HomeMy WebLinkAboutPROSPECT HEIGHTS #4 BLK 2 LT 9MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. / Municipality of Anchorage Page / of 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: ~,~.~ ~/~.~, PIDNumber: ~Z~ /~ "~: ~K ~. ~/~/~¢ Wastewater System: ~ New ~ Upgrade Addr~ / ~' ~ ~rt~ ~C ~ ~r/~--~ ~r ABSORPTION FIELD Phone: ~/~ No. of~rooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTION soH ~ti..: ~o~ ~..t~ ~ro~ ori.i,.~ ~r~.: Lot: Block: S~bdivision: Deplh to pipe bottom from original grade: Gravel depth beneath pipe Townsh[~ R2~ Sec,~. Fill added above oTin:, ~de: Gravel length: Ft. ~// Ft. Number of lines: D~stance belwee~ li~s: WELL: ~ew D Upgrade Gravel depth: / Ft. ~ ~ Ft. Classification (Private, A,~,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: , Dat~ Drilled: StaticWater Level: Installer: ~~ ~ Date i~stal~d: Yield: ~,~ GPM Pump Set__at: Ft. Casing Height~Above Ground:Ft. TA~K SEPARATION DISTANCES ~ Septic D Holding ~S.T.E.P. To Septic Absorption Lift Holding ~ublic/PrlvateManufa~urer: Capacity in gallons: Number of Compartments: Surface w~t~ >/co 2/~o -- -- >/~' LIFT STATION Lot Size in gallons: Manufacturer: "Pump on" level at: "Pump ~el at: High water alarm at: Foundation l~ ' ~ ~ / -- ~ -- ~',~ Curtain ~ ~ Pump Make & Model / Elec~ical Inspections pedorm~by: Remarks: ~tc e / ~/~ / ~p BENCH MARK Loc~ion and Description: 0~,~¢"/~ ~ J~ AssumedElevati°n2oo ENGINEER, S SEAL Inspections performed by: /' ~'E, ~~ DateS:2nd ¢/~/ls*~'/~ / ~~~:' .-~m Reviewed and approved Sate:/ '~P~fe~l~'¢ 72-013 (1/91) MOA 25 Permit No. ~'~J ~/~' D ~6 ~ Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION 'of -~ P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No.: C. REIO, JR. CE - 2251 ~. i ~CALE --~: mod : Sa' X 'at ' i ~4,77 72~13A (2/91} MOA25 PermitNo. ,~'Kv' ~'/b4)~ ~. Page ~'~ of --~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMANSERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No,: REID, JR. E-2251 72-O13 A (2/91) MOA 25 ~ Permit No.. ~Z / ~0 ~,/~. Page ~ of. 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 Legal Description: REfD, CE - 2251 72-O13 A (2/91) MOA 25 ~ Municipalily of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: A C' .eA C"e LEGAL DESCRIPTION: DATE PERFOI 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? s L IF YES, AT WHAT ""'"' O DEPTH? p E Oeplh to Waler After ~ Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (m~nutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN ~ FTAND FT COMMENTS PERFORMED BY: .~t,~ % ~'ll~ I ~¢~'. ~J~,~A~ I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: t '~ ' I q '~"~ 72-008 (Rev. 4/85) " INSPECTION REPORT MUNICIPALITY OF ~,NCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INgPECTtON$ (907),~G3-~164 ~NFORMATION (907) 7868211 FOOTING [] ELEC. TEMP,: v [] PLBG. UNDGR,__ Fl' FOUNDATION_ [] ELEC. SERV~CE _..__~ [].~ .PLBG, ROUGH__ ri". BOND aEAM ~ r"q ELEC, ROUGH GASTEMP, FRAMING [] ELEC_ FINAL · GAS [] INSULATION ~ [] OTHER, r"'l MECHANICAL .. [] ~HEE'I'ROCK ~ [~ MEC;H. FINAl. __. [] ~TRUCT. FINAL ~ [] FIRE FINAL [] PLBG. FINAL OTHER [] ZONING []- OTHER O?ONCOMPLIANCE ©B~ERVED ,,- [~ CORRECTIONS- ESE~ENTIAL AS · "' ' EXPLAINED BELOW .~ W_tL~L REEX,?,,Mi ,NE AT NEXT INSPECTION [] DO NOT CONCEAl. UNTIL REINSPEOTEO "~. / /' / ?/ - /~--- iN~PEC~O~ ..... . ' ' A . / // -:, ~., . ~ .- ~N CORDONS ARE MADE, PLant,ALL FOR IN~FE~0N ' ' '''E :: ~ (Rev, 11/,~'/) i. ..'