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HomeMy WebLinkAboutKNIK HEIGHTS BLK K LT 10 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE!CTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING AD.DRESS LEC~AL DESCRIPTION LOCATION NO. OB-~.DROOMS DISTANCE TO: Manufactu i/ Absorptii~i a~a Material.~T¢~_ No, of ~artments IF HOMEMADE: ~ Inside length Width Liquid depth wen /~.g PERMIf ~O. Liquid capacity in gallons No. of Wel DISTANCE TO: e~ lines/ ' Length ~f .e~h I~ne. Top of tile to finish grade/ Length Type of crib Width Crib diameter Total length Material beneath tile Depth Crib depth Material inches inches Dista nc e ~v///~n Ii nes Total e~ecti've~aJ}sorption area PERMIT KID. Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: C/ass Depth Driller Distance to lot line I PERMIT NO. Building foundation Sewer line Septic tank I Absorptio~mrea(s) DISTANCE TO: OTHER F'IE F.'.H I T N O. I::IF:'PI~ I CFtNT G. F:I. I...IFtN:5ON LOCFtT I LEGFIL. L,'IO BL. OCK I< I<I'.,IIK HEI T"r'I::'E: OF S;O I L i:::IB:501;-:F:"F t Ed",t '..:;.,"r'%TEM 1:5: YRENCH SRFI E:O',x: ,¢I..EI97"'"G ~)5'5Et2: I...Ii)T :E; I ZE ............ o¢o 6 f"tR::.::Zi'"ll...ll"'l I'.,tljME:ER (IF E:E[:,ROOM'"_:; = 4 2i;(]:[L RFt'TII'.4G ,::SI;! F-'"f',.."E;R::,= THE F:;:Eg!LI I RED :~T, I ZE OF THE E;O I I._ R[3SOF;.:P'I" I ON 2;'.].':~TIEI'"I I E;: THE LENGTH E:, T I'"IEI'.,I'..E; I 01'.,t I E; ]"HE LENGTH ,:; I I',1 FEET ::, OF THE TF.':ENCH OR I)RF:I I I',IF I IEL...E:,. THE DEF'TH OF FI TF:ENE:H OF..' PIT Z'F., TlaE DIE;TFII'.,IC:E BE:'TI.,.IEEN THE: SIjIRF:'RCE OF' 'T'HIE GFROI.,.IND FIN[:, THE BOTTOM OF::' THE E',;.0:::F-I',,,'FITIOI'.,t ,:: I I'.,t F:'EE'T'). THEIRE I E; NO ':E, ET I.,.ItDTH FrE)F~:: TF.:ENCHE':'~;. THI!i!: GF;~:FI',,,'EI._ [:,EF:'TH IS THE MI I'.,I):HIJM E:,EPTI'4 OF' GFi:FI',,,'EL.. E~ETI.,.IEEN THE OLFr'F:T-II_.L. F:'IF'IE FINI:) THE BOTTOH OF THE EXE:f:i',,,'FFFION ,::TN F:'EET). I.'::'ERH I T FIPPI_ I CF. fi. Er HFIE; 'THE 14.':E%F:'Ot'.,IE; I E: I I_. I"F'¢ TO I NFOF;?.I,1 TH I E; [:,EPi::IRTMEI'.,IT [)l...IF,~: :[I'.,IG 'T'HE II'.,I:~;TFIL_LF:ITION IN:E;F'ECTIONE:; OF FIN"r' I.,.IELLS FIDJFICENT TO 'T'FII"5 F'ROF'ERT"r' FIN[:' THE: I",ILtHSER OF: F-'.E~; I DENCES THFIT THE I.,.tELL. W I L.L :iSEF.':',,,'E. ................. '"E' B,,.il (D~ ,::: ;;;:.: ]:, % ]f"ql r=-7:'; F' E:T.; (Z.: -ir" ]E Eu fh.4t S; E::~ !~:~:4: lEE 11:;;: EE ,];., nj ]E t1::~'.' lEE E]:~ ................. E~FiE:I<F .I: I.J_.. I I",iG ";iF:' FIN"r' :E;"r'STEH 141 THOI...rT' [:,EF'F:iRTMENT 1.4:1: L.I_. E',E '.'51..IE',.J'ECT TO H i i'.,I I I'"ILtH [:, t STRI'.,ICE: 8ETI.,.IEEN FI I.,IE:L..I_. FIN[:, RI'.,IY ON-..E; I TE SI:E]4FIGEE D I .'.E,F'OSF:II_. ::I..E~E'.~ FEE'[' FOF..' FI F'F.:I',,,'FfT'E L4ELL. OF?. ::[.5~b TO 2E,...'E~ FEE]" FF.:OH I:::1 F'UIi!fl...IE: I.,~]EL.L. DEF'EI'.,E:,ING UPOI'.,I THE ¥'¢1::'E OF F'I...IE~L. IC 14EL. I MINtHUH I}IE;TFINCE FF:OM FI F'RI',,,'FrTE: P.IEL. L TO [:::1 F'RI',?FITE SEI4ER LII'.,IE IE; 25 FEET F:ff.,tl} TO FI COHMLINITY E;EMEF'. I._INE IEi; '75 FEET. HELL. L.OGE; FIRE RE(;:!L.IIRED FIi'.,ID HU:i..;T DE RETIJRNE[) TO THE E:,EF:'f:tF::TMENT 14ITHtI'.,I OF' THE I.,~!ELL E:OHPL. ETION. O]"HIER I;..:I:B]?LI I REH:F.