NEW YORK STATE DEPARTMENT OF HEALTH Water …eastfishkillny.gov/Pdf/Hopewell-Glen-052015.pdf · 05/31/2015 cc: Kyle Steimle. NYSDOH ... Client Sample IDClient Matrix Date/Time Sampled

1 D.C.W.A 40 1.09 Cont. Trailer 0.18

2 D.C.W.A 53 1.43

3 D.C.W.A 52 1.37

4 D.C.W.A 53 1.56 Marcy FH 0.31

5 D.C.W.A 48 1.51 Vanburen FH 0.43

6 D.C.W.A 52 1.14 Fenton FH 0.17

7 D.C.W.A 90 1.34 EP 0.17

8 D.C.W.A 63 1.37 Const. Trailer 0.18

9 D.C.W.A 81 1.31

10 D.C.W.A 87 1.32

11 D.C.W.A 86 1.25 Marcy FH 0.28


13 D.C.W.A 66 1.16 Fenton FH 0.18

14 D.C.W.A 79 1.21 Thompkins 0.18


16 D.C.W.A 89 1.35

17 D.C.W.A 76 1.36

18 D.C.W.A 72 1.42 Marcy FH 0.32


20 D.C.W.A 60 1.4 Fenton FH 0.15

21 D.C.W.A 66 1.3 48 Hoffman 0.17

22 D.C.W.A 57 1.4 EP 0.2

23 D.C.W.A 64 1.43

24 D.C.W.A 63 1.33

25 D.C.W.A 67 1.29 Marcy FH 0.21


27 D.C.W.A 51 1.32 Fenton FH 0.17


29 D.C.W.A 46 1.33 EP 0.13

30 D.C.W.A 63 1.34

31 D.C.W.A 45

Total 2017

AVG. 65.06451613 #DIV/0! 1.33 #DIV/0! 0.23

% chlorine added to

Reported by: Title:

Signature: Date: C

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

Shane Hunt Operator NYS DOH Operator Certification Number: NY0039801

6/10/2015 Operator Grade Level

Chlorine Mix Ratio = gallons of gallons of water in crock

0

#DIV/0! #DIV/0! #DIV/0!

AM

JC

KS

KS

KS

KS

JC

JC

KS

AM

KS

KS

KS

KS

AM

JC

KAM

KS

KS

KS

KS

KS

KS

AM

KS

KS

KS

KS

AM

JC

Checked by Initials

Cylinder weight (lbs.)

Chlorine used per day (lbs.)

Hypochlorite added to crock (gallons)

KS

DATE Source(s) in UseTreated water volume (1000 gallons/day)

Chlorination Other Treatments / ReadingsGaseous Liquid

Free chlorine residual at entry

point (mg/l)Distribution

LocationDistribution

Turbidity

NEW YORK STATE DEPARTMENT OF HEALTH Water Systems Operation Report Bureau of Water Supply Protection Microbiological Sample Results

Public Water System Name Reporting Month/Year Date Report Submitted Source Water Type(s)

Hopewell Glen May-15 6/10/2015

Public Water System ID County Town, Village, or City

NY 1330699 Dutchess Town of East Fishkill

Surface Ground GWUDI

Purchase with subsequent chlorination

Purchase w/out subsequent chlorination

1

1

Did not collect/analyze repeat sample.

Comments:

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

Did an emergency or low pressure problem occur? Did source water bypass an existing treatment process in the system? If so, please explain.

Sample Collector(s): Kyle Steimle

Name of NYSDOH Certified Laboratory: Envirotest Laboratories

Did any MCL violation occur? If so, please describe:

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.

Reminder: System must collect a minimum of five (5) routine microbiological monitoring samples during the month following a repeat sample collection.

For systems collecting 40 or more samples per month: more than 5% of the samples (routine and/or repeat) are positive for total coliform (= total coliform MCL violation).

The original sample was E.coli positive and at least 1 repeat sample was positive for total coliform ( = E.coli MCL violation).

If “Yes,” check reason(s) below (see also Part 5, Table 6 for additional information).

