HomeMy WebLinkAboutJones Fish Camp Water Sample 010136 08 04 22 �$� Case# FLI-0000078
CATAWBA COUNTY HEALTH DEPARTMENT
,5, Environmental Health Section
18 42 sM 01tro4!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
k9OzZ r� r�Sample Collected by: i� Date/Time Sampled: (�
Sampling Point: (};l � Q *4 J
Is well head accessible? Yes No /Reason for inaccessibility I'\ka' C.1p
Well New or Existing? New Existing v 1
Type of Well: Drilled I Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: t/ 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:
rsamfieldrepon 08/04/2022 09:28 Page I o132
Case# FLI-0000078
t 11111 CATAWBA COUNTY HEALTH DEPARTMENT
V , Environmental Health Section
1 g 4 2 sM 08/04/2022
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 Coll forms: pawl--
'T Fecal/E.Coli: q k1i41+
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials Date/Time Received .OL-1 Th I 0 Date/Time Completed �r�'"'' ' N
RECEIVED
AUG 8 2022
Environmental Health
rsamfieldreport 08/04/2022 09:28 Page 2 of 32