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2004 10-13
w � 1 1� X a ✓ . \v � � � Massachusetts Department of Environmentai Protectio� � Bureau of R�source Protecfion-T�le 5 "i ` rove� Ir�s ection and U&!V! Form for Titfe 5 !/� � !E� AMP � Trea#ment and Disposa[ Sys�etns ' � � A. tns altatio � /,� ; . Emporta� �v�`�\, WhQrt lJtJ6mq out r� ' lortns on ths ���i�. ` �����l���i�,��a�l�a�iiV��� ���,� � COR7pt1�lf•tlSB �•--v--T'�__���"E'�ir�t�, i only C1a tab ksy F�Y s� ��(,{�' D Z 1�C2-� , to move yax • v a►csor-do rt^t C� ' -f��-}- �P - use the rewm . kaY- MaiGng address o#owner, if difl`erenC � „ � �' �` � � ) - ext. � re►ep�fone N,unnber ' B. Authorized Service Pravici�r _. ..____ _ �.__.__. _ J �eg�rrv�rr.� ��v,�Qrt�P��l �P�ur«S , .L�ac . _ _.__._. � . ----� . �,F.n, � '� `� � ����'�lf'�n���� �hr-� _ _ �� : _ , �. _�_�- _. �r'a i a���c-� �-� Do��'os � � �{or,7�s - o�3o�c. � Te1�e e� � w,. .�_. ..____._ _.. :,/�dG��/"l9r��S .SSOS7 '' cernf�o oaera�or rrame . c�nort N+r�er � C.-Facil�tylSystern Infonnation • �;�_.__. rc�����. - /�,�/oR��� v g�a _ �� ���o �f � 3 '�"� ' � G __ lnsiafhnon Date �- Start af i _ _ - __ A{�proval Type: �Gener�i Q Provisionai(�.Pitating ❑ Remedial � � _ . I S�asona!Residence—used less than 6 ma.tyear_�Yes�No � ' , � D. Operating infocma�on J � - 3 -�.� -�S i _..� t n Data ' 'f Pscvious irspodicr Oate ' srudge (oo ctu�d�ea yearty� \ Pumping Recommended ❑Yes Na _._. _.. . _. 1 .r? � V�. f � M rn T51AOM'! -sr2e�o2 P�� � �OUNDWATER JALYT/CAC Inorganic Chemistry Field ID: FE Matrix: Aqueous Project: Singulair/MA 162 64 Melville S Yarmouth Received: 10-14-04 15:00 Client: Siegmund Environmental Services Lab ID: 77540-01 Sampied: 10.13-04 13:00 Container. 1 L piastic Preservation: Cool ' � �� � �.� ��� � �� �� �� �q � t _,3 l y� 5, `�i sy a;� �*..-i.� �� s �f��l���',�11�1 eul,.,'t dl �x'��cs.>������.'���� C�i�d�'d�� . Nitrate(as Nitro en 14 M ucbunio�o4�c�s�+ g ) Ill�� �.1 � 9.� �.1 mL� 1044-04 20:49 NI-2348-W ��Ho�� -i.�...��Jp�: Nitrite(as Nitrogen) 7.�{ �pg/� Q.� 5 1 mL 10.14-04 20:49 NI-234&W �`b'�aiav.o4iresra � LJD ♦soo No�Fl Lab ID: 77540-02 Sampled: 10-13-04 13:00 Conlainer. 1 L plastic Preservation: Cool 4 �����. >-;r�. �.,,,s��� ,'��`$,3� ��mx.3k`�.a� � �;��5 ��b�1lfiFl Y`'�'�`,/��ffd��l�:� �,�°�+3��14'J��<� {�Ql��o, ���"f IY3t �F Biochemical Oxygen Demand 12• mg/L 4 eo 5 mL �aia-oa ie:zi aoo-iaas-w sM szio s a �w Lab ID: 77540-03 Sampled: 10-13-04 13:00 Container: 1 L piastic Preservation: Cool ,; Att�a��,_ ' �.�'� �,v� � ,�fi, � "' t;���f3 t�.: �1�F,�!aiumt� �,�A�afyZ�d� r ��ktli`' " C£h�i�d�� : , ' � � �r . k �„ , ,.. -.. , ,� , .,. � �!►S� � - nN��� Solids,Total Suspended 25 mg/L 10 1 100 mL 10-iSA4 10:30 TSS-1007-W SM 2540 D 4 Mw PH fi.9 pH NA 1 50 mL 10-14-04 20:39 PH-7772-W SM 4500-H+B 2 DDW Lab ID: 77540-04 Sampled: 10-13-04 13:00 co�ca��e,: 250 mL Plastic Preservation: H2SO4/Cool _ ,�naGyt� z z r��R��i �lis" $Rt�,' E�,� volu,he An�l ��rl �� at�h `:IN�tficsdr; ! ,.`: > ;,' :°, v... �fw.