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Analytical Report — Amended Report #B3055 (May 2026)

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Amended Report #: B3055

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Analytical Report

AG ENVIRONMENTAL, RSC, LLC. 86 Queen Mountain Road, Ferndale New York 12734 Phone: 845.704.8151 Email: info@agerny.com

AMENDED REPORT: Replaces Original Report No.: 86880

Issue Date: 05/28/2026 Prepared For: Village of Red Hook Site Address: 7467 South Broadway RED HOOK NY 12571

Sampling Details:

Chain of Custody: 83749 Received Date/Time: 05/27/2026 12:49 PM Temperature of Samples upon receipt: 12.7°C Sample Matrix: DW

Dear Valued Customer,

Enclosed is the comprehensive report detailing the analyses of samples collected from the site listed above. The samples were received at our laboratory on 05/27/2026.

Should you have any questions or require further clarification regarding these results, please contact our customer service department at 845.704.8151.

Sincerely,

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Allanha Wickham | Client Services Director

The test results in this report meet NELAP requirements for analytes, for which accreditation is required or available. Any exceptions to the NELAP requirements are noted. Analytical results contained in this report apply only to the samples tested as received by our laboratory. This report shall not be reproduced or modified without the full written consent of AG Environmental RSC LLC. All questions regarding this report should be directed to the customer service department at AG Environmental RSC LLC.

Amended Report #: B3055 Page 1 of 2

NYSDOH ELAP # 12081 PA DEP # 68-05705 Connecticut # PH-0808 NJDEP: NY042 A2LA: 6858.01

Amended Report #: B3055

Analytical Report

Bill-to Customer Information (C55068)Bill-to Customer Information (C55068)Bill-to Customer Information (C55068)Bill-to Customer Information (C55068)Bill-to Customer Information (C55068)Bill-to Customer Information (C55068)Water Source Location X55068-01Water Source Location X55068-01Water Source Location X55068-01Water Source Location X55068-01Water Source Location X55068-01
Customer Name:Village of Red HookSource Name:Village of Red Hook DW
Address:7467 South BroadwayAddress:7467 South Broadway
Town:RED HOOK**State:NYZip:**12571Town:RED HOOK**State:NYZip:**12571
Phone:000-000-0000PWSID/SPDES:
Email:treasurer@redhookvillage.govContact Name:Les Coon
Fax:Phone:8455443151
ParameterResultUnitsCommentDate/Time
of AnalysisRes
ClTechMethodMCL / SMCL
Lab Sample ID: SB00060670
**Date Sampled: 05/27/2026Time Sampled: 11:03 AMTaken By: VJ**
Sample Point: 52 Fire House Ln
Sample Notes:
ColiformAbsence05/27/2026
01:37 PM2.13JLColiform P/A & E.coli by SM22 9223B (Colilert)
MethodZero
E.coliAbsence05/27/2026
01:37 PM2.13JLColiform P/A & E.coli by SM22 9223B (Colilert)
MethodZero
*** End of Results for Lab Sample ID: SB00060670Batch No. 1779903474705
Lab Sample ID: SB00060669
**Date Sampled: 05/27/2026Time Sampled: 10:35 AMTaken By: VJ**
Sample Point: 7467 S Broadway
Sample Notes:
ColiformAbsence05/27/2026
01:37 PM1.79JLColiform P/A & E.coli by SM22 9223B (Colilert)
MethodZero
E.coliAbsence05/27/2026
01:37 PM1.79JLColiform P/A & E.coli by SM22 9223B (Colilert)
MethodZero
*** End of Results for Lab Sample ID: SB00060669Batch No. 1779903474705

Comment Table:

Remarks: T = Sodium Thiosulfate | Amended to correct Sample point for SB00060669 as per original COC - AW

This report cannot be reproduced without written permission of AG Environmental RSC LLC. 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.

