Private Wells

r 44 h" �
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�?s-� RECEDED
DEC-0`12005
NORTH CAROLINA DEPARTMENT OF HEALTH AND H _M9MPGIONAL0fflM
DIVISION OF PUBLIC HEALTH
OCCUPATIONAL AND ENVIRONMENTAL EPIDEMIOLOGY BRANCH
DRINKING WATER HEALTH RISK EVALUATION
f GENERAL
LABORATORY#_a
DATE % t/ COUNTY
p Based on these analytical .results, this water should be considered safe, fornormal usage_
t show any contamination_ Water should be resampled -if odor
❑ Chemical analysis did no
or taste persists-
0 The water should not be used for drinking or cooking purposes; avoid prolonged
bathinglshowering.
p Based on these analytical results, this water is highly contaminated and should not be .
used for drinking, cooking; or bathing/showenna_ j +'
e laborato results are not conclusive, please resample,
The ry
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMI'LE AND PROVIDE
PREVIOUS SAMPLE NUMD3ER(S)-
COMMENTS:
Please resam le for lead immediate) Please take -a first draw, 5 minute and f5 minute
samj2le inside the housefpfeferabl the kitchen and if possible a first draw, 5 minute and
a 15 minute sam le of the well head. This will allow a possible determination of the
source of lead and a determination of the extent of the health risk that ma occur from
continued consumption.
For further information contact Dr, Ken Redo with the �cc�n ational and
Environmental Epideta�iology Branch at [phone].
Temporary Draft Form 8/22/05

North Carolina State Laboratory of Public Health
Department of Health and Human Services
P. O. Box 28047 -- 306 N. Wilmington -St. -- Raleigh, N.- C. 27611-8047
INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM
Name of System: Almond,,Wade Source of Water: Both
Address: 396 Almond Drive Source of Sample:
Aberdeen, NC Zip: 28315
Type of Sample: Raw
County: HOKE Type of Treatment: None
Report To: Hoke .Co. Health Dept:. ATTN: • Roland Little Type of Analysis Private
429 East Central Avenue [phone]
Raeford, NC 28376
Courier: 14-80-04
Collected By: ROLAND LITTLE Date: 9/1'9/2005 Time: `320: 0 PM RECEIVED -
Location of sampling point: Outside Tap", ,:, DEG fl �. �05
r,. \
Remarks: 281-3365 "
DEN�r_FAYEMILLEREGIONALOFECE
Parameters suits.,,�:c'.l)xits Date Analyzed:
Alkalinity as CaCO3 14 �\;yil mg/19/((20/2Q0.5 j l
Arsenic<0.0©1 mg 9/20/2005 t
j
Calcium 10 6, 4
mg / — l!
r, I i %0/005
Chloride IC SDI �, m9/i � 7'
Copper 063 f�`s��mg/Ir�� 9/20/2005
S. �� 0 �:L 4�
Fluoride<020� g/I� 9/20/2005
Iron�08 g/lam ti 9/20/2005 �.
Hardness as CaCO3 (Ca,Mg)�% ,t>°q g _� `� `'
4. r 3 x m /l ��,�9/20/2005
ZZ /
Magnesium �y 0 5 xmg/ICY 69�/20/200.5
Manganese < 0 03tff rig/I?� ` y9 20/2005
Lead -Its 015 s mg/l , } r9/2 /0 2005
pH �,5�'t��Std un�i�t:� ��9%2Q%2OS05
Zinc 0.16 mg/I 9/20/2005
Vj Us La, bror. o P W 11c He-P" it _ h
ECE5VE s
D �
• _ ICI I,�
�. OCCUPATIONAL & EN41?`I:'IE�'
Date Received: 9/20/2005 Report Date: 10/5/2005 , . Reported By:
Ref:;. 1.2315 Login Batch: ��` -' f
Today's Date: 10/5/2005 9 Q:5090Q41� _;; Sample Number: AB 2378

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Ashmont, North Carolina, United States
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396_ Almond--Drr E
396 Almond Dr
Aberdeen, NC 28
ie Hill
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--_� For$i agg� �a9
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4 \, _--Fort F� ort Bragg. ,
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211
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Copyright ©1988-2003 Microsoft Corp. and/or its suppliers. All rights reserved. http://www.microsoft.com/streets
© Copyright 2002 by Geographic Data Technology, Inc. All rights reserved. © 2002 Navigation Technologies. All rights reserved. This data includes information taken with permission from
Canadian authorities ©1991-2002 Government of Canada (Statistics Canada and/or Geomatics Canada), all rights reserved.

