HomeMy WebLinkAboutCatholic Conference Center Water Sample 010035 05 10 22 „cps., Case# FLI-0000015
CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
9)7
1 5M 05/17/2022
4
WATER SAMPLE FIELD REPORT
CATHOLIC CONFERENCE CENTER
1551 TRINITY LN, HICKORY NC
Site Address: 1551 TRINITY LN,HICKORY NC
Parcel Number: 268901188656t //ff��
Sample Collected by: Aida t h Date/Time Sampled: S/ta/2Ozz 1O• Ob
Sampling Point: 3 W #1,
Is well head accessible? Yes A No Reason for inaccessibility
Well New or Existing? New Existing X
Type of Well: Drilled X, Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: Yes No
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>= 12”above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsamfieldreport 05/17/2022 16:31 Page 1 of 8
�$A Case# FLI-0000015
it CATAWBA COUNTY HEALTH DEPARTMENT
VEnvironmental Health Section
18 42 sM 05/17/2022
WATER SAMPLE TEST RESULTS
CATHOLIC CONFERENCE CENTER
1551 TRINITY LN, HICKORY NC
Site Address: 1551 TRINITY LN,HICKORY NC
Parcel Number: 268901188656
•
Lab Coliform Analysis Results: Total Coliforms: Wati(11 Fecal/E.Coli: C )
No Collection Date • Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials I�� Date/Time Received l • " ', I I Date)Time Completed ) 1 q 0
0)11
RECEIVED
M A Y 2 0 2022
Environmental Health
rsamfieldrepon 05/17/2022 16:31 Page 2 of 8