HomeMy WebLinkAboutSHEETS LT 8
Municipality of Anchorage Page 1 of
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: gw99030[~ P[DNumber: 051-0~2-69
Name: MM&M Contracting Wastewater System: [] New [] Upgrade
Address:
P.O. Box 670495 Chugiak, AK 99567 ABSORPTION FIELD
Phone; 688-1236 IN°' °f Bedr°°ms:
Three k'E~Deep Trench [] Shallow Trench [] Bed [] Mound [] Other
LEGAL DESCRIPTION so, Rating:. z~ 5 GPD/Sq. Ft. Total Depth from12 ' original grade:
Lot: 8 Block: Subdivision: Depth to pipe botlom from original grade: Gravel depth beneath pipe
- Sheets 5 ~ Ft. 7 I Fi,
Township: I Range: I Section: Fill added above ori~inal grade: Gravel length:
· 5 Ft. 73. 5 I Ft.
Number of lines: IDistance between lines:
WELL: :¢~:New [] Upgrade Gravelwidth: 3 ' Ft. 1I - Ft.
Classification (Private, A.B.C): Total Depth: Cased To: Total absorption area: Pipe material:
Private 101 ' Ft, 101 ' Ft. 1 , 029 so. Ft. ASTM D3034 PVC
Driller: Date Drilled; Static Water Level:; Installer: Date installed:
Sullivan Water We] ls 9/22/79 60'Ft' MM&M Contractin~ 9/23/99
Yield: Casisg Height Above Ground:
SEPARA'rlON DISTANCES ~](septic [] Holding [] S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacityin gallons:
From Tank Field Station Tank SewerLines Anchorage Tank 1 t 000
Well- > 100 ' > 100 ' N/A N/A N/A Material: Nurnberof Compartments:
Steel Two
Surface >100' >100' N/A N/A N/A LIFT STATION - N/A
Water
-- Manufacturer;
Lot >5' >10' N/A N/A N/A Size in gattons:
Line
Foundation >5' >I0' N/A N/A N/A "Pump on" level at: I "Pump off" level at: I High water alarm at:
Curtain None )bserv ~d on Lot. IPurnpMake&Model IElectricallnspectionspedormedby:
Drain
I
Remarks: 2" Insulation Over Tank. BENCH MARK
Location and Descdption: Top of Back Deck.
Southwest Corner of House.
Assumed Elevation:
lOO.O ~I,
E N ~,INE..E,R~ ~EAL
Inspections performed by: 3., Narala Dates: 1st 9/23/99E
Department of Health and Human Services approval
Reviewed and approved by: Date:
72-013 (Rev. 9/91) MOA 25
Municipality of Anchorage Page 2 of 3
DEPARTMENT OF HEAl-TH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O, Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well inspection Report
Permit Number SW990300
PID No. 051-062-69
10' Utility Easement
~ TH2
C5
C4
S2
S1
Three
Bedroom
House
B
32.7
S1 31.3
S2 33.8
C3 39.3
M1 66.7
C4 69.3
PILLow
CIRCLE
PLAN AS-BUILT
SCALE 1" = 30'
Municipality of Anchorage Page 3 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
mit Number SW990300
PID No. 051-062-69
_.96.35 / [ Tank I ~ 96.2
PROFILE AS-BUILT
HORIZONTAL SCALE 1" = 10'
NO VERTICAL SCALE
Geotextile Fabric
Drainfield Jc"k~
73.5'
100.4
80.5
95.2
FROM : MMM CONTRRCTING PHONE NO. : 6881238 Nov. 15 1999 09:01RM P2
by
SULLIVAN WATER WELLS
P,O. BOX 070272, CHU'GIAK, ALA-~KA 99587 · TELEPHONE 888-2769
· ' DEPTH
PERMIT NUMBER~(7" Ih .~¢, ~ Date of IS~UeZ~L~- ¢) ~"~
TAX INDENTIFICATION NUMBER ~'~'. 'g~-'~ ~
I~'~el[ Iopated at approved permit Iocatio~? ~ ~ No
Me(llod'of Driiling: ~;aW ~ cable
Ca~ing Type ~'~ Wall Thickno,s
Diameter ~ f( Inches, depth [ P { ~..feet
· cas ng'Sflckup Above Ground: .__ ~ feet
. Static Water Level (from ground level):.~ F~ ...... feet
.P~mplng level: feet a~er._ hrs, pumping ~_gpm
We~ll~takeOpe ' gyP.; ~p~n ~ ~ Open
~ Scre'en~d; Sta~ feet Stopped. feet
. ~ perforations Stad feel Stopped ~
Grout ~ype: _~ ¢,~.E9~ ,~¢~Volume _ l ~hz~,
Dep ~ from~ ~ feet, to ' ~'" feet
POmp Intake Depth:, · ~ feot
Pump Size. .hp Brand Name~
We~l DlslnfectedUpon Completion? ~s ~ NO
Me[hod df Disinfection: ~~ ' '
' Comments:
· ~ Drllleas Name _, _~ -
ATTENTION; It is the responsibility of the property owner to submit a copy of the well log to the proper authbrity. Municipality
of Anchorage: Department of Health & Human Services and/or Departm'ent of Environmental Con~;ervation. MatSu·Borough:
Department of Environmental Conservation.
