 FeoM Pleeenl ❑FWN Ynam _ OTMa uaoRRTORY Rp'Tlla TOYA CALIORM _1100M '..� ECOLI A MOD ML FECAL GOUFORM_/too m1 HATE COUNT Am ANOTHER SAMPLE REQUIRED SUAPLrt NOT TESTED IEECAUSE: TEST UNSUIIARt E BECAUSE Bwooteewd ❑Conaunl;; wWM N-�MAmgoMNasIN ❑TNTC .lJ moom"a Mm ❑TteMn"M. ❑—.__.. ❑E.c wat. SEE RSVP b%(SIOf Of 0111 L N COPY/ON f.APt ANAT ION OF RE St II, w NO,ITM 'am foot RLCowl, aaa.� MTr MF'oRR AIOAATORY l � , 3 N�W�� i adN NiOIMY Nn F WATER SUPPLIER COPY L..ucks Tasting Laboratodes,Inc. 940 S Harney Seattle.WA 9810b WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY R Inotr tiwE m not folluwPd,w M will be nklecba. DAIF COLLECTED TIME COLLECTED COUNTY NAME MDN1N ( y VFAH I'VPF OF SYSTEM IF PUBLIC SYSTEM,COMPLETE. [%PuSLIC INDIVIDUAL A4v«env, wgw�i Oi SV87EM /'� I� 1 t,r FtQs�( /t M1E11E 6WAU COUICTED IELEPHONF NO, OGa DAv 11 v • ` EVENING BAMKA COLI.ECTEDEV,INEIIW SYS 1 OWI011toll: �F�/ny 0�1 TEE WA1ER LAIOER EUNFADE I1IPLUE/LQE ? suRFACEO�DLO�BPIIEb0�b� b SEFq REPORT TG L "PUV NYw,AERan arq m Coati (_ L h WYXnnIIY� • TYPE OF SAMPLE KIWk oMy uru kI III,clNumnl ROUTINE DRINKING WATER L]Dllk}nnAkA1 IR."Uw _..1ata1 Foal cMck tnifk Mnl F."'w REPEAT SAMPLE ❑UMN111llb b OthW_.. Pmvme w4fonn Dmv�ca LaD a Dat• ....._e O RAW SOURCE WATER EaaoE E® m To1N Cnimm� NEW CONSTRUCTION b REMEIS []F•cal Cobbm OTHER ISPanpl REMARKS' ONLY B 1111MU iG WATER REVUE UN.NIIVACTgry,COElonna unawn [� A hmrY,DOR REPEAT CIE.Co b Iv LIE Ca,atwwll SAMPLES rl REOUIRED ❑F•DR b t u 1`"A abNf 01114111111 LAEORATOW IEEEIILTE TOTLL COLIFORM A. 1100 mI E. FECAL COLIFORM_ 1100m1 PLATE COUNT /ml ANOTHER SAMPLE REQUIRED _—..__..__ GAMPLE NOT TESTED BECAUSE TEST UNSUITARt.T BECAUSE L SamDla too m T-T C.ft a l Wn ❑Wrwp conWl»I l J TNT(' • OO IDDbnp m lom, ❑nabk Gwkw ❑EaDaAa aabft 'N L`OP ��P{,AhMiO tip nowS) DATt.IwEMCENED IIItiMOD", ) ak 5 i 00 wRORaD INOIIATOAY I�yy� 6PIaEM RFv N1e I WATER SUPPLIER COPy LBUCkS Testing Laboratories,Inc. 940 S Harney Sealtle.WA 981 OP WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF ODLDENROD COPY It inetructbne en not tOIIOwed,wmPA will be rejected, DATE COLLECTED TIM COUBCTED COUNI� NnM1 M NTN DAY YAR F 1 OI O ILL/ fs TYPE OF SYSTEM IF PUaLI SYarEM,COMWLETE EMME OF PUBLIC SYSTEM n f 1 SEcrc aNEPtE WIAEQFp TELER4w No. a -- _L �a DAYl, , EVEMy I _. SAIAPLF COLL^EC BY 06ore) SYSTFM OWNFA/ Gli.(N..) 1 E TYPE o TER UNDER§VnFACE INFLUENCE ❑SURFACE ®WELLp ❑BPRINp ❑PURCHASEDar❑COMiKIATKTN WELL FIELD INTERnE aOTHER SEND REPORT lO1Rmt Flgl FNlne.AOMa�arla ZW COM ��. N15�n1111 TYPE OF SAMPLEWNcA pay..N Ala cPWmnl ❑ROUTINF DRINKING WAI LR TOM._Rey <tw.k tmtmem ❑Fina REPEAT SAMPLE ❑Untleelea p OIMr„_ __..__ Pre-pea eohb.m peewlce �,p, U RAW SOURCE WATER SOaM E r"Cyr NEW CONSTRUCTION a REP l fNy (�y� OTHER(ST tyl UT)LtTV SYSTEMS IJ FlowCOENnR REMARKS, J'� lA$USE ONLYI DR$WMG WATER REBULTI ❑UNSATISFACTORY Cokla mt pRRTllall Cl UTISFACT(NPf, REPEAT ❑E.Ca Pnee a ❑E.CO a w' t'oM1p Abene =So ❑F-oi peunt ❑F W abet � OTHER LABORM'OM REEITLTTI �"— TOTAL COLIFORM }t ItBO ml E.DOLL_ IpD ML FECAL COLIFORM /100 ea PLATE COUNT ON A TITER SAMPLE REOtARFD SAMPLt.NOT TESTED BECAUSE= TEST UNSUITASLE BECAUSE. `l SWA*wo aid (-_]cwfkma p th EJTUI ❑elaeLMlleb lalam ❑TUREIa cuRulw ❑.______..,__.. ❑E+ceea ItPblr I ,. LAe MD I>diKtR MR.TAIF RECrNpD Nsce"DP, DATE REPORTED LABORATORY IeNHPP tYTI WA)I fw .we • 1 H: ,, PP; LAtuckN Testing LNoorNtorloo,Inc. 940 S Harney Sortele,WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COILECTIM FM*ISM K,' O S ON!LACK OF GOLDEMM cony M Mrbue1101r Ala RM fto n d,ee 0 WNtM aA,A, DATE OOLLECTED T IE YONM WY YAM TYPE OR SYSTEM I IF MK1C M1BI.=MI[T[: 1p "balm**I LG.Np. -- 17 A B NAME OF SYSTEM �� MLE TELEPHONEND.,�S- — wo "tislos �l e.,Arts.... DAv STW ANNU evEPEq� , ?AMPLE COLLEOTED ft 1NAAM, --- SrSTEM OWNUMAm..plom" • P4 T I e-" 1 SOURCE TYPE RATER UNDER SIN PACK 1:1 K40ACE W gtW &w ❑NPw10 ❑ rl w ❑a D Ym . moo REPORTTO: NAAM /Aft /v SS S lcno% C•f�+►� F TYPE OF SAMPLE W.K%aM ea in AY aenn) u ORStt* WATER GIIorAueu4(WA l 1MM ?awl DA"(wZT -- nMIM rl I1nYeele4 or OAw REPEAT SAMPLE rw4 Pw auomnarm pnMrla lM 1 Dee / P _.. 1 MW SOURCE WATER Sous A L = 1MY Lalam CONSIRUCTN]N.REPAlAS n Feat Oahe m OTHER(Speato 1 cy�»� T-Y ILMIuNNolLv)op mm EATER RNSULTE u~11WACTORY,OplePM tAMAAI fr1 nSPAC=YY. BATE �]@.DeNpaAAA nE.oelYwR —_. . FINOUAED ❑reAMPwAAA1 il'J'4 r«rep.m oTrlstt6NDRATaY1lgUln�_—.___ TOTAL COLM011M_MOO nA E.COLT_MOON KCAL COLOOtM_no IN PLATE COUW.._AN —menoA WIPLE RE iswt —- AMPLE NOT TESTED NECAt1Nl: TEST UNSUITASLI:1*f LlSf sompka in AM 8 LI 0~1 W—a MwerKARM TNiC ` 8AAAR/krlumm Turbid cW1uN Eeau aeCa j MftVWKWEOFGF*ENCMYfORE1D4ANA1Nk1M I1 '01S II Ir EIrEY OATS TAK ALOANEo AA/g/N-E�pry s AME woAATTEIr: 9=AAkA., WATER SUPVLtEN r.ovY �,�'P' ' ` ` � . 4 V k 1' `vn1 4 ��,}� ,p `� �l :: ' ' rk� r.n —�..w� .w +r�, �`b' bz41m s^ a Lb �"�,� n ? °��^«+CRY i 'Ui r,� � Ai u � ��*p�t# �i'E. -. � 'S I � f A yam. I t�V � � a �+yY( it -..1 IS'fl Ty ; I � 11V k yy�ry....�d ✓ n � � Si'e � RY' p .,�k �.yy� J �! 3 L �� f,� ` � _ ,b�Fx •Y�i A.uGw� .. �,.