Red Hook WatchIndependent Community Resource

10 2024

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V3 ----- End of picture text -----

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Consulting ----- End of picture text -----

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Village of Red Hook Wastewater System Red Hook Commons Village ofRed Hook Average Daily Flow : 0.009 MGD (Million Gallons per Day) 0.038 MGD (Million Gallons per Day) Required Samples Result - Old Plant Result - New Plant Compliance BOD (June 1 - Oct 31) <1.0 mg/L <1.0 mg/L 5me/L October 2024 TSS «2.50 mg/L <2.50 mg/L 10 mg/L NH3 <0.05 <0,05 0.98 mg/L (June 1 - Oct 31) 1.81 mg/L (Nov 1- May 31) Fecal Coliform <1.00/100 mL <1.00/100 mL 200/100 mL Dissolued Oxygen .o mg/L .o mg/L 0 mg/L Minimum Deficiencies Sand Filter Sand Filters have never been rebuilt or media replaced. To be reviewed and incorporated into the planningfor the Sewer Phase II project. Backflow Prev. Facilities backflow Preventor in need ofreplacement. Replacement Additional Notes: ----- End of picture text -----

|92-15-7(7/91}-27c NEWYORKSTATEDEPARTMENTOFENVIROMENTALCONSERVATION

DIVISIONOFWATER

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WASTEWATERFACILITYOPERATIONREPORTFORTHEMONTHOFCte
2024
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0.038
69
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Effect onReceivingStreamName and amount of chemicals used in treatment processSludge Removal from Plant:
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AMALYTICAT, LABORATORIES INC ----- End of picture text -----

prepared for:

C3ND Environmental Consulting 14 Old Route 199 Red Hook, NY 12571 Attention: Caitlyn Dongo

Report Date: 11/05/2024 Client Project ID: Wastewater 2024 York Project (SDG) No.: N4J0832

www.YORKLAB.com

CT Cert. No. PH-0800 aah / New York Cert. No. 11706 ‘aca 56 Church Hill Road #2 = Newtown, CT 06470 (203) 270-9973 FAX (203) 270-3348 ClientServices@yorklab.com

SMALYTICAL LABORATORIES INO

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Sample Information Client Sample (1D: Effluent 1A York Sample ID: N4J0832-01 YorkProject(SDG) No. Client Project ID Matrix Collection Date/Time Date Recejved N4J0832 Wastewater 2024 Waste Water October 24, 2024 11:10am 10/24/2024 Field Analyses: Log-in/Sample Notes: Analysis Conducted by: York Analytical Laboratories, Inc. - Stratford Results Parameter Result Units Qualifier RL MCL Reference Method P pee) ante Analyst ——ws_ Ss Reference Method Prepared Analyzed Analyst Ammonia Nitrogen as N < 0.0500 mg/L 0.05 - SM 4500-NH3 D 10/29/2024 08:25 10/29/2024 10:12 rep Certifications: © [NBLAC-NY10854,CTDOH-PH.0723,NJDE}] Biochemical Oxygen Demand (BOD) <2.2 mg/L 2.17 z SM 5210 B-2016 _ (5-Day) Certifications:10as202421:47——9nqvana4~CTDOH-PH-0723,NELAC-NY 13:4210854,NIDEI= PRS Results OtParameter Result Units QualifierEe |S;S;SCT TCRL MCL __ReferenceReference MethodMethod Preparederniesia AnalyzedPg AalstAnalyst Total Suspended Solids <2.50 mg/L 2.50 - SM 2540D-2011 1o/eg2024 12:07 -}q2e202412:07 9 MR Certifications: CTDOH-PH-0800,NELAC-NY 11706 Sample Information Client Sample ID; Effluent 1B York Sample ID: N4J0832-02 York Project (SDG) No. Client Project ID Matrix Collection ime Date Received N4J0832 Wastewater 2024 Waste Water October 24, 2024 11:10am 10/24/2024 Field Analyses: Log-in/Sample Notes: Analysis Conducted by: | York Analytical Laboratories, Inc. = Stratford Results —Parameter OEResult Units QualifierECSRL ML__MCL_ReferenceMethodReference Method Prepared—PrenanedD nn?AnalyzedannedimeDa AnalAnal y stst Ammonia Nitrogen as N < 0.0500 mg/L 0.05 - 8M 4500-N13 D 10/29:202408:25 — rafmeg0241012 TCD Cettifications: |©NELAC-NY10854,CTDOH-PH-0723,NIDE) Biochemical Oxygen Demand (BOD) <22 mg/L 2.17 - SM 5210 B-2016 ___ 10/28/202421:47 —yq/30202413.42 PRS (5-Day) Certifications: © CTDOH-PH-0723, NELAC-NY10854,NIDBI Results SSParameter Result aUnits Qualifier RL MCL _ReferenReferen ce MethodMethod Preparedaimeete/ Ti =AnalyzedAnalyzedDate/Tim: AnalyAmaly st Total Suspended Solids <2.50 me/L 2.50 - SM 2540D-2011 _ [10/28/2024] [12:07] 10/28/2024 12:07 MR Ceniifications: ~CTDOH-PH-0800,.NELAC-NY11706 56 Church Hill Road #2 n Newtown, CT 06470 www. YORKLAB.com (203) 270-9973- FAX (203) 270-3348 ClientServiceslient: ices| Page 3 of 7 ----- End of picture text -----

