HomeMy WebLinkAboutWTR2702905 WTR-27-2905
BEGINNING
OF FILE
�low a905
i
WATER PROJECT FILE
LIBERTY RIDGE PLAT PHASE I �J
ShoitPlat'(SFffLN'`� )
REQUEST FOR PROJECT N Prelim.Plat (P1# L4 cv-(z )
CAG N )
-ITO (—
To: Technical Services Date 3 0l WON 8�3 Green# _
From: Plan Review/Project Manager
Project C'me
VO ch>raam mu)
Description of Project: /yv' GtzeCG ✓ At�CG�I/� Q
(
Circle Size of Waterline: 10" r Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Code One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
dcfr�ss or Street Name S) r aQ S C L t'Sre
Dvlpr/Contractor/Owner/Cnslt: ✓_ T
r n chtraa tnu)
Check each discipline involved in Project Ur Drwg N of sheets per discipline
� ✓ ✓
6---Trans-storm
(Road+arlDoai p) (Or(tits 1Wmvemenu)Ctndvde buin none) Include TTSC threu)
(6---Transportation (sir..,i dor. urhdna)
13,�Wastewater
S+niu 7 S<wu Main(Klvde buin name)
fl�-,Water (wt.:nr.vat.e.,.rvrdt..,u)
(Intludc mmpoui<&N"rimnul CW AST
0 Suface Water 0 0
Improvements
TS Use Only 7len 4f-� 905 ( 2405
IJwa-�7- R9o5 S- 2905 ALk-R7-A?05 r t
JC:-27-2001 FRI 03:1C PYI KING CC FAX NO, 2968431 P. 03
;-. Laucks Testing Laboratories, Inc. I-Sucks Testing Laboratories,Inc.1 940 S Hanley Seattl,WA 9Bt 0B 940 S.Harney Seattle,WA 9Btp0 1
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY I SAMPLE COLLECT'ON:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
II lnatme'tiona Pre not followed,sample WIII be relecle0. N Instructlon5 are not foltoR,PL sample wN be reiseted.
i
1 DATE COLLECTED TIyf COILF O coUNry NAME DATECOLLF.CTED THE DOLL TIED COtRRY NAME MINTY) DAY rrµ MOIAN 0p vEAR
❑� /
k "7 0/ I�� ❑RM
1 P PE OP SYSTEM IF PUNLC SYSTEM•COMPLETE TYPE Of SYSTEM IF PU%X SYSTEM,COMPUTE:
1 al IC
[�❑INU IL4To
INDIVIDUAL �(. �Rp,�� CIR G RDUP T � C1fJ�yp�
ONIDUK
NAME OF SYSTEM
Gay D ^ r-L�`�n NAME of SrSTE
BFECdC uicar0N FLE SAMpIE COl11CTE0 1ELEPH NO. S WC n vm "PtEE TELEPHONE NO.
„z., a.rn fbo.
5•�3RaP.'Fon.t�gLk'' DAY 0� �j�
L/ Z.0 EVENING _1 /�/ EVENING l 1
SAMPLEC ED By(Nam.) sySTE WNENMGR,:(N.mp) SAMPLE^ EO BY.INam.) SYSTEM OWNENMOR.:IN.mal
k K � -
$OURCETVPB L GROUND UNDER SURF EINRUENCE ACE TYPE GROUND WATER UNDER SURFACE INFLUENCE
❑SURrACE WELL or ❑SPRING ❑PURCHASED COMBINATION
SURFACE WELL o• $PR:NG PURCIIASCD ar
WELL FIFI D MERTIE a OTHER , WELL FIF.LO❑ ❑INTERTE ❑COMBINATION
5- DDnnE RTTp w F NN+1 waM tp DodN ND fP0 rnt a IW ylaa�R jp-F.uUpl�r��»T
Vd.,2�
HMf Hn.
TYPE OF SAMPLE 104ek only on.In tku ooymn) TYPE OF SAMPLE(Cheek only one In tl,y column)
❑ROUTINE ❑CNlannmw(Racldum._,_T.,N_FN.) ❑ROUTINE
DRINKING WATER DRINKINC WATER ❑0MOnn1100(RukuA:_TOUi—_FrdN
CtAck i.GIbnT I ❑Fft.0 CnPtk lmat,n.m ❑FInNw
❑Untno w a Omer__ ❑UuVaalw or
❑REPEAT$AMPLE ❑REPEAT SAMPLE -_PlWipq rOMiorm p,nSYnq LTD f RWIOY$=00lm p TInC. Lab 1 _
Dale_._f /�. Date
[t MW EOUICC WATER Sousa.J otal Cdnrn n RAW SOURCE WATER Source❑T F—'. O ❑Ta.l CoMorm
, NEW CONS fRUCTpN or REPAIRS ❑Fwal Cmifo+n NEW CONSTRUCTION of nEPAIRS ❑Fwv CgfiTwm
❑OTHER(Specdy)_ _ ❑OTHER(5ow:•IyJ_
REMAPKS EMARKS R
_ ILAB USE ONLY)DRINKING WATER RESULTS (LAB USE ONLYI DRINKINC WATER RESULTS
❑UNSAT15rACTORY.CaDlwm:pmbn SATISFACTORY, ❑UNSATISFACTORY.CONorm:P•...nt SATISFACTORY,
REPEATnams xew XCo-OwTim ab;ant
SAMPLES Ul E.CoCnY p.wnl [�E.Cps aurcm REPEAT ❑E.DCY Fnw.t ❑E Cm.'bum
NFOUIRED J Feed pM.Onl ❑fecal 0pa.n1 SAMP
EWIREE focal P'esent ❑F.WI o05rnt REWIRE ❑
OTHER LABORATORY REBULTS OTHER LABORATORY RESULTS
TOTALCOUponM_nDOml CLOLL 1100 ML TOTAL COLIFORM _1100 mI — E COLI_/t 00 NL
FECAL COUFOAM _/,W rN PUT6 COUNT /mI FECAL CCUFORN_n00 m; PU/E COUNT_.,nl
ANOTHER SAMPLE RF OUIRED ANOTHER SAMPLE nEOU1RCO
SAMPLE NO rCSTED BECAUSE: TEST UNSUITABLE B:CAUSE: SAMPLE NC-TESTED OECAUSE' TEST UNSUITABLE BECAUSE:
❑SP n A,Ian ON '❑Cor"y",9rowt. I]SamMe taw as [3 Confioa t gr
n WawaCn Lamar ❑TNTC L�J N+en,ramb n.r I NYC
❑mcamo,nlo lom ❑rproO cuAur. Ir,ro`0'ero form
I L,hnWd cmlpm
LJ ❑E.Cm ovals 1 ❑
❑F+CJie d.br a
SEE REVERSE SIDE OF GREEN COPY PIP"EXPLANATION Of RESULTS i SEE RBYEIIst SILF OF CRFFN copy FOR EXPLANATION OF PBBUUS
uev0 O PNT+ OAT[nML RECCrvFO AEC[NFp er W ND A DCM&I f TE.TIRE nECtNCO AfCCAKd er
ocs
nArf RFfOnTE IAApMr p+ie PEPDpif.� UtlOMT M
1
CM iM tY F'[v Nri N„Y+F
6H LENTER CUT'V +o^N,mf Ps•�m
OP CENTS t GJ:'V
JUL-27-2001 FRI 03 09 PM K'NG CC FAX NO. 2968431 2
LauCKS testing Laboratories,Inc. f'., /E� wucFes wsTmO laboratories,Inc.