Received Tirr, e I40v,15. 8:5'2AM'
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) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Aug 25, 1999
Expiration Date: Aug 24, 2000
Permit Number: SW990300
Legal Description: SHEETS LT 8
Design Engineer: 0014 Anderson Engineering
Owner Name: MM&M Contracting
OwnerAddress: PO Box 670495
Chugiak, AK 99567-
Parcel ID: 051-062-69
Site Address:
Lot Size: 28009 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 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
(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.
Issued By: /,,'/~--
ANDERSON EN .INEERING
P.O, BOX240773 '
ANCHORAGE; AK 99524
522-7773 522-6779 (FAX),
August12,1999
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 8, Sheets Subdivision
Septic System Design Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owners of Lot 8, Sheets Subdivision intend to construct a three bedroom home on
the lot at the location shown on the attached Site Plan. The lot is currently served by a
community water system which is currently out of compliance with ADEC and
apparently poorly maintained. They therefore intend to construct a well on the lot to
serve the house. The plat for the subdivision has been researched and contains
nothing indicati.ng wells are not allowed in the subddivision.
We are hereby requesting a permit to construct a well and septic system on the lot at
the locations shown. Testholes placed on the lot revealed poorly graded gravels
underlain b~/ 'silty gravel. Percolation tests performed indicate a rate of 30 to 32
minutes per inc~h..No .groundwater was encountered nor was any noted during the
ensuing monitoring I~eriod, We have therefore designed a deep absorption trench with
an effective depth of 8'. The' distribution pipe will be placed at 3.5' below the surface
and the total depth of the trench will be 11.5'.
The ground surfa'ce on the lot is fairly flat with only a slight 2% slope from west to east
and 1% from south to north. All other lots in the area are served by the community
water system with the exception of the two lots immediately adjacent. The well radii for
all three lots is shown on the Site Plan. Most of the radii are contained in tho road right
of way for Pillow Circle. No conflicts exist between the location of the prop',osed septic
system and any-well in the area.
If the system is const'ructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the a¢ea or thOsb to be constructed in the futu[e.
The system, if.constructed as designed, will have no ~dverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserved
Lot8, Sheets Subdivision
August 12, 1999
Page Two
space, either surface or subsurt'ace, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in ~he area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
PROJECT
5
k
6
LE,
AREA MAP :"
SCALE 1" = 100'
10' Utility Easement
2%
® TH1
Pr°~ell
Well
~ii~ILLow
OLE ~
SITE PLAN
SCALE 1" = 40'
LOT 8, SHEETS
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Three Bedroom System
Perc. Rate: 32 Min./Inch
Application Rate: .45 GPD/SF
Deep Trench System
1,000 Gal. Septic Tank
8' Drainfield Rock
3 Bedrooms X 150 GPD / .45 GPD/SF = 1,000 SF of Absorption Area
1,000 SF/16 SF/ LF of Trench = 62.5 LF Trnch Length
Therefore: Construct a Deep Absorption Trench System With One Lateral
63' in Length with 8' of Drainfield Rock Beneath the Lateral.
Distribution Pipe in Trench Placed at 3,5' Below the Original Ground
Surface. Total Depth to be 11.5' From Original Ground Surface. Mound
Over Trench to Provide 3' of Cover or 2" of Direct Burial Insulation and
2' of Cover.
Backfill
__ Geotextile
F/-- Fabric
' ~ PVC (Slots Down)
3~
NOTE:
TYPICAL DEEP TRENCH
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 4' From Groundwater.
