HomeMy WebLinkAboutWell Inspection 56 Pierce Road �Q*N Sf4
m 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074
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SOR-CO AREA CODE 860/644-2511
August 8, 1997
Mrs. Olga S. Cipolla
56 Pierce Road
South Windsor, CT 06074
Dear Mrs. Cipolla:
As discussed, enclosed is a copy of the laboratory report of your water collected on 10/30/84. That
indicates EDC at 2.6 parts per billion.
Also enclosed are copies of the two follow up samples collected on 11/29/84 and 3/7/85. EDC
was not detected in either sample. EDC is also known as Ethylene dichloride.
If you have any questions, please call me at 644-2511 Extension 248.
aev
Robert Deptula v
Environmental Health Officer
RD:dr
POTABLE WATER COLLECTION/ ' This Section for Lab. Division Use
EXAMINATION REPORT` LABORATORY NO. TOWN NO. PHYSICAL COMPLETE
OL-81 REV.2/84 1.Type or print one set; and send to the address below.
t 2.Reports will be furnished only to local director of
health or state agencies. DATE_RECEIVED DATE REPORTED
TO:State of Conn.Dept.of Health Services,Laboratory Div.,P.O.Box 1689 Hartford,CT.06144
COLLECTION NAME OF PROPERTY(Where sample was taken) ADDRESS TOYS
REPORT:
vri4 /� ��. iffr
COLLECTED BY(Name) COLLECTOR'SNO I DATE COLLECTED TIME COLLECTED SAMPLING POINT
R. D. - J._ M.
Name and Address of person to receive Laboratory Report Well Semi Public Private
Identification:
+iNone Filtered Chlorinated Softened
Wit$ W th Ilwepettr Treatment
'Mth W t "t. €I6074 Other (Specffyj ..........
LNAME OF LAB THAT MADE LAST EXAM DATE OF LAST EXAM
PROPERTY OWNER'S NAME AND ADDRESS(If different from name and address above)
Fold
Here
Reason For Conformation to Laws Suspected of Causing Disease Other (Specify or give details here)
Examination: ❑ (Specify) ❑(Give Details) ❑
Complaints Color Odor Taste Sediment Foaming Other(Specify)
Of: ❑ ❑ ❑ ❑ ❑ ❑
Use Of Constant Emergency DATEOF LAST USE CONDITIONS THAT MAY AFFECT WATER QUALITY(Specify)
Supply
Source Of Drilled WeiI Driven Well Dug Well Spring Other(Specify)
171Water: _ ❑ ❑ ❑ ❑
Description Of WELL DEPTH WELL DIAMETER CONDITION OF CURB AND TOP SEAL DATE OF EAST PLUMBING WORK IN SYSTEM
Water Source: ] Ft. In.
Possible Source Septic Tank Farm Industry Other (Specify)
Of Pal lution: ❑ ❑ ❑ ❑
Special Tests '
Required:
Additional Description If Needed:
Signature DATE SENT
And Title: /_Ue
LABORATORY EXAMINATION REPORT: .(To Abe filled out by Laboratory Division) Note: Chemical results are in Mg/L.
APPARENT COLOR TRUE COLOR ODOR'�er b Terar�—
NITRITE Sodium as No Magonese as Mn 6Da
'Igi a
Nitrogen NITRATE Alkalinity as C00O3 Bicarbonate Fluoride as F
Constituents
as AMMONIA Alkalinity as C00O3 Carbonate Detergent as ABS
Nitrogen (N) AL�✓
ALBUMINOID Total Hardness as CoCO3 Sulfate as SO4 H
r
Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST
Coliform Colonies/100ML.
CONCLUSIONS:The results of the analysis of.this sample- dam „
❑ Meet the requirements for a potable water. ;�
❑ Meet the requirements for a potable water;however, the chemical or physical constituents listed below appear abnormally high for a ground supp y. The
water should be suspect if local conditions indicate that the source of these constituents is a potentially harmful one.
