HomeMy WebLinkAboutBoss Hog 011165 Water Sample 06 27 16.LS.PDF B�'' C Case# FLI-12-10-13456
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Environmental Health Section
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WATER SAMPLE FIELD REPORT
BOSS HOG
7564 E NC 150 HWY, Sherrills Ford NC 28673
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Site Address: 7564 E NC 150 HWY, Sherrills Ford NC 28673
Parcel Number: 46071672787.6 Lot: Block:
Initial Collected by: Date/Time Sampled: 6/27/6 if�3o OM
Type of Sampling Point: eosin se
Well New or Existing? New It Existing
Type of Well: Drilled_44.Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: le 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 co Case 4 FLI-12-10-13456
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I Environmental Health Section
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WATER SAMPLE TEST RESULTS
BOSS HOG
7564 E NC 150 HWY, Sherrills Ford NC 28673
Site Address: 7564 E NC 150 HWY, Sherrills Ford NC 28673
Parcel Number: 460716727876 Lot: Block:frt
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Lab Coliform Analysis Results: Total Colilorms: annum Pe*/ E. Coli: n 3w+
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident ��yy��f�
Lab Tech Initials 0)1 Date/Time Received ta lani I LP I OD Date/Time Completed MN 1(49 �OD el°4
RECEIVED
JUN 2 9 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
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