340 S.Harney Saaroe.WA 9BIOB 1 ) rJ 940 S.Harney SEanr.WA9Bl De f
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:REAO INSTRUCTIONS ON BRCS OF GOLDENROD COPY SAMPLE COLLECTION:RFAO INSTRUCTIONS ON BACK OF GOLDENROD COPY
It instructions are not followed,Sample w.l be rejeFtad. It msbvetions are not tollowad.sample WW be P j*C:led.
DATE COLLECTED TIME COLLE COUNTY NAME DATE OOLL.ECTEO TIME COLL�rFD CAw+TY NAME
MBMTII DAY I YEAn MONTH MY YEAR �� I�
/ AM ❑ale • OtirAl ❑PM �•
TYPEOf SYSTEM IF PUat IC SYSTEM,COMPLETE: TYPE OP SYSTEM IF►UBM SYSTEM COMPLETE:
[]WolvtowA I.O.NO. ( e OB uP X�PUBLIC
LD.Na l Q c GROUP
MM1y pN T w.WRN eWrYM'��ePRY
NAME OF SYSTEM NAME Or- TEM
ell
e, i
SPECIFIC W SAMPLE Tars ECTFn TELEPHONE N�O>w—'n ' WP FCLOCATIONWHEPE CGiECED TEIPPHONENO
�WFr1�
I u
! EVEN Nr I lEVENING
rAMPLE COL 19MS OSG INAms) SYSTEM OWNEWMGR.:INamal SAMPLE COLLE DBY Mamal SYSTEM OWNENMCC,3L INamel
OkIAcq 1YP'C GROUNO WATER UNDER 5 E INFLUE^. CE E TYPE GROUND ATER LMOER 9URF E JENCE
❑SURFACE ❑WELL& �SPRINO ❑PURCHASEDw L)COMBINATON ❑SURPACE Z WELL or ❑SPRING ❑PURCWCD or❑COMBINATION
_ WELL FIELD INTERTIE &OTHER ELL FIELD INTERTIE or OTHER
SE R PORTT P yUNNdn.bona oTlp Gaw, SEND EPO T '(I'mt L7EdM.�tOra BIM LD N
L
LY �laCfl7PFa._�� /��P.R.Gts
�/ jj
\— NA•wUcro. w.c.MarO.
TYPE OF SAMPLE IcMCk onry on.m INa Col..) TYPE OF SAMPLF.INrck Dory ons h His column)
❑ROUYINr; ❑CNOMA[W(ReaDWC_Ual_Free) ❑ROUTINE CMwrMletl tRYcbuat ToWi F,,V
DRINKING WATER DRINKING WATER ❑
41'oCk twLY,ont ❑FNI&00 Meek MAITrnt ❑F,11~
❑UMratW Pr ONw- �UnwuM&Omar._.__.__..._. __
❑REPEAT SAMPLE ❑REPEAT SAMPLE
Prwl&rN Gdit&m PNeonce LHb a Pra.w W wkterm PPY!4 W Lao r
Dal. _r_r_ Dato _F_r_
Z'RAW SOURCE WAi LR Sou,ce r I = ❑TOW C&i!wm ❑RAW SOURCE WATER Soumo a 7S ❑Tow Co4t&m
NfIN CONSTRUCTION of REPAIRS ❑Palatal Cd I. NEW CONSTRUCTION&REPAIRS ❑Faeel CdAarm
0 NCR(SPonl/y) ❑OTHER(SPec.M--
REMARKS: /� REMARKS:
___ 4�.. ._._ }-
[LAa use ONLYI ORINKING WATER RSSUUS I�1 ILA$USE ONLY)DRINKING WATER RESULTS
L,UNSATISFACTORY.Cllft.tTF 4NeM1 $ATISfACTORY ❑UNSATISFACTORY Coklnrma P•ltwi SATISFACTORY.
CPLIPr'A MRrm C<blerma eDFMI
REPEAT L)?.CON prO4Mt ❑E.Ccll abFFnt REPEAT �❑�-1 E.CBI POFant E.CmI&boot
SAMPLES 0 Cee.N Dlo.WIt ❑FKAI abN RAMPLES
RED U rYWI
FEOUIHE:O FNeFMt Feca'sawl
OTHER LABORATORY RESULTS OTHER LABORATORY RESULTS _
TOTAL COLIFORM_I10O mi .--E.COu__n0)ML TOTAL COUFORM,_n00 IT, C COI«_n00 Mt.
FECAL COLIFOVM n00 M. PLATE COUNT_riot FECA-COUFORM .1100 mI PLATE COLN r_rm-
ANOTHER SAMPLE REOUIPEO ANOTHER SAMPLE A60UTACO
SAMPLENOI IESIEUBEGUSE: TEST LNSUITADLE BECAUSE. SAMPLE NOT TESTED BECAUSE. T EST UNSUITABLE BECAUSE
❑swell,too old ❑Cnnnuem ym.m ❑SRnde Co.old ❑cowloMt 9A"tN
17-mole colmm,o ❑TNTC ❑WpnO Lament Lf^TNTC
❑meomplo,b,m C'.,,bla C..Ir:y ❑IynTULN to" J T. P,d C,Ae se
❑.__... . ❑E.Crss baorls ❑ ❑Fuse aroM
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LABNO TOICRSI DATE..TIME ALCEYCD PCCE.YE09Y LAB NO ITDUT9 OATS TIME PCCCNtO PECEIYEO ear
0 � J�-+36 � �a'ss' 2iw' a i2 .y
DATE PLPOPrM IABOSAAir�ORY �_ OATF REPORTF Ut10MT RY
CON a.PY JY.•..n (>a iOe.A A<r ww
UN CO6I71-.R COPY — DP CQ'N Tea CO 2Y
DEC—A-2001 WED 05:51 PM VNG 00 FAX NO. 29684311 P. 02/02 1
Laucks Testing Laboratories, Inc. •� •� Laucks Testing Laboratories,Inc. l
i 9•:0 S,Huney Seeme,wA 89!OB ; 1 IAOS.Hamey Seame,tll )
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLFCTION:REAO INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON RACK CF GOLOFNROO Copy
If Instrucborlt are not followed,sample will be niected. R NKtYNC"Ord an not tollewed,sample will be rejected.
