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HomeMy WebLinkAboutSTUCKAGAIN MANOR BLK 2 LT 14Stuckagain Manor Lot 14 Block 2 #041-023-15 Municipality of Anchorage Page 1 of. 5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990381 PID Number: 041--025--15 Hame; MIKE THOMAS Wastewater System: · New [] Upgrade Address: PO BOX 770110, EAGLE RIVER, AK 99577 ABSORPTION FIELD No, of Bedrooms: Ph°ne:~,907/( ~ 44-1 --2664 · Deep Trench [] Shallow Trench [] Bed [] Mound [] Other LEGAL DESCRIPTION so,, ,Gun.= 1.2 GPU/Sq. pL Toro, o.pth ,,om9.58o,g,,°,__,rode:9,93 Pt, ;Lot; Block: Subdivision: Depth to plpe bottom from original greda: 0ravel depth beneath pipe= 14 2 STUCKAGAIN MANOR 2.04 - 2.6 rt. 7.3 Ft, - - - 1.5 - 3.0 :WELL: · New [] Upgrade 2.5 r~ 1 - Pt, PRIVATE 61 Ft. 61 pt. 409 so, rs ASTM D-5034/F-810 ~.,,e~. ALPINE DRILLING 10/27/99 26 Ft. SANDERS AND SANDERS ~1-- 3/99-10/14/99 ~o,d:20 ~,u UNKNOWN . 2 ,,. TANK SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. -rom Tank Reid SteUon Tank Sewer Lines ANCHORAGE TANK 1000 Well 100'+ 100'+ -- 25'+ STEEL 2 Surface 100'+ 100'+ - - LIFTSTATInM / Water Line 5'+ 10' - - Foundation 5'+ 10'+ - -- - Drain NONE KNO~ q I I ~emorks: ?, BENCH MARK THRESHOLD OF SLIDING GLASS DOOR IN REAR OF HOUSE. Iaeumed E3.wUon: 107.09 ,nspections performed by: AWWC, INC. Dates:let lO/1.V99 ?...:1. ri ~_\.~...:....! 2nd 10/14/99 [''"~'~'/ ~k"~';'"'~ Department of Health and,~,uman ~ervices approval ~;9~,~,?: AS- BUILT DRAWING P,~oE,.,o ,u,6¢o,,.1_023_ X. ~ t / ~ ~ ~*~ DBL1 31,7 22,8 .¢ // / / / '~%:; / / / / , / / % ,L ' ~=~'~ ~ . /, ~r N~ TRENCH ~ .~%~ % ALAS~ WATER ~D WASTEWATER CONS~T~TS, ~C. PHONB (9~7) 337-6179/F~ (907) 338-3248 STUCKAGAIN MANOR SUBDIVISION, LOT 14, BLOCK 2 .... AS-BUILT OF SEPTIC SYSTEM UPGRADE LN...~U~.~..N ............ P~PAR~D FOR: PHONE(907)NU~.~R:441--2664 ~_' l' ~9~ ' .." MIKE THOMAS ~&~' N.. DATE: 12/9/99 ID~WN BY: I SCALE: PAGe: ~Pr o f e sslOO~ A.C.G. 1 = 40' 2 OF 5 '~%~ A B C ST1 22.1 29.1 I ~2 29.3 24.3 -- DB~ 33.1 22.6 -- C01 40.7 20.6 -- MT1 55,1 -- 74.2 C02 60.5 -- 79.7 ALAS~ WATER ~ WASTEWATER CONS~T~TS, ~C. SIUCKA9AIN MANOR SUBDIVISION, LOI ]4, BLOGK 2 t . PROFIL[ AS-BUILT OF SEPTIC SYSTE~ UPGRADE . -2664 MIKE THOMAS (907) 441 Mu cipality of AnchOrage Department of Health and Human Services 825 "L" $1reet P.O. Box lg6650 Anchorage, Alaska 99519.6650 R/ciE Mystrom h{lp://www,~i.enoho raga .a k.us Mayor Permit Number: #SW 990381 Date of Issue: I0-08.99 Date Startexh 10-27~.99 Date Completed: I0-27-~9 Legal Deserlp~- Property Owner Name & Address: "gorehole Data: Soil Type, Thickness & Wnter Strata stick-up organic & silt gravelly silt silty sandy grab/el water sand & gravel gravelly sandy silt H20 water sand & gravel RECEIVED ~uIlJG[ )aJll.