HomeMy WebLinkAboutSCI of Vale Water Sample 430089 06 16 16.TIF 1BA Case# FLI-0000878
l-� :'� $ G� CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
\842 sM 06/14/2016
WATER SAMPLE FIELD REPORT
SCI OF VALE
6455 OLD SHELBY RD, VALE NC
Site Address: 6455 OLD SHELBY RD, VALE NC
Parcel Number: 266804531236 Lot: Block:
Initial Collected by: SCM11" CA.Y-M6M"1-C-1 Date/Time Sampled: l;o �t•-k\I, Co - CI -39A"----,
Type of Sampling Point: Irt%7,&M-C- ec`t
Well New or Existing? New Existing K
Type of Well:l • Drilled d. Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: ' 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 \ Case# FLI-0000878
H� 4 ' CATAWBA COUNTY HEALTH DEPARTMENT
d '1,10,;;°sw" ;
U v�w�I Environmental Health Section
8411 sM 06/14/2016
WATER SAMPLE TEST RESULTS
SCI OF VALE
6455 OLD SHELBY RD, VALE NC
Site Address: 6455 OLD SHELBY RD, VALE NC
Parcel Number: 266804531236 Lot: Block:
Lab Coliform Analysis Results: Total Colif'orms: °M 4T Fecal /E. Coll: L,'IIJ JLI Vr
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident DO
1011V Tech Initials Q`l Date/Time Received 0 J111-411 LP I X17 Date/Time Completed DO 1 X01.1(P 1 00
RECEIVED
JUN 16 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
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