Private Well_20050609

HRJGe`av
DATE I� as COUNTY �i e LABORATORY
❑ ' Based on these analytical results, this water should ba 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.
a The laboratory results are not conclusive, please resample.
See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
r,
..COMMENTS:
Arsenic levels of 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.
For further information, contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone].
DHHS 3891.(11100)
occupational & Environmental Epidemiology Branch (Review 2102)

x 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: Bass, Gwendolyn
,-Address: 1054 Jesse Rd
Broadwavr NC Zip: 27505
County: HARNETT
Report To: Harnett Co. Health Dept. ATTN: Joe West
307 Cornelius Harnett Blvd. [phone]
Lillington, NC 27546
Courier: 14-73-01
Collected By: JOE WEST Date: 5111/2005
Location of sampling point: well head x.
Remarks:
X x
Parameters it 4 Units
Results ;. �..
Alkalinity as CaCO3 64mg/IF,
Arsenic 0.002� _ � �:rmg/I6�;',hT i
Calcium 13 3 eg '�mg/I
Chloride IC 3
0 05r"x'tskrt xx
Copper.q.
PPra+ kxh c5��5 FY4 tr�
Fluoride <0'20Mt ��sa 485P mg/i t &�
;ti srs ; � ,
Irony 0 62 z�Yvmg/lr� is
{; f .t '+5k Lt7��rfl g 4t;R ti±'
Hardness as CaCO3 (Ca,Mg)
5,1
Magnesium4 '„Er4 `K; +y y(eyky' aurK mg/1�rt�rwz
Manganese n F O 22 { j4} mgl
Lead ; �0 ;.10 .
�� r '�
pH u.,� .. f7:2y� <. , �. Sty`: unit
Source of Water:
Ground
Source of Sample:
Type of Sample:
Raw
Type of Treatment:
None
Type of Analysis
Private
Time: 1100:00 AM
Date Analyzed: t
5/13/2005
5/13/2005,
5/1312005:r _ ...
5/13/2005
5/13/2005
az
5/13/2005 `
5/13/2005 .. .
Zinc 'I-6 0:49 mg/I' = 5/13/20051 �.
'£•i?ed
I
t lnl:flFP,T°:i�iHl Y
..._ x
Date Received: 5/13/2005 Report Date: 6/1/2005_ Reported By: vjlkw
Today's Date: 6/1/2005 Ref: 5699 Login Batch: 05050039--..: ; Sample Number: AB 6838

�a A _... ..... -....... ----
/-1RJ ]��v
DATE °L-28y COUNTY __&V':ti?i"�'� LABORATORY 34 IM 19V?
o 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.
11 Seecomments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of If 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 I (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.
For further information; contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone].
DHHS 3891 (11100)
occupational & Environmental Epidemiology Branch (Review 2/02)

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: Duntz, Mark & Theresa
Address: 316 Royal Pines Ln.
Lillington, NC Zip: 27546
County: HARNETT
Report To: Harnett Co. Health Dept. ATTN: J. Turlington
307 Cornelius Harnett Blvd. [phone]
Lillington, NC 27546
Courier: 14-73-01'
Collected By: J. TURLINGTON Date:
Location of sampling point: Outside /
t
Remarks: Moore Homes
Homeowner reports rotten egg smell
Parameters
Alkalinity as CaCO3
Arsenic
Calcium
Chloride IC
Copper
Fluoride
Iron
Hardness as CaCO3 (Ca,Mg)
Magnesium
Manganese
Lead
pH
Source of Water: Ground
Source of Sample:
Type of Sample: Raw
Type of Treatment: None
Type of Analysis Private
Time: 1100:00 AM
Results,y&units .
,. -Date AnalyzedIS NIMI
8 '
?i r r-
.002. mg/IS ___ 10/7/04
4 0r; rng/I 10%7/04
5 0 mg/a 10/7/04
, 9
- m �10/7/04
�
0 20 w 3 xis, img/I �4x� 10/7/04
46CIYs''rrl /I a 1.0/7/04
3 1v0/7/04
Z nlcate x o r h 0 °i riD"i y i-� mgn � 1)1; �k.? 10/`I/004 � s
7
S
NA 6RD!
� � M K, pbl ales li,, �x
OCT 2.5 2004
OCCUPATIONAL & ENVIRONMENTAL
Date Received: 1017104 Report Date: 10/19/04
Today's Date: 10/19/04 Ref: 12673 Login Batch:
Reported By:
Sample Number: A 17979

