Private Wells

DRINKING WATER HEALTHRISK EVALUATION
ARSENIC
DATE
�sl°3 COUNTY 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.
See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS ARESAMPLE'AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS: -
Arsenic levels of 3 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 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: Smith, H. B.
Address: 260 Old Tower Rd.
Godwin, NC
County: SAMPSON
Report To: Sampson Co. Health Dept.
360 County Complex Rd.
Clinton, NC 28328
Courier: 11-33-26
Collected By: D. HOLLAND
Location of sampling point: House Tap
Remarks: 567-6476
Parameters
Source of Water: Ground
Source of Sample:
Zip: 28344
Type of Sample: Raw
Type of Treatment: None
ATTN: Dan Holland Type of Analysis Private
[phone]
8�27/03 Timer 11:1'5:00 AM
Date,:
F
` ✓::u�`jy�"yi�
Alkalinity as CaCO3
Arsenic 0 003 mg11�°��
{ b 9
<05 � ? 8/28/03j
Calcium t
xr r F z sue'}� 8/28/03
Chloride �8 , mg/I� t 0}
Co er' 8/28/03 .
Fluopide �' y<OF20'� = mgr 8/28/03
4 s'
Iron
Hardness as CaCO3 i i�t , 8%28/03
Magnesium21,
<" <0.03 mg�l 8/28/03.
Manganese ,
Lead +Y; <0,005 t �mg/I 8%28/03
pH
..._..n 6:5' Sfd: unit 8728/03>, ...
Zinc° <0.05 ngLl 8/28/03 "
n .
SEP 1 22003
r
OCCUPATIONAL F{ j ;•I
Date Received: 8/28/03 Report Date: 9110/03 Reported By:
qft
Today's Date: 9/10/03 Ref: 12141 Login Batch: '03U80Q.67 ! , Sample Number: 99678
o ..

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260 Old Tower Itd — —�
Godwin, NC 28344-91.24
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260 Old Tower Rd
Godwin. NC 28344-9124
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When using any driving directions or map, it's a good idea to do a reality check and make sure the road
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DRINKING WATER HEALTH RISK EVALUATION
ARSENIC
DATE S COUNTY ' f K LABORATORY ## i _Z40Y
o Based on these analytical results, this water should beconsidered safe for normal usage
o The wateIt-- should not be used for drinking or cooking purposes
o 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.
See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of 2 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 Di. Ken Rudo, Occupational and Environmental
Epidemiology Branch, [phone]. _..
DHHS 3891 (11100)
occupational & Environmental Epidemiology Branch (Review 2102)

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: Tyndall, Gary F. Source of Water: Ground
Address: 131 Jonathan Lane Source of Sample:
Clinton, NC Zip: 28328
Type of Sample: Raw
County: SAMPSON Type of Treatment: 'None
Report To: Sampson Co. Health Dept. ATTN: Oswald Newman. Type of Analysis Private
360 County Complex Rd. [phone]
Clinton, NC
28328
Courier:
11-33-26
Collected By: OMN
Date;_ ' 4/16/03
Time: 11:20.., AM
Location of sampling
point: well tap
Remarks:
Parameters
Results °Units •
Date Analyzeds
.• z
Alkalinity as CaCO3
56` '' mg/Ik`Y #t 4/17/03
Arsenic
0.002 ` - mg/L
4/1!7/03
Calcium
4/f7/03
x
`,
Chloride
9 rng/IT .
4/17/03
Copper
<0 05�►n911 ` R
4/17/03
Fluoride
<0 2Q t ng/I° �x
:: 4/17/03
Iron
r �
�''`62
Hardness as CaCO3
m /l ..
(Ca,Mg) g
4/17/03
Magnesium
�e 1 f ,
r. 2 0 - mg/I`
,;.
4I17/03
Manganese
010 m /I
4L17/03
Sodium
s {t F a 4
` z<0.005
Lead
- _ ' mg/I
4/17/03
pH
: 1.3 Std. unit
.4/17/03
Zinc
0.06 mg/I
4/17/03
FPR 9 2003
A.
Date Received: 4/17/03 Report Date: 4/25/03
Reported By:
Today's Date: 4/25/03 Ref: 5129 Login Batch: 03040045 Sample Number: AA92604

-North Carolina Department of Health and Human Services
Division of Public Health
Occupational and Environmental Epidemiology Branch
Medical Evaluation and Risk Assessment Unit
Drinking Water Health Risk Evaluation`
General
OUNTY
DATE S LABORATORY NUMBER_Vq
(X) Based on these analytical results, this water should be considered safe for normal
use
() Chemical analysis did not show any contamination. Water should be resampled if
odor or taste persists.
() The water should not be used for drinking or'cooking purposes, avoid prolonged
bathing/showering.
() 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:
A TC (-)N r,AB SHEET THAT IT IS A RESAMPLE AND
P ROVIDE PKEViOUS SAMPLE.NUMBER(S)
(X) --- COMMENTS: -- -
The nitrate drinking water standard is 10 ppm. The nitrate level to -your well is below the
Drinking water standard. Continued consumption should not pose any increased health
Risk based on these nitrate levels.
For further inrormation. contact Dr. Ken Rudo. Medical and Risk Assessment Unit. [phone] or [phone]
ImI is (I u99)
01i1213 (Rev. 1 1/00)

