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A27 13A�� / � � � � � V�7 � � � �� ' �n.dn�ro�rana�a��a��.� ��,Il�Jin Date: � / � /� Name: � Tax Map:� Paz�el��s� Address: �%� Re: Bacteriological Test Results Dear Well Owner: Your well water was sampled �n �I Z/�, and tested ror both totai and fecal coliform bacteria. Your water sample test resulis are noted below: %� No coliform baeteria were detected in the sample. Your well water is safe to use for drinking, cook'►ng, washing dishes, bathing and showering, based on the bacteriological results onlv. Total coliform bacteria were detected in the sample. Fecal coliform bacteria were detected in the sample. Total coliform bacteria are nat�ually found in the soil. Fecal col f�rm bacteria aze sssociate� with animnal azid./�r huma.n ��aste. The presence of either t�tal or fecal colifo,�n bacteria i;� well water niay indicate that a new or repaired well was not properly disinfected prior to use, or that contaminated groundwater may be entering the well. If coliform bacteria are present in your water sample, the water may not be safe for use. Young childrer., the elderly, and the indiv:duals with compromised immune systems are especially vulnerable and their physicians should be notified of the test results. A well that tests �osit�ve fer total or fecal coliform bac:eriu should 3e p; operlv disinfected a;zd retested prior to resumin� normal use. The well may be disinfected using the enclosed disinfection procedure. A well contractor or plumber can assist you if needed. Once the chlorinated water has been thoroughly flus�ed out of the system, please c�niact ihe Health Beparlment to request a re-sample. For additional information, please feel free to contact Environmental health at 336-597-1790. Our office hours are 8:30 to 5:00, Monday through Friday. Sincerely, � �. Environmental ealth Specialist Persor. County Hea(�h Department (rev. 4/20/t6) . Person Ca�n,ry Envi:or.mental Health, ?25 S. N:ergan St., Suite C, Raxborn, NC 27573, Phone: 336-579-1 i9G, Faz 335-59i-7R08 � .,. �� I � � �. � �t, � �-., �F _ �' � "�.1� �� Ji �✓ �i�IL� SI .�E' xD.ICT1 ILA:.� fC.-"` ICa IL.,t�. �J. 1� CL� r�. �l T� Aii. Date: �/�/� Name: � ,� Address: 2" s ; r"( b� � Re: Bacteriological Test Results Dear Well Owner: Tax Map� ParceL• 1� Your well water vyas sampled on �l /�/� and tested for both total and fecal col:form bacteria. Your water sample test results are noted beiow: No coliform bacteria were detected in the sample. Your well water is safe to use for drinking, cooking, washing dishes, bathing and showering, based on the bacteriological results only. � Total coliform bacteria were detected in the sample. Fecal coliform bacteria were detected in the sample. Total coliform bacteria arz naturally found in the soi;. Fecal coliform bactEria are associated with animnal and/or human waste. The presence of either total or fecal coliform bacteria in well water may indicate that a new or repaired well was not properly disinfected prior to use; or that contaminated groundwater may be entering the well. If coliform bacteria are present in your water sample, the water may not be safe for use. Young children, the elderly, and the individuals with compromised immune systems are especially vulnerable and their physicians should be notified of the test results. A well that tests positive for total or ecal coliform bacteria should be properlv disinfected and retested prior to resuming normal use. The well may be disinfected using the enclosed disinfection procedure. A well contractor or plumber can assist you if needed. Once the chlorinated water has been thoroughly flushed out of the system, please contact the Health Department to request a re-sample. For additional information, please feel free to contact Environmental health at 336-597-1790. Our office hours are 8:30 to 5:00, Monday through Friday. Sincerely, �_CM r"�nl Environmental Health Specialist Person County Health Department (rev. 4/20/l6) Person County Environmerrtal Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573, Phone: 336-579-1790, Far 336-597-7808 ` , , PERSON COUNTY HEALTH DEPARTMENT 355A SOUTH MADISON BLVD ROXBORO, NORTH CAROLINA 27573 BACTERIOLIOGICAL WATER SAMPLE ANALYSIS Name of Owner or Tenant � w�� Address Z22S� /�'1�' 1( �� (1 1�, County �o�t�Ocvo /l�C d?S�? `` Collected By ,�,._ Date Collected ��2-�7 Time Coll��ted �' Z� Source: �Well ❑ Spring ❑ Other Location: ❑ House Tap ❑ Well Tap �Other �s'� �� ❑ No Charge I�Charge ��S��1 ,� v'C. , � 5.2 ��rl'/ �- �-��-�3� ..............................................................................� **************************************************************************** Total Coliform Fecal/E. Coli Results Present ❑ ❑ Reported By Date Reported � ' �,J ' � / Report Called ❑ YES ❑ NO Called To Absent r, r� k North Carolina State Laboratory Public Health Environmental Sciences Niicrobiology Certificate of Analysis Report To: PERSON CO ENVIRONMENTAL HEALTH 325 S MORGAN STREET ROXBORO, NC 27573 EIN:566000331 EH COURIER #: 02-33-15 StarLiMS Sample ID: ESO41917-0082001 � �� ES Microbiology ID: GPS Number: Sample Description: Comment: Name of System: 'r� ;, .-�— P.O. Box 28047 4312 District Drive Raleigh, NC 27611-8047 htta://sloh.ncaubiichealth.com Phone: 919-733-7308 Fax: 919-715-8611 GAY POINDEXTER (REALTOR) 2225 MILL HILL RD ROXBORO, NC 27574 Collected: 04/18/2017 10:25 Received: 04/19/2017 08:27 Sample Source: Well Sampling Point: Inside faucet A Sarver Susan Beasley Well Permit Number: A27-13A Environmental Microbiology - Colilert Profile Method: SM 92236 Test Name: Colilert Analyte Test Result Date Total Coliform, Colilert Present 04/20/2017 E. coli, Colilert Absent 04/20/2017 Report Date: 04/21/2017 Explanations of Coliform Analysis: Reported By: Susan Beaslev If coliform bacteria are Absent, the water is considered safe for drinking purpose. If coliform bacteria are Present, the water is considered unsafe for drinking purpose. Presence of E. coli (bacteria) generally indicates that the water has been contaminated with fecal material. It must be remembered that a water analysis refers only to the sample received and should not be regarded as a complete report on the water supply.