_ gal s .
a
A
DRINKING WATER HEALTH RISK EVALUATION
ARSENIC /1
DATE
/ !�)cL COUNTY 16- LABORATORY-4 ,g2aS%�
❑ Based on these analytical results, this water should be°con sidered safe for normal usage
❑ The water should not be used for drinking or cooking purposes
❑ Based on these analytical results, this water is highly contaminated and should not be used
for drinking, cooldng, or bathing/showering.
❑ The laboratory results are not conclusive, please resample.
i� See comments section below.
PLEASE INDICATE ON LAB SHEETTHAT:IT IS -A RESAMPLE.AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS: -
Arsenic levels of __L— ppb are above the recommended North Carolina groundwater
standard of 0.02 ppb. This arsenic level may pose a slightly increased cancer risk upon
consumption of 2 liters of water per day over an extended time period (over 30,years.)
Decreasing consumption to water from this well over time will reduce any additional health risks.
Other water uses (bathing, showering, washing dishes, etc.) should not pose anyhealth risks
and can be continued.
For further information, contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone].
DHHS 3891 (11100)
occupational & Environmental Epidemiology Branch (Review 2/02)
RECE VEI D
APR 112005
DENR - FAVETfEVILLE REGIONAL OFFICE

North Carolina State Laboratory of Public Health
Department of Health and Human Services
_p:-O. Box28047 -- 306 N. Wilmington St. -- Raleighi-N. C. -27611-8047
INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM
Name of System: Butler, Katie.
Address: 1228 Silver City St
Raeford, NC
County: HOKE
Report To: --Hoke Co. Health Dept.
429 East Central Avenue
Raeford, NC 28376
Courier: 14-80-04
Source of Water: Both
Zip: 28376 Source of Sample:
Type of Sample: Raw
Type of Treatment: None
ATTN: Roland Little Type of Analysis Private
[phone]
Collected By: ROLAND LITTLE Date: ,12/7/04 Time: 10:50 00 AM
Location of sampling point: Outside Tap
Remarks: r
Parameters
Alkalinity as CaCO3
-.Arsenic
Calcium
Chloride IC
Copper
Fluoride
Iron
Hardness as CaCO3 (Ca,Mg)
Magnesium
Manganese
Lead
pH .R
iResu Its
2.9_
Date Analyzed:
12/8/04
UM
-_ 8/047---
12/8/0
�}x
12/8/04
,} 12/8/04
12/8/04
12/8/04 f
Zinc 2/8/04
Avin^11Ak,.a9.: ;:mg_(,7'He
1f�.
P3 :° ° .. �a e '.+ r R ¢ '.a� .s"'�, .w^q,
c saris °a.YSS w "� v4 z., v,.� i to .:. _ � oic Ytc 11 „Ewa H da v�
Date Received: 12/8/04 Report Date: 12/17/04 Reported By: -S -1bl Il _ _ _(.l�-
Today's Date: 12/21/04 Ref: 15282 Login Batch: Sample Sample Number: AB20575

DRINKING WATER HEALTH RISK EVALUATION
ARSENIC
COUNTY 4 LABORATORY # fi
APR 11 2005
DMR - FA* EyILLE REGIONAL OR
❑ Based on these analytical results, this water should be --considered safe for normal usage
❑ The water should not be used for drinking or cooking purposes
❑ Based on these analytical results, this water is highly contaminated and should not be used
for drinking, cooking, or bathing/showering.
❑ The laboratory results are not conclusive, please resample.
�C See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of 7✓ ppb are above the recommended North Carolina groundwater
standard of 0.02 ppb. This arsenic level may pose a slightly increased cancer risk upon
consumption of.2 liters of water per day over an extended time period (over 30 years.)
Decreasing consumption to water from this well over time will reduce any additional health risks.
Other water uses (bathing, showering, washing dishes, etc.) should not pose any health risks
and can be continued.
->
CA
f 1
ate-
r1
For further information, contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, -[phone].
nIc
—i:Ij
DHHS 3891 (11/00)
Occupational & Environmental Epidemiology Branch (Review 2102)
Chi
c
t-a
I

North Carolina State Laboratory of Public Health
Department of Health and Human Services
P. O. Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 27611-8047
INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM
Name of System: Butler, Katie Source of Water: Ground
Address: 1228 Silver City St Source of Sample:
Raeford, NC Zip: 28376
Type of Sample: Raw
County: HOKE Type of Treatment: None
Report To: Hoke Co. Health Dept. ATTN: Roland Little Type of Analysis Private
429 East Central Avenue
Raeford, NC 28376
Courier: 14-80-04
Collected By: ROLAND LITTLE
Location of sampling point: Outside Tap
Remarks:
Parameters
Alkalinity as CaCO3
Arsenic
Calcium
Chloride IC
Copper
Fluoride
Iron
Hardness as CaCO3 (Ca,Mg)
Magnesium
Manganese
Lead`
pH
[phone]
Date: 2/21/2005 Time: 2 30:00 PM
,Results
6
0.002
3.3 ,
-Date. Analyzed:---
�2/22/2005
�2/22/2`005
1
2/22/2005 '.
2/22/2005
d
2/22/2006--j
2/22/2005 ft
2/22/2005
2/22/2005
t
9
�s%1
fi
2/22/2005-'
cn
212212005
--��
-
r11-rT1
C; a
• J I 1
2/22/2005
T
E
„IAt .•' k
»
Zinc _ v ; 1:20 mg/la 2/22/200+,51 g
..a- 9)1">ay
I
IA
:.:;i
n, rft - 7 2005
OCCUPATIONAL & ENVIROP�MENTAL
Date Received: 2/22/2005 Report Date: 3/3/2005 Reported By: *W01 .
Today's Date: 3/3/2005 Ref: 2149 Login Batch: 05.02005Q.- Sample Number: AB23289

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