AMALETICAL LABCELTORICE ING

Sample Information

Client SampleID: Effluent 1A+1B York Sample ID; N4J0832-03 York Project (SDG) No. Client Project ID Matrix Collection Date/Time Date Received N4J0832 Wastewater 2024 Waste Water October 24, 2024 11:15 am 10/24/2024 Field Analyses: Log-in/Sample Notes: Results ——iParameter Result Units Qualifier RL MCL___ReferenceReference MethodMethod Preparedpears amineaAmalyzed AllyAnalystst Fecal Coliform <1,00 MPN/100 1.00 0 Colilert-18 10/24/2024 16:23 10/24/2024 16:23 swD al Certifications: CTDOH-PH-0800,NELAC-NY11706

56 Church Hill Road #2 . Newtown, CT 06470 (203) 270-9973 FAX (203) 270-3348 ClientServices4

:

www. YORKLAB.com

Page 4 of 7

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ANALYTICAL LasonaTomrns tro ----- End of picture text -----

Definitions and Other Information

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Temp_S1 ----- End of picture text -----

The samples were delivered directly from the field by the client. Upon receipt, the temp ofthe samples exceeded 6 deg. C, Ice was present indicating the samples had not reached desired temp. due to the short time frame from sampling to receipt by York.

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  • Analyte is not certified or the state ofthe samples origination does not offer certification for the Analyte. MCL ‘The Maximum Contaminant Level (MCL) is the maximum concentration of a chemical that is allowed in public drinking water systems. The MCL is established by the U.S. Environmental Protection Agency (EPA). Some states have MCLs that are equal to or less than the Federally established MCL. The listed MCL value reflects the MCL establishod by the State where the sample was taken. ----- End of picture text -----

General Notes for N4.J0832

  • 1, The RLs and MDLs (Reporting Limit and Method Detection Limit respectively) reported are adjusted for any dilution necessary due to the levels of target and/or non-target analytes and matrix interference. The RL(REPORTING LIMIT) is based upon the lowest standard utilized for the calibration where applicable.
  1. Samples are retained for a period of thirty days after submittal of report, unless other arrangements are made. 3. York's liability for the above data is limited to the dollar value paid to York for the referenced project. 4. This report shall not be reproduced. without the written approval ofYork Analytical Laboratories, Inc. 5. All analyses conducted met method or Laboratory SOP requirements. See the Sample and Data Qualifiers Section for further information.

  2. It is noted that no analyses reported herein were subcontracted to another laboratory, unless noted in the report, 7. This report reflects results that relate only to the samples submitted on the attached chain-of-custody form(s) received by York.

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Approved By: CassieChemistry Mosher Director wt MO PhilInterim Murphy Microbiology Director (2H Mayby We ----- End of picture text -----

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Date: November 05, 2024 ----- End of picture text -----

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www.YORKLAB.com ----- End of picture text -----