~J O~ Ai~(;BOrtl00 Oopt. Health 8,14U nan Sorvloes Parcel Identification Number: 041-023-15 Is well located al approved permit location? [] Yes [] No Stuckaqain Manor BIk 2 I! t4 Mike Thomas PO Box 770110 Eagle River, Ak 99577 Depth (ft) From To 0 2 2 4 4 11 11' 35 35 43 43 55 55 61 Method of Drilling [] air rotary Casing type: steel Wall Thickness: .250 inches Diameter: _6 inches Depth: 61 t~et Liner Type: Diameter: ~ inches Depth: __ tbct Casing stickup above ground: _2 feet Static water level (from ground level): 26feet Pumping level: 61 i~et after _2 hours pumping 20 gpm Recovery Rate: 20 gpm Method of Testing: Air lift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start__ feet Stopped __ [] Perthratlons Start__. Ibm Stopped .... f~et feet [] cable tool Grout Type: bentonite tt 8 Volume: ~ Depth: Slart_O feet Stopped __. Feet Pump: Intake Depth ....... feet Pump size __ hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clorine Tablets Alpine Drilling g Enterprises P.O. Box 110496 Anchorage AK 99511 Comments: Well Driller: Atlention: The well d, ill,~r slmt34xvovide a well 'log to the Orol~rly owtter wRhi~ 30 ~tays of ~.,dnpletion m~l the properly Let13 / / / / / PLOT PLAN ASBUILT ..~ / / Lo) 2 / EASEMENTS SCALE I' · 0o' GRiD L~l$ Pro[eo! No. _ ~-I.~ Kenneth G. Lclng !15o. o Dali Avenue, Anohorage, AlQ,ka ggSI5 907 522-6476 Phone ~ Regl.tered ~nd Su~eyor ~gOTJ 522-4~25 ~ax o,.~--, ~ ..... ~ .. ~ ~ ~ ~ P~ J.~.:~...~N~..~..?~.....~?.~ MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 995'19-6650 (907) 343-474# ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Oct 08, 1999 Expiration Date: Oct 07, 2000 Permit Number: SW99038'1 Legal Description: STUCKAGAIN MANOR BLK 2 LT 14 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Mike Thomas Owner Address: PO Box 770110 Eagle River, AK 99577- ParcellD: 041-023-15 Site Address: Lot Size: 45735 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Cede Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( '18AAC72 ) and Drinking Water Regulations ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: /vt, q,('~/~ ' ' ~ V Date: Date: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers October 1, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well Location and Septic System for Stuckagain Manor, Lot 14, Blocl~ 2 To whom it may concern: The reference property is currently undeveloped. The owner wishes to build a 3 bedroom house with and on-site septic system and a private well. Two test holes were excavated on the property and the soils are summarized as follows: 1. SOILS: Test holes #1 and #2 were excavated on September 21, 1999 and no groundwater was encountered in either hole. Test hole #1 had approximately 1.5 feet of organics and loam at the surface of the test hole followed by a SW/GW mixture to a depth of 5.5 to 6.5 feet. From 6.5 feet to 17 feet (bottom of test hole) the soil was a SM/GM material. Two perk tests were run in test hole #1 at depths of 4.5 feet and 7.5 feet. The soils at 4.5 feet perked at 1.7 min./inch and the soils at 7.5 feet perked at 3.4 min./inch. Test hole #2 was excavated to a depth of 16 feet and the soils