CQ;bJc;
bPD .:. &
j&
/11
,:ll£
p·~~
3 2011
WATER
DEPr~
CITY OF AUBURN WATER DEPARTMENT
REQUIREMENTS FOR ACTIVATION OF NEW MAINS & SERVICES
The following requirements must be met prior to the
activation of all new mains and services:
PROJECT NAME:
Co
eo
I q
SeC .
3
CONTRACTOR:
1.
PRESSURE TEST
DATE
INT
120#
for
2
hrs.
Witness
5-;1/-1_1
1{.0
I
(Y\
t
l>
2 .
BACTERIOLOGICAL
(MPN) SAMPLE
1st sample
Witness
j --
/ '
Z-
-
If
l(,
0 ~
I
Contractor
~--
... I )
-- r
t
,~ / l·
6
2nd sample
Witness
}-1~'/l
L'-.
0 ~
I
Contractor
__ ('
-- I B
.
.lf
M,6.
3rd sample
Witness
Contractor
3.
BACTERIOLOGICAL (MPN) SAMPLE REPORTS
2
consecutive satisfactory samples
G,-3-1/
date rec'd
4.
AS-BUILTS AND TAP LOCATIONS
date rec'd
P/F
;:;
PYRAMID EXCAVATING
Hydrostatic Test Form
DATE
5--11
·
~!(
Location of test
f-'(s+
qZ).s'-(
r
~
f
d.
1 t./g
C
'2 48
Size of Pipe
I b t(
Type of Pipe
c.. L 3So
or
Footage of Pipe
--=3=3~Bc..::~~----
Test Pressure
l '2
D
ps
r
Length of Test
;)
h,..r ..S
Pyramid Representative
02..--/ N.
~
Test Pass
~
Test Fail __________ _
f"4HERRY
~
LA80RATOR.JE"S
Mayl9,2011
Sherry Laboratories -Fort Wayne
2121
E. Washington Blvd.
Fort Wayne.
Jl\T
46803
TEL: 260-424-1622 FAX: 260-
424-9124
Websi
te: www.She
rrvl
abs.c
om
JUi
J
3 2011
DAVE CORNELL
PYRAMID EXCAVATING, INC.
5797 CR427
WATER
DEPT.
AUBURN, IN 46706-
TEL: (260) 925-0857
FAX (260) 927-9262
RE: 2148
CR 48
Order No.:
l
1052023
Dear DAVE CORNELL:
Sherry Laboratories received 1 sample(s)
on 5/17/2011 for the analyses presented in the
following report.
In accordance with your instructions, Sherry Laboratories conducted the analysis shown on the
following pages
on samples submitted by your cotnpany. The results relate only to the items
tested. Unless otherwise noted, all analysis
was conducted using approved methodologies from
EPA, SM,
or other client-specified methods. All relevant sampling information is on the
attached chain-of-custody form. The initials
s
.
uB as
the analyst designate any testing sub-
contracted by Sherry Laboratories.
Certifications/Accreditation: IN# C-02-03 IN# M-02-05. A scope
of Certified/Accredited
parameters
is available upon request.
This report shall not be reproduced except in full, without the written approval of the laboratory.
If you have any questions regarding these test results, please feel free to call.
Sincerely,
Tonya Bulau
Biologist
2121 E. Washington Blvd.
Fort Wayne, IN 46803
Page 1 o
f 3
Sheny Laboratories
-
Fort Wayne
212 1
E
.
Washing ton Blvd.
Analytical Report
F
ort Weyne,
fN
46803
TEL: 260-424-1622 FAX: 260-424-9124
Website: www.Sherrylabs.com
(base report)
WO#:
11052023
Date Reported:
5119/20 ll
CLIENT:
Matrix:
PYRAMID EXCAVATING, INC.
