Suffolk County Potable Water Test - Goldman Water Testing

GWT is a local water testing company based in Southold, NY

Laboratory: Long Island Analytical Laboratories, Holbrook, NY
Suffolk County Potable Water Test*
- Get your pH - Acidic water isn’t good for anything in your home.
- Chlorides - Are you overtaxing your well and pulling salt water?
- Nitrates - Common issue from number of possible sources.
- Likely Metals - Are you seeing blue, brown or yellow staining?
- Nitrogen - How’s that old septic really doing?
- Bacteria and E Coli - Doing renovations? Buried or cracked well cap? These are common ways Bacteria can enter your home!
- Gas & Petroleum - MTBE, benzene, bromobenzene and more!
- Industrial Solvents - Toluene, 2-butanone (MEK), and more!
- Refrigerants - Chlorodifluoromethane (FREON 22)
- Detergents - MBAS
- Pesticides - Including aldicarb (TEMIK)
- Volatile Organic Compounds - Over 50 Compounds included.
Emerging Contaminants**
- PFOS and PFOA - Commonly known as forever chemicals, found in firefighting foam and water proofing products.
- 1,4 Dioxane - Synthetic industrial chemical, another forever chemical, found in household products, cosmetics etc.
*Suffolk County Department of Health Services minimum parameters required for NY well water analysis.

**Included in the SCDOHS minimum parameters required for NY well water analysis since November 2020
Suffolk County Potable Water Test .............................................. $1525

Use of The Test*

Real Estate TransactionPersonalPermitting/ Certificate of OccupancyOther

Test & Property Information
Name to appear on Chain of Custody*
Please tell us what name you would like to appear on your water test.
Which SCDOH approval is this Water Test for?*

PermittingCertificate of Occupancy
Suffolk County Tax Map #

Typically found on site plans near a corner of the document
Dist Sect(s)blank Blk(s) Lot(s
Health Department Reference #

Provided by Health Department
R -
Distribution Sample*

Raw Water^ - No filtration or filtration bypassed, taken from faucet
Raw or Treated Distribution Sample?*

Raw Water* - No filtration or filtration bypassed, taken from faucetTreated Water - Water filtration online, sample taken from treated faucet
* We recommend doing a raw water test to get a true read on well water quality.
^ Raw water is requried for the initial Permitting and County CO process
Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
Zip Code***

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
**Please Note Dacthal (Herbicide) is required by the SCDOH for this township and is an additional $300.
Dacthal Requirement
Special Property Notes

Contact Information for Collection
Who will provide access on the day of Collection?*

I am the one who will be available for accessI will not be available for access
Name of Contact on site for Access *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

My Products
Water Test to be Ordered*

Suffolk County Potable Water Test ..... $1525
Additional Requirement by Township*

Dacthal Herbicide ..... $300
Optional Requirement by Township

Dacthal Herbicide ..... $300Please Omit Dacthal from this Water Test
Required SCDOH Forms*

Certification of Well Water Analysis (Form 150 & 151) ..... $50
Total
My Water Testing Total*

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Suffolk County Potable Water Test .............................................. $1525