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2004 11-27
i . f X ,� : �:-� � � . � � � � Massachusetts Deparbnent of Environmental Protection � Bureau of R�source Prat�ction-Tftle 5 �"�� �EP Approved I�spection and O&lV! �orm far Tit�e 5 !i� Treafi�nent and Disposa[ Sys�erns � � A. tnstaitation ^ �/ . Importa� /�/�GL ��G,\ ' Whatt l9fArnp out ,..: ' lom�s on tl►s COR1Ptittf.USS only tho rab key F Addten i, _ �� , w move yout ��Z cutaor-do rrt C�� �P use tt�e retum . xoy. Mai ng ad ess o#awner, i�difFerer�t '�I em� � r•�I, Slate �P � � - P.Xi. Teleptlone Numher �. Au�horized S�rvice Pt-ati�ict�r SlP9�rtv�d ��v,�Qrr�lPn�l SP�►eUrcPs,, .L�c _ . �F� � 9 �qv,'�l,'�� � >9v.�.- ��--r`0 1���c-� �y oa 9'os � � � ' �l�?�s' _ 0�30�. � ' T�'JOG-�./vl�!r�i�S .�O.f% ��pp�H� Cenlficatlort Ntrrbcr , i i . ' ; _ � C.-Facij�ty/Sysbem tn#ormation ' / a.�s�� /1/�,c�re� � ��a : ��o � � �� �.� �� ._ d v InstiNadon DaOs Start of Operatlon Approvai Type: [��erai(� Pmvisional ; Piia�ng 0 Remedial Seasonal Residance—used less than 6 ma.tyear:�l'es o - D. Cyperating tnformation T _ �—o `� ' f3 ' � ._ �n�oectlon�ara P�wious�r.sve�ica oale � sr�,dge aavm too oe yeany� Pumpiag Recommended ❑ Yes s a I �Aluent rt TSlAOM t•3t28ro2 P� � � � 1 r r � r r� � �R�UNDW�ITER �NALYTICAL � Inorganic Chemistry Field ID: FE Matrix: Aqueous Project: Singulair/64 Melviile Rd.South Yarmouth Received: 11-29-04 16:50 Client: Siegmund Environmental Services Lab ID: 78932-01 Sampled: 11-27-04 17:15 Conwiner: 1L PldStic Preservation: Cool �� �i�naiyte.:'; �; � ;���� ;'�l�_ ���!"�#� �� �..�� �",�: �l�m���`�t��� �, � ,���t.���k �:: �, �.,.� � Y�4d. � � Ntet1'r'tid�� 1�t�: ,ii�+: Nitrate(as Nitrogen) 2.7 mg/L 0.1 s i m� 7749-0423:10 NI-2397-W "`""'°,°'°"t„"' -- ��o�� 1 L1D Nitrite(as Nitrogen) 3.3 mg/l 0.1 s i mL 17-29-04 23:10 NI-2397-W "`""'"'°'""t�"' � /SOPN03 F) � LJD Lab ID 78932-02 Sampled 11-27-04 17:15 conta�ner: 1(,plaStiC Preservation: Cool g �� ,'.k. .�����b@,v,_;� a£?' s�„�i �:. a` , .����,��� <. .,a.,..'� *��.«.�.< � �. tYd +'`�,�'r�z= ° c � .,,� . , �,� �4 .��. � ��x����t�,� 1�I��i� �t�.-:,;�"."�i�di Biochemical Oxygen Demand 21 mg/l 9 eo s m� i i-zv-0a zi.za BOD 1896-W SM 5210 B 3 DDW Lab�D: 78932-03 Sampled: 11-27-04 V:15 conwine�: 250 mL PlastiC Preservation: Cool `': ` kh�lYt�� ! r= ;, �'R �'�I�� l:�h�����j�j �R.�.�diu�a.. �ln�����d� �t��Bat�h �, Me�hi�d ��nst':,�,�?��,' Solids,Total Suspended 24 mg/L 10 � 100 ml 11-30.04 10:44 TSS-1022-W SM 2540 D 4 �a pH ______ __ �•7 pH NA 1 50 mL 71-29-04 22:03 PH-1800-W SM 4500-H+6 2 DDW � Lab ID: 78932-04 Sampled: 11 27 04 17:15 Container. 250 mL Plastic Preservation: H2SO4/Cool _� An�1�t� :"•. ., _;` � P�-�1�, �IJ�; C�ni�.§ R� �.