Maintain 10' Separation From Lot Line.
D=PA. RTM-.SNT OF H-~.ALTH & HUMAN
825 -L- Szreet. Anchorage, Alaska 99502-0550
SOILS LOG -- PBROOLATION TEST
MM&M Contracting
Lot 8, Sheets Subdivision
1
2
3
4
7
8
9
10
11
~2
14-
15
17
~8
19
20
,SLOP5
WA3 GROUND WA7 ~J~ NO
=_N~DUNTERSD?
None
SIT-- PLAN
8/11 /99 I
30
I' I "F'7 t I I
Perc.
PERCOLA'flON RA'~ ..,~0 (rr. nu~&,mcn) P=-RC MOL5 DIAMk-TER
T~'7 RUN Bm~-TW~=--N ' ~ FT AND
Cavity presoaked prior to testing.
pERFORMED BY' A. Harala ~ 7~,t TH/IS T~ST WAS pERFORM-.~D 1N
Mic . rson ' ~? /I z./~q
p=_RFORMED FOR:_ MM&M Contracting
LSGALDESCRIPTION:. Lot 8, Sheets Subdivision
1
2
3
4
5
6
SLOPE
I I
10-
13-
14
]6
No
tm= 8/11/99 I I
p-'EqCOLATION RATE_ ~" P-iERC HOLE DIAMETER ~"
T~ RUN B~ ' ~ ~ AND
COMME~S. Perc. Cavity presoaked prior to testing.
Michael E. Anderson ' / JR.,
ON-SITE WASTEWATER DISPOSAL. SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 8, SHEETS SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,000 gallon septic tank. It also includes the construction of a
new 63' long x 3' wide x 8' effective depth absorption trench at the
location shown on the attached Site Plan. The total depth of the
trench will be 11.5' below existing ground. Mounding over the trench
may be required to provide a minimum of 3' of protective cover.
Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines,
Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
1. The 1,000 gallon septic tank must be procured from an approved
source and installed at the location shown on the plans.
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
Lot 8, Sheets Subdivision
August 12, 1999
Page 2 of 3
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perorations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trenches to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MAT["RIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
Lot 8, Sheets Subdivision
August 12, 1999
Page 3 of 3
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
A minimum of two inspections are required by Municipal Ordinance.
These inspections must be conducted under the supervision of a
professional engineer registered in the State of Alaska. The first
inspection must be conducted after the excavation of trenches, beds or
pits and before the installation of any gravel. A septic tank may be set in
place, but may not be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
GREATER ANCIIORA(iL AkLA
i)epartment of [nvironmenLal Quali
3330 'C" Street
Anchorage, Alaska 9%03
SO It,S 1,0(1 lqs'ROI,ATION'[E,' 'S'I'
Performed for __ _~.~)A~_~_ _~_~.~__~-Y-_~M~'KI~_*:;. ............... t)ate PerformmJ
Lega 1 Pesc ri pti on: ....... L~.~-- ~ ....... ~-~-~ .... ~P_~.~.~c~_~
This form reports: Soils log_~ ................... Percolation ~e,t
Depth
Feet
5-
6-
7-
8-
10 -
ll -
12-
13-
14 -
Was ground water encountered? ___~_(~2 ...... If yes, at wi~a~ depth?
!~eadin§ _ Date __ Gross Time _.__ Net Time ___t_~p_t~[_~;=o W,a_t~. __~c~ ~r~___
Pe rcol d ti on rd te mi nute.
