Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
4195
DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.80 -1 -35 BOX 32 ri I ml MR -1 , 1 , .■ 'I R i ♦ ;� ' ' tip.+ �' , 4z.' -, I . 16 � . 0 � 7 ' It IL 04195 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES I I I PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OWNER v NAME ERTL, BENNO PHONE 914 987 8014 SITE LOCATION= 6.1 TRAVERSE ROAD, PUTNAM VALLEY. NY �l #_ 083- 080 - 0001 -035 -R� MAILING ADDRESS ' P.-Q. BOX 72, LAKE PEEKSKILL, NY 10537 PEF SCN INTERVIEWED PCHD Caaplaint # Name & Relationship (i.e, owner,tenant, etc.) DATE 8-23-1999 TYPE FACILITY MipPOSED INSTA= HOWARD GRAGERT PHONE 914 526 2595 REGISTRATION # 138 Proposal (include sketch locating all adjacent wells):r`.;!. NOTE: r must be in same location and of same t ` Repai type as original sewage disposal system. Different location may require submittal of proposal fran licensed pr r or registered architect. REPAIR WORKS Replacement of steel septic tank with 750 gal. concrete tank.* Depending on the depth of the rockledge the replacement septic tank will be located North -West of the original tank if required. See attached repair sketch "JOB NO. ERTL" sheets 1 & 2. Check existing fields, repair if required but not closer to existing wells. # optional PVC tank Proposal approved s Signature & Proposal Disapproved toposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. SIGNATURE 2,Q_U= W THE Engineer DATE 8 -23 -1999 �s 11 : Htiite (MD); YeU c w M:x n HE); Pink (mil amt.) PC -RP 97 sY 21 ..........i..:...DATB :13:31 SUBJECT . P.. R9.P.S? .5.F.D.... W1.A& . E T....... SHEET NO....... ... Or...I......... CHKO. BY .............DATE ............... .QF... �QT.1.�..TANK...�I! alri ................... Jo® No. EkIL .......... ......................................................... ... IS3..P+V.E.RS.£...RQA�►..... E K 1 S� 4L � dC t i SOWN Of PIIrtNAM�1 f i I a V LLEY i ' SECT16N MAP 14 k la's D i , I i ` F �. - -✓ — -- , V j NE.W ;TANK r 750 GAL _ L MF+NNUCCI 1 { I I EXISTING TANK � LEI MAN I _ Ii i a I TIERNE , r + j � 34 • Y i !125 � LOT. ... LOT 126 r 'WALL t _ II . i WELL COMPLETION REPORT 1 S ` PUTNAM COUNTY DEPARTMENT OF HEALTH XTI �_ Division of -Environmental Hoalth Sorvices COUNTY OFFICE - BUILDING - CARMEL, NEW YORK This report is to be completed by wt-11 driller and su'••.:;ited to County Health Del -irtment together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before ce,ftificate of construction compliance is issued.. _ L REPORT MUST BE SUDNUTTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Benno Ertl ADDRESS 'Traverse Road Lake Peekskill N.Y LOCATION OF WELL fr_averse (No. 6 Streot) Road (Town) Lake Peekskill (Lot Numbor) New York PROPOSED USE OF WELL 971 DOMESTIC SUPPLY SUSINESS FI ESTABLISHMENT INDUSTRIAL FAR /A CONDITIONING TEST WELL OTHER ) DRILLING EQUIPMENT ROTARY COMPRESSED AIR PERCUSSION ❑ CABLE PERCUSSION D OTHER (Specify) CASING DETAILS LENfTTH (feet) 1 DIAMETEP()nches) 4 V: EIGHT PER FOOT 15 jj''��jj D THREADED L� WELDED ,,{jDI�FIjVE SHOE z] � NO %7AAS A NG' %OIU t l }YES Li NO YIELD TEST Q BAILED � © HOURS PUMPED COMPRESSED AIR 4 *.PA. 7 YIELD (G.p.M./ WATER LEVEL MEASURE PROM LAND SURFACE— STATIC(Specify leer) OURIt:G YIElO TEST (lest) 20 pry of Comple!od Well in het below land surface: 235 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet; SLOT SIZE DIAMETER ( Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (inches) FROM (loot) TO (feet) I DEPTH PCOM LAND SURFACE FORMATION DESCRIPTION Rock Sketch erect location of well with distances, to of least two permanent landmarks. 0 5 _.... 5 11 S lid Bed pock solid eG - -Rock' unt-1 com-oleti odn of well at 235 Feet Of yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE 100 1 G.P•iv" 150 2 G.P.L, 235 7 .w,c r, c.. w,., n3tu t e DATE OF RLVORT WELL DRILLER SI r r 10/79 10/8— . / 'e r1 — i C �e..[��' .BY... .. .................DATE :��1...1Q SUBJECT .........:................................ ............................... SHEL�TNO...nn2...1......OF. ........ CHKO.BY ............. DATB, ........... .......................................................... ............................... JOB NO...E.bST..I�. ............ .......... ........... ..................... :...:.................... ....... ..................... ............................:... ..............:................ _ ............... ............................... r t (: ---1- --!- - i. -. i _'j.• ( 'I T( '"r`r l! l i i I I ; i E-71 �,,_ _ T.,t j ' f 1 i ! ! 91300 _ If I ll {I i C -r r fit f !tl t_L .