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2021 Oct - Whitewater
Massachusetts 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. I Obi 7 L`ICI HEALTH DEPT. Username: EBELAIR Transaction ID: 1310431 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1028.19K Status of Transaction: Submitted Date and Time Created: 10/20/2021:11:08:45 AM 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. LJUI GQU VI I\GJVUI GG I I VIGVLIVI I - VI VUI IUVVOLCI LIIJG11011,.G I I V1,.10111 I. f GI 1111%1\4I I1VGI L Groundwater Permit 2.Tax identification Number DAILY LOG SHEET IIIIIIIIIIIIIIIMIIIIIIIIIIIIIIMIII 2021 SEP DAILY 3. Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use KING'S WAY CONDOMINIUM only the tab key to a.Name move your cursor- do not use the [10 KING'S CIRCUIT return key. b.Street Address YARMOUTH MA 102675 MIc.City d.State e.Zip Code 2. Contact information: INFA111 RENE ROTHMAN a.Name of Facility Contact Person 6178393364 f Propertymanager.kwc@gmail.com b.Telephone Number c.e-mail address 3. Sampling information: 19/30/2021 WH ITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name DAVE FISHER c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month& Frequency Daily Log Sheet-2021 Sep Daily ►j - All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 -a UNI GQU VI 1 SGJ\/UI V6 I I VlGVtlII I- VI VIAI IUYVQLCI VIJld Pal VG I I VUI Cal I I. r OI II Ill 1141 II1.101 Groundwater Permit 11111 DAILY LOG SHEET 2.Tax identification Number ;2021 SEP DAILY . 1 3.Sampling Month&Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/I) (°%a) 1F477240 I = 1 17.2 2 59640 �_. I I-1 .3 28 3 589 ( I C----] 7 II I= .. 4 61381 ...—1 6.9 (�I 5 _______I63998 7.3 1 I^J 6 60366 7 1MIRI III 7 1i710-iiFi � F-7 P I = 7 I = 8 55122 I� I 1 7.1 9 53719 I II 1= 7 10 54167 I = I I 7.2 11 [56569 1 r----7 1-----1 I 7.2 12 55945 1 I 7 1 1 13 54413 I = = 7.3 14 151052 I Ir -_._._.1 7.4 I 15 152340 I I = 74 16 1 52531 I I 7.2 I 17 51598 I I 7.2 18 53858 I ( 7.2 19 52666 1 I 7.1 20 55199 I 1-----1 = 7.1 21 48934 I I 7 _._.......J I 22 49693 I F-1 GM 23 149332:_- 7-1 1—I II I 1 7.3 I 1 I 24 ;500917-1 7-1 7.3 I 25 51913 6.9 26 '512091 7-1 1 1 6.9 � 27 150788 ( 4 (� i II ( T`1 28 148367 I 1 ( I 7 I 29 51412 I I 7.2 1 30 152172 I 1 7.1 = I 31 gdpols.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 LJuI Gau VI I\GJVUI VGtI I VIPermitGli L1V1 I- VI VL.1 ILIVYCILGI VIJL..I ICU l,.c I I Vl,.l al 11 I I. U 0111111 1,141111.1011,141111.101Groundwaer 1111111.1111 MONITORING WELL DATA REPORT 2.Tax identification Number 2021 SEP MONTHLY 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use !KING'S WAY CONDOMINIUM only the tab key to a.Name move your cursor- do not use the 110 KING'S CIRCUIT return key. b. Street Address 'YARMOUTH MA 02675 '"'• ! \ c.City d.State e.Zip Code IIF 2. Contact information: IIRENE ROTHMAN a. Name of Facility Contact Person 6178393364 Propertymanager.kwc©gmail.com b.Telephone Number c.e-mail address 3. Sampling information: 19/3/2021 IWHITEWATER a. Date Sampled(mm/dd/yyyy) b.Laboratory Name DAVE FISHER c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency [Monitoring Well Data Report-2021 Sep Monthly 1- All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1 \,.. : U41Gg4 VI 1\GJV UIVG I IVIGVII VII- VIV4114 YV QlGI VIJ41'at 1,G I IVll cull I. f Glll 111 IY4111VGI Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number ,, 2021 SEP MONTHLY ' 3. Sampling Month&Frequency C. Contaminant Analysis Information • For 110", 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 MW2A MW3 MW4A MW5 Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#: 6 PH 5.9 6.3 _ 5.9 5.7 16.3 S.U. STATIC WATER LEVEL 5.8 (8.4 10.6 4.7 8.1 FEET SPECIFIC CONDUCTANCE 1195 1 306 462 192 453 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 Li1 vui cau v1 I%G...,./U1,G I I VlG,I.wi I- yr vui icVVQLCI vi. L.i iaiyc I I vi 0111Groundwater Permit I. U CI Ilii ivwiwci 11111111111111111. 2.Tax identification Number Facility Information Important:When [KING'S WAY CONDOMINIUM filling out forms on a.Name the computer, use only the tab key to h 0 KING'S CIRCUIT move your cursor b.Street Address do not use the 1YARMOUTH MA 102675 return key. c.City d.State e.Zip Code 4 „. 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. 'FIFA 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 4111.11111111.411111111.11111. are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." 'ELIZABETH BELAIR 110/20/2021 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2) shall make the Re 1 ortin' Packa'e Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR SEPTEMBER 2021. certification If you are filing electronic-ally and want to attach additional comments, select the check box. r gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1 } y ` V