below the organics to the bottom of the hole were found to be a SM/GM material, very similar to those encountered in test hole #1. One perk test was performed at a depth of 6.5 feet and the soils absorbed water at a rate of 6.7 min./inch. 2. TRENCH DESIGN: The primary and reserve trench sites shall be located within 30 feet of test hole #1. a. Percolation Rate: 1.7, 3.4 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 ft2 f. Total Depth: 10 feet g. Effective Depth: 7 feet h. Width: 2.5 feet i. Reduction Factor: N/A RECEIVED OCT 0 1 1999 MUNiCIPALiTY OF ANCHORA(~: ENVIgONMENTA~- S~.RVICES DIVISION i. Length: 35' j Effective absorption area = 490 ft2 3. SURFACE WATERS: There am no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area where the proposed trenches are to go gradually slopes from northeast to southwest (see attached topography drawing). In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistani~ M.S. PrUsid~nt[ NOTE: Attached is a site plan drawing, a design drawing, topography drawing, two soil logs and a 4 page construction specification letter which are all part of the design package for this septic system. / \~ ~ ~ ,o~ l~, .~ocK ~ // / ~ ~ '~ STU~KAOAIN MANOR S/D ~ S~C~OAIN ~NOR S/D / ........ I ~ ~ /[ z.~<~k / ~ PRNATE WELL . / / / / ~ I-I ~ ~ ALTERNATE SITE ~AS~ WATER ~ WASTEWATER CONS~T~TS, ~C. 6901 DESARR ROAD, SUITE 2B, ~CHO~OE, AK, 99504 STUCKAGAIN MANOR SUBDIVISION; EOT 14, BLOCK 2 WPE OF WORK: MIKE THOMAS (907) 441-2664 DAT[: 1 O/1/9 9 D~W~ ~Y: SCAL[: ~: ~ / / / / .oTis= " ~ // , / . ~ // t ~ ~ V / / ,~ / ~ SEPA~T[ON B~EEN THE PROPOSEO WELL AND ALL / / ,. ADJACENT SEPTC SYSTEMS PROR TO DRILLING. PROPOSED DEEP ?ENCH ~Y 3~ ~NG. ADD 7' OF~ ~. ~ ' / / J CLAN, WASHED. S~ER ' ~ TO SLOPE CONTOU~S. ~AS~ WA~R ~ WAS~WATER CONS~T~S, ~C. PHONE: (907) 557-~7~/F~: (907) LEOAL DESCRIP,ION: ~:., . STUCKAGAIN MANOR SUBDIVISION, LOT 14, BLOCK 2 ......... ~PE OF WORK: DESIGN OF SEPTIC SYSTEM AND WELL ~.~ ..~.~....) ...... :... PREPA,E~ FO,: PHONE NUU~E,= ~". MIKE THOMAS (907) 441-2664 DATE:lo.1.99// O~WN aY: SCAL~= PA~E: A.C.G, 1 = 40' 2 OF 2 ALASKA WATER & WASTEWATER CONSULTANTS, INC. PHONE (907) 337-6179 * FAX (907) 338-3246 LEGAL DESCRIPTION: STUCKAGAIN MANOR SUBDIVISION; LOT 14-, BLOCK 2 ...... DATE PERFORMED: 9/21/99 ORGANICS DEPTH ~ (flq~!~I (PAGE 1 OF 2) SOIL CLASSIFICATIONS SW/GW ~ GC OL E~.,>~(' SW MH 7 DEPTH TO GROUNDWATER DATE ?~. 9~29/99 SM/GM DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 1 2:37 6' 3 2',~5 6" 7 3:04 6" ..... i ........ 