DATk COLLrcrao IIMECOLLEWED COUNTY NAME nATE OOL T ECOLL!;TE.O COUNIYNAM[
MOIIt1I DAN KAP . MUNm wY wv�a'All �._.. 'i►O �,///'
�M UPM /J� CV M MPM •-vN�_��
n PE or Lint If TYPEOFSYsIkM IFFUDUCSVSTFM.COMKS
TF:UOL!C srsrEM,COMPLETE Ley, l ub Ic
ilSLK: i v,.� CyXAE GROUP
n Womr l L.No.� a tr.Rf.K(BOun U mOMOUAL LD.Na� Q I UAA B
t8/ I.irvw reliw.rta
NAAC Of SYS)LM.�] NAME OF/SYJSTEM
%CCOLLC-LU TELEPNO NO. SRiG� _ Llr, EI:T� TCLEPI-'O -NO. __•..—
C DAY t DA..r(_.._L—
EV NIND —•�-u• Ey' FV AINR�_�.
SAMH E Lf .I N .INAmP ' _��.�.1� S/��LPLC 1 CREO 'Y.IN,unJl $Y sOWN11VMCN rNnmul
1 SYSTCM OWNEWMOR.;MnrNI ,2SA!L •IC , I IVM A.TN,
ICI JOUNUE TYIK of IN ER a FWfNTr— CE
rrS,�W11C 1v PE1�a[' O lNO wKr RUN7fE-R'SMfALI IaMLUENCF •�_,—
. u"rAce ylYa0l m L7 SPnINO U PUACHASEO or p COMOINAT±pN ❑suMrACL7y WEIy tyE{D U sMING �j I IAuED D. ❑COMBINATION
LLL flfLO_ INTERDE wCINE.FA / IINlll fl NIE or OTNEII
y�DR In to' N. -_U UDIOr sE UR TTGy 1rupNeme.Aid'd _—^—
`—fI I�C�7y7�U"'`dG�l')TG�'� ..__.._ .
IN Vi.OF SAMPLE lehnek enlY om b tbf mlwn+) TYPE OF SAMPLE(elwk o•uY Pne in Ilaf CCIumnl
Ll floul.NE (''1 ❑ROU I'll ❑TINE Chlmm W IReo•oJU:_.Tou Frw)
OFINKING WA'I N r�J'(;IIMnAI.a IHoeloual:_T.W_PIR1)
Cn DNINKMIO Mk M.�ImaAl Uy F lip," I N brut �(.,tow
�J LAroaeleo w011 Wl____„ Unl�nlea pClll Nr, ____
[J M,►EAT SAMPLE _ ❑nCPUT SAMPLE
AAalaUs a.nwrin PMtonn Lae e_..._. Prnblle col ro-.n P,rRxxe Labe__ .�. ._
Date--I -I Dale_ J_.
C1
'T r1Aw SouncC WATT N C7 ncC L%ARA spurn a JP eaI �TrLI Co6•o.— RAW sOU E1N JJ1JJI ll ttY Corin•� .Dvb EWCUSN : IOu� lPsOnNSI RJSTxNorWMIAt S �Fecal CC<wI,.lounmn DTF4R
1 DTMER ISIN•A.rhl. . _.. .___ .._. __._. _.__ C f'ape.:ay,- ._.. ___ .__ _.__ ____ _.__. _
_ ILAD USE Of DRINKING WATER RESULTS - _— _ LAID USE ONLY)ORINKINO WATER RESULTI .
r, TI$rACTC/Y, 7LNSATISIARDIIYCa1.k tA,spm---c.- UNSAIIGI'-o(nOnY,rMNarleapm;JI iA`srAC10RY
cmlarma absen REPCAr CC.la..na Mfam
nrPEAT E.Cell pre.arl ❑t CoI aaaMt ❑'E.Coe mexcnl G E.Coh aeeal
r�, EEty 1(�11 SAMPLES Fcralp,o••
Rk�OINRI'n �J 1'n:a1 pKcuM ❑f=al Pbaonl '__• RECVIAEO �� url []FaCaI aa5M,1 -
-____ •,OTIIER LABORATORY Rtt11LT3 OTHETI LABORATORY RESULTSS_
TOTALnI WORM g/ICO na E.COLt�,gW ML TOTAL.COLIFCRM�./!DDTI ECOJ K/1 JP MI
Fr CAL C01.t!Of1M ,_RCN P.I PLATE COUNT _AN FECAL COurCRM _IICD mI ►LAIE COLNT ,mI
—. ..��.ANOn IER SAMPLE NI.OUIREO ANO'NEM SAMPLE REOUIR60
SANWII NOrTISTLIIO[Mist TEST UNSLATAM.E BECAUSE StIMPLE NOT TESTEU PCCAjSE. TLSTUWVITARIEBXAUSE
-
❑saRKao Na W ❑CoAN"Itmom 0 Smroo,too am CMMenI yowh
rUI W."W1U,ur L]TNTC ❑Wrano canl.•Aer INTO
`1 APCmpta c,Lw•, LJ! 1 T•.rOA cu t..e rI Ineomp,Lle W',' ri Twoe eNlure
r� FLP{I lc...aeao --._ O,cum M9rc
B K:IrVEn W clot Or GAIXN COP+fOR E 1H.ANAT'•c r EEC R4vERis SIDE Or GRa CN CC✓N Pon CAPLANATION OF Reawi
N U RES_a TS _
ADM V rLielrTa DATE."Me R[CFNkk) N Ja NC IN C CITN DATE,TINE ArneNCD NICLIVED NY
r.IG ALPDAIa, NAfrWTf, PATE n000rITE0 .AaMAt
N.M M.W R1;,4•I_ ... ... VAIN ale MY ML- ...
I
Loucks Testing Laboratories,Inc.
940 S.Harney Seattle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COU FCTICN READ INSTRUCTIONS ON BACk OF GOLDENROD COPY
If Instructions am not followed,sample will be rejected.
DATE COLLECTED jlt/1E COL}f.TED COUNTY NAME
MONTH DAY YEAR L_ #9
TYPE OF SYSTEM IF PUBLIC SYSTEM.COMPLETE:
BLIC C �
❑INDIVIDUAL I.D.Ne. / 0
law vy I�1 VVV
NAME OF SYSTEM
I
SPEC .A @I f.,(�jECi® TELE END.
DAY 1 L
EVENING
L TED BY:MaTTwI S OWNE GR.'.Malmo)
SOURCE TYPE GROUND TER UN R SU LUENCE
. - ❑SURFACCk WELL a ❑SPRING ❑ HASED or❑COMBINATION
or � LL FIELD INTERTIE ar OTHER
POR R T nl Fu Nalco.AOtlTwa
TYPE OF SAMPLE IcMCk only one`m dils Column)
❑ROUTINE v f'V ❑CAlormsead(Rwaal:_Tow_._-Fiala '
V M ❑Fiagg
AN ❑IlntreYtl or Other
❑REPEAT L 6 ._..
Prevwu tpaosaaar
UM O,
L.]RAW SOURCE WATER SouseaN] m ❑1tAe Coliroml
,KNEW C'IM'Y-PIICTI�N W REPAIRSe/ _.. ❑raOel Cdirorm
OTHER ISPcM/1_�
(LAS USE ONLY)OweClaG WATER RESULTS
❑UNSATISFACTORY Cnlilorme plaNnt —_ SATISFACTORY.