$.TANK i LE1TM j Et IF I -QOM MAN1d �CCI ' 3� 1 ! NO WELL 5 Q ,Yf 33 PROP.I�IELI I J1 t DETAIL SEA SH. -1 f i 1 I i ,I_! _ f 1 I i T �._ a MARVIN OZELL Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT Putnam County Dept. of Health Div. of Environmental Health Two County Center Carmel:, N.Y. 10512 Att: John Ko�rell, Director December 20, 1985 r f � TOWN ,HALL. . PUTNAM',vALL "EY,' N.Y.'' (914) 526 2377 Re: Ertl, Benno - TM #94 -.1 -8 Dear Sir: :Attached please find a laboratory report: dated,August 7,. 1985, regarding water samples on the above noted property. In view of the potential hazard to health and welfare, it is felt that your department is best qualified to take.any. necessary action. Very truly yours, MARVIN OOTELL, Building Insp. MO'D:es ' enc. Lab report.- 8/z7/85 Lab report 9/12/84 Well completion report - 10/79 copy - area tax map cc: Supervisor Sypher �'t 0 95 fig _F21 4-3 j o E 119.0 7 -17 54 33 53 If 7.24 IP4 16 toCo co 8 rtA � / T 1 1?9 14 3's 86-33 IT/ tjo NIP (110 I-Y4 L4 PUTNAM YAL EY y TOWN HALL DELL PUTNAM VALLkY', N.Y. (6 4j 572E 2377 - . ..., TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT December 26, 1.985 Mr. Benno Ertl Elmcrest Terrace Norwalk, Ct: 06850 Re: Well Report Dear Sir: Please be advised that this office is in receipt of a laboratory report dated August 7, 1985, which indicates your well water not to be of a satisfactory sanitary quality. This information has been forwarded to the Putnam County Department of Health as required. La, is ..o.f ..t.he utmost importance that, all. _precautions are - taken ''w'it'h - he use of ;eater froiTi 'this `soiirce� to prevent`' possible harm to users. Very truly }Tours, MARVIN 0' DEI;1' Building Inspector MOD:es cc: Sallie Sypher, Supervisor }O]J YORY AD}I0ISIRAIIVE RULES 6 REGULATIONS, DDI0KI0G WATER ,S DS (PART 72). �0R JzA��ME T r8S T EST ED � LABORATORY INC. ��1 K�8[the�� � Street LOCATIONS: ' °^^'' sn1nsAnSTvOn�nJww*8G�T�N.Y, w.v.�OsSB zw��o , O�plpuTTOwmmOoAvc,,esosmLL.m.v.1Vs66 7x7�/77 � ` - ' � -46�'M;N/wsi�Mr�is�����`h���6�$��[���,'� `'' ��� �-'�-' �d����M� - ' �`~ °^~~ . ' [] sTOmcLE|mxAve. (msxn *OxP/TAU'CAnmsL. N. Y. 10512 arusc DATE RECEIVED9 / 10/84 (12:30) DATE REPORTEO��/12/, ERTL, BENNO oAMpLsoounos WELL: TRAYEBG ROAD ~ LAKE PEEK2KILL, IY/ I0537 REFERRED BY: CROSSROAD S L- ' -J COLLECTED BY: MR. ���� LABORATORY REPORT ------^------- - --' '- '— - mng/L OAnm/rY ........................................................... []ALUMINUM ............................................................... O�����/wn� --'.'-'°—�—.''''----.^~''~^--' ]*wT/mowv ..—_' ................................ — '..--- � ' /r XoAcrsmA,TorAL/mL '.-~--'`,- —-- [�nssw/c . . . ---... O000 m DAY ._--_-_--...-^~^_--^----'.'.--.` ] oAn/um ___'-_----~'---.-------- —.-- uonomme —.------..~.-----------' -_-' []asn�mumw . ------~'—'------'--'—'----~— O CARBON DIOXIDE, FREE ....................................... [] o/xmuT* .-----.---...—.--,.------.—..' Oc*Lonms ............................................................ [] uonom --..-------.—...—....------.—.. OC*Lon/ws ........................................................... []CADMIUM ~-..—..—_---..-..----------. Ocoo' ................................................................... []CALCIUM -.-.--^~~`~~^^^-------------'- []COLOR -'.-._.....-r.---.-.—...—.....—..' [] CHROMIUM Itotj ........................................................... � OcYxwms ........................................................... [] CHROMIUM (h,"u"xm,) ................................................... OosrcnGsmT Awmm/c ............................................ []COBALT --.---.---.-------..,--.----- []FLecn/np ............................................................ []COPPER -.----.-_.----------.~—..-_^.-- OHARDNESS ........................................................... []GOLD ..-'..----..--------.—.—..--'—.—..—'- OmpwCouponm COUNT/ 1oorm ............ + .-~~---- []/now .'--.-.-_---...---..---....—.------ M8rTcouponwCouwT/,ouom ...... []LEAD '''_ .................................................................. ouwEIR ��fb��T�8T',^�';^z�-'��-�^c^��,;'/`'r'`�'�'^.�`` �.�� -'��'���''—'��'`��_-`'''`—��~��,�'�^..'�7'�r`..�' Ow/TnoosN, Amwow/A ........................................... = . '� [] mAawsoma ..---.o-. ^' -- ~' [] NITROGEN, m/sL . *L ........................................... [] wmwoAmsss ............................................................... O NITROGEN. NITRATE ............................................ []MERCURY -.----.-----------...-~—.._—.--' [] NITROGEN. ORGANIC ........................................... [].m/onsL ....... _--_.--_--.---_-~----.-----. []ODOR ............................................................... []PALLADIUM ............................................................... OOIL m GREASE ............................................ ........... []POTASSIUM ............................................................... C]n* _--.-----_.-...-...--..-..,.'..--.�.--'. []RHODIUM .--.,..--,-----_....—.—.-.'-.—_-.'—'' [] PHENOL ................................................................ []SELENIUM .--...--..-.---.---''--'--'-~~—''' 0 PHOSPHATE jorm"l ............................................... []s/L!oom .... .--. .......... ----------`''-^-- [] PHOSPHATE (conuen�d)-.-.----..--'-._....~.' []SILVER ..'�,.--..-..-..'_-..---.---.----^-' [] p*ospxArs(wmo ............................................... [] noo/mw ---......------.------~~----'' O SOLIDS. SETTLEABLE. mvL ................................... []TIN ._--.......-..---------.—.~.~^'^- O SOLIDS, SUSPENDED ............................................ [] zIwc -.--------.------------'—~--' / OuouoS, DISSOLVED ............................................. .[] ..---..-----.--.----------~.--~ OsouDS, TOTAL .................................................... [] --'--'-----------''r^------^^'r' ' OSOLIDS, VOLATILE ................................................ [] REMARKS: .................................................................... O SPECIFIC CONDUCTANCE ........................................ [] _.----.----.—.----------------'— OswLpArs—.---. .............................................. [] ..----..---.—.--..----------~—~'' OSuLp/os ...—..--.--..—...--..-- [] .---._.--------.~--------^'..—'~—'' OSULFITE � ............................................................ [] —.------.----'—^..--`---~—'^^^—^—^' OSuRpACTawTS—^....",l"il ................—.....' []................................................................................... OTuRa/o/TY ..... [].................................................................................. THESE RESULTS INDICATE THAT IlIF WATER WAS Or A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE �&S CD�LECTED^ .� ViESS RESULTS INDICATE THAT IH8 WATER DID` MEET THE SATISFACTORY CBafICAL QUALITY O}' }O]J YORY AD}I0ISIRAIIVE RULES 6 REGULATIONS, DDI0KI0G WATER ,S DS (PART 72). �0R JzA��ME T r8S T EST ED Kcar Street Heights, N. Y. 10598 F. (914) 245 -3203 ,ert H. Padovani .Af. T. (ASCP) ERS ROAD .E PEEKSKILL, NY 10537 ;28 -9439 ❑ ACIDITY Q 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 2453203 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737.8777 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 ❑ STONE LEIGH AVE. (NEAR HOSPITAL). CARMEL, N. Y. 10512 2789330 DATE TAKEN: 813/85 (11:30) DATE RECEIVED: 8/5/85(12-30) „'-r:• .DATE REPORTED' SAMPLE SOURCE: WELL: Lab If Y16773 J REFERRED BY: Collector: MR• ERTL ;e LABORATORY REPORT mg /L ❑ ALKALINITY i P= ................ A.- ...................... .. BACTERIA,TOTAL /mL ...... T4`G..N _iC- x-'- .A .... �� BOD, 5 DAY ....................... �iG.!V �.................. ❑ BROMIDE ................. ❑ CARBON DIOXIDE, FREE ❑ CHLORIDE ............................ ............................... ❑ CHLORINE ............................ ............................... ❑ COD .................................... ............................... CDCOLOR ( units) ................. ............................... ❑ CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE ............................ ............................... ❑ HARDNESS ............................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml ............................... X.MI T COLIFORM COUNT/ 100 ml '2V ........................ ❑ CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑ ODOR (units) ................ ............................... ❑ OIL & GREASE ... . ❑PH ( U11lt3) ..................... ............................... ❑.PHENOL ................................ ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ PHOSPHATE (total) .................................. :............ ❑ SOLIDS, SETTLEABLE, ml /L .... ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ SOLIDS: DISSOLVED ............. ............................... ❑ SOLIDS, TOTAL ..................... ............................... ❑ SOLIDS, VOLATILE ................. ............................... ❑ SPECIFIC CONDUCTANCE (uhmo s / c m) ............... ❑ SULFATE ............................. ............................... ❑ SULFIDE ............................. ............................... ❑ SULFITE ............................. ............................... l ❑ SURFACTANTS ..................... ............................... ❑ TURBIDITY ( NTU) ............... ............................... THESE RESULTS INDICATE THAT THE WAT q4-,l ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY ................................ ............................... ❑ ARSENIC .................................... ............................... ❑ BARIUM ....................................... ............................... ❑ BERYLLIUM ................................ ............................... ❑ BISMUTH .................................... ............................... ❑ BORON ........................................ ............................... ❑ CADMiUNI ..................................... ............................... ❑ CALCIUM .................................... ............................... ❑ CHROMIUM (tot.) ....:............ ........... ............................... ❑ CHROMIUM (hezavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER . .................................... ............................... ❑ COLD ........................................ ............................... ❑ IRON ........................................ ............................... ❑ LEAD ........................................ ............................... ❑ LITHIUM .................................... ............................... ❑ MAGNESIUM ................................................................ ❑ MANGANESE ............................................................... ❑ MERCURY .................................... ............................... '❑ NICKEL ........................................ ............................... ❑ PALLADIUM ................................ ............................... ❑ POTASSIUM 11 RHODIUM RHODIUM .............................. ............................... . ❑ SELENIUM .................................... ............................... ❑ SILICON .................................... ...................... .......... ❑ SILVER ........................................ ............................... ❑ SODIUM ........................................ ............................... ❑ TIN ............................................ .....:......................... ❑ ZINC ............................................ ............................... ❑ .................................................... ............................... ❑ .................................................... ............................... ❑ REMARKS: .................................................................... ❑ ................................................. ............................... 3 ❑ .................................................... ............................... ❑ ...................................... ............................... .......... ❑ .................................................... ............................... ❑ .................................................... ............................... ❑ .................................................... ............................... ER WAS ,,,ve7" OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED ,.h'HEN,THE SAMPLE WAS CQh- LECTED. N/A _ not applicable Albert H. Padovani M.T. (ASCP), Director`' vaa. /►v .. as a.aveaavrca Aj"LfVd"`OJJL J Atidi. / 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) �:: BENNOERTL - TRAVERS ROAD LAKE PEEKSKILL, NY 10537 L 528 -9439 J 1 IVIVa. 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245 -3203 ❑ 201 BUTTONWOOD AVE.. PEEKSKILL, N.Y. 10566 737.8777 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 ❑ STONELEIGH AVE. (NEAR HOSPITAL). CARMEL, N. Y. 10512 278 -9330 DATE TAKEN: 8/3/85 (11:30 DATE RECEIVED^ 8/5/85 (12:3Q) DATE REPORTED: 817185 -¢jC SAMPLE SOURCE: WELL: Lab Y16773 REFERRED BY: CAC' SS au Avg d'yi f//%w � Collector: MR, ERTL Q 'O LABORATORY REPORT mg /L ❑ ACIDITY ............................ ............................... ❑ ALUMINUM ❑ ALKALINITY ; P= ............. A-= ................... ❑ ANTIMONY J BACTERIA, TOTAL /mL ...... TP/�t..N'�Cx`.5.....�� ❑ ARSENIC a BOD, 5 DAY ....................... 7.................. ❑ BARIUM .. ❑ BROMIDE ............................ ............................... ❑ CARBON DIOXIDE. FREE .................... ................... ❑ CHLORIDE ............................ ..........:.................... ❑ CHLORINE ............................ ............................... ❑ COD .................................... ............................... ❑ COLOR (units) .............................. .............. ❑ CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE ............................ ............................... ❑ HARDNESS ........................... : ............................... ❑ MPN COLIFORM COUNT/ 100 ml ............................... 