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DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: '~[ ~t::~'"-~)~ ~¢' PID Number: ~'~ Il z'~'~'~l
Name:t...~.~l~ ~ ~ ~ ~%~ ~ ~ Wastewater System: ~ New ~pg rede
Address:
j~~ ~~,~ ~ . R~~ ABSORPTION FIELD~
Phone: ~ No. of Bedrooms: ~ Deep Trench ~ Shallow Trench ~ Bed~ound ~ Other
I
LEGAL DESCRIPTION so~, Rating: ~ '~ GPD/Sq. Ft. Total Dep~ from originalt~grade:,~/
Lot: j~ Block: Subdivision: Depth to pipe bottom from original~,~/grade: Ft. Gravel depth beneath pipe ~,~ ~Ft.
T°wnshiP:l~~ I Ra~ I~ Secti°n:~ Fill addedaboveoriginalgr~ / Gravel length: ~[
Ft. Ft.
WELL: U New ~ Upg rede ,Gravel width: ~ Number of lines: ] Distance between lines:
C~ication~,~(Private, A,B,C):~¢~ ~T°tal Depth: Ft. Cased To: Ft. Total absorption area~ SQ. Ft. 'Pipe~material:~~ ~
Driller: Date Drilled: Static Water Level: ~taller: Date installed: ¢
Yield: I Pump Set at: Casing Height Above Ground: TAN K
GPM~ Ft. Ft.
SEPARATION DISTANCES ~ Septic ~ Holding ~.T.E.P.
TO Septic Absorption Lift Holding ~biic/Private Manufacturer: CapBcit~
From Tank Field Station Tank Sewer Lines ~~~4~ ~/~
Material: Number of ~artments:
w~,, /1~ / ~a' I1~ ~-- ~'~ ~~
SurfaCewater /~ /~ ~ /~ ~ ~ LIFT STATION
LineL°t ~/ ~/ ~1 ~ ~ Size in gallons:~ ~ ~ Manufacturer:~~~ ~ ~
Foundationj~/j/~/ j~/ ~ ~"Pum~velat: ]"Pumpoff"levelat:~,/ I High water alarm at:~ ,,
Curtain ~ ~d{ ¢~ ~/~, ~¢~~ ~L~. (¢~
Drain ~F '0~ ~ ~ Pump Make & Model Electrical ~n~pections performed by:
Remarks: BENCH MARK
Location and Description:
*ssu~e~ ~¢¢~ ~,
Elevation:
ENGINEER'S SEAL
Inspections performed by: ,.gi. ,iv.r, Ai..k. ,~,7, . ~~
Department of Health and Human Services approval ~~;?
Reviewed and approved by: Date: ~- ¢ ~ ~~~f':~~,~C*2~
72-013 (Rev. 9/91) MOA 25
Permit No. $W950096 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
LOT 180, T15N, R1W, SEC 8, S.M. 05115421
Legal Description: PID No.:
MT3 ~T 1
1 DO' ~-~m ~'
COl co~ z ~st~o~ / /
~ ~ INSU~TION 97.4~ ..................................
9~
1.500 GAL
' S.%~.P. · ~93.4' WATER FOUND 4/~1/98
SYSTEM
CO1 113.3 104.0
C02 121.5 111.5
EH 123.3 113,5
MT1 138,8 127.6 .ur DRIVE
MT2 166,0 153,7 lC0' WELL RADIUS ~'
N MT3 164.5 ~47.3
MT4 136.0 120.7 ~LL
~ ~ ? m_4 BDRM
/
72-013 A (Rev 9/91) MOA 25
NORTHSTAR ·. ,ir
ELECTRIC * *
COMPANY * *
June 3, 1993
To whom it may concern:
Northstar Electric Company has done the electrical wiring to a
newly installed sewage lift station and alarm at 19824 Scenic
Drive, Peters Creek, Alaska. The wiring has been done in
accordance with the 1993 National Electrical Code.
Alaska State Contractor License AA 17485
Sincerely,
~Boone
P.O. BOX 772886 EAGLE RIVER, AK 99577 907-694-8808
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930096
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:STEEBY MARY RUTH
OWNER ADDRESS:19824 SCENIC DR
CHUGIAK, AK 99567
DATE ISSUED: 5/12/93
EXPIRATION DATE: 5/12/94
PARCEL ID:05115421
LEGAL DESCRIPTION: T15N R1W SEC 8 LT 180
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
May 7, 1993
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
~unicipality of Anchorage
)EPARTMENT OF HEALTH AND HUMAN SERVICES
25 L Street
~nchorage, Alaska 99501
[EFERENCE: Lot 180, Sec. 8, T15N, R1W, S.M.
