HomeMy WebLinkAboutWell Correspondence 132 Laurel Street OONALO A. CLEAKE P.E.
CONSULTING •NOINEep Commercial • Industrial
Insurance.1 nvestigat Ions
132 LAUREL STREET Building Inspections
SOUTH WINDSOR, CONNECTICUT 06074 Structural Systems
TEL. (203) 644-6993
Reg. Connecticut, Vermont, New Hampshire
November 30, 1982
Franklin Solar, Inc.
1031 Hartford Turnpike
Vernon, Connecticut
Attentions Mr. Crooks
Mr. Phil Zie1
Mr. Richard Godreau, General Manager
RE: Solar Hot Water Installation at 132 Laurel Street, 'South Windsor,
Connecticut.
Gentlemen.
On October 4, 1982 I entered into a contract with you and your company for
the installation of an Electra Solar Hot Water System in my home. Since
that time, I have had nothing but grief from my system with absolutely no
interest on your part to service the system or discuss the matter. In
addition, the system was misrepresented by Mr. Ziel, since it does not operate
as I was told. Requests for service and phone calls to discuss the problems
have been answered by two attempts to call me when I was out and a four line
letter stating , "sorry that I can't offer any suggestions". The following
conditions, situations, and problems exist as a result of or after the in-
stallation of the system.
1. The pH of the hot water system is 10.2, very eaustie, with the cold
water at 6.5. This level of pH can be damaging to my plumbing.
2. The hot water tank does not meet the requirements of the contract.
It is a 115 gallon tank and the tank specified in the contract is 120
gallons. It is not the tank I was shown in a typicaal installation in
Glastonbury, and required the removal of built-in shelving in the base-
ment, installed to accommodate the tank I was shown. It is also a
stone lined tank which is not what I was shown.
3. Requests for service after I reported a suspected leak on a Thursday were .
_completely ignored.
4. A report on a Monday afternoon that a leak causing the antifreeze to
leak out all over the floor was ignored until midmorning the following
Tuesday.
5. Saturation and damage by the antifreeze to the insulating blanket on
the gas hot water heater has not been corrected by installation of a
new blanket.
5
Franklin Solar, Inc.
Page Two
November 30, 1982
6. The back flow preventer is installed improperly.
7. I was told by "Vern" the plumber, Mr. Crooks, and Mr. Ziel that the
State code required that the backf'low preventer should be removed and
plugged. I was provided a plug for such a purpose. This is a direct
violation of the Plumbing Code in the State of Connecticut.
8. The antifreeze material used is Ethylene Geycol which contains lead and
is not recommended for such use. It should be Propelene Gcycol which
is a sugar base.
9. There is a high lead content, three times the allowed max m= and high
capper content in the water. We are having to drink bottled water.
10. The relief valve on the control panel is installed horizontally and
should be vertical.
11. The relief valve on the solar water tank relieves all the time
requiring a bucket to catch the water. I was never informed that this
would occur. The relief valve should be repaired. -
12. There is a severe water hammer condition which will damage piping, caused,
I believe, by the backflow preventer. This must be corrected.
13. No pipe hangers were used to secure the pipe.
14. The system does not operate as described by Nor. Ziel (see Discussion
below).
15. Requests that a water sample be taken were ignored. Neither Mrs. Clerks
or myself saw a sample taken nor has any report been provided.
16, Plumbing all relief lines to drains has not been done as promised.
17. The pump would not operate after the system was installed, and its
replacement was not done. It is suspected that the pump was damaged.
18. Some of the hot water lines were not insulated.
19. Type M tubing was installed after I requested and was told that Type L
tubing would be installed.
DISCUSSION:
When I purchased the system, I was told. that the Solar Hot Water would
circulate through my hot water tank when the water temperature in the solar
tank was above the water temperature of the gas tank, thus reducing to zero
the gas required-L.in high solar months in the summer. The system as installed
only heats the water in the solar tank and the water in the "gas"tank requires
gas to maintain temperature unless a hot water demand is made. This means
that if 1500 water is in the solar tank, gas is required to maintain the
temperature without a hot water demand.
Franklin Solar, Inc,
Page Three
November 3o, 1982
The note from Franklin Solar indicates that the Town Health and Building
Department are satisfied with the system and the installation, and this is
not the ease. The Building Inspector, Health Department and Water Depart-
went are all in agreement that the system is not installed properly and not
charged with the proper antifreeze fluid, and that corrections should be
made.