�R-F.Y fN" t\£, % "4`�-qr .yak` ry"f MAR-29-2001 THU 05:04 ?M KING CO FAX NO. 2968431 F. 02102 Laucks Tsstinq Laboratories,Inc. 1 940 S.NEmey SNRIQ.WA 9et0e WATER BACTERIOLOGICAL ANALYSIS 1 SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY I N instructlano en not tosowsd,(60111I P wN be rgoneC. !I DATE COLLECTED TIM COLIE/CT�EO COUNTYNArA� E MONrn DAY rW f � 7 0� a❑�V 6r 11 E ISM UO arfT[M.00MPLSTY: ` 1 %PUSUG ❑INONDUK Iil�S6� rill CIM1Cy�jynouP I IM,a enylnyyYyy � F g NAME Or S"TJM Cny 06 of tQ(clr* (jl t+l[a$P�(L'Otlpp�W TFLEP140NO NO, NIf 1 SIIM►L! C 0!'r.tNW 9 TIM OWNNtPVMrG.A,z totany SONIC/TYPE OAD WATFA UNOFA ACf wrLUENCF ❑SURrAtt • yALL FIELD[]SPA'"a❑PURCNASEO Or COMBINATION NOBS-- IMFRO! _aO'MER TO;;��EE nt P Ns. o,Mtlnppoil I pp 7 P Trrt Or SAMPLE i i�� kAK4 anNr an!m Mr arfi,mnl ❑ROUTINE O ('�CnbnnuM ItINRIIq WgER Lr�J IRw.JWI:_TpfM _FnMI ' eNKhirlAtmenl rino'W " ❑UMnAtRo a OMv ' ❑RSPEAt SAMPLE "— pm,,W(talk"pn.Jonn 'at,( CAI._ 4 ❑RAW SOURCE WATtA soMtp 1❑$ n Tptr Coulpm t14011W CONS-AUMN a PEMIRS LTJI rKY Cnl�lo.m GTNEA pp«,yl�_� aEMMMS: Il� �tAa14a JNWIBallll[lleMMiSrIRBWLty ❑UNSATISWIOW CaUam(pp,,,t ❑A�T�� =S~rAT rn�E.CO6 Ommom GCeb at", 00411O L.J rKJI P'wrnt �Foe.3t,wt OTNER LAegRATOIIr RssULTS TOTAL COLdOaM /isO rN [.COU_ .I ,tOp ML _- KCAL COUrORM.._It[s ml PULTt COUNT nN } ANOTTNK MMK[A1OU1140 SAMPU NOT TESTED NECA14! TEST UNSWTAM,!e[GUS['. I 8 samPN too Old t:MlYynl QroMM W'o"s we fi r �]TWO In(OnpM( ann ll'J'll TENON0000IP 4cou»onA ' eP r R P N N r U Tg I W"G es'a"e nAT(.11W AKaVlR McCNr')!y gl3SogB' mingoo O ..POIM I 3 � [ wtigoN!IM1.qI y L U JAN-08-2001 MON IM3 AM K;NG 00 FAX N0. 2968431 F. 02 Laucks Testing Laboratories,Inc. 940 S Homey S""le.WA 90100 WATER BACTERIOLOGICAL ANALYSIS SMIFte 0OILK7IM R6M EetAU )MS ON WX OF GUMIRDB co" R 1MNYREIRTTA M NMI Moved.40MVIP WIII r Deer+. T LLTD PI IEbU.TIME C TOWLLW OOIIMA Mom N" Y Trl 1 5 , Dl VM PM Ktr/b •I ®1'ruaNA GROUP OUP NAME Of SYSTEM '�✓ 6 vEarIC LOUTMDN rAR1�1AYryE CDI.Ecro TEL No. 14C W JW DAY( I f AIrr SYW -1,7 f 90D � jt F/dilY�/ (��y EVENINGS 1 I 'SAMK—FCOLLE ED Err .RYIr) SYSTEM OWNEPANIA:INwO i I SCURCErMl OR NDWATCR UNDEF13URF INFLUENCES.__._.._... { ❑SURFACE OI((��M [lD 1U7E �TIE 90 MINATI SEND RE 7 .IVKN PNe NAT6.Mile,AM 2y Cer 1 TrPEOF SAMPLEIa�A eAFar e,er mAPNe ❑RDUTINE CNMM IRRNOuY.,__.lds'__FnRI DRINNIMG WATER C] nA [ArL bRA1nRn1---�0 gIMOE 1 u UnrrM IF +I O RAPEAl SNAKE PTMPu.owwM pr Lao OAIA 1 I V PAW SOURCEWATER Ses aFO C= ❑Ter1 C~ CONST ON RUCTI a REPAIRS ❑F"1003"0 OTNER(SpP:Pyl REMARKS. w Met alas IalITlgMa WATER REE10.T7 ❑uNunvoicTonr,co" Mvievei "ISFAwTMi M►EATSAW" t.CrI pRrM r�'+S F.OW rrnl 10 a hW pleW1M .— OTHER LAWRATORY RCSULTE TOTALCOUPORM_#ICON U COLT__lloRP FECAL COLKOAM__1100 Al PLATE COuNT_M "TVIER SAMPLE REGUREO SAMPLE NOT TESTED aECAUSE TEST OdUITNL C ItCAU1E. LPry NR RM CP kw'l pRwE1 u WNp RRnMAnv TNTC �'1 Inrnlpry Rnp Tuttl t.INN Ertss tens SEE AVARSE SIDE Of GREEN COPY FOP CIPLANATION OF RESULTS W No IT 00T31 WTE.rm Rimmo Al tNlOer s 11 t�1,(� j I/5) II.3Snm1 (� v.TE RI no Tow ---���••• 1 R.NNN. i b you w�ww w I - E JAN-:7-2001 IED 02:4C ?M LNG CO FAX NO, 2968431 P. 02 Inc. I (A LalAcks Testing LaDOratOFPaP...... LauckS Testing Laboratories, 940 S Harnay SoanIc WA NIO/ 9n0 S.HA"I Saalile.WA 96,0E WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS OD IOOLLlittitECTION II n not followed,CT"S 04 BA a ry ENNd. SAMPLE COLLECTION:READ INSTRUC110NS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION READ INSTRUCTIONS ON DACR OF GOLDENROD COPY II InatTYCGont ara not followed.SRlnple will be Mifct•d. HAMf CATS CO"I CTSO TIME COLLE,C?(0 COUN DA f.OLLEC 0 T UN NAME I MDN,N Dw it Ta �.t MCI Nv r4P yI✓�3' of Z ❑AM RPM kI ✓'�� I �� r AM PM TYPE OF BY IF Utul'BVfTI\A gOMPIaTE: rvP Of tY fM IF 1L-'ay1AI,SI... COMPI[cTf; I �PUaLIC D� q Ca110UP NOWIouAL 11.�Ro., `I I 8 J J. C1HCBOV' INIFIJK, '.w�"RJ / I H S O �. a C g IYN+FNF wMY.Y �R NAMa OFSYSTfM NAML IY tYIT[M 1 i F YMl LOC sN.,%.a TaEnaNai�4- f P 33 _ SPECIFIC QOsc RE 6WLf C00ACT6 TIE NONE NO 04,6sAItCl� AV Er day I.cP . t' CYtt SfN' d•"!3 (.ln�a+1 f M.s.�' 41A111n NINO rtm 1 AF A A S NS1�J [COLLECTED aY.INmMI SVETEM OWNCRrMOR'.I 1 SAMPLE COLLECTED W:(NA l S M O"11111 rOA, Iscariot 16 INFLUENCE SOURCE TYPE Oto UNO WATER JNO[R SWi aNI'LUENCI WRCETYM N+O WAT/R UNDER S1IRF SURMC[ �WaLar �'SPRw0❑PUP.CNAEEO or COMBINATION PURCHASED m COMBINATION I WELL FIELD INTENTII Or OTNBR SURFACE❑waLM GaPR�Nc L]wTtFTM �At at"IR wall Pat N R PGRT TO'.11I'I NMn• APMoca and Lp Caa4 SENO At To•,IPNm FUN�drNa arro I M a .rrA,S a�_�. Eae r�-�— ------ r"Ck- -t2� TYPE OF SAMPLE IAhKk only o^•in lM•coWnnl n TVFE OF SAMPLE(chock MN aN A pYa taANMI « { pOUTIVf Chennaua IRN amP_Total FFrW FIpUTNf C'c�MNN lPAI.O":�hell^FIA I ORIIwIINCr WATER F.nMO D1IItt WATER Chock l e, AMtk ON1m•nl 1 f'gerW JININtad p D,MI �UnlnatW.G.o• --- `REPEAT SAMPLE G RePIMT SAMPLE PrwgNA olItI pelance LN a _ Oslo—r nn yet,0W.10ch a Fac Tell' 'J WATEA S•veo d Caxtarin CONS Paw SOURCE WATER SAMca a� 'Co" RAW SOURCE� ❑ �— ��CONSTRUCTION w REPAI TFtUCTICN Or R[MIRS Co+to ❑FW:aI r'n on fitltN6M_ ❑OTHER ItpanNlIQ ReMARRs I_.o ? V3 l IN ustust CAI PfWLTf ILAa Uat GN YI DRINKING WATIR N[WLTS y<yATtSFACTOIIY yyAA,SFA.CTOIW. ❑UNSATISFACTORV CPllanh/ponM, I.a Aann\aPNM n UNSATISFACYORY,Cuxkn"n C'aa.'I aL'aA1onl YNm r' REPOT ❑t Call PARI Q a Col.FNunI RIPlA!Ty �1 Co.S 00,411 1.C.k abI SPIat Facet prawns Q FaY ao. Nn1 RlGUP�IG FeI*VAI �PNai at$Wt MOJAM �RSO .._ I— OYNIRLABDRATORYROULTS _ _ OTN[R LANMRATORY PUULTI ! car —119 ML n09 ML TDTALCOLAAORM _i1ro^•1 --- TOTALCOL6oRM . r'W Tl LCOuI FICAL COVFORM���t00 nn PLATE COuNt.�lnl PSCALOOUFORM._ollo. PLAY11 COUNI„_ATu ANOTHIR tAAAPLE IIWC'PIO ANOTHER aAMPII RIOUIRIO TEST',Nlk$VASJ I4CAUSI tAMYIt NOT TWOBICAUSE TEST LNtI'IMLLI[ECAutI, tAMPLI NOT TESTED PtUUaR ^ S III lee 0•a TNTC C CMFUMI t aMRI jarhpu 1N old I� NTC tra'•aA P. rl^hTC IPP�` W eMltn � awl n wtanOMlahNvWIintenp�•rY'o+n Turo\ Wa IMamNln turn Twbd cti" l.eaN Sawa F N P MR AP —glom F Sat R IR t tl OF GREEN COPY OR PLANATION OF RpULTt AI OF .lrR hD fIT PC in, Nq tiYl AfC1.A60 A/N01I(i p�Ctsl w`/ btla FY\ANf61C IhICIMa ST oY l73 /p� I UU I 011111.1 .1i�.