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Home My WebLink AboutWQ0000520_Correspondence_20080707 OF W AT FRO Michael F.Easley,Governor �� G William G.Ross Jr.,Secretary C r North Carolina Department of Environment and Natural Resources .c" Coleen H.Sullins,Director Division of Water Quality July 7,2008 Mr. Daniel Tolfree 6833 Bethel South Fork Road Graham,North Carolina 27253 SUBJECT: Well Sample Results 6833 Bethel South Fork Road, Graham 27253 Alamance County Mr. Tolfree: Enclosed is a copy of the sample results from your spring taken on May 13, 2008. These results indicate coliform as the primary contaminants of concern present in your water supply spring. Specifically, total and fecal coliform were both present and therefore exceed the State of North Carolina's groundwater water quality standards and is not recommended for drinking. Also,please review the information and recommendations that accompanies this letter from the Division of Environmental Health's epidemiologist, Dr. Ken Rudo. The Division of Water Quality recommends that a safe drinking water supply be obtained, for example, by properly constructing a water supply well. A copy of these results will also be mailed to the county health department. If you have any questions, please contact me at(336) 771-5288 or by e-mail at stephen.berry@ncmail.net. Sincerely, geAr Stephen Berry Environmental Senior Technician Encl: Sample Results, OEEB Recommendations cc: 1111111101 Alamance County Environmental Health Department NZ` Carolina Division of Water Quality /Aquifer Protection Section Naturally 585 Waughtown Street Winston-Salem,NC 27107 Customer Service Phone: (336)771-5000 Fax: (336)771-4632 Internet: http://ncwaterquality.orq 1-800-623-7748 07/01/2008 16:01 9198704807 OEEB MERA rAUt nL/nl • 07-01-'02 13:38 FROM-DENS 3367714633 2367714633 T-002 PO02/002 F-506 RESEARCh & ANAL/TICAl 4,00.1.044,'� LABORATORIES,INC, 10 trot 0014110 1'1! warnoi xi .1 •��i�, • Analytical/Process Consultations • • 49. May 16,2008 • NC DWQ 585 Waughtown Street Winston-Salem,NC 27107 Attention.: Stephen Berry Re: Bacteriological Testing Sample Source: Tolfree Del"le I Te lOr r e Sample Date: OS/13/08 32 11e.0<.1 skit Fork R4 Sample Time: el G. 2}i5 3 Sample Received: 05/13/08 Sample Analyzed: 05/13/08 Sample Number: 616894 Parameter Method Results Total Coliform Colitag Present Fecal Coliform Colitag Present Analyst: S.J. • Bacterial Contamination Found Fecal Contamination Found • P.O.Box 473•108 Short Street•Kernereville,North Caroline 27284.336.996.2841 •Fax 338.998.0326 www.rendelabe,com W-C 1Y WQ Laboratory Section Results County: ALAMANCE Sample ID: AB30022 Rivbr Basin �,o r h'WA PO Number# 8G0504 Report To WSROAP ,7kE EI+ ED 1 O C. Date Received: 05/14/2008 N.C.Dent.of ENR 1 ea 5 { Time Received: 08:00 Collector: S BERRY I O Y Labworks Loginlo MMATHIS Region: WSRO MAY 2 8 Sample Matrix: GROUNDWATER Date Reported: 5/22/08 Winston-Salem Loc.Type: WATER SUPPLY Regional Office Report Generated: 05/22/2008 Emergency Yes/No COC Yes/No VisitlD Q Loc.Descr.: DANIEL TOLFREE r." S I g 0 u Location ID: WSROAPNLC Collect Date: 05/13/2008 Collect Time:: 12:50 Sample Depth Sample Qualifiers and Comments Routine Qualifiers Fqr a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access A-Value reported is the average of two or more determinations N3-Estimated concentration is<PQL and>MDL B1-Countable membranes with<20 colonies;Estimated NE-No established PQL B2-Counts from all filters were