HomeMy WebLinkAboutBROWNS RESUB LT 37(PLAT P-498) LT 6 T13N R3W SEC 22Onsite File
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Development Services Department
Building Safety Division
On -Site Water & Wastewater Program <
ry> 4700 Elmore Road U
P.O. Box 196650 d
Mark Begich Anchorage, AK 99507 s F E T Y
Mayor www.muni.org/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description
Yew ✓l 5 f eyw� L 37
Property Owner Name & Addre s:
o"
. �; 0 7 7
1411
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: feet
Pump Manufacturer's Name:
Pump Model: �-1 1i I -->,
Pump Size t hp
Pitless Adapter Burial Depth: / % feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: /j Y-�-
Well Disinfected Upon CompletionAyes ❑ No
Method of Disinfection:L
Comments:
Pump Installer Name: i.. ANCHORAGEWELL &PUMP SERV.
330 EAST 76HAVENUE
ANCHORAGE, AK 99518
PHONE: 907-243-0740
AW PS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MrmArU
.�.. .. _ ..�. � n s R�Sub G.37 - L.6
8 o l�
SGS Ref.# 1196721001
Client Name Mike N. Anderson, P.E.
Project Name/# Glacier
Client Sample ID Glacier
[Matrix Drinking Water
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
11/13/2019 15:31
11/07/2019 l 1:00
11/07/2019 1 1:48
Stephen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic 7.22 5.00
Waters Department
Total Nitrate/Nitrite-N ND 0.200
Microbiology Laboratory
E. Coli Negative I
Total Coliform Negative 1
ug/L
EP200.8
B
(<10)
11/08/19 11/12/19 BM%
mg/L
SM21 4500NO3-(:
C
(<10)
11/11/19 EWW
100mL SM219223B A
100mL SM219223B A
11/07/19 A.L
11/07/19 A.L