� el•t" l$LO 77 /i AaOMTCIn f•✓ \r NIA nIP 11,10 _ J.AcrMr.iY I 7 1 "'""• ov cpFl DEC-04-200C MCN 09:29 AM KING CO FAX NO. 2968431 P, 2/02 i L.aucks Testing Laboratories, Inc. 940 S.Ha,e, SeaPie,wA 9EIOI WATER BACTERIOLOGICAL ANALYSIS pau omjCra:READiN51WI nms oNw uOCW904Otaw R�R.YMCHra M PaE PMrwR,..w.Pr.nn r n Wr.. DATE COLLECTED TIME COLLECTED I COUNTY NAME 1 AM�~ .. i ME OR SYSTEM IR PUhIC SYSTEM.OOMK[TC �Ap1C - ❑sEAvpuAt i�..wLAwL..N NAME OF SYSTEM EiCGRICI GTDII RM[R 1E 00LLEC7L TELEPHONE Na wu r4S'lu5 A�a.alt/+` DAYI A�t3 '00-0 IFy cLe..tit ST* 4V EVENRW i — SAMPLE COLLECTED fY'INArMI SYSTEM OWNEAWA.,(NMnR) i .. .. •• I SWRCE TYPE tS� O v.ArEn U1AER supwa I uENCEE SURFACE ✓Q�WWEELLLWELD (]SPRING ❑N1PCCHA Q EOw OOBINATION OTHFA SEND REPOIIT ro:lr.yEsE�hl NAma. Em GA:� 1.�'7ON,S IFE TYPE D<SAMn F(RME aN P l0 fM Ao1MW9 L DnaaWW,wATER ❑aldwra lR..aw�_--TaA'__Fbal . ❑UAP.aaM M Dew - -)REPEAT SAMPLE .. Dab PI�RuAw 50LACr MMTER Savo I g! 1aW CoYa� EW CONSTRUCTION A,AEPA AS tom• i�Cd#°A^ S OTHER ISpeMI REMARKS: om Mr OMM��'WaTIR RESULTS LNSATISMCTORY COMMA"IwPN 0SATISFACTORY GWHM.MM.M Apse (}�(E.Ca paP•M (�! CIA MRPPI REO�UIRED (.J FMRI NaavR �JI Faa1WrM _—_.. . OTHER LASORAIMM RESULTS TOTALCQJOP*A—MOOMI I.COLT ROD-' PECAL CDLJoRM—IIOD AM PLArI COUNT ANOTHER SAMPL!ASOUPID SAMPLE NOT TESTED WAUSE: TEST MNSU'TAALE EECA,,SE, cankSATPP OAM [] TNIC O'EMM I rR� Tw"a'Nn (J EAaM@.Y1. SrE REYEREI SIDE Or ORSEN CQFV POR ISPLANATION OP RESULTS wwDaAml yTt nw rC'E'YED AEnI+E9m pgJ�3�N la/�l�© L;L d3F,A QD D+tt+P9Rn9' LAryTORr ooy .M.R. 4F�l+n Mx JAN-115-2001 CON 11:21 AM KING CO FAX NO. 2968431 P. 02 Laucks Testing Laboratories,Inc. I Lamks Testing Laboratories, Inc. .—. 4 9AC S.Harney Seatto WA 98108 l 940 S.Mamev Seame.WA BB10B WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY 11 InaVucOona we not TRlbwed,sample w,a be rejected. D inStMeOGAS are not followed•sample will be rejeclod DATE COLLECTED TIRE COLS° COLNry NAME DATE COLLECTS TIME CC. i0 COr NTY NAME Morm" my It/2 �oAiAM ^M F, I ✓1 Cn AM PM '7V�h+ TYPE OF SYSTEM IF PUBLIC SYSTCM.COMPLETE: IYPEOFSYV04 IFPWLICSVSTEM.COMPLIM: r��/ry'�Pw,a,11M MYaMaH I . . �PLG L�rNotMDUAL GROUP ID I VIOVA PO LO w B LaS SUO8 MPMrMY1hytnM OC NAME OF SYSTEM NAM[OF SYSTEM H I (( 4-t, n}1/�... SP[OFlCLOCATWNWMERESAMP,ICOIL[CTED TELEPMONENO sPWK LoaCIDN , SAMPLE LLEkR` ONE N 46 r � AVar (c, DAY( 1 17EVEMO f O�. EVENwri I _ SAMPLE OLLEOEO Sr.INanN Sy EM O"EN/MGR..,%@" LLECTED GY,(Nome) SYSTSMOWNERIMGIM. ( I TYP[ UGNIJNDWATCPtUNDIOtSUWAt4WrLUENCE SOJFCE NP! 1�CROUNO WATlA UNOfn$URF f;NrWENCE V SURCACS ❑WILL WILL g, ❑SPRING El N��M ESED a❑COOWSI gT10N ❑SURFACE 81014L or[LO❑SPRING (I PURCHASED a❑COMBItNTI a, NATION SEND REPORT T0:(Pont Fu t Name,Aaknaa area 2i Pdp � _ S R PORT 1A.IPnm FuII Nam*.Aod* ene ZIP Coft) _ 1^!'4 Ga+'LCI./OtJI✓ u/ 1.. e111A. (t�` 0 Sroc _61 a'.4r TYPE OF SAMPLE ItMCY Dory en*in Nia eeNlmnl TYPE OF SAMPLE �]ROUTINE ROUTINE len*ee only on*In mu:owmm ORINKINO PLATER ❑QNQC,,W"IRos�ea9:_Toth__FMI ❑DRtNK NO 1AJITER Cmonnal*o PMAa10uaC_Total_F,wl Cnaea lnA'mWT ❑F.IIe•*0 mach MlNmenl �fllerte ❑WDeewd or CInM [3 UnVeal*o a Dino, REPFiA*Y"^'j REPEAT SAMPLE "Pm mina Cen(o,n anHNAAn IAba _- P40I"I'tonn DIVIOce LAD a____-.._ RAW SOURCE WATER Sou"a O I ❑Tatty Coi to ❑PAW SOURCE WATER So,,"P Q m n Te1Al CC HOT, LRIIVEW CONSTRUCTION o,REPAIR$ t1J ❑F�Coldorm ^�NEW CONSTRUCTION or REPAIRS UF•Feeal C*Merm ❑OTMEA tSuoct"__-__ OTMEA 1SoK ql___ REMARKS REMARKS' .0. vp�_�$S83 MS USE ONLY)DRINKING WATER RSSULTS _ (LAB USE ONLY)DRINKING WATER RESULTS n UNSATISFACTORY Comb,.;A oMw••t ❑SgTISFACTORv. n UNSATISFACTOAv,Q[h,wma S Co�!onna anaom pnwnl ❑EATI FACTORY, REPEAT ❑E.Cup wuu�n E.CPL abAam CaKwma aOAw`I SAMPLES REPSAT ❑I 1.Can Pmeent ❑E Cox absent REQUIRED UFacY pa:unl FWO Motor, SAMPLES T7�-n REQUIRED Lr Face pna*m ❑Fa^a aCa*nl _ OTHER UGONATORV RESULTS OTHER LABORATORY RESULTS__ TOTK COUFOAM n00 mI C.COV 1 ,t00 MI 70TAL COUFOAM nee rm ELOU�MMW ML FECAL COLIFORM_rep ml PLATCCUNt_,m FECAL COLIFORM _11COW PLATE COUNT__;"I ANOTHER SAMPLE nCOUTAEO ANQ`n EA SAMPLE RW AIRED b PLE NOT TESTED OECAUSC: TEST UNayrTAau aaCAUSE SAMPLE NOT TESTED$!CAUSE TEST UNSUITABLE BECA.CE. ❑$anwo I"we (�Cenevenl Sturm �SImpa too DO CCArMenI DIDVIn V'q cPnta"v ''T TNTC WnnP r,nusa• TNYC J L IncOmpMM IPn bran CmNn InrompltM Io ❑Tune tWlyre ❑ ❑&AAM b.Ont r� �_ . ❑EAFwe MTDry SEE AVIIIERSE SIDE OF GREEN COPY FOR EKPLANATION OF ResU-75 it at Slof of R IN COPY FOR i%PLANATI N g A W NO,II 0101111 DATA IWE PECIE AD ASCEhlO H l.Au NO It OIGPA .DAq.nMl ARENED PCCFIKO by (j%'173Ii0 Gb'1735V ilr-Is_o ,� OAT` ,ePORTec �, u90 KPT IIY DAit At ED ,AEDNALCPY w...M.a w•we 1 / -en.'ded On 712612000 City of Renton Public Works Department Page I g1.Ln 5wm Nrxm 1YM.I1 Sev.�H.pW.mr.Pn I I.V6M IFv.,9.. GAG Is059 Plypp• GrY Mr4n Cu,Nn.lmlll a, PW tvmsg, IOi1RW fv,.pnW 7,2% E91 wn O.N.•m Unfl 1.1 UM M.v.