DRINKING WATER
Lab ID:
11052023-00lA
Project:
2148 CR 48
Client Sample I Test Riser -New Main Line
Analyses
Result
TOTAL COLIFORM BY P/A
Total Coliform Bacteria
ABSENT
Qualifiers:
*!X
Value exceeds Maximum Contaminant Level
E
Value above quantitation range
Analyte detected below quantitation limits
ND
Not Detected at the Reporting Limit
RL
Reporting Detection Limit
Tag Number:
Collection Date:
5117/2011 2:05:00 PM
RL Qual Units
DF
Date Analyzed
M92238
Analyst: TSB
1.0
PIA
5/17/20'11 7:29:00 PM
B
Analyte
detected in the associated Method Blank
H
Holding times for preparation
or analysis exceeded
M
Manual Integration used to determine area response
PL
Permit Limit
S
Spike Recovery outside accepted recovery limils
Page 2 of3
This fo.r
.
m
Is
not ,
for u.se by Publit Water SuppUf.s
SHE RYt.aboratories
~r~-~9~70',~~
...
rivate water suppfY
Coliform
Bacteria
Report Form
see collection directions o
-
n the back of this
sheet,.
ISDH certified Lab
.tD
I
M~7·1
"'"M
rnrcurr_,OcJrr
«n
me -doC.ibl'4t QnE!d.
ocx
m.ust
be
I:OI"'!!t:itG:ilct
or
th~
$;)1ir'JJ;lfe
wtit
l!ot~o.n
~' -
.
m:ell1dil-
w
~
"*«~r - ;em;u.
_ .
. _
_.
send Report To
~fD
FXCAVATI .
t:(i lNC.l
:.
Address 5197
C8
427
f
City
_
_,.!a=::;:U::.:D:::..:U::.Jfl;,.ln~ .
--~
-
----~--=-
State
.
..._
.,:.:IN~
·
- · ·
____
Zlp 46706
Phone Number
t:Ji21;.l;je~n.._
__
....,.
__ )
9
2
.
s
~
Q
s sz. •.
Date
Of sample
CoU~on._~,~.-r_
··· -~J..J..L)
.......
-~
d.-:..;..C.;;...
_
.t
...._l...__
Time of 5amptecollection
~\ . t?~ .
t!!:\
conected av. __
.,...JC\t-
. ._;.
·- ~Q::t:<"~
·
.
=k.::.....
-J:L:w~.
.
$!~-.
_
.;_;:n..=t.~i.;;..,:n
0
M·~e....,r.-.._
.
.......
. ____
Address of Wen
_____
_
..t..d;~:;..
.
.t...,l
'i
-=.
. -=S::._
_.,.
<:;;:::.;
..
·~
·
lt..::=:
...
_'i;r,...;~
..
-- _____ _
Sam;plfng tocatton. ±:ed::
R
I.::Sts.rC . ..
. Reason for liXamhlation .. _ ''\. t ...; .
~r
o.f;:. ..
.f
oo you
'~nt
vour results Faxed? • DYes
[CJNo
•Tnere is a s1o fee per report per lot:atlon taxed to.
.
FaK Number t
_____ . _________ __ _
I
I
ANALYSIS DATA
oaternme started._
:
--~~~z.....c;lt
.......
t~
·
.
-
-4-1_....2
.
21
patetrtm.e completed
Sl4rdt
22ll.
2
TESt: TOTAL COLIFOR
M
METHOD:
~MMO.MUO
(SM 9225l
RfiSUtT~
OP~ESENT
~ABSENT
ANAf:..YST
-J76
...
: feST:
QFECAL
CO'LlFO~.M
METHOD:
18JMMO.MUO
taM
S22!J
RESULT:
0PRESENT
ANALYST~~~
.
.
.
_ ..
.
_ . . .
'*If
fie
t<Jt::(
tCU~;n pr~t_
00
~
Cdl.b
IJI"eierlt
ana tl!.t'J'
t! ll'lllf
M
no~
.eov
result mmY:a.
· ~SATJSFACTORV
At
th-e
time of examination, tnls
water was
bacteriotogiaUy
1
safe
oased
on
USEPA
standards.
- f
tvf.ethcd o-t:
.
P~:yment
0UNSAT1SFACTO
V'
At the tlme of e
.
xamfnatt
on* this
ocasn Ocredit catd'"
0Mon,ey Orner fX}Ched<
. water was .
bacteri()iO;tamv
unsafe.
