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Home My WebLink About2014 Annual Operation and Maintenance Report from Coastal Engineering Co., Inc. COASTAL ENGINEERING TRANS M ITTAL COMPANY, INC. 260 Cranberry Highway,Orleans,MA 02653 508255.6511� ■ Fax508255.6700 � coastalengineeringcompany.com To: Bruce G. Murphy Date: 1/07/15 Project No. WYA-024.00 Yarmouth Board of Health 1146 Route 28 Via: �1st Class Mail ❑Pick up ❑Delivery�Fed Ex South Yarmouth, MA 02664 Phone: Fa�c: Subject: Yarmouth Shaw's Supermarket ��— - -.� 1106 Rt. 28, So. Yarmouth, MA 2014 Annual Report JAN 17.;i:j[�15 ❑ Plans ❑ Copy of Letter � 2014 Annual Report HEALTH GEPT. We are sending the following items: Copies Date Description 1 1/07/15 2014 Annual O eration and Maintenance Re ort These are transmitted as checked below: ❑for approval �for your use �as requested Ofor review &comment ❑ Remarks: Cc: DEP, Title 5 Program By: Todd J. Palmatier, Hydrogeologist George Giannouloudis, Shaw's TJP/vsw Enclosure NOTE: IF ENCLOSURES ARE NOT AS NOTED, PLEASE CONTACT US AT �50H� 255-6511. D:IDOCIIMWYA10241Reports120141Trans 2014 AnnualRept 2015-01-07.doc � � CEC File No.: WYA-024.00 L � i YARMOUTH SHAW'S SUPERMARKET �- WASTEWATER TREATMENT PLANT � 2014 ANNUAL �- OPERATION & MAINTENANCE REPORT L I YARMOUTH SHAW'S SUPERMARKET " 1106 Route 28 South Yarmouth, Massachusetts I �. DEP Transmittal No.: W033722 L LPrepared for: SHAW'S SUPERMARKETS, INC. 750 West Center Street � West Bridgewater, MA 02379 �. L, Prepared bv: COASTAL ENGINEERING CO., INC. � 260 Cranberry Highway Orleans, MA 02653 G3GC�C�O�'lL�D JAN 0 9 2015 , HEALTH DEPT. I L D:IDOCILVIV✓YA10241Reports1201412014 Annual Report.doc I L .I �.. L COASTAL L ENGINEERING COMPANY, INC. i � 260 Cranberry Highway, Orleans, MA 02653 ■ 508.255.6511 ■ Fax 508.255.6700 ■ coastalengineeringcompany.com L Project No.WYA-024.00 L January 7, 2015 �„ Bruce G. Murphy Yarmouth Board of Health 1146 Route 28 � South Yarmouth, MA 02664 RE: Yarmouth Shaw's Supermarket I 1106 Route 28 " South Yarmouth, Massachusetts Transmittal No.: W033722 iDear Mr. Murphy: L In accordance with the approval dated 1/30/03 for the Innovative/Alternative wastewater treatment system at the location referenced above, enclosed please find documentation for the operation and maintenance of the treatment system for the year 2014. Included with this report are: L • Tables and graphs summarizing the analytical testing and the performance of the facility • Aqqendix A— Plans showing the treatment system location and details • Aqqendix B - Monthly Field Testing Logs L • Aopendix C - Field Inspection Reports prepared by the system's wastewater treatment plant operators, which summarize the measures conducted to adjust and maintain the system • Appendix D - Copies of the monthly Discharge Monitoring Reporting Forms, which summarize the � monthly analytical test results • Aooendix E - Laboratory data sheets for the monthly analytical test results • Appendix F - Pumping records for maintenance of the facility's septic tanks and grease traps. iThe purpose of the wastewater treatment system is to provide for the collection and treatment of sanitary wastewater resulting from the commercial uses of the Yarmouth Shaw's Supermarket in South Yarmouth. The system has been designed and sized to treat wastewater from the Shav✓s Supermarket. The site is ' supplied with water by the Yarmouth Water Department. The wastewater treatment system, as approved, includes hvo 1,500-gallon grease traps, one 3,000-gallon grease trap, one 16,000-gallon septic tank, one 3,759-gallon media filled pre-aeration tank, two Bioclere .- treatment units, one 2,000-gallon equalization tank, one 2,000-gallon anoxic denitrification tank filied with filter media, one 2,000-gallon settling tank and a 5,000-gallon pump chamber prior to subsurface disposal I by pressure distribution. The treatment system also has provisions for alkalinity adjustment and � supplemental carbon addition through chemical dosing systems. �. j Page 1 �, ■Providing solutions for the benefit of our clients and community■ ` Yarmouth Board of Health Yarmouth Shaw's Transmittal No.: W033722 2014 Annual Report L The wastewater treatment system was commissioned 5/19/05. It operated until the end of November 2005 when it was shut down for remodeling of the supermarket. The building was demolished, rebuilt and the ,,,, existing treatment system was reconnected to the newly completed building. The reconstruction was completed and the treatment system was turned back on in June 2006. The system has been under the supervision of certified wastewater treatment plant operators, Grade 4 and above, making weekly, � regularly scheduled operation and maintenance (O&M)visits and inspections through December 2014. .. L OPERATION 8 MAINTENANCE The facility has been serviced by wastewater treatment operators weekly during the year, more often when � indications required adjustments to the wastewater process, in response to alarms or to correct equipment �„ settings, timing, and feed rates. During each O&M visit, standard Bioclere maintenance tasks were performed. These tasks included in part: � • Check condition and appearance of the system components including covers, gaskets, latches, and locks • Check fan operation and fan wiring � • Check and characterize biomass `' • Check dosing and recycle pumps for proper operation including spray nozzles, effluent clarity and spray pattern • Check control box switches, alarms, timers, relays, etc. �- • Check the pre-aeration tank general condition and operation • Check and adjust chemical feeds as necessary � • Check grease traps, septic tanks, EQ tank and pump chamber for solids accumulation. L. • Check the operation and condition of the anoxic tank, and backwash as necessary. � Appendix A includes plans from the origina� permit submission set showing the location of the system and ` the details of the system's components. Appendix B includes the field testing logs that document the recording of flow, various settings and the field test results for key parameters. Appendix C includes the individual Field Reports completed by the wastewater treatment plant operator which detail the findings i and results of each O&M visit, including problems observed, corrective measures taken and adjustments to �- the system's timers and chemical feed supplements. L During most of 2014, the Bioclere Wastewater Treatment System operated properly. Three dosing pumps were replaced during the year, two in January and one in April. In June, the pressure bell for the pre-EQ pump was replaced.Anoxic pump No. 1 was replaced in November. The influent pumps were clogged with � debris several times during the year. The pumps were pulled, cleaned and retumed to service at each �. occurrence. The aeration system and Biocleres have operated properly throughout the year. WASTEWATER SAMPLING :. On 7/8/09, the Department of Environmental Protection (DEP)approved a reduction in sampling based on the solid performance of the treatment system. From July 2009 forward only efFluent total nitrogen has _ been sampled monthly, in accordance with the DEP-approved reduction. The effluent sample is collected after the anoxic denitrification tank. Field testing of key parameters has been conducted during regular O&M visits in order to make adjustments to the system for process control. `' Table 1 summarizes the 2014 sampling history at the site. This table includes the monthly sample results. Appendix D includes copies of the Discharge Monitoring Report Forms, which have been submitted in the .. Page 2 :. i � Yarmouth Board of Heal[h Yarmouth Shaw's Transmittal No,: W033722 2014 Annual Report �- monthly reports to the DEP. The laboratory data sheets for the analytical test results are included in Appendix E. L The sample results for total nitrogen have been graphed to show the results for this parameter since the plant has been operating. Overall, the test results show good system performance for the year. Effluent total nitrogen has tested below the discharge limit of 25 mg/L for the entire year. Sodium bicarbonate is i being added to the system in order to raise the pH and alkalinity to enhance BOD and TSS reduction and ` nitrification of the wastestream. Methanol is added to provide supplemental carbon to promote denitrification. Field testing is conducted regularly to guide adjustments to the chemical