HomeMy WebLinkAboutIsland Properties Water Sample 05 12 16.PDF �$A C o Case# FLI-00001 70
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WATER SAMPLE FIELD REPORT
ISLAND PROPERTIES
4838 KISER ISLAND RD CT, TERRELL NC
Site Address: 4838 KISER ISLAND RD CT, TERRELL NC
Parcel Number: 461604640427 Lot: Block:
Initial Collected by: (T Date/Time Sampled: 1.%°°? vt ( S• it > 1 V
Type of Sampling Point: flb,o, Vice
Well New or Existing? New Existing 14
Type of Well: Drilled tis Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: oC Yes No
Reason for non-compliance: Defective well cap and /or seal
Piping does not exit through top of well by approved cap and sanitary well seal
Evidence of improper grouting or no grouting
Opening in the well casing or cap
Supply too close to source of potential contamination
Notification: Existing well owner notified that well does not meet adequate construction ? Yes No
Date of Notice:
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$A C Case a FLI-0000170
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WATER SAMPLE TEST RESULTS
ISLAND PROPERTIES
4838 KISER ISLAND RD CT, TERRELL NC
Site Address: 4838 KISER ISLAND RD CT, TERRELL NC
Parcel Number: 461604640427 Lot: Block:
Lab Coliform Analysis Results: Total Coll forms: d.tuuct Fecal /E. Coli: cLlyuhuG
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine _
Lab Accident
Lab Tech Initials Date/Time Received M IDu 1ID I`a9 Date/Time Completed 0511'/d,u)b/loos EDtt
RECEIVED
MAY 12 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
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