0Pt.USS
SUBMJT
ANOTHM
.
sAMPl&-fttf
NOT
vAuo
s:eausra:
nsam~ie
too km{;; in
tr~ns i t.
Oinvai~l~a
couectfon
date.
0Samote
feaked l:i'\
~n-sit'Not
enot.19h samplf! .
.
0chforH1f! .
preient
in samS'le.
Ootner .
. . . .
.
...
..... .
.
OKOL
.
D
.
INC '7'1141
D~·
The 30 nour EPA
notOing
tfme ;.vas
eJ<ceeded~
Results
m.av
be
.
questionabfe.
Labr.iratQt}
'
Rcpreientat hte~
.
She
.
rry
,
Laboratortes.573a lndustrhtl
Rd,. fort
W~yne~
IN
260~71
..
1000
SAAiPLES ACCEPTeD MOND
AY -THURSDAY ONLY
Page 3 of3
Shel'l)' Laboratories- Fort Wayne
2121
E. Washington Blvd.
fort
Wayne, IN 46803
TEL: 260-424-1622 FAX' 260-424-9124
Website:
ww-.v.
Sherrylabs.com
May 20,2011
.
E
m
~
·fE~r.ll
b
H~JY
DAVE CORNELL
PYRAMID EXCAVATING, INC.
5797
CR427
3 2011
AUBURN, IN 46706-
TEL: (260) 925-0857
FAX (260) 927-9262
RE: 2148 CR 48 Test Riser
Dear DAVE CORNELL:
Order No.: 11052225
Sherry Laboratories received I sample(s)
on 5/18/2011 for the analyses presented in the
fo Bowing report.
In accordance with your instructions, Sherry Laboratories conducted the analysis shown on the
following pages on samples submitted by your company. The results relate only to the items
tested. Unless otherwise noted, all analysis was conducted using approved methodologies from
EPA, SM,
or other client-specified methods. All relevant sampling information is on the
attached chain-of-custody form. The initials SUB as the analyst designate any testing sub-
contracted by Sherry Laboratories.
Certifications/Accreditation: IN# C-02-03 IN# M-02-05. A scope
of Certified/Accredited
parameters
is available upon request.
This report shall not be reproduced except
in full, without the written approval of the laboratory.
If you have any questions regarding these test results, please feel free to call.
Sincerely,
Tonya Bulau
Biologist
2121 E. Washington Blvd.
Fort Wayne, IN 46803
Page 1
of
3
Sherry Laboratories
-
Fort Wayne
2121
E. Washington Blvd.
Analytical Report
t--4HERRY
~ LASO~A tO i\lE S
Fort Wayne, IN 46803
T
EL
: 260-424
-1622 F
AX: 260-424-9 12
4
Website: www.She
rrvlabs.com
(base report)
W
O
#:
1105
22
25
Date Reported:
5/20/2011
CLIENT:
Matrix:
Lab ID:
PYRAMID EXCAVATING, INC.
DRINKING WATER
11 052225-00IA
Project:
2148 CR 48
Test Riser
Client Sample I Test Riser-New Water Main
Analyses
Result
TOTAL COLIFORM BY P/A
Total Coliform Bacteria
ABSENT
Qualifiers:
*
!X
Value exceeds M
a
ximum Contaminant Le
vel
E
Value above quantitation range
Analyte de
t
ected below quantitation limits
NO
Not Detected at the Reporting Limit
RL
Reporting Detection Limit
Tag Number: 2148 CR 48
Collection Date: 5/18/2011 2:30:00 PM
RL Qual Units
DF
Date Analyzed
1.0
M92238
Analyst: TSB
PIA
5/18/2011 6:15:00 PM
Jl!N
3
7
rr.q
. ..v j'
B
Analyte detected in the associated Method Blank
H
Holding times for preparation
or analysis exceeded
M
Manual Integration used to determine area response
PL
Pem1it Limit
S
Spik
e Recovery outside accepted recovery limits
Page 2 of 3
SHERRYLaboratories
T~T
~ - FI'm~~
...