},IT:5 MFI'¢ FIF'F:'I2¢. E;F'EC I F I CI::Ff' I ON'.:5 I--:II',,IE:, CONSTRUCT I ON [:, I FIGRFIM'.E; RF::E I::1',,,'1:::111_FE',LE T(] I NSUF:E F'F.:OF'EF..' I NS'T'RLLFIT I ON. I CERTtF:'"r' ]"HFIT ::1.: I FIH FFII'IIL_ZRR 1.4ITH 'THE RE6!LIIRE:HENT:!5 FOR ON-E;ITE E;EI4ERE; RN[:, I.,.IEL..L.S FORTH E:'¢ THE HUNI C I F'I::II_ I T"r' OF::' FINCHORFIGE. ;2: I !4IL. L !I",I:.::]TFIL.I_. THE :..:;.,'¢:9..;]"EH IN FICCOF.'.E:,I=INCE t.,.IITFI THE CO[:'E:!.:;. :.Er.':: I UH[:'ER'L';TFIND THF:IT THE ON-SITE SEI.,.IEF.: '.E;"r'?,TE]"I Hl:::l"r' REL::!UIF4:E ENL. t':IREiEHENT IF THE: F.:EBiDEI",tCE t'.E; FE'.E]'"I(][:'ELEI} TO I I",IF':LIJ[:'E HORE THFIN 4 E:EE:'ROOHS. ~.'i. Fl, L'.t8 BLOCK K KNIt t4F..IUHr$ THE REt.:~UI:R~O :;t2~ OF THE 'SOIL fiEI'50RPTION :: : UPON' THC TVPE OF PLIDLI_. NELL EO R ~,ONII!JN[]~ SEI4ER LINE [$ OF THE NELL L, OIIPLETION. !': F'EEP-.D1 ]: T E~::-'-(I:~ .[ _fi:EZ % C:,EZ tZ: EI"tEE:F-.~F-: 2: ::L., 'J-':"~ L"IJ I [ ,CER'f'IF'¢ THfiT :t.: { RH F~I',II;L[FIR WITH THE REI]IJ[REHENT'.¢ FOR ON-%[TE SEWERS ~qi',JO HELL'5 RS SET - ~: [ UNOFRFfrlN(, rHFif THE ON-'SITg 5EldER 5'r'Srg/i fY MUNICIPALITY OF ANCHORAGE DEPARTMF. NT OF HEALTH AND ENVIF~ONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST ERrORMED fOR: LEGAL DESCRIPTION: do 5 SLOP'E SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O COMMENTS Gross Net ng Date 'l-ime Time ~ 6.'~0 ,,,N _ 72-008 (6/79) PER~) LATIO N RATE 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. # _~'~;\ C_~, - ,~ ,?m-~ -/~3. HAA # ¥./ (~°\IN( 'h \ L-/~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot I0; Block "K"; Knik Heights Location (address or directions) 13230 Ridgewood Cire. l¢ (b) Property owner Mailing Address (c) Lending Institution Mailing Address (515), 365-572I Dr, Bcrgqu~st Telephone:(home) 32 BayyvZ¢~ Ter&~ Manhasset~ N~w York 11030 Business Telephone (d) Real Estate Company and Agent Address 3000 A Str~,et, Telephone 562-7653 Suite I01~ Anchoraqe~ Ak. 99503 (e) Mail the HAA to the following address: (or check hereby, if hold for pick up,) List contact person and day phone number below: S & S ENGINEERING 17034 Ea~31e RiYer Loop Roa4~___~ Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family [~ 3. WATER SUPPLY Individual Well Number of bedrooms 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 IZ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status, 72-025 (Rev. 7/88) Page 1 of 2 ~ jo ~ eDed '3JOM s,Jeeu!Bua leUO!SSejoJd aLIh u! Suo!ss!LUO Jo sJOJJe JOJ alq!suodsaJ lou s! aBeJOLiOUV Jo ,~l!led[o!u nlAI eLIJ. 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Luels~s lesodsip JeleMehseM Jo/pue/~lddns JeheM ehls-uo eql 'uoRoedsu! pue uo!le6ilseAu! /~uJ LUOJJ pue SeliJ e6eJoqouv jo Xl!lediolunw eql LUO~J peulelqo uoiheuu~oju! eq1 uo peseq heql,~jpeA JeqlJnJ I 'u!eJeq pe~eoipu! eJnhonAls jo ed,~l pue suuooJpeq jo JeqLunu aqI Joj elenbepe pue leuoi~ounj 'ejes s! uJels/~s lesods!p JeleM@~SeM ~o/pue ~lddns JeheM elis-uo @q~ leq~, sMoqs leAoJddv ,~l!Joqhnv q~leeH siqljo uo!leB!lse^u!Awleqh~Jpe^l'MOleq uMoqselepuoihepile^eqljose pueole~eq pexwe lees,~Lu~q pa!j!