HomeMy WebLinkAbout6 purity results- W-3910 Grant Place Townhomes.pdf 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:
12/15/2021 Collected � AM
Month Day Year 9:22 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
N BLOWOFF ON GRANT AVE (1A)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07251
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth
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:
12/15/2021 Collected � AM
Month Day Year 9:52 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
S BLOWOFF ON GRANT AVE (2A)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07252
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth
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:
12/15/2021 Collected � AM
Month Day Year 9:05 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
N BLOWOFF ON GRANT AVE (1)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07253
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth
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:
12/15/2021 Collected � AM
Month Day Year 8:58 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
BLOWOFF GRANT AVE CIRCLE (3)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07254
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth
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:
12/15/2021 Collected � AM
Month Day Year 8:43 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
BLOWOFF GRANT AVE CIRCLE (3A)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07255
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth
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:
12/15/2021 Collected � AM
Month Day Year 9:37 � 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 W ater 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): PAT DECARO
Specific location where sample collected:
S BLOWOFF ON GRANT AVE (2)
Project Name or Comments: GRANT AVE TOWNHOMES
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: 12/15/2021
Date Analyzed: 12/15/2021, 14:35 Date Reported: 12/16/21
066-07256
Sample Number (DOH number plus five digits)
Lab Use Only:
DOH Form #331-319 (revised 02/16)
GRANT AVE TOWNHOMES
1600 GRANT AVE S
W-3910 U16004475
E-mailed on 12/16/21 to:
PatDeCaro, Gregg Seegmiller,
Emina Sulych, Justin Johnson,
Brianne Bannwarth