Colnerma mbaent
REPEAT ❑E.Coal EmbO t ❑E Co1L absent
SAMPLES Fecal Mean) Fecelabeent
REOUIRED ❑ ❑
— OTV"LAWRATORY AESRTS _
TOTAL COLIrORM /100 col E.COLT .__1100 ML _
FECAL COI IFORM /lop TTlt PLATE COUNT__/col
ANOTHER SAMPLE REUUIREO
SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE'
❑SAmpla too ola ❑Conm t grovan
❑wrong oonlener ❑TNTC
❑IncampMa fpml f—�Tubb Culture
❑____ I.acesa doW'a
SEE REVERSE SIDE OF GREEN CAC*I"I I RESULTS
IAe NO PDIITS1 art.TIME Kct'i �ECENED Sv
DATE IEPUarEO IAeDRATORY
Mllekta
ObH aavyav wi
WATER SUPPLIER COPY
Loucks Testing Laboratories,Me.
940 S.Harney Seattle,WA 9STOS
WATER 13ACTERIOLOGICAL ANALYSIS
SAMPL F,^,Ot L.ELI ION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
N Instructions am not followed,BBagAt,wo be rBlao%d.
DATE COLLECTED TIME COL COUNTY NAME
MONTH DAY YEAR
.TYPE OF SYSTEM 1 IF PUBLIC SYSTEM,COMPLETE;
LN
❑INDINWAL gyp,�, O CI"LBjMiOl1P
u.nw avr,,,..ya,a,A �JB II
NAME OF SYSTEM Y+ 6666r
ilE D TELF.PH0NE NO.
/ DAY
EVENING
,� IName) SYSTEM OWNERUGR:INamel
A
gliml
7VPIE�/ GROUND WATER UNDER SURFACE INFLUENCE
p Sl1RFACEy>,WELL« SPRING ❑PURCHASED or C3 COMBINATION
WWEELL FIELD INTERTIE «OTHER
R T TO' A4 ZIP
�7C
TYPE OF SAMPLE Icneck in Mis cnlwm,l
❑ROUNN
DnIN KIE `G/� ❑Cha«lana In«iaw:_Tar F,.a)
c ` ❑FNIMad
(cD,1Q� fl lN'"w1ot 91M!
❑REPEATff��MN1ac Q ---
Pravge�}/onn p Imvl; e N
O
❑RAW SOURCE WATER SmToe ❑lbw e worn
OEW CONSTRUCTION RE AS ❑Few comwn\
THER(Specify),._. ?
9 ILAB USE ONLY(DRINKING WATER RESULTS
❑UNSATISFACTORY CoMwIns pmaent ❑BATISFACTOFI'I,
REPEAT ❑E.Col,Pm and []E.Co(i i Col4ama.eaRR
SAMPLES
REWIRED ❑ ecal pnoant ❑F F acr abFant
OTHER LABORATORY RESULTS i.
TOTAL COLIFORM I\ lt00 m1 E.COLT /WO ME
FECAL COLIFORM 1,00 ml PLATE COUNT Anl
---- ANOTHER SAMPLE WOUIRED _—
SAMPLE NOT TESTED BECAUSE TEST UNSUITABLE BECAUSE'
❑Semple IOU PIe ❑,,^nnfluaM W—th
❑WronD coma,w ❑TNTC
❑Ira;«npiata loan ❑TAdd aAla
❑_..__.—_.._ ❑Ea oapR
SEE Rt VERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
W N0.n qWT$ DATE,TINE Margo RIVED BY
DATE REPORTED U ToaY
i 1
ao,.Xe aor Nav uan
WATER SUPPLIER COPY
L.aucks Testing Laboratories,Inc.
940 S.Harney Seattle,WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION'.READ INSTRUCTIONS ON SACK OF GOLDENROD COPY
11 instructions am not followed,ample Will be rejected.
DATE COLLECTED ITIMECOLLECTED COUN/Y NAME
Ml PAY YEAR
/ JX
AM /4
TYPEOFSYSTEM IF PUWIC SYSTEM,COMPLETE
LC
INDNIIXI/LL / Q 'C C OUP 1.
LD.No. G/ q
NAME OF SYSTEM
n
SP(E �C LOCA NRERE SMARF COLLECTED TELEPHONE NO.
I r TY't �wcllex On � /
41 .0 .N C EVENING
SAMPL LEC BY:tHarml SYS OWN RNGR INamel
' S.i.nkt
1 SOURCETYPE GROUND WATER UNDER S ACE INFLUENCE
,+❑ J
SURFACE DWELL w El WRING [IRCHASED ur ElCOMBINA110N .
'IyELL FIELD POTHER
5 P FUR
It-
TYPE OF SAMPLE tcNeck ar11Y Ow e,Mu column)
ROUTINE ❑CNIOn"tad Ob.duel. Tout Free)
DRINKING WATER _.._
check treahMnl ❑Fiten a
❑UnMatwt W opul
❑REPEAT SAMPLE
Pnwous coklonn pree . Lab
Date
❑RAW SOURCE WATER Straw ([ E aai CoNlam
NEW CONSTRUCTION or REPAST$ �(n,I�recM CoMam
OTHER
V
KS' * yE`
(LAB USE.ONLY)DRINKING WATER RESULTS
• ❑UNSATISFACTORY,CoMama prevent---- [j SAr1sFACTOHY,
Cdlbnne A
vant
REPEAT ❑E.Cw present ❑E Cub aSAMPUFS
bermi
REQUIRED ❑I"present ❑Feca1 atMent
OTHER LAGORATORY")SALTS
TOTAL(X11.IFORM A flo0 ml E COLT A./100 ML
FECAL OCILIFORM 1100 ml PLATE COUNT_ _hN
s ANOTHER SAMPLE REWIRED
SAMPLE NOT TESTED BECAUSE TEST UNSUITaDLE BECAUSE.
❑San*too old ❑CmRuent Sro+'IN
❑Vill consim, ❑TNTC
❑klwrllplow form ❑Ttebid euttKe
❑ ❑E.ceee%ty
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
1A8ND RDIWTSI PATE tA1E RECfl D RFCENEU By
L' Kl � �
I
WIFE REPORTED LAOOMTDW
IeMrMB
our eleY stv Nrl
N,VATFIR SUPPLIER COPY
Laucks Testing Laboratories, Inc.
9e0 S Harney Seattle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If instructions are not followed,sample will be nieoted.
DATC COLLECTED TIME COLLECTED COUNTY NAME
mo%H LAY YEAR r�ry _
P ❑
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLEfE
R __'IC EL—�,TI T.,., ROUP
❑INDIVIDUAL
e.�..eYY,e.a.rrR LIJ,.LB/.t
NAME OF SYSTEM
SPECIFIC LOCH WHE FC FELE
94S-
EVENINGI 1
SAMPLE D S t Ir :Y EWIMiR.:(NenN)
11 SOURCE TYPE OROUNO WATER NDER SURF =INFLUENCE
SURFACE WELL IN LI SPRING []PURCIIASEO a .COMMNATION
LLFTELD INTERTIE or OTHER
fe eSE i 1 I
r
TYPE OF SAMPLE(cINek oMy orla In Nle cnlumr.)
