HomeMy WebLinkAboutBLD2021-00377 - 04 Potable WaterSpectra Labs - Kitsap, LLC (Poulsbo)
26276 Twelve Trees Ln NW Ste. C
Poulsbo, WA 98370
Phone: (360) 779-5141
www.spectra-lab.com
Sample No. Description Location Sampled
Spectra Labs - Kitsap, LLC (Poulsbo) received samples from Herschel Blankenship on Monday,
September 27, 2021 at 12:01 pm. Unless otherwise noted, all samples were received in good condition and
were tested in accordance with the laboratory's quality control procedures. A summary of the samples
received are outlined below.
212210-01 Private Well 09/27/2021 11:00345 Hiddendale Rd Quilcene, WA 98376
212210-02 Private Well 09/27/2021 11:00345 Hiddendale Rd Quilcene, WA 98376
This report package contains laboratory sample results and any attachments listed below. If you have any
questions please call (360) 779-5141 or email us at www.spectra-lab.com.
10/12/2021 Page 1 of 1
This report is issued solely for the use of the person or company to whom it is addressed. Any use, copying or disclosure other
than by the intended recipient is unauthorized. If you have received this report in error, please notify the sender immediately at
360-443-7845 and destroy this report promptly.
These results relate only to the items tested and the sample(s) as received by the laboratory. This report shall not be reproduced
except in full, without prior express written approval by Spectra Laboratories.
RECEIVED BY DCD 10/28/2021
System ID No:
Date Received:9/27/2021
System Name:Private Well
Source Number(s):
Sample Purpose:Other
Date Reported:10/12/2021
County:Jefferson
System Group Type:Private
Send Report to:
Herschel Blankenship
8202 ST HWY 104 ST 102-23
Kingston, WA 98346
Bill to:
Herschel Blankenship
8202 ST HWY 104 ST 102-23
Kingston, WA 98346
Drinking Water
Date Collected:
Sample Number:
9/27/2021
010-21002
Sample Location:345 Hiddendale Rd Quilcene, WA 98376
Sample Composition:Single Source
Sample Type:Untreated: DW
Sampler:Herschel Blankenship
Sampler Phone No:
26276 Twelve Trees Ln NW Ste. C
Poulsbo, WA 98370
(360) 779-5141
TriggerSDRLDOH #MCL MethodAnalyteResultsUnitsExceeds
MCL
Analyst Analysis
Date
Qual.PQL
225 10/4/2021EPA 200.80.001mg/LNDArsenic0004---0.010.010.001
SZ 10/8/2021EPA 300.020mg/L99.4Chloride0021 ---250---20.0
SZ 9/27/2021EPA 300.00.5mg/LNDNitrate-N0020 ---10---0.100
Include the original lab number, sample number, and collection date of original sample in either lab or sampler comments section.
(State Detection Reporting Limitl) The minimum reportable detection of an analyte as established by the department..
DOH drinking water response level. Systems with compounds detected at concentrations in excess of this level may be required to take
additional samples or monitor more frequently. Please contact your DOH drinking water regional office for further information.
(Maximum Contaminant Level) If the contaminant amount exceeds the MCL, please contact your regional DOH office to determine follow-up actions.
(Not Analyzed) In the results column, indicates this compound was not included in the current analysis.
(Not Detected) In the results column, indicates this compound was analyzed and not detected at a level greater than or equal to the SDRL.
The compound was not detected in the sample at or above the concentration indicated (usually the lab method reporting limit).
milligrams per liter or parts per million.
nephelometric turbidity units (a measure of water clarity).
Micro ohms per centimeter (a measure of the ability of the water to conduct electricity). One micro ohm per centimeter is equivalent to one micro
siemen per centimeter (uS/cm).
No existing trigger or MCL value.
Secondary MCL (Established for aesthetic purposes, not health based).
*Confirmation
SDRL:
Trigger Level:
MCL:
NA:
ND:
< (0.00x):
mg/L:
NTU:
mhos/cm:
--:
1:
NOTES:
Lab Qualifiers Comments:
Sample Number:212210-02
225: Analysis performed by Spectra Laboratories- Kitsap,Port Orchard- Sample # = 124619
Page 1 of 2212210-02
RECEIVED BY DCD 10/28/2021
System ID No:
Date Received:9/27/2021
System Name:Private Well
Source Number(s):
Sample Purpose:Other
Date Reported:10/12/2021
County:Jefferson
System Group Type:Private
Send Report to:
Herschel Blankenship
8202 ST HWY 104 ST 102-23
Kingston, WA 98346
Bill to:
Herschel Blankenship
8202 ST HWY 104 ST 102-23
Kingston, WA 98346
Drinking Water
Date Collected:
Sample Number:
9/27/2021
010-21002
Sample Location:345 Hiddendale Rd Quilcene, WA 98376
Sample Composition:Single Source
Sample Type:Untreated: DW
Sampler:Herschel Blankenship
Sampler Phone No:
26276 Twelve Trees Ln NW Ste. C
Poulsbo, WA 98370
(360) 779-5141
Approved By
Angela Kaelin
Lab Supervisor/ QA Manager
This report is issued solely for the use of the person or company to whom it is addressed. Any use, copying or disclosure other than by the intended recipient is
unauthorized. If you have received this report in error, please notify the sender immediately at 360-443-7845 and destroy this report promptly.
These results relate only to the items tested and the sample(s) as received by the laboratory. This report shall not be reproduced except in full, without prior express written
approval by Spectra Laboratories.
Page 2 of 2212210-02
RECEIVED BY DCD 10/28/2021
RECEIVED BY DCD 10/28/2021
RECEIVED BY DCD 10/28/2021
RECEIVED BY DCD 03/2/22