HomeMy WebLinkAboutPANORAMA TERRACE BLK 2 LT 8
Municipality of Anchorage Page
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: ~?'~' ~:)O t ~ ., ~'.,~_ PID Number:
N.~:~.~__ ~~ Wastewater System: ~New D Upgrade
Address:
~ ~ o T~ ~ ~/~, ABSORPTION FIELD
Phone: ND. of BeSeems: ~ Deep Trench D Shallow Trench ~ Bed ~ M~und ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION S°"R~""¢ . ~ ~pD~S~.~.
Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
Township: Range~ Section: Fill added above original grade: Gravel length:
WELL: ~New ~ Upgrade Gravel~: ~1~ Number of lines: Dis~nce~nlines:
~ Ft. ~ J ~ Ft.
Classlfic~tion (Private, A,B.C): To~al Depth: Cased To: Total absorption area: P~pe material:
~IVAT~ ~ Ft. ~ Ft. t ~ Sa. Ft.
Date Drilled: "Static Water Level: Installer: Date installed'
Yield: Pump Set at: Casing Height Above Ground:
~ ~P~ ~ ~. ~ ~t. TANK
SEPARATION DISTANCES ~septic ~ Holding ~ S.T.E,P.
TO Septic Absorption Lift Holding ~uMic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank SewerLines ~6~ ~NIC 1~ D
Surface
Water .... ~ LIFT STATION
Lot size in gallons: Manufacturer:
Foundation /O /~ "Pump on" level at: I"Pump ofr',eve, at: I High w~tera,arm at:
Cu~ain Pump Make & Model ~ Electrical Inspections pedormed by:
Drain -- ~ ~
I
Remarks: BENCH MARK
Location and Description:
Assumed
Elevation:
Inspections performed by: Dates: 1st,-/~ 9~
Department of He~h and Human Services approval
Reviewed and approved by: Date: ~ -~ -~
72-013 (1/91) MOA 25
443
170
££0
1,5,5
160
£O8
14£
i90
TDg~EN SPURKLANB P,E,
E03 ~ 15TH. AVENUE
ANCH, AK. 99501
L£T 8, :~LBCK ~ PANORAMA TERRACE
SEC, 1S, TI~N R36'
JAIVI£E TDh/~/E~S
'SEPTIC SYSTEM AS )~UILT
])ATE, JAN, 28, 1994
SHEET' GRI]), 2440
$far~l~rd )"re~he~
3' V~
50' Lor~
JO' ~eep
7' ~er rock
3' Cove~
J4
O tfa~t~
_1
3
Cleanout$
3'
Honl~co~
Exit. r.¢~
4' ~ cov~
Mlra~'l 140
7 ~'t oF Septic Rock
SCALE
792
SPURKLAN]] P.E. I I 117T R ELI~CK ~2 PAN£RAHA TERRACE I I ~= ~£, ^~ ,,~, i
Ave ! I --- -- $E£TI~N I3~ TIll R3V m m ~?£' JAf4 E~ 1994 m
8TATE OF ALASKA ':'
DEPARTMENT OF NATURAL RESOUROE$'. , '~
· DIVISION OF WATER
WATER WELt. RL~ORD
ii OF WELt ............. ~ ......
· :" i~JJ~U(]. , ~,UBOIVitON . LOT eLO~ ~ION QT~ ~ION TO. SHIP ~0; .'~ :'
W~L O~: :'
.
..... ,,,
': ~ii M~UR~ ~OM:~cnslng top ~ground eu~ace :, . -
" ii ........ "
O~ DATA: Depth Depth of c~l~:~ft
~ Type a~ ~lor Front To
~ below ~'top of casing ~ grOUnd
. ~ ~*~ ~,,.,.~ ~...~ ~ ~. ~ ............... . .
'~. .? ~ '
,~,.~.S~**~. ~ _. .... ~** . ~ ~ .0 p~lic *u~ B other ..... '.'. :.',
~'?: ,.,:' · ' ' 't,~ ~, , . ....
'" ' ' .... W~ tTAKE OP~IN~ TYPEI ~ open end
,:,:,. ip,/. . /,', ' .:., ,:
,.'~ .. ., -' , 2 ,.~ DOpes of openlno~: / ~ ~'.~'to /'~ 2.
............ ' .'.L:'.. :.:,.,,;:. :'~ll~
J';~,;,:t; ~'c... 17(:9 ~ Slo~e~tze: ~ength: ':'::.~t'' '~!
.r:.. G~V~ PACK TYPE: ~ ~
Volum=
, ......... u.o:__._~..,..
