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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
WELL COMPLETION REPORT
Welf— LbcatibA i -• -' -' -
Street Address:
15 Warren Drive
TownNilIage:
Patterson
Tax Grid #
Map 25 Block79-1 Lot(s) 77
Well Owner:
Name: Address:
Robert Maloney, 15 Warren Drive, Patterson, NY 12563
Use of Well:
1- primary
2- secondary
X Residential Public Supply Air cond/heat pump Irrigation
Business Farm Test/monitoring Other(specify)
Industrial Institutional Standby
Drilling Equipment
X Rotary Cable percussion X Compressed air percussion Other (specify)
Well Type
Screened Open end casing X Open hole in bedrock Other
Casing Details
Total length __ft.
Length below grade 31 ft.
Diameter 6 in. _
Weight per foot 19 lb /ft.
Materials: X Steel Plastic Other
Joints: Welded X Threaded Other
Seal: X Cement grout_ Bentonite __ Other
Drive shoe :. X Yes No
Liner -Yes X No
Screen Details
Diameter (in)
Slot Size
Length(ft)
Depth to Screen (ft)
Developed?
First
Yes No
Hours
Second
Well Yield Test
_ Bailed X Pumped X Compressed Air
Hours 6
Yield 5 gpm
Depth Data
Measure from land surface- static (specify ft)
30'
During yield test(ft)
340'
Depth of completed well in feet
405'
Well Log
If more detailed
information
descriptions or
sieve analyses_
are available,
please attach,.— N�1
j'�Z1 \i iL-il^
1
Depth From
Surface
Water
Bearing
Well
Diameter(in)
Formation
Description
ft.
ft.
Land Surface
17
Drillincf
in overburden
clay and boulders
Hit rock
at 17'
X17
_ _ 32_
Drily
in rock
set casingi _grouted _
32
405
Drillin
in rock
aranite
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type sub Capacity 5t
Depth 360 Model 5GS07412
Voltage 230 IV 3/4
Tank Type Volume
Date Well Completed
3/18/04
Putnam County Certification No.
006
Date of Report
6/7/04
Well i r (sign
1vu r>tr: >✓xact location of well wttn atstances to at least twgyermanent lanamarxs to be provinea qn a separate sneetiplan.
Well Driller's Name P. F al & In d/. Address: 4 Put2ra¢n Ave,, Bray r, NY 10608
Signature: 4=7 Date: 6/7/04
Perry L. 1
White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WC -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
"PLICA'TION TO CONSTRUCT A WATER. WELL
PCHD Permit #(p5 -(ice
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and..Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the applicant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County. �— --° --��
Date of Issue � Z / Permit Issi
Date of Expiration Title:
Permit is Non-Trad-sWrribld
r
White copy - HD file; Yellow copy - Building Iqspector; Pink
r
i
WN F
- Owner; Orange copy - Well driller
Form WP -97
pease print or type
Street Address: Town/Village Tax Grid #
Well Location:
15 Warren Drive Patterson Map 25 Block 79_1Lot(s) 77
Well Owner:
Name:
Address:
Robert Maloney
15 Warren Drive, Patterson, NY 12563
Use of Well:
x Residential Public Supply Air /Cond/Heat Pump Irrigation
1- primary
Business Farm Test/Monitoring Other (specify)
2- secondary
Industrial Institutional Standby
Amount of Use
Yield Sought _ gpm #People Served 2 Est. of Daily Usage gal.
Reason for
x Replace Existing Supply . Test/Observation Additional Supply
Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
for Drilling
40�e,�
Well Type
x Drilled Driven Gravel OtKer
Is well site subject to flooding? ................................................. ............................... Yes No _�-
Is well located in a realty subdivision? ...................................... ............................... Yes No X_
Name of subdivision Lot No.
Water Well Contractor: P. F. Beal & sons, Inc. Address: a nftm nay # Eh33,mterf jj_w5m
Is Public Water Supply available to site? .................................. ............................... Yes No X_
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well location & sources of contamination to be prov' ate et/plan.
