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Home My WebLink AboutNCD980602163_19820825_Warren County PCB Landfill_SERB C_Inorganic Chemical Analyses - Public Water System-OCRJ \ STATE LABORATORY OF PUBLIC HEALirH ,., DIVISION 95 HEALTH SERVICES N.C. DEPARTMENT OF HUMAN RESOUR ES P.O. BOX 28047 -306 N._1WILMINGTON ST., RAL ~IGH 27611 INORGANIC CHEMICAL ANALYSES -PUBLIC WATER SYSTEM . ) I • • ,, Complete All Items Above Heavy Line (See ~-hstructions on Reverse Side) Name of System: r/<.JL r I .£ 00 ~g-Ell LVt Address: Ste l{.C 'i q-L f-To JV l · c_ /. ZIP County: LAJ,.-l J( Ii.' [ /\/ r ' ----' Report To: I I r1 /_ r-1 I('~,_., C'S; IC 1 Address: ~(_If') T ll11z U/1 S7E ZIP Telephone Number: (11'! ) 73, -Zt ?x Collected By: 7 l; f7 /C;4 N>1.-0 ->K I c't /-/ l ;( AM Date Collected : '."' -..... Time: ( 1 rY) ...,.._ Location of Sampling Point: .5/1/lc,, Ml (Address where sample was collected) t.v£ {(. /-IC<J . f Remarks: State Drinking Water Parameters (Required) Results ./ Arsenic V _,,,,, <.tl,OJ mg/I Barium ✓,,,,-<U./ mg/I Cadmium /..,,, ,< 0, 0 <.:J,S-mg/I Chromium ✓/ --< ,_,, o/ mg/I Fluoride ,._.,/ <0,/0 mg/I Lead ✓/ <.o . o:3 mg/I Mercury ✓ ./ <:.. OoOOO""'--mg/I Nitrate (asN) v✓ 0 .1 ~ mg/I Selenium ✓/ <tJ .. 00!)-mg/I Silver .,,.. _/ <:::.o,u;,i.... mg/I pH ✓ ../ Iron ✓ Manganese ✓ DHSForm2887 7/79 Laboratory 1/,0 units r,;, ;,t./ mg/I tJ ,CJB -mg/I 2 2 3 2 2 2 4 2 3 2 1 2 2 Type of Syste,mr ( ) Comrryunity ~ f) ( ) Non-qommunity e>~.,-~ --~✓- Source of Water: ~WAm.~~ t~,.,.,r Grout ( ) Both ( ) Surfa 1 e ( ) Purchased Source of Samplb: ( ) Distri tiution Tap ( ) House Tap (v-(°. Well Tap T~f Sample: ( Raw ( ) Treated Tr. TreatmJrt: ( ) None ( ) Lime ( ) Chlori~ated ( ) Soda Ash ( ) Fluoridated ( ) Polyphosphate ( ) Filtered ( ) Water Softener ( ) Alum ( ) Other Type of Sample : ( ) Regular ( ) Private ( ) Check ( ) Special WATER SYSTEM I.D. NUMBER (COPY FROM MAILING LABEL) □(]-□□-□□□ I Optional Parameters ( List as needed) I I S/'£C. C0 ,1vtJ I ✓ ' OWNER Results l'-14 ,,h ,,.,. /,,b( I Mildred A . Kerbaugh Director / INSTRUCTIONS Using typewriter or ball point pen, fill in all req uested information on the top portion of form front. Please print leg ibly if typewriter is not available. Before taking the sample, remove the two "freeze packs" from the styrofoam mailer and place in a freezer overnight. (SAMPLES NOT PRESERVED BY ICING DURING SHIPMENT WILL NOT BE TESTED.) -------- SAMPLE COLLECTION: 1) Remove the two 1-quart plastic containers and inflate by mouth, if uninflated. 2) Let the water (to be sampled) run for 5 minutes to assure that the water is from the distribution system. 3) Rinse each plastic container two or three times, and discard the water. 4) After rinsing, fill each container to within approximately one inch of top of the sampling container. Then cap the container securely. Check samples (see Types of Samples below), samples from non-community systems, and special samples may contain only one 1-quart sampling container, rather than two. SAMPLE SHIPMENT: 1) After collection of the sample(s), replace the two frozen "freeze packs" in the styrofoam mailer. 