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HomeMy WebLinkAboutGLACIAL LT 5Glacial Lot 5 #075 - 091 - 15 `✓ -W DRILLING, Inc. P. O. Box 4-1224 G 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 Well Owner Michael S. Tomco MUNICIMLiTY`Ct 'I\V GE -'.. DEPT. C BON DRILLING LOG G' E C E t I) Use of Well Dom Location (address of: Township, Range, Section, if known; or distance main road Lot 5 Glacier. Subdivision, Girdwood Size of casing 6"Depth of Hole 81 feet Cased to_89 7 feet Static water level ft (ab (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation N/A x ); Well pumping test at 20 gallons per (111§NP) (minute) for 1_hours with 100% xft of drawdown from static level. Date of completion 8/21/79 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 Casing stickup 2 TO 3 Gravel fill 3 TO 5 Organics 5 TO 45 Silty gravel 45 TO 67 Silty hard pan 67 TO 81 TO TO TO TO TO TO TO TO TO Water gravel 1 —CUSTOMER Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 616_bt(-I5 Parcel ID. 1. GENERAL INFORMATION Complete legal description GLACIAL; LOT 5 Location (site address) Expiration Date: / " ) C' - 135 RAVENWOOD CIRCLE *GIRDWOOD, AK Current Property owner(s) SURD FAMILY TRUST Mailing address Real Estate Agent Day phone 135 RAVENWOOD CIRCLE *GIRDWOOD, AK 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNanance request for: n /a • 2 Day phone OCT9. 014 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer n u • Distance: — Received by: st✓j COSA to be released to the engineer, unless olhenvise requested by the engineer. COSA Fee $52-(0 Date of Payment Receipt Number 101 2-24/4 61331 COSA# 0509 .1553 Waiver Fee $ Date of Payment Receipt Number Waiver* 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, based on procedures outlined in the Certificate of On -Site Syshms Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) .safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for Date 1 =�z ON-SITE �;- bedrooms, with the following stipulation WATER AND a WASTEWATER o* TSF9: By: Original Certificate Date: / G -). Cl — I yf The Municipality or efchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Ro„ Nitrate Advisory Arsenic Advisory Other - If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: GLACIAL; LOT 5 Parcel ID: 075-091-15 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 8/21/79 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 81 ft. Cased to 80.7 ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test 8/21/79 10/8/14 Static water level — ft. 44 ft Well production 20 g.p.m. 8.8 g_p m. WATER SAMPLE RESULTS: Coliform (9 colonies/100 ml. Nitrate A)r'lmg./L. Collected by: GEG. Ltd. Arsenic: ,/C 0 ug./L. Date of sample: 10/8/14 B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (YIN) High water alarm Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./f?or ft2/bdr System type Length ft. Width ft. Gravel below pipe ft. Total depth ft Eff. absorption - -a ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absor. .n field before test in. Water added _gal. New depth _in. Elapsed T : min. Final fluid depth in. Absorption rate >= g.p.d. rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date WELL IS LOCATED IN DRIVEWAY; SEE ATTACHED PICTURES 12+ in. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level Datu Cycles tested Manhole/Access (Y/N High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lob Absorption field on lot N/A On adjacent lots N/A Public sewer main *50'+ Public sewer manhole/cleanout *50'+ Sewer /septic service line **UNKNOWN Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD • •T TO: Property line Build i . • ndation Water main Water service line Surface water Driveway, parking/vehicle storage Curta'. -in Wells on adjacent lots F. COMMENTS *MET CODE AT TIME OF INSTALLATION **28' TO FCO; SERVICE LINE LOCATION UNDER PILE FOUNDATION N/A UNKNOWN. SEE ATTACHED PHOTOGRAPHS r PSgH"u C1/4—ai 11 be."' Pi LE Ar -rue fntA G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 101224I4 (Rev. 11/05) I Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # 031) `i Za Parcel I.D. 075-091-15 1. GENERAL INFORMATION Complete legal description Glacial S/D, Lot 5 Expiration Date: / 1 ' 5 03 Location (site address or directions) Glacier Circle. Girdwood Current Property owner(s) Kirk Hoessle Mailing address Lending agency Mailing address P.O. Box 389, Girdwood, AK 99587 Day phone 229-6927 Stewart Title Co. Day phone Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for p/ckup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: p ❑ ❑ ❑ ❑ ❑ ❑ 0 Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Heath Authority Approval (HM) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined In the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis Phone 349-1851 Date 8-20-03 .O.F.AI *IA 9 *1:114- 5. ;*5. DSD SIGNATURE —4;\ Cin y W. Eiiis ;jtv B Approved for abedrooms. CE 10577 •: Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments kktI tliY(OF rfr • • ON-SITE WATER AND : R' WASTEWATER : PROGRAM -�JO Jl` �fo . . • S(e� 9. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X (Rev. 01/02) Maintenance Agreements Supplemental Engineer's Report Other (/ • � Original Certificate Date: O �2 03 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.Q. Box 196650 Anchorage, AK 99519.6650 www.muntorg/onstte (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: GLACIAL SID, Lots, Girdwood Parcel ID: 075-091-15 A. WELL DATA Well type Pri If A, B, or C provide PWSID # NA Well Log (YIN) Y Date completed al" Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 81 ft. Cased to 80.7 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 8/21/79 8/13/03 Static water level NA fk 52 ft, Well production 20 g,p,m, e.o g,p,m, WATER SAMPLE RESULTS: Cotifonn 0 colonies/100 ml. Nitrate 0.335 mgA. Other bacteria 1 colonies/100 mi. Arsenic: NA mgA. Date of sample: •^"3 Collected by: JB/ Watkins Err B. SEPTIC/HOLDING TANK DATA Ten .111 P NA Date installed Tank 412e _ gat. Num.. • • „ • artments _ Cleanouts (YIN) Foundation cleanout (WN) „_. Depression over tank (Y/N) ,, er alarm (YIN) Date of pumping Pumper C. ABSORPTION. FIELD DATA N A Date insta Length Soil rating (g.p.d.lft2 or ftzlbdrm) System type R Width ft. Gravel below pipe ft. Total depth ft Eff. absorption = ftMonitoring tube Depression over field Date of adequacy test Results - : i all) For _ bedrooms Fluid depth in absorption field before test in. Water adde • gal. New depth_ in. Elapsed Time: ____ min. Final fluid depth in. Absorption ra : g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) If yes, glued D. UFT STATION Date instalte "Pump on' level at _ in. "Pump off" level at _ Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Ilft station on lot NA Absorption field on lot NA Public sewer main 50+' NP Size in gallons Sewer /septic service line 25+ Manhole/Access (Y/N) h water alarm level at Meets alarm & circuit require On adjacent lots NA in. On adjacent Tots NA Public sewer manhole/cleanout 50+' Holding tank NA SEP N DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: /i A Building foundation Property line Absorption field Water main service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT Property line Water Service line Curtain drain F. COMMENTS Building foundation Surface water Driveway, parking/vehicle storage Wells on adjacent Tots t4iA Water main *Sewer hookup in 1979, when separation requirement was 50 ft. G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Cindy W. Ellis Date 8/20/03 HAA Fee $ •) (c - Date of Payment Receipt Number (Rev. 12/01) /f./ ...,dr/ Waiver Fee $ Date of Payment Receipt Number e-19-03; 7:39AM; SGS, S Ref.