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HomeMy WebLinkAbout2019 January - WhitewaterMassachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: Transaction ID: Document: Size of File: Status of Transaction: Date and Time Created: Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to “Download a Copy” from the Current Submittals page. 1083264 2/21/2019:9:59:20 AM 3529.58K EBELAIR Groundwater Discharge Monitoring Report Forms Submitted Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/29/2019 WHITEWATER a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report ­ 2019 Jan Monthly All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled DRY = Not enough water in well to sample. < Parameter/Contaminant MW­1 MW­2 MW­3D MW­3M MW­3S MW­4D Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 5.5 5.6 5.8 6 6 6.1 S.U. STATIC WATER LEVEL 7.11 10.09 9.02 9.13 9.14 10.23 FEET SPECIFIC CONDUCTANCE 323 311 276 298 175 166 UMHOS/C mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled DRY = Not enough water in well to sample. < Parameter/Contaminant MW­4M MW­4S MW­5 MW­6 MW­8D MW­8S Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.2 6.2 6 6.1 5.9 5.9 S.U. STATIC WATER LEVEL 10.33 11.01 10.28 9.13 12.02 10.01 FEET SPECIFIC CONDUCTANCE 186 268 172 188 265 222 UMHOS/C mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN MONTHLY 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/24/2019 RI ANALYTICAL a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DAWNE SMART c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report ­ 2019 Jan Monthly All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 14 ND 3.0 MG/L TSS 12 2.2 2.0 MG/L TOTAL SOLIDS 380 MG/L AMMONIA­N 0.34 MG/L NITRATE­N 1.8 0.25 MG/L TOTAL NITROGEN(NO3+NO2+TKN)2.55 0.25 MG/L OIL & GREASE ND 0.5 MG/L infeffrp­blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN MONTHLY 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/24/2019 RI ANALYTICAL a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DAWNE SMART c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report ­ 2019 Quarterly 1 All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 QUARTERLY 1 3. Sampling Month & Frequency D. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit TOTAL PHOSPHORUS AS P 1.5 0.02 MG/L ORTHO PHOSPHATE 1.4 0.02 MG/L infeffrp­blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 QUARTERLY 1 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/24/2019 RI ANALYTICAL a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DAWNE SMART c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report ­ 2019 Annual All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency E. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit ACETONE ND 10 UG/L BENZENE ND 1 UG/L 1,1 DICHLOROETHANE ND 1 UG/L 1,2 DICHLOROETHANE ND 1 UG/L 1,1 DICHLOROETHYLENE ND 1 UG/L CIS­1,2­DICHLOROETHYLENE ND 1 UG/L TRANS 1,2 DICHLOROETHYLENE ND 1 UG/L ETHYL BENZENE ND 1 UG/L METHYLENECHLORIDE ND 5 UG/L TOLUENE ND 1 UG/L O­XYLENE ND 1 UG/L P/M XYLENE ND 1 UG/L CARBON TETRACHLORIDE ND 1 UG/L CHLOROFORM ND 1 UG/L 2­BUTANONE (MEK)ND 10 UG/L infeffrp­blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency E. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit 4­METHYL­2­PENTANONE (MIBK)ND 10 UG/L TRICHLOROETHYLENE ND 1 UG/L TETRACHLOROETHYLENE ND 1 UG/L 1,1,1 TRICHLOROETHANE ND 1 UG/L VINYLCHLORIDE ND 1 UG/L STYRENE ND 1 UG/L CHLOROBENZENE ND 1 UG/L METHYL TERTIARY BUTYL ETHER ND 1 UG/L CHLOROETHANE ND 10 UG/L 1,2­DICHLOROPROPANE ND 1 UG/L DIBROMOCHLOROMETHANE ND 1 UG/L 1,1,2­TRICHLOROETHANE ND 1 UG/L 2­CHLOROETHYLVINYL ETHER ND 2 UG/L BROMODICHLOROMETHANE ND 1 UG/L BROMOFORM ND 1 UG/L infeffrp­blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency E. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit 1,1,2,2­TETRACHLOROETHANE ND 1 UG/L CHLOROMETHANE ND 10 UG/L BROMOMETHANE ND 10 UG/L CARBONDISULFIDE ND 5 UG/L 2­HEXANONE ND 10 UG/L ACROLEIN ND 10 UG/L ACRYLONITRILE ND 10 UG/L TRANS­1,3­DICHLOROPROPENE ND 1 UG/L CIS­1,3­DICHLOROPROPENE ND 1 UG/L infeffrp­blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/29/2019 RI ANALYTICAL a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DAWNE SMART c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report ­ 2019 Quarterly 1 All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 QUARTERLY 1 3. Sampling Month & Frequency C. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled DRY = Not enough water in well to sample. < Parameter/Contaminant MW­1 MW­2 MW­3D MW­3M MW­3S MW­4D Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 NITRATE­N ND ND ND ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK ND 0.64 ND 0.53 1.00 1.30 MG/L TOTAL PHOSPHORUS AS P 0.14 0.41 0.31 0.26 0.11 0.87 MG/L ORTHO PHOSPHATE ND ND ND ND ND ND MG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 QUARTERLY 1 3. Sampling Month & Frequency C. Contaminant Analysis Information For "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) NS = Not Sampled DRY = Not enough water in well to sample. < Parameter/Contaminant MW­4M MW­4S MW­5 MW­6 MW­8D MW­8S Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 NITRATE­N ND ND ND ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK ND ND 0.82 0.70 1.00 ND MG/L TOTAL PHOSPHORUS AS P 0.10 0.27 0.64 0.44 0.62 0.17 MG/L ORTHO PHOSPHATE ND ND ND ND ND ND MG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 QUARTERLY 1 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/29/2019 RI ANALYTICAL a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DAWNE SMART c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report ­ 2019 Annual All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­1 MW­2 MW­3D MW­3M MW­3S MW­4D Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 ACETONE ND ND ND ND ND ND UG/L BENZENE ND ND ND ND ND ND UG/L 1,1 DICHLOROETHANE ND ND ND ND ND ND UG/L 1,2 DICHLOROETHANE ND ND ND ND ND ND UG/L 1,1 DICHLOROETHYLENE ND ND ND ND ND ND UG/L CIS­1,2­DICHLOROETHYLENE ND ND ND ND ND ND UG/L TRANS 1,2 DICHLOROETHYLENE ND ND ND ND ND ND UG/L ETHYL BENZENE ND ND ND ND ND ND UG/L METHYLENECHLORIDE ND ND ND ND ND ND UG/L TOLUENE ND ND ND ND ND ND UG/L O­XYLENE ND ND ND ND ND ND UG/L P/M XYLENE ND ND ND ND ND ND UG/L CARBON TETRACHLORIDE ND ND ND ND ND ND UG/L CHLOROFORM ND ND ND ND ND ND UG/L 2­BUTANONE (MEK)ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­1 MW­2 MW­3D MW­3M MW­3S MW­4D Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 4­METHYL­2­PENTANONE (MIBK ND ND ND ND ND ND UG/L TRICHLOROETHYLENE ND ND ND ND ND ND UG/L TETRACHLOROETHYLENE ND ND ND ND ND ND UG/L 1,1,1 TRICHLOROETHANE ND ND ND ND ND ND UG/L VINYLCHLORIDE ND ND ND ND ND ND UG/L STYRENE ND ND ND ND ND ND UG/L CHLOROBENZENE ND ND ND ND ND ND UG/L METHYL TERTIARY BUTYL ETHE ND ND ND ND ND ND UG/L CHLOROETHANE ND ND ND ND ND ND UG/L 1,2­DICHLOROPROPANE ND ND ND ND ND ND UG/L DIBROMOCHLOROMETHANE 4.5 2.8 3.1 3.3 3.5 3.4 UG/L 1,1,2­TRICHLOROETHANE ND ND ND ND ND ND UG/L 2­CHLOROETHYLVINYL ETHER ND ND ND ND ND ND UG/L BROMODICHLOROMETHANE ND ND ND ND ND ND UG/L BROMOFORM ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­1 MW­2 MW­3D MW­3M MW­3S MW­4D Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 1,1,2,2­TETRACHLOROETHANE ND ND ND ND ND ND UG/L CHLOROMETHANE ND ND ND ND ND ND UG/L BROMOMETHANE ND ND ND ND ND ND UG/L CARBONDISULFIDE ND ND ND ND ND ND UG/L 2­HEXANONE ND ND ND ND ND ND UG/L ACROLEIN ND ND ND ND ND ND UG/L ACRYLONITRILE ND ND ND ND ND ND UG/L TRANS­1,3­DICHLOROPROPENE ND ND ND ND ND ND UG/L CIS­1,3­DICHLOROPROPENE ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­4M MW­4S MW­5 MW­6 MW­8D MW­8S Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 ACETONE ND ND ND ND ND ND UG/L BENZENE ND ND ND ND ND ND UG/L 1,1 DICHLOROETHANE ND ND ND ND ND ND UG/L 1,2 DICHLOROETHANE ND ND ND ND ND ND UG/L 1,1 DICHLOROETHYLENE ND ND ND