zero. P-Elevated PQL due to matrix interference and/or sample dilution 83-Countable membranes with more than 60 or 80 colonies;Estimated B4-Filters have counts of both>60 or 80 and<20;Estimated Q1-Holding time exceeded prior to receipt at lab. Q2-Holding time exceeded following receipt by lab B5-Too many colonies were present;too numerous to count(TNTC) PQL-Practical Quantitation Limit-subject to change due to instrument sensitivity J2-Reported value failed to meet QC criteria for either precision or accuracy;Estimated U-Samples analyzed for this compound but not detected J3-The sample matrix interfered with the ability to make any accurate determination;Estimated X1-Sample not analyzed for this compound J6-The lab analysis was from an unpreserved or improperly chemically preserved sample;Estimated N1-The component has been tentatively identified based on mass spectral library search and has an estimated value LAB Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 (919)733-3908 Page 1 of 2 Sample ID AB30022 1\1C cWQ La6oratory Section Results Location ID: WSROAPNLC Collect Date: 05/13/2008 Loc.Descr.: DANIEL TOLFREE Collect Time:: 12:50 Visit ID CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By/Date Sample temperature at receipt by lab 1.4 'C DSAUNDERS MMATHIS Method Reference 5/14/08 5/14/08 MET 7440-22-4 Ag by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7429-90-5 Al by ICP 50 980 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-38-2 AS by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-38-3 Ba by ICP 10 20 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-70-2 Ca by ICP 0.10 6.8 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-43-9 Cd by ICPMS 1.0 1.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-47-3 Cr by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-50-8 Cu by ICPMS 2.0 12 ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-48-4 Fe by ICP 50 1900 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-09-7 K by ICP 0.10 0.70 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7439-95-4 Mg by ICP 0.10 3.1 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7439-96-5 Mn by ICPMS 10 31 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-23-4 Na by ICP 0.10 5.1 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-02-0 NI by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7439-92-1 Pb by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7782-49-2 Se by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-66-6 Zn by ICPMS 10 11 ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 . Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 (919)733-3908 Page 2 of 2 07/01/2008 16:01 91987048u7 Uttb MtKA raivc uiivz. Information and Recommendations for Uses of Private Well Water For Biological Contaminants Found in Water North Carolina Occupation& and Environmental Epidemiology Branch (OEEB) For Additional Advice and Information call 919-707-5900 f (Qi-Cd-4Nam4t, .24u1 Gl county : Adetit cc,-A Sample Identification Number: 04,0 Information on Your Private Well Water Your well water was laboratory tested for biological contaminants (total coliform and fecal coliform bacteria). Total coliform bacteria are found in soil and fecal coliform bacteria are found In animal and human waste. The presence of total coliform or fecal coliform bacteria in well water Indicates that the well may have structural deficiencies or that the well was not properly disinfected. Recommendations for Uses of