ARSENIC
DATE �° COUNTY �PLLABORATORY
❑ 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.
ZSee comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of 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 (overt30 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.
For further information, contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone].
DHHS 3891 (11/00)
Occupational & Environmental Epidemiology Branch (Review 2/02)

4
North Carolina State Laboratory of Public Health
Department of Health and Human Services
P. 0. Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 27611-8047
INORGANIC CHEMICAL ANALYSIS -PRIVATE WATER SYSTEM,
,Name of System: Davis, M. L. Source of Water: Ground
Address: P.O. Box 18 Source of Sample:
Anqier, NC Zip:- 27501
Type of Sample: Raw
County: HARNETT Type of Treatment: None
Report To: Harnett Co. Health Dept. ATTN: Type of Analysis Private
307 Cornelius Harnett Blvd. [phone]
Lillington, NC 27546.
Courier: 14-73-01
Collected By: JAMES MANHART Date: 9/16/04 Time: 11:00:00 AM
Location of sampling point: Outside Spigot
Remarks:
Parameters Results Units Date Analyzed:
Silver
<0.05
mg/I
9/17/04
Alkalinity as CaCO3
32
mg/I
9/17/04
Arsenic
0.002
mg/I
9/17/04
Barium
<0.1
mg/I
9/17/04
Calcium
3.1
mg/I
9/17/04
Cadmium
..'-4-005
mg/l :
9/17/04
Chloride IC
14<:..:'
mg/f'
9/17/04
Chromium
<0 01.: -
mg/1'
9/17%04
Copper
<0`.05 :
mg/I
9/17/04
Fluoride
.6.20,
mg/I
9/17/04
Iron
4.65
mg/I
9/17/04
Hardness as CaCO3 (Ca,Mg) : °
:._ 20
mg/I
9/17/04'
Mercury
<0.0005
mg/I
9/17/04.
Magnesium''';,
3.0
mg/I
.9/17/04
Manganese .
0.94
mg/I.
9/17/04
Lead :.. h .'
. - <0.005
mg/I
9/17/04
pH
7.1
Std. unit
9/17/04
Selenium
<0.005
mg/I
9/17/04
{
Zinc
0.63
mg/I
9/17/_04
:w
Date Received: 9/17/04
Today's Date: 9/30/04
OCCUP; TIONAL & ENVIRU-NNIENTAL I
EPIDEMIOLOGY SECTION I
Report Date: 9/29/04 Reported By:
Ref: 11831 Login Batch:p� Sample Number: A 17135,

DRINKING WATER HEALTH RISK EVALUATION
ARSENIC
DATE COUNTY . 'X L LABORATORY
❑ 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.
V/ See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
.PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of 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.
For further information, contact Dr. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone].
DHHS 3891 (11/00)
Occupational & Environmental Epidemiology Branch (Review 2/02)

IMO"H %.0C11V Ina 0 lu VAorI I . --
Department of Health and Human Services 2004
P. 0. Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 276,11-8047
INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM
Name of System: McLean, Malinda
Address: 15688 McDougald Rd
Sanford, NC
County: HARNETT
Report To: Harnett Co. Health Dept.
307 Cornelius Harnett Blvd.
Lillington, NC 27546
Courier: 14-73-01
Zip: 27332
ATTN: Joe West
[phone]
Collected By: JOE WEST Date: 313/04
Location of sampling point: Outside Tap
Remarks: Homeowner wants the water tested for rust.
Parameters
Alkalinity as CaCO3
Arsenic
Calcium
Chloride
Copper
Fluoride
Iron
Hardness as CaCO3 (Ca,Mg)
Magnesium
Manganese
Lead
pH
Results.
104
0.001
2 6. 7—,",
m
Source of Water: Ground
Source of Sample:
Type of Sample: Raw
Type of Treatment: None
Type of Analysis Private
Time: 10:30:00 AM
Date Analyzed,
3/5/04
3/5/04
3/5/G4-:
3/5/04
3/5/04
3/5/04
04
Zinc
0110
3/5/04 1 s'
Date Received: 3/5/04 Report Date: 3/16/04 Reported By:
Today's Date: 3/18/04 Ref: 2933 Login Batch: §M14, Sample Number:V8285k

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