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OrderID: 022405321 48 <br /> ASBESTOS ANALYSIS - Distribution System <br /> Note.All Information m st be supplied for compliance credit. <br /> Water System Number: __-`_ -_ County: Orange <br /> Name of Water system: Rigsbee Well#2 <br /> Sample Typt: ❑ Distribution(Compliance) CNNon-cpmpliance <br /> Location Code: ___ Tap Location:Well Head StrOet Address: Hwy 54 City: Chapel Hill <br /> Check if sample site is owned or controlled by water system. ❑ <br /> Check if Sample site is a daycare or a K-12 school, ❑ Collection Date Collection Time <br /> Facility ID Nb. (Distribution: D 010 9!1 2!2 4 1 0: 4 1 , A M <br /> Sample Point: ASB (SpmHAMorPM) <br /> Collected By: Kenny Reavis <br /> (P>am pm� <br /> Mail Results to(water system representative): <br /> Yadkin Well - David Brown Phone#:(336-) 374-8736_ <br /> 1908 Hamptonville Rd. Fax M [�) <br /> Hamptonville,NC 27020 Responsible Person's email: <br /> Laboratory ID #: 3 7 7 6 6 <br /> Required <br /> Contom Method Reporting Analysis Analysis Not _ Quantified Allowable <br /> Code orrlftaminant Code Limit StartedEnded Detected Results 1,2 i Limit <br /> R.R.L. (l.e.<RAL) <br /> 1094 ASBESTOS 0.2 MFL r-f 3 MFL 7 MFL <br /> Notes: ' MFL= Million Fibers per Liter> 10 Nm. <br /> 2 If!result exceeds the allowable limit, the laboratory must report the analytical results to the State within 48 hours. <br /> Laboratory Log M Otkl 0.7 3 11-000 1 Certified By: Xls� � <br /> (Pnntand sign name) <br /> COMMENTS: PACE PROJECT#92753078 <br /> F-CAR-CS-026-rev.00 8/512016 NCDEQ <br /> Public Water Supply Section <br /> 2018 <br /> I <br /> Paae 31O 3 <br />