56 Church Hill Road #2 (203) 270-9973

ry Newtown, CT 06470 FAX (203) 270-3348

ClientSericesf——~Bage 5 of 7

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ri a see Ly . : a smazerereatorkLanonaromves mc York Analytical Laboratories,FieldInc, (YORK)'s Chain-of-Custody Standard Terms & Conditions are listed on the back side Record of this document. This legal document serves as your JWALAWASosESPrisAD3 oa= Num84 yh| 120 written authorization for YORK to proceed with the analyses requested below. Your signature binds you to YORK's Standard Terms & Conditions, 3 Research Drive Stratford, CTOG61S 132-02 89th Ave Queens, NY 11448 56 Church Hill Rd. #2 Newtown, CT 06470 2161 WhilesvilleRd Toms River, NJ 08755 clientservices@yarklab.com800-306-YORK Page of _ hd emer ND Eovinamenlet Pr SCid Pot WH L |’ | a RUSH-NextDay || pase MHOC D-R FG Aedes: “ Vv rf { lage of Ou u NJ || || RUSH - Two Day a Red Hel WY. 135711 Oo RUSH Tree Day || Pe SEISU-F2G0 PEC Number RUSH-FourDey || thy RUSH-Five Day |_| = Stendard (6-9 Day) a PleaseSamples print [will] a [ not] clearly [ be] and [ logged] legibly. [ in][ and] All [ the] information [turn-eraund-time] must be complete. [clock] [will][ not] (please listPreservative number of containers) =5 PFASReport Standard Type 7-10(circle) Day | | begin until any questions by YORK are resolved. S - soisalid/studge Bl . a QA Report DWGW - groundwater s lo! B 2 2 om a. |Summiary (Results Only) SW-drinking water 2 \ 2|/8\e|8/2/B/2ie 8 8 eSU (a)5 |NYASPB Package -surface water | & 5 €le/2 2 & PS 5 |NJReduced [Sample Sampiesldentifcation [Collected] by:(print AND| sign your name) Dato |ww-wastewaterO-Oitime | Othermax | §)e |5/9/=5) E/Fa3/2/21S2/38)9 58/88) 2)oe) 8/5E | 32 vw~ Ie4 =IR Ly“al¥ |ere©2 |NuDKaP|NJFullcrop peel A Nelevhd Tee Tr a a et) emia] eREE EQuiS (standard) CLV Dan) ReedSET TANT NNetalBS isTP a adeta LLLTF Te NJDEPnvspec SRP caus Haz Site ;/-————eeSY YP ETY 97 + fF2| | PfptttOO = Other:StandardCMDP Excel pr | | | | | tt | . eses OO OO | {| | {| pT eo | | eS A NN SR OO ONOO |__|Field Fittered Comments: bewitched It 1.) 1) 1) Io) 1 |) 0 fo ii Lab Filtered | Lab Sample Receiving Checklist (to be completed by the receiving laboratory only) Circle Y/N \Custody Seals: Y/N Containers Iniact: Y/N COCiLabels Agree: Y / N Preservation Confirmed: Y / N |COC Gomplate:¥/ N COC Received: Y /N Appropriate Sample Volumes: ¥ / N Appropriate Sample Containers: Y / N ; Samples Relinguished by | Company Dale time LDSSamplesT icedichiiedea; ateoawetty! tima; of tab pickup?ompany circle. Yes or NO [Cooter| TemperatureDuertimeConfirmed:: ¥; / N Samples2 Samples Submitted Reinquaied within Holdingby /Coampany Times: Y | N Corrective Action Form Required: ¥ / N 4: Bwio Sini Canp tole?" | Cha jort2y [yov ChomicC (0.2¢ 2 2 Sonipivs Recawed by ¢ Company DateTitne . Samplos Relinquished by / Company Date‘Tsne 2 Samples Received by¢Campany Date Temes | 4. Samples Rolinguishad by fCompany Dateffune |4, Samples Received hy /Company =an eSBa aoeLAY — 7 Gara6 M4I4- ASO TamperaiaBE, ----- End of picture text -----