For systems collecting less than 40 samples per month: two or more of the samples (routine and /or repeat) are positive for total coliform (= total coliform MCL violation).

Did not collect/analyze for E. coli for positive total coliform from routine/repeat sample.

Did an MCL violation occur?

Did an M&R violation o

If “Yes,” check reason (s) below:

Actual number of samples is fewer than required.

Number of microbiological monitoring samples required:

42 Hoffman 5/27/2015 1 1.12Number of microbiological monitoring samples taken:

Microbiological Samples and Free Chlorine Residual

Sample Location Date of SampleSample Type

1.Routine 2.Repeat

Total Coliform Positive

E.coli Positive

Free Chlorine Residual (mg/l)

Population Served:

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

ANALYTICAL REPORT

Job Number: 420-90580-1

Job Description: JCO, Inc - Hopewell Glen DW 1330699

For:

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Attention: Ryan Carozza

Debra Bayer

Customer Service Manager

[email protected]

05/31/2015

Kyle Steimlecc:

NYSDOH ELAP does not certify for all parameters. EnviroTest Laboratories does hold certification for all analytes where certification

is offered by ELAP unless otherwise specified. Pursuant to NELAP, this report may not be reproduced, except in full, without written

approval of the laboratory. EnviroTest Laboratories Inc. certifies that the analytical results contained herein apply only to the samples

tested as received by our laboratory. All questions regarding this report should be directed to the EnviroTest Customer Service

Representative.

EnviroTest Laboratories, Inc. Certifications and Approvals: NYSDOH 10142, NJDEP NY015, CTDOPH PH-0554

315 Fullerton Avenue, Newburgh, NY 12550

Tel (845) 562-0890 Fax (845) 562-0841 www.envirotestlaboratories.com

Envirotest Laboratories, Inc.

Page 1 of 11

Job Narrative

420-J90580-1

Receipt

All samples were received in good condition within temperature requirements.

GC/MS VOA

No analytical or quality issues were noted.

GC/MS Semi VOA

No analytical or quality issues were noted.

HAAS

Method 552.2: Sample 90580-2 exceeded 60 ppb for total haloacetic acids. It was re-analyzed for method 552.2 and the results confirm.

No other analytical or quality issues were noted.

Page 2 of 11

METHOD SUMMARY

Job Number: 420-90580-1Client: JCO, Inc.

Preparation MethodMethodLab LocationDescription

Matrix: Water

EPA-DW 524.2Purgeable Organic Compounds in Water by GC/MS EnvTest

EPA 552.2Haloacetic Acids in Drinking Water by GC/ECD EnvTest

EPA 552.2EnvTestHaloacetic Acids Sample Preparation

Lab References:

EnvTest = EnviroTest

Method References:

EPA = US Environmental Protection Agency

EPA-DW = "Methods For The Determination Of Organic Compounds In Drinking Water", EPA/600/4-88/039, December 1988 And

Its Supplements.

EnviroTest Laboratories, Inc.

Page 3 of 11

METHOD / ANALYST SUMMARY

Client: JCO, Inc. Job Number: 420-90580-1

Method Analyst Analyst ID

Andersen, Eric C ECAEPA-DW 524.2

Miller, Kyle A KAMEPA 552.2


Page 4 of 11

SAMPLE SUMMARY


Client Sample IDLab Sample ID Client Matrix

Date/Time

Sampled

Date/Time

Received

05/20/2015 1515 05/21/2015 1455E.P.420-90580-1 Drinking Water

05/21/2015 1200 05/21/2015 1455Const. Trailer420-90580-2 Drinking Water


Page 5 of 11

Ryan Carozza

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Job Number: 420-90580-1

Client Sample ID:

Analyte Result/Qualifier Unit Dilution

05/21/2015 1455

05/20/2015 1515

Date Received:

Date Sampled:

Lab Sample ID:

E.P.