+u. R.I . IN. 1M 1qM 1. QNs"Ift Prl,. M,aN OYY1111 MMYYoAgreh M,OJv w1 ell, 1 Vlvww 1 W I:9.Cow sow 1w 142v0110U 0w 9Twnp n..ln L:onHlullnne MMllvn✓x. lumr Sun t 11S000M Iw Oman ww Iw $$=an wJ Cal.Inlalm r,e Nllu.I Mv.I Lump sum I Sis,"w 050 1r50001) OM 111501 100 IIS.00DOO OD. I,.IM CWnv lM191 sun 1 VDIMOw Iw 1100CDOD wro Iw IIOOOOw OM fIY..Y1Cur.x LuneSW 1 simm Iw IIOODOO ww I 110ww OOe R.arSMM M.M1 MLxvrM,F. EST . IMDw 0w sow .w WOWw AW WOWIV wt 1V Mµwdgll L.F. "I Sim 100200 IV)IQ W W an im w I1.Ow w p]1 121`VC PM L.1r FM 1M NSW INw IISmDw ww rNw IM,MOO 001 l2'cug,,F+F`lr %IAIIg P.r L.wrl. S19 Swan MOW WIWW ww SAD an Wlww G10 1lr PVC S.w Pp I.FM IMs Ww 11,sw 111,I is On law MsW 11r I1Sw 01, YFVVUAA,PM I.FM 1N' MSw 1161w wl15ro ww 11IIW w,51iw Oil rcvm PVC S.FnI PM L.FW 1501 M)w =995w 1140MOD I000 9195an 11Y.MW 01l s-Cul.O.In P1Swe P" L .rfW Wb SAL Or) WW I955ww so all MOD 101 MOW 01. v PVC S.P"IMwn L.wl L.WIfW M US 11.W 17"m SO a, II.W 1'1.kw 01s l'PVC SA.S..S rp I.I.91FW Y01 NSw :411W 11101141600 wW 1411an 211149500 Ole 1.IWFM I" ISS OU 10,e00 15161000 SOW 104101) ISt NOW 01l 19'CPEP6Awm Pp L.MrFW 215 WWI Mile 1e0ww wW "an w090w 011 M"SSMry S.M.l+xv. (Ann w WMAIM Sow formal pw 32M awmw 019 1I'SS1S1 Sm.,M.rvwY. EACI 1 SPIMM Iw 1750)w low I STSww Ow CB Tire IST 1 VOODOO iw 12.00000 SO 1w / milm, U]I sS1rY;1.rr C.UA I.M a I"' an 1w 1100000 ww Iw f1Uww w1 CIv.1cI FIw S.ww mF.NM1 May.,w IAd, . MOM 9w 12.1wW SO OD 9w 12.1w Or NwnuxM.M NpxµullrN W UI.uFMN.l IIIFxIM.xI wl Mw.LW tan 1rq 115w ].990 IU.IYw wW 1Y.Y 13.14011, 02. Sn,w+FnryF1w1MS+M 1,xI tjiOn Sig an will Wil1N saw 40111s W.rg6 0/w AuxunPsmMruHtllcimGilllgLL:WM Sa✓.YO Mlll IIUW 013i1 $013,10 Iuw Y1II1 Mn1: U�l, AYYW AY.11'.rrM 'NFwI.Y,I Iran 1150 349945 II'm" saw 11YY A9 11YU11` Dlt AMIIM 1H.rM. SaMr.Ye IB)S1 I519 915YW $1941*I3 saw less 0 NY.M r fnMed Un /ILWLIlVLI ...,r .. ....,.. iW .M1,R.rXm SrMrY S.w�RTIx'_.nh.0 Pn ! CU.I.m Runts CAA"0" .cR. G.ry IArRv Cuulvfun Cu Ib,1 a.nxn. 1a 61 N CM."UM lavZOIX, D!{d Nrn il.,{ Ir I. PArOu{ R.w. nxr Tlw Ia1N Iq.r t]urtl0 P,c. AmOaX GurX. MnVJM Uu{IMII NnouX }� R.-.III,mw1 5. mSU,w..l SWY.Yd 1w s.M IXI :tvM Yt Mla WOO USIA YI%I XX M R.mde.rq R.po Cu0 wf GXlai I.MV iPp1 !NO s1SL10 ln500 042750a SO00 MS Oa s4.21Sw ]0 lwq..-.P.R..Iu.I,m lump Sun l 13m, •. IOa "00000 sox I W,ml u1 b1 R.Nrt.P.wnwX MM.p.rtl 1,Ma R,ma,. lump Sum I $2 Sm IXI am {1.20000 O W 11 lW 0 10 u,w U'l ls2 MOR..GrN.q 5p .Yd ill: s..! Massa 1137.00548 W00 SOS" 037006M Oss CN11p.L1ar w 1 LumP.M'n� 1 M W,., 1 W ww" Saw 100 M2li!.'. OY CN4l]'b,M ! LunW Sun I uab aA 000 s000 1 W s 00" I 13.0.1M111i StMX.I StlI.d+rX sIaM.Wi2s SIOMM Slorasl,I.+. ssl,luu Ss w sit 019 X2 A tow s1.Is%m is 211674 W sl IQ 757 a 414 1 N* IN A 1 r 10/211,00 11 :39 FAX i�unl Snoquahm1e it Midge 4 Robison Construction Group Snoqualmie Ridge F A A C O V E R S HE E T DATE: October 21, 2000 TIME 11:42 AM TO: John Hobson PHONE; City of Renton FAX, FROM: Scott Man ipon PHONE: 425-222-7380 4- Project Manager FAX: 425-222-7383 RE: Snoqualmie Ridge CC: Number of pages including cover sheet 6 Message ✓pp 64l, •,NrphofS. 1F "\ak j VPJKl0\6 J Nu 0.t\ V-�N W/ 4-�c4d& led 6od�k-W- d\ �oE lea eat daa Mn 10%21�00 11 39 FAX �002 0 Robison Construction, Inc. Construction PO Box 1130 a Sumner,WA 99390 Pion(206)563.5200 a FAX(706)8%5702 Group u RCI Civil a Industrial Division PO Box 1730 a Sumner.WA 91390 LICENSED a BONDr r Phone(206)863.5200 a FAX(206)959-5702 GENERAL CONTRACTORS a ENGINE 6RS I i RCi Environmental,Inc. "An Equal Opportunity Employe" PO Box 1668 a Sumner,WA 96390 Phone(206)863-5300 a Fax(206)859-5702 LETTER OF 'TRANSMITTAL TO: City of Renton _ oax. ma,. _1055 South Grady Way, S" Floor _ _ ;�M 000 705 Renton, WA 98055 John Hobson - ea -- — - - — Aberdeen Ave. Utility rovements Transmittal No. 4 WE ARE SENDING YOU ❑ Attached 11 Under a seoerser cover vie the following item: ❑ Shop dramngs ❑ Submittals ❑ Plans a Specifications ❑ Samples ❑ Subcontract ❑ Copy of a letter ❑ Change Order ❑ Pay Estimate 0 Product Date i -- 'CORES WIN tiO. sldStl9tMrt0W- 1 10/21/2000 Mechanical Joint Connector Product Data THESE ARE TRANSMITTED as checked below: 8 For spfovel ❑ Approved as aubmeted ❑ Resubmn _ _ copies for pp.eval ❑ For your use ❑ Approve)as noted ❑ Submit togas V copies for distribution ❑ As requested ❑ Returned Mt corrections ❑ Retum _ _ corseted prints ❑ For rav"end signature ❑ Return 2 Signed Ong-nals ❑ No excapbons taken ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: John: Due to the availability of MJ z FL fittings,we were forced to switch to all mechanical joints In a couple of areas. We have been advised by US Filter of a new MJ adapter which not only Facilitates the connection, but qualifies as restrained in leiu of shackle rod. Please review the Product date a let me know your thoughts, COPIES TO: SIGNLU iPioject Manager N enclosures are not as noted, Kindly notify us at once. r REV 1001100 C\SaorMy DocumentsUob7051Tnrsmittals\OansrmN dot 10/18/00 RED 18:08 FAS PSS 810 11/1 tVilter all 0 FOR RMCHMICRL JOINT CONNICTION* �s to �f • \cef s �9s Foster- �� ADAPTORe U.S.PATSNT NO. SI M18—MA0a IN USA S No pipe to cut S 8ave8 Critical space „l9 Ductile iron construction ^tK Quicker and easier to install ! , Secure, bolt through restraint "9 Uses one accessory kit (included) `X Available in 4, 6, S, 10, 17 and 16-inch sixes We Makes lighter-weight, easy to handle assemblies IRON-TOUGH MJ CONNEf" TION5 A PRODUCT OF INFACT CORPORATION TSSS CANNY FOUR RO•"VIEW.TN STOP•(614)P148100•FAX(013)MIM 1 too XYai ov�I 00/Tr/Oi t 10/18/00 WED 15:10 FAU53 840 11111 CSF11ter Puyallup Z001 i G, mater FAPAFTOR 5TER 5peciflcation5 r I T I I 1 y/^._�' 1 \/ 1 1 1 I I r r r4.�c N u.s.w ►/ ale11Wns ADAFMIt ITEM DIMLNSION9(Inches) WEIGHTS(Ibs) SIZE NUMBFR T 0 ;VA f'OR--TGF99.YAR TOTAL 4 4FA•5C 0.34 4 4.00 10 6 16 6 6FA•5C 0.36 4 6.90 14 8 22 8 DFA-5C 0.38 4 9.00 21 8 29 10 1OFA•5C 0.40 4 n.05 26 12 38 12 12PA-SC OA2 4 1320 34 12 I 46 t6 16FA-DC 1 0.58 6 17.40 +6b 15_ _.L_.. 