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Pace Analytical Services, LLC. <br />1638 Roseytown Rd. Suites 2, 3, & 4 <br />Greensburg, PA 15601 <br />Phone: (724) 850-5600 <br />Fax: (724) 850-5601 <br />RADIOLOGICAL ANALYSIS <br />Note: All information must be supplied for compliance credit. <br />WATER SYSTEM ID#:--County: <br />Name of Water System: <br />Sample Type:Single Sample - Entry Point Special/Non-compliance <br />Location Where Collected: <br />Facility ID No.: <br />Well Head #2 <br />Collection Date <br />Period Collected <br />By <br />Date Time <br />(MM/DD/YY)(Specify AM or PM) <br />Single or <br />1st Qtr <br />2nd Qtr <br />3rd Qtr <br />4th Qtr <br />1/ /202 49 <br />/ / <br />/ / <br />/ / <br />4 MA2,1 0 : <br />M,: <br />M,: <br />M,: <br />Sample Point: <br />Composite Sample - Entry Point <br />1908 Hamptonville Road <br />Mail Results to (water system representative): <br />Yadkin Well Company - David Brown <br />Hamptonville, NC 27020 <br />Phone #: <br />Fax #:( ) <br />)336(468-4440 <br />Responsible Person's email: <br />davidbrown@yadkinwell.com <br />RESAMPLE REQUIRED6742LABORATORY ID #:SAMPLE UNSATISFACTORY0 <br />CONTAM <br />CODE CONTAMINANT <br />4002 <br />4004 <br />Gross Alpha <br />Radon <br />METHOD <br />CODE <br />900 <br />REQUIRED <br />REPORTING LIMIT <br />(R.R.L.) <br />NOT DETECTED <br />(i.e. < R.R.L) <br />(X) <br />3 <br />100 <br />pCi/L <br />pCi/L <br />X <br />QUANTIFIED <br />RESULTS* <br />ALLOWABLE <br />LIMIT <br />pCi/L <br />pCi/L <br />15 pCi/L <br />N/A <br />. <br />4010 <br />4006 <br />Combined Radium <br />Uranium <br />Radium 228 <br />4020 Radium 226 <br />4030 <br />Gross Beta <br />4044 Potassium 40 (Total) <br />4100 <br />Strontium 89 <br />4102 Tritium <br />4172 <br />Iodine 131 <br />4174 Strontium 90 <br />4264 <br />4270 Cesium 134 <br />D5174-97 <br />N/A <br />903.1 <br />904.0 <br />0.67 <br />N/A <br />1 <br />1 <br />4 <br />10 <br />1,000 <br />1 <br />2 <br />10 <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />X pCi/L pCi/L20.1 <br />5pCi/L pCi/L <br />pCi/L3pCi/LX <br />pCi/L 2 pCi/L <br />pCi/L <br />pCi/L 50 pCi/L <br />. <br />2 4 8. <br />. <br />20,000pCi/L pCi/L <br />N/A <br />8 pCi/L <br />N/A <br />N/A <br />pCi/L <br />pCi/L <br />pCi/L <br />pCi/L <br />1 6 1. <br />. <br />. <br />. <br />. <br />. <br />. <br />COUNTING <br />ERROR <br />N/A <br />90 1. <br />00 **. <br />01 6. <br />60 4. <br />40 2. <br />. <br />. <br />. <br />. <br />. <br />. <br />*Note: If result exceeds allowable limit, the laboratory must fax analytical results to the State within 48 hours. <br />**Note: Not applicable if using ICP-MS. <br />DATE:TIME: <br />/0 /29 2 45 <br />(MM/DD/YY) <br />M311A1: <br />(Specify AM or PM) <br />, <br />/1 /00 2 43 <br />(MM/DD/YY) <br />M922P1: <br />(Specify AM or PM) <br />, <br />ANALYSES BEGUN: <br />ANALYSES COMPLETED: <br />Laboratory Log #:92753080001 <br />COMMENTS: <br />Certified By:Jessica Mize <br />(Print and sign name) <br />Laboratory should mail results to: <br />Public Water Supply Section, Attn: Data Entry, 1634 Mail Service Center, Raleigh, NC 27699-1634 <br />Fax: 919.715.6637 <br />2008 <br />Orange <br />Rigsbee Well #2 <br />X <br />Kenny Reavis <br />54