NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Water Supply Protection
Water Systems Operation Report Microbiological Sample Results
|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results|NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results| |---|---|---|---|---|---|---|---|---|---|---|---| ||||||||||||| |Public Water System Name||||Reporting Month/Year||Date Report Submitted|||Source Water Type(s)||| |Village of Red Hook||||Dec-22||1/1/23|||☐Surface ☒Ground ☐GWUDI||| |Public Water System ID||||County||Town, Village, or City|||☐Purchase with subsequent chlorination||| |NY1302775||||Dutchess||Red Hook|||☐Purchase w/out subsequent chlorination||| |DATE|Source(s) in Use|Treated water volume (1,000 /day)|Chlorination||||Comments/Observations||||| ||||||Liquid|Free chlorine residual at entry point (mg/l)|||||| ||||||Hypochlorite added to crock (quarts)||||||| |1|Well 1,3,4,9,12,13,14,15|201.8|||20.00|1.1|||||| |2|Well 1,3,4,9,12,13,14,15|228.2|||32.00|1.1|||||| |3|Well 1,3,4,9,12,13,14,15|141.0||||1.0|||||| |4|Well 1,3,4,9,12,13,14,15|224.3||||1.0|||||| |5|Well 1,3,4,9,12,13,14,15|206.6||||1.1|||||| |6|Well 1,3,4,9,12,13,14,15|196.8|||28.00|1.0|||||| |7|Well 1,3,4,9,12,13,14,15|194.3||||1.0|||||| |8|Well 1,3,4,9,12,13,14,15|192.6|||20.00|1.0|||||| |9|Well 1,3,4,9,12,13,14,15|186.8|||20.00|1.0|||||| |10|Well 1,3,4,9,12,13,14,15|203.5||||1.0|||||| |11|Well 1,3,4,9,12,13,14,15|202.1||||0.9|||||| |12|Well 1,3,4,9,12,13,14,15|180.5||||1.0|||||| |13|Well 1,3,4,9,12,13,14,15|190.7|||20.00|1.0|||||| |14|Well 1,3,4,9,12,13,14,15|194.6||||1.0|||||| |15|Well 1,3,4,9,12,13,14,15|216.4|||40.00|1.0|||||| |16|Well 1,3,4,9,12,13,14,15|188.4||||0.9|||||| |17|Well 1,3,4,9,12,13,14,15|180.3||||1.0|||||| |18|Well 1,3,4,9,12,13,14,15|206.4||||1.0|||||| |19|Well 1,3,4,9,12,13,14,15|254.6|||20.00|0.9|||||| |20|Well 1,3,4,9,12,13,14,15|166.7||||0.9|||||| |21|Well 1,3,4,9,12,13,14,15|233.4|||20.00|0.9|||||| |22|Well 1,3,4,9,12,13,14,15|194.3||||0.9|||||| |23|Well 1,3,4,9,12,13,14,15|394.9|||40.00|0.9|||||| |24|Well 1,3,4,9,12,13,14,15|249.5||||0.9|||||| |25|Well 1,3,4,9,12,13,14,15|148.4||||0.9|||||| |26|Well 1,3,4,9,12,13,14,15|201.1||||0.9|||||| |27|Well 1,3,4,9,12,13,14,15|228.4||||0.9|||||| |28|Well 1,3,4,9,12,13,14,15|222.8|||20.00|0.8|||||| |29|Well 1,3,4,9,12,13,14,15|216.4||||0.8|||||| |30|Well 1,3,4,9,12,13,14,15|163.1|||40.00|0.8|||||| |31|Well 1,3,4,9,12,13,14,15|284.0||||0.8|||||| |Total||6,492.5|||300||||||| |AVG.||209.4||#DIV/0!|9.6|1.0|#DIV/0!|#DIV/0!|#DIV/0!|#DIV/0!|| ||||||||||||| Chlorine Mix Ratio = 5 quarts/gallons of 12.5 % chlorine added to
gallons of water in crock Reported by: Fernando Dongo Title: Operator NYS DOH Operator Certification Number: NY0038297 Signature: Date: 1/1/2023 Operator Grade Level IIA, IIB, C, D
Chlorine Mix Ratio = 5 quarts/gallons of 12.5 % chlorine added to - gallons of water in crock Reported by: Fernando Dongo Title: Operator NYS DOH Operator Certification Number: NY0038297 Signature: Date: 1/1/2023 Operator Grade Level IIA, IIB, C, D
DOH-360 (02/05) Page 1 of 2
Microbiological Samples and Free Chlorine Residual
| Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual | Microbioloical Samles and Free Chlorine Residual |
|---|---|---|---|---|---|---|
| g p | ||||||
| Sample Location | Date of Sample | Sample Type | Total | E.coli | Free Chlorine | Population Served: |
| - | - | 1.Routine 2. | Coliform | Positive | Residual (mg/l) | 2830 |
| - | - | Repeat | Positive | - | - | Number of microbiological monitoring samples required: |
| - | - | - | - | - | - | 3 |
| - | - | - | - | - | - | Number of microbiological monitoring samples taken: |
| - | - | - | - | - | - | 3 |
| - | - | - | - | - | - | Did an M&R violation |
| - | - | - | - | - | - | If “Yes,” check reason (s) below: |
| - | - | - | - | - | - | Actual number of samples is fewer than required. |
| - | - | - | - | - | - | Did not collect/analyze repeat sample. |
| - | - | - | - | - | - | Did not collect/analyze for E. coli for positive total coliform |
| - | - | - | - | - | - | from routine/repeat sample. |
| - | - | - | - | - | - | Did an MCL violation occur? |
| - | - | - | - | - | - | If “Yes,” check reason(s) below (see also Part 5, Table 6 for |
| - | - | - | - | - | - | additional information). |
| - | - | - | - | - | - | For systems collecting less than 40 samples per month: two or more of |
| - | - | - | - | - | - | the samples (routine and /or repeat) are positive for total coliform (= total |
| - | - | - | - | - | - | coliformMCL |
| - | - | - | - | - | - | violation). |
| - | - | - | - | - | - | For systems collecting 40 or more samples per month: more than 5% of |
| - | - | - | - | - | - | the samples (routine and/or repeat) are positive for total coliform (= total |
| - | - | - | - | - | - | coliformMCL |
| - | - | - | - | - | - | violation). |
| - | - | - | - | - | - | The original sample was E.coli positive and at least 1 repeat sample was |
| - | - | - | - | - | - | positive for total coliform ( =E.coli MCL violation |
| - | - | - | - | - | - | ). |
| 2 W. Market | 12/14/2022 | 1 | Absent | Absent | 0.9 | |
| 19 Firehouse | 12/14/2022 | 1 | Absent | Absent | 0.9 | |
| Traditions Mail Room | 12/14/2022 | 1 | Absent | Absent | 0.7 | |
| Reminder: System must collect a minimum of five (5) routine | ||||||
| microbiological monitoring samples during the month following a repeat | ||||||
| sample collection. | ||||||
| As required by 5-1.72, “Operation of a Public Water System,” a copy of | ||||||
| this form shall be sent to your local health department by the 10th | ||||||
| calendar day of the next reporting period. | ||||||
Sample Collector(s): Bryan Smith/DOH
Name of NYSDOH Certified Laboratory: EnviroTest Laboratories
Did any MCL violation occur? If so, please describe: No
Did an emergency or low pressure problem occur? Did source water bypass an existing treatment process in the system? If so, please explain.
Comments:
DOH-360 (02/05) Page 2 of 2