Date: 01 1-5 n3 - Applica" -t Si gnature: - - - -
PermLL Bea"
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and..Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the applicant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County. �— --° --��
Date of Issue � Z / Permit Issi
Date of Expiration Title:
Permit is Non-Trad-sWrribld
r
White copy - HD file; Yellow copy - Building Iqspector; Pink
r
i
WN F
- Owner; Orange copy - Well driller
Form WP -97
SEP -12 -2003 11:54 FROM:PUTNAM COUNTY DEPART 845 -278 -7921 TO:92797641 P:5/5
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LORETTA MOLINARI R.N., M.S.N.
Public' Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
September 12, 2003
Lisa Williams
U.S. Department of Housing & Urban Development
Homeownership Center
The Wanamaker Building
100 Penn Square East
Philadelphia, Pa. 19107 -3389
Re: Maloney Residence
15 Warren Dr.
(T) Patterson, TM# 25.79 -1 -77
Dear Ms. Williams:
ROBERT J. BONDI
County Executive
The above referenced property is not located near a public water supply and must rely on
the current well at this time.
The well and septic setback .distances do not meet current code, but are acceptable
because they are considered a pre- existing condition.
There are no Health Department violations associated with this property at this time.
Sincerely,
Michael Luke
Public Health Sanitarian
MLJM
LORETTA MOLINARI R.N., M.S.N.
Acting Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 -.6678 Fax (845) 278 - 6085
Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648
Rita & Robert Maloney
15 Warren Drive
Patterson, NY 12563
July 18, 2003
SUBJECT: PUTNAM LAKE SURVEILLANCE PROJECT
SAMPLE RESULTS SATISFACTORY
Dear Owner/Resident,
ROBERT J. BONDI
County Executive
Enclosed please find a copy of the results of your water test. The sample was collected
by Putnam County Health Department staff on July 7, 2003.
The results show that the coliform bacteria was satisfactory and the nitrate result is less
than the New York State Standard of 10 milligram per liter (mg/1).
We recommend that residents check their well water for coliform bacteria annually.
Attached is a list of laboratories for your use. We also recommend that residents have
their septic tanks pumped regularly. Please refer to the attached information on septic
system maintenance to avoid a potential problem.
Should you have any questions, please contact me at extension 2167 or Ed Bartos at
extension 2233.
Very y yours,
Anne M. Bittner, M.S.P.H.
Sr. Public Health Sanitarian
cc: file
4-
JUL -08 -2003 TUE 04.13 PM WELLS FARGO REVERSE MTG. FAX N0,.3368fi23 p.
O� OG
_1_1.6rrtmen� ®,"-- Hot0in anti Urban- Devciopment
c/\ omeownershi
H p Center
°^N oevE`Q The Wanamaker Building -�
100 Penn Square L''ast
JUL ®3 Philadelphia, Pennsylvania 19107 -3389
Wells Fargo Home Mortgage
20 -D Oak Branch Drive.
Greensboro, NC 27407 nr' 737 ,
Attn: Ms. Kim Ro st �' c
SUBJECT: Request for Waiver bf Requirement regarding 100 foot distance of domestic
well from septic tank's drainfield. �-
FHA Case # 374-419527-3. %C -- -J
Property Address: 15 Warren Drive, Patterson, NY 12563
Dear Ms. Royster:
This is in response to your request dated June 27, 2003, that HUD waive the 100 foot
requirement for a domestic well from a septic tank's drainfield_ We are unable to process your
request at this time since you did not submit .enough information to enable us to make a
determination. When you request that - we waive a guideline, you must provide us with
information When
circumstances that justify
regulation. Include in your justification extenuating circumstances tceegUest we waive a handbook
t
consider while reviewing this request. Please keep in mind that waivers axetnotegran ed simply
because they are requested; and they must be adequately supported-
In order for us to consider your waiver request, the following information is required;
1. Documentation from the local au e `
thorny. that th., subject property is unable to connect '
to. a public or community water /sewer system. If connection is available and the costs
t o t he public or community systems are reasonable (3% or less of the property value);
connection must be made;
' ?. Professional sketch showing the location of the well, septic tank, and drainfield with
relation to the subject rd er
J P P ty andA property,line, The sketch must Sp eci the
actual distances separating the well and se..tie.s stem eom onents property
also show the exact location of the well; ` p Y -- P - - ' p . perty line, and
�-70-
Visit our web page at hitp,// www. lrudiov/loca!/phi/phihome.i;tmI
JUL- 08- 2003.TUE 04:13 PM WELLS FARGO REVERSE MTG FAX NO. 3368348123 P. 02
i
3.