73 Aiaptr Maya.IlmMalnna ant wwahU an,naminN Faey wound.7Inns SAMPLE SPECIHCAT)ON: Machmnlcal Joni (W) valves and 8tbngr shop tie conneclid using a boh•rhrnugh positive restreint mechanism manufactured of ductile Iron confommng ld A9rM A WSW-05. The pobglve resmalM device shell connect the vsNaa andfcr emnge at a linear distance not to exceed one (1) Inch and without attachment b pips The boll through Ml pos.bve MStfv( ing device shah be supplied wM asphaltic coatings In accordance with ANSUAWWA C15LA21.53 and ANSVAWWA C104IA21.4 (spotty coatings also evailabby and en to be used Whh standard meehamKill joint fitbngs(AW WA C110 or C183)and valves.The device shall have L a pleasure voting of 360 pal minimum and shall be Wad Cotpoletlon FOSTER ADAPTOR er equal. 7555INFACT CORPORATION TOIL FREE: 1 (615)n J130 7555 CANEY FORK RUAO rAX (816)19?tg8! fA1RV1EW,TN 37082 small: intadeyahoe cam r ►ou lyd «► :11 00 1«/u1 y\•>\\� \r`i \r\/\i`\ i�Ti`i»r i�TS`i i\i r`r \` \j\i\� `Kryy` rllb\\,j\• t:::X PRODUCT Of NI,ACT CORPORATION 10'1840 WED 15 09 VkN :91 N10 1141 15111•ar 1'u�.Ilup I' rJ ,�� Foster l' ADAPTOR i Why use Foster Adaptors? =FOSTERAPTORS are used to connect virtually all mechanical =de,,,,,s:ygnnecflna valves to 901 to 90's.end 01i"r wxrusrrasrawwosrroasr-- -- —,— --- - MEN 1 .....t O DIDa to cur. _PM-UWmkLqv lvcB and fittings in the comfort of your shop, then transport the entire valve-to-tee or fitting-to-fitting assembly to the Job site. 3..... N9n_gQQ,19 Inventory 91:1 IJIL rpdu-rIng_Was. at4• because the FOSTER ADAPTOR can connect two 90's, reducers to tees or valves, or any other MJ fittings. 4 ..... 1 he FOSTER ADAPTOR is a rylLt_hava oroduc In ve on hand for pine_ ars> nGes, since It allows you to tie together virtually any configuration of fittings. 5 ..... M in U.5.A, of 350 psi rated ductile iron. 6 ..... Comes WMgJqt&#Ah all accessories• including all hardware and gaskets. 1 ..... §2qo sav na and atht-weight. One person can IM even a 16-inch adaptor. S..... Simple boll-through design makes for labor-saving,ggFy_ tnA fast installotioIl. p NqSonnectlon ly stf0naas than the FOSTER ADAPTOR bolt-through connection. 10 ...,,1a55 Chance for lea-Ag,Q, since two MJ's are connected using one accessory kit rather than the standard two. Foster Adaptors should not be used when you need a lot of YsparJtion between fittings,and are not recommended for connecting d!rsetly to hydrant shoes,but they work on any other MJ connection (.id our now FLEX ADAPTOR will be tei Lased soon that will connect to any hydrant). [—SITES; 4,Ca. 10, 12,and•I6-inch INFACT CORPORATION 7aas CAWY FORK PtQQ y_a pTl1rt rq.in�nf MIIl1heW.TN VON rtarr[ tetytivii FAA (ats)TMtew aoo® ria Will oo/t=Tot 64 Tab Page 1 Protect Trtle Aberdeen Avenue NE Uti'ay Improvements City of Rrer'on BID DATE- Engineers ES.Imate (tern Bars Desc�o'=' u" Est. that Bid urn &o No No j am" PrIce Ammrat Pr" Arno," 001 Mobdaatpn DemuGnaa7,on -:T.n Su•* SWI109 50 544.909 SG 002 Ezcavabon Safety Systw- LJmp Svm $1.50000 $t 5W 00 003 Constnubon Suety Sbkaq.and A~Dab Lump Sun 1 S5.GW W 65:OW 00 004 Traffic Control Luny Sum 1 SII0OW OD Sr 00000 005 Temporary Eroleion/Seth nerdabon Control Lump Sum / 51.200 OD S/200 00 006 16'ductile son Pipe CI 52.Poly wrapped Linear Foot 4 250 S75 00 $318.750 00 -: 7 12-duCoie on Pipe,CI. 52.Poly wrapped Linear Foot 65 $60 W $3.9W 00 0G8 8'ductile iron Pipe.Cl.52.Poy wrapped Linear FM 140 $45 00 $6.300 00 009 6-ductile son pipe.CI 52.Pog wrapped Linear Foot 20 moo $720 00 010 3r4'Water Service CWWWCLion Each 89 saw 00 $53,400 00 011 314'Waler Setves Conneawn Ino meter) Each 3 $550.00 SIAW 00 012 Fee"ant Assen161y Each 9 f200000 S18.00000 013 Conneaon to earsbng water roam Each 11 S1200 00 $132W 00 014 16'buttered valve assembly(No Vault) Each 8 $1,650,00 $1320000 015 12-gate valve assembly(no Vauei Each 3 $1,10000 S3.300 00 016 6-gate rape asscroy Each ? $450 00 $3.600 00 017 6'gate valve assem6y Each 1 $375 00 $375 00 018 2'an-vac avwe Dy Each 1 $1.30000 S7 30000 019 Select Irrpored Bactddl(Gravel Borrow) Ton 3 WO $900 S27 ODD 00 020 Asphae Patch Class B Indudng Cnistled Surfacing Top Cwwse Square Yaro 2050. $11 OD $31 350 OD 021 Concrete for Thrust Blockag.Dead-Man Anchor Bolts Cubic Yard 15 $70 OD $1.050 00 022 Removal of Existing fire hydrants valve bores and other appurtenances Lump Sum i $1 SW OD S1 5W 00 023 Remove.Restore Lawn.Landsrapmg d Surface mprovements Lump Sun 1 $3.500 JJ 53 5W 00 Subtatat S492 904 5< Sutton( >OM Tar 542 389.79 Tar SMA Total 553529429 Tura, SOOD r 5117M) Cv� k Q Sy y t , / s R3 J .tr - � G., J.o .Y S 3 3 = /G d� x' •!„50 -(gyp D�kJ u4" ,y4" G•baa0 G� X /q'*' l�%cF =y�s2gaXl,� 2,nov s 70"/u * ,s 3 32 rONS L3?s� r -Z • Sw.6ruC r P vF nice , Ire L kt= •b'7y�7T� ' ASl/,3 '4zso .� :cX /4DI.VGF ?36174v4 j6. 2006 = 41s• 38 rONS J 3 2,9 s3s3 ToNs TONS i CITY OF RENTON PUBLIC WORKS DEPARTMENT SCHEDULE OF PRICES l/\ Aberdeen Avenue NE Utility Improvements Schedule C (Nob Unit prices for as,tams.all axlanrrOns. a,rd 1081 amount or bid must oe shown. Show una Dices in oorh words and rigues and wham catNicrcon.9Mt occurs tM musin or typed words shax pre oi.) TEM APPROX. ITEM WITH UNIT PRICED BID UNITPRICE AMOUNT NO. QI IAN7lTY it Prices to be Written in Words) Dollars Cts. Dollars Cts. 001 1 Mobilization, Demobifzown a per Lump Sum (words) figures 002, 1 Excavation Safety Systems $ per Lump Sum (words) gures 003 1 Construction Survey Staking, and As-Built Data $ per ump um words) Figures 004. 