dosing systems � and to make adjustment to timers and settings. Sampling of the wastewater treatment system will continue L to be conducted in accordance with the DEP approval, and as needed in order to achieve and maintain process balance and control. L WATER USAGE � Water is supplied to the supermarket by the Yarmouth Water Department, which maintains a town-wide �" water distribution system. There are two flowmeters installed at the treatment system to measure the flow through the two effluent pumps. Flow from each of the flowmeters is recorded. The flow is also displayed on digital readout meters in the control vault. The display on flowmeter#1 is not displaying the total flow �. properly, though the flowmeter is operating. The flow through the#1 flowmeter has been calculated using the pump starts and pump run time. Table 2 summarizes the average effluent flow through the facility. This table shows that the total yearly flow through the system was 615,130 gallons, averaging 1,814 gpd, which ` is below the design flow of 5,040 gpd. ! PUMPING r Appendix F includes the pumping records for the site. These records show date of pumping, the location i pumped, the amount pumped and the pumping contractor. All pumping was performed by a licensed � septage hauler and disposed of at a licensed treatment facility. ` O&M visits to the system will continue to be performed weekly, and more frequently as necessary. Monitoring of the system, inciuding monthly sampling for effluent total nitrogen and interim grab field testing wili be conducted in order to assist in process control. Based on the sample results, the system's L chemical supplements and equipment settings will be adjusted to provide maximum treatment of the wastewater. ; Please do not hesitate to contact me directly if you have any questions regarding this report. �. Very truly yours, � COASTAL ENGINEERING CO., INC. .. %oc�� S 1��=r � Todd J. Palmatier, Hydrogeologist ` TJP/vsw �. cc: DEP, Title 5 Program ( George Giannouloudis, Shaw's D:IDOCILMWYA1024V7eports1207412014AnnualReport.doc 1.. ', Page 3 .. � � + � � J � � -J J �J -1 -J ___J J -J _1 _ J -J _J J -1 _7 ___1 -J � -J � r � _ t � r- r_ r _ � �_ �-- �_ � _ �__ �- �-_ �-- � - �-- TABLE 1 SHAW'S YARMOUTH WYA-024.00 1106 ROUTE 28,SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2005-2006 oA7E FLOW BOD5 C-BOD5 TSS H - d Influent Pre-A Effluent Influent Pre-A EfFluent Influent Effluent Limit> 5,040 8/25/2005 860 68 27 <2.0 44.0 32.0 <2.0 7.46 8.33 9/22/2005 � 779 360 33 3.0 240.0 <10.0 <10.0 7.46 8.33 10/11/2005 997 31 17.1 <3.0 54.3 � <1.5 16 7.18 7.63 11/4/2005 814 259 3.9 <3.0 107.0 <1.5 <1.5 6.78 727 store closed 7/27/2006 2,494 159 85 9.8 25.0 21.0 <1.5 6.72 7.58 8/31/2006 2,313 113 91.8 10.6 42.5 50.0 <1.5 6.70 7.62 10/2/2006 1,923 663 114 15.0 91.1 160.0 40 6.94 8.36 10/23/2006 1,617 361 90.9 72 128.0 40.0 16.0 6.93 7.86 '11/'13/2006 1,385 359 51 4.6 155 32 9 6.73 7.3 12/19/2006 1,124 294 64.9 12.2 37.1 44 13 722 7.89 � DATE NITRITE NITRATE TKN TOTAL N NH3 InFluent EfFluent Influent EfFluent Influent Effluent Influent Effluent Influent Limit> 8/25/2005 <0.01 <0.01 02 1.1 18.0 2.0 18.2 3.1 10.0 9/22/2005 0.39 0.1 1.1 7.8 83 1.6 84.49 9.5 28 10/11/2005 �0.02 <0.02 <0.05 0.78 13.4 1.96 13.4 2.74 8.12 11/4/2005 0.105 0.17 0.49 0.9 52.6 '1.4 5320 2.47 19.9 store closed 7/27/2006 <0.02 <0.02 <0.05 <0.05 61 162 61 16.2 48.7 8/31/2006 <0.02 <0.02 <0.005 <0.05 42.3 25.2 42.3 25.2 35 10/2/2006 <0.02 <0.02 0.38 92 102 85.6 102.38 94.8 23.8 10/23/2006 <0.02 <0.02 4.99 10.7 84.3 10.6 8929 21.3 26.3 11/13/2006 <0.02 <0.02 � <0.05 1 69.4 5.88 69.4 6.88 15.7 12/19/2006 <0.02 <0.02 <0.05 <0.05 932 7.3 93.2 7.3 30.5 D:IDocIIMWYA10241Test Results.xls � � __ �_ � _ � _ �- r- r _ � _ � -- �_ �__ �__ �_._ � __ � i _ � _ � _ TABLE 1 SHAW'S YARMOUTH WYA-024.00 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2007 DATE FLOW BOD5 C-BOD5 TSS pH (gpd Influent Pre-A Effluent Influent Pre-A Effluent Influent Effluent Limit> 5,040 1/10/2007 1,253 � 367 89.7 162 105.0 66.7 24 6.98 7.92 2/15/2007 1,221 309 44.2 10.3 305.0 � 19.0 <1.5 7.06 7.79 3M5/2007 1,258 392 88.2 10.7 150.0 97.8 6 6.64 8.15 4/26/2007 1,414 254 32.7 8.1 165.0 28.8 9 7.16 � 7.90 5/31/2007 1,628 50.4 45 3.7 40.0 35.0 2 7.34 7.75 6/26/2007 1,803 136 NT 9.7 100.0 NT 12.5� 7.30 7.50 7/27/2007 1,600 45.3 25.8 5.9 20.0 11.0 5 7.03 7.08 8/29/2007 2,472 146 39 6.9 120.0 80.0 4 6.73 7.09 9/27/2007 1,864 77 56 6.0 69.0 200.0 10 722 7.52 10/26/2007 1,365 30.3 64.2 32 22.0 173.0 4.0 7.23 7.68 11/30/2007 1,138 71.4 31 8.2 41.7 28.9 <1.5 7.2 7.63 12/27/2007 2,752 232 127 8.6 190 90 7 6.65 7.63 DATE NITRITE NITRATE ' TKN TOTAL N NH3 Influent Effluent Influent Effluent Influent Effluent Influent Effluent Influent Limit> 1/10/2007 <0.02 <0.02 1.17 <0.05 96.0 6.3 97.2 6.3 19.3 2/15/2007 <0.02 <0.02 1.12 <0.05 89.6 4.6 90.72 4.6 22.7 3/15/2007 <0.02 <0.02 1.14 <0.05 77 4.30 78.14 4.30 13.70 4/26/2007 <0.02 <0.02 1.42 1.4 63.6 322 65.02 4.62 20.4 5/31/2007 <0.02 0.66 <0.05 1.4 40.9 224 40.9 4.3 28 6/26/2007 <0.02 <0.02 <0.05 <0.05 31.1 11.5 31.1 11.5 30.5 7/28/2007 <0.02 <0.02 <0.05 <0.05 38.6 3.92 38.6 3.92 29.7 8/29/2007 <0.02 <0.02 <0.05 <0.05 51.8 5.04 51.8 5.04 NT 9/27/2007 0.07 0.04 <0.02 <0.02 . 44 4.5 44.07 4.54 NT 10/26/2007 NT <0.02 NT <0.05 36.7 4.06 36.7 4.06 23.7 11/30/2007 <0.02 <0.02 <0.05 <0.05 27.2 5.3 272 5.3 18.8 12/27/2007 <0.02 <0.02 <0.05 � <0.05 38.9 3.5 38.9 �3.5 17.6 D:IDocIWIWYA10241Test Results.xls �_ _ �-- �-- � � _ � _- �_ � _ � � _._ � _ �_ - � �_- r_ _ r � �_- �_ TABLE 1 SHAW'S YARMOUTH WYA-024.00 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2008 DA7E FLOW BODS C-BODS TSS pH (gpd Influent Pre-A Effluent Influent Pre-A Effluent Influent Effluent I Limit> 5,040 - 1/24/2008 1,257 99 66 22.0 47.0 55.0 28 7.74 7.58 2/21/2008 1,055 136 121 14.5 17.1 60.0 2 728 7.56 3/28/2008 1,421 69.3 40.3 57.7 66.7 60.0 20 7.53 7.31 4/24/2008 1,636 63.9 120 9.0 43.3 160.0 9 7.39 7.65 5/29/2008 1,552 73.2 81.9 8.3 90.0 105.0 21 7.51 7.65 6/26/2008 2,164 160 78 30.0 52.0 83.0 6 7.08 7.38 7/24/2008 2,281 58.8 59.3 5.4 18.0 36.0 <1.5 7.16 7.12 8/28/2008 1,832 38.7 35.9 3.6 7.0 23.0 4 6.87 7.36 9/23/2008 1,909 100 55 <3.0 29.0 110.0 5 6.75 729 10/23/2008 1,693 200 160 3.0 70.0 350.0 2.0 6.69 7.77 11/25/2008 848 4570 78 6.9 920 14 7 7.75 7.92 12/17/2008 1,356 142 110 62 32 76.7 �1.5 7.33 7.82 DATE NITRITE NITRATE TKN TOTAL N NH3 Influent Effluent Influent Effluent Influent Effluent Influent Effluent Influent Limit> 1/24/2008 <0.06 <0.06 <0.05 <0.05 37.0 11.0 37.0 11.0 19.0 2/821/08 <0.02 <0.02 <0.05 <0.05 28.3 7.6 28.3 7.6 12 3/28/2008 <0.02 <0.02 <0.05 <0.05 27.4 5.70 27.4 5.70 15.10 4/24/2008 <0.02 0.4 <0.05 4.55 35 5.9 35.00 10.85 20.7 5/29/2008 <0.02 <0.02 <0.05 <0.05 31.1 42 31.1 4.2 19.6 6/26/2008 0.03 0.03 <0.02 0.02 44 7.8 44.03 7.85 25 7/24/2008 <0.02 <0.02 <0.05 2.67 34.7 2.9 34.7 5.57 27.4 8/28/2008 <0.02 <0.02 <0.05 1.74 33 2 33 3.74 27.7 . 9/23/2008 NT 0.07 NT 0.46 36 3.9 36 4.43 26 10/23/2008 0.07 0.03 <0.02 0.04 47 3.3 47.07 3.37 30 11/25/2008 <0.02 <0.02 1.23 7.39 272 10.8 273.23 18.19 35.8 12/17/2008 <0.02 <0.02 <0.05 0.14 29.4 4.06 29.4 4.2 12.9 D:IDocIW1WYA10241Test Resu/ts.xls � � -_ � � a r__ �_ � __ i � ._ � . � _ � - � -- �- � � � _ � - TABLE 1 SHAW S YARMOUTH WYA-024.00 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2009 DATE FLOw BOD5 C-BOD5 TSS H (gpd) Influent Pre-A Effluent Influent Pre-A Effluent InFluent Effluent Limit> 5,040 1/27/2009 1,500 138 230 8.7 44.0 147.0 7 7.44 8.03 2/24/2009 1,394 155 103 20.6 200.0 93.3 7.1 7.43 7.78 3/25/2009 1,414 71.7 37.8 11.6 50.0 62.0 8 7.29 7.61 4/29/2009 1,309 98 62.1 11.1 60.0 47.5 13 7.40 7.73 5/27/2009 1,527 75.9 108 4.4 15.0 66.0 <1.5 7.38 7.90 6/24/2009 2,048 75.6 41.2 5.1 36.0 19.0 6 7.42 7.74 7/29/2009 1,950 7.01 7.44 8/27/2009 2,271 6.90 7.69 9/16/2009 1,937 6.99 7.80 10/21/2009 1,926 7.30 7.79 11/18/2009 1,404 7.04 7.98 12/30/2009 7,809 7.04 7.89 DA7E NITRITE NITRATE TKN TOTAL N NH3 InFluent Effluent Influent Effluent Influent Effluent Influent Effluent Influent Limit> 1/27/2009 <0.02 <0.02 <0.05 0.56 29.7 16.9 29.7 17.5 17.6 2/24/2009 <0.02 �0.02 <0.05 0.12 31.6 8.82 31.6 8.94 17.6 3/25/2009 <0.02 <0.02 <0.05 <0.05 30.8 5.88 30.8 5.88 15.40 4/29/2009 <0.02 <0.02 <0.05 <0.05 37.5 16.1 37.50 16.1 21.0 5/27/2009 <0.02 <0.02 <0.05 0.4 31.4 3.64 31.4 4.04 19.9 6/24/2009 <0.02 <0.02 <0.05 0.34 37.8 4.9 37.8 5.24 25.2 7/29/2009 <0.02 0.62 4.62 5.24 8/27l2009 <0.02 <0.05 3.5 3.50 9/16/2009 <0.02 <0.05 3.36 3.36 10/21/2009 0.205 2.8 2.24 5.25 11/18/2009 <0.02 0.42 3.08 3.50 12/30/2009 <0.02 0.34 3.36 3.70 D:IDocIWI WYA10241Test Results.xls ` TABLE 1 SHAW'S YARMOUTH WYA-024.00 ` 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2010 DATE FLOW pH NITRITE NITRATE TKN TOTAL N _ Effluent Effluent Effluent Effluent Effluent �� Limit> 5040 25 '�' 1/20/2010 1529 7.19 025 <0.05 2.1 2.4 2/1/2010 NO SAMPLE DUE TO PUMPED TANKS � 3/26/2010 1780 7.76 <0.02 <0.05 5.88 5.88 i.., 4/28/2010 1661 7.6 <0.02 <0.05 8.96 8.96 5/28/2010 1633 7.68 0.485 1.86 5.32 7.67 � 6/25/2010 1646 7.53 0.847 1.59 <0.6 2.44 L 7/28/2010 2154 7.64 0.08 0.84 5.46 6.38 8/26/2010 1979 7.71 0234 1.04 2.66 3.93 - 9/16/2010 1859 7.54 <0.02 1.16 3.22 4.38 � 10/18/2010 1703 7.89 1.35 <0.05 4.06 5.41 ` 11/15/2010 1300 7.47 0.117 0.87 4.34 5.33 _ 12/29/2010 1033 7.79 024 1.14 � 826 9.64 � SHAW'S YARMOUTH WYA-024.00 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 � Piloting Approval L 2011 I DATE FLOW pH NITRITE NITRATE TKN TOTAL N �. Effluent Effluent Effluent Effluent Effluent Limit> 5040 25 1/25l2011 1728 7.65 <0.02 <0.05 7.84 7.84 "' 2/28/2011 1511 7.63 024 . 