WS-3254_9547_CA_HRE_20180312_HRE Request Memo Roberts Prop

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary MICHAEL SCOTT Director
State of North Carolina | Environmental Quality | Waste Management
1646 Mail Service Center | 217 West Jones Street | Raleigh, NC 27699-1646
919 707 8200 T

MEMORANDUM

TO: Dave Lilley, Environmental Toxicologist, NCDEQ
FROM: Herb Berger, Central Office, UST Section

SUBJECT: Request for Health Risk Evaluation
Jerry’s Place, Incident#9547 State Road, Surry County, WSRO
Enclosed please find the analytical results for a water sample collected from the supply well used at the subject site. The well is identified as WSW-5 on the attached analytical report. 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 919-707-8170.

Attachment: WS-3254_9547_CA_LAB_20180220
WS-3254_9547_CA_HRE_20180427_HRE Request Memo Roberts Prop

State Lead Referral Notification Bennett and Bailey
2872 South Stratford Rd Winston-Salem, Forsyth County, NC Incident#14498
March 12, 2018 Page 2

State of North Carolina | Environmental Quality | Waste Management
1646 Mail Service Center | 217 West Jones Street | Raleigh, NC 27699-1646
919 707 8200 T