Your Private Well Water No coliform bacteria were found In your well water, Therefore, your water could be used for drinking, cooking, washing dishes, bathing, and showering. Total coliform and/or fecal coliform bacteria were detected in the resample which indicate that pathogenic bacteria from human or animal waste could possibly enter the well. There may be a problem with the construction of the well, the water source, or operation of the well, The water may not be safe. If you have been drinking the well water and are pregnant, nursing, have a child in the household under 5 years of age, or immunocompromised (such as an individual with AIDS, cancer, hepatitis, dialysis or surgical procedures) inform your physician of the results. The well needs to be Inspected by the local health department or a local well contractor to determine the problem with the well and to give guidance on how to correct the problem. You should resample your water after proper well inspection and disinfection to make certain that the problem does not recur, If the contamination is a recurring problem, you should investigate the feasibility of drilling a new w II or installing a point-of-entry disinfection unit which can use chlorine, ultraviolet light, or ozone Do not use the water for drinking, cooking, washing dishes, bathing, or showering unless you boil it for at least one minute. Other Comments l . 1-,-,,,, ,s,,„,,. €0,if __ (7‘,„)(1/1)s)4 - . May 2008 cto /. Ke), 04.,), 1 ,..,,,ztto oftri , 77 l C3.3 • MEMORY TRANSMISSION REPORT TIME : 07-01-'08 13:39 FAX NO.1 :3367714633 NAME :DENR 3367714633 FILE NO. 506 DATE 07.01 13:38 TO : H 919198704807 DOCUMENT PAGES 2 START TIME : 07.01 13:38 END TIME : 07.01 13:38 PAGES SENT 2 STATUS OK *** SUCCESSFUL TX NOTICE *** North Carolina Department of Environment and Natural Resources Division of Water Quality Aquifer Protection Section Winston-Salem Regional Office FAX COVER SHEET DATE: 07/01/2008 TIME: 2:45pm TO: Dr. Kan Rudo FAX NUMBER: 919-870-4807 FROM: Stephen Berry Phone: (336) 771-5288 Fax: (336) 771-4631 NUMBER OF PAGES INCLUDING COVER SHEET: 2 MESSAGE: Dr. Rudo, The succeeding lab analysis illustrates a fecal coliform presence in Mr. Tolfree's drinking water supply spring. I would appreciate a faxed version of a drinking water health risk evaluation (for Coliform)for the Tolfree residence. Thank you for your time, Stephen Berry North Carolina Department of Environment and Natural Resources Division of Water Quality Aquifer Protection Section Winston-Salem Regional Office FAX COVER SHEET DATE: 07/01/2008 TIME: 2:45pm TO: Dr. Ken Rudo FAX NUMBER: 919-870-4807 FROM: Stephen Berry Phone: (336) 771-5288 Fax: (336) 771-4631 NUMBER OF PAGES INCLUDING COVER SHEET: 2 MESSAGE: Dr. Rudo, The succeeding lab analysis illustrates a fecal coliform presence in Mr. Tolfree's drinking water supply spring. I would appreciate a faxed version of a drinking water health risk evaluation (for Coliform) for the Tolfree residence. Thank you for your time, Stephen Berry e `f 0 KernaaHle,North C&di a 2728$9 May 2008 Division of Water Quality TERMS:NET 30 "PAST DUE INVOICES ACCRUE 585 Waughtown St. INTEREST AT 1'/2% INTEREST PER MONTH UNTIL PAID Winston-Salem, NC 27107 SHOULD COLLECTION BE REQUIRED, Attention: Sherri Knight CUSTOMER AGREES TO PAY ANALYTICAL ALL EXPENSES INCURRED INCLUDING ATTORNEY'S FEES" L.AbORATOR1ESr INC. RE:- — Post Office Box 473 INVOICE NO. 9 8 Phone:336/996-2841 RECEIVED N.C.Not of ENR MAY 212008 Sample collected 05/13/08 Winston-Salem Regional Office Analysis of one (1) potable water sample for: Total Coliform @ $30.00/sample $30.00 Fec Coli-MF @ $16.00/sample $16.00 TOTAL INVOICE $46.00 RESEARCH & ANAlyTICAl. ,,•0 to.ANAtyr'••,, LABORATORIES, INC. ;`�� ''••.