:?:'"~' I ~ EU o.ou, TW~,~ *Vo,.~o: ' '
~'~,~w,. .: .... ' J . . ' ..... ' ' ' ~ ...... ' , ..:
. : dAN 2 1994
F'r ................ Mbm¢lPu;;~; ''*~"' " ' ~" "- '" : , ...... ' ........... ' ' '.,,:~,
Oept. Hellth &t ....... PUMPinG ~ AND YIB,~ ~' ' ..
' man ~ fio~ ~".""'
,,: ..:.. ,~ .... .. . . . ,,,. ...... ...-...,
' ;' ' .. ":
INFORMATION: REMARKS:
· .,:,: 1 , ,. //
;" ,,'"....,~ ...... * '.2' /.'" "- MAIL VVHrTEcoP¥ OF:
~lO~:.:0f Authorized fle~entatlve ~ ~, DNfl/DIVISIONpo BOX 7721OF WATER1.6 '"
EAGLE RIVER AK 99577-2116
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 AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930014
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:TOWER JANICE K 88% &
OWNER ADDRESS:8920 TEMPEST CIRCLE
ANCHORAGE, AK 99507
PARCEL ID:01509260
DATE ISSUED: 2/16/93
EXPIRATION DATE: 2/16/94
LEGAL DESCRIPTION: PANORAMA TERRACE BLK
8
2 LT
LOT SIZE: 69696 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / 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 (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:
THE TOTAL DEPTH O~T~4F~ ,_~. NCH MUST NOT EXCEED 9.0 FEET.
ISSUED BY: ~~
LOT
205 ~ 15~h. Avenue~ Suite 206
SEPTIC SYSTER DESIGN
8 BLOCK 2 p ~ N ORtq~l'! ~ TERRt~CE
STEVE/OANICE TOWER
Nc) Gr"ound Water" <::~r Zmper"vic~us L. ayer t.o 16 Yt.
LJse St.~mc a~'d Trer~c::h
Sod. 1 F~at:i. ng., Fr'c)m test N~)v. ' 9/'"'C~ 1992
45 m:Ln/ir~ :=.45 gal/sq.~:t'.-
j:~3quir"e~d Area pfer E~edrc~c:~m~
'[ 5 }/. 4 5 := ................sq. ~ t
Fi ni she, d F'l c3~" El. ~v;at i c~n I._c)~4e~t F:'I c)or 83Z
Got t c~m 'T'ar't k E 1 (.:evat i cm
G r c:) u n d S Llr ~ ax c: e a t A b s o r p t i o n F' :L ce I d 6 C) + -
'f'esthole Tc:~tal Depth ~6 E~ev, 44
L..,¢..-..:,: 3 ,F t C¢~veer
:1. 0 E:,: 1 e v
7
'7 'F e et
Number" o,F Bec:Jr(:)(],ms 4
"~'-"~.:' 4 / 14 == 96 1 ~:
L.,er'lg~h (:]~ Trenc:h ............. 3 )< " "
SYSTEM CONE ] GUR~T i ON
2 STaND'RD TRENCHES
DIVERSION V~LVE
TOTAL LENGTH
TOTAL NIDTH
TOTAL DEPTH
ROCK DEPTH
COVER
SEPTIC TANK
2 X 5J FT.
5 FT.
le FT.
7 FT. ~
5 FT.
125e GAL.
-r'h~, :i.n~tallati(~r~ (:~: this well ar'id septic: sy%stem will not impac:t
ad.jac:er'~t l~te,. "r'he~ we].], loc'.:atic)r", c:c:)n.~:or"rns 'to::) 'the sit:i, ng o..F th~z,
sept:~c: systeJDs.