Reviewed and approved by:

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Allanha Wickham | Client Services Director

Amended Report #: B3055 Page 2 of 2

NYSDOH ELAP # 12081 PA DEP # 68-05705 Connecticut # PH-0808 NJDEP: NY042 A2LA: 6858.01

Changes between versions

2025-11-172025-11-17
substantive change+085

The document title changed and the technical Water Systems Operation Report section was removed.

  • Title changed from 'Trustee Amy Smith Water Department Report — October 2025' to 'DRIP Water Treatment Plant Monthly Operation Report — October 2025'
  • Removed the entire 'Microbiological Sample Results' and 'NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report' technical data tables and headers.
Show red-line diff
Amy Smith Trustee Reports for Board Meeting, Monday Nov. 17, 2025 ## **Water Department** The report on the Village’s water use and testing indicates that customers used a total of almost 7 million gallons of water (6,932,202) for an average daily use of 223, 619 gallons. Over the course of the month, the Village used 150 gallons of liquid chlorine for a daily average of 4.84 gallons. The free chlorine residuals at the entry point ranged from 1.43 to 2.13 mg/l for a daily average of 1.86 mg/l. All three tested locations were negative for e.coli and coliform. The chlorine residuals ranged from 1.1 to 1.35 mg/l. ## **Events** There were two event applications that required follow-up communication and meetings to get complete. ## **Grants** The Greenway Compact grant was submitted on Oct. 30. In combination with the work to get a school speed zone established, I’m currently working on funding sources for the lighted signs that would be legally required as part of it. Microbiological Sample Results ## **NEW YORK STATE DEPARTMENT OF HEALTH** ## **Water Systems Operation Report** Bureau of Water Supply Protection |Public Water System Name<br>~~es~~|Public Water System Name<br>~~es~~|Public Water System Name<br>~~es~~|Public Water System Name<br>~~es~~|Reporting Month/Year<br>~~es~~|Reporting Month/Year<br>~~es~~|Date Report Submitted<br>~~es~~|Date Report Submitted<br>~~es~~|Date Report Submitted<br>~~es~~|Source Water Type(s)<br>~~es~~|Source Water Type(s)<br>~~es~~| |---|---|---|---|---|---|---|---|---|---|---| |**Village of Red Hook**<br>~~a~~||||Oct-25<br>~~a~~||11/7/2025<br>~~a~~|||Surface<br>Ground<br>GWUDI<br>Purchase with subsequent chlorination<br>Purchase w/out subsequent chlorination<br>~~a~~<br>~~ee~~|| |Public Water System ID<br>~~ee~~||||County<br>~~ee~~||Town, Village, or City<br>~~ee~~||||| |**NY1302775**<br>~~a~~||||**Dutchess**||**Village of Red Hook**||||| |~~et~~||||||||||| |DATE<br>~~||~~|Source(s) in Use<br>~~||~~|Treated water<br>volume (<br>gallons/day)<br>~~||~~|Chlorination<br>~~**a**~~||||Other Treatments / Readings|||| ||||Gaseous<br>~~**a**~~||Liquid<br>~~**a**~~<br>~~e~~|Free chlorine<br>residual at entry<br>point (mg/l)|ee|ee||| ||||Cylinder<br>weight (lbs.)<br>~~**a**~~|Chlorine<br>used per<br>day (lbs.)