•..0 ' ��''•� o n Analytical/Process Consultations =� y NC# 1 z:. 0. 0 %..iREC.c9Q e*<3 May 16, 2008 NC DWQ 585 Waughtown Street Winston-Salem,NC 27107 Attention: Stephen Berry Re: Bacteriological Testing Sample Source: Tolfree 1?ai le I To rlir-c c Sample Date: 05/13/08 Ce8 ' - gc+ti'`-1 Sc,A1A. Fk 12d Sample Time: C-Tie,hcA.vut ^J c 2 7ZS 3 Sample Received: 05/13/08 Sample Analyzed: 05/13/08 Sample Number: 616894 Parameter Method Results Total Coliform Colitag Present Fecal Coliform Colitag Present Analyst: S.J. Bacterial Contamination Found Fecal Contamination Found P O. Box 473• 106 Short Street• Kernersville, North Carolina 27284•336-996-2841 •Fax 336-996-0326 www.randalabs.com t ,• ,,,,�411A41N 11111,�,'I n RESEARCH 8t ANAL�/TICAE .•4�g , :4Co44.„rn , TRIES INC. 'iv;•2* L A O , . ¢ :o �, M :d' NC#34 z. = t • r '- ' Analytical/Process Consultations S ''4•11QEDAV �s0 NC DWQ Date Sample Collected : 05/13/08 585 Waughtown Street Date Sample Received : 05/13/08 Winston-Salem, NC 27107 Date Sample Analyzed : 05/13/08 Attn: Stephen Berry Date of Report : 05/16/08 Analyses Performed by : SJ Lab Sample Number 616895 Parameter Storet # Results Fec Coli-MF (31616) 10 col/100 ml Clients Sample Source TOLFREE Number .• Time Collected (Hrs) .• P.a Box 473• 106 Short Street• Kernersville, North Carolina 27284.336-996-2841 •Fax 336-996-0326 www.randalabs.com RESEARCH & ANAlyTICAl y III LAbORATORIES f INC. CHAIN OF CUSTODY RECORD ,•• Analytical / Process Consultations Phone (336) 996-2841 WATER I WASTEWATER MISC. COMPANY JOB NO. of G DC")Q b°T y0. lir STRESS (444.0C r^ANA - S'} PROJECT�UL�� ai o 4aE 5 J O` reir le CITY,STATE,�P SAMPLER NAy1E(PLEAS PRINT) �Q010 y0s b 4 2 021 tf CONTACT n PHONE C��$ SAMPLER RE 0� �, �O CS�� 0004� � �j.t[ 1r}w / �. J O Q ` c� ' c� Q. /•ice o F �' C� Q' Q' Q' to NUMBERSAMPLE CHLORINE SAMPLE DATE TINE CCUPD AS wit CI ry ° SAMPLE LOCATION I LD. g it.'ry ry tr. ,Q.v ^' ., 4- REQUESTED ANALYSIS CQ (i 4 LI sly 8 11 _ aT4c�+Ct�>I — ck5 3 4 x Tarter _ cbt gr l _ RR! I HED DATE/TIME RECEIVED BY REMARKS: '1/42( 5f is, RELINQUISHED BY DATE/TIME RECEIVED BY I SAMPLE TEMPERATURE AT RECEIPT I I 0 °C NC CDWQ La6oratory Section 1Resufts County: ALAMANCE Sample ID: AB30022 Rivbr Basin �oF WAT90 PO Number# 8G0504 Report To WSROAP c C E;V ED 1 O G Date Received: 05/14/2008 N.C.Dept.of ENR + Y Collector: S BERRY Time Received: 08:00 Region: WSRO MAY 2 8 G Y Labworks LoginlD MMATHIS Sample Matrix: GROUNDWATER Date Reported: 5/22/08 WATER SUPPLY Winston-Salem Loc. Type: Regional Office Report Generated: 05/22/2008 Emergency Yes/No COC Yes/No VisitlD Loc.Descr.: DANIEL TOLFREE <:),a S I;- /0e3 Location ID: WSROAPNLC Collect Date: 05/13/2008 Collect Time:: 12:50 Sample Depth Sample Qualifiers and Comments Routine Qualifiers For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access A-Value reported is the average of two or more determinations N3-Estimated concentration is<PQL and>MDL B1-Countable membranes with<20 colonies;Estimated NE-No established PQL B2-Counts from all filters were zero. P-Elevated PQL due to matrix interference and/or sample dilution 63-Countable membranes with more than 60 or 80 colonies;Estimated 64-Filters have counts of both>60 or 80 and<20;Estimated