'T'h~r"E, J~t'"~E, nc) deve].J::)ped c)r t-i~?:~tur"a], sur~ac:e / sub sL.&r~:ac::~) dra:Lnage
The pr'c)pc)sed sepi:::L c: system wi 1 ]. nc~t c "~ange the ~]ener'al sl cq::)e o'~
the area, P(:31"tdi ng al-iCJ/(Dr c:(~l]C:efltr~L¥[::J.(3i"l (:3.F ~L.U'"~Z(:::e rLLn(::)~:~: ~;[ ]' ]' i'lot
,c.'~ el::) t :L c:: ,.. y .~, L e. m De ~.~ :i. c:/r'~
Th*:~? proposed diversion valw~) w;i, ll c;live the owner o~; the system
.... ~ *" ...~s ~ sin~:~ bot. h
the c~p~i(:~n o'~: .tsin~ e:Lther one o~: t. he
:1: recommend t. hat ~:low be sw:i.t, ched ,from one trench t.o the other on
recover while t. he other is used, This valve d(:)~es i"l~t I::*Y"eve~¥~ the
I
L£T 7 I
I
I
I
I
Lilt ~ I
I
I
I
L£T ~
%
I ~o o
I SCALE:
I
J! I~ LLIF 7
I I
+ J~', )
'~-t-E ---W
III
Ill
II ~ /
~~L~gI~E
H E I G H T S
I
I
I / II
LOT ~0
LDT ~I
LDT ~
~ k!and '
CE-2~25
TBBBEN SPURKLAND P.E,
203 W iSTH, AVENUE
ANCH, AK, 99501
LLIT 8, 3L££K B P~NL1RAMA TERRACE
SEC, IS, TI~°N RSW
JANICE ?L1WWERS
SEPTIC SYSTEM DESIGN
DATD JAN, 28~ 199S
SHEET, IlS GRID, 2440
443
Volve
~4]
N
0 30 50 90 120
SC~LD 1' = 50'
I50 180
TBBBEN SPURKLAND P,E,
203 W 15TH, AVENUE
ANCH, AK, 99501
LOT 8, BLOCK E PANORAMA TERRACE
..eEC, 13, TI~N R3~/
JANI£E TDIVlVEn°$
SEPTIC SYSTEM DESIGN
DATE, JAN, 28 1993
SHEET, 1/3 GRID, 2440
SO
Monitor
_1
Cleon
Cleon Out
£tondord Trenches;
3' IV/de
50' L on9
10' YDeep
7' Sewer rock
3' Cover
]4
1250 9ol Sept~ tonk
Cleon Out
Monitor
Oeon
NO £CALE
DIVERTER VALVE
SPEE-D- VALVE
×
Miro £i i40
Cleonouts
/ 4' Topsoil
7 F't: oS Sep'blc Rock
/~Monrto~;
Exist, Ground
4'M in Cover
~ver Tonk
septic $onk
NO SCALE
REVISED JUNE IL ]99£
TBBBEN SPURKLAND P,E,
BO3 ~15th Ave
Anchor6ge Ak 99501
LI]T 8 3LOCK £ PANORAMA TERRACE
SECTION 13, TiSN R3IV
S TEVE/JANICE TOIVER
SEPTIC SYSTEM DESIGN
D^TE, FED, ~ ]993
SHEET, 3/3 6RID, 2440
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10-
11
12
13
14
15
16
17
18
19
2O
'r ~ (EHGINEER'S_SEAL)
DATE PERFOR
Township, Range, Section: '~.~L~.."~ ~ ~.~ t..._ 13
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water Afte~
Monitoring? _,,,~'~ .x~) Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~/~tT~ (minutes/inch) PERC HOLE DIAMETER
!
TEST RUN BETWEEN 7 FT AND 7 Y'~"' FT
COMMENTS
PERFORMED BY: I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ ~"'~,/' l't~?~'''"'
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
3
4
co: /4-
(ENGINEER'S SEAL)
Township, Range, Section:
I'-~ ~¢ SLOPE
DATE PERFORMED: ' ili*]~ ~'"
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
Depth to Water AIt~r
Monitoring? ¢-,~'~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE 7 {minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~ FT AND ''~ /L FT
COMMENTS
PERFORMED BY: "'~ g I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE: ~ ~ ~1lqf~'''
72-008 (Rev. 4/85)
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: t,'lt~.~. ~ O~'P"'~'
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
{ENGINEER'S SEAL)
DATE PERFORMED:
Township, Range, Section: T~4~.t,~,.~ll~'~l,~; .~_e_ ~.~
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Dep'll tO Water AlterI ///'~,~./~
Monitoring? t"J ,~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~'~ ~:~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 7 FTAND ~7 qZ'4~T.
PERFOF~MED BY: '~.- '~ I CERTIFY THAT THIS TEST WAS PERFORMED IN
AC~ORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~--¢-~ 1~-'3,. ~tZ---
72-008 (Rev. 4/85)
DIVERTER VALVE
Here's the simplest, strongest, and most economical diverter valve ever invented for septic tank leach fields.
It Jo made of tough molded plastic that will not shatter, bend, rust, or corrode. It is lighter in weight, easier
to handle and cut, and less expensive to ship.
FUNTIONAL
The diverter valve stem flow may be controlled
to individual or multiple fields (up to three) in
any combination. With a three way valve stem,
flow may be diverted to any two outlets. To
allow flow through all outlets the valve stem
may be removed from the assembly.
EASY TO INSTALL
Connect 4" plastic sewer and drain pipe to
inlets and outlets on the four way distribution
box. (Unwanted outlets may be sealed by
installing outlet cap).
The Diverter shield which houses the diverter
stein may be cut to desired length.
CLO$1~D ~ 2 3
,l $ 6
DESCRIPTION
PART NO. pKCI. QTY. MATERIAL LIST PRICE EA.
