HomeMy WebLinkAboutWONDER PARK BLK 1 LT 3Nono&P-.
APPLI~. NT F~LLS OUT UPPER HAl INLY
Realty Co. & A~nt Phone
Address ~ Zip Code
Type of Resl~nce
Single Family
~ Mulliple Family No, of Bodroo~s
Water Supply
Individual A~ACH WELL LOG. A w~l log Is required for all well. drilled since June 1975.
Community For wells drilled prior to that date, give well depth (attach log if available).
Sewer Disposal
~ Individual Year Individual Installed:
~ Holding When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATEO,
U
Time Time Time Time
Date Date Date Dat~
Inspirer Inspirer Insp~tor Insp~tor
ENVIi ,g t,,A. ~,0 [ Fi 4
~ ~ ~ ~,U~ 2 6 ~982
RECEIVED
( 3 ~ ~pp~ow~ ~oo~s 'co~moNs OF ~OWL
( ~ ~S~OW~
( ~ CoN~mO~L~P~OWL*
SoJl8 Rating Date ~wer Installed We]l To Absorption Area Well Log Received ~ ,
Well to Tan~ Septic T~k Size
72.023
CHEMICAL & Gl LOGICAL LABORATORIES _. iLASKA, INC.
-- TELEPHONE (g07)-279-4014 ANCHORAGE INDUSTRIAL CENTER '
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
~/.z ,
Water Ssstem Name Phone No,
Mailing Address
Cdr State Zip Code
Mo, Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref, no,
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
t
4
LOCATION
Time Collected
Collected By
t ..... ,~,, u.I. ~,, ,.
TO BE COMPLETED BY LABORATORY
Analvs~s shows this Water SAMPLE to be:
[~ Satisfactory
[] Unsatisfactory
~ Sarnp~e too ~ong in transit sam 31e should
not be over 48 nours old az examination
to indicate reliable results. Please seno
new sam 3Is
Date Received '
Time Received '
Analytical Method:
[] Fermentation Tube
'[] Membrane Filter
~.ab Ref. No. Result* Analyst
I r-Fq
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Auqust 3.] , 19P~2
Bill and Edna
41!03 Kenai Av~].
Anc]'tor agce, Ali 99504
Lot 3 Block 1 Wondar Park ~ - ' '"
~.n..tlkt~_.J cannot
ADproval. for the individual ~v~.wer and wat{?r ~, c' "' '~,'
be gran'ted until the. followJ~ng ±toms ]lave heel/ co_raj)leted:
-that it i~t water 'kight.
Exposed (,.lcctllcal~ - '" .' ' wkre..~ tO %he well Ill, ad are %n' violation.
of the b~unioipali~y of Anchorage codes and must b~
in conduit.
o)~f3_(.~;.. :~roln t!'~e (.he~(i I,ab, 5633 ~1 ,qtreat, for our
P]_aase notify this Depart:merit for a
no'ked dJ scr~)aneies have becel -' ,
..... t ..... cor~e(.te~.. I~ there are any
furthest questions, please call this office at. 264~d, 720.
~ in(2ere].y,
Cory Willi~;,
CW2'7/?>/EH