AG ENVIRONMENTAL RSC, LLC
NYSDOH ELAP # 12081 PA DEP # 68-05705 FLORIDA (Legionella) # E871152 Connecticut # PH-0808
Ce 86 Queen Mountain Road, Ferndale, New York, 12734 / Phone: 845.704.8151 / Fax: 845.414.0051
Original Report #: 79576 a Bill-to Customer Information (C55068) Water Source Location X55068-01 LCR Issue Date: 12/08/2025 Customer Village of Red Hook Source Name: Village of Red Hook DW Name: a Address: GC 7467 South Broadway Address: 7467 South Broadway a Town: a RED HOOK State: NY Zip: 12571 Town: RED HOOK State: NY Zip: 12571 Phone: 000-000-0000 PWSID/SPDES: Contact Email: treasurer@redhookvillage.gov Les Coon Name: FIST Fax: Phone: 8455443151 a ee GO Sample(s) delivered on 12/04/2025 at 05:55 PM From COC#: 76465
|**Sample# **|MTX|Sample Point|Sampled
Date & Time|**Temp **|Pres.
Y/N/T|Res
**Cl **|Int|Analyze
Prep Date
Time|Test Method|Comment
**(see table) **|Analyte Results|Analyte Results|MCL
(Limits)|SMCL
(Limits)|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|SB00055617
ee|DW-G
ee|VILLAGE BUILDING
ee|12/04/2025
11:55 AM
ee|5.1°C
G1
ee
ee|T
ee|1.07 ZS
ee|1.07 ZS
ee|12/05/2025
02:13 PM
MV
ee|Coliform P/A & E.coli by SM22
9223B (Colilert) Method
ee
ee|N
1764962026814
ee|Coliform
ee
es|Absence
ee
ee|Zero
ee
ee|ee
ee|
||||||||||||E.coli
ee
es
a|Absence
ee
ee
a|Zero
ee
ee
ee|ee
ee|
|SB00055616
ee|DW
ee|2 WEST MARKET EXTRA MART
ee|12/04/2025
11:38 AM
ee|5.1°C
G1
ee
ee|T
ee
ee|0.28 ZS
ee
ee|0.28 ZS
ee
ee|12/05/2025
02:13 PM
MV
ee
ee|Coliform P/A & E.coli by SM22
9223B (Colilert) Method
ee
ee|N
1764962026814
ee|Coliform
es
ee
a|Absence
~~ee ~~
ee
a|Zero
ee
ee
ee|ee
ee|
||||||||||||E.coli
ee
a|Absence
ee
a|Zero
ee
ee|ee|
This report cannot be reproduced without written permission of Sullivan County Labs. Test results are limited to those methods under which our lab is certified by ELAP. Results only relate to actual samples received. The following information is provided by the customer and not by the laboratory: Source information, matrix, sample point, sampled date/time, residual chlorine, initials, and test requested.
Authorized By:
Montana Papacharalambous | Document Control
Original Report #: 79576 Page 1 of (1)
ae ee oe AG ENVIRONMENTAL, RSC, LLC. . a SULLIVAN COUNTY LABS LABS New York State Chaln-of-Custody POTABLE WATER Water sample submission form
COC# 76465 Cust. ID: 4847 Received: 12/04/2025 05:55 PM
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AG ENVIRONMENTAL, RSC, LLC. . | a SULLIVAN COUNTY LABS LABS New York State Chaln-of-Custody POTABLE WATER Water sample submission form Page 1 of i ; : 86 Queen Mountain Road, Ferndale, New York, 12734 / Phone: 845.704.8151 / Fax: 845.414,0051 217837 | MOAT] Bill-to Customer Information: (C55068) ell/System Location Information 2025-10-22 05:23:22 PM ustomer |,illage of Red Hook peer | illage of Red Hook DW | Address: [7467 South Broadwa Address: |7467 South Broadwa ! own: RED HOOK State: NY Zip: 12571 Town: RED HOOK State: NY__Zip: 12571 Phone: | 000-000-0000 NYSID: PWS- | Fac | _ Phone: 8455483151 Please send my report a f —— to DOH. nO CRR-NY 5-1.74 of the NY State Code requires the owner| of a public water system shall ensure the approved environmental laboratory performing the analyses sends laboratory resultsVillageto the Dept. of Healthofin a Redmanner prescribed Hookby them. DWInitialhere if1} you wantustoCaly4 farward your results ta the Dept. of Health. Note: it is your responsibility to verify that they receive it. G Customer Sample Collection Data L | | [Bottie Sample#) Sample Point}F ¢_Datepled SampledTime InitChlorineResidual Test Requested ELAP/EPA Method . . SamplComm e nts/Temp | SBOO0SS61E | eta ant i1-4-Z25 fhe EF | 0, 26 Coliform P/A & E.coli by SM22 9223B (Colilert) Method =. | ve|_seoo0sser7 |Wiase OM] 1) -23 [liso NP (ZALez Coliform P/A & E.coliby'SM2292238 (Colilert) Method. | | Ae ee ef i aqe ee j Received Received ; | oo, : war . Received Received : ullivan County Labs terms and conditions found on www.SullivanCountyLabs.com, Public water systems are required to repoft-feSiilts to the local Dept. of Health office. When necessary, we reserve the right to subcontract testing to accredited laboratories that are certified by the state¥rom } hich the sample was taken. Circumstances might require us to send your sample to an affiliated lab, either due to instrument backlog, hold time {imitations, or non-accreditation in a particular test, You are giving us permission ta do so by signing this COC. The alternate lab will be shown on your E eritificate of results with its approved ELAP #. The following information is provided by the customer and not by the ‘aboratory: Source information, matrix, sample point, sampled date/time, residual chlorine, initials, and test requested. : ----- End of picture text -----
AG ENVIRONMENTAL RSC, LLC