ROUTINE ❑Ckbnnetwd(RePdual Total Free)
DRINKING WATER - "-
CWktea~t ❑FinMd
❑REPEAT SAMPLE ❑
RBY, W co11Mm(xNMC. Leb l�
Date yAy/
❑RAW SOURCE WATER Sound F E Tout Colwon„
:R�WEW CONSTRUCTION or REPAIRS Fecal Coolorr„
n OTHER fSPecft)__.
NEMARNS
RAB USE ONL'I DRINKING WATM INSULTS
❑UNSATISFACTORY.CCA,1 n1e prevent ❑SATiSFADrORY,
r�, Colwams absent
REPEAT fL.J E Co.peewit ❑E Call sAMRR
REWIRED ❑Fecal present [Fecal ebeerR
OTHER LABORATORY 11la1K.TS
TOTAL COUFORM r100 m1 E.COLI 'A AGO ML
FECAL COLIFORNI _ 1100 ml PLATE COUNT /ml
ANOTHER SAMPLE REQUIRED
SAMPLE NOT TESTED BECAUSE TEST UNSUITABLE BECAUSE
❑svr we loo 0I0 ❑rCorruR l Vmm'
❑W1onp wire L]TNTC
❑W—Pitte form ❑rlwb,d culkse
1 ❑__._ _. ❑Etoan data
SEi REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RCSUU 5
Me NO IY GIGITR) OATS THE RECENEU RE<;EIVEO ev
� l
CAE IIEPORIEO Lmm
1aRsrsws
s WATER
see
SUPPLIER COPY
Laucke Testing Laboratories,Inc.
940 S.Harney Seattle.WA 9N108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLOENROO COPY
N ftlaw"ans are,not followed,sample will be miftt&d. j
UA1c COLLECTED TatF COLL TAU COUNTY NAME—��• `V A1pNTM MY YEAR -!/LJ_ (J 1
AM ❑PM
�TYPE OF SYSTEM IF Pl1BLIC 9VSTEM,COMPLETE: I
R PUBLIC
❑INDIVIDUAL I.D.No. CI GROIRr
�.««wt 1 01 A !
NAME OF SYSTEM
SPECIFN;L WHERE SAMPLE COUECTED 7ELEPIgNE ND.
3i + DAv�s,43n:7.Z�D
T�rnPgu nLntIL
SAMP EVENING I 1
O BY.Manrl SVSTEMAN7�WMOR. No q
SOURCE TYPE GROUND WATER UNDER SURFB(T INFLI 'N
❑SURFACE/ d\hl L FIELD❑Sp" ❑PURCHASED or ❑COM&NATpN
INTERNE or OTHER
PORI T41Pmt FUN NYna AdOisst�zq Code)
,�Ippa�..1C
r
PE OF SAMPLE( `rack only One Al M S COW.,
❑ROUTINE
DRINKING WATER L�ChlonnNee(Reelaual7,-- F"
check treatment ❑FINMeUUmtaatad cr Omer
REPEAL SAMPLE PrwIOWCdllormpregence LapeDateRAW SOURCE WATER Source I, v`-
�NEW CONSTRUCTION or REPAIRS 141
FeGI CORom
❑OTHER ISweKyl
REMARKS:
(LAO USE ONtYI DRINKING WATER REMR.Te
❑UNSATISFACTORY Col' r .'*Pent ❑u SAT19Fµ,
0 TORY.
REPEAT ❑E Cori oreeent ❑E ColabsentCMlarme abee,e
SAMPLES
RFOUIRED ❑Fecel pmeeni ❑Fecal.been,
OTHER LABORATORY REPAYSTOTAL COLIFORM I 1 2100 ml E COU I .ngp ML
FFCN COLffORM p Mooml PLAIECOUNT Anl
ANOTHER SAMPLE REQUIRED
SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE'
Samois Lau ow ❑Confluent growth
weve"nene, ❑TNTC
ram' /cnn ❑T1,W ou"
LL..11 ❑EXaaa AeEm
copy N r01� T�ItP�� k1l �i
o.fr aglrSl MYk.Tw PlaNED R[faIYED aY
OF f
Ilk?
I 1
ApMTOR-
IaeeRe,
oaH a■aree,v A.e,
WATER SUPPLIER COPy
Laucks Testing Laboratories,Inc.
940 S.Harney Seattle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If 11 I FIXltfons M mt followed,(ample WIII be rejected.
DATE COLI ECTED I TIME COLLFXTED COUNTY NAME
MONTrt WV VFAR y .11T
WAMT /
TYPE OF SYSTEM IF PUBLIC BvwmE COMPLETE'
PUBLIC
❑INDMCLIAL 1. .Na p, O ORWP
NA�OFww..t«.�nea.�el �j�F��
B TEM ,� " `�.77*- A-�
EJ TL 7
SPFCe'IC LOGTgN Ma1ERC couEcreo TELE No
[/-3d— EVENING
SAMPLE CALL D BY:1Nama) SYSTEM OWNERAMiR,;pfrny
1
SOURCE TYPE GROUND WATER UNDER SURVCE INFLIIENC
SURFACE Z WELL w ❑SPRING ❑PIWO/USED w ❑COMBU/ArION
WELL FIELD INIFRTIE wOTHER
SCND EPO T Print Nams, srwl LP I
z�?rGF,y,trI�T1J
Ga.a4- � 1
TYPE OF SAMPLEfvhwk,,*wu a lob o011e1Md
❑ROURNE DRINKING WAT Chlonnatad I Rdu esial, Total Flool
❑
ChetArtleeil��i0 J OF,hered
{Lll/P� Untreeled d Othx -
❑REPEAT SAMPLE -
Previous cdxe Lab
I � (7ele
❑HAW SOURCE WATER Sowce s E� m ❑Total Co el
NEW CONSTRUCTION or REPAIRS ❑Feee1 Caaamn
OTHER ISPeDdy)—_--
REMARKS
_ - -fig ---- - - - - - --
(LAS USE ONLY)DMRNKING WATER REBULTB
❑UNSATISFACTORY,Collwme weaWnt -- SATISFACTORY,
Cold..ebeent
REPEAT ❑E.Gdl pnNnt ❑F. Cal,absent
REPSAM ES
REWIRED ❑FecalllreWenl ❑Facelebeent
OTH M LABORATORY ITaaUlri ----
TOTAL COLIFORM /too" E.COL( it00 ML
FECAL COL-ORM._/LOOM PLATE COUNT iml
ANOTHER SAMPLE RE CEIEJ/�/
SAMPLE NOT TESTED BECAUSE: TEST UNSUITADI.E oLQIF1SE
❑SIn1PAS too old 01 "pwat,
❑Wtwq oaa,weNa TNTC zUUI
[]Incolnpine arm ` Ifd4F ON
❑_._._.._ �Ic16di_'�rn1
SEE REVERSE SIDE OF OHEEN CO^Y NR Ex PLANAT IOtI OF RESUt IS
LAB NO V DKPTSI OATE.TIME RECENED RECEIwEo eY
M fEVORTE
Ra1Mll
PaserWleW seq
WATER SUPPLIER COPY
I
Loucks Testing Laboratories, Inc.