Private water supply Coliform Bacteria Report
F
or
m
see
cott&etion .
dlrettions on the
oack
of tms sheet ..
ISDN
C.rtlfied
Lab tD
I
M-57-1
r.
ne
l nt~onln the'Ct~tt~I'H'Ix
must ne
tontp ~or
Ulll!
sam~
WI!J
not
De~ -.
4d..
UWblt@.()tD~
f!ftOf'
J'ldil
sena
~eport
To
~XMl'A!D
EXC.AYAJ'I
NG INC.
A<fctre$$ 57
9.1 .
.
CR
4 2
7
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r. ~n--
----
----
--
--~------
sute IN
Zip
45106
Phone NUmber
f2 6
Q
_
)
___
Jl2 5
~
0 B
a 7
. oate
of
sample
coUectlon
S ""' I
8 ......
ZP t I
Ttme Of sample toUectfon
;'?t"
Jo.
P
~
Collected By
eJ ... t"' ..
k..
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SamoUng 60r.atlon
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,.
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Raason
tor
EXamlnatroo
0
:t!:J
l! ltt j~ }~
.
t<
oo vou want your resultS Faxed?* Ovti
aiNo
"There is a $10 fee per report per toatlon raxea to.
Fax Numb¥ {
.
_ _ _ _
...t
....
----..-....--
----=
~-
MethOd Of Paym&nt
ocash []credit earn* 0Monev.
on:ter IXIchetk:
TEST: TOTAl. COUPORM
MrntOD:
18lMMOoMUC
fSM
9223l
R!SULT:
OPRESENT
f;XlAescNT
ANALYST
TE$f: OFICAt. COI.JFoRM
ml•.
cou.
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~o-MOO
tSM 92231
, RESULT~
0PRE
SENT
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ANALYST
.rf
1110
ro
~"'
t1.~:.-
c
~
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~
·
(ll"l'''.S
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.
af~e!!"'!!' ~
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-
~t.""!'!no:-."£~
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ca!~
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~
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=
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.
anr.~~·. - ~~~·
-~
- 'w~
.
oo£
tx'll1
rerott
mar'l'fd,
~SATISFACTORY
At the time Of
examJnatiOn~ .
thi
S
water was t>ac.tcarlologt-canyt safe
bast:t~
on
US&PA
~ndards.
QUNSATlSFAC'tORV At the 'time Of examlnattO-rl; tl'l
:
lS
water was
baeter
iologicaUy
unsafe.
.
oPI.eAtE 'SUBMIT ANOTH!Il
SAMPLE ... TEST NOT
VAUD BKAUSE::
Qle
too
long h1 transit
. I
nvalid/No roU
ettAon
date
.
Osampie
feaked
in tran$it!N<)t
inougb samole.
Octttortne
present tn
sampl~.
Oothet
.
_
_
__
0HOLDINC tiMI! I!XcODS> The 30 hour EPA notd1ng
time was exceected. Results
mav
be
quest
i
onable.
.
Lab~ra.tory
.
}tepn;S~n,tat ive~
Sherry Labomtoties ... 5731 1
ndustrta
,
t Rd. Fof1
Wayne,
I
N
26047i-i000
SAMPLES AOC
EPTED
U
ONO
AY -
TH'URSDAY ONl.. Y
Page 3 of3
PYRAMID EXCAVATING
Hydrostatic Test Form
DATE
_
S:
-/l-
l {
Location of test
h0
+
tZ
,f 6
e
r
5
+
~~
L/ 8 C
t:._
'1
~
c
Water Line
Force Main
-----------------
----------------------
I
/
If
Size of Pipe
-----'-~b
___________ _
Type of Pipe
___
L._!:L~3~J=-.--_D
__
0_
.
,
__
Footage of Pipe
_--l3~3~~t;J!k...-s.-~----
Test Pressure
/
Z b
----~---------------
Length of Test
------=2~-L.b_,_·
~~-~---------
P~~d~re~~i~--~~~ -~~~~~~--~~g~~-d-·~-------------
,~ .
Test Pass
Test Fail
----------------------
------~~---------