NYSDOH ELAP # 12081 PA DEP # 68-05705 FLORIDA (Legionella) # E871152 Connecticut # PH-0808
|AG ENVIRONMENTAL RSC, LLC|AG ENVIRONMENTAL RSC, LLC|eae |
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|=:|NYSDOH ELAP # 12081
PA DEP # 68-05705
FLORIDA (Legionella) # E871152
Connecticut # PH-0808|
|---|---|---|---|---|---|---|
|86Queen Mountain Road, Ferndale, New York, 12734 / Phone: 845.704.8151 / Fax: 845.414.0051|||||Original Report #: 79577
LCR Issue Date: 12/08/2025||
|Bill-to Customer Information(C55068)|||Water Source Location X55068-01||||
|Customer
Name:|Village of Red Hook||Source Name:|Village of Red Hook DW|||
|Address:|7467 South Broadway||Address:|7467 South Broadway|||
|Town:|RED HOOKState:NYZip:12571||Town:|RED HOOKState:NYZip:12571|||
|Phone:|000-000-0000||PWSID/SPDES:||||
|Email:|treasurer@redhookvillage.gov||Contact
Name:|Les Coon|||
|Fax:|||Phone:|8455443151|||
|Sample(s) delivered on12/04/2025at05:55 PM|||||**From COC#:**76463||
|**Sample# **|MTX|Sample Point|Sampled Date & Time|**Temp **|Pres. Y/N/T|Res **Cl **|Int|Analyze Prep Date Time|Test Method|Comment **(see table) **|Analyte Results|Analyte Results|MCL (Limits)|SMCL (Limits)| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| |SB00055618|DW-G|TRADITIONS MAIL ROOM|12/04/2025 12:00 PM|5.1°C G1|T|1.02 ZS|1.02 ZS|12/05/2025 02:13 PM MV|Coliform P/A & E.coli by SM22 9223B (Colilert) Method|N 1764962026814|Coliform|Absence|Zero|| ||||||||||||E.coli|Absence|Zero||
Comment Table: N - No Comment | Remarks: T = Sodium Thiosulfate |
This report cannot be reproduced without written permission of Sullivan County Labs. Test results are limited to those methods under which our lab is certified by ELAP. Results only relate to actual samples received. The following information is provided by the customer and not by the laboratory: Source information, matrix, sample point, sampled date/time, residual chlorine, initials, and test requested.
Authorized By:
Montana Papacharalambous | Document Control
Original Report #: 79577 Page 1 of (1)
<a
==> picture [764 x 482] intentionally omitted <==
----- Start of picture text -----
EEE IIE a OO ; TO coc# 76463 Cust. ID: 4847 : AG ENVIRONMENTAL, RSC, LLC. ; —WMRATINANianReceived: 12/04/20 : :| a SULLIVAN COUNTY LABS New York State Chaih-of-Custody POTABLE WATER : Water sample submission form 2 Page lof Bill-to 86 Queen Mountain Road, Ferndale, New York, 12734/ Phone: 845.704.8151 / Fax: 845.414,0051 Monn Customer Information: (C55068) Well/System Location Information 2025-10-22 05:24:49 PM Address:ustomer illage. of Red Hook :eae | illage of Red Hook DW Town: [7467 South Broadwa : Address: [7467 South Broadwa Phone: |{RED000-000-0000 HOOK State: NY Zip: 12571 Town:NYS PWS-«RED HOOK __‘ State: NY Zip: 12571 Email: | reasurer@redhookvillage.gov wame:ID:ontact Les Coon ease send my report * N 0 DOH. Village of Red Hook DW 2 SP Fey an noediet ee ee of leah eeeeae treat, cyauem shall ensure the approved environmentalCustomerlaboratorySample performingCollection the analyses sendsDatalaboratory results. to the Dept. of Health in a manner prescribed by them. jnitial here __ if you WagtEUS tO. Cy [ Bottle: Sampie#|SaP mple Point. SampledDate SampledTime prResidual| hlorine. - Test Re q eeuested - ELAP/EPAi seBA! Mucho” Method" SampleComments/ Temp ||| spooossels |“stn | [1-4-2725 | iz: ap eV 1.02] Coliform P/A.&E.cali by.SM22 92238:(Colilert)"Method: p | a a A ATCCu A/P pT Ce Relinquished By’:as 2) Le Received . Received | oS ee | Relinquished To: Nasy Date J2 fq be Time [252 : a ; . Relinquished By’: Sc Relinquished To: Vav ldae ReceivedDate 12/4; ReceivedTime B5 3 |: By signing, customer acknowledges that some samples may be sent to a sister (certified} LAB for analysis. Samples cannat be [lodged] [in] [and] [turnaround] [time] [clock] [wili] [not] [start] [until] [any] [ambiguities] [are] [resolved.] [By] [éxeculing] [this] [document,] [the] [client] [has] [read] [arid] [agrees] [to] [be] [bound] i ? Sullivan County Labs terms and conditions found on www.SuilivanCountyLabs.cam. Public water systems are required to report results to the local Dept. of Heaith office. When necessary, we reserve the right to subcontract testing to accredited laboratories that are certified by the state fom hich the sample was taken. Circumstances might require us to send your sample to an affiliated lab, either due to instrument backlog, hold time lImitations, of non-accreditatlon in a particular test. You are giving us permission to do so by signing this COC. The alternate lab will be shown on your 4 eritificate of results with its approved ELAP #, The following information is provided by the customer and not by the laboratory: Source information, matrix, sampie point, sampled date/time, residual chiorine, initials, and test requested, ----- End of picture text -----