~Jeosv NOIJ.¥1~I~tO.-INI aN~/~'J.¥a 'HOI~'B$ ~I'114 '8J.$~J. '$NOIJ. O~IdSNI IgNlalAOl:lcl ~1:1t4 ONII:ItliINIIDN] '~ A. WELL DATA Well Classification (~O MUNICIPALITY OF ANCHORAGE (MOA) IC'?AU1YI~¢..I~!~ ~,,,,~it~ Approval (HAA) NMENTAL ~I~?FEB RUARY 1984 343-4744 AI3~:~ 2 ~ ]9~J0 Legal Description: ~- Well Log Present O~N) '"~/ ~ I Total Depth ~'"~¢ Cased to '~__Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Date Completed ~::P.--' ~ -~-E~'~ Yield /, ~ -~'~'~ Static Water Level \¢=1~ Casing Height Above Ground Electrical Wiring in Conduit ~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Fie. l~ ))n Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments Pump Set At Sanitary Seal on Casing,C~P/N) Depression Around Wellhead (Y/_.~ · On Adjoining Lots / ~ I.W- ; On Adjoining Lots To N~arest Public Sewer Cleanout/Manhole B. SEPTIC/HOLDING TANK DATA Date Installed /,~/P-~"~Size Stand pipes(.(~/N) Depression over Tank (Y/Lgr~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line \~,"~"~-o__ No. of Compartments Air-tight Caps ¢~¢YN) _ y Foundation Cleanoutd,3?/N) _kD~te Last Pumped ~ ; for ~/ Temporary Holding Tank Permit (Y/N) ! \ ~)C~~r To Building Foundation ~"7,, 'Fo Disposal Field _ \~ To Stream, Pond, Lake or Major Drainage Course Comments r~ ~L.--k)% 72-026 (Rev. 7/881 Fror~t Page 1 of 2 C. ABSORPTION FIELD DATA Date Installed (¢~ (/~'~ Length of Field Width of Field '"'~ ' Depth of Field Gravel Bed Thickness Square Feet of Absortion Area ~r~t~o~;:~'-¢' Statndpipes Present(O~'-N) Depression over Field (Y~:C~P r-~ Date of Last Adequacy Test Results of Last Adequacy Test ~ \~-~'~ -- ~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ c:~ (:::) t A- To Property Line [ ~ 1 To Building Founda/,~o/~ t~° ~ To Existing or Abandoned System on Lot ; On Adjoining Lots To Water Main/Service Line ~. ~ t.~ To Cutback (if present) r-,-~/~ To Stream, Pond, Lake, or Major Drainage Course ~. dZ::::C~[ To Driveway, Barking Area, or Vehicle Storage Area ~:~c) ('~ Comments t-'~C~t--~'c~ 'k,/~ -- ~----~ ~4_.~.~ ~k~Z~ D. LIFT S~A~N Date I nstalled'"'-~ Si e in Gallons "Pump On" Level at ~ High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect o~,~t~8,date of this inspection. --~%- ~"~ zi~, Signed S & S ENGINEERinG Company ..... ~,,1~ ~iver Loop Road No. 204 .:, ",," .....*,,.~ ..... MOANo. (~, ~) ~o~ / / / Receipt No. --~- ~--~ Receipt No. Date of Payment z/' -2 '~% "~ (~ Waiver Fee: $ Amount: $ ~ ~ (-]~ Date of Payment z2-0~6 ~R~ z/~) a~c~ Page 2 of 2 FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order ~ 21135 Date Report Pril~ed: APR 19 90 ~ 09:38 Client Sample ID:LIO BLK K KNIK tITS PWSID :UA Collected APR 16 90 @ 17:00 hrs. Received APR 17 90 @ 13:15 hrs. Preserved with :AS REQUIRED Client Name : S ~ S ENGR Client hcet: SNSENGP P.O.