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92-15-7 (7/91}-27c NEW YORK STATE DEPARTMENT OF ENVIROMENTAL CONSERVATION Ss DIVISION OF WATER Page 1 of 4 WASTEWATER FACILITY OPERATION REPORT FOR THE MONTH OF October 2024 SPDES PERMIT NO. FACILITY NAME FACILITY OWNER FACILITY LOCATION NY- 0271420 Village of Red Hook Sewer Village of Red Hook 7467 S Broadway Red Hook, NY125711 Dail |VOLUME OF SEWAGETREATED | TEMPERATURE(F) | Ss pH(S.U) ———SCSCSCSC*dS;CSETLEANBLESOLIDS | —=sBO.DS —'| SUSPENDED SOLIDS SS , ITue{ in/da leer] SeMGD arMGD foes fet ice [anMinimum | Maximum |sexMinimum [ame| Maximum |[zen Maximum |emerMaximum [ aeType (aeType [ograType Type jwed| os | 000 | | oo13 | | 2 eS IThu| o2 | o00 | | ooo | [vo [| 7 | | 77 | | 77 | wo | «1 | | #| + | | Fri| os | o00 | | ooos | | 7o | vw | | e0 | | 7s | wo | <o1 | | | &+| | lsat{05 os | 0 .00 0 | | ooo [|| || vo | vo Jfrs| Se77 Tee| ee| 77ee| ee eewo | <1 [| ee| |es| | isun| os | ooo | | ooor_ | [| 7 | vo | | ve | | 77 | 310 [| <1 [| | | °&+| | [Mon| o7 | 003 | | oo1z [| [| vo | 7 | | 76 | | 7a | 20 | <1 | | | | | iTue| os | 000 | | coos | | eZ 2 lWed| o9 | 0.00 | | ooo9 | | zo | vo | | 77 | | 80 | 20 | <1 | #| #| || IThu| io | ooo | | ooo | | a Zee 2 SO Fi | ii | ooo | | ooo [| {| vo [| vo | [| 7s [| | 77 [| 130 | <1 | | | °&+£+| | sat | 12 | 000 | | ooo7 | [| vo | vo f | o1 [| [at [| ao | <1 [| | [| | | sun{lMon| 13 | 000 | | ooo7 | | PC ro TC 8 | too [ <1 [J| | | lTue| 14 | o19 | | ooo [| =f vo | vo | | a2 | | 77 | soo | <1 | | | &+| | lwed| 15 | ooo | | ooo | | vo | vo [ | so | | 77 | 2o | <1 | | | +| | Thul i c || ooo0.00 | | oo osi3 [|[fT=f zo | vw7 || || 77ze [| || ze [| aozo [| < or1 [| || | || ‘|| Fri|is | 000 | [| ooo | | SS Za A CO isat| 19 | ooo | | ooos [| a 7a Ze 0 ee lsun| 20 | 000 | | ooo9 | | | | oe | ze fT oo fT or TT CTCSdT:C(CSC*id” iMon| 21 | o.oo | «| oo1o | i es 7 ee ee ee ee ee) (eee ee Tue| 22 | ooo | | ooor | | SZ es 2 G O Wed] 23 | 000 | [ ooo | | vo [ vo | | 77 | | 76 | wo | <o1 | | | | ‘4 Thu] 24 | ooo | | oor | pt fe to | cot TO ce TC Fi|aslsat | 26 || oooooo || || ooo9oo10 [| || ptee arese| teesfTeeno [ <1 TTJee eee iSun| 27 | ooo | | ooo | | Ze OX CO |Mon|tue] 28 | 000 | | ooo9 | ‘| poTseo cor TOCT lWed| 20 | ooo | | ooo9 [| | vo | vo | [78 | | 7a | 340 | <1 [| | | | | Thu] si30 | ooo003 | Ss||_ ooo s9 | [|| vo | vo |[ [| 7576 [|| || 7 96 | 300wo |[| <1 [|| | Jf| | | Pracip. Average influent Effluent Minimum Maximum Minimum | Maximum | Maximum | Maximum | int.cmot) Eft(mof) Rem.% onInt.(mgl)=Eff.(mg/) Rem.% : 0.25 0.009 70 70 7.5 8.2 75 8.1 36.0 <0.1 2 DIV/0! 3 RDIV/O! ----- End of picture text -----

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SMALTTICAL LABORATORING ING ----- End of picture text -----

prepared for:

C3ND Environmental Consulting 14 Old Route 199 Red Hook, NY 12571 Attention: Caitlyn Dongo

Report Date: 11/05/2024 Client Project ID: Wastewater 2024 York Project (SDG) No.: N4J0832

www.YORKLAB.com

CT Cert. No. PH-0800 Va saea New York Cert. No. 11706 56 Church Hill Road #2 a Newtown, CT 06470 (203) 270-9973 FAX (203) 270-3348 ClientServices@yorklab.com

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) ----- End of picture text -----

