AG ENVIRONMENTAL RSC, LLC
Ce 86 Queen Mountain Road, Ferndale, New York, 12734 / Phone: 845.704.8151 / Fax: 845.414.0051
NYSDOH ELAP # 12081 PA DEP # 68-05705 FLORIDA (Legionella) # E871152 Connecticut # PH-0808
Original Report #: 77954
a Bill-to Customer Information (C55068) Water Source Location X55068-01 LCR Issue Date: 11/03/2025 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 10/29/2025 at 03:35 PM From COC#: 74646
|**Sample# **
ee|MTX
ee|Sample Point
ee|Sampled
Date & Time
ee|**Temp **
ee ee|Pres.
Y/N/T
ee|Res
**Cl **
ee|Int
ee|Analyze
Prep Date
Time
ee|Test Method|Comment
**(see table) **
ee|Analyte Results
ee|Analyte Results
ee|MCL
(Limits)
ee|SMCL
(Limits)
ee|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|S000257673
ee|DW-G
ee|7585 S.B.
ee|10/29/2025
01:23 PM
ee|11.8°C
G4
ee ee|T
ee|1.23 LJ
ee|1.23 LJ
ee|10/30/2025
01:57 PM
MV
ee|Coliform P/A & E.coli by SM22
9223B (Colilert) Method|N
1761857865463
ee
ee|Coliform
ee
es|Absence
ee
ee|Zero
ee
ee|ee
ee|
||||||||||||E.coli
ee
es
ee|Absence
ee
ee
ee|Zero
ee
ee
ee|ee
ee
ee|
|S000258090
ee
eee|DW-G
ee
eee|7467 S.B.
ee
eee|10/29/2025
01:35 PM
ee
eee|11.8°C
G4
ee ee
eee|T
ee
eee|1.35 LJ
ee
eee|1.35 LJ
ee
eee|10/30/2025
01:57 PM
MV
ee
eee|Coliform P/A & E.coli by SM22
9223B (Colilert) Method
eee|N
1761857865463
ee
eee
ee|Coliform
~~ee ~~
es
eee
ee
a|Absence
ee
~~ee ~~
eee
ee
a|Zero
ee
ee
eee
ee
ee|ee
ee
eee
ee|
||||||||||||E.coli
eee
ee
a|Absence
eee
ee
a|Zero
eee
ee
ee|eee
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 #: 77954 Page 1 of (1)
|
COC-DW VER 11.0 ] | ELAP # 12082 12082 | 746 ‘dee, ‘dee, E /2025 3:35 pm i Hi|l]|l]l] : - | || | | | : Tyepeepee Temp : | | | | 7° 9 | 55 2 certified by the the state from tab will be shown on shown on on |
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¢? AG ENVIRONMENTAL, RSC, LLC. ; Jas SULLIVAN COUNTY LABS New York State Chain-of-Custody POTABLE WATER NYSDOH ELAP # 12082 12082 E> Water sample submission form icteric COc# 86 Queen Mountain Road, Ferndale, New York, 12734 7 / Phone: 845.704.8151 / Fax: 845.414.0051 Rece; cust, 1D;746 ‘dee, ‘dee, Bill-to Customer Information: (C55068) Well/System Location7 Information7 etved:1 eo /2025 3:35 pm illage of Red Hook Name or PWS:Village of Red Hook DW Address: | MMHHi|l]|l]l] Town: |7467 South Broadwa Address: _‘[7467 South Broadwa - Phone: { 000-000-0000RED HOOK State: NY Zip: 12571 Town:NYSPWS-ID:[RED| HOOK ‘State: NY —_Zip: 12571 Fax PhonesPlease 8455443151 send my report to DOH. forward your results to the Dept. of Health, Note: it is your responsibility to verify that they receiveit. Customer Sample Collection Data i F Date Time = _|Initials Who}Residual pp1} 2SLSBottle Sample#77 C73O73 PIVISAS S ampleA SSB PointSB. . Ji0)99Sampled|[04 |]Pesga@]Sampled| agaef SampledVTVT [ 3 ] Test Requested - ELAP/EPAp Method Comments/SampleTyepeepee Temp P7329. (WOISs ae SL S|oomne Arrived [| “Ge | Bp Cn 2 (OR GO ( an . eee . . Received IAS |. . Received 7° 9 Relinquished By’:} “SS Relinquished To: | _— Date /O/G Time 55 ullivan County Labs terms and canditions found an www.SullivanCountyLabs.com. Public water systems are required to report results to the local Dept. af Health