$ NONE RECEIVED Roq # Ordered By : R, SHAFER Analysis Completed :APR lb 90 Send Reports to: Laboratory Supervisgr [STEPHEN C. EDE I)S & S ENGR Special Instruct: Chemlab Ref ~: 900949 Lab Smpl ID: 3 Matrix: WATER Allowable Parameter Tested Result Units Method 51mits NITRATE-N 1.3 ms/1 EPA 353.2 10 Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY RDJ. 1 Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected "See Sample Remarks Above Nh- Not Analyzed LT~Less Than, GT-Greater Than ACHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ~_PRIVATE WATER SYSTEM S & S ENGINEERING -- 17034 ,"~gt~p4~oad-Ne,~-~,~,4 Mailing ~.dig~ RlYer, Alaska 99577 Cily State Mo, Day SAMPLE TYPE: [~,~Routine [] Check Sample (for routine sample with lab ref, no. [] Special Purpose SAMPLE NO. LOCATION 4 I S I Phone No. Zip Code ~ Treated Water [] Untreated Water Time Collected TO BE COMPLETED BY LABORATORY is shows this Water SAMPLE to be: isfactory [] Unsatisfactory [] Sarnple 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 Time Received Analytical Methodi Membrane Filter * No. of colonies/100 mi. Lab Ref, No. Result* I FT-J I FF-J Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filter: Direct Count L) Verification: LTB BGB FinaI Membrane Filter Results Tlrne: TNTC = Too Nurnberous To Count OB = Other Bacteria Collform/lOOml Colllorm/lOOml /.~--'~Z"-~..~ a.m. PART ONE OF TWO REMAINDER TO FOLLOW M-I)J DRILLING, flPf'.lg,90 8:/45 P.02 INC. TEL No.907-349-168:~ ~1-W DRILLINO, Inc, P.O. Box 10-378 · 10300 Old Seward Hi0hway (907) 349-8535 ANCHORAGE, ALASKA 09511 DRILLING LOG Well Owner_ GE, PAI,D HANSON Use of Well_ Domestic Location (address of: Township, Range, Section, if known; or distance main road Lot 10 Block K Knik Heights Subdivision Size o£ casing_--~" _Depth of Hole_-~O_. ._feet Cased to_2J.].~--- _feet Static water level__200 ft. ~ (below) land surface, Pinish of well (check one) Screen ( ); Perforated ( ), Describe screen or perforation~ Well pumping test at_L~5_.gallons per (i~) of drawdown from static level, Date of completion_-~h.u~-.Zg, open end ( xx ); (minute) for---~ ._hours WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness .- 0~__TO. 2 Casin~_ stic~__ ___ 2 .TO 10 Brown clay, mn,d_gravel ~ 90 To 1~ _lQ0 TO_ 202 Br~ silty ~'a~. __ 20~ TO. 220 _~ s~%~ ~,~~~-~a~ ..... _TO_ . ...... TO. .... TO .... TO _TO. ...... TO_ IWWWA Certified Contractor ,t-W flRILLING, INC. TEL No . 907-$49-1689 RPr.19,90 8:43 P.02 Well Owner-GERAIJ) HANSON JVJ-W DRILLINO, Inc, P.O. Box 10-378 * 10300 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Use of Well Domestic Location (address of: Township, Range, Section, if known; or distance main road Lot 10 Block K Knik Heig~t_s Subdivisic~. Size o£ casing . .