HomeMy WebLinkAbout2407430ORDER NUMBER
2407430
COMPANY NAME
H-K Contractors
SUBMITTED BY
Leon
PROJECT
Total ColiformÆ.coli
SAMPLE DESCRIPTION (1)
•Total Coliform/E.coli x 1
WORK ORDER SUMMARY
DATE RECEIVED
07/22/24
REPORT TO
Construction Sample Present
WORKORDER NOTES
ADDITIONAL NOTES
Jody.butler@hkcontractors.com
Mark.Dimond@HKcontractors.com
(Paperless Billing:Email to :
robert.lees@hkcontractors.com ;
leon.pack@hkcontractors.com ;
jairoelizondo@hkcontractors.com)
Report To:--H-K Contractors:(208)523-6600
Completed Date:
Invoiced Date:
Reported Date:
Payment:Teton Microbiology
Monday,July 22,2024
Credit -Paid in Full
Page I ofl
Teton Microbiology
300 S.Freeman Ave -Idaho Falls,11)83401
email:tetonmicrolal@gmail.comwww.tetonmicro.com
Bill To:
PROJECT:
coli.Date
07/22/24
INVOICE
H-K Contractors
Accounts Payable
P.O.Box 51450
Idaho Falls,11)83405
Total Coliform/E.coli
Sampling Point
545 n 2nd east
Sample Description
Total Coliform/E.coIi
PAID
JUL 22
You can now pay online
at tetonmicro.com!
Invoice Date:July 22,2024
Work OrderNo.2407430
PO Number:
TERMS:Due Upon Receipt
Late Invoices subject to
an additional Fee
List Price
S35.oo
Please Pay This s .oAmount
If payment has already been sent,please disregard this notification.
Water System Name
Collector
Person Transporting Sample.
Condition of Transport:
Repor-t_RgsuJts-To;
H-K Contractors
P.O.Box 51450
Idaho Falls,ID 83405
Phone NumiRr
(208)523-6600
Client Sample
Number
Collect Date.
CCH)led Carrier Mail oother
PWS ID no
County
For Lab Use:
!Fax Number
Sam pling Location
Recei v
Received by
Teton Microbiology
Public Water System
Private System
Preserved With Sodium Thiosulfate
Billing Address:
H-K Contractors
Accounts Payable
P.O.Box 51450
Idaho Falls,ID 83405
Email:
Phone:
Fax:
TETON MICROBIOLOGY LABORATORY ID:ID00969
300 S.Freeman Ave Idaho Falls,IDAHO 83401
Office:208-529-0077 tetonmicro.com
Lab Sample
Number
a 07430
Sam ple
Type
Code
Chlorine
residual
PPM
Total Coliforms
Time
Collected
Original Sample
Date
Method
#100m1
9223B-PA
9223B-PA
9223B-PA
9223B-PA
9223B-PA
(P)resent
(A )bsent
Escherichia Coli
Method Code (P)resent
(A )bsent
9223B-PA
9223B-PA
9223B-PA
9223B-PA
9223B-PA
C -Construction/SpecialS-RoutineSample
E-Enforcement (Chain Of Custody Required)
Chain-of-CustodyInformation
Rel quished by
Relinquished by
W-U n treated(S ource)
Time _Date:
P-Repeat Sample U -Upstream Repeat
(At Original Tap)
Relinquished by
Relinquished by
D-Downstream Repeat X-Other Rev»eat
Date.Time:
Date.
Date:
•fime.
Time:
Received by
Received by
DATEÆIME RECEIVED:
DATE/TIME ANALYZE:
DATEÆ[ME READ:
7-aajqe.al
7-z»zozq 173/5
YST:
SUPERVISOR:
LAB ID
REMARKS:
ID00969
end Results To
DEQ DEQP[H
Dist 6