DIVERTER VALVE
Specification: Nr~ ~575P, 575 FVC or ^B$ DivcrWr V~lve,
Diverler Valve
4" Diverter Valve 575' 4 AI~$ 83.5(]
4" Diverter Valve 575P 4 PVC 83.50
*IAPMO Li,~ted
Parcel i.D. #
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
HAA#
1. GENERAL INFORMATION
Complete legal description LOT ~1 '~1~. D-- -p/-~N, ol~,~l-'f.A- T~P-- ·
Location (site address or directions) '7 G u~ ~ 12.~ ~= F- ~ T'~ ~T'~_~-~T-
Property owner
Mailing address
Lending agency
Mailing address
Day phone
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
ndividual on-site
Holding tank
Community on-site
NOTE:
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
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 regulations in effect on the date of this inspection.
Name of Firm ~/o~.
Address ~_O~
Engineer's signature
Phone
Date
DHHS SIGNATURE
Approved for /-/-
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
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 ~1
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level1
o~ ¢?-.C:) Cased to
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
If A, B, or C, attach ADEC letter. ADEC water system number /'/',,'~,/
Date completed ~'/2-///'/~· Driller A[~;m~
~. ~ Casing height
Wires properly protected (Y/N) "-/
AT INSPECTION
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~1 l~-~, l~
Date of sample:
Nitrate
(¢~. (/~.,.~-- Other bacteria
Collected by: ~ ~ ·
B. SEPTIC/HOLDING TANK DATA
Date installed ~ P- / ~
Cieanouts (Y/N) ~
High water alarm (Y/N)
Date of pumping
Tank size /~3.,~ ~ Compartments ,~
Foundation cleanout (Y/N) ~/ Depression (Y/N)
~"~/~ Alarm tested (Y/N) f,4/~
/A Pumper 1"4/A,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot I I_~-~ On adjacent lots '~ t ~ Foundation
To property line ~. C) Absorption field ~ {~ Cb Water main/service line
Surface water/drainage jk, J o ~ ~
72-026 (3/93)* Front CONTINUED ON BACK PAGE
C. LIFT STATION ~,,)/~
Date installed
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Manufacturer
Manhole/Access (Y/N)
"Pump off" Level at
Cycles tested
Well on lot
On adjacent lots
D. ABSORPTION FIELD DATA
Date installed ~' / I l lC{ ~
Length ]OC) Width ,2..
Total absorption area I ur~c~
Date of adequacy test I'4/A
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Surface water
Soil rating (GPD/Ft
Gravel thickness '7'
Cleanout present (Y/N)
Results (pass/fail)
-/ Depression over field (Y/N)
'~ for ~7/
After test r'T"/'~
.System type
Total depth
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
If yes, give date
Well on lot ~_
To building foundation
On adjacent lots
Surface water
Curtain drain Ne
On adjacent lots ~ z ~ Property line
To existing or abandoned system on lot
Cutbank ~l o >1 ~ Water main/service line
Driveway, parking/vehicle storage area 1 '7
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA
inspection.
Signature
Engineers Name
Date
HAA Fee $ ~) ~:)
Date of Payment / ~ ~'-?'"""~"~
Receipt Number ~.~-~ ,/~ ~ ~/~ ~
72-026 (3/93) Back
Waiver Fee $
Date of Payment
Receipt Number
Commercial Testing & Engineering Co.
Environmental Laboratory Services
5633 B Street
Anchorage, AK 99,518-1600
Tel: (907] 562-2343
REPORT of ANALYSIS
=94.0407-3
Fax: (907} 561-5301
Chemlab Ref.~
Client Sample ID :L8 B2
Matrix
PANORAMA TERR.
Client Name :TOBBEN SPURK~AND, P.E. WORK Order :75301
Ordered By :%~BBEN SPURKLAND Report Completed :01/28/94
Project Name t Collected :01/26/94 @ 14:00 hrs.
Project% : Received :01/26/94 @ 15:45 hrso
PWSID :UA Technical Director:STEPHEN C. EDE
Released By
Smnple Remarks: ROUTINE SAMPLE COLLECTED BY: T.S.
Qc Allowable Ext. Anal
Parameter Results Qual Units Method Limits Date Date Init
Nitrate-N 6.20 m~L EPA 353.2/300.0 20 01/27 LLH
See Special Instructions Above UA = Unavailable
See Sample Remarks Above NA = Not ~nalyzed
Undetected, Reported value is the practical quantification limit, LT = Less Th~
Secondary dilution. GT = Greater Than
Member of the SGS Group (Soci~t~ G~n~rale de Surveillance)
ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO. FLORIDA, ILLINOIS, MARYLAND. NEW JERSEY, OHIO, UTAH, WEST VIRGINIA