940 S.Harney Seattle.WA 9810E ,
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION READ INSTpUCTIM ON SACK OF GOLDENROD COPY
11 instructions are not Ioi,owe4 somple will be miaged,
EDAT:EO0aL�LEC:TE%. TWIE C COUNTY gAL1E
AM ❑m
��Tpk�0b�oOF SYSTEM IF PUBLIC SYSTEM.COMPLETE
i/C"o.IC
❑adtMV DUAL LD.No. / Q S D to P
NAME OF SYSTEM
ct.O�dI�YA1�A sATnECIxLECTED
TELE
EYENarKt
SAMPLE 0BY:Marnsl SYSTEM OWKRrMQR.:INsmy
• 90URCE TYPE ❑LTROL WAVE"UNDER SLMMCE INFLUENCE
• ACE []WELL a ❑SPRING ❑�y,T ,/ I
WEL or
❑INTERn Eow a R
' nt Full
• E��rv¢.taf t u
TYPE OF SAMPLE pssca PIN erta ti Ylls warrrKl)
❑ROUTINE
DRINKING WATFR ❑Ch tRnqu4:_TOM
C¢ k Imetment
nheetM w pINN
❑REPLAY SAMPLE
Prewpux wl�fartn uresence �LfuoM„r� _
l RAW SOURCE WATER Source v F m ❑Total Callan
Ic7Olf NEW CONSTRUCTION or REPAIRS ❑FWM CN,f..
POTHER ISpeceyl._____.
REMARKS'
Ile USE ONLY)DRINKING WATER RESIA,M
❑UNSATISFACTORY.Coefwins ument ___ TSFACTORY.
RCPEAT E.CW Wmstle8ar11
SAMPLES ❑ aMenl ❑F.Cdi Msent
REOUIRED ❑Fecul u sm+t ❑Featl iif, r
OTHER LABORATORY RESULTS
_ TOTAL.COLIFORM ,._. Room, t
FECAL COLIFORM 1100 n I
ANpTHER SAMPLE REWIRED�� 22�
SAMPLE NOT TESTED BECAUSE JWRQ3INISURAI SECAU3E:
❑serapetwde CITQF41HIPf@N+K
r❑wraro Con4M,, !jTIQrffIMTEMS
�sTu��MlpelnplaRa lam ❑%fb it culluw
❑Erts aeon,
SEE REVERSE SIDE OF GREEN COPY FOR EKPLANATION OF RESULTS
LM No I?ooft DATE.TIIAF KECETyFD ITlL:ENlD Sv
1147
' Ya RawY.Aa .� E
WATER SUPPLIER COPY
Laucks Testing Laboratories,Inc. '
940 S Harney Seattle.WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If instructions are not followed,sample will be rejected.
DATE COLLEC YURTED TIME COI. TED COUNT(NAME
sill N DAY _ —
XAM ❑PM Ar�I.VG
TYPE OF SYSTEM W PUBLIC SYSTEM.COMPLETE:
CIf/r.�"�GROUP
❑INDMDUAL 1.1.see. / I �•J 8
I
NAME OF SYSTEM
SPFUFICL Y111EIE1AUPE COLLECTED TELEPHONE NO
} TTc DAY ,�,' 1�_
O
EVENING
SMWLE C BY pains) SYSTEM OWNERM RGR..INarrrel
w
SOURCE TYPE,./ GROUNDWATER TINDER SURFACE INFLUENCE
SURFACE IlG WELL or ❑SPRING ❑PURCHASED or ❑COMBINATION
XWELLFIELD INTERTIE or OTHER
rnt
1 l7 t�a '"1 w+srww*or✓G7�.
TYPE OF SAMPLE(dw*ol*ell,In eaa ce im"
❑ROUTINE ❑Chionnau ri IReedual Total Freel
DRINKING WATER
check treatment F.
N,T
❑REPEAT SAMPLE
Pre,V,.seA�CO.ll/onnn Presence Labe
rl RAW SOURCE WATER Source a m ❑Tow Comenn
CONSTRUCTION or REPAIRS ❑Fecal Col form
❑OTHER(Specify)
L
41
ILAe USE ONLYI ORRl10N0 WATER FAMOUS
❑UNSATISFACTORY.CoEbnm present XSATCoNIbSF TTOwRY
REPEAT ❑E.Coil;aaserrt Cj E,Cdr abaant
SAMPLES Fecal present Fecal at I
REWIRED ❑F ❑F
OTHER LADORATORY REBULTa
TOTAL COLIFORM /IOnml E COLI__. /TOO ML,
FECAL COLIFORIM /100 ml
ANOTHER SAMPLE
SAMPLE NOT TESTED BECAUSE LER�I1 EGuse,
❑Semda tao oM �YLJ� growth
., ❑r--1wrong tax,cone Cjtq�ENTON
40 mcon smi,on,, uL} FT11YI'S
. ❑-- ❑EAaes,daww
SEE REVERSE Slor Of GREEN COPY FOR EXPLANATION OF RESULTS
LMINO(T 00TS) CAME "AE malwo REO WD aY
' tM1E LAxIRVG ,
' F
ealrwR
boreaemFaY aab
WATER SUPPLIER COPY
Laucks Testing Laboratories, Inc.
1140 S Healey Seattle.lVA 9A'I18
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If instructions are not followed,sample will be rejected.
• DATE COLLECTED TIME COL LE TFA COUNTY NAME
MY YEAR ,11
❑Pm
rvpe or SYSTEM W PUBLIC SYSTEM,COMPLETE: _--
0all-USUC
❑BN7MWALIt
01 A` `1d'P
M1ew."1 nrWey
NAME OF SYSTEM
Ut hL 1,T
I
SM1Pk1ODUECTED TELE NO
APO
EVENING
' SAMPLE CO TEO`BY.(Harrel SYS RRAOR�
IL )06
��SyOOU,RCETYPE GROUNDWATER UNDER SUR INFLUENCE
V uURFACE ftLL a El SPRING ❑PURCHASED or❑COMBINATION
IL FIELD INTERTE er OTHER
S TO F Nam and!Zip CdMI
i
TYPE OF SAMPLEWA,*oral,one In eR cooem)
RMT❑DRINKl O WATFR ❑Cnlurmatea mesrour: TOW Frey
r7w I
❑REPEAT SAMPLE -
Prevlous cOsbrm vreaence Lab a fl+{
❑RAW SOURCE WATER Sourcaan Ll I ❑Total Caitorm
ION or CONSTRUCT REPAIRS l•J ❑Fxal CUibrm
p OTHER(SWAM---
IIAS USE ONLYI oRRIKRNO WATER RESULTS
❑UNSATISFACTORY CoMonns presnnl
SATICFATORY,
REPEAT ❑EConvm ent ❑E Co obsa�l ColbmmovesSAMPLES
RECURRED ❑Fecr present ❑Fe<al abaont
oTNER LABOMToRv RESULTS
TOTAL COUPORM.—HOOml E.COLI 106 ML,
FECAL COLIFDRM—__1100 mt PLATE COUNT /ml-
ANOTHER SAMpI.FREEQerrUIREDn
SAMPLE NOT TESTED BECAUSE: '• AMWE BECAUSE. 1
osimapat�w JUL
�n acrnaat.trm CITY r °furuto
�'----- UTILI
SEE REVERSE SIDE OF nREEN copy FOR EaPLANATtON Or RESULTS
uiallo r0101T91 D1TE.TMEIIECHYtM tFECEIWO EV
w' �L
TE W.