North Carolina State Laboratory of Public Health
Department of Health and Human Services
r P. O., Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 21611-8047
INORGANIC CHEMICAL ANALYSIS - NITRATE ONLY
Name of System: Tyndall, Gary F. Source of Water: Ground
Address: 131 Jonathan Lane �,<.
Clinton, NC Zip: 28328 Source of Sample:
County: SAMPSON - '� �.. _ Type of Sample: Raw
Report To: Sampson Co. Health Dept.. :\ ATTN: Oswald Newman
Type of Treatment: None
360 County Complex Rd. [phone] Type of Analysis: Nitrate
Clinton, NC 28328 Category: Other
Courier: 11-33-26
Collected By: OMN . .'l Date: 4/46103 Time: 11:20:00 AM'
Location of sampling point: well tap
Remarks:
3 ,
Parameters Results UnitsDate Analyzed:
Nitrite as N <0;10 mg/I 4/17/03 °'
t i
Nitrate as N<1;0 ' mgLl = 4/17/03
y-
t�; 2 r° �s � a •
aTs F#1tX.t
t � 2
k� a.' s4 —
r
L' A• [,*-fit^
•_ �. `..;,x ,c'. -o:<. L' �.., a, :rtz sT4 ., ..t $ _ :�>.,,., �,i1RrFifC 111�
EXPLANATION OF RESULTS:
Foster/Therapeutic Homes: Nitrate-N level acceptable if less than or.equal to 10 mg/I
Private Well Guidelines: Nitrite-N level should be-5 1.0 mg/1 and Nitrate-N-< 10.0 mg/1
Sample Temperature on Receipt: .- 4.5__o C
Date Received: 4/17/03 Report Date: 4/25/03 Reported By:
Today's'Date: 4/25/03 Reference: 5142 Login Batch 03040045 Sample'Number: AA92617

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131Jonathon Ln
Clinton NC
28328-9271 US
Notes:
............ .............................................. :......................................
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DRINKING WATER HEALTH RISK EVALUATION
ARSENIC
DATE 63 COUNTY -C& f°h LABORATORY k
❑ Based on these analytical results, thiswater should be°considered safe for normal usage
o 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.
o The laboratory results are not conclusive, please resample.
10 See comments section below.
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S).
COMMENTS:
Arsenic levels of 6 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.
Forfurther information,. contact Dr. Ken Rudo, Occupational and. Environmental
Epidemiology Branch, [phone].
DHHS 3891 (11100)
occupational & Environmental Epidemiology Branch (Rev ew.962)
pL.

NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH
OCCUPATIONAL AND ENVIRONMENTAL EPIDEMIOLOGY BRANCH
DRINKING WATER HEALTH RISK EVALUATION
` GENERAL
DATE y v3 COUNTY kmi.—f-A LABORATORY #
❑ Based on these analytical results, this water should be considered safe for normal usage.
❑ Chemical analysis did not show any contamination. Water should be resampled if odor
or taste persists.
❑ The water should not be used- for drinking or cooking purposes; avoid prolonged
bathing/showering.
❑ 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. I
PLEASE INDICATE ON LAB SHEET THAT IT IS A RESANTLE AND PROVIDE
PREVIOUS SAMPLE NUDdBER(S).
COMMENTS:
�p �f A J� /� 1
1 X f�-✓�� c �� !✓ lfa" I i P�jt 41tx ;'rfj-!/IV--4W
_t� aSlil f� -%mot Ya\, Sivwi� � Is- Mikw�2 1ti+'lDl-� �t y'e6I
IN1J Will 41J to n �nl\(/IL/� �AJPv�Ltll�! f1aL.,,//aT tL� Ja�rCe aF � G Q
�-i 'u v►� oh Q -i1e RC ►mil a ��4 Ina 1(-/,+ A%1" L dY }`'1
For further information, contact Dr. Ken Rudo, Occupational and Environmental Epidemiology
Branch, [phone].
DHHS 3891 •(5/99)
Occupational & Environmental Epidemiology Branch (Rcvicw 2/02)

k ......
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: Graham, Lester
Address: 4370 Mt. Olive Hwy
Newton Grove, NC
County: SAMPSON
Report To: Sampson Co. Health Dept.
360 County Complex Rd.
Clinton, NC 28328
Zip: 28366
ATTN: L. Honeycutt
[phone]
Courier: 11-33-26
Collected By: L. HONEYCUTT Date:,, .:=3/12/03
Location of sampling point: outside faucet
�a
Remarks:
Parameters
Alkalinity as CaCO3
0
Arsenic
' 0
Calcium
8
Chloride
4'S
Copper
Fluoride
`Q
Iron
h�1
Hardness as CaCO3 (Ca,Mg) F�5
Magnesium
Manganese64
Sodium
2�y
Lead
,�:;��.-,�:�,.�.�•�z ;.:��:
Source of Water: Ground
Source of Sample: Well Tap
Type of Sample: Raw
Type of Treatment: None
Type of Analysis Private
Time: 1
3/131.0_3
3/13/03
3/13/03
3/13/03
3/13/03
AM
pH k t ,2 3 7a T ry Std� unif
Zinc = r .„ h ' " 0 33 u mg/l 3/13/03 C�
q 19,41R`
r a r 3 Cr< ' E a FYI' fi t u s �-J 6 � �a 0 c j a S i E
.2j:3.. .:.. -
RECEIVED
013111 EAYiTEV1t�.I.F R t 0E
MAR 2 7 2003 j
TyOCCUPATIONAL �
Date Received: 3/13/03 Report Date: 3/24/03 Reported By: C�QA
Today's Date 3/24/03 Ref: 3188 Login Batch 03030Q29* Sample Number: AA9 677