I am extremely dissatisfied with the system and the total lack of interest
and lack of service on this system. The system as installed is inoperable
and I am having to have a plumber isolate the system, the costs of which I
expect to have paid by Franklin Solar.
I intend to have the system serviced and corrected to my satisfaction or
removed and my home restored to its original condition. It is my intent
..to take all1egal avenues at my disposal to correct this condition:
A response by December 10, 1982 will be expected.
Sincerely,
Donald A. Clerke
DAC;s car
eca Attorney Vincient Diana
Town of South Windsor Building Department
Town of South Windsor Health Department
Connecticut Water Company
Directions: Please fill in the number of man-days spent on each activity by
classification for each month. Do not include overtime activity
on this form.
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POTABLE WA ER'COLLECTION/ Y "-
kMI1,ATION REPORT � � f Section for Lab. Division Use
Ot-ai rsEv"a/79 TOWN NO PHYSICAL COM "JET€
1.Type or print one set and send to the address low. ` S 1 'J
2.Reports will be furnished only to local director of
health or state agencies. D/I E, ECEIVED DATE REPORTED(}
TO:State of Conn.Dept.of Health'Services,laboratory Div.,P.O.Box 1689 Hartford,CT.06101 /, °-•-a ,+�'"_12 7 Q
NAME OF ERORTY(Where sample was taken) ADDRESSCOLLECTION TowNREPORT: .COLLECTED BY.(Name) COLLECTOR'SNO DATECOLLEGTED TIMECOLLECTED SAMPLING POINT
Name and Addres of person to receive Laboratory Report ww I
('z;'I fPTG'ifTe�
�j Identification: ❑ El
E vt
None Filtered Chlorinated Softened
5* � f Treatment: ❑ El ❑ ❑
1 c3 e lL/ / !sue
-
- - OTher(SPecify)•--.•-
NAME OF LAB THAT MADE LAEXAM 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 Oth (sggfc�i �org�v�det 'Is h�re �
Here
(Specify) El(Give Details)
Examination: ❑
Complaints Color Od r aste Sediment Foaming Other(Specify)
Of: � ❑ ❑ El ❑
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: ;vAG L.t,
Description Of TWEELL-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 Other (Specify}
Of Pollution II_�1
Special Tests
/
Required: i Lr.mot:;/Y ,' L
'f, --s
l
Additional Description If Needed:
Signature
And Title: s f3 DATE SENT
LABORATORY EXAMINATION REPORT: (To be filled out by Laboratory Division) Note: Chemical results are in Mg/L.
APp'ARANT COLOR' RUI=C L
ODOR
i WIT TURBIDITY
5Gi ,/
'rw� �. ! `f '7
NITRITE Sodium as No Maganese as Mn qJj
r1 -A
NITRAT�r 0 Alkalinity as CaC 4�arbonate Fluoride os F
Nitrogen ,
Constituents
as AMMONIA Alkalinity as CaCO
Nitrogen (N) �r OOCgrbonate Detergent as ABS
�. (l ?
ALBUMINOID Total Harctness as C88 Sulfate as SO4 Hydrogen-io Concentration (pH)
Chlorides as CI I� Iron as Fat 01
MEMBRANE FILTER TEST
Coliform Colonies/100ML.
❑Meet the requirements for a potablewater.
CONCLUSIONS:The results of the analysis of this sample-
Meet❑Meet the requirements for a potable wafer;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:
1141`
❑Other:
S. CaLUNS JESSE S.TUCKERr PH."
- DIRECTOR
'POTABLE:-WATER COLLECTION/
�.. E)(k-M1N4TION REPORT This Section for,L+ Division Use
Ot-81 REV.8/79 1.Type or print one set an-- - - -- [DATEftECEIVED
ORATORY NO. TO •,VO. PHYSICAL r
�P E
rid to the address below.
2.Reports will be furnished only to local director of s -.a I
health or state agencies. DATE REPORTED
TO: State of Conn.Dept.of Health Services,laboratory Diva,P.O. Box 1689 Hartford,CT.06101 & f
COLLECTION .NAME OF PROPERTY(Where sample was taken) ADDRESS - TOWN - - -
REPORT: z-'e C- I /_a't'! -1{ J f tZC6
COLLECTED.BY(Name) - COLLECTOR'SNO DATECOLLECTED TIMECOLLECTED SAMPLING POINT �-'^�.