RL RL

Client Matrix: Drinking Water

420-90580-1

Method: 524.2 Date Analyzed: 05/22/2015 0026

Chloroform 52 ug/L 0.50 0.50 1.0

Dibromochloromethane 2.1 ug/L 0.50 0.50 1.0

Bromoform 0.50 U ug/L 0.50 0.50 1.0

Bromodichloromethane 13 ug/L 0.50 0.50 1.0

Trihalomethanes, Total 67 ug/L 2.0 2.0 1.0

Surrogate Acceptance Limits

70 - 128119 %1,2-Dichloroethane-d4 (Surr)

79 - 121113 %Toluene-d8 (Surr)

71 - 120100 %4-Bromofluorobenzene


Prep Method: 552.2 Date Prepared: 05/27/2015 1000

Monochloroacetic acid 1.0 U ug/L 1.0 1.0 1.0

Monobromoacetic acid 1.0 U ug/L 1.0 1.0 1.0

Dichloroacetic acid 20 ug/L 1.0 1.0 1.0

Trichloroacetic acid 20 ug/L 1.0 1.0 1.0

Bromochloroacetic acid 3.1 ug/L 1.0 1.0 1.0

Dibromoacetic acid 1.0 U ug/L 1.0 1.0 1.0

Total Haloacetic Acids 43.1 ug/L 1.0 1.0 1.0


70 - 13088 %2-Bromopropionic acid

Page 6 of 11

Ryan Carozza

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Job Number: 420-90580-1

Client Sample ID:


05/21/2015 1455

05/21/2015 1200

Date Received:

Date Sampled:

Lab Sample ID:

Const. Trailer

RL RL


420-90580-2




Bromoform 0.50 U ug/L 0.50 0.50 1.0


















Page 7 of 11

DATA REPORTING QUALIFIERS

Lab Section Qualifier Description


GC/MS VOA

U The analyte was analyzed for but not detected at or above the

lowest stated limit.

GC/MS Semi VOA




Page 8 of 11


Definitions and Glossary

Abbreviation These commonly used abbreviations may or may not be present in this report.

%R

DL, RA, RE

EPA

MDL

ND

QC

RL

RPD

Percent Recovery

Indicates a Dilution, Reanalysis or Reextraction.

United States Environmental Protection Agency

Method Detection Limit - an estimate of the minimum amount of a substance that an analytical

process can reliably detect. A MDL is analyte- and matrix-specific and may be

laboratory-dependent.

Not detected at the reporting limit (or MDL if shown).

Quality Control

Reporting Limit - the minimum levels, concentrations, or quantities of a target variable (e.g.,

target analyte) that can be reported with a specified degree of confidence.

Relative Percent Difference - a measure of the relative difference between two points.


Page 9 of 11

Page 10 of 11

LOGIN SAMPLE RECEIPT CHECK LIST


Question T/F/NA Comment

Login Number: 90580

Samples were collected by ETL employee as per SOP-SAM-1 NA

The cooler's custody seal, if present, is intact. NA

The cooler or samples do not appear to have been compromised or tampered with. True

Samples were received on ice. True

Cooler Temperature is recorded. 17.9CTrue

Cooler Temp. is within method specified range.(0-6 C PW, 0-8 C NPW, or BAC <10

C

False

If false, was sample received on ice within 6 hours of collection. True

Based on above criteria cooler temperature is acceptable. True

COC is present. True

COC is filled out in ink and legible. True

COC is filled out with all pertinent information. True

There are no discrepancies between the sample IDs on the containers and the

COC.

True

Samples are received within Holding Time. True

Sample containers have legible labels. True

Containers are not broken or leaking. True

Sample collection date/times are provided. True

Appropriate sample containers are used. True

Sample bottles are completely filled. True

There is sufficient vol. for all requested analyses, incl. any requested MS/MSDs True

VOA sample vials do not have headspace or bubble is <6mm (1/4") in diameter. True

If necessary, staff have been informed of any short hold time or quick TAT needs True

Multiphasic samples are not present. True

Samples do not require splitting or compositing. True

EnviroTest Laboratories, Inc.Page 11 of 11

ANALYTICAL REPORT

Job Number: 420-90935-1

SDG Number:


For:

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790


Debra Bayer


[email protected]

06/10/2015

Kyle Steimlecc:





Representative.