SRALYFICL LADORATORIUS INO

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Sample Information Client Sample ID: Effluent 1A York Sample ID: N4J0832-01 YorkProject(SDG) No. Client Project ID Matrix Collection Date/Time Date Received N4J0832 Wastewater 2024 Waste Water October 24, 2024 11:10 am 10/24/2024 Field Analyses: Log-in/Sample Notes: Analysis Conducted by: York Analytical Laboratories, Inc. - Stratford Results —.Parameter$< quiResult UnitsoarQualifier RL MCLst ReferenceReference MethodMethod PreparedP eee ssante Amalyzed AnalystAnalyst Ammonia Nitrogen as N < 0.0500 mg/L 0.05 - SM 4500-NH3 D __ logon02408:25 —an902410:12 TCD Centifications: ~NELAC-NY10854,CTDOH-PH-0723,NIDEI Biochemical Oxygen Demand (BOD) <22 mp/L 2.17 - SM 5210 B-2016 , }0r28/202421:47 ——1oy3ay2024 13:42 PRS (5-Day) Certifications: | CTDOH-PH-0723,NELAC-NY¥ 0854,NIDE) Results Parameter Date/Ti Date/Tim RefeResult Units Qualifie r RL MCLence Reference MethodMethod PreparPre; ar ed me AmalyzedAnal aE . AnalystAnalyst Total Suspended Solids <2,50 me/L 2.50 - 5M 2540D-2011 10/28/2024 12:07 ——-30/28/202412:07 + MR Certifications: CTDOH-PH-0800,NELAC-NY11706 Sample Information Qlient Sampie 1D: Effluent 1B York Sample 1D: N4J0832-02 York Project (SDG) No. Client Project ID Matrix Collection Date/Time Date Received N4J0832 Wastewater 2024 Waste Water October 24, 2024 11:10 am 10/24/2024 Field Analyses: Log-in/Sammple Notes: Analysis Conducted by: York Analytical Laboratories, Inc. - Stratford Results SEOParameter Result Units Qualifier RL MCL ReferenceMethoedeee pyreparedDate/Timaatestime Analyzed| Date/TimeDate/Ti kTAnalystSE Ammonia Nitrogen as N < 0.0500 mg/L 0.05 - SM 4500-NH3 D 10/29/2024 08:25 yorz9/202410:12 TED Certifications: © [NELAC-NY10854,CTDOH-PH-0723,NIDBI] Biochemical Oxygen Demand (BOD) <22 mg/L 217 - SM 5210 B-2016 — 1oasr202421:47 —aysp202413:42 PRS (5-Day) Comifications: =CTDOH-PH-0723,NELAC-NY10854,NIDEB) Results SOParameter paResuit Units Qualifier RL MCL Reference Method Pp Datei)te/Tiume lyzedaineaD: ‘ime Analyst Total Suspended Solids <2,50 ma 2.50 - SM 2540D-2011 10/2R/2024 12:07 10/28/2024 12:07 MR Cenifications: CTDOH-PH-0800.NELAC-NV11706 ----- End of picture text -----

56 Church Hill Road #2 ) Newtown, CT 06470 . . (203) 270-9973 FAX (203) 270-3348 ClientServices¢eri Page 3 of 7

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, ----- End of picture text -----

www.YORKLAB.com. .

ANALTTIOAL LABORATORIES IO

Sample Information

Client Sample ID: Effluent 1A+1B York Sample ID: N4J0832-03 York Project (SDG) No. Client Project ID Matrix Collection Date/Time Date Received N4J0832 ‘Wastewater 2024 Waste Water October 24, 2024 11:15 am 10/24/2024 Field Analyses: Log-in/Sample Notes: Parameter Results SS Result ‘Units ECRQualifier RL MCL_ R e fl erence MethodMethod PreparSt e de: Analyze e d AnalystAnalyst Fecal Coliform <1.00 MPN/100 1.00 0 Colilert-18 10/24/2024 16:23 102420241623 + SWD ml Certifications: CTDOH-PH-0800,NELAC-NY 11706

56 Church Hill Road #2 ] Newtown, CT 06470 (203) 270-9973 FAX (203) 270-3348 ClientServicesy

www.YORKLAB.com

Page 4 of 7

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AEALITTICNL LARORATORING ING Definitions and Other Information ----- End of picture text -----

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Temp_S1 The samples were delivered directly from the field by the client. Upon receipt, the temp of the samples exceeded 6 deg. C. Ice was present indicating the samples had not reached desired temp. due to the short time frame from sampling to receipt by York. . Analyte is not certified or the state of the samples origination does not offer certification for the Analyte. MCL The Maximum Contaminant Level (MCL) is the maximum concentration ofa chemical that is altowed in public drinking water systems. The MCL is established by the U.S. Environmental Protection Agency (EPA). Some states have MCLs that are equal to or less than the Federally established MCL. The listed MCL value reflects the MCL established by the State where the sample was taken. ----- End of picture text -----

General Notes for N4.J0832

  • 1, The RLs and MDLs (Reporting Limit and Method Detection Limit respectively) reported are adjusted for any dilution necessary due to the levels of target and/or non-target analytes and matrix interference. The RL(REPORTING LIMIT) is based upon the lowest standard utilized for the calibration where applicable.