1 Traffic Control $ per Lump Sum (words) gures 005 1 Temporary Eroision/Sedimentaton Controls S per Lump Sum (words) — gi�ures --- 006 4,250 16"Ductile Iron Pipe, Cl 52 Poly Wrapped $ per Linear oo! wor s) ,gures 007 65 12"Ductile Iron Pipe, CI 52 Poly Wrapped Per 'near ool �words) figures 008, 140 8"Ductile Iron Pipe, Cl 52 Poly Wrapped $ per ineraoot — gures 0% 20 6"Ductile Iron Pipe. Cl 52 Poly Wrapped per Linea. Foot ligures 010 89 3/4"Water Service Connection S per Each (wor s1 gures O11 3 3/4"Water Service Connection(no meter) $ per Each (words) gures 012 9 Fire Hydrant,,ssembly S per Each (words gures 013 11 Connection to existing water main $ per Each (war s1 guros CITY OF RENTON ' PUBLIC WORKS DEPARTMENT SCHEDULE OF PRICES Aberdeen Avenue NE Utility Improvements Schedule C (Note: Unit w"s for ad Items,all extenfions.and totBt amount of Nd must be shown Show unit times In both words and rqums and therm confirctconeict occurs the wnttan aTyped words shall tevad) TEM APPROX. ITEM WITH UNIT PRICED BID UNI I PRICE AMOUNT NO. QUANTITY (Unit Prices to be Written in Words) Dollar+ Cts. Dollars Cts. 014. 8 16"butterfly valve assembly(No Vault) per Each (words) figures 015. 3 12 gate valve assembly (no Vault) per Each twords) figures 016. 8 8"gate valve assembly f $ i per Each (words) figures 017. 1 6"gate valve assembly per Each (words) figures 018. 1 2 air-vac assembly per Each (words) figures 019. 3.000 Select Imported Backfill(Gravel Borrow) per Ton (words) figures 020 2.850 Asphalt Patch Class B, including Crushed Surfacing Top Course Pei q� care Yard (words) — figu,es 021 15 Concrete for Thrust Blocking, Dea(-man Anchor Bolts per Cubrc Yard (words) figures 022. 1 Removal of Existing fire hydrants, valve boxes 8 other appurtenances $ per Lump um (words) figures 023. 1 Remove, Restore Lawn, Landscaping & Surface Improvements $ per Lump Sum (words) figures Subtotal Tax Total r Bic -36 Page t Project Title. Aberdeen Avenue NE Utility Improvements Schedule C City of Renton BID DATE Engineers Estimate Item Bars Description Unit Est Unit Bid Unit 134 No No Duamity Price -ount PrrR Amount 001 Mobilization Demubilaat,m Lump Sum 1 544 809 5G S44 809 91 D02 Excavation Safety Systems xurrq Sum 1 S1.500 DO $1,500 00 003 Ccnst^rction Survey Staking.and As-Bum Data Lump Sun 1 $5.000 00 $5.000.00 C04 Trafic Control Lump Sum 1 $4,000.00 $4.000.00 005 Temporary Erorsron iSedmentaWn Control Lump Sum 1 Si 20000 $1200.00 006 16"ductile won pipe C) 52.Poly wrapped Linear Foot 4.250 $7t 00 S318,75n 00 007 12'ductile iron pipe,Cl.52,Poly wrapped Linear Foot 65 S60 00 •3.900 00 008 8"ductile won Pipe.CI.52.Poly wrapped Linear Foot 140 $45.00 $6.300 00 009 6"ductile won pipe,Cl 52 rich:•.vapped Linear Foot 20 $36 00 $720 0D 010 3/4'Water Serv;x Connection. Each 89 S600 00 $53,400 00 011 3/4"Water Service Conneit,on(no meted Each 3 $550 00 31,650 00 012 Fire Hydrant Assembly Each 9 $2,00000 $16.00000 013 ConneUwlrr,to existing water main Each 11 31,200.OD $13.20000 014 1b buteHhy valve assembly(No Vauttl Each 8 $1 650.00 $13,200 00 015 12"gale valve assembly(no Vault) Each 3 $1,10000 S3.30000 016 8'gate valve assembly Each 8 $45000 $3,60000 017 6'gate valve assembly Each 1 S375 00 $375 00 018 2'arc-vac assembly Each 1 $t 300.00 51.300 00 019 Select Imported Bacx6ll(Grave:Borrow) Ton 3,000 $9 00 $27.000 00 020 Asphalt Patch Class B.Inch Crushed Surfacing Top Course Square Yard 2.850 511.IX1 $31,350.00 021 Concrete for Thrust Blocking,Dead-Man Anchor Botts Cubic Yard 15 $70 00 S1,050 00 022 Removal of Existing fire hydrants valve boxes and otne appurtenances Lump Sum 1 $1.500 00 51.500 00 023 Remcve.Restore Lawn.Landscaping 8 Surface improvements Lump Sum i S3.50000 23,500.00 Subtotal S49290450 Suo•r Tax S42.389 79 T a So Ji Total $635.29429 7ota� SC CO 5117/00 Bid Tab page 1 Protect Title: Aberdeen Avenue NE Utility Improvements Schedule C of Renton BID DATE Engineers Estimate hem Bars Description una Est unit Be and Bid No No 13uanety Price Amount Price Amount 001 Mobdurabon,Dernobiluahon Lung Sum 1 544.809 50 $44.809.50 002 Excavation Safety Systems Lump Sum 1 S1.50000 S1.50000 003 Construction Survey Staking,and As-Built Data Lump Sum 1 $S 000.00 $5 000 00 004 Traffic Control Lump Sum 1 S4.000.00 $4.000.00 005 Temporary Ero son rSedi nentatwn Control Lump Sum 1 $1,200,00 $1,200 00 006 16'ductile ion pipe Cl 52,Poly wrapped Linear Foal 4,250 S75.00 $318.750 W 007 12-ductile iron pipe.CI.52.Poly wrapped Lu4ar Foot 65 $60.00 S3.900 00 008 8'ductile iron pipe,Cl 52.Poly wrapped Linear Foot 140 N5 00 $6,300.00 C09 5'ductile Iron pipe,Cl 52.Poy wrapped Linea Foot 20 S36.00 S720.00 010 3f4'Water Service Connection Each 89 5600.00 $53,400 00 011 3/4'Water Service Connection(no meter) Each 3 S550.00 $1,650.00 012 Fire Hydrant Assemtiy Each 9 $2.000.00 S18.000.00 013 Connection to existing water main Each 11 $1,200.00 $13,200 00 014 16"butterfly valve assembly(No Vault) Each 8 $1.650 00 $13,200 00 015 12"gate valve assembly(no Vauh) Each 3 $1,10000 $3.30000 016 8"gate valve assembly Each 8 $450 00 $3 600.00 017 6'gate valve assembly Each 1 $375,00 $375.00 018 2 au-vac assembly Each 1 $1,300.00 $1,300,00 019 Select Imported Elackfill(Gravel E Ton 3,000 $9,00 $27.000 00 020 Asphalt Patch Class B. Inctudm5 A Surfacng Top Course Square Yard 2.850 $11 00 S31.350 D0 021 Concrete for T-.,rst a ockvng.Dead-Man Anchor Boas Cubic Yard 15 Si0 00 $1.050 00 022 Removal of Existing fire hydrants valve boxes and other appurtenances Lump Sum 1 $1.500.00 $1.500.00 023 Remove.Restore Lawn.Landscaping 6 Surface improvements Lump San 1 $3,500 00 S3.500 00 Subtotal S492.904 K .ubtdul Tax $42.389 79 T3x S r, Total $535,29429 Total; SC OC 5H7= ANard Uatc: C.AG Allarded to: c1t u Bidding Requirements, City of Renton Farms, Contract Forms, Conditions of the Contract, Plans City of Renton and Specifications Construction of: SOUTH DOWNTOWN WATER MAIN AND STORM SEWER REPLACEMENT PHASE 1 Wells Avenue South, Williams Avenue South, South 4th Street, and South 51h Street PROJECT NO. WTR-27-2722 / SPW-27-2722 JANUARY 2001 City of Renton 1055 South Grady Way Renton, WA 98055 General nid Inrormam, (4251430.7200 Watcr Utility k:nghnronng Cbnmct: Rick himm) (423)430.72L* I t Y DATA Number Unit Description Quentiry Unit Cost E 1 Lump Sum Mobilization,Demoblizafion nWneeh Est 2 Lump Sum Construction Surveying,Staking and As-Guilts 1 $ 1.50000 $ 1,500.00 1 $ 2,500A0 $ 2,500.00 3 Lump Sum Traffic Control � 1� $ 500� . 