M. , F A Cl 7`a>t"C
Name and Address of person to receive Laboratory Report Well Semi-Public Private
Identification:
None Filtered Chlorinated Softened
.,.�tJ ��f« ✓ -Treatment: ❑ El El---- •.••__. •••_•••• -- •-•----• -------------
Other (Specify)
NAME 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) Here
Examination: ❑ (Specify) ❑(Give Details) ❑
Complaints Color, - Od❑or Taste Sediment Foaming Other(Specify)
Of: Q
Use Of Constant Emergency DATE OF LAST USE. CONDITIONS THAT MAY AFFECT WATER QUALITY(Specify)
Supply: ❑ El '
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 Other (Specify)
Of Pollution "
Special Tests
Required: 1'� odd /, 'fo' �-
Additional Description If Needed:
Signature
And Title:
LABORATORY EXAMINATION REPORT: ( o be filled out by Laboratory Division) Note: Chemical results bruin Mg/L.
APPARENT COLOR - n TRUE COLOR 0 - ODOR. //tvj. vak' TURBIDITY 0
(/ 013
NITRITE Sodium as No Maganese as Mn
01
Nitrogen
NITRATE
� Alkalinity as CaCsOBicarbonate Fluoride os F
Constituents /// /
as AMMONIA Alkalinity as C00O3 Carbonate Detergent as ABS
Nitrogen (N) < Qro 0,61
ALBUMINOID!� Total Hardness as C00O3 Sulfate as SO4 Hydrogen-ion Concentration (PH) .
" 0ry i - !
Chlorides as CI t Iron as Fey MEMBRANE FILTER TEST -
Coliform Colonies/100ML.
CONCLUSIONS:The results of th anglysis of this sample
Meet the requirements fora potable water. '-Y t� <a f � { (,
❑ Meet the'requirements for a potable water;however, the chemical or physic al 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:
Se _
POTABLE WAITER.COLLECTION/`` - This Section f r_ b. Division se
EAMkNATION REPORT LABORATORY NO. TOW N PHYSICAL COMPLETE
.11 R�1 - I.Type or print one set and send to the address-below. g.t
2.Reports will be furnished only to local director of n t `{ ix'
health or state agencies. DKE
Z{o 77DATE RE ORTED
TO:State of Conn.Dept.of Health Services,laboratory Div.,P.O.Box 1689 Hartford,CT.06101
COLLECTION NAME OF PROPERTY(Where sample was taken) ADDRESS / TOWN /
REPORT: K .Gr e4iC 'T Is�i/f�7 Q( tss
COLLECTED BY(Name) COLLECTOR'SNO DATECOLLECTED TIMECOLLECTED SAMPLING POINT
/f M.
Name and Address of person to receive Laboratory Report Well Semi-Public Private
f �j Identification:
f 1�fd., C Vf �il None Filtered Chlorinated Softened
Treatment: ❑ ❑ ❑ , ❑
15- r fi/ v C. Other (Specify)
NAME 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) Here
Examination: ❑ (Specify) ❑(Give Details) ❑
Complaints Color Odor Taste Sediment Fong Other(Specify)
Of: Q
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: F-1 El
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 Form Industry Other_(Specify)
Of Pollution: E 0 El
Special Tests
Required:
Additional Description If Needed:
Signature - DATE`SENT
And Title:
LABORATORY EXAMINATION REPORT: (To be filled out by Laboratory Division) Note: Chemical results are in Mg/L.
APPARENT COLOR TRUE COLOR. - ODOR - TURBIDITY - -
NITRITE - Sodium as Magonese as Mn Z, 0 07
Yo
NITRATE Alkalinity as C00O3 Bicarbonate Fluoride os F
Nitrogent f !'
Constituents 0-0
as AMMONIA Alkalinity as CaCO3 Carbonate Detergent as ABS
Nitrogen (N)
ALBUMINOID Total Hardness as C00O3 Sulfate as SO4 Hydrogen-ion Concentration (pH)
Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST
Coliform Colonies/100ML.
ElCONCLUSIONS:The results of the analysis of this sample
Meet the requirements for a potable water.
Meet the requirements fora potable water; however,the chemical or physic al 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.
�f 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
j�until the source of this bacterial contamination can be located and reihovcd.
bl The concentration of certain chemical or physical constituents exceeds acceptable limits. These are as follows:
❑Other:
POTABLE-WATER CO'L5;rLECT1ON3';.