Request you issue a permit to upgrade the septic system
~erving the referenced property.
the existing system is in groundwater.
~ test hole was excavated and a percolation test performed in
the area of the proposed upgrade. Attached is the proposed
apgrade design.
there are no protective well radii which encroach upon the
property. As can be seen from the site plan this lot is large
Enough for another future upgrade. We do not anticipate any
~dverse effects on neighboring properties by the installation
~f the proposed septic upgrade.
If you have any questions or require additional information
for your review, please contact us.
SOiL TEST
A. Shafer, P.E.
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
0
3OYHgdR i
,09 = ,,~
:3-1i_:10 ~1 a/-I1¥1'~ (] i
~3¥0S
(Eh
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
DATE
Township, Range, Section:
SLOPE
WASGROUNDWATER
ENCOUNTERED?
S
IF YES, AT WHAT ~'~ ~
DEPTH? P
E
Depth to Water Alte.c~.. ~ ~
Monitoring? "' ·" . Date:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
COMMENTS
$ & $ ENGINEEEING
PERFORMED BY:
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES~fl' EFF/E'CT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERCOLATION RATE '~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN .~'.,~AND ~.~.~ FT
,/
CERTIFY THAT THiS TEST WAS PERFORMED IN
C ~'~.TER ANCHORAGE AREA BORe '~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N°. 281
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~:~'~-- ~-.~?~X~--- ~f~'f MAILING
ADDRESS ~'/)J~/~'-~
LOCATION/~/~"*/'~-'~,~-~--~'~.. ~*-/'~'~'~"/~'~:~'AL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMBER OF
MATERIAL ~'~ ~c~A~/C~--~~ COMPARTMENTS
INSIDE LENGTH ~ ~ // INSIDE WIDTH '~¢'"
LIQUID
DEPTH
SEEPAGE SYSTEM: S E EPA G~gF_.mt~. METER~~ ~
NUMBER OF PITS ~ OUTSIDE DIA OR WIDTH ~
LIN~ DISTANCE F ER~_~/ BUILDING FOUNDATION
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .SQ. FT.
DISTANCE FROM WELL /~'~C''''~ FOUNDATION ~ - NEAREST LOT LINE ,~O / ~ , OF LINES
NUMBER OF LINES ~ ~ DISTANCE BETWEEN LINES ~ TRENCH WIDTH z ~ IN. TOTAL EFFECTIVE
ABSORPTION AREA ~-: SQ. FT. LENGTH OF EACH LINE / ~t, ~=k~- ' ~ <~ ~,/ '
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE__
WELL: TYPE ~'~,-~-~//-~,~ -~-~':~ DEPTH ,c.~'~' / DISTANCE FROM
_ , BUILDING FOUNDATION.//-~ ~'- ~' WATER
SAMPLE (/~'//-,-) , NEAREST
NEAREST ~/-' SEPTIC _~--~,~ / SEEPAGE ~"
LOT LINE -/'~' "-'/-" , SEWER LINE , TANK , SYSTEM /,~?c''~ CESSPOOL
, , SOURCES
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED
HEALTH ~,UTHORITY
GAAB-B
GREATE;
327 Eagle St.
.S. NCHORAGE AREA
HEALTH DEPARTMENT
Anchorage, Alaska 99501
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
~ ~_~----. ~'~A. ~ .... i-,A'ADDRESS~' [?5 ('~T~'~~HONE NO' ~- 7'
LEGAL DESCRIPTION VV, ~ ' ~ . ~ ~ /
APPLICATION TO INSTALL: SEPTIC TANK ~', SEEPAGE PIT , DRAIN FIELD {--~-~", OTHER
THIS IS T , PERMIT TO INST''
DIAGRAM OF SYSTEM
DISTANCES: ~'~ ~""~'"'"
'
HEALTH AUTHORITY
OR
LICENSED DESIGNER '
I certify that I am familiar with thc requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described sys~m is in acc°rdance with said c°de'
APPLICANTS SIGNATU
DATE
GAAB-H D-2
GREATEI. ANCHORAGE AREA
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
)ROUGH Ca,~ No.
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT
NAME OF APPLICANT D>"//~"/?, ,-~"~ ~--~-='(~' MAILING ADDRESS ~/~ ~~' PHONE N0.
APPLICATION TO INSTALL: SEPTIC TANK k' , SEEPAGE PIT ~ ,DRAIN FIELD .,OTHER.