ND ND ND UG/L CIS­1,2­DICHLOROETHYLENE ND ND ND ND ND ND UG/L TRANS 1,2 DICHLOROETHYLENE ND ND ND ND ND ND UG/L ETHYL BENZENE ND ND ND ND ND ND UG/L METHYLENECHLORIDE ND ND ND ND ND ND UG/L TOLUENE ND ND ND ND ND ND UG/L O­XYLENE ND ND ND ND ND ND UG/L P/M XYLENE ND ND ND ND ND ND UG/L CARBON TETRACHLORIDE ND ND ND ND ND ND UG/L CHLOROFORM ND ND ND ND ND ND UG/L 2­BUTANONE (MEK)ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­4M MW­4S MW­5 MW­6 MW­8D MW­8S Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 4­METHYL­2­PENTANONE (MIBK ND ND ND ND ND ND UG/L TRICHLOROETHYLENE ND ND ND ND ND ND UG/L TETRACHLOROETHYLENE ND ND ND ND ND ND UG/L 1,1,1 TRICHLOROETHANE ND ND ND ND ND ND UG/L VINYLCHLORIDE ND ND ND ND ND ND UG/L STYRENE ND ND ND ND ND ND UG/L CHLOROBENZENE ND ND ND ND ND ND UG/L METHYL TERTIARY BUTYL ETHE ND ND ND ND ND ND UG/L CHLOROETHANE ND ND ND ND ND ND UG/L 1,2­DICHLOROPROPANE ND ND ND ND ND ND UG/L DIBROMOCHLOROMETHANE 3.7 3.4 3.0 3.2 2.1 3.2 UG/L 1,1,2­TRICHLOROETHANE ND ND ND ND ND ND UG/L 2­CHLOROETHYLVINYL ETHER ND ND ND ND ND ND UG/L BROMODICHLOROMETHANE ND ND ND ND ND ND UG/L BROMOFORM ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency D. VOC Analysis Information If VOCs are present, please indicate the amounts of the individual compounds in µg/l. For "0", below detection limit, less than (<) value, or not detected, enter "ND" NS = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant MW­4M MW­4S MW­5 MW­6 MW­8D MW­8S Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 1,1,2,2­TETRACHLOROETHANE ND ND ND ND ND ND UG/L CHLOROMETHANE ND ND ND ND ND ND UG/L BROMOMETHANE ND ND ND ND ND ND UG/L CARBONDISULFIDE ND ND ND ND ND ND UG/L 2­HEXANONE ND ND ND ND ND ND UG/L ACROLEIN ND ND ND ND ND ND UG/L ACRYLONITRILE ND ND ND ND ND ND UG/L TRANS­1,3­DICHLOROPROPENE ND ND ND ND ND ND UG/L CIS­1,3­DICHLOROPROPENE ND ND ND ND ND ND UG/L mwdgwp­blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 305 1. Permit Number 454950774 2. Tax identification Number 2019 ANNUAL 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key.  A. Facility Information 1. Facility name, address: MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code 2. Contact information: MARK WEINBERGER a. Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b. Telephone Number c. e­mail address 3. Sampling information: 1/31/2019 WHITEWATER a. Date Sampled (mm/dd/yyyy)b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet ­ 2019 Jan Daily All forms for submittal have been completed. 2.This is the last selection. 3.Delete the selected form. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Flow GPD Reuse Flow GPD Irrigation Flow GPD Turbidity Influent pH Effluent pH Chlorine Residual (mg/l) UV Intensity (%) 1 13239 2 11484 7.3 3 10955 7.4 4 14675 7.3 5 14675 6 14675 7 13990 7.2 8 12211 7.3 9 13860 7.4 10 12840 7.4 11 9560 7.2 12 9560 13 9560 14 14222 7.3 15 8100 7.1 16 11203 7.3 17 11954 7.4 18 10698 7.3 19 10698 20 10698 21 12137 7.2 22 14386 7 23 7827 7.4 24 11393 7.5 25 11597 7.5 26 11597 27 11597 28 10752 7.3 29 10457 7.2 30 11035 7.4 31 11026 7.4 gdpdls.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET 305 1. Permit Number 454950774 2. Tax identification Number 2019 JAN DAILY 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor ­ do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic­ally and want to attach additional comments, select the check box. Facility Information MAYFLOWER PLACE a. Name 579 BUCK ISLAND ROAD b. Street Address YARMOUTH MA 02673 c. City d. State e. Zip Code Certification “I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.” ELIZABETH BELAIR 2/21/2019 a. Signature b. Date (mm/dd/yyyy) Reporting Package Comments PLANT PASSED PERMIT REQUIREMENTS FOR JANUARY 2019. gdpdls 2015­09­15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Groundwater Discharge Program Groundwater Permit 305 1. Permit Number 454950774 2. Tax identification Number