EXAMINATION REPORT +{ ' This Section.for Lab. Division Use
ID
BOR TORY NO- TOWN.NO:.. PHYSICg; COMPLETE
.._3t-er aes�e/� 1.Type or print one set and send to the address belo Y `2.Reports will be furnished only to local director ofihealth or state agencies. TER EIVIf rfg E REP
IORTFD
TO:State of Donn.Dept.of Health Services,Laboratory Div.,P.O.Box 1689 Hai'fford;CT.06101
COLLECTION NAME OF PROP RTY Were sample was taken] ADDR,ESSS TOWN
R REPOT: ,►p 6. Edi'r! ' . r< G�+"`
COLLECTED BY(Name) COLLECTOR'SNO ATE COLLECTED .TIME COLLECTED SAMPLING POINT- - -
M.
Name and Address of person to receive Laboratory Report Well Semi-Public Private
Identification:
y �ffal" None Filtered Chlorinated Softened
7 dd Treatment:
ejr Va .3'6.1 �-aw-� c - ------------------ ..............Q----.........................................
Other (Specify) -
X-CA,f 07(4ra' Q
- - NAME OF LAB THAT MADE LAST EXAM DATEOF LAST EXAM
PROPERTY OWNER'S NAME AND ADDRESS(If different fromname-and address above) - -
Fold
Here
Reason For Conformation to Laws Suspected of Causing Disease Other (specify or give details here)
Examination ❑ (Specify) ❑(Give Details) El
Complaints Car Odor Taste Sediment Fong Oar(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 I CONDITION OF CURB 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 0
Special Tests
Required:
Additional Description If Needed:
Signature DATE SENT - -
And Title:
LABORATORY EXAMINATION REPORT: (To be filled out by Laboratory Division) Note: Chemical results are in Mg/L.
APPARENT COLOR TRUE COLOR ODOR TURBIDITY - -
NITRITE Sodium as No Maganese as Mn P P9 ,7 77'S FZZ 5 t
e< t k� c�, 4 aCa
NITRATE Alkalinity as CoCO3 Bicarbonate Fluoride os F.
Nitrogen 1 i'/
Constituents Li 4
as AMMONIA Alkalinity as C00O3 Carbonate Detergent as ABS
Nitrogen (N)
ALBUMINOID Total Hardness as CaCO3 Sulfate as SO4-2 Hydrogen-ion Concentration (pH)
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 physic al 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.
r The concentration of certain chemical or physical constituents exceeds acceptable limits. These are as follows:
❑Other:
i
''POT>-AB E WATER COLLECTION/ This Section lor,Ldb: Division Use
EXAMINATION REPORT
t - [DATE
ATORY NO TO N-NO. P
1irY tCM � �DMPLETE
OL-81 REV.8/79- - 1.Type or print one set and send to the address below. 9. l� f✓,: t
2.Reports will be furnished only to local director of _ }
health or state agencies. RECEIVED z DATE REPORTED
TO: State of Conn.Dept.of Health Services,Laboratory Div.,P.O.Box 1689 Hartford,C .Ad101
COLLECTION NAME OF PROPERTY( here sample.was taken) ADDRESS -- TOWN o -
REPORT': d a V/ � S- Gt.4--,ciscv
COLLECTED BY(Name) - OLLECTOR'SNO I DATE COLLECTED TIME COLLECTED-: SAMPLING POINT
iv 1t"It`21��" �,".."� .M. /t r C- d
Name and Address of person to receive Laboratory Report Well Semi-Public Private
r Identification: ❑ ❑
I s J (�� �j None Filtered Chlorinated Softened ,
Treatment: ❑ El El......
Other (Specify)
- _ NAME 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 DATE OF 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 Other (Specify)
Of Pollution: ❑ ❑ ❑ ❑
Special Tests J/ tf f
Required: f5ff/f3�€$f` telV1 ['Qr/ �E /
Additional Description If Needed,: _
.Signature - DATE SENT
And Title: _
LABORATORY EXAMINATION REPORT: (To be filled out by Laboratory Division) Note: Chem icaF-resuIts are in Mg/L.
APPARENT COLOR - TRUE COLOR - - ODOR TURBIDITY
NITRITE Sodium as Na Magonese as Mn
Ya
NITRATE Alkalinity as C00O3 Bicarbonate Fluoride os F
Nitrogen 1 C
Constituents _ - - #�,•� -yYyyr qQ
as AMMONIA Alkalinity a -0O3 Carbonate Detergent as ABS
Nitrogen (N) 0r
ALBUMINOID Total Hardness as CaCO3 Sulfate as SO4 .....
Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST
Coliform Colonies/100ML.
ElMeet the requirements for a potable water. CONCLUSIONS:Th6 results of the analysis of this sample-
El�
Meet the requirements for a potable water; however, the chemical or physic al 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:
o C. LANTIER4 0 Ec 8198�
EXAMINATION REPORT I nis n a rvrsron Wse
O'M, rrty s;ry rD ":IW
PHYSICAL COMPETE
1. Type or print one set and send to the address below. /J1
2. Reports will be furnished only to local director of l
health or state agencies. IVED DA REPORTED
TO_State of Conn.Dept.of Health Services, laboratory Div., P.O. Box 1689 Hartford,CT.06101 �6
COLLECTION NAME OF PROPERTY(µ'here sample was taken) ADDRESS TOWN
REPORT: �!
COLLECTED BY(Name) COLLECTOR'SNO DATECOLLECTEO TIME COLLECTED SAMPLING POINT
Name and Addres of person to receive Laboratory Report *eW., C061ha SVM+_P-"6 P-it+e fN
Identification:
None Filtered Chlorinated Softened
Treatment: ❑ ® � ❑
Other (SpeciryJ...................................................
� S.Gc1i�+o%r a•� � CJ 6c���
NAME OF LAB THAT MADE LAST EXAM DATE OF LAST EXAM
i rrnF'ERT'Y OWNER'S NAME AND ADDRESS(If dirfrnent from mune and address abova)
Fold
Reason For Conformation to Lows Suspected of tC—amusing Disease Orth—er(Specif of ve details h re) Here
Examination: (Specify) f '(Give Details) I!/I �� Sr!/rLo C'by' ¢tlNafK fOfJ rA, (.•�^GY:f�
Complaints C(ol�r (O�d�ojr/Taste Sedrimlent FoLa�mtJng Other(Speciffyy)J
Of:
Use Of Co((n--stant Emergency DATE OF LAST USE I CONDITIONS THAT MAY AFFECT WATER QUALITY ispecrfy)
Supply: l�
Source Of Drilled Well Driven Well Dug Well Spr�iinng Other(Specit ) /
Water_ (� ❑ `�`/G LA.
WE u
Ucscription.Of LL DEPTH WELL DIAMETER CONDITION OF CURB AND TOP SEAL DATE OF LAST PLUMBING WORKINSYSTEM
Water Source: Ft. ln.
Possible Source Septic onk Faarrm Industry Other (Specify)
Of Pollution: ❑
Special Tests j
Required: �r/LS/ 11i,L.�f�✓�L (��i�.s'o� _` Y
Additional Description If Needed: --
Signature
And Title: DATE SENT LABORATORY EXAMINATION REPOR b
___ led out by Laboratory Division) Note: Chemical results ore in Mg/L.
REN7 COLOR TRUE COLOR
ODOR ---
- NITRITE —yS �� � •per
Sodium as No Maganese as Mn ((�'
,d •roq 1 NITRATE Alkalinity as CaCO3 Bicarbonate
' '•titer P'1rS
OS AMMONIA Alkalinity as CoCO3 Carbonate Detergent os ABS 0•CCd
trogen (N) "-- n
ALBUMINOID Total Hardness as CoCO3 Sulfate as SOq , 00
h1orides as Cl Iron as Fe I e C. ^ r�
MEMBRANE FILTER TEST
Coliform Colonies/100ML. e te I�
Jed iw,,
%1ret the requirements for it potable water.
CONCLUSIONS:The results of the analysis of this sample-
LA %1cet the requirements for a potable water; however, the chemical or physic al constituents listed below appear abnormally high for a ground supply. The
•,.0 e•r •;hould he suspect if local conditions indicate that the source of these constituents is a potentially hatntful one.
I\,n-u meet tho wquirement, for it potable water because:
�'Il,e coliturm density exceeds acceptable limits. The presence of the coliform group, while not necessarily meaning that disease producing organisms
Aic pre scm, does indicate that such contamination might reach the supply to the same extent. The water should be considered as unsafe for drinking
un'tl the source of this bacterial contamination can he located and removed.
�❑ Ilia'`"nccutrattun of certain chemical or physical constituents exceeds acceptable limits. These are as follows:
L_1 Othc•r:
C. LANTMW
DEC 1 �19�
- -
c I> lJ "7 �/j/Itit G2 i7rl�
col ' J�
Ph �. 2