# ent Name oject Name/ti ent Sample ID ttrix i'SID 1035080001 Watkins Engineering Glacial S/D Lot 5 Glacial S/D Lot 5 Drinking Water 0 ;907 5615301 All Dates/Times are Alaska Standard Time Printed Datemme Collected Date/Time Received Date/time 08/15/2003 13:46 08/13/2003 12:35 08/13/2003 16:34 C. Ede Technical Director Released # 2/ 3 nplc Remarks: *meter Qualifiers Results PQL Allowable prep Analysis Units Method Container ID Limits Date Date Init .ters Department Nitrate -N crobiology Laboratory Total Coliform 0.335 1 OB, No Coli 0.100 rng/L EPA 300.0 B (<=10) 08/14/03 JJB col/I00mL SM18 922213 A (<=1) 08/13/03 JS 08/11/2003 11:11 4'AT 190778311Se Gabrielle Markel 02-04-1992 13155 SO7 258 5737 sf24 : 7670 Dw ,irc PROPERTIES J UO2 4077* 4C 1 ..•r «2 40Nit airIL. Ennio. le� • «/ 491U # su«,• A. *oh \°. TIi lattylh1ia NMI Ell a telt Y r lilotaY aattPitteel'wEctytsa LY 10 MUM taflUCT. 0111112tgraitnitinicansinniPUMOVII.0 . hitt Mt. If 'tet' 'taracte to sarlormairer a ionn stasnees at 1111011.00011 ' • tatuste a tem-• Nat !tom -'!Ys 12010 a/ 710: 11101100019AT, 4ha sir. OMNI tots • t•Ars. •f •+• Gwsr G4.4:. •�•-••G 1.2'%%4L i.r$ (6«10:/ 6.4. it m• .Sr 10 RN of ae•ttwlt savvy (10 OYb! *1 Tett MTe) 1 1 treses, ee tIfy that t hors ps famed e 1 09nisNM. trrpeitfen of tie fsttertrr I b.ortbed pre.rter lof 0, ii WA Y. 1 1 - 1 eredortoo hoardlrr Mettles, ateat. ad Ithat the lawgivers* Olmsted Mead o . shite the preprty theew e d M rot 4.41.100 Or soon w us property tyfnp ./Jsat Worsts, that ro 1 tgrwtm.rte et trep.rtr Was Wiser t . thirst* ateree M en the preefeee to *settee oil alit tyre ore ro reins, tr.esleeten Oros. to ether rletbte • ese a ee• en rte property estop' ee t.elee4eeA tetrw,lp..s .t ensnare or. Mosta vs. air Of• 7t : itis. Mt Y atteQT* Lahoaown 00/11/2003 12:45 5625427 AMU PAGE 04/06 • war •aoe LOO-Tt 1 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 Parcel I D # M --11)`11- �•� 1. GENERAL INFORMATION Complete legal description HAA #i �q �hzL`Iln Lot 5; Glacial Subdivision Location (site address or directions) Property owner Rod Carmen Day phone Mailing address Seattle, Washington Lending agency Day phone Mailing address Agent Ma q w'+4-akt 501 Weet NoktneAn Lights Blvd., Anchorage, A2.aziza. 99503 DYNAMIC PROPERTIES g 3R3- 2mobii 2 Address Unless otherwise requested, HAA will be held for pickup. 1 N 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XX 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 system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone S & 5 ENGINEERING Address 17034 Eagle River Loop Road No. 204 Eazki River, Alaska 99577 Engineer's signature Date 7'"--P'12- 494% C.OF • %k�'° z4" e 4 49 IN • $' swo ar a6 oea (ie do • �fn °• ROGE a SHAF ER :No. 215 Q7 .°;k4 :Y p9F�••4•••N•••aP\. 