2) Next, place the two 1-quart samples into the mailer and cap. 3) After capping the styrofoam mailer, place the report from (UNFOLDED) on top, then seal the cardboard box. Mail immediately to the State Laboratory using the supplied label. The sender is required to pay shipping costs. The analysis takes several days for completion, and the report will be mailed back as soon as possible. Please do not call the laboratory to request "early" results, unless absolutely necessary. LIMITS OF ALLOWABLE CONCENTRATIONS FOR DRINKING WATER ARE LISTED BELOW: Parameters Arsenic Barium Cadium Chromium Fluoride (Temperature Dependent) Lead Mercury Nit rate (as N) Selenium Silver Iron Manganese pH Limits (mg/I) 0.05 1.0 0.010 0.05 1.4-2.4 0.05 0.002 10.0 0.01 0.05 0.3 0.05 not less than 6.5 units Methods (EPA-600/4-79-020) AA, furnace technique, pp. 206.2-1 -206.2-2 AA, direct aspiration, pp. 208.1-1 -208.1-2 AA, furnace technique, pp. 213.2-1 -213.2-2 AA, furnace technique, pp. 218.2-1 -218.2-2 Ion Selective Electrode, pp. 340.2-1 -340.2-3 AA, furnace technique, pp. 239.2-1 -239.2-2 Manual Cold Vapor technique, pp. 245.1-1 --245.1-6 Colorimetric, Brucine, pp. 352,1-1 -352.1-3 AA, furnace technique, pp. 270.2-1 -270.2-3 AA. direct aspiration, pp. 272.1-1 -272.1-2 AA, direct aspiration, pp. 236. 1-1 -236.1-2 AA, direct aspiration, pp. 243.1-1 -243.1-2 pH Electrometric, pp. 150. 1-1 -150. 1-3 If sample concentrations are greater than the allowable concentrations, a check sample(s) will be required. Regular: Special: TYPES OF SAMPLES A sample(s) submitted to meet the monitoring requirements of the North Carolina Drinking Water Act, GS 130 - Article 130. A sample(s) submitted when a previous sample has exceeded the allowable concentrati·on. The check sample should be taken from the same sample distribution tap as the previous sample. A sample(s) from a private water supply submitted by a licensed physician, sanitarian or other health department represen- tative. A sample(s) submitted by an engineer working with the State or the E.P.A., a sample taken by the owner/operator of a water system for a new well, a landfill test well sample or other non-categorized sample. STATE LABORATORY OF PUBLI C HEAL H DIVISION OF HEAL TH SERVI CES ; N.C. DEPARTMENT OF HUMAN RESOUR ES P.O. BOX 28047 -306 N. WILMINGTON ST., RAL IGH 27611 , . INORGANIC CHEMICAL ANALYSES -PUBLIC WATER SYST Complete All Items Above Heavy Line (See lhstructions on Reverse Side) Type of System,: ( ) Com~unity Address: ~,,S-fZ __ ~/~6_0_'i ___________ , ( ) Non-1ommunity • ·· Soui:5e of Wate ~ ( t/) Ground _8_,_,__F_,_roc........r....N""'-+-'-M"----"<---=c"----ZIP ____ ---i I ( ) Surfa9e County: Source of Sampl1e: Report To:. __ L-.-..O ____ J<:~yj_Jt'_JJ_D_S,_~~I ____ _ ( ) Distri ution Tap p 7 1 Both Purchased (~House Tap ( ) Well Tap Address: ~lit:, + t k/2 JT£ --Ty-pp-ee-.9io_S_a_m_p-le-+~-------------- ( vr Raw I Treated ------------ZIP------T~Treatm nt: ( ',/'f ) 73J Cl 7<g ( ) None Lime Telephone Numbe::,.r:..: =::::___,:;:;;------------=---1 ( ) Chlorimated Soda Ash ..-J i/'1 ( ) Fluori~ated Polyphosphate Collected By: ---'--~---'---L.-.:C....,.-<-.c.....;;.-=-""""-"----'--------l ( ) Filtered Water Softener A AM I r :, 0 /\,., ( ) Alum Other Date Collected: _?_Y~~U_b~~-'-~_Time: __ ~_v_,v ___ -M' _ _, ________________________ _ Location of Sampling Point: (Address where sample was collected) Remarks: State Dri nking Water Parameters (Required) Results Arsenic Barium Cadmium Chromium Fluoride Lead Mercury Nitrate (as N) Selenium Silver pH Iron Manganese mg/I 2 mg/I 2 mg/I 3 mg/I 2 mg/I 2 mg/I 4 mg/I 2 mg/I 3 n'lg t 2 units . 1 _ mg/I 2 mg/I 2 Type of Sample: ( ) Regular ( ) Check I Private Special WATER SYSTEM ~.D. NUMBER (COPY FROM MAILING LABEL) □: -□□-□□□ Optional Parame~ers (List as needed) Results 0 . 