9 3:20 6" ~ERCOLATtON RATE ~.7 (m~N./INCH) PERC. HOLE DIA. S (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. CO~ENTS: ~ERCO~T~ON DATA ON mis PACE rO~ UPPE~ BEUC. PERC..ObE O~LY. PERFORMED BY AmSKA WATER & WASTEWATER. ~, JEFFR~ A. eARNESS, CERTI~ THAT TH~S WAS PERFO~ED/IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: ~ / ~O/64 DEPTH TO GROUNDWATER DATE DRY 9/21/99 DRY 9/29/99 ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~ ©F [SOIL LOG - PERCOLATION TEST] 1-- (PAGE 2 OF 2) 2-- SOIL C~SSIFICATIONS  GM _ CL 5-- ~ ~a ~;~ SP CH 6-- ~~ SC z o 7-- ~ DEPTH TO DATE SROUNDWATER z CLOCK NET TIME WATER LEVEL NET DROP 11 -- o DATE READING ~ TIME (MINUTES) READING (INCHES) 12-- ~ 9/25/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING ~ 6" ~ 1 2:~7 2 ~ 3 3:19 14~ ~ 4 3:29 10 2 15/16" 3 1/16" ~ 5 3:30 6" 15-- 16 -- 7 3;41 6" 17 -- 9 3:52 6" 19~ 12 ~:13 10 3 1/16" 2 15/16" PERCOLATION RATE. 3.4 (HIN./INCH) PERC. HOLE DIA, 6 (INCHES) 20--- TEST RUN BETWEEN 7,5 FT. AND 8,0 FT. COHHENTS: PERCO~TION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY. PERFORMED BY A~SKA WATER · WASTEWATER. I, dEFFR~ A, GARNESS, CERTI~ THAT THIS WAS PERFOrMeD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS, INC. ,=,~ 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504.],"~t .~;~.~/~ · h P.ONE (907) 3~7-6~79 * m (907) ~s-~240 .~,~2~, 3' l' PERFORMED FOR: MIKE THOMAS.L*-~.V./'~'''''''~,,,.~-?~J~,t (fee ORGANICS 2~?' SOIL C~SSIFICATIONSoH s ~ SP CH SM ~ ~ sc 2 ~ D~PTH TO DATE ~ // 7 3 ROUNDWATER isu/~u DATE READING CLOCK NET TIHE WATER LEVEL NEI DROP lINE (NINUTES) ~DING (INCH~S) .~/2~/~ PERCOLATION RATE 6.7 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.0 FT. CONHENTS: PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS DEPTH TO DATE 2ROUNDWATER DRY 9/21/99 DRY 9/29/99 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 ParcelI.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete'legal description Lot 14; Block 2; Stuckagain Manor Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address. Thomas Co. P.O. Box NHN Farpoint Drive Anchoraqe, AK Day phone 441-2664 770110 EaGle River, AK 99577 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: XX If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: 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 s~As,~,c~m~ance with all Municipal and State codes, ordinances, and regulation ' '¢.c. tQn_ tl38 dateJ3~' ~/s iospection. Inc Nameof Firm ~1 ~/~rr~L~i ~;B Phone Address ~~~ Engineees signature ~ - ~ Date Wastewater Consultants, or prior to, closing for the Engineering Services Provided, bedrooms. DHHS SIGNATURE ? Approved for Disapproved. Conditional approval for bedrooms, with thee following stipulations: Additional Comments By: -.. ~. _ 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 DH HS 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. Legal Description: A. WELL DATA RECEIVED Municipality of Anchorage FEB 03 2000 DEPARTMENT OF HEALTH & HUMAN SERVI~.iP^Li~¥ OFANCHORAW Environmental Services Division ,.iVii~ONMENTALSt~I~ViCE8 DiVi~),D~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist STUCKA~mJ ~4ANnR: IhT la.. RI CtP, K 2 Parcel I.D.: OZi. 1-023-15 Well type PRIVATE Log present (Y/N) Total depth 61' Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Date completed Cased to 61' IfA, B, or C, attach ADEC letter. ADEC water system number N/A YES 1 