0.78 6.16 7.18 3/24/2011 1000 8.16 0.39 0.98� 6.16 7.53 � 4/26/2011 1542 7.75 0.09 0.54 5.88 6.51 L.. 5/31/2011 1620 � 7.05 0.60 0.98 3.36 4.94 - 6/28/2011 1769 7.30 <0.02 <0.05 7.42 7.42 i �` 7/15/2011 1889 7.20 0.31 1.90 2.66 4.87 8/25/2011 1882 7.13 0.08 0.95 4.90 5.93 �I 9/21/2011 1814 7.18 0.15 0.52 2.94 3.61 r. 10/26/2011 1704 7.03 <0.01 0.08 3.70 3.78 11/30/2011 1374 7.10 <0.02 0.69 2.38 3.07 �, 12/21/2011 926 8.00 0.28 1.07 1.26 2.61 .� r. 6. 6.. � D:IDocIIMWYA10241TestResults.xls L. TABLE 1 I SHAW'S YARMOUTH WYA-024.00 L 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval �- 2012 DATE FLOW pH NITRITE NITRATE TKN TOTAL N �� Effluent Effluent Effluent Effluent Effluent ` Limit> 5040 25 t 1/25/2012 1272 8.00 <0.01 021 2.80 3.01 ` 2/29/2012 663 7.70 0.64 5.51 2.30 8.45 3/29/2012 1011 7.70 028 1.16 2.40 3.84 � 4/26/2012 1300 7.10 . 0.31 7.26 3.70 11.27 r, 5l31/2012 1494 7.50 <0.02 <0.05 7.60 7.60 6/27/2012 1686 - 6.80 0.14 1.15 16.3 17.59 k 7/26/2012 1717 7.20 0.4 1.52 4.3 6.22 � 8/29/2012 1769 7.10 <0.01 � 0.46 4.00 4.46 9/26/2012 1713 7.00 0.19 3.37 4.7 8.26 ' 10/31l2012 1313 7.3 <0.02 0.39 6.40 6.79 �' 11/26/2012 864 720 <0.02 0.4 4.3 4.70 12/12/2012 999 6.90 <0.02 0.36 3.5 3.86� 'r SHAW'S YARMOUTH WYA-024.00 ' 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 .. Piloting Approval 2013 �, DATE FLOW pH NITRITE NITRATE TKN TOTAL N Effluent Effluent Effluent Effluent EfFluent Limit> 5040 25 '� 1/25/2013 1044 7.00 <0.02 0.36 3.70 4.06 � 2/27/2013. 824 7.10 <0.02 0.63 2.50 3.13 3/20/2013 619 7.30 <0.01 <0.01 11.00 11.00 � 4/24/2013 1211 7.50 <0.01 0.36 2.40 2.76 ` 5/29/2013 1493 7.50 c0.05 0.22 420 4.42 6/19/2013 1809 7.34 <0.05 <0.05 2.80 2.80 � 7/24/2013 2103 7.40 <0.05 026 4.30 4.56 �. 8/29/2013 1644 7.44 <0.05 024 4.20 4.44 9/25/2013 1695 725 <0.02 0.45 7.30 7.75 10/23/2013 2991 6.95 <0.05 028 4.58 4.86 �„ 11/13/2013 1496 7.00 020 1.06 4.90 6.16 12/4/2013 1365 7.41 <0.05 <0.05 4.00 4.00 `.. .� �.. � D:IDocIIMWYA10241TestResu/ts.xls �_ . �._ � _ � � �- �-- �_. � �_. � _ � _ � - - �- �_ �_ �_ �- �- TABLE 1 SHAW'S YARMOUTH WYA-024.00 1106 ROUTE 28, SOUTH YARMOUTH DEP#: W033722 Piloting Approval 2014 DATE PLOW pH NITRITE NITRATE TKN TOTAL N Effluent EfFluent Effluent Effluent Effluent Limit> 5040 25 1/24/2014 1299 7.67 <0.05 0.12 11.00 11.12 2/27/2014 1478 7.60 <0.05 <0.05 4.40 4.40 . 3/28/2014 1346 7.32 <0.05 <0.05 22.00 22.00 4/24/2014 1316 7.50 <0.02 0.41 5.40 5.81 5/27/2014 1761 7.47 <0.05 <0.05 2.70 2.70 6/25/2014 1876 7.32 <0.05� <0.05 3.10 3.10 7/24/2014 2501 7.47 <0.05 0.17 320 3.37 8/27/2014 2311 7.47 <0.05 �0.05 3.60 3.60 9/24/2014 2055 7.54 <0.05 <0.05 4.10 4.10 10/17/2014 1514 7.60 0.37 8.6 3.6 12.57 11/13/2014 1753 7.10 <0.05 029 � 4.30 4.59 12/9/2014 2678 7.10 <0.006 0.29 4.00 429 D:IDocIWIWYA10241Test ResWts.x/s . :. � � L TABLE 2 Yarmouth Shaw's Supermarket `, Bioclere Wastewater Treatment Facility 2014 EfFluent Flow i � Reporting Period r Monthly Effluent Flow Average Daity (gallons) Effluent Flow d `' January 2014 42,880 1,299 , February 2014 42,870 1,478 �' March 2014 18,850 1,346 I April 2014 46,060 1,316 � May 2014 51,060 1,761 June 2014 5Q650 1,876 L, July 2014 87,550 2,501 August 2014 64,720 2,311 � September 2014 57,530 2,055 � October 2014 42,380 1,211 L November 2014 54,340 1,941 December 2014 56,240 2,678 � 2014 Flow i 675,130 1,814 ' L L � i � D:IDOCIIMWYA10241Reports120141Tab/e 2-2014 Rpt.doc i L �.. 1 1 } ! 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Yarmouth Shaw's Supermarket WYA024.00 Month: E Year. 2014 lnfluent EfNuent ammonia alkalinity Nitrate Nitrite Ammonia alkciinity Flow(x100) Generator Date Time Operator pH mg/I mg/I -CaCO pH mg/L mglL mg/L mg/I-CaCO Pump#1 Pump#2 Hrs. 1 2 3 -O 0. O � •'S b -O d 4 5 6 7 8 - 9 — 10 : J 00 � . --�j d o� / 11 - 12 — — 13 --- -- 14 15 16 » (�� _� o- �I l3 18 19 20 21 _—_.— _.---- 22 - _._.. --- 23 za .3 -0 .S O• a-o d o do 2s zs 27 28 29 30 31 28 0 2 ' 7-o�.d,` �(octJ = S7S30 G��LOws D:DOCIIMWYA10241Field Test Form.xls 2i 0 SS �� •- . 1 � 1 1 • � I' � . a �- " " •� • • • • � r • • � • • • � • � •• • ,• " ' � � � • •� • • • • • • a��■�■�� o�� o� �. � �� .. _ �� :� mr��e�mc� � � o�a��■e�� Q�� o��■�—�� o��s�� e��—�� o�� s�� m��= •, . - r�� • es�e�:��.��,�� m��■��■�� m�■��■�� m�■�■��o� m��■�� m�� m��s��e�r�� m. .. - : . , �_ . , . : rr�r��v �. ��c��.r.�� m�� m��a�� m�� m�� m��o�� m�� m� _.� _r-��: . . . �r� : . � �r_•��e�� m��i� m�� m�� m�� m�_�� m�� m��s�� . t� r- r� r r t__ � r� r� �_ r__ r.� r__ �--- �-- _ i__ i__ �_ �� , < < � _ _._......._.__, __..._ ._ ______._._ ___ _.___________ __-- ___ iYarmouth Shaw's Supermarkef��' WYAD24A0 Month: ��i,e,- _ _ , Year:� _ 2014 � f __... _._ __._.__._..... _�– –______ lnHuerrf ftftuerrf � 1_�___� _._. __....._ _–_- � ammonia f aikati�ity Nitrate � Mtrite iAmmoaia alkailnity Ffow(x100) Generator Date Tlme i Operator pH ' mgll � mgl!-GaCO pH mgit. mg1L mgiL mg/t-CaCO Pump#1 PumR#2 Hrs. � I _. ____� 2 , ---_— - - ___......_... –�° fKK � z ...._--I- �2`' �7-3 vg�r t-� � _-.._"'"" _.�_ �-`i 2., '3 . 3 � -----_...____ 4 � � � _._........ 1..._ __ _...__._. i _ ._..__�_ 5 � - � 6 1 � _ _._.....__._....� 7 --- -- , � i � g , � _ _.__.._. � s 1 �-� �o � u '�, , �, � 2.-�.� .� .f i !,S � z � � �—. �^�3c�__ ��F� 't t -- ` .,�_2 12 � ____._._....___..._ _..__..� 13 14 _. _�.__...- - –.—�---_.._ __ ;..__...___.._..__.._ _. � 15 < < __– - -�--_ � -------___.__ 16 � I i7 D,+4- 5'c*n .f o � ^^� 6� _____� ---_._.. __�.=__._ �_ C`�' .� , . j �u„t� .�--• �'{''k,_.._._.......t^��]'ld�.dr 1$ � �2.7 19 i � _ ._.._.--._.__._._...� 20 � � __ --- z� � � zz � E � _.___.___._ __--- zs ��, . � � � �� .�� . � � a. --�°-�-- -�.. � �� rs��. � 24 ; ---- � — __— 7 3 3 2 25 � � ~~ _..........__ _. ..._..- ---__ ,. —__— 28 �-` � �__._ Z7 —_....._. __._._�__..._.. __..__.__ ... 28 " I r _ -- 29_._ _..__...___ ao � , 7 �. _ _�.;_�_.___ _f� v -__._.__ 3 3 , 3� � BI6r� a � D:D{7CIWtYVYR10241F3etd Test Farm.xis � r- • 1 � 11 • � 1 �ii'L�Y� � • �. • f• �� s • � ' • r • � • i ,s � � ♦ • e ♦ � • M � • W o�s��N■�■■�� o�� -�� = rc�►�t�ar �� o��■�■��r��r�s�■��a.� o�a■s�■■��i■■��i■■��s�■� �� ■�� ■��s��■�� d��■r■��sw �� : s��■��■■��■�■�r�r�� o��s��w■��■�� m�� .��r��1r�E�r�lE�m��m,�� 0��r��I�C� 0�� 0�� 0�� e��r ��l��"� '� r�"� .. E'��l.�f C�C��'�� r� m��■�■��s��e►�rc�� m��r��r�� m��■�■�r_�� m��■�■�■o��■�■��t� m��rr�n■■��m�c�■��a�vc-�� r��■e��ram��■�� m��■■��r��■�r■��■�� m��■�� m�■��■��■��■�r m��e��r��e��r�■�� m��_��r��■�� imm` �ii�i iii��i��■i�iiii i�i rii� r- c- �_ � � �_- �- _ �-� r--- �-_ �.__ �._._ �__. �.. �_ �_ �. � �-- Yarmouth Shaw's 5upermarket WYA024.Q0 Month: N� V Year: 2014 Mf/uent Effluenf ammonia alkalinity Nitrate Nitrite Ammonia alkaiinit Fiow(x100) Generator Rate Time dperator pH mgti mgtt-CaC4 pH mgt� mgfL mg1L mgtl-GaGO Pump#1 Pump#2 Nrs. � J�iSl3 z 3 .. 4 5 . � 7 ��.-. ...,._ — 7 tGu o� g3y.s �, g ` 6� 9 10 �,r, ..t 11 — 12 _ --~ 13 {U _ k _v ( c,J C^l. 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Yarmnuth Shaw's Supermarket WYAd24.00 RAonth: f11 v✓�"�'�1°� Year. 2014 � ffluent Pumps Pre-Aeration EQ System Anoxic HOUfS Cau�ts Haurs Alerm Mid-levei Amps Alarm Rmps AEarm Date Time Optr pump#1 ump#2 pump#1 pump#2 on/off counts p#1Ip#2 pn/off p#1/p#2 onloff 1 �M 93 z 3 4 5 8 7 � st« aav.s� � �v. i� 8 (Sv SIY1. uFF .G - c7 -- c� F 8 8 to �,3�, �� 12 i3 1U1� 1�a� 7�za• GG :Lt�.S�{ S'ov �"u7 35z&y.a o�'P S.'7 . 