9-/-Pz._ -, Date Received ___________ Date Reported-'·----------Repo~By~ . ~,38 --~-1 ~ g-t S"-v 'Z- Date Analyzed ___________ Laboratory Number----------+------------------ OHS Form 2887 7 /79 Laboratory OWNER Mildred A . Kerbaugh D irector INSTRUCTIONS Using typewriter or ball point pen, fill in all requested information on the top portion of form front. Please print legibly if typewriter is not available. Before taking the sample, remove the two "freeze packs" from the styrofoam mailer and place in a freezer overnight. (SAMPLES NOT PRESERVED BY ICING DURING SHIPMENT WILL NOT BE TESTED.) SAMPLE COLLECTION: 1) Remove the two 1-quart plastic containers and inflate by mouth, if uninflated. 2) Let the water (to be sampled) run for 5 minutes to assure that the water is from the distribution system. 3) Rinse each plastic·container two or three times, and discard the water. 4) After rinsing, fill each container to within approximately one inch of top of the sampling container. Then cap the container securely. Check sampres '(see Types of Samples below), samples from non-community systems, an·d special samples may contain only one 1-quart sampling container, rather than two. SAMPLE SHIPMENT:. 1) After collection of the sample(s), replace the two frozen "freeze packs" in the styrofoam mailer. 2) Next, place the two 1-quart samples into the mailer and cap. 3) After capping the styrofoam mailer, place the report from (UNFOLDED) on top, then seal the cardboard box. Mail immediately to the State Laboratory using the supplied label. The sender is required to pay shipping costs. The analysis takes several days for completion, and the report will be mailed back as soon as possible. Please do not call the laboratory to request "early" results, unless absolutely necessary. LIMITS OF ALLOWABLE CONCENTRATIONS FOR DR INKING WATER ARE LISTED BELOW: Parameters Arsenic Barium Cadium Chromium Fluoride (Temperature Dependent) Lead Mercury Nitrate (as N) Selenium Silver Iron Manganese pH Limits (mg/I) 0.05 1.0 0.010 0.05 1.4-2.4 0.05 0.002 10.0 0.01 0.05 0.3 0.05 not less than 6.5 units Methods (EPA-600/4-79-020) AA, furnace technique, pp. 206.2-1 -206.2-2 AA, direct aspiration, pp. 208.1-1 -208.1-2 AA, furnace technique, pp. 213.2-1 -213.2-2 AA, furnace technique, pp. 218.2-1 -218.2-2 Ion Selective Electrode, pp. 340.2-1 -340.2-3 AA, furnace technique, pp. 239.2-1 -239.2-2 Manual Cold Vapor technique, pp. 245.1-1--245.1-6 Colorimetric, Brucine, pp. 352, 1-1 -352.1-3 AA, furnace technique, pp. 270.2-1 -270.2-3 AA. direct aspiration, pp. 272. 1-1 -272.1-2 AA, direct aspiration, pp. 236. 1-1 -236.1-2 AA, direct aspiration, pp. 243.1-1 -243.1-2 pH Electrometric, pp. 150. 1-1 -150. 1-3 If sample concentrations are greater than the allowable concentrations, a check sample(s) will be required. Regular: Check: Special: TYPES OF SAMPLES ---- A sample(s) submitted to meet the monitoring requirements of the North Carolina Drinking Water Act, GS 130 - Article 13D. A sample(s) submitted when a previous sample has exceeded the allowable concentration. The check sample should be taken from the same sample distribution tap as the previous sample. A sample(s) from a private water supply submitted by a licensed physician, sanitarian or other health department represen· tative. A sample(s) submitted by an engineer working with the State or the E.P.A., a sample taken by the owner/operator of a water system for a new well, a landfill test well sample or other non-categorized sample.