Evidence of the Local Authority's approval that the separation distances between the
well, property line, septic tank and drain field are in compliance with the local codes
for the subject property, If the subject property does not meet the Local Authority's
requirements, a waiver granted by the Local Authority must also be submitted with
your request;
4. Information regarding the plan for servicing, mainten
the well; ance, repair or replacement of
le
�'► 5.' Evidence that the system is working properly; and
}
6. A letter from the borrower acknowledging that the property does not meet current
FHA/HUD regulations. G
Because waivers are granted on a case-by -case basis, you, as the Direct Endorsement
Underwriter, must determine that there is good cause to waive the requirement, and you should
submit enough information to support your request. The issues addressed above are not intended
to be an all inclusive list of items you should submit, but were provided to you to show you the
extent of the review you need to perform prior to requesting we waive a guideline or regulation.
.As noted above, there are many deficiencies in your submission and the information
provided does not justify a waiver. We are returning your package to you so that you can use the
information in it to compile a fully supported request. After we receive your resubmission, We
will review your justification and support documentation and advise you of our - determination_. If
ou have any ��t� _... -.- - - -- - --
_. -Y . q uesti6p _ y _era...gs ]z;;i,'please°coriiac Ms: Lisa 1Nilliams, oi`the Technical
Support Branch, whose telephone number is (215) 656 -0578, option 6.
Sincerely,
EL 1
4 Dennis Roger
Chief
Technical Support Branch 1 .
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AGREEMENTS
AGREEMENT entered into this 25th day of August, 1937 by and betws'n
GOLDIN HEOK, 109 Orient Wsy, Rutherford, New Jersey, and YETTA BEER, 57 _
alt.. Au"therford
' reruns; W , Now Jersey. ... ._� .
WHEREAS GOLDIE BECK AND YETTA BEER have been owners in common of A
'/*reel of land situate and being in the Town of Patterson, Putnam County, New
York, described as followet
Lot Numbers B -2216, B -2217, B -2218, B -2219, B -2220, and
WHEREAS the parties hereto desire that deeds be executed whereby
1/ YETTA BEER shall be deemed t1s sole owner of lot numbers B-2220 and B -2219,
and GOLDIE HECK shall bicoms owner of lot number@ 8..2218 and B -2217, and that
lot number 9-2216 shall be owned in common by both of them, and
WHEREAS the parties hereto have cooperated and shared the expense of
digging a well now situate on lot number B -2219, and
.WHEREAS the parties hereto are agreed that they shall oontinud'to
use the well in common,
IT I8 THEREFORE AGREED that GOLDIE BECK and YETTA BEER, the parties
hereto, and their respective heirs, executors, administrators and assigns
shall contribute, $hers and share aline in all the expenditures inoldent to ,
keeping the aforementioned well in working condition at all times.
IT I8 FURTHER AGREED by YETTA BEER that GOLDIE BECK, her heirs,
executors, administrators and assigns shall have a permanent easement in and a
perpetual right to and access to the aforementioned well at all time@.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands
and goals this 25th day of August, 1937,
ADDISON E. PALMER (L.S.)
Notary Public Putnam Co.
STATE OF NEW YORK
COUNTY. OF PUTNAM
_ GOLDIE BECK
YETTA BEER
On the 25th day of August, nineteen- hundred and thirty -eeven before
k
ms .came GOLDIE BECK and YETTA BEER, to me known' and known tone to be the indi-
riduals desoribed. tat and who executed the foregoing instrument, and they
severally duly acknowledged to me that they executed the same.
RECORDED AUGUST 25th, 1937
at 2101 P.L.
Deputy Clerk
ADDISON E. PALMER (L-1.)
Notary o s u nam oounty
ooa B-222S (`I
�p / 0 8-2246.
8-2223 2244
r 76 r o �
1 11-11 8-2222 po 8 -2243 / 68 / lel
9-2242 l
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o � r � s•22za� � e -2241 �
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8-2219 / B _
2240
6-2216
-2239 ,
,�
/ 8 -22 8.2238
B' 6 6 -2237
8 -2215
g_c21v� 8 -2235
• �, `ap Oa 8.221 B • 2234
0 9 l0 /� 8-
� 0 79 � � 12
r 8-2210
B .2209 /
•o
8-2211
80
8 -2150
LORETTA MOLINARI R.N., M.S.N.
