Water System Operation Report — May 2025

NEW YORK STATE DEPARTMENT OF HEALTH

Bureau of Water Supply Protection

Water Systems Operation Report

Microbiological Sample Results

Operator 12.5 N||| 30||e Level gallons n Numb|of water in crock eNY0029400||| ||||||||||Operator Grad YS DOH Operator Certificatio|||||| |||||||6/5/2025||||||IA,C,D |||

DOH-360 (02/05) Page 1 of 2

Microbiological Samples and Free Chlorine Residual

|Sample Location|Date of Sample|Sample Type

1. Routine
2. Repeat|Total Coliform Positive|E.coli Positive|Free Chlorine Residual (mg/l)|Population Served:|Population Served:|2,730|2,730|2,730||| |---|---|---|---|---|---|---|---|---|---|---|---|---| |||||||||||||| |||||||Number of microbiological monitoring samples required:||||||3| |Traditions|5/21/2025|1|Yes No|Yes No|0.35|||||||| |||||||Number of microbiological monitoring samples taken:||||||3| |RHCSD Bus Depot (16 Linden)|5/21/2025|1|Yes No|Yes No|0.16|Did an M&R violation occu|||r?|Yes|No|| |||||||||||||| |16 Tower|5/21/2025|1|Yes No|Yes No|0.01|If “Yes,” check reason(s)bel|||ow:|||| ||||||||Actual number of s||amples is fewer than required.|||| ||||Yes No|Yes No|||Did not collect/anal||yze repeat sample.|||| ||||||||Did not collect/anal routine/repeat sam||yze for E. coli for positive total coliform from ple.|||| ||||Yes No|Yes No||||||||| |||||||Did an MCL violati|||on occur?||Yes No|| ||||Yes No|Yes No||||||||| |||||||If “Yes,” check reason(s) belo information).|||w (see also Part 5, Table 6 for additional|||| ||||Yes No|Yes No||||||||| ||||||||For systems collect samples (routine a MCL violation).||ing less than 40 samples per month: two or mor nd /or repeat) are positive for total coliform (= to|||e of the tal coliform| ||||Yes No|Yes No||||||||| |||||||||||||| ||||Yes No|Yes No|||For systems collec samples (routine a violation).||ting 40 or more samples per month: more than nd/or repeat) are positive for total coliform (= tota|||5% of the l coliformMCL| |||||||||||||| ||||Yes No|Yes No||||||||| ||||||||The original sample for total coliform ( =||was E.coli positive and at least 1 repeat sampl E.coli MCL violation ).|||e was positive| ||||Yes No|Yes No||||||||| |||||||||||||| ||||Yes No|Yes No||Reminder: System must collect a minimum of five (5) routine microbiological monitoring samples during the month following a repeat sample collection.||||||| ||||Yes No|Yes No||||||||| |||||||||||||| ||||Yes No|Yes No||||||||| |||||||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.||||||| ||||Yes No|Yes No||||||||| ||||Yes No|Yes No||||||||| |||||||||||||| ||||Yes No|Yes No||||||||| |||||||||||||| ||||Yes No|Yes No||||||||| ||||||||||||||

Sample Collector(s): LJ Smith Name of NYSDOH Certified Laboratory: York Analytical

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