HomeMy WebLinkAboutValley Haven Water Sample 06 21 16.LS.PDF $A Case# FLI-0001269
F� 14 CATAWBA COUNTY HEALTH DEPARTMENT
\..)71! vAl Environmental Health Section
1 g
412_ 94 06/21/2016
WATER SAMPLE FIELD REPORT
VALLEY HAVEN
7760 VALLEY HAVEN DR, HICKORY NC
Site Address: 7760 VALLEY HAVEN DR, HICKORY NC
Parcel Number: 267901178702 Lot: Block:
Initial Collected by: -S Date/Time Sampled: ( (z / ! (, /c9 4S A-`41 •
Type of Sampling Point: 5
Well New or Existing? New Existing
Type of Well: Drilled "c-- Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: ( Yes No
Reason for non-compliance: Defective well cap and/or seal
Piping does not exit through top of well by approved cap and sanitary well seal
Evidence of improper grouting or no grouting
Opening in the well casing or cap
Supply too close to source of potential contamination
Notification: Existing well owner notified that well does not meet adequate construction ? Yes No
Date of Notice:
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$A CaSe# FLI-0001269
` ' CATAWBA COUNTY HEALTH DEPARTMENT
119 ED 7 Environmental Health Section
18 4 ssM 06/21/2016
WATER SAMPLE TEST RESULTS
VALLEY HAVEN
7760 VALLEY HAVEN DR, HICKORY NC
Site Address: 7760 VALLEY HAVEN DR, HICKORY NC
Parcel Number: 267901178702 Lot: Block:
Lab Coliform Analysis Results: Total Coliforms: Vl MCP+ Fecal/E. Coli: a Wink
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials 90 Date/Time Received 00111; _) Date/Time Completed Old M Iv) 14
RECEIVED
JUN 2 3 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
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