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Pace Analy4ll Services,LLC. <br /> 205 East Meadow Rd,Suite A <br /> Pace Eden,NC 27288 <br /> Phone:(336)623-8921 <br /> Fax:(336)623-5878 <br /> BACTERIOLOGICAL ANALYSIS <br /> Note:All applicable information must be supplied for compliance credit. <br /> Water System Number: NC - - County: Orange <br /> Name of Water System: Rigsbee Well#2 System Type: Water Source: <br /> -------------------------------------------------------------- ------ <br /> Distribution System—Revised Total Coliform Rule(RTCR) Facility ID:D01 <br /> Sample Type: Routine(RT) Repeat(RP) Special/Non-compliance(SP) <br /> Location Code: __ _ Tap Location: Well Head#2 Street Address: Hwy 54 City: Chapel Hill <br /> Check(q)if sample site is owned or controlled by water system. <br /> Check(�)if sample site is a daycare or a K-12 school. <br /> Sample Point: Routine Original(RTOR) Repeat-Original Tap(RPOR) Repeat-Upstream(RPUP) F—]Repeat-Downstream(RPDN) <br /> ------------------ -------------------------------------------- <br /> X Source Water—Ground Water Rule(GWR) <br /> Sample Type: Triggered(TG) Additional/Confirmation(CO) Assessment(RT) Triggered/Distribution Repeat(TD)* <br /> Facility ID• Sample Point: *for systems with a population<1,000 <br /> Collected—BY: Kenny Reavis DATE: 0 9 / 1 2 / 2 4 TIME: HE] HE] a m <br /> Mail Results to(water system representative): Complete for Repeat, Triggered,or Additional/Confirmation Samples: <br /> Yadkin Well Company-David Brown Previous Positive Laboratory ID Number: <br /> 1908 Hamptonville Road " Positive Laboratory Log Number: <br /> Hamptonville,NC 27020 o Positive Location Code: <br /> Phone#: 3 3 6 4 6 8 4 4 4 0 Positive Collection Date: <br /> Fax#: Disinfectant Used: <br /> Responsible Person's email: Total Chlorine Residual(chloramines): mg/L <br /> davidbrown@yadkinwell.com Free Chlorine Residual(chlorine): mg/L <br /> Laboratory ID Number: 3 7 7 3 8 ❑ Repeat Samples Required from Client Resample Required from Client <br /> CONTAM METHOD RESULTS Invalid <br /> CODE CONTAMINANT CODE RULE z Code <br /> Present Absent INVALID CODES: <br /> L3100 Total Coliform 9223B V RTCR/GWR X 1 Confluent Growth/ <br /> No Coliform Growth Found <br /> C 014 E. coli 9223B RTCR/GWR = X___] F 2 TNTC/No Coliform Growth Found <br /> 3002 Enterococci �� GWR r� C 3 Turbid Culture/ <br /> No Coliform Growth Found <br /> 03028 Coliphage GWR 4 Over 30 Hours Old <br /> X013 Fecal Coliform TCR C 5 Improper Sample or Analysis <br /> 3001 Heterotrophic P.C. cfu/mL or MPN <br /> 'If fecal,E.coli,enterococci or coliphage is present,lab must fax results to the State on day test completed.'If total coliform bacteria is present,lab must fax results to the State <br /> within 24 hours.'If HPC is absent,enter a"0"left of the"cfu/mL or MPN"units;if present,enter a whole number.'Explain invalid code below in comments. <br /> Analyses Begun—DATE: 0 9 / 1 2 / 2 4 TIME: 0 6 4 4 , p m (Date as: mm/dd/yy) <br /> Analyses Completed—DATE: 0 9 / 1 3 / 2 4 TIME: 1 2 S S , p m (Time as: h:mm am/pm) <br /> Laboratory Log Number: 9275307600IMBIO Certified By: Jessica Mize <br /> COMMENTS: <br /> ._ 11L <br /> 2016 NCDEQ <br /> Public Water Supply Section <br /> F-CAR-CS-022-rev.01,8/3/2016 <br />