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HomeMy WebLinkAboutSTRALEY LT 9 MUNICIPALITY 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. Doreen Sullivan 7220 Holman Ave. Anchorage, AK 99516 907-345-7961 Fax: Client Sample ID: Sampling Location: Client Project: Sample Matrix: COC #: PWS#: Residual Chlorine: Comments: Kitchen Sink General Testing Drinking Water 087394 TrN (PA L-1 Analytica Group, LLC -Anchorage 4307 Arctic Boulevard Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: 7/11/2014 Receipt Date: 6/30/2014 Sample Date: 6/30/2014 Sample Time: 10:00:OOAM Collected By: DS Flag Definitions: MRI. = Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank H = Exceeds Regulatory Limit M = Matrix Interference J= Estimated Value D = Lost to Dilution ** = RL higher than MCL; target not detected TNC = Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG = Turbid Culture No Growth - rejected Lab#: A1406436-OIA Analysis Method Dil P1ep Analysis Parameter Result Units Flags MRL MCL Factor Date Date Analyst 4500-NO3E (Aqueous) - Nitrate+Nitrite pres Test was conducted by: Analytica - Anchorage Nitrate -Nitrite as Nitrogen 0.254 mg/L 0.10 10 Page 3 of 3 7/3/2014 7/3/14 9:25 MC Date Drilled: 10-15-85 Ji~ Garcia Hol~an St. Anch. Ak. Static Water Level D~aw Down ~T.T~p~_ M~_~erial Drilled: ~ feet to 30 feet N/A feet Deeeened well fro~ Gallons Per Minute 8+ Total Feet of UAsi.u~ 107 to ~8'~'~in Bedrock to to to to Hefty D=illing S.R.A. Box 1553 H Anchoz-age,Alaska 99507