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HomeMy WebLinkAbout8 Satisfactory Purity Samples W-4860 AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:40 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: S HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06508 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:48 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: N HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06509 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 1:03 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: N HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06510 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:30 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: S STAND PIPE Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06511 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 1:05 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: MIDDLE HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06512 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:43 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: MIDDLE HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06513 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:45 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: S STAND PIPE Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06514 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON AmTest Laboratories 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 11/10/2021 Collected � AM Month Day Year 12:35 � PM KING Type of Water System (check only one box)� Group A Public� Group B Public � Private Household� Other: __________________ Group A and Group B Systems Provide from Water Facilities Inventory (WFI): ID# 71850L System Name: CITY OF RENTON Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone:FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOUL GAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected by (name): BRAD STOCCO Specific location where sample collected: S HYDRANT Project Name or Comments: C-19002723 W-4860 Type of Sample (select only one type of sample from types 1 through 5 below) 1. � Routine Distribution Sample Chlorinated: � Yes � No Chlorine Residual: Total____ Free____ 2. Repeat Sample (after unsat. routine) � Distribution System � Source Groundwater Rule (GWR) (Population of 1,000 or less) 3. Ground Water Rule Source Sample |__S__|_____|_____| � Triggered (A/P) � Assessment (A/P) Unsatisfactory routine lab number: ____ ____ ____ ____ ____ ____ ____ ____ Unsatisfactory routine collect date: ________/________/________ Chlorinated: Yes_______ No_______ Chlorine Resid: Total______ Free_______ 4. Surface or GWI Raw Water Sample (Enumeration) � E. coli � Fecal Filtered Yes___ No___ |__S__|_____|_____| 5. Sample Collected for Information Only � Construction � Repairs � Private Residence � Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY � Unsatisfactory Total Coliform Present and Satisfactory � E. coli present � E. coli absent Replacement Sample Required Sample not tested because � Sample too old (>30 hours) � Improper Container � ____________________________ Test unsuitable because: � TNTC � Turbid Culture � ____________________________ Bacterial Density Results: Plate Count / ml. E.coli /100 ml. Total Coliform /100 ml. Fecal Coliform /100 ml. Method Code:SM 9223B Date Received: 11/10/2021 Date Analyzed: 11/10/2021, 13:45 Date Reported: 11/11/21 066-06515 Sample Number (DOH number plus five digits) Lab Use Only: DOH Form #331-319 (revised 02/16) WATER PROJECT NO. W-4860 CIVIL PERMIT C19002723 SOUTHPORT PARK AVE EXTENSION E-MAILED ON 11/12/21 TO: BRAD STOCCO GREGG SEEGMILLER EMINA SULYCH JUSTIN JOHNSON