9 7®®' 6. DHHS SIGNATURE `OFE`®® Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By i Additional Comments Date 7%z— CAUTION 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 921 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /-07" S/D Parcel I D A. WELL DATA ��� ,/ Well type /SIU -7E If A, B, or C, attach ADEC letter. ADEC water system number �'v/U//A Log present&N) Ys Date completed e _a 1 `-�c1 Driller//',-Wf )R/G /A4- Total depth g ( Cased to Rd , Casing height (2\9 li Sanitary seal NN) VAS Wires properly protected 0N) VES FROM WELL LOG AT INSPECTION Date of test 8 _� 1—}'7 5- -(/2 Pn < / o Z Static water level AK t-f//�rri c_ Well flow a0 g p m b' 0 g p /v a / I c�, N Pump level (» K / + < zO Irrl IN) en M < SEPARATION DISTANCES FROM WELL TO: 4- ON otj' L1C .� SEVIER_ / N0 m GG � Septic/holding tank on lot N r4 ; On adjacent lots /i A o Absorption field on lot ill)//4" ; On adjacent lots Al/A- _)--/Public sewer mainF Public sewer manhole/cleanout 6'22 Sewer service line [- 5 1 ---.Petroleum tank ONE b\)/0('i`J WATER SAMPLE RESULTS: / Coliform 0Nitrate n t a S 'Iv- r "e_ Other bacteria Date of sample: -1-1 (o --12_ Collected by CC S S l�-1"\sCftN /LII; B. SEPTIC/HOLDING TANK DATA Puau� Tank size Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) '-. ession (Y/N) High water alarm (Y/N) Alarm ed (Y/N) Date of pumping Pumper SEPARATION DISTANCES FROM SEP HOLDING TANK TO: Well(s) on lot On adjacent lots Foun To property line Absorption field Water main/service line Surf • - water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. D. FT STATION h/ Date ins : ed Manufacturer Size in gallons Manh. Access (Y/N) Vent (Y/N) mp on" level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical code. /N) SEPARATION D : ANCE FROM LIFT STATION TO: Well on I On adjacent lots face water BSORPTION FIELD DAT a : installed Soil rating System ty Length Width Gravel thickness Total depth Total absorption area Cleanouts press t (Y/N) Depression over field (Y/N) Da - of adequacy test Results (pass/fail) for bedrooms Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABS TION FIELD TO: If yes, give date Well on lot On adjacent lots Property lin To building foundation To existing or abandoned system on lot On adjacent lots Cutbank Water main/service line Surface wat Driveway, parking/vehicle storage area Curt drain E. ENGINEER'S CERTIFICATION I certify that t have checked, verified, or conformed to all MOA and HAA guidelines in effectoa..4414gle of this inspection. etfi ,,ea i t3 e0 IP ' U { L ' y v[a ;' rta „ dpi F `9, OA -65, v , ff /\ ii( -)t. 1 :. ;1161"EF. No. t121,943 ca S & S ENGINEERING Signature 171134 Faglp Pivot. I nep l2naid No. 204 Eagle River, Alaska 99577 Engineer's Name Date HAA Fee $ l70 -� Date of Payment 7 24 2— Receipt Number of 3 X7J 3 / 3 72-026 IRev. 3/911 Back MOA 21 Waiver Fee• $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF CC) MME:RGin TESTING & GNGINI;EFiING CO. 5633 B STREET ANCHORAGE. ALASKA 99510 TELEPHONE (907) 562-2343 FAX: (90/) b61.5301 ARALT31S RESULTS fat INVOICE t 59975 Chenlab Ref 92,22E8 sample t $ KAtiia: WATER Client Sample ID : DRINKING WATER 1,5 GLACIAL MOD. Client Narea :3 k 3 ENGINEERING PWSID : DA Client Acct :SNSENGP Collected : MAY 21 92 a 21:45 hzs, BPOt : Received : MAY 22 92 t 14:30 hrt. Refit : Preeezved with : AS REQDIRED Ordoted By A. SRAM Analyeie Completed : MAI 27 92 Laboratory Supervi o STEPHEN C. �EDE� Released By : Send Reports to: 1)3 6 3 ENGINEERING 2) POt :NONE RECEIVED Parameter NITRATE -N Aeeulte Unite Method Allowable Unite Sample ROUTINE SAMPLE COLLECTED B. I.W. Remarks: 0.25 ng/1 EPA 353.2 10 1 Teets Performed ND- None Detected NA- Not Analyzed ' See Special Iratzuetions Above • Soe Semple Remarks Above LTdcee Than, GT -Greater Than tIAu0rlevailable 0151Member of the SSS Group (Sccietct (36n&ral0 de Surveillance) n.r• • r T r