❑ Do not meet the requirements for a potable water because:
❑The coliform density exceeds acceptable limits. The presence of the_coliform group, while not necessarily meaning that disease producing organisms
are present, does indicate that such contamination might reach the supply to the same extent. The water should be considered as unsafe for drinking
until the source of this bacterial contamination can be located and removed.
❑The concentration of certain chemical
or physical constituents exceeds acceptable limits. These are as follows:
0 Other:
P®TABL9 WATER COLLECTION/ This Section for Lab. Division Use
EXAMINATION REPORT LABORATORY NO. TOWN NO. PHYSI AL' COM ` ETE
OL-81 REV.2/84 1,Type or print one set and send to the address below. e; , r Ir
2.Reports will be furnished only to local director of � f
health or state agencies. DATE RECEIVED DATE REPORTED
TO:State of Conn.Dept.of Health Services,Laboratory Div.,P.O.Box 1689 Hartford,CT.06144
COLLECTION.11 NAME OF PROPERTY Where sample was taken) ADDRESS TOWN
REPORT: , a/l t� _ P-1 recsG war
COLLECTED BY(Name) COLLECTOR'SNO I DATE COLLECTED I TIME COLLECTED SAMPLING POINT i
Name and Address of person to receive Laboratory Report Well Semi-Public Private �..
r - Identification:
None Filtered Chlorinated Softened
re
��a� Treatment:
].SdE� 911111111aiVat Other (SPecify)...................................................................
South w1� wit El
LNAME OF LAB THAT MADE LAST EXAM DATE OF LAST EXAM
PROPERTY OWNER'S NAME AND ADDRESS(If different from name and address above)
Fold,
Reason For Conformation to Laws Suspected of Causing Disease Other (Specify or give details here)
Examination: ❑ (Specify) ❑(Give Details) ❑
Complaints Color Odor Taste Sediment Fong Other(Specify)
Of:
Use Of Constant Emergency JDATEOF LAST USE CONDITIONS THAT MAY AFFECT WATER QUALITY(Specify) "
Supply: ❑ ❑
Source Of Drilled Well Driven Well Dug Well Spring Other(Specify)
Water: ❑ ❑ ❑ ❑ ❑
Description Of WELL DEPTH WELL DIAMETER CONDITION OF CURB AND TOP SEAL DATE OF LAST PLUMBING WORK IN SYSTEM
Water Source: Ft. In.
Possible Source Septic Tank Farm Industry Oar (Specify) a
Of Pal lution:
Special Tests
Dc
Required: -J
Additional .Description If Needed:
Signature DATE SENT
And Title: '
r/— 47
LABORATORY EXAMINATION REPORT: (To be filled oft by Laboratory Division) Note: Chemical results are in Mg/L.'
APPARENT COLOR TRUE COLOR ODOR TtIREtD}T'1'• j7q
NITRITE Sodium as No Maganese as Mn
Nitro en NITRATE Alkalinity as C00O3 Bicarbonate Fluoride as F DC' a..-
g
Constituents
as AMMONIA Alkalinity as'CaCO3 Carbonate Detergent as ABS - e-g '
Nitrogen (N) e
ALBUMINOID Total Hardness as CaCO3 Sulfate as SO4
Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST
Coliform Colonies/100ML.
CONCLUSIONS:The results of the analysis of this sample-
El Meet the requirements for a potable water.
❑ Meet the requirements for a potable water;however,the chemical or physical constituents listed below appear abnormally high for a ground supply. The
water should be suspect if local conditions indicate that the source of these constituents is a potentially harmful one.
❑ Do not meet the requirements for a potable water because
❑The coliform density exceeds acceptable limits. The presence of the coliform group; while not necessarily meaning that disease producing organisms
are present, does indicate that such contamination might reach the supply to the same extent. The water should be considered as unsafe for drinking
until the source of this bacterial contamination can be located and removed.
