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Home My WebLink AboutSAM-02-2016-069531.TIF $ Case k SAM-02-2016-069531 CATAWBA COUNTY HEALTH DEPARTMENT U ;o sC Environmental Health Section 1842 SM 02/25/2016 WATER SAMPLE APPLICATION Applicant GARY KALE, 3782 BEDA RD, MAIDEN NC 28650 C 828-381-1215 Paid By SUSAN KALE, 3782 BEDA RD, MAIDEN NC 28650 Site Address: 3782 BEDA RD, MAIDEN NC 28650 SELECTED SAMPLES Inorganic Name of Subdivision: Parcel Number: 366804727945 Lot: Block: Specific Directions Description: REQUEST TAKEN FROM INSIDE THE HOME. CALL FOR APPOINTMENT Reason for Sample:checking for metals Type of Well ESIOMEDrilled RCS! P F Is the well on this same property? 1'd i LI Is outside spigot available to collect sample? plinlikatn Is power on? 1 tr's i P: Has well been tested before? 2No1 `„NI,I Results Unknowtr' Does the plumbing come out the top of the well through a sanitary well seal? c`i�m_. __. _. fs... Does the well ever become cloudy or has there ever been a problem with taste and/or odor? r ��IJo va, Explain t c l61ldyfte filte115 :W5m . ?Lfit r_Lt xie7 . r°^ . ('rt i aw =2 r is! frl mG a Does the well top extend twelve(12) inches above the ground or well slab? The well is in: p��^ !'��''' Rear;` 44�� "° rdd Fv� E'vTd6uka' 1�.4�!i..11Gt4I�9 Does this well supply water to more than one home? y Water samples will be drawn from an outside faucet unless otherwise specified. Please note that all water samples are taken during one visit. The processing laboratories have different protocols and timeframes for reporting results; therefore,you may receive several different reports concerning your water sample. For questions or more information, please contact Catawba County Environmental Health at(828)465-8270. Datecl) -Qs— I IP Signature or Owner or Agent �(`�.! Area 1 'i f : . 9'C° !" r q # '6 ij "!! I d"k.P 5 t.+t�`". E rte`, -( a e ? FEE DFS'CRIPTION 3,nt a""'",1,);, UATE 11 FEErAMOUNTk g Inorganic Chemical Sample Fee 02/25/2016 $114.00 k " f'""ar " r s " ia:!u !'!'ksr5?d 1 r- T08..0 ES. ',le.w'`3-�EIll g"e,'` .. i..r.�.,.. -.". =e ^mi.Ela�?t�,F F 5114 6010; rsamapplication 2/25/2016 Page 1 of 2 •/ iu 7,:":,;.1 CATAv\ tA Catawba County Public Health ' `� COUNTY -Mme"`+., www.catawbacountync.gov/environmentalhealth - - C Bolin ". Environmental Health North caro�fn P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone(828) 465-8270. Fax (828) 465-8276 Water Sample Application t ^ 111 Sample Requested By S-0i■1.i I p ,V\j�\c.M.- cl�Kl� Home Phone 9X 'M i - labs Property Address a7' ■ {= E C\Cn a\„ Business Phone Mailing Address I IIC),.\A_ t\ 11 C Driving Directions I Htt■)l,� t h 3 Mi leeS oU 1 i rt f\ �Ctf t� �J •An , \J •b ' -__ Ma ,1 . e / �r I • o & .:A Sample Requested: Bacteriological`Inorganic Chemical J Other Sample reason: Type of Well: Drilled t/ Bored Dug Other Is the well on this same property? Yes I/ No Is outside spigot available to collect sample? Yes/ No Is power on? Yes No Has well been tested before? Yes No ■/ Unknown Results Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown /� l Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No v `� N J(d Explain O1CQ- , I I ,QR{QO \. / Does the well top extend 12 in hes above the ground or well slab? Yes' No Unknown The well is located in front rear J left side right side of the house. , Does well supply water to more than one home? Yes No " Date a- 1 caL I co Signature of Owner or Agent 4 10 Cw J \6"`R "Leading the Way to a Healthier Community" 0zPubHHc °Health ' 1 L,, . CATAWBA COUNTY rT 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT oaile U �� PHONE: 828.465.8399 Thursday, February 25, 2016 /842 sM www.catawbacountvnc.gov PAYOR: Kale, Susan PAYMENTS TRANSACTION NUMBER: TRC-627058-25-02-2016 PAYMENT DATE : 02/25/2016 PAYMENT TYPE: Credit Card 158336646 INVOICE NUMBER FEE NAME FEE AMOUNT 02-16-325600 Inorganic Chemical Sample Fee 5114.00 TOTAL PAYMENTS : S114.00 SAM-02-2016-069531 CASE TYPE: Water Sample WORK CLASS: Inorganic Chemical SITE ADDRESS: 3782 BEDA RD. MAIDEN NC 28650 Applicant GARY KALE, 3782 BEDA RD. MAIDEN NC 28650 C:828-381-1215 Paid By SUSAN KALE, 3782 BEDA