    1. Samples are retained for a period of thirty days after submittal ofreport, unless other arrangements are made. 3. York's liability for the above data is limited to the dollar value paid to York for the referenced project. 4. This report shall not be reproduced without the written approval ofYork Analytical Laboratories, Inc. 5. All analyses conducted met method or Laboratory SOP requirements. See the Sample and Data Qualifiers Section for further information.
    1. It is noted that no analyses reported herein were subcontracted to another laboratory, unless noted in the Teport. 7. This report reflects results that relate only to the samples submitted on the attached chain-of-custody form(s) received by York.

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Approved By: CassieChemistry Mosher Director JL MO InterimPhil Murphy Microbiology Director (Qt C Mtrgly WE ----- End of picture text -----

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Date: November 05, 2024 ----- End of picture text -----

56 Church Hill Road #2 = Newtown, CT 06470 (203) 270-9973 FAX (203) 270-3348 ClientServices(

www.YORKLAB.com

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  • 7 -. YORKadiasicitas Latowszeetas ere York Analytical Laboratories,Fieldinc, (YORK)'s Chain-of-Custody Standard Terms & Conditions are listed on the back side Record of this document. This legal document serves as your ere‘MAKE \ ~ w853AD~~ oy25 ~ 120 written authorization for YORK to proceed with the analyses requested below. Your signature binds you to YORK's Standard Tems & Conditions. g, Research Drive Station, CT 06515 122-02 89th Ave Queens, NY 11418 56 Church Hil Rd, #2 Newtown, CT06470 2161 Whitesville Rd Toms River, NJ 08755 Glientservices@yordab.com800-306-YORK Page _ of ri | Address: MOLD a) | FG Address: wy Vi \ lage ot “Pod : ol NJ || PA | | RUSH peRed Holt MY. 19¢71 An bY RUSH- TwoThree Day Day |||| paOy.J BAIate ST) FIGo .faPCa C—Ossizd Number Standard RUSH-F iveDayourDay(6-9 Day) |_| ee}pattL clearlyQCand afoa WDConc Ce, a{ Preservative S PFAS Standard 7-10 Day + begin SoT (please list number of containers) = Report Type (circle) unti! any questions by YORK are resatved, 5 - soil/solid/sludge a} OA Report GW - groundwater z -le/3/8 2 ci. |Summary (Results Only) | DW - drinking water 8|Fls|2|2/§ 3 & |NY ASP B Package SW 3 5 S/2/eE|8 < oO ww -surface water | 2 3 2 2/2|32 & Ps 5 |NJ Reduced Samples Collected -wastoeter | §/ § | £) 2) 8 Ble! .|2 Al 2 |NJDKQP Sample by: (print ANDsian your name 0- oil Other £ ing FS 3G 4 5 ay E 8 u “ = 6 |NJFuti ldentfication | Dato | time | marx | 5/2/38 /2/2/8/8) 8)e/2)t gic |CTRCP pt OE PE er tr EQuiS (standard) | - . ptrect vse gous Eli Zoe iTa bleed I Teta a ot LL te NJDEP SRP Haz Site M9fo[attii} REP EST etpes) ft TtTT| LET| Cott{| ft| Other:eerStandard Excel eee | RS es et regiatory Comparative | jE EOE ee eee ENS UNE DN PS Oe as i ea a a ee | | tt tT er pee eee a sO OO OD |Lab Filtered Comments: : Lab Sample Receiving Checklist (to be completed by the receiving laboratory only) Circle Y / N | COCCustodyComplete: Seals: Y/NY/N COCContainersReceived: IntactY / N Y/NAppropriate COC/Labels Sample Agree: Valumes:Y/N Y / N Preservation Confirmed:Appropriate Sample Containers:Y | N Y / N |
  • Samples lead/chiled et bine of fab pickup? orate Yee or No Cooler Temperature Confirmed: Y | N Samples Submitted within Holding Times: Y 7 N Corrective Action Form Required: Y / N SamplesWiis Retinquished by? Company DateTime 3.Dc 1. Same Reseedby/Company “= DateTime 2 Sanipias Relinguighed by? Comany a 1
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References

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Recurring pattern

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