4 Lump Sum Erosion, Sedimentation Control ----- -- $ 500.00 5 Lump Sum Shoring, Design,Constuction and Maintenance $ 1.000.00 $ 1,000.00 8 I Linear__Foot Furnish and install 12"Dia. Ductile Iron Pi --- 1 $ 1•�� $ 1,000.00 Pipe _ 1430 S 65.00 $ 92,950.00 _qjl_ T - -1.._.__. Furnish and instal 12"Gate Valve Assembly _ _ S 850.00 $ 5,950.00 8 Each Furnish end Install Fire Hydrant Assembly 3 $ 2,200.00 5 g,epo,pp 9 Each Connection to existing Water Main in Osksdale Avenue SW 10 Each Connection b existing Water Main in SW 27th Street - - — 1 E 2,800 00 $ $_sOO.Qp -- 1 $ 2.800.00 $ 2,E00,00 11 Cubic Yard Concrete for Thrust Blocking 8 Dead-Man Anchor Blocks _ _ 4 $ 75.00 $ 900A0 12 Lump Sum Removal of Ex4dng Water Mains,Hydrants,Valves Boxes,etc, i $ 1.000.00 $ t,OlJ0,00 L 1 , F f i J i I 1 1 1 ` , A I/ Y� t Page 1 Y t DATA bidtab BldTabTota-Contractor name of project PROJECT NAME Projed Manager Proj Manager Name _ IL Pagc 7 r CITY OF RENTON P/B/PW DEPARTMENT (Schedule of Prices) OAKSDALE AVENUE SW EXTENSION-SCHEDULE C (Now Unit prow M all items all eaenarons.aM Mill aMulit of bid must be shown Show unit pips n Wth woNs aM strums aM wMn cry irC1 OCCura the wnaan or t1 W words asap",owl) ITEM APPROX. ITEM WITH UNIT PRICED BID UNIT PRICE AMOUNT NO. OUANTITY (Unit Prices to be Written in Words) sessesesse Dollars Cis. Dollars Cis. 1 1 Mobilization, Demobilization Lump Sum $ per Lump Sum (words) figures (The unit price for this bid shall not be more than 10%of total bid) 2 1 Cons:.uction Surveying, Staking and As-Builts Lump Sum $ per Lump Sum (words) figures 3 1 Traffic Control Lump Sum $ per Lump Sum (words) figures 4 1 Erosion,Sedimentation Control Lump Sum $ per Lump Sum (words) figures 5 1 shoring, Design.Construction and Maintenance Lump Sum $ per Lump Sum (words) figures 6 1,430 Furnish and install 12"Dia.Ductile Iron Pipe Linear Foot $ per Linear Foot (words) figures 1 7 Furnish and instal 12"Gate Valve Assembly Each $ per Each (words) figures 8 3 Furnish and install Fire Hydrant Assembly Fach $ per Each (words) figure, 9 1 Connection to existing Water Main in Oakadsle Avenue SW E arch $ per Each (words) figures 10 1 Connection to existing Water Main in SW 27th Street Each $ per Each (words) figures t CITY OF RENTON PIBIPW DEPARTMENT (Schetlole of Prices) OAKSDALE AVENUE SW EXTENSION-SCHEDULE C More Urdt pncea for all dema.all eatanaxxB,and tOral amount or bd must W arlowr seal,un0 Vnaa in both,vvM]s and rpuns sno wMra caned occurs tha wnllen or tycea""Shall prevail 1 ITEM APPROX. ITEM WITH UNIT PRICED BID NO. QUANTITY UNIT PRICE AMOUNT (Unit Prces to be Written in Words) Dollars Cts. Dollars Cts. 11 < Concrete for Thrust Blocking&Dead-Man Anchor Blocks Cubic Yard $ per Cubic Yard (words) figures 12 1 Removal of Existing Water Mains,Hy,!rants,Valves Boxes,etc. Lump Sum $ Per Lump Sum (words) figures Subtotal 8.6%Sales Tax. 1, nodule C. Project Tale.Oaksdale Ave. SW Extension - SchmMt C City of Renton Phoning B.r BID DATE: DATE Engineers Estimate B Item Unn Est. Unit B4 U'd Bid Un1 Bid N No Description Oupnbty Price Amount Pr+= Amount Price Amount 1 Mobilization. Demoblization Lump Sum 1 $1500 W S 7.500.00 0.00 0.00 0 30 2 Construction Surveying, Staking and As-Budts Lump Sum 1 $2,500,00 S 2,5W.00 0.00 0.00 0.00 3 Traffic Control Lump Sum 1 $ 5W.00 $ 500.00 0.00 0.00 0.00 4 Erosion. Sedimentation Control Lump Sum 1 $1.000.00 $ 1,000.00 0.00 0.00 0 00 5 Shoring,Design. Construction and Maintenance Lump Sum 1 '000.00 S 1.000,00 0,00 0.00 0.00 6 Furnish and install 12'Dw Ductile Iron Pipe Linear Foot 1,430 l 65 00 $ 92,950,00 0.00 000 0,00 7 Fumish and instal 12"Gale Valve Assembly Each 7 $ 880.00 $ 6.160.00 0.00 000 000 8 Furnish and install Fire Hydrant Assembly Each 3 $2.200,00 $ 6,600,00 0.00 0.00 0.00 9 Connection to existing Water Main in Oaksdale Avenue Each 1 $2,800.00 $ 2.8W.00 000 000 000 10 Connection to existing Water Main in SW 27th Street Each 1 $2,800.00 S 2.8W,00 0.00 0.00 000 11 Concrete for Thrust Blocking&Dead-Man Anchor Block Cubic Yard 4 $ 75.00 $ 30000 0.00 0.00 000 12 Removal of Existing Water Mains,Hydrants,VaNes Box Lump Sum 1 $1.WC 00 $ 1,00000 0.00 0.00 000 $ 119,110.00 0.00 0.00 8.6%Tax $ 10.243.46 0 00 000 Total $ 129.353.46 000 000 Project Tdle.Oaksdate Ave. SW Extension -Schedule C BID DATE DATE 8 Item Lj, Est. Un2 B-a Onl Bd Unit Bid N No. Description Quantity Price Amount Price Amount Price An nt 1 McWlizabon,Demoblrzabon Lump Sum 1 0 00 0.0O C DO 2 Construction Surveying. Staking and As-BJlas Lump Sum 1 000 0.00 O.DO 3 Traffic Control Lump Sum 1 0 DO 0.00 000 4 Erosion.Sedimentation Control Lump Sum 1 0.00 0.00 000 5 Shoring, Design,Construction and Maintenance Lump Sum 1 0.00 0,00 0.00 6 Furnish and install 12"Dia Ductile Iron Pipe Linear Foot 1 130 0.00 0,00 0.00 7 Furnish and instal 12"Gate Valve Assembly Each 7 0.00 0.DO 000 8 Furnish and install Fire Hydrant Assembly Each 3 O.00 0 DO 0.00 9 Connection to existing Water Main in Oaksdale Avenue Ea& 1 0,00 0.00 0.00 10 Connection to existing Water Main In SW 27th Street Each 1 000 0.00 0.00 11 Concrete for Thrust Blocking 8 Dead-Man Anchor Block Cubic Yard 4 0.00 0.00 0.00 12 Removal of Existing Water Mains,Hydrants,Valves Box