0/~7/~ Casing height (above ground) 2' Wires properly protected (Y/N) YES AT INSPECTION YES FROM WELL LOG 10/27/99 26' 20 g.p.m. g.p.m. Coliform O Nitrate Date of sample: 1/2fi/9000 B. SEPTIC/HOLDING TANK DATA Date installed ! n? ~/99~ Tank size Foundation cleanout (Y/N) Date of Pumping NFW C. ABSORPTION FIELD DATA 4-.02 m@/L Collected by: Other bacteria A.W.W.C., INC. 1 nnn Number of Compartments 2 Cleanouts (Y/N) YES YES Depression (Y/N) NO High water alarm (Y/N) NO Pumper Date installed 10/13/99-10/14./99 Soil rating (g.p.d./fF or fF/bdrm) 1.2 System type DEEP TRENCH Length 28' Width 2.5' Gravel thickness below pipe 7.3' Total depth 11.2'- 12.8' Effective absorption area 4-09 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test Results (Pass/Fail) For .....------beoT~oms Fluid depth in absorption field before test (in.); _lmmed~added (in.): Fluid depth _ (Jns)~~Absorption rate = g.p.d. P~ast 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gall Manhole/Access (Y/N) ~at* "Pump off" level at* ,, High water alarm level at* ~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout Sewer/septic service line 25% Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface wateddrainage 100% Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' Building foundation 10'+ Water main/service line 10'+ Surface water 1 DO'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S CERTIFIC,~ I Id inspoctions and roviow of Sunicipal rocor~at.~. ~ ~.~.~ms aro in conforma,r ~~Tzi 'nos in offoct o, this date. Engineer's Nam~ ~1JEFFR~ A. CARNESS ~~ ............ :....~ Date .......... HAA Fee $ ~.~ Date of Payment Number ~' O-~'-'¢~ f~ Receipt 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 02-01-00 10:30 FROM'¢TE ENVIRONMENTAL 6516301 T-$72 P.02/03 F-I12 CT&E Environmental Services Inc. Laborato~ Division ~4~'~'~' Laboratory Analysis Report CT&E Ref.# Client Name Project Nameh~ CLient Sample ID Matri~ Ordered By PWSID 1000334001 AK WRrer & W~tewaver ¢onsul~atts Inc. St~ckagain LoT 14 Bk 2 Smckago, in Lot 14 Bk 2 D¥inking Wa~er CIlenl PO~ Prin~ed Date/Time 02/01/2000 8:49 Collected Date/Time 01/26/2000 ! 1:20 Received Date/Tim~ 01/26/2000 14:00 Techaical Dir~cCo~ Stephen C. ~de Sample Remarks: ~ATER~ DEPT ;.0~ 0.500 mg/6 EPA 300,0 10 max 01/26/00 01/20/00 SCL Togat Cot~form 200 w Poi[er Drive, Anchorage, AK 89518-1605 '-- 'reL (g0~ 562-2343 Pax (gO7) 561;5~301 3180 Pogaf Road, Fairbanks. AK 99709-5471 -- Tel (807) 4.74-8656 Fax: {007} 474-9685 ENVIRONMENTAL FACii. ITIE$ IN ALASKA. CALIFQRNIA, Fi. ORiOA. B. UNOIS. MARYI..AND. MICHIGAN, MIS.~OuRI. NEW JERSEY. OHIO, WEST VIRGINIA 92'0]'00 10:30 FROM'CTE ENVIRONMENTAL 56l$301 T'ST2 L03/05 F"]12 CT&E Environmental Sewic. Inc. 2(10 W. I~¥ Dr~t M~,~ Day Y~r~ SAMPLE TYPE: o Rau~. c~ TrmadWam' a ~a aa ~ aClmt Staple (for r~u~i..~ ~ Umr.mJ wsm' ~_, _'r~ EN¥IRONMf-ql'~M, FACII.IT1EI IN A~A~K.A, ~4~IIUL I~ ILLIN~ MAII/vLl'/iO, Ml(~ll~di~ MI~iOUi~, ~ JERSEY. OHIO, wE~r wRGINtA