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ~Z ~ TO BE INSTALLED BY
,~o/~ ANTICIPATED DATE OF COMPLETION
~ TEST RESULTS
~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
... SEPTIC TANK SIZE ~/~z~ TYPE ~"-SEEPAGE AREA .TYPE
DIAGRAM OF SYSTEM
I
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
..~.. '. 0 APPLICANTS SICNATURE
iREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
Date Performed ,,;, 9/14/70
Performed For _Da.!e..D.,. Steebv ............ .--~-:+ ................
Legal Descrip(ion: Lotl80 Block Subd~v~.slon Sec 8 TS 15 ~ '~L~W'
This Form Reports a: Soils Log x
Depth
Feet
1__
2----
4 ,,
7-.--
1~---
Soil Charact eris't ics
sandy fine to medium gravel
(OW)
gray clayey silt
water
Was Ground Water Encountered? v~.~__
If Yes, ~.
Location Sketch
F:'op'osed ,n~,.**l¢.a...ton, Seepage Pit Drain Field xx
Dep~,h 0f Inlet Dep~' To ~0tt'om of-~Pit Or 'French
s~uar, e .fee~_o.f drainame area is reauired Der bedroom, .Stay abov~:::.~: f~
~ _deb_th.
Test Performed By:
moss Time Net Time Depth To H20 Net Drop
Data Certified By:__ ~ Date
Parcel I.D. #
1,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Lot 180;Section 8;TI5N;RIW
Chugiak
Location (site address or directions)
Mary Steebg
19824 S~e. nic D~ive.:
Property owner
Mailing address
Lending agency
Mailing address
19824 Scenic Drive
Chugiak, AK
Chugia~z; AK
Day phone
99567
Day phone
688-2371
Lola Pederson/DON MCKENZIE REAL ESTATE
Agent
Address 13135 Old Glenn Hwy. Eagle RiVer, AK
Day phone
694-9035
=
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
XXX
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
XXX
Individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regul~osn~l~CE~ll~ the date of this inspection.
Name of Firm ~No. 204
Address Eagle R.~AI~ ~Y577
Engineer's signature~
Phone
Date
DHHS
SIGNATURE
Approved for ¢
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By:
Additional Comments Note: The well for this property meets e×istinq
State and Municipal Codes. There are nitrates present. It is
suggested tha~_ a per~od~ te~_~ng be p~rformed ~o insur~ the wells
continued suitability. Nitrate concentration is 7.05 mg/1. EPA
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the, professional engineer's work.
72-025 (Rev. 1/91) Back MOA#21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDescription: ~/Io420 ~,~d..' ,-~/ 77,,)'"/b// /(~/~C/ Parcel I.D. ~
A. WELL DATA
Well ty p~TYPA~/O/~
Log presen~N)
If A, B, or C, attach ADEC letter.
Date completed
ADEC water system number
_.~'/z~'~' Driller//~
~'/~' J Casing height
Wires properly protected~/~/N)
AT INSPECTION
/
g.p.m.
Total depth
Sanitary seal(~N)
Cased to
FROM WELL LOG
Date of test M.~ ~
Static water level ~" ~
Well flow '-~- ¢
Pump level ~ ~
t et Anchorage
Mumc~pa? ~. u.,~,~ Services
Dept. Heatt~ ~ r, ..... n -
SEPARATION DISTANCES FROM WELL TO:
Septic/J~4~tie~j-tank on lot ,
Absorption field on tot
Public sewer main /J [ ~1
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Sewer service line
Petroleum tank
WATER SAMPLE RESULTS:
Collected by:
B. SEPTIC~TANK DATA
Date installe_d ~-/~'~7/~..~
Cleanout~_~Y~N) ?