office, When necessary, we reserve the sight to subcontract testing to accredited taborataries that are certified by the the state from hich the sampie was taken. Circumstances might require us to send your sampie to an affiliated lab, either due to instrument backlog, hold time limitations, or non-accreditation in a particular test. You are giving us permission to do so by signing this COC. The altemate tab will be shown on shown on on your ceritificate of results with its approved ELAP #. ----- 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|
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|86Queen Mountain Road, Ferndale, New York, 12734 / Phone: 845.704.8151 / Fax: 845.414.0051|||||Original Report #: 77953
LCR Issue Date: 11/03/2025||
|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 on10/29/2025at03:35 PM|||||**From COC#:**74645||
|**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)| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| |S000257674|DW-G|TRADITIONS MAIL ROOM|10/29/2025 02:00 PM|11.8°C G4|T|1.10 LJ|1.10 LJ|10/30/2025 01:57 PM MV|Coliform P/A & E.coli by SM22 9223B (Colilert) Method|N 1761857865463|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 #: 77953 Page 1 of (1)
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‘COC-DW VER 11.0 | ;7? AG ENVIRONMENTAL, RSC, LLC. | Lh SULLIVAN COUNTY LABS New York State Chain-of-Custody POTABLE WATER WYSDOH FLAP # 1208 | «= Water sample submission form caeee i ae : 86 coc# 74645 2 Bill-to Queen Mountain Road, Ferndale, New York, 12734/ Phone: 845.704.8151 / Fax. 845.414.0051 Received: tose se” : Customer Information: (C55068) Well/System Location Information Tae , Address: {7467illageSouth of RedBroadway Hook Address:Name or PWS:\Village[7467 South of RedBroadwa Hook DW UHM | Town: _ | Phone: |RED{000-000-0000 HOOK_ State: NY Zip: 12571 Town:NYSPWS-IDD(RED| HOOK State: NY Zip: 12571 sSC~*SzY || Email: reasurer@redhookvillage.gove g¢-9 ContactName: Les Coon | FePlease send __. Phone: 8455443151 :|! y report to DOH. | forward your results to the Dept. of Health. Note: It Is your responsibility to verify that they receive it. Customer Sample Collection Data | : Date Time |initials Who/Residual ! i Bottle Sample# Sample Point Sampled| Sampled| Sampled |chlorine. Test Requestedequested -- ELAP/EPAP, Method |Comments/Sample Temp F VST OT pracy cms OT OC~—~—SCSC dC Bp ae ple Ce Aves a GC) OO CS GE)OOSc aOO |”’”’0. EdGe) Relinquishedelinguisned ByBy:|: 4-7 Relinquishedq To:|(/.--—~| 4 ReceivedDate C4 FE | "ReceivedTime 9:a7 fom |
- By signing, customer acknowledges that some samples may be sent to a sister {certified) LAB for analysis. Samples cannat be logged in and turnaround time clock will not start until any ambiguities are resolved, By executing this document, the cllent has read and agrees to be bound by Butlivan County Labs terms and conditions found on www.SullivanCountyLabs.com. Public water systems are required to report results to the focal Dept. of Health office. When necessary, we reserve the right to subcontract testing to accredited laboratories that are certified by the state from ! ‘your ceritificate approvi . | ----- End of picture text -----