Q1-Holding time exceeded prior to receipt at lab. Q2-Holding time exceeded following receipt by lab 65-Too many colonies were present;too numerous to count(TNTC) PQL-Practical Quantitation Limit-subject to change due to instrument sensitivity J2-Reported value failed to meet QC criteria for either precision or accuracy;Estimated U-Samples analyzed for this compound but not detected J3-The sample matrix interfered with the ability to make any accurate determination;Estimated Xl-Sample not analyzed for this compound J6-The lab analysis was from an unpreserved or improperly chemically preserved sample;Estimated N1-The component has been tentatively identified based on mass spectral library search and has an estimated value LAB Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 (919)733-3908 Page 1 of 2 NC DWQ Laboratory Section ResultsSample ID AB30022 Location ID: WSROAPNLC Collect Date: 05/13/2008 Loc.Descr.: DANIEL TOLFREE Collect Time:: 12:50 Visit ID CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By/Date Sample temperature at receipt by lab 1.4 °C DSAUNDERS MMATHIS Method Reference 5/14/08 5/14/08 MET 7440-22-4 Ag by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7429-90-5 AI by ICP 50 980 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-38-2 As by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-38-3 Ba by ICP 10 20 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-70-2 Ca by ICP 0.10 6.8 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-43-9 Cd by ICPMS 1.0 1.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-47-3 Cr by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-50-8 Cu by ICPMS 2.0 12 ughL SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-48-4 Fe by ICP 50 1900 VI- DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-09-7 K by ICP 0.10 0.70 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7439-95-4 Mg by ICP 0.10 3.1 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7439-96-5 Mn by ICPMS 10 31 ug/L DSTANLEY ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-23-4 Na by ICP 0.10 5.1 mg/L DSTANLEY ESTAFFORD Method Reference EPA 200.7 5/19/08 5/21/08 7440-02-0 Ni by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7439-92-1 Pb by ICPMS 10 10 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7782-49-2 Se by ICPMS 5.0 5.0 U ug/L SGOSS ESTAFFORD Method Reference EPA 200.8 5/19/08 5/21/08 7440-66-6 Zn by ICPMS 10 11 ug/L SGOSS ESTAFFORD Method Reference EPA200.8 5/19/08 5/21/08 Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 (919)733-3908 Page 2 of 2 1 • North Carolina GROUNDWATER FIELD/LAB FORM Department of Environment and Natural Resources DIVISIO TER QUALITY-GROUNDWATER SECTION A-' ��/ SA LE TYPE SAMPLE PRIORITY C. �U �+a. ` County �/�/ t' {u �ater '6d' Routine Lab Number C� ' o To(afar Quad No Slrtal No. ❑ Soil ❑ Emergency (e.l Date Received l4 Cg Time:tap � Lat. Long. ❑ Other Rec'd By: From:Bu ourl�Han . ❑ Chain of Custody Other. Report To:ARO, FRO,MRO,RRO,WaRO,WiRO, ,� Data Entry By: Ck: WSRO,Kinston FO, Fed.Trust,Central Off.,Other: A/!t ' Date Reported: • Shipped by:Bus,Courier, Hand Del.,Other: U U✓r H Purpose: Collector(s): S1201 Date S1/310 Time it:SV Basel gmplaint ompiiance,(LUSoT,Pesticide Study, Federal Trust, Other: FIELD ANALYSES U �/� Owner CC Fork:e) pH 40, 55.0) Spec.Cond.g4 /ry at 25°C Location or Site 643 33 c i �k: �� Temp.10 I''�.(i-(, °C Odor Description of sampling point Pr,'•'�.3 ~ Appearance Sampling Method Sample Interval Field Analysis By: 54, j.b.