· Proposed installatl~(~--~'~ge Pit ............... Drain Field
Depth of Inlet Dept t~) bottom oF pit or trench
EQ 040 (6/74)
~IUNICIPALI'rY OF ANCHORAGE
DEPARTIV ENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
0 -062-69 HAA#
1. GENERAL INFORMATION
Con;plete legal description Lot 8, Sheets Subdivision
Location (site address or directions)
Pillow Circle
Prope~yowner MM&M Contracting DayDhone
Mailing address P.O. Box 670495 Chugiak, AK 99567
688-1236
Lending agency
Mailigg address
Day phone
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
Three (3)
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
I ndividual well xxx
Community well
Public water
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site xxx
Holding tank
Community on-site
Public sewer
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72~25 (Rev, 1/91) Front MOA #21
=
STATEMENT OF INSPECTION BY/ENGINEER
As certified by my seal affixed hereto ~nd 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 Municipai and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm Anderson Enqineerlnq Phone 522-7773
Address P.O. Box 240773 Anchora(~e. AK 99524
Engineer's signature ~ ~'~ Date 11/20/99
DHH8 SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Ce~tificate~,based only upon the representations given in paragraph 5 above by an independent
professional engineerregistered in the State of Alaska. The DHHS does this as a courtesy to pumhasers 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,
Municipality of Anchorage N0V ;', ~1999
DEPARTMENT OF HEALTH & HUMAN SERVICE~*c~^m't oF ANCHuk~
EnvirOnmental Services Division ENV[RONMENTALSEEtV[CE$ Dli
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
Lot 8, Sheets Subdivision ParcelI.D.: 051-062-69
Legal Description:
A. WELL DATA
Well type Private
Log present (Y/N) Y
Total depth 1 01 '
Sanitary seal (Y/N)
ifA, 13, or C, attach ADEC letter. ADEC water system number
FROM WELL LOG
9/22/99
60'
25
g.p.m,
Date completed 9 / 22 / 99
Cased to 101 ' Casing height (above ground) 2 '
¥ ¥
Wires properly protected (Y/N)
AT iNSPECTION
Nitrate
Date of test
Static water level
Well production
WA'rER SAMPLE RESULTS:
Coliform 0
Date of sample: 1 1 / 1 6 / 9 9
B. SEPTIC/HOLDING TANK DATA
Date installed 9/23/99
Foundation cleanout (Y/N)
Date of Pumping New
C. ABSORPTION FIELD DATA
Date installed 9 / 22 / 99
Length 73.5 ' .Width
1 . 02 mg / L Other bacteria
Collected by: MEA
g.p.m,
Tanksize 1,000 Numberof Compartments 2 Cleanouts 0'/N)____
Y Depression (Y/N) N High water alarm (Y/N) N
Pumper. Construction
_ Soil rating (g.p.d./ft~ or ft~/bdrm) .4 5
Y
3 ' Gravel thickness below pipe 7 '
Effective absorption area 1 t 0 2 9 SF Monitoring Tube present (Y/N) Y
Date of adequacy test New Const. Results (Pass/Fail)
Fluid depth in absorption field before test (in.); __
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N) N
System type Deep Trench
Total depth 12 '
. Depression over field (Y/N) N
For
Immediately after gal water added (in.):
Absorption rate = g.p.d,
If yes, give date N/A
bedrooms
72-026 (Rev. 3/96)*
Septic/holding tank on lot
Absorption field on lot
Public sewer main
D. LIFT STATION None on Lot
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
>100'
>100'
N/A
Sewer/septic service line > 25 '
Size in gallons
"Pump on" level at*
*Datum
"Pump off" level at*
On adjacent lots
On adjacent lots
>100'
Public sewer manhole/cleanout
Lift station N / A
>100'
N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation > 5 ' Property line > 5 ' Absorption field
Water main/service line > 1 0 ~ Surface water/drainage > 1 0 0
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line > 1 ¢ ' Building foundation ~ 1 0 '
Surface water > 1 O0 '
Curtain drain None Noted on Lot Wells on adjacentlots
F. ENGINEER'S CERTIFICATION
I certify that I have
in conformance with MOA HAA guidelines in effect on this date.
Signature '~Jc~L,o.J~
Engineer's Name ~ich=_e! E. Anderson, P.E.
Date 1%20/99
Wells on adjacent lots
Driveway, parking/vehicle storage area
>5'
>100'
Water main/service line > 10 '
>20'
>100'
systems are
HAA Fee $.
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
CT&E Et~vlronmental Services Inc.
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
I'WSID
996329001
Andcrson Engineering
Lot 8 Sheets
Lot 8 Sheets
Drinlci~g Water
Client PO#
Printed Date/Time 11/19/99 15.45
Collected Date/Time 1!/16/99 1430
Received Date/Time 11/16/99 [6:35
Tedmical D. Lreeter~. Stephen CAe
gampie Rennet'ks:
P0L Unit~ i~ethod
To~aL CoLiform
0 co[/lODmL SH18 9222B
I.o~ 0.500 mg/L EPA 300.0
I0 nlax
g$0-~ ~0/~0'd ]g0-1 10g~lg~ ]YiE~N0~I^N3 ]I3-~0E H:gl 66"61-[l