~" Depth of Hole Static water level---ft. ~ Screen ( ); Perforated ( Describe screen or perforation. feet Cased to_2J~7_~2~2___-feet (below) land surface. Finish of well (check one) ), Well pumping test at_l-5 gallons per 0hx~'zm) of drawdown from static level. Date of completion__~I~-22-,--t92z3~--- open end ( (minute) for ..l .... hours wltb__-Z00~ WELl. LOG Depth in feet from ground surface .._0 TO. 2 2 TO 10 1Q__TO_ 30 30__TO____~Q--- ~qO__TO 100__TO_ 202 _TO. _TO ._TO_ ..... TO. .... TO_ ...... TO_ .... TO Give details of formations penetrated, size of material, color and hardness Cas ing~ s t ice,p_ Browq.. _~cl_a~y_eand ~avel ' 1 MUNICIPALITY OF ANa-4ORAG~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION --RECEIVED- Brown,.~s ilty gra~_el__ _ Bravo silty. ~aveL~aJAm~de~-~q~Ang- ,_,.,J~UNIC1PALITY .-OF ANC~?ORx'~-4~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECflObl R EC-Et NWWA Certi[ied Contractor ..... t~e:~[kqea4,~.~4>2s Rld ~,.~ APPLF NT FILLS OUT UPPER HA' ONLY P ropc~'0, Mailing Aadress [.P~one . Buyer Address Zip Code ?' Zip Code Lending Institution Address Realty Co. & Agent Address Legal Description '~.,.~ , tO ~.~r:. }{. Zip Code Phone ·: -/".: ,i (~ Phone __ Type of Residence ~' Single Family © Moltiple Family No. of Bedrooms <-V [] Other Water Supply ~ individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. : Community For wells drilled prior to that date, give woll depth (attach Icg if available). [] Public Utility Sewer Disposal /,.; / ;-, ~ individual Year individual Installed: [] Public Utility When Connected to Public Utility: F] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, [)ate lnspectof Time Time [)ate Date Date ~ _ Inspector Inspeclor Jespector --r~--, --~-O .... ~>_u'rY o~ ~ ,., } ~NVIRONM~fAL P~O APPROVED BEDROOMS DISAPPROVED CONDITIONAL APPROVAL' 'CONDITIONS OF APPROVAL Soils Rating 1 6 ~:' Date Sewer Installed 6' : / Well To Absorption Area Well to Tank j Well Log Received Septic Tank Size [ ~ {~ rip ' CHEMICAL & GL LOGICAL LABO~I~4TO?IES . ? ALASKA, INC~ TELEPHONE: (907)562-2~43 ANcHoR~,G~313N BDUs~TeReltAL CENTER ~l Drinking Water Analysis Repor~t f~r Total Coliform Bacteria ~ TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name Phone No. Mailing Address City State Mo. Day Year SAMPLE TYPE: ~ [] Routine [:3 Check Sample (for routine sample with lab ref, no, ? ) ('3 Special Purpose ~ip [] Treated Water [] Untreated Water SAMPLE NO. LOCATION t I/"* Time Collected Collected By TO BE COMPLETED BY LABORATORY Aoalysis shows this Water SAMPLE to be: /[~/Satisfactgr¥ [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Rec'elved Time Received Analytical Method: [] Fermentation Tube ~/Membrane Filter Lab Refl No. ,. Result* Analyst *No of colontes/100 mi or No el Positive portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 0~.1220 'Rev, J978 BACTERIOLOGICAL WATER ANALYSIS RECORD Data Collected_ Source Dire Received Time Recelv~ ---- p,m. Lab. NO. Praaumptlva ~Oml 10mi 1Omi 10mi /Omi 1.0mi 0.].mi 24 Hours 45 Hours Confirmatory 24 Houri 4~ Hours EMB __ Broth 24 heurl:. Multiple Tuba Report= M~mbrane FIItar~ Direct Count Varlflcatlon~ t..TB Final Membrane Filter Results_ (") Broth 48 houri: [0mi Tubal Positive/Total ].0mi Portions Collform/100ml BGB Collform/Z00ml