❑The concentration of certain chemical or physical constituents exceeds acceptable limits. These are as follows:
❑Other: %g" /t!� 'Le
POTABLE WAT; R'COLLECTION/ This Section for Lob. Division Use
EXAMINATION REPORT LABORATORY NO. TOWN NO. PHYSI AL COMPLETE
O1-81 REV.2/84 1.Type or print one set and send to the address below �. rz�
2.Reports will be furnished only to local director of `v %= {
health or state agencies. DATE R EJ DATE REPORTED
TO:State of Conn.Dept.of Health Services,Laboratory Div.,P.O.Box 1689 Hartford,CT.06144 1
COLLECTION NAME OF PROPERTY(Where sample was taken) ADDRESS L yq_b-.;s TOWN
REPORT: f Nf ,� , b 1 South !Indlsor
COLLECTED BY(Name) r COLLECTOR'SNO JDATECOLLECTED; TIMECOLLECTED SAMPLING POINT
rt
R. D. RIN 3 M.
Name and Address of person to receive Laboratory Report Well F Semi-Public Private I
Identification: M;,-
South Windsor 1 �altft O �$rtiMeDt� None Filtered Chlorinated Soften
Treatment: ❑ ❑ El El
Sullivan A�ren> e
•Ot❑h (Specify)
South Windsor, Ct. 05074 er
LNAME OF LAB THAT MADE LAST EXAM DATE OF LAST EXAM
PROPERTY OWNER'S NAME AND ADDRESS(If different from name and address above)
Fold
Here
Reason For Conformation to Laws Suspected of Causing Disease Other (Specify or give details here)
Examination: ❑ (Specify) ❑(Give Details) ❑
Complaints Color Odor Taste Sediment Fong Other(S
❑ pecify)
Of:
Use Of Constant Emergency DATEOF LAST USE CONDITIONS THAT MAY AFFECT WATER QUALITY(Specify)
Supply
Source Of Drilled Well Driven Well Dug Well Spring Other(Specify)
Water: ❑
Description Of WELL DEPTH WELL DIAMETER CONDITION OF CURET AND TOP SEAL DATE OF LAST PLUMBING WORK IN SYSTEM
Water Source: Ft. In.
Possible Source Septic Tank Farm Industry Other (Specify)
Of Pollution: El ❑ ❑ El
Special Tests
Required: DB $bC �► t
Additional Des lion If
Signature DATE SENT
And Title:
LABORATORY EXAMINATION REPORT: (To 6 filled out by Laboratory Division) Note:Chemical results are in Mg/L. 0.9
APPARENT COLOR TRUE COLOR ODOR
- EC���S.F�,at�e�Dtrjn/lalic�t(1�2:3
NITRITE Sodium as No Maganese as Mn
f
NITRATE Alkalinity as CaCO3 Bicarbonate Fluoride as F
Nitrogen IIL �1({91tSY6�?$��tiJl
Constituents
as AMMONIA Alkalinity as C00O3 Carbonate Detergent as ABS 1t3 D)c/jld+m
Nitrogen (N)
ALBUMINOID Total Hardness as C00O3 Sulfate as SO4
a
Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST
Coliform Colonies/100ML.`
CONCLUSIONS:The results of the analysis of this sample-
❑ Meet the requirements for a potable water.
❑ Meet the requirements for a potable water; however,-the chemical or physical constituents listed below appear abnormally high for a ground supply. The
water should be suspect if local conditions indicate that the source of these constituents is a potentially harmful one.
❑ Do not meet the requirements for a potable water because:
❑The coliform density exceeds acceptable limits. The presence of the coliform group, while not necessarily meaning that disease producing organisms
'are present, does indicate that such contamination might reach the supply to the same extent. The water should be considered as unsafe for drinking
until the source of this bacterial contamination can be located and removed.
❑The concentration of certain chemical or physical constituents exceeds acceptable limits. These are as follows:
❑Other:
1 I