High water alarn~)
Date of pumping
Other bacteria
S & S ENGINEERING
1~-d~ ,~agie lllv~r Loop Road No. 204
Eagle River, Alaska 99577
Tank size //,,~-~:~ c'¢ ,<~,T,~'./~ Compartments
Foundation cleanout~) .i Depression .(Y~
J A':alm tested(~)..~..~
/Z/~-/'L// Pumper
Surface water/drainage
SEPARATION DISTANCES FROM SEPTIC~ TANK TO:
Well(s) on lot__ /Z/,~ / ..On adjacent lots //(¢~ -/ __.Foundation
( ~.~1 IjL._ Wa'armain/serviceline
To property line /~ ~ Absorption field
CONTINUED ON BACK PAGE
72-026 (Rev. 7/91) Front
C. LIFT STATION
Date installed
Size in gallons~
Vent (Y(N~~ "Pump on" level at
High water alarm level '~'"
MOA electrical codes~'~/)N)
Meets
Manufacturer /~J'¥' //
Manhole/Access ~/)
.~ ~' "Pump off" level at /-~
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot ///¢ ( On adjacent lots
Surface water /L~,.~ -4-
D. ABSORPTION FIELD DATA
Date installed ~4"--/2.. ~ /
Length L'~ ~ / Width ~-~ ~--
Total absorption area ~.5"'~*'
Depression over field (Y~
Results (pass/fail) /t)'
Peroxide treatment (past 12 months)
Soil rating ~'~ 7 ~'~ /
Gravel thickness
System type /¢¢E~o,'/',/"/~'~.~'Z:/
Total depth
Cleanouts present (~/~)
Date of adequacy test '/~? ~'
for / bedrooms If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot //,~ -~ (
To building foundation
On adjacent lots ~,,;~
Surface water //¢~ ¢
Onadjacent lots /coo ~ Propertyline
r"/ To existing or abandoned system on lot
Cutbank /'-J ~'*J~'' Water main/service line
Driveway, parking/vehicle storage area
/o r/
/p -/
Curtain drain
E. ENGiNEER;$ CERTiFICATION~
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the (.,,.
S & S ENGINEE/IU~
Signature ~ N0.204
Engineer's Name~
Date __g~~/
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Bate of Payment
Receipt Number
COMMERCIAL r sr 2vr; · ;2vr; 2wr r, w co. AK DIV
CHEMICAL~_.& GE__~OLOGICAL LAB¢~RATORY
TELEPHONE (907) 562-2343 5633 R Street
Anchorage, Alaska 99518.
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
TO BE COMPLETED BY LABORATORY
[] PUBLIC WATER SYSTEM I.D. #
PRIVATE WATER SYSTEM
NalT~
Mailing Address
Phone No.
S & $ ENGINEERING
17034 Eagle River Loop Read N~t. ~0t~ .' -
Eagle River, AJaslm 99577
C~y
SAMPLE DATE:
State
Mo. Day Year
SAMPLE TYPE:
j~Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
Zip Code
[] Treated Water
[] Untreated Water
Analysis shows this Water SAMPLE to be:
Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Date Received 5/f ~)
Time Received I ¢ ? ~
Analytical Method: Membrane Filter
* No, of colonies/100 mi.
SAMPLE
No. LOCATION
41
51
Time Collected
Lab Ref. No. Result*
Collected By
zzszl-
READ INSTRUCTIONS
BACTERIOLOGICAL WATER ANALYSIS RECORD
Membrane Filter: Direct Count (~ Coliform/100 mi
~ BEFORE
!
,/
COLLECTING SAMPLE
TNTC =
Verification: LSB BGB
Fecal Coliform Confirmation
FinaIMembrane ~esults // -~ coliform/lO0 mi
Reported By ~ ~'~'/, ~ Date ~- --i/ ?~ ? "~
Too Numerous To Count / ~m,: /~ ~ a.m.
OB =
Other Bacteria
Member of the SGS Group (Soc
PART ONE OF TWO
REMAINDER TO FOLLOW
, t RCOMMERCIAL TESTING &
ONMENTAL LABORATORY SERVICES
ENGINEERING CO.
......... REPORT of ANALYSIS
Chemlab Eel.# : 93. 2252-5 5633 B STREET
ANCHORAGE, AK 99518
Client. Sample ID :LI80, SEC8, T15N, R1W, 5M TEL:(907) 562-2343
Matrix : WATER FAX: (907) 561-5301
Client Name :S & S ENGINEERING WORK Order :66193
Ordered By : Report Completed :05/20/93
Project Name : Collected :05/18/93 @ 08:30 hrs.
Projects : Received :05/18/93 @ 15:25 hrs.
PWSID :UA Technical Director :S77EPHEN C. EDE
Released By :~~-~~__
Sample Remarks: ROUTINE SAMPLE CO[J_ECTED BY: S.S.
QC Allowable Ext. Anal
Parameter Results Qual. Units Method Limits Date Date Init
Nitrate-N 7.05 mg/L EPA 353.2/300.0 I0 05/19 LLH
* See Special Instructions At~ve UA = Unavailable
** See Sample Remarks Above NA = Not Analyzed
U = Undetected, Reported value is the practical quantification limit. LT = Less Than
D = Secondary dilution. GT = Greater Than
Member of the SGS Group (SociaL6 G~n~rale de Surveillance)
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