- F
- tl
Aaraeala '
mrarernY rM
WATER SUPPLIER COPY
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way CT
Renton,WA 98055 22MY
lai /2 1 a•M
xtwc Catty
A.
BILL OF SALE Property Tax Parcel Number 162305= 006-0
Project File 0: gym Int estiort� q
NE.1steW. 6 Edmonds Ave. 15 monds Ave.
Referaoce Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
I• The Quad: Corporation 1. City of Renton,a Municipal Corporation
2. a Aashint Corer,as oared above,Mnfor,and i cousidnation of muNal bacfits,hereb
Y Brants.bargains,sells and delivers to
hr the Grantee,as named above,the following described personal property:
eZ3 I WATER SYSTEM: Length
Lrn tthh Sim " Type
z9Ds Type
1825 L.F.of IT -bT Water Main
ev 3129 L.F.of 8 Dl Water Main
h L.F.of 'Neer Main
each of 12 Dote Valves
is each of 8 Gate Valves
VA each of Fire Hyufimt Assemblies
0
H SANITARY SEWER SYSTEM: Cm tLh Size im
265 L.F.of 24 PVr ScwcrMain
inStl_ L.F.of F " PVC Sewer Main
L.F.of _ Sewer Mahn
1 each of 60 Nameter Manholes
_19 each of 48 Diameter Manholes
__ each of Diameter Manholes
STORM DRAINAGE SYSTEf 1: LenL Sue Dr
900 L.F.of 30. 36 im Storm Line
1560 L.F.of 15,18,24 " HnPF Storm Line
4307 L.F.of A_ 12 HnPR Storm Line
5_ each of T-1 " —LONC Simi InletKhtlet
_ 21 earl of 68 CONC Stomn Catch Basin
aL each of 62,_72 rnNr Manhole
STREET IMPROVEMENTS: (Including Ciah,Gutter,Sidewalk,Asphalt Pavement)
Curb,Outer,Sidewalk_8,800 L.F.
Asphalt Pavement: _ 17,388 SY or _ 1,.F.of _ Width
STREET LIGHTING:
M of Poles
By this conveyance,Gtantot will warrant and defend the We hereby made unto the Grantee against all rust every person
or persons,whomsoever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors,
Wntinistrators and assigns forever.
11 VILH.SYSMIMtxeHNDO17MILL4ALE.LOCWAa rote 1
Form W a�0ltbh
IN WITNESS WHEREOF•1 have hereunto set my hand sad w11he day year as written below.
By- Thn O,udrane (:.ir�ynrnfi 1�
Peter Qr&er
rNDMlWAL FOAL(OFACLAVWLLDGaffiNT
Notary Seal must be within box STATE OF WASHMGTON )SS
COUNTY OF KING )
I canfy that I know a have atrsfactory evidence that _
signed this instrument and
acknowledged it to be hwMtMeir free and voluntary act for the uses and purpose,
merinoMd in the insteunrerd
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
AEPRES&WArrvs FORM OFACLNOta1LOG fsM
Notary Sol must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
Call, 1 ratify nut I know or have satisfactory evidence that
—
^-- signed this mslnoMnt,on oqh
a^ shred thM hdshf/Ihey wn/wtre tulaarizcd to execute the assaumrnt a d
o acknowledged it as the ard
0 of _to be the free and voluntuy act of such
r pony/pubes fa the osa and purposes mentioned in the instnuneot
rV
O
r- Notary Public in and flx the Starr.of Washington
Notary(Print)
c My appointment expires:_
Dated:
CORMItAT6 FORM OFACLNOWLLDOMENT -
Notary Sol trasst be within box STATE OF WASHINGfON )SS
COUNTY OF KING )
Outhis 7rh dayof,eotember 20QL before rnr personally appeased
be J�`M fl�1 % %4 Peter Orser _tomc known to
••"" 'J. 11a F f t V i • P i d of the c ration that�gswlY',e'•'•.� executed as within uutnonmt,add acknow a aFo
Yq'•,1,� Iedg the{aid InxnytMnt to be the 6K
i .O NOTARY�'. Ar and voluntary act aid and of aid corpurum,for the uses and purposes dieters
U i mentioned,and each on oath slued tlta(�p she was audwnred to"mute sud
p � instsumatt and ghat the sal affixed is the corporate seal of said corporation.
a
rt O i �� 15 O�:• • _ _fir
144 `; Notary Public in and for the State of Washington
Notary(Print)_4a am,. M• MA O y7
My appointment expires: /Z-/2 _ C)'9f —
Dated: q t71
Page 2
" w' BY: LAW OFFICES; 253 272 9876 4;SEP-6 01 9:53AM; PAGE 4'4
PROMC1'CLOSINU /� PSea1 Can uot._
FINAL COST DATA AND INV6N7'ORY sed laysaocv
SUBJECT LIBERTY RIDGE CITY PROJECT NUMRF>1t3: wTR- _
wwR
PNASF. I s"-
Neansdps�em TRO-
7H0.
awomanloa PROK- GARY MERLINO CONSTRUCTION CO, INC.
no Review Sac" 9125 1 th AVE, 5,
�k Woe" SRATTLE.- HA 9R10R
t; X*MM Avaane 6etah
„,. Redo%WA"OSS DATIi' -CF➢TFKRFR 6, 1QQ1
Per the fef(uest of the City of Renton,the following iufomution is fumbW concerning final costs for improvements
installed for the above referenced project.
WAM Sy-UM CONMLKMM CUM
L no stm Type
iug LP,of i �� WATIMMAIN
31:9 LP.of x I_ WA71RtIdAtN
LP.of WATE MAIN
LP.at WATT91MAD7
9 MCI of i i i OATH VALVES
15 BACK of a. . L)j _ OATH VALVES
amm m OATH VALM
EAOId - ME HYDRANT AMMOL®S $ 37,050
(CaR ef11w Wads tm be WMd atpsnss(y)
pncW&JR 10 1 RandSdaTsxUappft" —r!
TOTAL COST TK*VA7=SYs111
tra6 7yoe
� Sire
65 LP.a SMORMAW 900 LF.Or 30�36• FVC sTaMLJFM
2 _
3o5u LP.d -- . i°Vr ®++atwtw = utot 13,7'871e —4vC srusMum
L1(d Mn MAIN 4307 LP.d 8. 1'2• l� STORM./Jem
I HAd 55 EA of T -1 CONC STORMRAIITAUR
t9 SAC( DIAIAITPA MANHOM _2a- RA of [ COMC STORMCATCHN"
.tlr�.rly eed a"Th O r Met60, )isles^ C,0N tlaftMCAY71RA0
TOTALOOST IORSAMTARYSflWERSYST'M 3 iin w,,e K'IPa'+ 5443. 869 ..