���,.V�i�im,,�:�n��yzetl ��:�xt�h�;� Metti�il ,, ih�h����r Nitrogen,Total Kjeldahl(TKN) 11 mg/L 0.5 i zom� 12�9-0417:4q TKN-1506-W �°0h°��0.101L6TD�EPA � AVB - -- ,s�.:� Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating ' Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit. � DF Dilution Factor. , 1 Instrument ID: Lachat 8000 Autoanalyzer ' 2 InstrumentlD: AccumetAR50 ' 3 Instrument ID: Y51 5100 � 4 Instrument ID: Metder AT 200 Balance ' E , � f Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ; , � ' r i j ' . . _ � MdS8aC�1t3S��S E�k�lfltt@t1#Of�(tYlrDntft@I� PtO�CtiO!{ - � Bur+eaet of Re.�1r�D6 Prot�-Ttde� . DEF Approved lrispection and a8�M Fo�m for 1"[#te 5 UA Tr+ea#ment and D�sposal Sys#ems �� � E: Samptjng intonnati � �— , samples Tatcen:p�mtuertc Efnuent i Pa�ramet�s sampled: H SS ther(�ist below) Othes 1 OMer 2 Otl�er 3 Descr�tmn of an maintenar�ce per�armed sittice pnevlous ir�s�lion&during this inspe�c8cn: Notes snd Canmer►t� F. CectNication �c�rbty:�na�re�the s�rage br�eaunent and disposa!sys�em at a�e address aoo�e.nave c�mPieGed tlus repoti acld the att�hed te�taoloqY opetadon and mair�ten2�e check6st.arld the � indcrtnatlon repotffid�tirue.aocxirdte�sutd oompi�e as cf the tir�of the m8pectbn. i am a Massac�tusett5 cerNtied c�erabr in acco�ance w�tt Z57 CMR 2.04 Ooerator Si�re � System owner must submit this report,tec.�nology 08M cheddist,�any teyuired sam�+ing�utts � to the bcal baar�of heaitlt and DEP as idlaws�or�ach inspectlon pehbnned: R�diaf Usv—by January Piioting b Prov�ttonat t�e- Gec�ral t�sa—liy September 31 �eact�yea��the wfthin 3�days of inspec�on 30'"of each year for the P�s cdle�t'year dat@ pr+avious 12 rtwntlts ' oepartrr�t of Ernrironmenta�P�otection Atbentwn: T'�tie 5 Prcg� i Qne Wmter S#�neet,6"'Fioor � 8osbon.MA 02108 i . � - k I T5IAOAAI •31261oz Pap.s otz �' � 5 ��,�� �� . � � � �� �/�� �.� � snvcv�sExvrcE c�oEcx� sa�,�;��.� c.�h�me A��� /� Z dem.ra�er;coo��sua dw . SF.SI NO._� � r� � waw flv�vs otof t6e hde io na�oFsc�vicE_ ._— / - 2 7 Dfl m���� �tvtc:�rsxF�o�sY: _ �a��m�..�►� �' �,�.wb�n . ` . .a�er sto.ry S�o�risg ad me _ t,ncsRlom ,$/ork is be av� � exiti��er is ei�ar. v Fmis�bsi�do�u fil� � Fiest Re�ave aooae�e co�c,cbxt � e � efitaoosber Eornar�aaE.raorrlcrd . Saa�boPP� ��°a���� yppty h�bciraoit m 51oerllange seeood�nac of cpc'iaoo4 . ; . i Seooid Remore oo4�cMe covtt Pf�ct fiI1Q in�aoq�1 ruh I cLamber ! daaa w�mes a�ed sml�it .� Coste�o[ Opea�ad xc oo"OONt' . - Tam aa lodrmg d�s.�isce �1 Oltiler position , �� � Seao�d Cbecic au$aw�6roug6 aon� �, . � eLa.�ber Rapi'°a°°�°`zse°ave� Uaplog ae:aror mc1�ift aut Fa�sc Rep�C Qvaasoe ooMc . - � meck fbr��ber pads .,� Secood P�g ia aaa�p+ • . CLccl�fa�rorpcoLWos� , � : Gf�cek�vine��fo��g. G��90 u a■oc ia cc.ract . ��� 'r"man��g . ' W�a�aaaoa�p�ic b.dc . 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