HomeMy WebLinkAboutMtn View Rec Water Sample 03 29 16.TIF $A O Case H FLI-03-2016-070539
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WATER SAMPLE FIELD REPORT
Mtn View Rec Upper
5681 HUFFMAN FARM RD, HICKORY NC 28602
Site Address: 5681 HUFFMAN FARM RD, HICKORY NC 28602
Name of Project:
Parcel Number: 279018327191 Lot: Block:
Initial Collected by: i- �� Date/Time Sampled: 2Dt t co •NZI,o D PK_
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Type of Sampling Point: Z U / \ L-GC
Well New or Existing? New - Existing CA
Type of Well: Drilled t( Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: p( Yes No
Reason for non-compliance: Defective well cap and/or seal
Piping does not exit through top of well by approved cap and sanitary well seal
Evidence of improper grouting or no grouting
Opening in the well casing or cap
Supply too close to source of potential contamination
Notification: Existing well owner notified that well does not meet adequate construction ? Yes No
Date of Notice:
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Case# FLI-03-2016-070539
H371 t � CATAWBA COUNTY HEALTH DEPARTMENT
v„„"Viuti+T Environmental Health Section
1$42 9,1 03/29/2016
WATER SAMPLE TEST RESULTS
Mtn View Rec Upper
5681 HUFFMAN FARM RD, HICKORY NC 28602
Site Address: 5681 HUFFMAN FARM RD, HICKORY NC 28602
Name of Project:
Parcel Number: 279018327191 Lot: Block:
Lab Coliform Analysis Results: Total Coliforms: i0/1.111- Fecal / E. Coli: Ck n1-
No Collection Date Over 30 hours old p
Invalid Results: Excessive turbidity Excessive Chlorine
{�L�ab Accident
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Lab Tech Initials N. Date/Time Received 012101111(.9 1kod Date/Time Completed O% l RU Lf67""
RECEIVED
MAR 31 2016
CATAVJBA COUNTY
ENVIRONMENTAL HEALTH
E9 - rsamfieldreport 3/29/2016 Page 2 of 2