RD. MAIDEN NC 28650 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 02/25/2016 12:46 Page 1 of 1 t % North Carolina State Laboratory of Public Health P.O. Box 28047 Laboratory 4312 District Drive 9 Raleigh, NC 27611-8047 +; 1fl , Environmental Sciences Raleig 1ph.0 27611-80th.com ';i - .air Phone: 919-733-7308 Inorganic Chemistry '1/4,'ae Q..,y09 Fax: 919-715-8611 Certificate of Analysis Report To: Name of System: CATAWBA CO ENVIRONMENTAL HEALTH GARY KALE P 0 BOX 389 3782 BEDA RD NEWTON, NC 28658 Courier#09-70-01 MAIDEN, NC 28650 EIN: 566001814EH StarLiMS ID: ES031016-0056001 Date Collected: 03/08/16 Time Collected: 11:20 AM Date Received: 03/10/16 Collected By: RP Sample Type: Raw Sampling Point: Kitchen sink Well Permit#: SAM-02-2016-069531 Sample Source: Well Temp. at Receipt: GPS#: Sample Description: Comment: Inorganic Chemical + Metals I (Profile) Analyte Result Allowable Limit Unit Qualifier(s) Arsenic < 0.005 0.010 mg/L Barium <0.1 2.00 mg/L Cadmium < 0.001 0.005 mg/L Calcium < 1.0 mg/L Chloride 17.00 250 mg/L Chromium < 0.01 0.10 mg/L Copper < 0.05 1.3 mg/L Fluoride < 0.20 4.00 mg/L Iron 0.11 0.30 mg/L Lead < 0.005 0.015 mg/L Magnesium < 1.0 mg/L Manganese < 0.03 0.05 mg/L Mercury < 0.0005 0.002 mg/L pH 7.1 N/A Selenium < 0.005 0.05 mg/L Silver < 0.05 0.10 mg/L Sodium 29.00 mg/L Sulfate 9.90 250 mg/L Total Alkalinity 27 mg/L Total Hardness < 7 mg/L Zinc < 0.05 5.00 mg/L Report Date:03/18/2016 Reported By: Dehiie-Hanoi RECEIVED MAR 2 2 2016 CATAWBA COUNTY ENVIRONMENTAL HEALTH Page 1 of 1 N• O R T : HC A 4• R O L I N A',, Private Well Information human health and and Use Recommendations nc department of hearth and For Inorganic Chemical Contaminants ,-m - • ^ w ;., .r,:'_ a-" rryc.0 `.'�'' " ati.e'-+'..'. ,- ,. . I. 1.111:,;:117. _ «# County: Catawba Name: Gary Kale Sample ID #: 69531 Reviewer: M. Cash ,,,-. `1�r., ". .+ .. � i:¢e,:.'*- .`.`.?`4,'e'S«}za°`x4�.e.,,. ._ t4u°.+,�,w... . s 33 ..d�.�Spfi, «ar_.,..,a _::,^, :.� _ _ : u ^t; c,71.72 TEST RESULTS AND USE RECOMMENDATIONS 1. ® Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for drinking, cooking, washing, cleaning, bathing, and showering based on the inorganic chemical results only. You may have other water sampling results that are not taken into account in this report. 2. ❑ The following substance(s) exceeded federal drinking water standards or the North Carolina 2L calculated health levels. The North Carolina Division of Public Health recommends that your well water not be used for drinking and cooking, unless you install a water treatment system to remove the circled substance(s). However, it may be used for washing, cleaning, bathing and showering based on the inorganic chemical results only. ❑Arsenic ❑Barium ❑Cadmium ❑Chromium ❑Copper ['Fluoride ['Lead ❑Iron ❑Manganese ❑Mercury ❑Nitrate/Nitrite (Selenium ❑Silver ❑Magnesium ❑Zinc ❑pH 3. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA) Health Advisory level for sodium of 20 mg/I. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted diets not use this water for drinking or cooking. It may be used for washing, cleaning, bathing, and showering based on the inorganic chemical results only. ❑ b. Levels over 30 mg/I may pose aesthetic problems such as had taste, odor, staining of porcelain, etc. 4. ❑ Re-sampling is recommended in months. 5. ❑ Re-sample for lead and/or copper. Take a first draw, 5 minute, and 15 minute sample inside the house(preferably the kitchen) and if possible a first draw, 5 minute and a 15 minute sample at the well head to determine the source of the lead and/or copper. 6. ❑ The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking, cooking, washing, cleaning, bathing,and showering based on die inorganic chemical results only, but aesthetic problems such as bad taste, odor, staining of porcelain, etc. may occur. You may want to install a household water treatment system to address aesthetic problems. Barium ❑Cadmium ❑Chromium ❑Fluoride ❑Iron ❑Magnesium ❑Manganese ['Selenium ❑Silver ❑pH ['Zinc For more information regarding four well water results,please call the North Carolina Division of Public Health at 919-707-5900.