HomeMy WebLinkAboutSAM-06-2023-198779.tif $A C� Case# SAM-06-2023-198779
;5: t G� CATAWBA COUNTY HEALTH DEPARTMENT `
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Environmental Health Section
/8 4`1, sM 06/26/2023
WATER SAMPLE FIELD REPORT
Owner ROGER HUNT, 1709 YODER FARM RD,HICKORY NC 28602
C:828-244-6148
Site Address: 1709 YODER FARM RD.HICKORY NC 28602
Parcel Number: 360901156559
Driving Directions Hwy 10 west to Whitner Rd.turn right go 1/2 a mile,turn right on Yoder Farm Rd.go 1/2 a mile pavement
ends,take left driveway to Gray House.
Sample Collected by: AW 5 r i L - Date/Time Sampled: O7/°'57)-3 11:11'rFl0
Sampling Point: 1-ket 4-4A Ia.p tai—
ls well head accessible? Yes No ✓ Reason for inaccessibility_Ti eel 1 c well Waste co►- -s A., a
Sprhn9.
Well New or Existing? New Existing
Type of Well: Drilled _Bored Hand Dug _ Punch o*L e_r coo f;y\s
Does well meet adequate construction standards from what can be observed: Yes No
Items of non-compliance: _ Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>= 12"above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
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rsamfieldrepon 06/26/2023 17:04 Pagel of 2
Co Case# SAM-06-2023-198779
iT CATAWBA COUNTY HEALTH DEPARTMENT
V ., Environmental Health Section
1$tk 7. sM 06/26/2023
WATER SAMPLE TEST RESULTS
Owner ROUIi t I II:NT, 1709 YODER 1 ARM RD, I IICKORY NC 28602
C:828-244-6148
Site Address: 1709 YODER FARM RD,HICKORY NC 28602
Parcel Number: 360901156559
Lab Coliform Analysis Results: Total Coliforms: Fecal/E. Coll: 10 AAA.usct
No Collection Date Over 30 hours old
I Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials Date/Time Received '' �' 1 Date/Time Completed 6/le /1 20 29 I e crv.i
vt( ft, IV, Hit 'JU/
RECEIVED
J H' 1 1 '3
Environmental Health
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