HomeMy WebLinkAboutJones Fish Camp Water Sample 010136 07 26 22 �A Case# FLI-0000078
i-jIk CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
1$4 2 sM 07/26/2022
WATER SAMPLE FIELD REPORT
JONES FISH CAMP
5269 S NC 16 HWY, MAIDEN NC
Site Address: 5269 S NC 16 HWY,MAIDEN NC
Parcel Number: 368703221879 , I /, r7
Sample Collected by: L\'t 16 Date/Time Sampled: 9 , (`"( w o �/`�U f 'er
Sampling Point: O(A-Sk kci-
`
Is well head accessible? Yes No I Reason for inaccessibility gele a\t-ef
Well New or Existing_? New Existing V
Type of Well: Drilled ✓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 07/26/2022 10:32 Page 1 of 30
,%P C' Case# FL1-0000078
F� " � CATAWBA COUNTY HEALTH DEPARTMENT
,, Environmental Health Section
I g 4 2 5M 07/26/2022
WATER SAMPLE TEST RESULTS
JONES FISH CAMP
5269 S NC 16 HWY, MAIDEN NC
Site Address: 5269 S NC 16 HWY. MAIDEN NC
Parcel Number: 368703221879
Lab Coliform Analysis Results: Total Coliforms: prefion+ Fecal/E.Coll: abvv
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab'I Initials Date/Time Received 01"11 •Tirl 1110
Date!Time Completed Of+' " " 140" 04
RECEIVED
/(5)t.e-
701'1 JUL 2 8 2022
Environmental Health
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