CITY OF AUBURN WATER DEPARTMENT
WA1"ER DEPT,
REQUIREMENTS FOR ACTIVATION OF NEW MAINS & SERVICES
The following requi r ements must be met prior to the
activ ation of all new mains and services:
PROJECT NAME:
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Witness
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2nd sample
Witness
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3 r d sample
Witness
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date rec'd
4.
AS-BUILTS AND TAP LOCATIONS
date rec'd
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DATE
L!- 2tf-l I
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JOB NAME
Location of test
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4HERRY
~
LADORATOII.IES
1'~llmHO
1'00AV,
~'tt~
TOMOI!UtOW
Sherry
LaboraTories
~
F'orl
Wayne
2121 E. Washin
gto
n Blvd.
FortSYayn~
flV46803
TEL: 260-424-1622 FAX.
260~424-9124
Website: www
.Sherrylah
s.com
JUN
3
ZU11
April27, 2011
DAVE CORNELL
WA.TER
DEPT.
PYRAMID EXCAVATING, INC.
5797
CR427
AUBURN, IN 46706-
TEL: (260) 925-0857
FAX: (260) 927-9262
RE: City
of Auburn New Main
Dear DAVE CORNELL:
OrderNo.: 11042465
Sherry Laboratories received I sample(s) on 4/25/2011 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 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 of3
•
t--4HERRY
~
tA80RATOfUE$
l'U'11HG T®AV, PJlOTt:C;"nNG Y<>MOMOW
Slzerr_v Laboratories- Fort Wayne
2121
E.
Washilsgton Blvd
Fort Wayne, IN 46803
TEL: 260-424-1622 FAX: 260-424-9124
Website: www.Sherrvlabs.com
Analytical Report
(base report)
WO#:
11042465
Date Reported:
4/27/2011
CLIENT:
Matrix:
Lab ID:
PYRAMID EXCAVATING, INC.
DRINKING
WATER
11042465-00lA
Project:
City of Auburn New Main
Client Sample ID New Main
Analyses
Result
TOTAL COLIFORM BY P/A
Total Coliform Bacteria
ABSENT
Qualifiers:
*!X
Value exceeds M'lXimum Contaminant Level
E
1
Value above quantitation range
Analyte detected below quantitation limits
ND
Not Detected at lhe Reporting limit
RL
Reporting
D<'ltection
Limit
Tag Number: 4685 CR 19 Test Riser
Collection Date: 4/25/2011 9:16:00 AM
RL Qual Units
DF
Date Analyzed
M9223B
Analyst: TSB
1.0
PIA
4/25/2011 6:50:00 PM
B
Analyte detected in the associated Method Blank
H
Holding times fur preplllation or analysis exceeded
M
Manual
Intogrntion used
to
determine area response
PL
Permit Limit
S
Spike Recovety outside accepted recovery limits
Page 2 of 3
,
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Page 3 of3
~
t-4HERRY
LA801\Al"OJUES
TU'I'f* 'fOJ:)AY. HO'fti:Ol'lHC l'OMCftftOW
April 28, 20 11
DAVE CORNELL
PYRAMID EXCAVATING, INC.
5797 CR427
AUBURN, IN 46706-
TEL: (260) 925-0857
FAX:
(260) 927-9262
RE: 4685
CR 19 New Main Testing
Dear DAVE CORNELL:
Sherry Laboratories
-
Fort Wayne
2121
E. Washington Blvd.
Fort Wayne. IN
46803
TEL: 260
-424-1
622 FAX
: 260-424
-9124
Website: www
.
Shemlabs.c
om
Order No.: 11042749
Sherry Laboratories received
1
sample(s) on 4/26/201 1 for the analyses presented in the
following report.
In accordance with your instructions, Sheny 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
shaH not be reproduced except in full, without the written approval of the laboratory.
If you ha
ve 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 of3
Sherry Laboratories
-
Fort Wayne
2121
E. Washington Blvd.
Analytical Report
Fort Wayne, IN 46803
TEL: 260
-
424-1622 FAX: 260-424-9124
Website: www.Shenylabs.com
(base report)
WO#:
11042749
Date Reported:
4/28/2011
CLIENT:
Matrix:
Lab ID:
PYRAMID EXCAVATING, INC.
DRINKING
WATER
11042749-00IA
Project:
4685 CR
J
9 New Main Testing
Client Sample ID Test Riser CR 19
Analyses
Result
TOTAL COLIFORM BY PIA
Total Coliform Bacteria
ABSENT
Qualifiers:
*IX
Value exceeds Maximum Contaminant l..evel
E
Value above quantitation rnnge
J
Analyte detected below quantitation limits
ND
Not Detected at the Reporting Umit
RL
Reporting D
etection Limit
Tag Number: New Main
Collection Date: 4/26/2011 2;30:00 PM
RL Qual Units
DF
Date Analyzed
M9223B
Analyst: TSB
1.0
PIA
4126/2011 6:14:00 PM
B
Analyte detected
in
the associated Method Blank
H
Holding timss for preparation or analysis exceeded
M
Manual Integration used to determine area response
PL
Pennit Limit
Spike Recovery outside accepted recovery lin1its
Page 2 of3
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Page 3 of3
PYRAMID EXCAVATING
Hydrostatic Test Form
DATE
LJ-2D-
/1
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J
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Size of Pipe
}
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t:::'
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3
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-~2::::<,...;A~r~5~----
E E\VED
JUN . 3 2011
WATER DEPT.
Utility Representative
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P
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· £.4;
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Pyramid Representative
/YJ!
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Test Pass
-----------------
v .
Test Fail
--------------------
PYRAMID EXCAVATING
Hydrostatic Test Form
DATE
4-2
</ - II
Water Line ___
_.V:~
·
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Force Main
---------------------
t
'
Size of Pipe
__ ___:..J_b;:_ _____ _
Type of Pipe
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Utility Representative
TestPass
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---------------------