WS-3254_9547_CA_HRE_20081217

An Equal Opportunity / Affirmative Action Employer - 50 % Recycled \ 10 % Post Consumer Paper

Division of Waste Management Underground Storage Tank Section
December 17, 2008 MEMORANDUM TO: David Lilley, CIH, CSP, Industrial Hygiene Consultant, NC DWM
FROM: Herb Berger, Central Office, UST Section
SUBJECT: Request for Health Risk Evaluation for Well Sampling Results Jerry’s Convenience Store, Incident#9547 State Road, Surry County, WSRO
Enclosed please find the analytical results for a water sample collected from the Ted Roberts supply well, identified as WSW-5, located at 983 NC HWY 21, State Road, Surry County, NC. Please perform a health risk evaluation and send your determination, with a copy of this memo, to our office. Our office will then forward your evaluation to the well owner. If you have questions or need additional information, please contact me at 919-733-1319. Thank you for your assistance.
Attachment: Ted Roberts well (WSW-5) Sampling Results
North Carolina Department of Environment and Natural Resources
Michael F. Easley, Governor
William G. Ross Jr., Dexter R. Matthews, Director