Water Systems Operation Report Microbiological Sample Results
NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Water Supply Protection
|Public Water System Name
a|Public Water System Name
a|Public Water System Name
a|Public Water System Name
a|Reporting Month/Year
a
(|Reporting Month/Year
a
(|Date Report Submitted
a
(|Date Report Submitted
a
(|Date Report Submitted
a
(|Source Water Type(s)
a|Source Water Type(s)
a|
|---|---|---|---|---|---|---|---|---|---|---|
|Village of Red Hook||||Mar-25
(||4/10/25
(|||☐Surface
☒Ground ☐GWUDI
☐Purchase with subsequent chlorination
☐Purchase w/out subsequent chlorination||
|Public Water System ID||||County||Town, Village, or City|||||
|NY1302775||||Dutchess||Red Hook|||||
|DATE
LR|Source(s) in Use
QO|Treated water
volume
(gallons/day)
QO|Chlorination||||Comments/Observations||||
||||||Liquid|Free chlorine
residual at entry
point (mg/l)
QO|QO||||
||||QO|QO|Hypochlorite added to
crock (quarts)
QO||||||
|1
LR|Well
1,3,9,12,13,14,15
QO|248,612
QO|QO|QO|QO|0.91
QO|QO||||
|2
LR|Well
1,3,9,12,13,14,15
QO|252,077
QO|QO|QO|QO|0.91
QO|QO||||
|3|Well
1,3,9,12,13,14,15|249,938|||20.00|0.92|||||
|4|Well
1,3,9,12,13,14,15|248,838||||0.92|||||
|5|Well
1,3,9,12,13,14,15|244,502|||20.00|0.92|||||
|6|Well
1,3,9,12,13,14,15|238,409||||0.85|||||
|7
a|Well
1,3,9,12,13,14,15
RG|244,207
RG|RG|RG|40.00
CQ|0.8
CQ|CQ||||
|8
a|Well
1,3,9,12,13,14,15|241,184
a|se|se|se|0.77|||||
|9
a|Well
1,3,9,12,13,14,15|248,398||||0.78|||||
|10
a|Well
1,3,9,12,13,14,15
GG|251,865
GG|GG|GG|GG|0.78
GG|GG||||
|11
a|Well
1,3,9,12,13,14,15
a|245,861
a|ss|ss|40.00|0.78|||||
|12
a|Well
1,3,9,12,13,14,15|249,981||||0.75|||||
|13
a|Well
1,3,9,12,13,14,15
GG|249,252
GG|GG|GG|GG|0.72
GG|GG||||
|14
a|Well
1,3,9,12,13,14,15
a|247,707
a|se|se|40.00
se|0.71|||||
|15
a|Well
1,3,9,12,13,14,15|248,228||||0.72|||||
|16
a|Well
1,3,9,12,13,14,15
BG|253,476
BG|BG|BG|GO|0.74
GO|GO||||
|17
a|Well
1,3,9,12,13,14,15
ee|227,789
ee|se|se|40.00
se|0.76|||||
|18
a|Well
1,3,9,12,13,14,15|345,852|se|se|se|0.92|||||
|19
a|Well
1,3,9,12,13,14,15
eG|281,373
eG|eG|eG|GG|1.02
GG|GG||||
|20
a|Well
1,3,9,12,13,14,15
ee|274,295
ee|se|se|se|0.74|||||
|21
a|Well
1,3,9,12,13,14,15
a|182,043|se|se|40.00
se|0.65|||||
|22
a|Well
1,3,9,12,13,14,15
eG|217,928
eG|eG|eG|eG|0.72
eG|eG||||
|23
a|Well
1,3,9,12,13,14,15
a|218,484
a|se|se|se|0.72|||||
|24
a|Well
1,3,9,12,13,14,15|284,307|||20.00|0.73|||||
|25
a|Well
1,3,9,12,13,14,15|307,554
Ge|Ge|Ge|16.00
GG|0.8
GG|GG||||
|26
DR|Well
1,3,9,12,13,14,15
DR|259,519
Ge|Ge|Ge|GG|0.77
GG|GG||||
|27
a|Well
1,3,9,12,13,14,15
ee|248,911
ee|ee|ee|ee|0.75
ee|ee||||
|28
a
LR|Well
1,3,9,12,13,14,15
eG
DG|232,382
eG
DG|eG
DG|eG
DG|GG
GQ|0.75
GG
GQ|GG
GQ||||
|29
LR|Well
1,3,9,12,13,14,15
DG|318,879
DG|DG|DG|GQ|0.8
GQ|GQ||||
|30
LR
a|Well
1,3,9,12,13,14,15
DG
ee|272,278
DG
ee|DG
ee|DG
ee|GQ
ee|0.8
GQ
ee|GQ
ee||||
|31
a|Well
1,3,9,12,13,14,15|259,162
Ge|Ge|Ge|GG|0.8
GG|GG||||
||||||||||||
|Total||7,893,291|||300||||||
|AVG.||254,622||#DIV/0!|9.6|0.8|#DI|#DIV/0|#DIV/0!|#DIV/0!|
Chlorine Mix Ratio =
5
quarts/gallons of
12.5
% chl
gallons of water in crock Reported by: Well 1,3,9,12,13,14,15 Title: Operator NYS DOH Operator Certification Number NY0038297 Signature: Date: 4/10/2025 Operator Grade Level IIA, IIB, C, D ee a
DOH-360 (02/05) Page 1 of 2
Microbiological Samples and Free Chlorine Residual Sample
| 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 | Total | E.coli | Free Chlorine | Population Served: |
| - | Sample | Type 1. | Coliform | Positive | Residual (mg/l) | 2830 |
| - | - | Routine | Positive | - | - | Number of microbiological monitoring samples required |
| - | - | 2.Repeat | - | - | - | 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 |
| - | - | - | - | - | - | ). |
| Traditions | 3/4/2025 | Total | ||||
| Coliform | Absent | Absent | 0.6 | |||
| 7329 S. Broadway | 3/13/2025 | Total | ||||
| Coliform | Absent | Absent | 0.6 | |||
| 2 W Market St | 3/4/2025 | Total | ||||
| Coliform | Absent | Absent | 0.7 | |||
| 7331 S Broadway | 3/4/2025 | Total | ||||
| Coliform | Absent | Absent | 0.8 | |||
| 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): Fernando Dongo
Name of NYSDOH Certified Labo York Analytical
Did any MCL violation occur? If so, please d No
Did an emergency or low pressure problem occur? Did source water bypass an existing treatment process in the system?
Comments
DOH-360 (02/05) Page 2 of 2