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648
FACSIMILE TRANSMITTAL
To •
Fax: Z '7 f 76 `�
Frorn: Al t , L'Alc 4 Date: 7/ v/o 3
Re: Pages:
CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply
ROBERT J. BONDI
County Executive
y ,
CONFIDENTIALITY STATEMENT: The information contained in this facsimile may contain CONFIDENTIAL
and legally protected information intended only for the use of the individual or entity named above. If the reader of
this message is not the intended recipient, you are hereby notified that any dissension, distribution, or copying of this
telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone
(845 -278 -6130) and destroy all documents associated with this facsimile.
LORETTA MOLINARI R.N., M.S.N.
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648
September 12, 2003
Lisa Williams
U.S. Department of Housing & Urban Development
Homeownership Center
The Wanamaker Building
100 Penn Square East
Philadelphia, Pa. 19107 -3389
Re: Maloney Residence
15 Warren Dr.
(T) Patterson, TM# 25.79 -1 -77
Dear Ms. Williams:
ROBERT J. BONDI
County Executive
The above referenced property is not located near a public water supply and must rely on
the current well at this time.
The well and septic setback .distances do not meet current code, but are acceptable
because they are considered a pre - existing condition.
There are no Health Department violations associated with this property at this time.
Sincerely,
Michael Luke
Public Health Sanitarian
ML:lm
Environmental Laboratories, Inc.
587 East Middle Turnpike, P.O.Bog 370, Manchester, CT 06040
Tel. (860) 645 -1102 Fax (860) 645 -0823
Analysis Report
July 09, 2003 .
Sample Information
Matrix: WATER
Location Code: PUTNAM
Rush Request:
P.O. #:
.ACCpRO
c
Q 2
FOR: Attn: Ms. Anne Bittner
Putnam County Health Dept.
Env. Health Services
1 Geneva Rd
Brewster, NY 10509
Custody Information Date Time
Collected by: CG 07/07/03 11:30
Received by: KJB 07/07/03 16:41
Analyzed by: see "By" below
Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit
If there are any questions regarding this data, please call Phoenix Client Services at extension 200.
Phyllis 9,2003 , Labotatory Director.
July
lid
kj
Page 1 of 8� `� 38
Laboratory
Data
SDG I.D.: GAE91269
Phoenix I.D.: AE91269
Client ID:
15 WARREN
Parameter
Result RL..
Units
Date
. Time By Reference
E. Coli
Absent 0
/100m1s
07/07/03
17:45 KMC SM9223B
Total Coliforms
Absent 0
/100m1s
07/07/03
17:45 KMC 9223B
Nitrate as Nitrogen
6.3 0.25
mg/L
07/08/03
14:31 ESG 300.0
Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit
If there are any questions regarding this data, please call Phoenix Client Services at extension 200.
Phyllis 9,2003 , Labotatory Director.
July
lid
kj
Page 1 of 8� `� 38
LORETTA MOLINARI R.N., M.S.N.T
Acting Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
T ROBERT J. BONDI
County Executive
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 -.6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
Rita & Robert Maloney
15 Warren Drive
Patterson, NY 12563
July 18, 2003
SUBJECT: PUTNAM LAKE SURVEILLANCE PROJECT
SAMPLE RESULTS SATISFACTORY
Dear Owner/Resident,
Enclosed please find a copy of the results of your water test. The sample was collected
by Putnam County Health Department staff on July 7, 2003.
The results show that the coliform bacteria was satisfactory and.the nitrate result is less
than_ the New York State Standard of 10 milligram per liter (mg/1).
We recommend that residents check their well water for coliform bacteria annually.
Attached is a list of laboratories for your use. We also recommend that residents have
their septic tanks pumped regularly. Please refer to the attached information on septic
system maintenance to avoid a potential problem.
Should you have any questions, please contact me at extension 21.67 or Ed Bartos at
extension 2233.
Very y yours,
Anne M. Bittner, M.S.P.H.