6 U,u `rdl aFF 1a � 1n '/z�+ ' wr 15 %�i %: 1& 17 ie �t✓3 w, �a.a,3 0 ,2�o.ti� � ISuq 3S32K.a o �� 'S� ,s,6 0� — 9-f afr- �s 20 21 ' 22 23 : Z4 25 zs 27 28 29 34 31 /,S"69 � . _ {__ �_. t � �__ r__. �___ �__. �__ r— r— r� r— r— r— r_. �_ �_ Yarmouth Shaw's Supermarket WYA024,00 � Month: c r•i v°- Year: 2014 lnfluenf Eff(uent ammonia alkalinity Nitrake Nitrite Ammonia alkalini Flow(x100 Generator Date Time Qperator pFi mgii mgti -CaCO pli mgt� mgt� mgl� mgtl -GaCQ Pump#1 Pump#2 Nrs. 1 „ 2 �.S t`�ro _� 1 7� 3�� a ca� Sfu 4 5 6 � 8 9 I o fl�vn 7 / D,� /- S ,2.� "- /9&`f 36_7 •.�� , �- s':z.2 .�!„r+ 11 - — 12 - — — —'-- 13 __ � --- 14 t 15 � 16 17 �- — 1& rt ---- 19 �- � Sk , U,; -- — � /. ...�d ..._�� 7 �2 �1�� 24 ---- -� - L 21 -- — _ �...,��---- _.______ .22 - 23 �2:f S�-�, 2 .�` '/ J., w� _ . �� — -- c"r3T.7 24 �:L'�f 25 ---- 26 27 28 29 30 31 ,- , r z 2(7 C� T�k �lc� - �6 , Z�tB ya�l�e� D:DOCtUVtWYAt024tField Test Farm.xls Z j� 7 � �'�� t_ t_ _ C_ _ � � � ___ t_ . ( _' �__._ ' C_" t�` C'_ �__ �-... r r �_.. i__ r._ � _. Yarmauth Shaw's Supennarket WYA024.40 Md�fh; �'�ct m�� Year. 2014 ffluenf Pumps Pr+e-Aerat on EQ System Anoxic Hours Counts Wours Alarrri . Mid-Levet Amps Alarm Amps Alarm Date Time Qptr pump#1 pump#2 pump#9 pUmp#2 aNaff counfs p#11p#2 oniaff p#1/p#2 onloff 1 z r �, �z=-a� �t�_� s�� isrs str 2.� ar-f s'-� sg �� . s� ti..� o�r- 3 4 5 6 7 8 s c�!4 fk+0. �.��.� atz.rv lsr2 lsr �ss-�2.3 c.iF S.� 5,� �'� 9. '�,3 cst'1= 10 11 12 13 14 15 18 47 1& � �e "�P st= ��3�3� �t2_ tSt ? �s'a3 ,�3G�3.� cr=� � 3•7 ,sr9 a �,r �, c�r�F-- c�«ns�tifi 2� 1/Z 'f3 '�! b n �Lr` n � n ��".3 },'r; 21 M K5r fv.h '. i3�. z 22 w 3 s!� r�` .z,a- 23 —P �-(r,� 2�1,66 �tz�qS S!5 1515 f7�'. oFt: ,S.`d 5. ol.� �j�? �1• C3t'� 24 zs zs z7 za zs sa 39 1�i 4�l . r V r � r � r � r 1�// � � Y.n r r � � X1Q�ddjf .. i i1alt`C L.. Massachusetts Qepartment of Environmenta{ Protection � Bureau of Resaurce Protection - Title 5 DEP Approved inspecfion and O&M Farm for Title 5 t/A � Treatmen# and Dispasa! Systems � F.� I/A System inspection results must be subrrutted on tl�is DEP fwm I i-• A. Facility � Shaws Supecmarkets,Inc. yr Owner Route 28 1�O6 1 Faciliry Street Address *" South Yarm�wth fl2�' ' Citytiomt Z�� Mailing address of owner,if different P.O.Box 600 � Sireet AddresstP4 Baz �r East 8ridgewater MA o2379 , � City/Town State Z�P L508-313-4663 Telephone Number � B. Autharized Service Provider � Goastat Erginsering Co.,tnc. � � 08�M Firm 260 Cranberty Highway i SVeetALfdress � O�leans MA 02653 � Ciryfiown Sfate ZP `"" sos-zss-ss�� Telephone Number i 5.. Certified Operator Name:Brian�eraghty CertificaGon Number.3482 " C. Faciliky/System tnformation DEP ID � W033722 ManuPacturets Ftame&ID Modei Plame&Number � 4�.staltaAon Data 6t3120Q5 Start of 4R��tion:61312065 ' Ppproval Type: � General � Provisional C Pitoting � Remediai 4 �"' Seasonal Residence-used less than 6 mo./year: � Yes � No " D. Clperating Infarmation , � � Inspection Date Previous Inspection Date 1/2/2014 12126/2013 Sludge Depth(to be checked yearly) Pumping Recommended? � Yes L No � 10' Effluent Description: " Clear,light yellow color,no solids,no odor,pH 7.3'I. E. Field Testing 'r Field Inspection: Coior: � �ay � brown � Clear - turbid � �' Other(specify): light yellow odor. = musty � earthy � moldy = offensive ❑ turbid � EfFluent Solids: �"-� no C some PH 7.31 $U D0 NA mS�I- Turbidity NA �J ' 6 to 9 2 or geazer 40 or less � Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Sla�dard Methods and analyzed for BOD and TSS. r F. Sampling Information _ If sampling information was compieted,see attached sampling report. - Samples Taken � Influent � EtFluent Parameters Sampled � pH G' BOD C TSS � TN � Other(lisf below) Other 1 Other 2 Other 3 G. Inspection and Maintenance " Description of any maintenance performed since previous inspection&during this inspection: Conduded O&M.Checked ihe pumps and conVols.Cleaned tlie sprey nordes and fan boxes.Bioclere#2 dosing pumps to-be � replaced.Checked the conditlon of the septic tank.Checked the anopc system. � Notes and Comments: �.. Bioclere#2 dosing pumps to be replaced. i v H. Certification , ; I certify: I have inspected the sewage treatment and disposal system at the address above, have completed `.+ this repoA and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in , accordance with 257 CMR 2.00. ,, Operator Signature ��J�"'`(�— � �L I(� oate System owner must submit this report, technology O&M checklist, and any required sampling results to a the local board of heatth and DEP as follows for each inspection performed: .. � � ' I COASTAL ENGiNEERING CO., fNC. 260 CRANBERRY HIGHWAY � ORLEANS MA d2853 �, TE�. 5U8 255-6511 FAX. 5Q8 255-6740 � BIOC�ERE FIE�.D REFORT Pro'ect No.: X � Date: f dot Time: 5�3a Ft instal�ation: Sampled; GliSnt: S `-5 p'1.xf-f1K�7— Senrsce: Gommissioned: � Address: �-. d� ��TH y��ocii w111� Other: cheduled0& : �. ins ectar: 2t+�c�( �E.e-g- � �-- � Bioclere Model Number s l�a l3a �3a a � 1 Odor around site? Y Source af odor? � Gheck all that a I : Miid: Medium: "' Septie: Musty: 2 Fie{d 7estin : aan ,color,solids,odor,tests �� ` `� ( i 3 LC-1,�q�, rvo sc�!«s vG� . e �(o�J �!a .po 3 a Measure slud e in rima tan s and ease tra s as re uire : , b Slud e de th in rima t3l1k: Scum depth: /- ` Sludge depth: p- Lc Does rease tra need um in ? Y � UNIT 1 UNIT 2 � BIOCLERE VENTS `'" a !s air assin ihrou h the venf? Y t ra Y t N If in doubt ut a small lastic ba araund vent and allaw to fill. Lb Is the fan o eratin and in ood condition? Y N I N GENERAL � a An extemal dama e to the;unit s ? If Yes, rovide details on back. Y � Y � b Are cover, fan box and contrbi nei securel lacked? � N t N c An filter flies in the unit7 Y N few/many Y 1 N few/many � Location of flies: " d Locks!!at es! handles. QK? � � N e lid asket OK? I N i N � Does the fan box contain standin water't ' � ' v Y _ _ - .._ . _ _ __ _ '°E =-=lf�Yes; then''�emove water a"rid clean drain holes it�necessa . � BidMASS CHARACTERlZATION � a Color of biomass? 1)white 2}white/gray 3)gray 4)gray/brown 5)brown 6)red/brqwn 7)biack � ��'- ' 8 ther :.. b Thickness af biamass 6-12 inches below media surtace. 1 Ii ht 2 medium 3 fiea .. N071LE SPRAY PATTERN a Daes s ra caver the entire surface area of inedie7 N Y / N � If not, clean each nozzls witti a bottte brush L„ Does the s ra now cover the entire surfece area? N Y � if not then: , 1 remove nozzles_and soak in a bleach solution � 2 manuall en a e both dnsin um s for iwn minutes 4 3 PS (8C@ ftOZ2�BS � Does the s ra now caver the entire surface area? v N Y � If nof, consult A uaPoinf, Inc. PUMPS AND CONTROLPANEL a Record dosin and rec cie um timer settin s from control anel. — Dosin PUm 1: min on: pmin offa min on:lC7 min off: DoSin Pum 2: min on:jp min off� min on:jp min off• Rec CIe PUD1 : min on� off: min on: � h off: ,.,, 30 In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ,. ,5", a� amps — amps ;.., b Am era e of dosin um 2: 5, amps — amps c Am era e of rec cle um : amps ,c'� amps Are dosin um s altematin ? Y I-N Y I N Are the timers o eratin ro erl ? N I N Visuall ins ect rela s for wear and record roblems below. " if s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cyde as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y / N Pvmp t OK? Y / N desi nated rest c cie is occurrin . PumP 2 oK? Y / N Pump 2 OK? Y / N ' OK? Y / N OK7 Y / N *If pumps or control components are not operating properly, record � below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINC4S: Note an chan eS het2: min on: min off: min on: min off: "Do not chan e timers without consuttin A uaPoint, InC. min on: min off: min on: min off: ! PLUMBING a Are the unions in the Bioclere leakin ? Y � Y � If es, then ti hten with i e wrench � FINAL CHECK. -a Main ower"on and:set to le-foc all um s to no;�a� :osition. _a_-:v N N ° _-ti Alerm to" fe set fo the�"ON" osition. - _ _ _- = N v � - _ - �-__.