<br>~~**a**~~|Hypochlorite added to<br>crock (gallons or quarts)<br>~~**a**~~<br>~~e~~|||||| |1<br>~~a~~||223816<br>||||1.82||~~ee~~|~~ee~~|~~ee~~| |2<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>|224733<br> ~~a~~<br>~~a~~<br>|~~ee~~<br>~~ee~~<br>|~~ee~~<br>~~ee~~<br>|15<br>~~ee~~<br>~~ee~~<br>|1.86<br>~~ee~~<br>~~ee ee~~<br>|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~| |3<br>~~a ~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~<br>|224059<br>~~a~~<br>~~a~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|1.9<br>~~ee ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee~~| |4<br> <br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br> ~~a~~<br>~~a~~|228856<br> ~~a ~~<br>~~a~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~ee~~|10<br>~~ee ~~<br>~~ee~~<br>~~ee~~|1.9<br> ~~ee ee~~<br>~~ee~~<br>~~ee~~|~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|| |5<br> <br>~~a ~~<br>~~a~~|~~a ~~<br> ~~a~~<br>~~a~~|260203<br> ~~a ~~<br>~~a~~<br>~~a~~|~~ee~~<br>~~a~~<br>~~ee~~|~~ee ~~<br>~~ee~~<br>~~se~~|~~ee~~<br>~~ee~~<br>~~se~~|1.86<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|| |6<br> <br>~~a~~|~~a~~<br>~~a~~|238162<br>~~a~~<br>~~a~~|~~a ~~<br>~~ee~~|~~ee~~<br>~~se~~|10<br>~~ee ~~<br>~~se~~|1.76<br> ~~ee~~|~~ee~~|~~ee~~|~~ee~~|| |7<br>~~a~~|~~a ~~<br>~~a~~|227434<br> ~~a~~<br>~~a~~|~~ee ~~<br>~~ee~~|~~se~~<br>~~ee~~|~~se~~<br>~~ee~~|1.79<br>~~es~~||||| |8<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~|226883<br>~~a~~<br>~~a~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|10<br>~~ee~~<br>~~ee~~|1.93<br>~~es~~<br>~~ee~~|~~ee~~|~~ee~~|~~ee~~|| |9<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|228555<br> ~~a~~<br>~~a~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|1.87<br>~~es~~<br>~~ee~~<br>~~es~~|~~ee~~|~~ee~~|~~ee~~|| |10<br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|221691<br> ~~a~~<br>~~a~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~ee~~|5<br>~~ee~~<br>~~ee~~<br>~~ee~~|1.94<br>~~ee ~~<br>~~es~~<br>~~ee~~|~~ee ~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|| |11<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|225952<br> ~~a~~<br>~~a~~<br>~~a~~|~~ee~~<br>~~a~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~es~~|5<br>~~ee~~<br>~~ee~~<br>~~es~~|1.82<br>~~es~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~es~~|| |12<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|217005<br> ~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~ee~~<br>~~a~~|~~ee~~<br>~~es~~<br>~~ee~~|10<br>~~ee ~~<br>~~es~~<br>~~ee~~|1.88<br> ~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~es~~<br>~~ee~~|| |13<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|225722<br> ~~a~~<br>~~a~~<br>~~a~~|~~ee ~~<br>~~a~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~ee~~|1.88<br>~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~ee~~|| |14<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|224429<br> ~~a~~<br>~~a~~<br>~~ee~~|~~a~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|20<br>~~ee~~<br>~~ee~~<br>~~ee~~|1.87<br>~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|| |15<br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|217386<br> ~~a~~<br>~~ee~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|1.83<br>~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee ~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|| |16<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~<br>~~a~~|223110<br>~~ee ~~<br>~~a~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|1.85<br>~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~|~~ee~~|~~ee~~|| |17<br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~<br>~~a~~|216646<br> ~~a~~<br>~~ee~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|1.9<br>~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|| |18<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~|219616<br>~~ee ~~<br>~~a~~|~~ee~~<br>~~ee~~<br>~~es~~|~~ee~~<br>~~ee~~<br>~~es~~|10<br>~~ee~~<br>~~ee~~<br>~~es~~|1.93<br>~~ee~~<br>~~ee~~<br>~~es~~|~~ee~~|~~ee~~|~~ee~~|| |19<br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~|227619<br> ~~a~~<br>~~a~~|~~ee~~<br>~~es~~<br>~~ee~~|~~ee~~<br>~~es~~<br>~~es~~|~~ee~~<br>~~es~~<br>~~es~~|1.96<br>~~ee ~~<br>~~es~~<br>~~ee~~|~~ee ~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~es~~|| |20<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~|227070<br>~~a~~<br>~~a~~|~~es~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~es~~<br>~~es~~|~~es~~<br>~~es~~<br>~~es~~|1.9<br>~~es~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |21<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~|220935<br> ~~a~~<br>~~a~~|~~ee ~~<br>~~ee~~<br>~~es~~|~~es~~<br>~~es~~<br>~~es~~|10<br>~~es~~<br>~~es~~<br>~~es~~|1.85<br>~~ee ~~<br>~~ee~~<br>~~es~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |22<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~|214079<br> ~~a~~<br>~~a~~|~~ee ~~<br>~~es~~<br>~~ee~~|~~es~~<br>~~es~~<br>~~es~~|10<br>~~es~~<br>~~es~~<br>~~es~~|1.71<br>~~ee ~~<br>~~es~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |23<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~|218754<br>~~a~~|~~es~~<br>~~ee~~<br>~~es~~|~~es~~<br>~~es~~<br>~~es~~|~~es~~<br>~~es~~<br>~~es~~|2.04<br>~~es~~<br>~~ee~~<br>~~es~~|~~ee~~|~~ee~~|~~es~~|| |24<br>~~a~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~|218437<br> ~~a~~<br>~~a~~|~~ee ~~<br>~~es~~<br>~~a~~|~~es~~<br>~~es~~<br>~~a~~|15<br>~~es~~<br>~~es~~<br>~~ee~~|2.13<br>~~ee ~~<br>~~es~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |25<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~|219984<br>~~a~~<br>~~a~~|~~es~~<br>~~a~~<br>~~ee~~|~~es~~<br>~~a~~<br>~~es~~|~~es~~<br>~~ee~~<br>~~es~~|2.1<br>~~es~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |26<br>~~a ~~<br>~~a~~|~~a ~~<br>~~a~~|227748<br> ~~a ~~<br>~~a~~|~~a ~~<br>~~ee~~|~~a~~<br>~~es~~|~~ee~~<br>~~es~~|2.12<br>~~ee ~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~es~~<br>~~es~~|| |27<br>~~a~~<br>~~a~~|~~a ~~<br>~~a~~|218398<br> ~~a~~<br>~~a~~|~~ee ~~|~~es~~|10<br>~~es~~<br>~~ss~~|1.44<br>~~ee ~~<br>~~ss~~|~~ee~~|~~ee~~|~~es~~|| |28<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~<br>~~a~~<br>|218740<br>~~a~~<br>~~a~~<br>~~a~~<br>~~a~~<br>|~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~<br>~~es~~|~~a~~<br>~~es~~|1.43<br>~~ee~~|~~ee~~|~~ee~~|~~es~~|| |29<br>~~a~~<br>~~a~~<br>~~a~~|~~a~~<br>~~a~~<br>~~a~~<br>|209431<br>~~a~~<br>~~a~~<br>~~a~~<br>|~~a~~<br>~~ee~~|~~es~~<br>~~ee~~|~~es~~<br>~~se~~|1.63<br>~~ee~~<br>~~se~~|~~ee~~<br>~~es~~|~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~|| |30<br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br> ~~a~~<br>~~a~~|217300<br> ~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~a~~|10<br>~~es ~~<br>~~se~~<br>~~ee~~|1.89<br> ~~ee~~<br>~~se~~<br>~~ee~~|~~ee~~<br>~~es~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~ee~~|~~ee~~| |31<br> <br>~~a ~~<br>~~a~~<br>~~a~~|~~a ~~<br> ~~a~~<br>~~ee~~|219449<br> ~~a~~<br>~~a~~<br>~~ee~~|~~ee ~~<br>~~ee~~<br>~~ee~~|~~ee ~~<br>~~a~~<br>~~ee~~|~~se~~<br>~~ee~~<br>~~ee~~|1.92<br>~~se~~<br>~~ee~~<br>~~ee~~|~~es~~<br>~~ee~~<br>~~ee~~<br>~~**e**e~~|~~ee ~~<br>~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~ee~~<br>~~eee~~|~~ee~~<br>~~ee~~<br>~~eee~~| |**Total**<br> <br>~~a~~<br>~~a~~|~~a ~~<br>~~ee~~|6932202<br> ~~a~~<br>~~ee~~|~~ee ~~<br>~~ee~~|~~a~~<br>~~ee~~|150<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~**e**e~~|~~ee~~<br>~~ee~~<br>~~ee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~eee~~<br>~~ee~~|~~ee~~<br>~~ee~~<br>~~eee~~| |**AVG.