TOrALOMFORM104 MtAII7AO85 PM S443, 889
slRERT DdPRovsmm .. Ododioa cub.amra,S)&*%M.Arpb eft PeveL d and S6ee
8,800 ; Y CI'lRi3
; 7, I" s1RPlv $ 987,
SIONALUATION: (tedudiq ttea.Tenio tbaa,CRy Pendt Pees,WA St S"T24
SO�r
STRYFT UGHTMO: Cimitidlei BtR.MWgn Ctuu,City Permit Tca.WA St S.Ie.Tu)
I l ikaIT I $ 177. 881 -
I I.0 .i . NOW r.r., _(206) 7 +9 2
him sisulay tome •
(SMATURG)
fwmdCor DAT1Lf0ON► / (Sivolay nest be wxmd d do" 1
a ownu of e,6jcct dcvdopmsr)
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way crtr uF RtWtar as
Renton,WA 98055 1 2#401Fa�°aa e.R `9
K2N6 tpttslry tar
BILL OF SALE_ Property Tar Parcel Number: 162305- 006-0
Project File N: gg��yy Inter }��
NE.lat ::T. 6 Edmonds Ave. A %ands Ave. NE
Reference Number(s)of Documents assigned or reltxmd:AaWtIW d reuxs ne numbers an,on page_.
Grantor(s): Grantee(s):
I• The Quadrant Corporation 1. City of Renton,a Municipal Corporation
2, a Washington Corporation
aThe Gnater,u earned above,tor,and m mnsrderatron of mutual benefits,hereb grants,bu
errs the Gnatee,as named above,the followingdescribed y�n 8 sells and delivers to
Cz
p WATER SYSTEM: Lenob Siu Type
0 1825 LF.of 72- •• -b7- Water Main
h 3129 LF.of 8 DI^ %Vats Main
N L.F.of _ •' _ Water Main
O 9 each of
12 " Omc Vakea
—1s each of R " Gate Valves
0
t a each of Fire Hydn nt Assemblies
ti SANITARY SEWER SYSTEM: Length Size TjTs
S_ '1905 265 _ L.P.of 24 PVC Sewer Main
0� 1Or,n LF•of R oyc Sewa Main
L.F.of •• Sewer Main
_1 each of 60 Diameter Manholes
_ 19 each of 48 Diameter Manholes
-- each of Diameter Manholes
STORM DRAINAGE SYb rEM: Length Size 7�e
900 L.P.of 30. 36 HDPE StonnLine
1560 L.F.of 15,18.24 " __HDPE Storm Line
61107 L.F.of R 1? t PF, Storrs Line
_55 eachof T-1 " CONC Storm luletloutlet
23 each of LR rnNC Storm Catch Basin
7 each of SiZZZ" rnvr. Manhole
STREET IMPROVEMENTS: (Including Curb,Clutter,Sidewalk Asphalt Pavement)
Curb,Outter,Sidewalk 81800 LF.
Asphalt Paverttent 17,388 _ SY or ---LT.of Width
STREET LIGHTING:
N of Poles 3� _'r I- i( g00J; w-
By this conveyance,Onntor win warrant and defend the role hereby made unto the Grantee againri ell and every person
or persons,who maieva,lawfully claiming or to claim the same. This conveyance shall bind the heirs,exmutors.
administrators and assigns forever.
It FILESYSVlU1t6e11NDOV118IL1SALEDOCIMAB
4
Y
,
SENT BY: LAW OFFICES; 253 272 9876 4;SEP-9.01 9.59AM; PAGE 4/4
PROJECT CLOSING /4 purl(kd Dnta
FINAL COST DATA AND INVENTORY aaJ know,
SUBB=. LIBERTY RI DCR CnYPRO)Wr NUM. H13tS: w 1
WWPR
PHASE 1 - SWR _
Name of ruled
TE0.
To. City of Realm !ROAM GARY MERLINO CONSTRUCTION 0, INC.
Ptm Review Scctloa 9125 10th. AVE. S.
PtwvdgW9wDdin♦T+bUc Watt SF.ATTLE,_ WA 98108
20o Mm Aveow Soul
Realm WA 93W DAM, CF.PTFN.0.FR 6 ?nnl
Per the mquw of the City of Reatoo,the following information is furnished cow m)ng final cosh for hopcovemena
installed fof the above referent ed project.
ingib Sim 7Yq-
�1A^ Lp.of 1? n1 WATERMAIN
3— 127 LF.of 8 D1_ WMERMAW
LE of WATERMAIN
Lp.of _ WATERMAIN
9 _ RACi1 of ( nI DATE VALVES
15 EACH of P, �. D 1 GATE VALVES
EACH of OATS VALVES
ti EACH at FMHYDRANTA--tS6WlLZBS 37�^
(lad oflive Hydrach mom be billed eparaely) >•
00d.de Eglomft and Sabi Tta if wpetabie s
IWALCWl'MRWATERSYSTEM Ste-
A&l J SYS ML, srcgMDgAM01BWsML_
Ie111116 size Type Isae6 She T a
65 iltof 24 Pyc 58WaRMAIN 900 Lpof 30. 36• AC STO MEDM
3050 LP.of 8 • ` PVC SEWBRUAnf —T%O LF.or 1TTli,n Smwtam
LR*f SHWM MAIN 4307 L.Rof 8, 1 - PVC STMMl2m
1 EA of hD MM&r ER MAMMM _ EA of T -t • CONC MOMMMOUR
19 RA of 48 DlAMff tMANHMM _j,'� Mof 48 • CoNC CORMCA7riRASt
7 8Ad ticatMCATCHUM
Ha�rsiad and I"TM .I1.1 . . 8 � y�ml�"S�bTt �
TOTALt7nS KML9ANTrAKYSSWZt SYSTDA a Iln_ RSR r'r¢c t4v3. 889 -
T0TALCWTPORS DRMDKAWAG13nWM �447. R9
CIRA61'IMPROVfal.MM: 0oded n ma.Oatta.Si&*Gk ARbad PavrmMt and Sbcd),(tbt(ap
8,800 LF CURB 6 (UTTER, 4,500 SY SIDEWALK _
17. 388 STREETS yY) i 987, 775 -
SIc1NALMAMON: (tadud'ms Eep.Derlp Cons.City hnall Pecs,WA St Saks TWO
NONE
STRM 11QH'nNG: 0odudly 8% Daip CUM City Fund Fc WA St Sates Tw)
. t LIGHT POLES E 177, B81 -
TED J. NOBLE , P.E. (106) 76,149 '
Piet dproty au,m 1
ra,.+a X'TDAT2,D0C" (SIGNd tl
(Slpakp nop be be sxboadpdxed aani
w ound of sub)ed&vdopxx)