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, � Massachusetts Depat�tmeat of Envieartrt��ntal ProLection
_ • � Burea�u af Resour�Protectiort-T�le 5
� r D�P �pprov�d t�spection and ��Alt Form �or Ti�ie 5 UA
! 7�eatmen# and Disposa! Sys#ems
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' E. Sampling tnf atian
Samples Takerf: IMlaent ffluent
Pafametess sampieci: H�O TSS TN�Other(!'sst belaw)
am � ���� �l
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dli+es 1 Other 2 �3
Ossc �on of any maintena p�rformed since previous inspec�ion&during this inspeclion:
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Notes and Comments , .� _�
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F, Cectifica�on
t certiiy:I have Inspedes3 the sewage t�eavnent and disposal�ystem at the asi@ress above.have .
campieted this report and the attar,hed tec.hnolcgY n}�rabon arid maiMenance ch¢ckiist.and the
itff�t reparE�cf�tr�e,accutate,and�orrt�iete as e##he time of the i�spedion. i am a '
� v p �r in m'th 257 C-M�R����/� '/
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SignBttl[8 �'eie
System ownet must submit this repart,tec�nolagy 08�M checkiist,and any requirGa sarrtc�ing r�suics
to#he loc�J board af hea3ttt and DEP as ioilows#or each ic�spec#ion perh3rtned:
Remediai Us�by Jar�uary PUating�Pnovisiona[Use- Genetal i3sa—by Septemher
3��`of eact�year fior the within 3Q days af inspectian 30"'of each year for the
Qrev9ou5 C2lendar year date Frsvious 12 months
Department of Environmerrta!Protedion
Atter�on: Title 5 Program �
One Wm#ec Street, 6"'�loor ,
Bastan. MA 02108
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GROUNDWi4TER �
ANALYTICAL
' Inorganic Chemistry
Field ID: FE Matrix: Aqueous
Project: Singulair/64 Melville,S.Yar Received: 04-22-04 1II:20
Client: Siegmund Environmental Services
Lab ID: 71870-01 Sampled: 04-21-04 13:00 Conta�ner: 1 L PlaStiC Preservation: Cool
Andlytg Result � � �Unit� RL.�.`� DF� Valume .�Ahalyzed��,; QC B�tch ��hlethocl ' InsY A��r��
Nitrate(as Nitrogen) 0.6 mg/L �.� 5 1 mL 04-22-04 2234 NI-2150.W �"h"io-ionoai-ctsn+ � ��p
�S00.N0)F)
laa'ha1161o)-0F1L(SM
Nitrite(as Nitrogen) _5.0 mg/L 0.1 5 7 ml 04-22A4 2234 NI-2150.W „��,o,,, i U� �
Lab ID: 71870-02 Sampled: 0421-04 13:00 co��a��e�: 250 mL Plastic Preservation: H2504/Cool k
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Analyte Result ,`, �:Unfts � RL": DF volumg .,Analyzed- QC�-B8tCI1, M@jI1Q(I ' IRS1 Analysl �
.. � . �. , . �.. ....... .. • . '� lach.ualolo6l.o1[r `;.
Nitrogen,Total Kjeldahl(TKN) 12 mg/L 3 s a m� 04-26-04 71:51 TKN-1328-W 1 nve
-- �s,.:� f
Lab ID: 71870-03 Sampled: 04-21-04 13:00 Comainer. 1 L Plastic Preservation: Cooi �
Analyte . °Itesult' :' ; -Uriits RL. . QF,� volume, Analyzed : (�C Batch Method -, Inst n�iva� k
Biochemical Qxygen Demand 20 mg/L 8O 60 5 mL 04-23-04 16:06 BOD-1626-W snn szio a 3 DDW ';,
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Lab ID: 71870-04 Sampled: 04-21-04 13:00 Co�tainer. 1 L Plastic Preservation: Cool
� Analyte Kesult. : Units fitL`i DF volum� ,Analyzed `; QC Batch Method Inst ��n� '
Sol ids,Total Suspended 10 mg/L 40 4 25 ml oa-za-0a oa:i i rss-09a�-w sM zsao o a Mw ,
— - — "
- pH 7.2 pH NA 7 50 mL 04-22-04 21:48 PH-1667-W SM 4500-H+B 2 L)D
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 Examiqation of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating �
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Solid Waste,US EPA,SW-846,Third Edition,Update III(1996L !
Report Notations: BRL Indicates concentra[ion,if any,is be�ow reporting limit for analyte. Reporting limit is the lowest concentration that can be �
reliably quantified under routine laboratory operating conditions. Reporting Iimits are adjusted for sample size and dilution. i
[
RL Reporting Limit
DF Dilu[ion Factor.
1 Instrument ID: Lachat 8000 Autoanalyzer
2 Instrument ID: Accumet AR50 '
3 Instrument ID: YSI 5100 '
4 Instrument ID: Metder AT 200 Balance
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� Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay;MA 02532
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� SINGULAIR SERViCE CBECK L1ST Set filter u�rigM ia tab.resn
i clean water into it unW tt�e
{wiih same 81ie*��j�
SE'SI 1�TU,__;' /'r/"'. /6� r/ water flows aut of�e hnte in �/
DATE OF SEItVICE:y'�2� T t�e flanga.tus«c co�
$ERViCE FERFUBMED BY•_._:_�� anr hose and agicate with air. :
� • tia�cia►s) $eep sg�tarin8 vrith clean .� . t
water s�Ov�►ly flc3wing na�l t� ,
Locatlon Work tn be oerfor+aeH D e exiting wattr is citar. ;
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Fmish hos3ag down fitter I
F�rst Remove concrete couer,c�c�C .i
ehamber for norrnaE watu levei ��hQ�
�/ � Check s[vdge depth after )� r/ :
/Jo � �,�, sec°nd Year of aperariaa ji Apply Ie�hr'xant to 6iar fiaage i
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� chamber cleaa water a�sink it �
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c�sr P�i�' ' filtsr�o��er �
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i�np�ug aera,to�aad tift ovc t� ��
Che.cic for worn rubber�ds �/ 5� ����,. �
(:he�k€or weaz or pfobtem� ci�amber
Cheek witE itt riser f+o*�hafing, � Cc+►�wuice sa ic is not in c+gntact �,/ '
tape if nxded y�'�'��g :
Wash nff aemtc�putic back Repface concce�re cova ✓ :
Hook up ataF.netu,check ConMol Pac switch s�a"AUTO" � ;
cwrtnt v+t�suator mm�icig. �i°� ��On ✓ !
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recnovt�pg►�iL �los�an�IocY cnv� ��
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chainb� m.tftove filDer oop• / •i
TUm in black 7oeking rahs f �aP�' Lsave�uf senricc with � �
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L.ift filter with mpe as '
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Lift ot�t fitter,puc it m tub
/ Be s�uc:o compl�oFle�► ,
Clean the otatside of 6iter wit3� / service.cetum it to offscs
water.drain back tn first t/
chambcr
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