HomeMy WebLinkAboutM25G0201 AmTest Bacteria- Sophie Jo Short Plat- S 21swt Smithers (002)AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
07/17/2025
Month Day Year
Time Sample Collected
10:00 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#: 71850L
System Name:
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Rob Blackburn
Specific location where sample collected: South Blow Off 1 Special instructions or comments: Sophie Jo C24003501
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 7/17/2025 11:15:00AM
Receipt Temp (C): 24.1 C
Date Reported: 07/18/2025
DOH Lab- Sample# 0660-M25G0201-01
Lab Reference Number: M25G0201-01
Method Code: SM 9222 B+9221 E1 (LES Endo/EC), SM 9222 B+9221 F
(LES Endo/EC MUG), ,
Lab Use Only:
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: <1/100mL E. coli: <1/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
E-mailed on 7/21/25 to:
Rob Blackburn, Pat Pierson, Emina Sulych
Sophie Jo Short-Plat- W-4315 S 21st St and Smithers Ave S
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
07/17/2025
Month Day Year
Time Sample Collected
9:57 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#: 71850L
System Name:
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Rob Blackburn
Specific location where sample collected: North Blow Off 1 Special instructions or comments: Sophie Jo C24003501
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 7/17/2025 11:15:00AM
Receipt Temp (C): 24.1 C
Date Reported: 07/18/2025
DOH Lab- Sample# 0660-M25G0201-02
Lab Reference Number: M25G0201-02
Method Code: SM 9222 B+9221 E1 (LES Endo/EC), SM 9222 B+9221 F
(LES Endo/EC MUG), ,
Lab Use Only:
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: <1/100mL E. coli: <1/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
E-mailed on 7/21/25 to:
Rob Blackburn, Pat Pierson, Emina Sulych
Sophie Jo Short-Plat- W-4315 S 21st St and Smithers Ave S
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
07/17/2025
Month Day Year
Time Sample Collected
10:15 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#: 71850L
System Name:
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Rob Blackburn
Specific location where sample collected: North Blow Off 2 Special instructions or comments: Sophie Jo C24003501
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 7/17/2025 11:15:00AM
Receipt Temp (C): 24.1 C
Date Reported: 07/18/2025
DOH Lab- Sample# 0660-M25G0201-03
Lab Reference Number: M25G0201-03
Method Code: SM 9222 B+9221 E1 (LES Endo/EC), SM 9222 B+9221 F
(LES Endo/EC MUG), ,
Lab Use Only:
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: <1/100mL E. coli: <1/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
E-mailed on 7/21/25 to:
Rob Blackburn, Pat Pierson, Emina Sulych
Sophie Jo Short-Plat- W-4315 S 21st St and Smithers Ave S
AmTest Laboratories
13600 NE 126th Place Suite C, Kirkland, WA 98034
(425) 885-1664 www.amtestlab.com
COLIFORM BACTERIA ANALYSIS FORM
E. coli present E. coli absent
Date Sample Collected
07/17/2025
Month Day Year
Time Sample Collected
10:17 am
County
King
Type of Water System (check only one box)
Group A Group B Other
Group A and Group B Systems - Provide from Water Facilities Inventory (WFI):
ID#: 71850L
System Name:
Contact Person: Abdoul Gafour
Day Phone: (425) 430-7210
Email: agafour@rentonwa.gov
Cell Phone: (425) 282-2573
Send results to: (Print full name, address and zip code or e-mail)
City of Renton, 1055 Grady Way Renton, WA 98057
SAMPLE INFORMATION
Sample collected by (name): Rob Blackburn
Specific location where sample collected: South Blow Off 2 Special instructions or comments: Sophie Jo C24003501
Type of Sample (select only one type of sample from types 1 through 5 below)
1. Routine Distribution Sample (A/P)
Chlorinated:Yes No
Chlorine Residual:
2. Repeat Samples (A/P)
(from distribution system after unsat. routine)
Unsatisfactory routine lab number:
Unsatisfactory routine collect date:
Chlorinated:Yes No
Chlorine Residual:
3. Ground Water Rule Source Sample
Triggered (A/P)
Assessment (A/P)
4. Surface or GWI Raw Water Sample (Enumeration)
E. Coli Fecal Filtered: Yes No
5. Sample collected for Information Only:
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
Unsatisfactory Satisfactory
Date/Time Received: 7/17/2025 11:15:00AM
Receipt Temp (C): 24.1 C
Date Reported: 07/18/2025
DOH Lab- Sample# 0660-M25G0201-04
Lab Reference Number: M25G0201-04
Method Code: SM 9222 B+9221 E1 (LES Endo/EC), SM 9222 B+9221 F
(LES Endo/EC MUG), ,
Lab Use Only:
Total:
Free:
Total:
Free:
|__|
Bacterial Density Results:Total Coliform: <1/100mL E. coli: <1/100mL
Fecal Coliform: NA/100mL HPC: NA/1mL
Total Coliform ABSENT and
Sophie Jo Short-Plat- W-4315 S 21st St and Smithers Ave S
E-mailed on 7/21/25 to:
Rob Blackburn, Pat Pierson, Emina Sulych