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Water Certificante of Analysis
4 �I CERTIFICATE.. OF ANALYSIS Barnstable County Health Laboratory (M-MAOO9) Recipient: Sally Desmond Order No.: G181 10832 Desmond Well Drlllirng Report-Dated: 11/07/2018 P 0 Box 2783 Submitter: Well Driller Orleans, MA 02553: Description: Contract#: Month Laboratory ID#: 181108324,1 Matrix: Water Well Water Sample It: Sampled: 11/05/2018 16:30 By; DWD Collection Address: 54 Dld Hyannis Rd.,Yamtouth Received: 11/06/2018 11:28 By: Veronic Semple Location: Turn Around: 72 Hr Rush Routine M ITEM . - RESULT UNITS IL MCL MMMETHQD# AtMLYST TESTED TIME Nitrate as Nitrogen ND matt 0.10 10 EPA 300.0 LAP 11/06/2018 8:37 Iron No ntg/L 0.10 0.3 EPA 200.8 CL 11/06/2018 14:10 manganese ND mg/L 0.026 0.050 EPA 200.8 DL° 11/08/2018 14:10 JSl f 6.5 PH AT 25C NA .5-8.5 SM 4600-H-8 DCB 11/06/2018 14.54 Sodium 11 mg/i. 2.5 20 EPA 200.8 CL 11/06/2018 14:10 Total Coliform AbsentP/A 0 0 SM 9223 RG 11/06/2018 15:15 Conductance 64 umohsfcm 2.0 SM 25108 DCB 11/06/2018 14:64 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved •• . ..� (Lab Manager) / ,r ff SCANNED ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, P©.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: 1 of 1 J. w 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 54 OLD HYANNIS ROAD Please specify well type: Building Lot#: Assessor's Map#: Domestic 94 Assessor's Lot#: ZIP Code: Number Of Wells: 13.12 02675 City/Town: Well Location YARMOUTH In public right-of-way: GPS C Yes C No North: West: 41.69014 70.25061 Subdivision/Property/Description: Mailing Address: click here if same as well location address Property Owner: Street Number: Street Name: ROSELLI 54 OLD HYANNIS ROAD City/Town: State: Engineering Firm: YARMOUTH MASSACHUSETTS ZIP Code: 02675 Board of health permit obtained: C Yes 4"-Not Required Permit Number: Date Issued: SCANNED K Massachusetts Department of Environmental Protection BureeIIau of ResourceCompletionRep Protectionorts(General) —Well Driller Program W i � � s Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Auger —Choose Bedrock— WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid 0 20 Fine To Coarse S Brown C C' C Fast C Slow C. rJ YES NO Loss Addition 20 30 Cobbles 214 Brown C r r Fast C`Slow C C YES NO Loss Addition C r C C 30 50 Fine To Coarse S 2.1, Brown 2L1 r Fast r Slow YES NO Loss Addition 50 70 Medium Sand Brown 21C Fast C Slow C C YES NO Loss Addition 70 I 85 Fine To Coarse S EBrown A C C C Fast C Slow C C YES NO Loss Addition WELL LOG BEDROCK UTHOLOGY Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment addition of Large drill stem slow drill rate fluid Staining Chips Choose Code C` C' C C' C ryes ryes YES NO Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Developed fw Yes C No Disinfected a Yes c No Total Well Depth 85 Depth to Bedrock Surface Seal Type None =racture Enhancement C Yes tom°No CASING P Is Casing above ground? From: 1 Ta 0 From To Type Thickness Diameter Driveshoe 0 81 Polyvinyl Chloride J] Schedule 40 E, 4 r Yes SCREEN r No Screen From To Type Slot Size Diameter 81 85 Stainless Steel Well Point A, 0.012 4 WATER-BEARING ZONES r DRY WELL From To Yield(gpm) 56 I 85 12 SCANNED PERMANENT PUMP(IF AVAILABLE) .• y Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) —Choose Pump Choose Pump Description Horsepower Description— orsepower-- Pump Intake Depth(ft) Nominal Pump Capacity(gpm) ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement Choose Material 2d. Choose Material —Choose One— .J WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 11/05/2018 Constant Rate Pump A 12 1:30 58 0:01 56 WATER LEVEL Date Measured Static Depth BGS(ft) Flowing Rate(gpm) 11/05/2018 56 12 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. THOMAS E Supervising Driller DESMOND Monitoring[M] III, DrillerDESMOND III Registration# 764 Signature THOMAS,E DESMOND WELL Firm DRILLING INC. Rig Permit# 0089 Date Job Complete 11/05/2018 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. SCANNED