. ,~,.-'. 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 PERMIT PERMIT NUMBER:SW910066 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:SCHINDLER MARK J & CYNDI B OWNER ADDRESS:9831 MAIN TREE DRIVE ANCH. AK. 99516-6508 DATE ISSUED: 2/24/91 EXPIRATION DATE: 2/24/92 PARCEL ID:01513243 LEGAL DESCRIPTION: PROSPECT HEIGHTS #4 BLK 9 2 LT LOT SIZE: 107384 (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 (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. RECEIVED BY: ISSUED BY: / DATE DATE ~ / I [ ~ I ' Vacant Vacant Il ~ '~ \~------'~---~ k~X:~;~o,/ / . / ~' %¢~ 7 ~eplacement . / k~3 /:~ ~A~ ~ / / / kk?T-'..- / / / :-_--:--,, " Ne~ System Z~s~aZZat~on SEPTIC SYSTEM DESIGN DATE PREPARED FOR: SCALE PREPARED BY: ~" = }oo Kniefel Engineering MOA CE 90-030 Topsoil and ~ ....... · ~ Native/Backfill ~'--~ .... ~ 0.2~ , ~i 2" rigid Insulation Board ~' ' ............ - .... ~with filter fabric PROFILE VIEW PLAN VIEW 4 BED. GAR. HOUSE 15' 6 1,500 gal tank w/ MOA approved lift station , $1~ ASTM 3404 solid 1~ ~3 lines at 46' Lift Station Pump must be capable of providing a minimum of 40 gpm under a 30' vertical head (ABS SESH-SW or equal). .~_--%%%. ' ~r... A -".. ~'~ ~ ~/,.,. ..'~ ~ ~o~ ~, ~o~ ~, Pro~e~t H~h~ ~ ~~& Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 %" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ;EAL) LEOAL DESCRIPTION: (."¢'["" % ~,~.0¢..~ ~ Township, Range, Section: 11 12 13 14 15 16 17, 18- 19- 20- COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? N / ~-~*_~ ~ Net - ' ~"I~ ~ Time l~l~ ~i~l~ ~'~1,~ Drop PERCOLATION RATE __ TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER __ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; 72-008 (Rev, 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFOR EO.OR: AC' ZeAd" DATEPERFOR LEGAL DESCRIPTION: ~ __~ "~g,,0~.~ ~ Township, Range, Section: 4. 1 2 3 4 5 6- 7 8 9 10 12- 13- 14- 15- 16- 17 18 19- 20- COMMENTS SLOPE N '/ WAS GROUND WATER ENCOUNTERED? ~'~ ~ S L IF YES, AT WHAT ~ O DEPTH? p E Monitoring? '"- Date,. Gross Nat Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (m~nutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~FTAND FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 72-008 {Rev, 4/85) KE KNIEFEL ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-1121 · Fax (907) 338-1874 SYSTEH DESZGN GUZDELZNES AND NARRATZVE LOT 9, BLOCK 2, PROSPECT HEZGHTS ¢4 System Design = 4 bedrooms x 188 sf/bed. = 752 sf Absorption Bed = 15' x 51 ' = 765 sf Septic Tank = 1,000 gallons + (4 BED - 3 BED) x 150 gal' = 1,250 gallons· All materials, construction methods and required inspections to follow MOA rules and regulations. The contractor is responsible for obtaining the necessary electrical permits and notifying the Engineer and the MOA at least four hours in advance of all inspection needs. Contractor will insure no changes have been made to the location of wells and septic systems on the adjacent lots prior to the time of construction of this system. If any changes to those systems have occurred, the engineer should be immediately contacted for review and possible changes will be made as necessary. The contractor will remove the OB/Fill material to the GM material layer under all portions of the bed area, The lot slopes down from the east to the west portion of the lot, The slope varies from 6 -8% at the system location to a maximum of 20 - 24% at the west lot line. The surrounding lots are mostly vacant, The new well and wastewater system will have little effect on the existing system due to the large separation distances, The septic tank will consist of a 1,250 gallon two compartment tank with a lift station attachment. The tank should be properly maintained to include septic tank pumping on an annual basis and no use of a garbage disposal, The lift station will be an MOA approved system that will provide pumping with a minimum of 40 gpm at 30 feet of total head, re-..