� r . �Kst ��i�� � �.._ . _ � :.. v __ �� Nitrogen,Total Kjeldahl (TKN) 7.7 mg/L 0.5 � zom� 10.20-0415:33 TKN-1461-W �"�"�wo�oa:-o�cr � A�B ,. _ �:,.z� 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 111(1996). i Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quanti(ied under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. RL Reporting Limit ' DF Dilution Factoc i Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Accumet AR50 ' 3 Instrument ID: YSI 5100 i i 4 Instrument ID: MetderAT 200 Balance i , Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ( . . _ liRassaChEisetts�epae'tmen#of Envirotttne�ia!Pr+ot�ectior� � €�r+eau o�f Resouice Pro�t-Tttle� . DER Approved lnspec�ion and �8�M �orn�t for T'ttie � �1A Tc�atment and ��asat Systems �� � b � ; ; E. Sampting Infonnaf�o ! sam�ss Tal�n:0�nfluent Efftuent : P� ed:�pH�OD�TSS�7N�Other t�ist 6elaw) .�� ��� ��� Cther t Otl�et 2 OU�ar 3 De.scr�p4on af any ma�nEenattice perfarmed sinc•,e p�rious irispedion&durmg this b�speGiae: �U�1�� ��y1 ���"(.��V l I�(r W �i1��•I��--_ - � lJ � �.P I�otes ana cat�ment� 1�G r� � �� �,� , F. Cectificatian �certify:�tra��ree�t[�e sevvage t�aurtent a�a disposa!sys�em.ac the adciress aDove.havs _ ' cx�mpletied this repott and the attached te�hrtology opera�on and mautDenance chectcGsk and the '. mformation t+epcsrted� rate,and cor�ete as of the time of#he it�spedion. I am a i irt 'ahce w�ts 257 CMR 2.�. � � � � ? � —v�� Sysiem oumet must submit this repo�t.tec�aotogy 08AA cheddist,�{�,jc.artY ra9�ir�d samG+ing^�.sa�ts ta the bc�l board of hea�tn�nd�EP as fiollaws�or e3ch inspec�ion p�riarmecf: � , Rar�iai Usa-by Ja�uary P1tot�g b P�cviskutat tise- C�ra!t3sa—ity 5ep�emher 31'`af eac�year�the w�hin 3�days of ins� 3U"'of each year for fhe previous cal�at'year d�b2 previoers 12 rr�xsths Department of Ernricnnmer�aaf Prot�tiori At�artfion: T'�te 5 Progeat� Orte Wm#er Str!eet,fi"'Fioar 8ost+�r�.MA 02108 'fSiAOM1 •3rze�oz Pays z otz . � � � c�� �-e1��ll.� S ��c�� SIAIGULAIR SERViCE CHTSCI�Lib'!!' ���ia mh.mo (w�h�me 6[Le�1 dran w�a iaio�iR unul d,e �N°._��`'��r b�-- ;o r ��J �fIOMS OI�Of�7EI10IG tO � DATE OFSE�tVICE:_ ._` � -t e��� SERVIC�PERFORMED BY:� au t�o�e aad a�nte w�it�aa BoeP sp�ring�rerb cla'° /' - � .vaeer slaaPly 8n+nb�g a�t tbc V � Lac�ttoa Si/osk tu 6e oa�foraed l�_e e�iti�wsloer is ciear. . Fust Remave caxcete cover,clsat �hosig doo.a Skar i c3►rooaber far�cm�.raoerla�d ''h�� •! ��t . ���'� ✓- Appty�m s�erflaoge V sxood pear af o�oa Seooad Rt.�noveca�a�oc�oret � � . �� Pf�ct�in piacc,�t vrith �. daa�.r��et aod si�ic '` . c� o�.aa�cmroo�r- t/ _ ! � �� - T��,��.� �' °! s�� - . ; _ � � �.3 ! � q►m '�' �,.o -�,1 ��� � ����� F� ���� � . - � c��.��� � - {� . ... � �m� ✓ c��.��� � = a�ecic.v;rt is�a�a;�. 1/' cn�ira�so g is sa.is ao� � /' - ec c V tape if nraded "�� ' Wsah a�aecao�p��b�dc itepiaoe 000rne�e ao9er �/ . Hooi�ap a�n�'oer.cixct �f CwMol P�swit��`AiTI�, ' W[nAt rID�iC[i�l�$. � P�� ,cJ O I�f �(�'�� �! � �' i CI09E��OCiC C011►lt � i �IY'd �C�O1►G COOClG�C0�11G!�10� 9 '„� •� � redio��e�oop_ � Bead and tooacd Lo�a me�er �J) � I.+esr�ebooce of sei+ioe wuh � ' 'ilaa�biacic locl�ag abs � � i . aRtrr �ptomp apd anat� I�c� �c aa� : fcom f�en�du� i� " �P�I' � + Lift��tope�s �Y°�P°�° ` � �bod�ale��ml�Co1bs►-op is Lift o�t5t�pet a in a� °0Q� ' G'km eLe a�e of 5'toer wi�h Hc sme s�co�npie�6lc on wa�d�ain b�d�eo fasc sario4 rtt�a it to off�e chamDa . MEMO: � S��/1� �� , � v C��/J--2'2.�(C(�i : 5 P �� 1� P�c ��e � ��t �� �.�. �(1�� a�r���� � �� v � 55 s n . �e �pla�.e � � t-I���- 1-����..os . ;�-`� g ; o c�U r� �� � �-��e � �, �-16 0 �� r, ;