Lump Sum 1 000 000 000 0.00 0.00 000 000 0.00 0.00 000 0.00 000 Total 0.00 0,DO 0.D0 1 Protect Title Oaksdale Ave. SW Extension -Schedule C BID DATE DATE B Item cng Est Urn B,y N No Description Duaniq Amcunt 1 Mobilization,Demobltzabon Lunv Sum 1 0 00 2 Construction Surveying.Staking and As-Builts Lump Sum t 0.00 3 Traffic Control Lump Sum 1 000 4 Erosicn.Sedimentation Control Lump Sum 1 000 5 Shoring,Design,Construction and Maintenance Lump Sum 1 0.00 6 Fumish and install 12'Do Ductile Iron Pipe Linear foot 1 430 000 7 Fumish and instal 12'Gate Valve Assembly Each 7 0.00 B Fumish and install Fire Hydrant Assembly Each 3 0.00 9 Connection to existing Water Main in Deksdaw Avenue Each 1 0,00 10 Connection to existing Water Main in SW 27th Street Each 1 0.00 11 Concrete for Thrust Blocking&Dead-Man Anchor Block Cubic Yard 4 0.00 12 Removal of Existing Water Mains,Hydrants,Valves Box Lump Sum 1 0,00 000 0.00 0,00 Tots' 0 � I i I I ( 1942 1CF -� IAgzX 14,) y� 27!_,;O_0_ l6 �t L 9 • 'j.�.lJ 1%, ! 5,14 x o,44 x �e6� a(�dY.2q r 140 1�+ � Y_iy�C1.S1 - i♦ : At..T� D L „1 a � • ,tla li9to CY x 14d Ib��t, = ea�.44o 16 . 4�.11 1oNs 'IT f1 L = 15. 14A 0.5421( \tiv = 106,26 of (6 4P.7Z- 7. Vy Alit ZoNs 243o cF A \40 1i, , Ilo , lo TONS ep -- soy+ 16, � t� l = 247. �ti cr ,4-1,;4 tF xt4o � s 34, b7 .Ld 16. s17.b1 f+�15 wuu.> 16 ((nnoa 96. 5b Vio. 13 TONS - m r- c� -10%# _ �7JfoA15, p 710 fdNt � 1 , 1 'BPS I � i 1 att i os r,12 mot.►sl (1 cJJ`ZJ O OJO ^cl MCI Z oer� oo}Z clot P..,z�H oks ,aI j_SNn.► oat 1•�y tiNp� yL'ybt = qi oOhrjbti � j S.nl x d7 ooil, �,oL2 Ccb x x � r * 0bZD -�'� ob27 p�� l � �• . 1 a� C006 z I I, 1 �R RENTOOFN MUSE 0 •-7`--SM JIST 51, TO 5`M 19M S, � - 1— _'-`--� °'""' a»,yn .an ROADWAY CROSS-SECTIONS %S-1 —17 f - i ca - i ias i z it is iii 1 1 11 1 I 1 1 r I 1 i 1 I 1 1 1 1 1 1 I 1 1 1 1 i 1 II 1 1 1 1 W.I, W I p ♦ ♦+ {♦ ' p� ' N ' CQ ' OyI, ♦gv ' y�v1 ' bp. •I 8 �• 8 0\ 1 O• •i $�'1 $•i �•1 iip+ 1 a• 1 Q! , p j I i i i i 1 I 1 1 1 1 1 1 1 I 1 1 1 y I I 1 1 1 1 1 1 1,1 I 1 1 1 1 1 1 1 1 1 1 I 1 I II t ii ii ii { i0 { ii i •ui t is i is i ii i • tl i ii a ii i I I . 1 r II 1 1 �I I III I li II 1 1 1 I 1 •II+1� + ' + iY �• }� i,- +• +� ;1 ice ' ♦'� ; + �� ?� I.M I ' � II I' iI I I i;l i ' iil it ii i, Y { I I I v j I Y III t i >s _�� I.�' I . A •1 • 1 l • • II • i • i • i • � • I i 1 1 1 1 I : f •, I: •Ia i •li sl ila fl .II • I ; ) • I I ! I i II � it I I W- �e Owl�YI•.i S•fRfMSd/-MtSF rB k i B•c ti r ROADWAY CROSS-SECTIONS 2 . 3 24+50 • I r s._..._c. 'Y 17450 - ___ r a--c�a�rs_ ___ —�_w A -• A 24+00 D r 17+00 ! - _ • qA -• -i • f • rp r _ 23+50 t �• A • v A • r • r 23-00 $ y M A • r � rp O __ _ 18+00 A A A • r • -�`� r 22450 � -1 A • r • rq • j A 1 A • r >F 1t 15470 22+00 Z • • r M • 21+50 15+50 y • A • !• ♦ • ________________________ y 21+00 r 15+00 r - ��'— r -� y A • r • r MIT 20+50 14+50 s— 4 s Y w A -• A • r ♦ r A A -r • r • r 20400 14+33 s 4 ah ______ .74 A + A • s • • A � A • a • r 14+32 - 19+50 A 11 A • r B 14+00 19+00 A A -r • s t\ • rp 13+84 A .• A • s 18+50 E �•_ 18400 pA .• -s • a �.y • r -Y .• -r • as B _ DATA Description puanti Mobilization, Demobilization _ 1 Unk 2 Lunt SWn_Conshuction Surveying, Staking and As 8uilts 1 3 Lum�Burn Traffic C—tin ,I 4 Lump Sum Erosion. ,edimentaton Control — — 1 6 Lump Sum Shoring, Design, Construction and Maintenance 1 8 LM�ar Foot Furnish and Install 12" Dia. Ductile iron Water Main a Fittings _ 1,430 7 Linear Foot Furnish and Install 8"Dia. Ductile Iron Water Main 8 Fittings 125 B Linear Foot Furnish and Install 6"Dia. Ductile Iron Water Main 8 Fittings _ _ 20 9 Each Furnish and Install 12"Gate Valve Assembly 7 10 Each Furnish and Install 8"Gate Valve Assembly 2 11 Each _ Furnish and Install6"Gate Valve Assembly _ _ 1 ac 12 Eh Furnish and Install Fire Hydrant Assembly 3 13 Each Connection ll Exbtirp 12"Water Main at Sta.2+00, Oaksdale Ave SW 1 14 Each Connection to Existing 12"Water Main at SW 27th Street _ 1 15'Ton Furnish and Install Imported Select Trench Baddgl _18 Ton Furnish OW Install Foundation 9aterigld+�+— 9> p l�y 18 Tonh Asnhatt C dondob 1�TWra Bedding h Patching I c 1 d shad Surhein To Course 19 Cubic Yard Concrete for Thnot Blocking 6 Dead-Man Anchor Blo 4 Lump Sum Removal of Existing Watts Mains, hydrants,valves bones,etc. Zo Fspe 1 DATA Num Unit Description 1 Quantity 1 Lump Sum Mobihzatbn. Demotilizahon 1 '•-7 2 Lumo Sum Construction Surve,ing,Staking and As-Builts 1 3 Lump Sum TrafficControl ---"`- 4 Lump Sum Erotipn,Sedimentation Control ._ 5 Lump Sum `Shoring,Design, Construction and Maintenance _— 30 8 Linear Foot Fumish and Install 12"Dia. Ductile Iron Water Main&Fittings i 430 7 Linear FOCUPurnish and Install 8"Dia. Ductile Iron Water Main& Fittings 125 8 Linear Fapt 11FUrnish and install 6"Dia. Ductile Iron Water Main&Fittings 20 9 Each Furnish and Install 12"Gate Valve Assembly ---- 2 _10 Each •Furnish r nd Install 8"Oate N'31ve Assembly 11 Each Furnish and Install 8"Gate Valve Assembly _ 1 12 Each Furnish a/ld Install Fire Hydrant Assembly 13 Each Connection to Existing 12"Water Main at Sta.2+00, OakadaN Aw SW - 14 Each Connection to Existin412"Water Main at SW 27th Street_ �-- - 15 Ten Furnish and.nstall Imparted Select Trench 8 k./C_f ll `T-- ?i0 16 Ton Furnish and Install Foundation Material - _ _ _ —^�t+ - 106 17 each Furnish and Install Said Bedding over .s6"Storm Sewers 2 1 Ton Asphalt Concrete for Trench Patching Including Crushed Surfacing Top Course 8 Cubic Yard Concrete for Thrust Blocking& Dead-Man Anchor Blocks 4 1 . J Lump Sum Removal of Existing Water Mains, hydrants, valves boxes, etc t t t l i Page i