*' ,. 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 WELL SYSTEM PERMIT PERMIT NUMBER:SW910092 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:SCHINDLER MARK J & CYNDI B OWNER ADDRESS:9831 MAIN TREE DR. ANCHORAGE, AK 99516 DATE ISSUED: 5/09/91 EXPIRATION DATE: 5/09/92 PARCEL ID:01513243 LEGAL DESCRIPTION: PROSPECT HEIGHTS #4 BLK 9 2 LT LOT SIZE: 107384 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL 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 (18AACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: / / Vacan~ / ! ! /', t [ hank ?ieid ReDlacemen~c New System lnsraiia~ion / / / //? N III SEPTIC SYSTEM, DESIGN ~o~ 9, Block 2, ProsDec~ HeighTs #~ DATE [ PREPARED FOR: 1/2/91 I ~,creage Systems ! SCALE I PREPARED BY: ~"= zoo Kniefel Engineering MOA CE 90-030 paCe 113 i20 ~ Ramona St. 995~ SIX INCH WATER WELL DRILLED DRILLED AT THE RATE OF ~',o~K. 0,3 PROPERTY OWNER '~.ro -% >irs. LOCATION OF WELL $1TF DRILLER oernie WELL LOG: 0 '- 11'- 22.' -22 - 29' Z9 --330' Fill. A broken rock mgterial. '20% Silty. OUT TO THE DEPTH OF 330 feet. PER FOOT. Steel casing seated to 29 feet. (Mark .~ Cindy) Schindler 346-i026 263-4766 * * Lt.7 ~' Claus of Mampart Drilitn5 Works. . . RE E! ..... . Dept. Health No significant amount of water yield showed until 120 to ]26 feet. In':'a .'' granular type rock, a yield of about ]/2 gpm is present. By 240 feet, a- total of just over one gpm showe~, coming out.of fissures in the rock. By 27~ feet~ water production was no better than 1 ,/2 ~pm. Significant~ but rather marginal at best. By 305', water yield reachee 1 3/4 gpm. The last 25 feet to 330 is very important footage because.of the adde~ water yield. Thin porous areas from.3i4 to 324 showed about an additional gallon per 'minu~e. Steady total Water production in this Well is 150 gph (gallon~ per hour) with short duration pUmping o£ very close to three gpm (i80 gph) after full drawaown. Water recovery comes back up to 18 feet of surface. Water. recovery then comes, very slowly, within ten feet of surfac~... A one horse submersible p,mp should be installed ten to fifteen feet o~f bottom. - ' Total cost of Urilling: $23.00 x 300 ft': $6,900.00 ($2,000 paid 8-.t5-91) COST~NCLUDESA~.~ABOR AND MATER~A~ FOR COMPLETION O~ SAID WRITE CHECK PAYABLE TO RAMPART DRILLINGWORKS FOR THE SUM OF $4,900.00 THANK YOU-VERY MUCH. B~IE CkAU$ OF ~ DATE August 25, 1991 SERVICE CHARGE:OF I~% PER MO~ITH WILL. BE ASSESSED ON PAST DUE ACCOUNTS. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~:)/'~-- / 3 ~:~. ~',,~ HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) 5-/3 Location (addreSs or direct on§)V · ', (b) Property'o~h'e'r'/~//e.,¢~-~..,~,~ ~.~..5:¢--~,, d/c.C. Telephone: (home) YF~-/¢~ Business~J 'Y2~ (c) Lending Insbtutton-'.= ....." ,- Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check herein, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family.