�_ --:- � -' c Lock contro�`'anel;-�ioclere cbver and fan box �— � ' d if ossible, record the water meter readin : a i REPORT SUMMARY: ^-j l� �. o rt o erf —w6 � �IC •S'� lc��c ' to �2& / r�-c9o2 ( � — Q�o �,-� �-a. — � r -c- F ✓IS 30 �i c9 (ht " oa — S S W o � F= c_ S - 1� � � — K' J (`uh�li o0 f�-�^'1 �n SIGNATURE: � � � � W� 0� '� D:IFORNSCurrentlTechServices-Wastewa� IBioclereFieldReportdoc � f ISI ��t I_ ' _ Massachusetts Department of Environmental Protection ; Bureau of Resource Protection - Title 5 � DEP Approved Inspection and 08�M Form for Title 5 I/A Treatment and Disposal Systems i � I/A System inspection resulis must be submitted on ihis DEP form. � �- A. Facility - Shaws Supermarkets,Ina � i L owner Route 28�106 � Facili[y SVeet Address ( `" South Yartnouth 02664- City/iown Zip LMailing address of owner,if diHerent P.O.Box 600 { Street Pddress/PO Boz M �• East 8ridgewater . MA 02379 City/iown State Zip � 508-3'13-4663 '` Telephone Number L B. Authorized Service Provider Coastal Engineering Co.,Ina � I � O&M Firm - 260 C2nberry Highway ` Street Address Orleans MA 02653 I CityfTown State Zip ... 508-255-6511 �. Telephone Number �.. Certified Operator Name: Brian Geraghty Certification Number:3482 " C. Facility/System Information DEP ID W033722 Manufacturers Name&ID Model Name&Number .... Installation Date 6/3/2005 Start of Operation:&3/2005 � Approval Type: � General � Provisional C Piloting � Remedial � � Seasonal Residence-used less than 6 rta.tyear: � Yes � No � D. Operating Information :. 0�1 Inspection Date Previous Inspection Date t/B/20�4 1/2/2014 . . r.+ Sludge Depih([o be checked yeady) Pumping Recommended? C Yes C No 12' Effluent Desaiption: "" Clear,very light yellow color,no solids,no odor,pH 7.83. E. Field Testing '� Field Inspection: . Color: ' gay � brown � Clear =' turbid � � Other(specify): very light yellow odor. ❑ musty � earthy �' moldy � offensive � turbid � Effluent Solids: � no C some PH 7.83 SU p� NA mP�- Turbidity NA T7']�[J �. 6 to 9 Z or geater 40 or less � Should a Remedial or General Use system fail the Field Testing,effluent samples shall be wllected per Standard Methods and _ analyzed for BOD and TSS. F. Sampling Information � If sampling information was completed,see attached sampiing report. � Samples Taken � Influent � Effiuent . Parameters Sampled � pH C BOD r' TSS � 7N � Other(list below) � � Other 1 Other 2 Other 3 G. Inspection and Maintenance "' Description o(any maintenance performed since previous inspection&during this inspecdon: Conducted O&M.Checked the pumps and controis.Cieaned the sprey nomes and Nan boxes.Bioclere#2 dosing pumps to be replaced.Checked the conditlon of the septic tank.Checked the anobc system. " `� Notes and Comments: Bioclere#2 dosing pumps to be replaced. � ti. H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed � this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in i accordance with 257 CMR 2.00. r. Operator Signature ��-��"7—_ ��g I �� oace System owner must submit this report,technology OSM checklist, and any required sampiing results to � the local board of health and DEP as follows for each inspection performed: r � ,�, F- - l� (S1 i . �' COASTAL EN611+lEERING GO„ lNG. 260 CRANBERRY HIGHWAY � ORLEANS; MA 82653 . �„ TEL. 508 255-6511 FAX. 5Q8 255-6744 i BIOC�ERE FIELD i2EPORT ! Pro'ect No.: d �� DatB: I Ti171e: d.' 3C7 Ins[allation: Sampled: � Client: Serv'rce: Commissioned: Address: d Sc�� n`ioJT Other: Scheduled tns ectoe. t�'�1 � Bioclere Model Number s c� c� ' a �.. , 1 Odor around site7 Y i Source of ador? L Check all that a I : Mild: Medium: N�'�. ' , �}, Septic: Musty: 2 Fieid T8s#itt : c^larity,cotor,solidswador,tests � � c�'b I /1/p Obc)/L (;�"'" - 3 a Measure (ud e in rima nks and rease ra s as e uired: b Slud e de th in rima t8nk: Scum depth: /— Sludge depth: � c Does rease tra need um in ? Y � .. uNir� UNR 2 � BIOCLERE �(ENTS " a is air assin throu h fhe vent? Y � N � If in doubf ut a small lastic ba around vent and a!!aw to fill. � b Is the fan o eratin and in ood condition? v N � N �. GENERAL � a An extemal dama e fo the;unii s ? If Yes, rovide details on back. v / Y N � b Are �ver, fan box and conirb( anei securel locked? Y t N t N c An filter flies in the unit? Y �N ewl many Y i few/many ; Location of flies: " d Locks!tat es!handies. QK? �' � � 1 � e Lid asket QK? / N N Does the fan box cantain standin water? ' � ' � Y N �" !f Yes, then remove water and ciean drain holes iE necessa . ; B10MASS CHARACTEFt1ZATlON "' a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brawn 6)redlbrown 7)black � 5 8 ther -. b Thickness of biomass 6-12 inches below media surface. � 1 Ii ht 2 medium 3 hea -.. NOZZLE SPRAY PATTERN a Does s ra caver tfie entire surface area of inedia? Y N Y N � If not, Gean each nozzis witti a bottle brush i.. Does the s ra now cover the entire surface area? Y N Y N If not then: � 1 remove nozzles and soak in a bfeach solution ;., 2 manuail en a e both d�sin um s for two minutes 3 re tace nozzles Does the s ra now cover the entire surface area? v / N Y i ;,�,; If nat, consuif A uaPoint, tnc. PUMPS AND CONTROL PANEL � r a Record dosin and rec cle um timer settin s from control anel. � Dosin Pum 1: min on:j{� min off:d min on: min off: Dosin Punt 2: min on: /(�min off:� min on: min off: ReC cle Pum : min on: i off: min on: i �s off: �; In Bioclere control anel et dosin and rec cle timers to a test c cle: a Am era e of dosin u 1: amps C7 • D amps ,,,, b Am era e of dosin um 2: amps p .0 amps c Am era e of rec cle um : - amps amps Are dosin um s alternatin ? l.N Y 1 N� ,,, Are the timers o eratin ro erl ? N N Visuali ins ect rela s for wear and record roblems below. ` If s are com onents are needed contact A uaPoint, Inc. r If an ammeter is not available set the timers to a test cycle as above ,� and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y ! N PZmp 1 OK? Y / N desi nated rest c cle is occurrin . Pump z oK? Y I N Pump 2 OK? Y / N .. OK? Y / N OK? Y 1 N *If pumps or control components are not operating properly, record - below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "Do not Chan e timers without Consultin A uaPoint, Inc. min on: min off: min on: min off: PLUMBWG � a Are the unions in the Bioclere leakin ? Y N v I '- If es, then ti hten with i e wrench FINAL CHECK. a -Main ower."on"_and set.to le-for-all um s_to"normal" osition. _,- — Y LN - . - _. ._ v / N b Alamito le�e�#a-�he_"ON"" ositi�n_ - - = -= -� �Y� _N � y � ` -- _ - -- _ __ � — c Lock control anel, Bioclere cove�'and'fan box. d if ossible, record the water meter readin : d-O REPORi SUMMARY: - ^ _' ln��U� � �"`'1 � 2 "— S O l , ,� T�F'E= P,� S � " `— �'✓1 t)� ! �Sol�fto+�i AE2�l 2� 'Czo ; �., .— af. ! � r`i o . �d- i G ✓I S � noX " � I ; � r 4 1- o e� �t a SIGNATURE: ` D:IFORMSCurrentlTechServicet-War�ewaterl8i lereFieldRepon.dac kr ` 11Lztry ; . : w Massachusetts Department of Environmental Protection � Bureau of Resource Prqtection - Title 5 DEP Approved Inspectian and O&M Farm for Title 5 !/A Treatmen# and Disposal Systems i � i/A System inspection results must be submitled on Ihis DEP form �„ A_ Facility Shaws Supermarkets,Inc. i l Owner M Route 28 1106 � Faciifry Streei P,ddress South Yarmouth Q2664- City/Town Z�P � Maiifng address of owner,1C different �"' P.4.Bax 6Q0 SVeei PrldresslPO Box LEast Bndgewater MA p23�9 ciry/Town State Z�P L508313-4663 Telephone hlumber i f " S. Authorized Service Provider Coastal Eng+neerin9 Co.,Inc. ir O&M Firm 260 Cranberty Highway � � Street Address . 6rleans MA 02653 j CitytCrnm Sbte ZP �+ 50&255-&511 . , Telephone Number i � Certified Operator Name:Brian Geraghiy Certi6cation N�mber:3482 �- C. Facility/System Information DEP ID W033722 ManuFachirets Name&ID MadeE Nartre 8 Nur�ber W Inslallatian DaEe 6!3l2005 Start of Operalion:6t312QQ5 i Approval Type: � General � Provisional � Ailodng � Remedial �+ Seasonal Residence-used less than 8 mo./year: � Yes J No i `" D. pperating Information � � r Inspection Date Previous Inspection Date 1l22/2014 'I/8/2014 � :.. Sludge Depth(to be checked yeady) Pumping Recommended? � Yes C No 18' Effluent Description: "' Clear,no solids,very light yellow color,no odor,pH 7.71. E. Field Testing ^ Field Inspection: �. coior. � �ay � brown � Clear � turbid — o Other(specify): light yellow odor: ❑ musty � earthy � moldy � offensive � turbid _ Effluent Solids: � no � some PH 7.71 S`�7 pp NA mg/I. Turbidily NA N'IU � 6 to 9 2 or greazer 40 or less .. Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information _ If sampiing information was completed,see attached sampling report. Samples Taken � InFluent � Effluent Parameters Sampled � pH G BOD � TSS � TN � Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance " Description oi any maintenance performed since previous inspection&during this inspection: Conducted 08M.Checked ihe pumps and conVols.Checked the condition of the septic tank.field tested influent&effluent. � Cleaned the spray nomes and fan boxes.Checked the condition of the influent pump slation.Checked the aeration and anobc "" systems.Pdjusted the process chemicals.The system is operating properly. Notes and Comments: The system is operating properly. r H. Certification � I certify: I have inspected the sewage treatment and disposal system at the address above, have completed .. this report and the attached technology operation and maintenance checklist, and the irdormation reported is true, accurate, and compiete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ,,,, Operator Signature � � ' 1- � � �Z�l�� oate System owner must subrrut this report, technology O&M checklist, and any required sampling results to �. the local board of health and DEP as follows for each inspection performed: r � � co�sra� er��N�e�tir�� ca., �r�c. 260 CRANBERRY HIGHWAY ORLEANS MA 82fi53 . � 7EL. 5Q8 255=6511 FAX. 508) 255-670Q BlOG�EFZE FIEID itEPQRT i Pra'ect No.. � ""` �38tB: � � 7jrpe: G� installation: Sampled: C}i�h�: (-fR,�` – — Serrice: Cammissianed: ; Address: �- c�c� F}2Np� Other. cheduled 08M: i... {rrs ector: � � � Bioclere Model Number s -�. 3C'�t_ "' O - > 1 Odor around site? Y Saurce ot odor? � Check all that a I : Mild: Medium: �.' {�� "�d,�3 �i��" c ; SepGc: Musry: 2 Fie1d Testin : dari ,co�or,soids,c�dor,tescs 1 �t�?f2 U �l �/2 - C�5 nJ"O � _ �"' 3 a Measure slud e in rima tanks and r ase tra s as re uired: b Slud e de th irt rima tafik: Scum depth: (- Sludge depth: rg l Lc Does rease tra need um in ? Y N ^—'�� UNIT 1 UIVIT 2 ' BIOC!_ERE 1(ENTS '"' a is air passina thrauah#he vent? __ Y �.,,_ ^1 � (f in doubt put a small plastic bag around vent and a!!nw to fill. 1 b) Is the fan operating and in gaod condition? _ Y N Y N :r GENERAL ^ ; a An external damaqe to theiurit(s)? if Yes, provide details on back. v N Y N �^ b Are cover, fan box and s�n(rb! anei securel locked? Y �tT Y N c An fiiter flies in the unit? Y/ N t wl many Y/ ew/many i Location of flies: � �- d locksl!at hesl handles. QK? � N e Lid asket QK? / N / N � Does the fan box contain standin water? ' Y � Y � •- !f Yes, then remove water and cfaan drain holes if necessa . i BiOMASS CHARAGTERIZATION '� a Gotor of biomass?`_ '- - . � ; _.: .._ 1)wFiite 2)white7gr`ay 3)g�ay 4)gray/brown 5)brown 6)red/brown 7)biack r� / 8 ther k� -� b Thickness ot biorriass 6-12 inches below msdia surface. f li ht 2 medium 3 hea • � � : ,.:. _ — NOZZLE SPRAY PATTERH a Does s ra cover the entire surface area of inedia? Y N Y N ; !f not, ciean each nozz�e wiiti a bottls bnash .. Does the spray now Cover the entire surface area? .v / N N If not then: � 1 remove nozzles.and saak in a bleach solution �,,, 2 manually engage both dasin pum s for twp minutes 3 re 4ace �azztes Does the s ra naw cover the entire sutfiace area? Y / Y N ` Ifnot, Consult A uaPoint, inc. PUMPS AND CONTROL PANEL �- a Record dosin and rec cle um timer settin s from control anel. — Dosin Pum 1: . min on: p min off: min on: min off: Dosin Pum 2: min on:(6 min off:� min on:(v min off: Rec cle Pum : m�n on:�- ofF. min orc� off: � _._ . . � 3a In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: amps 3 � amps .- b Am era e of dosin um 2: - � amps 5.� 'amps c Am era e of rec cle um : amPs � amps Are dosin um s altematin ? l, N / N Are the timers o eratin ro erl ? � N i N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Ina If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as foilows: Dosin um s: check that um s are o eratin , altematin and the Pump t OKT Y I N Pt,mp 1 OK? Y ! N desi netBd feSt C Cle IS OCCu�fift . Pump 2 OK7 Y / N Pump 2 OK? Y / N OK? Y / N OK7 Y / N 'If pumps or control componenis are not operating properly, record • below • And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an cha� es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, Inc. min on: min orf: min on: min ofr: PLUMBING a Are the unions in the Bioclere leakin ? Y � N Y N If es, then ti hten with i e wrench FINAL CHECK. a Main ower"on' and sel to le for all um s to 'nortnal" osition. N I N b .Alarm to le set to the "ON" osition. Y N N c Lock control anel, Bioclere cover and fan box. d Ii ossible record the water meter readin : 00 REPORT SUMMARY: -, ! ! — , a e.e. — �Sa G crAia-� --,._,. : -_ .. � o . _T_ K 2vv6n� _.., , . . . . _ oC 6 � �5 r.�.�f�� G. wea�t� ' e — s s �- � ro ,�r-G � �: � a o -�- SIGNATURE: � D:IFORMSCurren�ITechServices-Was�ewafer ioclereFieldRepor.doc r � llzs ��4 L Massachusetts Department of Environmental Protection L Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems I � I/A System inspection resulls must be submitted on lliis DEP form ,. A. Facility � Shaws Supermarkets.Inc. L Owner Route 28 1106 � Facility Street Pddress L. South Yarmouth 02664- Ciry/Town Zip LMailing address of owner,if different P.O.Box 600 � Street Address/PO Box `„� East Bridgewater MA 02379 , City/Town � State 2ip I 508-313-4663 6.. Telephone Number ' . " B. Authorized Service Provider Coastal Engineering Co.,Inc. L O&M Firm 260 Cranberry Highway LStreet Address � � Orleans MA 02653 L Ciry/Town State Zip 508-255-6511 , Telephone Number L Certified Operator Name:Brian Geraghry - Certification Number.3482 — C. Facility/System Information DEP ID W033722 Manufach�rer's Name&ID Model Name&Number Installation Date 6/3/2005 Start of Operation:6/3/2005 � Approval Type: � General � Provisional � Piloting C Remedial i � Seasonal Residence-used less than 6 mo./year: � Yes � No ` D. Operating information L Inspection Date Previous Inspection Date 'I I28/2014 1/22/2014 r Sludge Depth(to be checked yeady) Pumping Rewmmended? � Yes C No 20' Effluent Desaiption: r Clear,light yellow color,no odor,no solids,pH 7.54,NH3 2.6,NO2 0.0,NO3 0.0,alkaliniry 180. � E. Field Testing " Field Inspection: Color: ❑ �ay � brown �` Clear � turbid .� � Other(specify): light yellow odor: ❑ musty � earthy � moldy � offensive � turbid r EfFluent Solids: � no � some PH 7.54 SLT p� NA �F�I- Turbidity NA TI'1'[J �, 6[0 9 Z or greater � 40 or less ,�, Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. - ... F. Sampling Information lf sampling information was completed,see attached sampling report. Samples Taken � Influent � Effiuent Parameters Sampled � pH � BOD� � TSS � TN � Other(list below) "" Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance performed since previous inspection&during this inspection: BioGere#2,dosing pumps 1 &2 were replaced 1/13114.Conducted O&M.Checked the pumps and controls.Cleaned the spray no�es and fan boues.Checked the influent pumps,the aeration and anobc systems.Mjusted the chemipl feeds.The -� system is opereting properly. Notes and Comments: Biodere#2,dosing pumps 1 &2 were replaced 1/13/14.The system is operating properly. `�' H. Certification I certify: I have inspected the sewage treatment and disposai system at[he address above, have completed ,,,, this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts ceRified operator in accordance with 257 CMR 2.00. OperatorSignature ��'� jl�'�y Date System owner must submit this report, technology O&M checklist, and any required sampling results to ., the local board of health and DEP as follows for each inspection performed: `1 � I' GOHSTAL EFt611+lEERtNG GCl., IPtC. 260 CRANBERRY HIGHWAY � ORLEANS MA 02658 .. TE�. SQ8 255•651;1 FAX. 508 255-&T00 BIOCE.ERE FIELd REPORT � Pro'ect No.: Y � Q ~ _Date: � c�� L _-- --- - Tlme: lr;�. � Installation: Sarnpled: Client: Au315 �1� Service: Commissioned: LAddfess. �� 'j SoJ /-�/�r✓lpJ1Z ✓�2t�- Qthe�: Sch ued0 • trzs ec#or. t Y#�v� Cy f 1�v'�� ... � Bioclere Model Number s /-d ,3ca -�o c'Y ; 1 Odor around site? Y Sourc� of odor? f Check all that a I : Mild: Medium: � Sepiic: Musry: 2 FIBId TSSUt� : darity,corw,saia5.a�,tesss � Gl l�C�t,J t� csOlG O O£b 3 a Measure slu e in ma tan s and rease tra as re uired: b Slud e de Fh in rima tank: Scum depth: t( ` Sludge depth: �,1- � � ' c f�oes rease tra need um in ? Y � i. UNIT1 uKisx � BIOCLERE 1(ENTS a Is air assin throu h the vent? Y t N Y t� If in doubt ut a small lastic ba around vent and a!!ow to fill. " b Is the fan o eratin and in ood condition? N i N .,, GENERAL ; a An extemai dama e to the�unit s ? If Yes rovide details on back. Y / N Y i - `' b Are caver, fan bax and cant��l nel securel Eocked? y � v t N c An filter flies in the unit? Y i few�many Y/ N Tew/many � Location.of flies: d locksi laf est handies. OK? J � i � e Lid asket OK? _ _ _ :. . N Y N , j . : ; Does the fan box:contain standin water?