-g� Remarks • (Pump.bailer.elc.1 LABORATORY ANALYSES (Pumping time,air temp.,etc.) BOD 310 mg& ^Diss.Solids 70300 mglL Jg-Silver 46566 ug/L Organochlnrine Pesticides COD High 340 mg/L Fluoride 951 mg/L I AI-Aluminum 46557 ugh_ Organophosphnrus Pesticides . COD Low 335 mg/L Hardness:Total 900 mg/L �, As-Arsenic 46551 uq/L Nitrogen Pesticides Coliform:MF Fecal 31616 /100m1 Hardness(non-carb)902 mg/L V Oa-Barium 46558 ug/L Acid Herbicides Coliform:MF Total 31504 /100ml Phenols 32730 ugh Ca-Calcium 46552 mq/L PCBs TOC G80 mg/L Specific Cond.95 uMhos/cm Cd-Cadmium 46559 uq/L Turbidity 76 NTU Sulfate 945 mg& / Cr-Chromium 46559 ug/LResidue.Suspended 530 mg/L Sulfide 745 mg/L ✓ Cu-Copper 46562 ttq& Fe-Iron 46563 ug/L Semlvolatile Organics Oil and Grease mg/L /Hg-Mercury 71900 ug/L TPH-Diesel Range pH 403 units ✓ K-Potassium 46555 mg/L Alkalinity to pH 4.5 410 mg/L I Mg-Magnesium 46554 mg/L Alkalinity to pH 8.3 415 mg/L ✓ Mn-Manganese 46565 ug/L Volatile Organics(VOA bottle) Carbonate 445 mg/L -NH7 as N 610 • mglL ✓ Na-Sodium 46556 mg/L. TPH-Gasnline Range Bicarbonate 440 mg/L TK61.as N 625 mg/L / Ni-Nickel ug/L TPH-BTEX Gasoline Range Carbon dioxide 405 mg/L NO7+NO7 as N 630 mg/L I/ Pb-Lead 46564 ttg& ' Chloride 940 mg/L P:Total as P 665 mg/L —7-Se-Selenium uq/L Chromium:Hex 1032 ug/L Nitrate(NO3 as N)620 mg/L v Zn-Zinc 46567 ug/L Color:True 80 CU Nitrite(NO7 as N)615 mg/L LAB USE ONLY Temperature on arrival Cyanide 720 mg/L IV Lab Comments GW-54 REV.7/03 For Dissolved Analysis-submit filtered sample and write"CIS'in block. • 1 RESEARCh & ANAWTICAl .0 LAbORATORIES, INC. CHAIN OF CUSTODY RECORD ',wimp Analytical / Process Consultations Phone C336) 996-2841 WATER/WASTEWATER MISC. COMPANY JOB NO. tJG .Dc4 6? g0• STREET ADDRESS I C PROJECT �Q t~ -''O� 7$S W w.v t In."�j1ANA_ J4 1 D L y v y ,�0 y0•�e� Z CITY,STATE, IP J Q0 -29 O. c'O�m '1.ti 0 O SAMPLER E(PLEAS PRINT) \ "N C.' b QiN IAc \ e l I %*stow S. 4G s ia7- e.... �'', a �0„tD dr� �-4) O. 2•\z,�o4� 1 CONTACT PHONE SAMPLER RE 1 P' \ O &61 4)' 00 eI Q- S,{. j� c 4 •a ` 03 CP G 0 IG ^v'^ �' ✓ 2gJ g C9 Q Q�C9 ��r✓i��' RESaiaar� s�►ae O o4 F F Q• O Q' Q' Q' c (LAB US NUMBERL DATE TIME COUP GRAB .TEMP o SAMPLE LOCATION 1 LD. = tip'ti ti`�' ti`�' �� •." , ��0 REQUESTED ANALYSIS 514 X w► _ a1 At Colr - 53 _ TO 1 Ca1, . 1 RELI QUI HED DATE/TIME RECEIVED BY REMARKS: 5I Is RELINQUISHED BY DATE/TIME RECEIVED BY I SAMPLE TEMPERATURE AT RECEIPT °C 07/01/2008 16:01 6166/0460/ UttG mtKH rrauC. CPI ivc Information and Recommendations for Uses of Private Well Water For Biological Contaminants Found in Water North Carolina Occupational and Environmental Epidemiology Branch (OEEB) For Additional Advice and Information call 919-707-5900 Namett, o4ulL1 /Q1Cirej4 County :- Aill40et Sample Identification Number: u J4 Information on Your Private Well Water Your well water was laboratory tested for biological contaminants (total coliform and fecal coliform bacteria). Total coliform bacteria are found in soil and fecal coliform bacteria are found In animal and human waste. The presence of total coliform or fecal coliform bacteria in well water Indicates that the well may have structural deficiencies or that the well was not properly disinfected. Recommendations for Uses of Your Private Well Water ..."