~ Number of bedrooms 3. WATER SUPPLY Individual Wel/D~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 regulations in effect on the date of this inspection. Name of Firm /~"~.5' ¢, ~_~.~c_ Telephone Address /~ ~ ¢.~.Y'/~ ~ ~¢¢;z~._ ,,'.//r.. ¢¢'~'~,2,y -, Approved for bedrooms b ~ Date / Disapproved Conditional Approved Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cedficated 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. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: /--'L/~ WELL DATA Wen Classification u Well Log Presen~l) Date Completed ~'/~,;1-/ Total Depth -~',3~/ Cased to Static Water Level /¢) / Casing Height Above Ground Electrical Wiring in Conduit (~) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ,.-"-~-~.,-.~ :,~7¢ ~/z/~. If A, B, C, D.E.C. Approved (Y~I~_. Yield Z, ~ Pump Set At ¢,~,/r.-.., ,,~ Sanitary Seal on Casing (~N) Depression Around Wellhead (Y/~ ,/..2 y / .>/¢¢ ' ; On Adjoining Lots /,'~TJ- / ; On Adjoining Lots .~"'~/ To Nearest Public Sewer Cleanout/Manhole A///,At SEPTIC/HOLDING TANK DATA /J-eD Date Installed ~.~¢e/ SJze~No. of Compartments Standpipes (i~N) Air-tight Caps ~N) Depression over Tank (Y/~) Pum ping/Maintenance Contact on File (Y/N) Holding Tan k ,~ig!~-Water, ~l~i'~- (y/N) Foundation Cleanout ~N) Date Last Pumped /~'a.,.~ ; for '~/~' Temporary Holding Tank Permit' (Y/N) SEPARATII~bl DISTANCES FROM SEPTIC/HOLDING TANK: · .... ./ To Water~;Supply Well · .-77.::-~/:~.(~ '~'' .,. ~.. :" -.-,~-~ ~, ~:.',,;.,.~.,t-~ To Property L~ne , . ,../~ , ~:: To Water Main/Ser~)i~"L. ii~/~~'*' .~?~':' ;" To Stream Pon'd · dake or-Maj~r'.D:r~ nage Course Comments To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 2./~/.J~ / Width of Field /;~- ~ Square Feet of Absortion Area Depression over Field (Y/~ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well //O / To Building Foundation Lot Type of System Design Length of Field Depth of Field Gravel Bed Thickness /Z Statndpipes Present ~N) Date of Last Adequacy Test To Property Line ~ ¢ / To Existing or Abandoned System on ; On Adjoining Lots ~/~O / To Water Main/Service Line ! -~¢- ¢ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for /f¢'//¢ Meets MOA Electrical Codest(~/N) Comments Dimensions Manhole/Access(~N) "Pump Off" Level at Vent CN) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** inspection.I certify'that I~._.~..~have checked, verified,/// or conformed to all MOA and HAA ¢ ;t on the date of this Signed · Company ~ ~ Date / MOA No. ~-&~- d¢/,,2. Receipt No. c~ ~:~ 7~''~ ~'~~--~¢/ ~ Date of Paymen' /¢5~~- Amount: $ _ 72-026 (Rev. 7/88) Back g u i d e~,l~j.j~..~'~. ~,.e~c t ~~i'-~i~',~l~ i n e e r's Seal Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAlL& GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALXSIS RESULTS for )]IVOICE ~ ~0503 Chemlab P~ef.~ 91.6287 San~pla $ 1 Matrl×: WATER PUSiD UA Collected ~OV 2! 91 ~ hts. Received NOV 22 91 ~ 12:00 Pzeserwd with AS REQUIRED tnalysis Completed : NOV 25 91 Laboza~oxy Supervisor : STEPHEN C. EDE I · Client Name :A g C S Cliont Acct :AKECBRP Ordered By :L. ~EID Send Raports to: 2) PO~ :NOllE RECEIVED ?a~amete~ R~sults Umts 14ethod Allowable Limits NI~RATE-N 3.7 r~3/1 EPA 353,2 10 Sm~ple ROUTINg SAbLPLE COLLECTED Z,Y: L. IIEiD. i Tests Pe:~o~med ~ See Special Instructions Above UA~Unavailabte ND= ~one Dst~oted ~" See Sample 5e~ark~ Above Nt= }~ot Analyzed LT=Less Than, GT=Gzeater Than ~SGS Member of the SGS Group (SociCt~ G~n~rale de Surveillance)