'tfMr T'COLIFORM COUNT/ 100 m1 °?-V ..................•.•••• ❑ CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑ BERYLLIUM .......... ❑ BISMUTH .............. ❑ BORON .................. ❑ CADMIUM .............. ❑ CALCIUM .......... ❑ CHROMIUM (tot.) ...... ❑ CHROMIUM (hezavalent) ❑ COBALT ............... ❑ COPPER .............. ❑ COLD ................... ❑ IRON ................... ❑ LEAD .................., ❑ LITHIUM ............... ❑ MAGNESIUM ........... ❑ MANGANESE ........... ❑ MERCURY ............... ❑ NICKEL ................... qw-'l ❑ ODOR k un i t S ) .................... .. ......,.................... .... ❑ PALLADIUM ................ ............4.................: .:. ❑ OIL & GREASE ....................................................... :.. . ❑ POTASSIUM ................................ ............................... ❑PH ( UIlit3) ...................... ............................... ❑RHODIUM .................................... ........:...................... ❑ PHENOL ................................ ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) ...... ............................ :............ ❑ SODIUM ........................................ ............................... ❑ SOLIDS, SETTLEABLE, ml /L .... ............................... ❑ TIN ............................................ ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ ZINC ............................................ ............................... ❑ SOLIDS; DISSOLVED ............. ............................... ❑ .................................................... ............................... , ❑ SOLIDS, TOTAL . ..................... ............................... ❑ .................................................... ............................... ❑ SOLIDS, VOLATILE ................. ............................... ❑ REMARKS:..................................... ............................... ❑ SPECIFIC CONDUCTANCE (uhm0 S / cm) ............... ❑ .................................................... ............................... ❑ SULFATE ......................... ............................... ❑ .................... ............................ ............................... ❑ SULFIDE ............................. ............................... ❑ .................. ,................................................................ ❑ SULFITE ............................. ............................... ❑ .................................................... ............................... ❑ SURFACTANTS ..................... ............................... ❑ .................................................... ............................... ❑ TURBIDITY ( NTU)............................................... ❑ .................................................... ............................... THESE RESULTS INDICATE THAT THE WATER WAS,/-/ OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED HEN THE SAMPLE WAS CO ECTED. N/A = not applicable Albert H. Padovani M.T. 1AS ), ire6or I YORKTOWN MEDICAL LABORATORY INC. P..O. Box 99 321 Kear Street LOCATIONS: ,b 321 KEAR ST., YORKTOWN HEIGHTS, N.Y, 10598 245-3203 Yorktown Heights, N.Y. 10598 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y, 10566 737.8777 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 .. .r r - ;..:.. . ❑ STONECEIGHAVE: tNEA' R,H"OSPI,TXL1 ;,aCARMEL;'N.- Y-1051.2 278;! -� LAB # 13413 DATETAKEN: 9/10/84 ( 9: 45 �— DATE RECEIVED9/10/84 (12:30) DATE REPORTED--9/12/84- ERTL , BENNO SAMPLE SOURCE: WELL TRAVERS ROAD CROSSROADS LAKE PErK_SKILL, NY 10537 REFERRED BY: - d L COLLECTED BY • MR. ERTL LABORATORY REPORT mg /L ❑ ACIDITY ............................. ............................... LJ ALUMINUM ................................ ............................... ❑ ALKALINITY ........................ ............................... ❑ ANTIMONY ................................ ............................... ') BACTERIA, TOTAL /mL �:.� ..................... ❑ ARSENIC .................................... ............................... ❑ SOD. 5 DAY ............................ ............................... ❑ BARIUM ....................................... ............................... OBROMIDE ............................ ............................... ❑ BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ BISMUTH .................................... ............................... ❑ CHLORIDE ............................ ............................... ❑ BORON ........................................ ............................... OCHLORINE ............................ ............................... ❑ CADMIUM .................................... ............................... ❑ COD ..................................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ................................ ............................... ❑ CHROMIUM (tot.) ................................. :......................... ❑ CYANIDE ............................ ............................... ❑ CHROMIUM ( hexavalent) ..................... ............................... ❑ DETERGENT, ANIONIC ............. ......................•........ ❑ COBALT .................................... ............................... nFLUORID-F ............................ ............................... ❑ COPPER .................................... ............................... OHARDNESS ............................ ............................... ❑ COLD ........................................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml .......... ❑ IRON ........................................ ............................... VMFT COLI FORM COUNT/ 100 ml .....: .. .................. ❑ LEAD ........................................ ............................... ❑ CONFIRMATORY TEST ............ ............................... ❑ LITHIUM .................................... ............................... _ ...... O-NITROGEN; AM.MON-IA- ....... .... - _... .. ........ ...- .. ❑; MAGNESIUM .. _ • NITROGEN. KJELDAHL ............... ............................... ❑.MANGANESE ....................................................I .......... • NITROGEN, NITRATE ............ ............................... ❑ MERCURY .................................,. ............................... • NITROGEN. ORGANIC ............ ............................... ❑.NICKEL ........................................ ............................... ❑ ODOR ...... :........................................................ ❑ PALLADIUM ................................ ............................... ❑ OIL & GREASE ................... . ............................... O POTASSIUM ....... ..................... ............................... ❑ PH ....................................... O RHODIUM .................................... ............................... OPHENOL ............... ............ ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE iorthul ................ ............................... ❑ S!L!CON .................................... ............................... OPHOSPHATE (condensed) ............ ............................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) ................ ............................... ❑ SODIUM :....................................... ............................... ❑ SOLIDS. SETTLEABLE, ml /L .... ............................... ❑ TIN ............................................ ............................... OSOLIDS, SUSPENDED ............. ............................... ❑ ZINC ............................................ ............................... ❑ SOLIDS. DISSOLVED ......................... ❑ ........ ............................... ......... ............................... ❑ SOLIDS. TOTAL ..................... ............................... ❑ ........ ............................... ...................................... .r... OSOLIDS. VOLATILE ................. ............................... ❑ REMARKS:..................................... ............................... ❑ SPECIFIC CONDUCTANCE ......... ............................... ❑ .................................................... ............................... ❑ SULFATE ........................................................ ❑ . ................................................ ............................... OSULFIDE ............................. ............................... O ....................................... ............................... `........... OSULFITE ............................. ............................... ❑ ... ............................... ............... ............................... O SURFACTANTS .............:: n,,.. ...........................:... ❑ .................................... ............................... ............ ❑ TURBIDITY ......................... ............................... ❑ .................................................... ............................... THESE RESULTS INDICATE THAT T11F WATER WAS ,E'_9 OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED.' xTHHEESE�RRKESSULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEMICAL QUALITY OF KORYPARAMETEADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER,.STANDARDS (PART 72). ) ALBERT H, PADOVANI M,T. (ASCP), DIRECTOR -4 �,r�- l