**<br>~~a~~|~~ee~~<br>~~a~~|223619<br>~~ee~~<br>~~e~~|~~ee~~<br>~~e~~|#DIV/0!<br>~~ee~~<br>~~e~~|4.84<br>~~ee~~<br>~~e~~|1.86<br>~~ee~~<br>~~e~~|#DIV/0!<br>~~ee~~<br>~~**e**e ~~<br>~~e~~|#DIV/0!<br>~~ee~~<br> ~~ee ~~<br>~~ee~~|#DIV/0!<br>~~ee~~<br> ~~eee ~~<br>~~ee~~|#DIV/0!<br>~~ee~~<br> ~~eee~~| Chlorine Mix Ratio = quarts/gallons of % chlorine added to gallons of water in crock Reported by: Leslie A Coon Jr Title: Sr. Area Manager NYS DOH Operator Certification Number: **NY0039091** Signature: Date: **11/7/2025** Operator Grade Level **IIB/C** **Microbiological Samples and Free Chlorine Residual** |Sample Location|Date of Sample|Sample Type<br>1.Routine<br>2.Repeat|Total<br>Coliform<br>Positive|E.coli<br>Positive|Free Chlorine Residual<br>(mg/l)|Did not collect/analyze repeat sample.<br>For systems collecting 40 or more samples per month: more than 5% of the<br>samples (routine and/or repeat) are positive for total coliform (= total coliform<br>MCL<br> violation).<br>The original sample was E.coli positive and at least 1 repeat sample was<br>positive for total coliform ( =E.coli MCL violation<br>).<br>Did an MCL violation occur?<br>Did not collect/analyze for E. coli for positive total coliform from<br>routine/repeat sample.<br>If “**Yes**,” check reason(s) below (see also Part 5, Table 6 for<br>additional information).<br>For systems collecting less than 40 samples per month: two or more of the<br>samples (routine and /or repeat) are positive for total coliform (= total coliform<br>MCL<br> violation).<br>If “Yes,” check reason (s) below:<br>Actual number of samples is fewer than required.<br>Free Chlorine Residual<br>**Population Served:**<br>**Number of microbiological monitoring samples required:**<br>**Number of microbiological monitoring samples taken:**<br>**Did an M&R violation oc**<br>Yes<br>No<br>Yes<br>No| |---|---|---|---|---|---|---| |7585 South Broadway|10/29/2025|**1**|Yes<br>No|Yes<br>No|1.23|| |7467 South Broadway|10/29/2025|**1**|Yes<br>No|Yes<br>No|1.35|| |Traditions Mailroom|10/29/2025|**1**|Yes<br>No|Yes<br>No|1.1|| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||Reminder: System must collect a minimum of five (5) routine microbiological<br>monitoring samples during the month following a repeat sample collection.| ||||Yes<br>No|Yes<br>No||| |||||||**As required by 5-1.72, “Operation of a Public Water System,” a copy of this**<br>**form shall be sent to your local health department by the 10th calendar day of**<br>**the next reporting period.**| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| ||||Yes<br>No|Yes<br>No||| **Sample Collector(s):** LJ **Name of NYSDOH Certified Laboratory:** AG Environmental **Did any MCL violation occur? If so, please describe:** **Did an emergency or low pressure problem occur? Did source water bypass an existing treatment process in the system? If so, please explain.** **Comments:**

References

This document cites or incorporates the following separate documents: