HomeMy WebLinkAboutF_RS_Water purity-results-W-3923 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:
08/31/2018 Collected AM
Month Day Year 8:50 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
BLOW OFF STA 10+04
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605579
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 8:55 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 11+77
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605580
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:45 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
BLOW OFF STA 10+04
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605581
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:50 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 14+37
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605582
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:09 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 27+45
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605583
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:12 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 25+24
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605584
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:00 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 27+84
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605585
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:03 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 16+20
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605586
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:06 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 25+29
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605587
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:19 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 27+45
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605588
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:35 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
BLOW OFF STA 60+41
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605589
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:56 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 16+20
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605590
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:17 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 32+84
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605591
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:16 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 25+29
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605592
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:38 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 13+39
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605593
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:21 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
BLOW OFF STA 60+41
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605594
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:20 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 35+06
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605595
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 8:57 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 14+37
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605596
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:23 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 13+39
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605597
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:31 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 35+06
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605598
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 10:14 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 27+20
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605599
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:06 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 19+04
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605600
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:58 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 19+04
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605601
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew
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:
08/31/2018 Collected AM
Month Day Year 9:48 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: TIFFANY PARK
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
Data Delivery: MAIL EMAIL:
SAMPLE INFORMATION
Sample collected by (name): PAT DeCARO
Specific location where sample collected:
HYDRANT STA 11+77
Project Name or Comments:
Type of Sample (must check only one box of #1 through #4 listed 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. Raw Water Source Sample
E. coli - GWR source sample
Fecal - Surface, GWI, some springs
Other
|__S__|_____|_____|
Public Systems must provide Source Number from (WFI)
Unsatisfactory routine lab number:
____ ____ ____ ____ ____ ____ ____ ____
Unsatisfactory routine collect date:
________/________/________
Chlorinated: Yes_______ No_______
Chlorine Resid: Total_______ Free_______
4. 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
Fecal coliform present Fecal coliform 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: 8/31/2018
Date Analyzed: 8/31/2018, 15:45 Date Reported: 9/ 1/18
06605602
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
W-3923 U16006368
ALLURA AT TIFFANY PARK PLAT
SE 18TH ST & 124TH PL SE
e-mailed on 9/4/18 at 5 PM to:
PatDeCaro, Pat Miller, Ann Fowler
Gregg Seegmiller, Emina, Andrew