WS-29296_48461_CA_HRE_20220526

May 26, 2022

MEMORANDUM

TO: Dave Lilley, Environmental Toxicologist, Division of Waste Management, 1646 Mail
Service Center, Raleigh, NC 27699-1646 (FAX [phone])

FROM: Karen J Hall, Winston-Salem Regional Office, UST Section, Division of Waste
Management

SUBJECT: Request for Health Risk Evaluation of Water Supply
Tracking ID: 48461 D & M Grocery

Enclosed please find the analytical results for a water sample collected on May 24, 2022, from the Mr. Gray
Sands water supply well, identified as 92606037, located at 6080 NC 704 E., Sandy Ridge, Stokes County.
Please perform a health risk evaluation and send the evaluation with your recommendation and a copy of
this memo to me. I will then forward the health risk evaluation and recommendation to any well users.

If you have questions or need additional information, please contact me at the address or telephone number
below. Thank you for your assistance.

Attachment(s): Gray Sands Sample Analytical Results
Historical Sampling Results
Information Relating to Water Supply Use