..... No coliform bacteria were found In your well water, Therefore, your water could be used for drinking, • cooking, washing dishes, bathing, and showering. iimiTotal coliform and/or fecal coliform bacteria were detected in the resample which indicate that pathogenic bacteria from human or animal waste could possibly enter the well. There may be a problem with the construction of the well, the water source, or operation of the well. The water may not be safe. If you have been drinking the well water and are pregnant, nursing, have a child in the household under 5 years of age, or immunocompromised (such as an individual with AIDS, cancer, hepatitis, dialysis or surgical procedures) inform your physician of the results. The well needs to be Inspected by the local health department or a local well contractor to determine the problem with the well and to give guidance on how to correct the problem. You should resampie your water after proper well inspection and disinfection to make certain that the problem does not recur. If the contamination Is a recurring problem, you should investigate the feasibility of drilling a new w II or installing a point-of-entry disinfection unit which can use chlorine, ultraviolet light, or ozone Do not use the water for drinking, cooking, washing dishes, bathing, or showering unless you boil it for at least one minute. Other Comments i fo � 4 , A � • . May z008 ggAtif _.- TX/0 W. . cm ,. (eA. (kid) . 1 07/01/2008 16:01 9198704807 UELB MtJA F'Atat F71/171 07-01-'08 13:38 FR0M-DENS 3267714633 3367714633 T-002 P002/002 F-506 • RESEARcI-I & ANAl/Tic,Al ",•...., LABORATORIES ANC. . f 4, ° IV •� e. it:cc k:Analytical/Process Consultations N0137701 �' • % %.°4:000,•43 May 16,2008 • NC DWQ 585 Waughtown Street Winston-Salem,NC 27107 Attention: Stephen Berry Re: Bacteriological Testing --- ., Sample Source: Tolfree Dai+leI Tsleree Sample Date: 05/13/08 32 sC4 C1 Sev4'k irk Ka Sample Time: Cla,iub i pi e. 2iS 3 Sample Received: 05/13/08 Sample Analyzed: 05/13/08 Sample Number: 616894 Parameter Kethod Results Total Coliform Coli.tag Present Fecal Coliform Colitag Present Analyst: S.J. • Bacterial Contamination Found Fecal Contamination Found P.O.Box 473.106 Short Street•Kernerevll►e,North Caroline 27284.336.896.2841 •Fax 338.99E-032S www,rendelebs,com 05/16/2008 08:35 336-9960326 R & A LABORATORIES PAGE 02/04 ,RESEARCh & ANALyTICAl. .�c•• • ra�� r LAbORATORIES, INC. .�, .4�,�: ; I 'I'" cw ro`' A •.$1. Analytical/Process Consultations ock 12 May 16, 2008 NC DWQ 585 Waughtown Street Winston-Salem,NC 27107 Attention: Stephen Berry Re: Bacteriological Testing Sample Source: Tolfree Sample Date: 05/13/08 Sample Time: Sample Received: 05/13/08 Sample Analyzed: 05/13/08 Sample Number: 616894 Parameter Method Results Total Coliform Colitag Present Fecal Coliform Colitag Present Analyst: S.J. Bacterial Contamination Found Fecal Contamination Found P,O. Box 473.106 Short Street-Kernersville,North Carolina 27284.335.996-2841 •Fax 338.996-D326 www.randelabs.com 05/16/2008 08:35 336-9960326 R & A LABORATORIES PAGE 03/04 .1.11', RESEARCIi & ANALyTICA1 `�c . '• LAbORATOR1ES�INC. '-iLs '`� ♦• ,,�I a ;la NC . jai 1 If �'4#4�Q 111 %$ sato- NC DWQ Date Sample Collected : 05/13/08 585 Waughtown Street Date Sample Received : 05/13/08 Winston-Salem, NC 27107 Date Sample Analyzed : 05/13/08 Attn: Stephen Berry Date of Report : 05/16/08 Analyses Performed by : SJ Lab Sample Number 616895 C L- G O C C 7 Parameter Storet # Results Fec Coli-MF (31616) 10 col/100 ml Clients Sample Source TOLFREE Number Time Collected (Hrs) . P.O. Box 473•106 Short Street•Kernersville,North Caroline 27284.330-996-2841 •Fax 336-996.0328 www,re ndelehs.com