Sr. Public Health Sanitarian
cc: file
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SENDING CONFIRMATION
DATE JAN -6 -2004 TUE 10:32
NAME PUTNAM COUNTY DEPARTMENT OF HEALTH
TEL 845 - 278 -7921
PHONE
: 918663192588
PAGES
: 2/2
START TIME
: JAN -06 10:31
ELAPSED TIME
: 00'39"
MODE
: ECM
RESULTS
: OK
FIRST PAGE OF RECENT DOCUMENT TRANSMITTED...
a�
a
LOP=A MOUTNARI R,., M.S.N.
P-BMe X.11h bbraxnr ROBERT J. BOND!
J{ County E—i•e
DEPARTIvx NT OF HEALTH
1 Gc=va Rand, 'Brewster, Now York 10509
X'** 9W BmIth (945)2? - 61]0 - (945) 378 .7921
Nuntng S.MM (a45)378 -6558 WIC (8{5)278.6678 Pa•X845)378 -6065
rN InterventlooM—heat (845)378.6014 Fax(845)378 -6644'
FACSTMME TAANSAIITTAL
-
_ .- _...... _ From: Q,� /10>�• ✓c Date:
Pages! /
7 'Urgent ❑ ForRev :ew 7 Flease.Comment ❑ please Roply
o tin, ' cy'— a
CONMItN ATAUTY STATEMENT: The le[aimad. cat�ined in Ns faaimlle may oonm!n CONFIDENTIAL
--A legellp pmfaeted Jntonard=fnhn4ed only for ate. of tM Jndividnal or enthy named abm. Jf the reader of
this Message is sot the Jatmded redptear, you am hereby notlfled that any di =SW% dieaibotlon, or aopylAg of this
telempy ie ffWcdy pmbNtud. le you have recdved this teteoopy is error, gleam immed)etaly notify us by telephone
(345-2796130) and dcstmy all doonnents associated with this Jherimtte.
b
CONMItN ATAUTY STATEMENT: The le[aimad. cat�ined in Ns faaimlle may oonm!n CONFIDENTIAL
--A legellp pmfaeted Jntonard=fnhn4ed only for ate. of tM Jndividnal or enthy named abm. Jf the reader of
this Message is sot the Jatmded redptear, you am hereby notlfled that any di =SW% dieaibotlon, or aopylAg of this
telempy ie ffWcdy pmbNtud. le you have recdved this teteoopy is error, gleam immed)etaly notify us by telephone
(345-2796130) and dcstmy all doonnents associated with this Jherimtte.
LORETTA MOLINARI R.N., M.S.N.
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, , Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278.- 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 '
FACSIMILE TRANSMITTAL
ROBERT J. BONDI
County Executive
To: Fax: S
From: j3,-Y/ /���s_s Date: / G
�J �-, C l� jS�.cG L �
Re: ✓ vf��i�/ ��` /� Pages:
o-7 �y
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply
Ul/
/!/!
C
CONFIDENTIALITY STATEMENT: The information contained in this facsimile may contain CONFIDENTIAL
and legally protected information intended only for the use of the individual or entity named above. If the reader of
this message is not the intended recipient, you are hereby notified that any dissension, distribution, or copying of this
telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone
(845- 278 -6130) and destroy all documents associated with this facsimile.
�o �N ACCOgOq
C-N: DX
Environmental Laboratories, Inc.
587 East Middle Turnpike, P.O.Bog 370, Manchester, CT 06040
Tel. (860) 645 -1102 Fax (860) 645 -0823
Analysis Report
July 09, 2003
Sample Information
Matrix: WATER
Location Code: PUTNAM
Rush Request:
P.O. #:
FOR: Attn: Ms. Anne Bittner
Putnam County Health Dept.
Env. Health Services
1 Geneva Rd
Brewster, NY 10509
Custody Information Date Time
Collected by: CG 07/07/03 11:30
Received by: KJB 07/07/03 16:41
Analyzed by: see "By" below
SDG I.D.: GAE91269
Laboratory Data Phoenix I.D.: AE91269
Client ID: 15 WARREN
Parameter Result RL. Units Date . Time By Reference
E. Coli Absent 0 /100m1s 07/07/03 17:45 EMC SM9223B
Total Coliforms . Absent 0 /100mis 07/07/03 17:45 KMC 9223B
Nitrate as Nitrogen 6.3 025 mg/L 07/08/03 14:31 ESG 300.0
Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit
If there are any questions regarding this data, please call Phoenix Client Services at extension 200.
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