HomeMy WebLinkAboutLamb's Inn Water Sample 210010 04 05 16.TIF $A Case d FLI-08-2012-030452
CATAWBA COUNTY HEALTH DEPARTMENT
C711•497' Environmental Health Section
/842, sM 04/05/2016
WATER SAMPLE FIELD REPORT
LAMB'S INN
6577 VALWOOD RD, CONOVER NC 28613
Site Address: 6577 VALWOOD RD, CONOVER NC 28613
Name of Project:
Parcel Number: Lot: Block:
Initial Collected by: P Led/I✓1 Date/Time Sampled: q(6 l i t p � �5
Type of Sampling Point: A(AchQJ'1 St/kJL
Well New or Existing? New . Existing X
Type of Well: Drilled )i Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: 4 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:
E9 - rsamfieldreport 4/5/2016 Page 1 of 5
t---A------C case# FLI-08-2012-030452
i } _ CATAWBA COUNTY HEALTH DEPARTMENT
vtape' Environmental Health Section
ix �ap l's"
$42. sm 04/05/2016
WATER SAMPLE TEST RESULTS
LAMB'S INN
6577 VALWOOD RD, CONOVER NC 28613
Site Address: 6577 VALWOOD RD, CONOVER NC 28613
Name of Project:
Parcel Number: Lot: Block:
Lab Coliform Analysis Results: Total Coliforms: O JXn+ Fecal / E. Coll: o *
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident p}
Lab Tech Initials t c a t Date/Time Received cVicS/d,o/t, /(s/o Date/Time Completed 1" ,C4 , - 1 v40 •
RECEIVED
APR 072016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
E9 - rsamfieldreport 4/5/2016 Page 2 of 5