Page 1 of 10

METHOD SUMMARY



Matrix: Water

EPA-DW 524.2Purgeable Organic Compounds in Water by GC/MS EnvTest

EPA 552.2Haloacetic Acids in Drinking Water by GC/ECD EnvTest

EPA 552.2EnvTestHaloacetic Acids Sample Preparation

Lab References:


Method References:

EPA = US Environmental Protection Agency

EPA-DW = "Methods For The Determination Of Organic Compounds In Drinking Water", EPA/600/4-88/039, December 1988 And

Its Supplements.


Page 2 of 10




SDG Number:

Andersen, Eric C ECAEPA-DW 524.2

Miller, Kyle A KAMEPA 552.2


Page 3 of 10

SAMPLE SUMMARY


SDG Number:


Date/Time

Sampled

Date/Time

Received




Page 4 of 10

Ryan Carozza

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Job Number: 420-90935-1

Sdg Number:

Client Sample ID:


06/01/2015 1606

05/29/2015 1515

Date Received:

Date Sampled:

Lab Sample ID:

Const. Trailer

RL RL


420-90935-1




Bromoform 0.50 U ug/L 0.50 0.50 1.0







Page 5 of 10

Ryan Carozza

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Job Number: 420-90935-1

Sdg Number:

Client Sample ID:


06/01/2015 1606

05/29/2015 1515

Date Received:

Date Sampled:

Lab Sample ID:

Const. Trailer

RL RL


420-90935-2












Page 6 of 10

DATA REPORTING QUALIFIERS

Lab Section Qualifier Description


Sdg Number:

GC/MS VOA



GC/MS Semi VOA




Page 7 of 10


Sdg Number:



%R

DL, RA, RE

EPA

MDL

ND

QC

RL

RPD

Percent Recovery







Quality Control





Page 8 of 10

Page 9 of 10



SDG Number:


Login Number: 90935





Cooler Temperature is recorded. 11.1 CTrue


C

False







COC.

True








VOA sample vials do not have headspace or bubble is <6mm (1/4") in diameter. True





ANALYTICAL REPORT

Job Number: 420-90744-1


For:

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790


Debra Bayer


[email protected]

06/02/2015

Kyle Steimlecc:





Representative.





Page 1 of 8

METHOD SUMMARY



Matrix: Water

SMWW SM 9223Total Coliform and Escherichia coli by Colilert -

Presence/Absence

EnvTest

Lab References:


Method References:

SMWW = "Standard Methods for the Examination of Water and Wastewater"


Page 2 of 8




Cusack, Renee RCSMWW SM 9223


Page 3 of 8

SAMPLE SUMMARY



Date/Time

Sampled

Date/Time

Received

05/27/2015 1050 05/27/2015 152542 Hoffman420-90744-1 Drinking Water


Page 4 of 8

Ryan Carozza

JCO, Inc.

P.O. Box 616

Wurtsboro, NY 12790

Job Number: 420-90744-1

Client Sample ID:


05/27/2015 1525

05/27/2015 1050

Date Received:

Date Sampled:

Lab Sample ID:

42 Hoffman

NONE

Percent Solids:


420-90744-1

Method: SM 9223 Date Analyzed: 05/27/2015 1740

Coliform, Total Absent CFU/100mL 1.0

Escherichia coli Absent CFU/100mL 1.0

Page 5 of 8



%R

DL, RA, RE

EPA

MDL

ND

QC

RL

RPD

Percent Recovery







Quality Control





Page 6 of 8

Page 7 of 8




Login Number: 90744





Cooler Temperature is recorded. 22.3 CTrue


C

False







COC.

True








VOA sample vials do not have headspace or bubble is <6mm (1/4") in diameter. NA





NEW YORK STATE DEPARTMENT OF HEALTH Water …eastfishkillny.gov/Pdf/Hopewell-Glen-052015.pdf · 05/31/2015 cc: Kyle Steimle. NYSDOH ... Client Sample IDClient Matrix Date/Time Sampled

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