= _- a �-_.:.� _ '` v N w_ -___ � ;-;, :,;: `' tf Yes then remove water and ciean drain holes if necessa . � BiOMASS CHAFiACTERIZATION - _ - - - t.�. a GaJoi,of bio[nass? �- _x -�;:� � �;�.��,�. _ `_: _ _ _ � -, s - . _-:- - _ '�9�nrhite 2)wfiiYe/gray 3)gray 4)gray/tirown 5)titown 6)redlbr`awn 7)bleck ` '' ' '-� ' ;�" - S tiser . - _ "`-b Thickness af bioma"ss 6-12 inches below media surface. t Ii hi 2 medium 3 hea o7 /�S ,.,_ .. =� --- = ;-,. _ -_ _ _: _ . __. ., _ �:. .� - ,,<, _., .. NOZZLE SPRAY PATTERN a Daes s ra cover ihe entire surface area of inedia? Y � � � � ! lf nat, dean each nozzae wiUi a battie brush �.. Does the s ra now cover the entire surface area? ! N � N if nat then: � 1 remove nozzles.and soak in a bleach solutiqn ;,,. 2 menuail en a e both dosin um s for two minutes 3 re lace nozzles L Dpes the s ra now cover the entire surface area? Y l N Y N if not, consu(t A uaPoint, inc. PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from control anel. DOSin Pum 1: . min on:�p min off:�} rnin on:jp min off: DoSin Pum 2: min on: 0 min off: min on: /pmin off: ReC cle PUrit : min on: i ff: rnin on: � FjpSoff: ,,,; _ _- - — _ -- -- - -- _--..--•-_ _ _ __ � --30� . In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;, 3'.d. amps 3 . amps r, b Am era e of dosin um 2: 5. amps 5, amps c m era e of rec cle um : � , amps �p . O amps Are dosin um s altematin ? �, N N Are the timers o eratin ro erl ? N N �suall ins ect rela s for wear and record roblems below. .. " If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 oK? Y 1 N Pvmp � oK? Y / N � desi nated rest c Ge is occurrin . Pump 2 oK? Y I N Pump 2 OK7 Y / N ' � OK? Y / N OK? Y / N 'if pumps or control components are not operating properiy, record • below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, If1C. min on: min off: min on: min off: � PLUMBING a Are the unions in the Bioclere leakin ? v N Y N �' If es, then ti hten with i wrench FINAL CHECK "" a Main ower"on' and set to le for all um s to "nortnai" osition. N I N b:Alarm to le set to the"ON" osition. -. N i N c Lock control anel, Bioclere cover and fan box. '- d if ossible, record the water meter readin : l�05 .. _ __ _- — __ _ _ _ . -_ , ,-. , ,: .- - _. REPORT SUMMARY: — J - �.� � t /2J 6cJ c�- CS L t C/ - G o2 5 G 2/ n LcJ -- /i-T�2 /Z.v n n r vi — no�t cc: �s sT o,e/Ci cs � -F-r -- -� — �3/c o - -1-� o ercc SIGNATURE: d ' D:IFORMSCurrentlTechServices-Wastewa� lBioclereFieldReport.doc r. ; ��„ y ` Massachusetts Department of Environmental Protection LBureau of Resource Protection - Title 5 DEP Approved Inspection and 08�M Form for Title 5 I/A , Treatment and Disposal Systems � � I/A System inspection resulls musl be subrtitted on this DEP farm � A. Facility � Shaws Supermarkets,Inc. L Owner � Route 28 1106 � � i FacilityStreetAddress ` South Yarmouth 02664- 1 CirylTown Zip ` Mailing address of owner,if different P.O.Box 600 LStreet AddresslPO Box East Bridgewater MA 02379 � City/iown State 2ip ;� 508-313-4663 TelephoneNumber • - � � - - - - � � i � B. Authorized Service Provider iCoastal Engineering Co., Inc. � 08M Firm 260 Cranberry Hiqhway I �„ Street Address Orleans MA 02653 - � City/Town State Zip 508-255-6511 LTelephone Number Certifed Operator Name:Brian Geraghty Certificafion Number:3482 ` C. Facility/System Information DEP ID ` W033722 ManuhactureYs Name&ID Model Name&Number Installation Da[e 6/3/2005 Start of Operetion:6/3/2005 LAQproval Type: =� General � Provisional � Pilodng G Remedial Seasonal Residence-used Iess llian 6 mo.tyear: ��Yes � No i.. D. Operating Information i Inspection Date Previous Inspection Date 1/22/2014 'I/8/2014 - Sludge Depth(to be checked yearly) Pumping Recommended? = Yes C No 18' � Effluent Description: Clear,no solids,very light yellow color,no odor,pH 771. .. E. Field Testing Field Inspection: co�or: - gay c brown L Clear = turbid "' � Other(specify): light yellow odor. =� musty �' earthy � moldy = offensive � turbid .. Effluent Solids: n no G some 7.71 $tJ NA IIlQ/I, NA jV'r[J pH DO Turbidity �, 6 to 9 2 ar greazer 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information ,,, If sampling information was completed,.see atWched sampling report. Samples Taken � Influent � Effluent � Parameters Sampled � pH � BOD C TSS � TN � Other(list below) r Other 1 Other 2 Other 3 � G. Inspection and Maintenance Description of any maintenance pertortned since previous inspection&during this inspection: Conducted O&M.Checked the pumps and conVols.Checked fhe condition of the sep[ic tank.Field tested influent&efFluent. ... Cleaned the sp2y no�es and fan boxes.Checked the conditlon of lhe inFluent pump station.Checked the aeration and anobc systems.Pdjusted the process chemicals.The sys[em is opereting properly. Notes and Comments: � The system is operating properly. r H. Certification , I certify: I have inspected the sewage treatment and disposal system at the address above, have completed � this report and the attached technology operation and maintenance checklist, and the information reported is true, accurete, and complete as of the time of the inspection. I am a Massachusetts certified operetor in accordance with 257 CMR 2.00. .. Operetor Signature ��LLI�y oace System owner must submit this report, technology 08M checklist, and any required sampling results to `� the local board of health and DEP as follows for each inspection performed: r � .� - I Izy tr �- COASTAI ENGINEERtNG CO.;1NC. 260 CRANBERF2Y HIGNWAY l ORLEANS MA 02653 . �^ TEL. 508 255=651:4 FAX. 588) 255-8700 l BtOCLERE FIELD REPORT �- Pra'ect No.: � DetB: � _ . -TifT1B: _ : � ___ _ InstallaGon: Sampled; LClienf: N��` � Service: Commissfoned: Addfess: -{- pc� f�-2rvj l Other. ch duted O&M: LCns ector. 6 -Z Bioclere Mode! Number s -a. 3� � O � i 1 Odor around site? Y Source of odar? Lr Check al!that a I : Mild: Medium: ��" l�f� '"r'.d0 ��F,' c : Septic: Musly: L 2 Fietd Testin : aa� ,o3�or.5a�ds,oao�,tes�5 cr��442 c� �aL' �"rz c�s r.ro 0 3 a Measure slud e in rima tanks and r ase tra s as re uired: ; � b Slud e de th in rima tank: scum dePm: 1- sfud9e depu,:tg � c Does rease tra need um in ? Y N � � _ UN1T'. UNtT2 �BlOCI_ERE VENTS a} is air passing throuqh fhe venf'? Y N i N ( {f in doubt put a small piastfc bag araund veni and alEatv to fiik. � I�� Is the fan op$rating and in qood condition? _ Y N Y N t- GENERAL j„_ a An external dama e to the:;�rit s ? It Yes, rovide details on back. Y N v N b Are cover, fan box and contrbl anal.securel locked? "� � v N ; c An filter flies in the unit? v r t� f w!many Y� ewt many �„ Location of flies: � d �ocksJ laf st handles. OK? N N � e Lid asket OK? . / N � N L . Does the fan box contain standin wg ate�'l- . - - -'� -. --Y � Y 1 : ; tf Yes, then remove water and c(ean drain hales ff necessa . E BIOMASS CHARACTER1ZATfON - a Co1or-of biomass?�:�-- _ - - -- _ - ._._ . �� -. --� - _ . - _ .:. �.- - _ _ : _.. _ _• _ ` _, _ . __ _ ,_. 1)wFtife 2)white7gra�3)gray 4)g"ray/tirown 5)brown�)red/brown 7}bia�k � l ` ' 8 ther �o � _ _ _ b 7hickness'of biomass 6-12 inches belaw media suiface. 1 Ii ht 2 mediurn 3 hea '`:_ � � - - . , : .. "`" NOZZLE SPRAY PATTERN a Does s ra cover the entire surFace area of inedia? Y N Y N � !f nat, cisan each nazzie witti a bottEe brush � `^' qoes the s ra now cover the entire surface area? Y ! N N !f not then: 1 remove nozzles.and soak in a bleach soiution •- 2� manually engage bpth dnsina pum s for fivo minutes 3 re lace nazzies Does the s ra now cover the entire surface area? Y t �' Y t� :. tf not, consuft A uaPoint, Ino. � PlJMPS AND GONTROL PANEL a Record dosin and rec cte um timer settin s from controi anei. � Dosin PUttl 3: min on: p mEn off: min on: min off: Dosin Pum 2: min orr.G(S min off:� rnin on:(v min off: ReC cEe Pum : " min an:a-- aft: min on�s. offi — . . _... _ �.__-`._..- -- ..._ ....._... ._.. - - _ . . ._ ___...,..� . , . .... ._._. _ ...__ _ _ .._ ., _ �._.. .._.,,�d In Bioclere control anet set dosin and rec cle timers to a test c cle: � a Am ra e af dosin um 1: ; � amps amps =- b Am era e of dosin um 2: - �� amps �,.�'—emps c m era e of rec cte um : amps � amps Are dosin um s aftemati ? ��t� � � Are the timers o eratin ro erl . � N � N Visuali ins ect reia for wear and recard roblems betaw. " If s are com nents are needed contact A uaPoint, Inc. !f an ammeter is nat availa6(e set the tirners to a test cycle as above and at the Bioctere check#he um s' o eration as follows: Dasin um s: check that um s are o eratin , altematin and tha �mP 1 OK? Y ! N PLmp 1 OK? Y 1 A7 desi nated rest c Ge is occurrin . PumP z pK� Y � N Pump 2 OK2 Y ! N _. OK? Y / N QK? Y / N *tf pumps or cantrot camponents are not operating praper{y, recard below ,r And consuR A uaPoint, inc. RESET TIMERS TO ABOVE SETTWGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without co�sultin A usPoint inC. min on: min ofE: min on: min off: PLUMBING a Are the unions in the Bioclere ieakin ? v t �t Y N If es, then fi hten wlth i e wrench FIFIAL GHECK. a Main ower"on"and set to le for afl um s to "narmal" ositio�. N ! N b Alarrn to te set fo the"ON" osition, v N r iv c lock control anel, Stoc4ere caver anc4 fan box. " d if ossible, record the water meter readin : �. �� .._- _ .:.__ . . __.... .. . ... . . . . ... . ..... �..._.. -_..___.. . _ .. . _ . . . ._ . �. � REPpRT SUMMARYt , -^, en ! '.` . ` - �- ` e.e, . c�Lu's�Lo-i� " �� f v..� lC. -2c>Yyn �y, ;� ;:_ —�' � o L � cc�fz,�e l" �. u�o.e.t�. as ru� e � +�--o � � � r � �S C"� -e�� I SIGNATURE: l `" D:tFO1tMS CurrenflTechServfces-Wartewater ioc7ere Fietd Repor doc 4 � c�� i4 � . ... Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Title 5 �- DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems i � I/A System inspecfion resulls rtnut be subrtatled on ihis DEP form. { �, A. Facility Shaws Supermarkets,Inc. � Owner � Roule 28 1106 � Faciliry Street Address � �. South Yarmouth 02664- Ciry(fown Z�P - ( Mailing address of owner,if different L' P.O.Box 600 Street Address/PO Box LEas[Bridgewater MA 02379 - City/Town - Siate Zip � L508313-4663 Telephone Number f L B. Authorized Service Provider Coastal Engineering Co..Inc. � L. O&M Firm 260 Cranberty Highway � StreetAddress � Odeans MA 02653 k Citylfown State Zip L 508-255-6511 � Telephone Number 1 I � Certified Operator Name:Brian Geraghty Certification Number:3482 � t �- C. Facility/System Information DEP ID W033722 Manufacturer's Name&ID Model Name 8 Number � Installation Date 6/3/2005 Start oi Operation:6/3/2005 Approval Type: � General � Provisional � Piloting C Remedial LSeasonal Residence-used less than 6 mo./year: � Yes � No i � D. Operating Information � � Inspection Date Previous Inspection Date 2/5/20'14 V28/2014 . � Sludge Depth(to be checked yeady) Pumping Recommended? � Yes C No . r 24' Effluent Description: � Clear,light yellow color,no solids,no odor,pH 7.78. . E. Field Testing " Field Inspection: coior: ❑ gray � brown � Cleaz � turbid .. o Other(specify): light yellow odor. ❑ musty � earthy =' moldy � offensive � turbid � Effluent Solids: � no = some PH 7.78 Sj7 D0 NA �P�- Turbidity NA TIT[J 6 m 9 2 or greater 40 or]ess � Should a Remedial or General Use sysiem fail the Field TesEng,effluent samples shall be wllected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information If sampling information was completed,see attached sampling report. Samples Taken � Influent � E(FlueM � Parameters Sampled � pH � BOD = TSS � TN � Other Qisl below) � Other t Other 2 Other 3 G. inspection and Maintenance — Description of any maintenance performed since previous inspection 8 during this inspection: Conducted O&M.Checked pumps and controls.Cleaned the spray noaJes and fan boxes.Field tested the effluent.Checked the anopc syslem and the EQ system.Adjusted the chemical feeds.The system is operating properly. " Notes and Comments: The system is operating properly. " .. H. Certiftcation I certify: I have inspected the sewage treatment and disposal system at the address above, have completed .... this report and the attached technology operation and maintenance checklisi, and the information reported is true, accurate, and complete as of the time of the inspectlon. I am a Massachusetts certified operator in acwrdance with 257 CMR 2.00. �. Operetor Signature ''� ` ` '-� x�^'�� S/�� oate ` System owner must submit this report, technology 08M checklist, and any required sampling results to .- the local board of heal[h and DEP as follows for each inspection performed: r ' F - 2[r�i L COASTAL ENGINEERtNG GO. iNC. 2g0 CRANBERRY HIGHWAY ORLEANS, MA 02653 . � TEt. 508 255-6511 FAX. 588 255-fi7d0 � BIOCLERE FIELD REPORT „_ Pro ect Na.: t,c} d . DffiB:._ l __. .__ _ _ .--- TItT16: :.30�4 _ Instaliatlon: _ SarnpleG: G(ien#: � ..5 M�� Service: Commissioned: � Address: 1�'}- d-�3 .So..s NJ Qther: c tns ector: �2 i � I Bioclere Modei Number s -d d ( �3t� � ; I 1 Odar araund site? Y N Saurce af oda�? ��2_ �_ '� `T�R� �. Check �A that� I : fld: Medium: C,��; y�-=�^;" /n • .l Sepiic: Musry: L 2 FIBId TBStItY : dart ,�osw,5onas,oaor,c�s� _ �2 Lf. �l o�.v calo�. Rl0 s�+ �05 /ilc� C�D �. 3 a Measure slud e in rima tanks and rease tra s as re uired: � L b S(ud e de th in rima tank: Scum aepth: - sEudge deptn: �,l ` c Does rease tra need um in ? Y � UNlT 1 UNIT 2 �, BIOCLERE 1(ENTS a Is air assin fhrou h fhe venf? Y N / ro L i#in doubt ut a smafl lastic ba araund vent and aifow to fl(I. b Is the fan o eratin and in ood condition? v N , GENERAL L a An external dama e to the` nit s ? if Yes, rovide details on back. v i N � b Are+�ver,fan box and confr&t anel secure{ lacked? v N t t� c An filter flies in the unit? Y 1 !many v I few�ma�y � Location.of flies: d �acks/taf esI handles. OK? � N e Lid asket QK? __ , , / N / N Does-the farj 6ox confain standin water7 ' � '_ � X N A� Y L If Yes then remove watsr and clean drain hales if necessa . � BIOMA5S CHARAGTERIZATION _ _ _ a Gaitir;ofibia a`s�?y _��" .�_ � ��- ��,�,--�- _ €- � = a�= �r--T -_ - -� �°9)whife 2)Whit�gr�y 3�ay 4)gray/trrt�wrf 5)bYown�)red(6rown 7)black ';� _ �.�'_�j" _ _ 8 other _�� .� � ,_ -,�___ x . _.� .. _-- � � _ _: , , _ ; _.s� -_ , - � . _ ~ - b fihickne�s`of bi6mass 6=12 inches below ined'ia sui#ace.` 1 li ht 2 medium 3 hea d - --��-- __ _ �,_��_�. _., m�. w _ __- ._ -� __ . . - NOZ2LE SPRAY PATTERN a Does s ra cover the entire surtace area of inedia? v I N Y / t� 4 If not, clean each nazzle witki a bottle brush y Does the s ra now cover the entire surface area? � N v N if not then: � 1 remove nozzies.and soak in a bleach sofution �.. 2 manuall en a e both dasin um s for two minutes 3 re tace noules �oes the s ra now cover the entire sur€ace area? Y N t N � If not, consult A uaPoint, Inc. .. � PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from controi aneL �- DOSIl1 PUrtI 1: . min on: �pmin off:�l min on:�0 min off: Dosin PUm 2: min on:(pmin offa min on:(pmin off: Rec cle PU�It : min on: s off: min orr. i off: �- ��.__. __ __ _ _ _ _ _ _ _ _ - -- _ - - �- - - - - ,,.1 in Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ,;S amps amps �- b Am era e of dosin um 2: - � amps S.,E, amps c m era e of rec cle um : amps amps � Are dosin um s altematin ? /,N / N ,- Are the timers o eratin ro eri ? Y / N � N Visuall ins ect rela s for wear and record roblems below. � � Lr " If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above �- and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OKY Y I N PLmp 1 OK? v / N i desi nated rest c cle is occurrin . PumP z oK? Y 1 N Pump 2 OK? Y / N .. OK7 Y / N OK? Y / N "If pumps or control components are not operating properly, record � below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: *Do not chan e timers without consultin A uaPoint, InC. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y / N Y / If es, then ti hten with i e wrench FINAL CHECK. a Main ower"on' and set to le for all um s to 'normal" osition. Y N / tv b :Alarni to le set to the "ON" osition. N N c Lock controi anel Bioclere cover and fan box. d if ossible record the water meter readin : �� ppp , / 1 :,. _ __ _ _ _ : _ _ REPORT SUMMARY: , �; �� - tn l��rt � , s c,�J ozKr ' o ;,, 1 r ��f� 1 i✓�� F 1 c9 h F / , — (OC/£2.€YS o ��'1 — � O�'-t C( — s — �n 2�nnrn o0 1` G( — � G o0 fn2K}77rI SIGNATURE: - -C� D:IFORMSCurren7lTechServicer-A'ast ate�l8ioclereFieldRepon.doc I . r Zf �3i �`1 � Massachusetts Department of Environmental Protection � Bureau of Resource Protection -Title 5 �- DEP Approved Inspection and 08M Form for Titie 5 IIA Treatment and Disposal Systems f � I!A Sys�m inspection resulLs musl be submitte0 on ihis DEP form. � A. Facility � Shaws Supermarkets,Mc. L Owner Route 2B 7'106 Faciliry Street Arltlress South Yarmoulh 02664- � CitylTown Zip . Mailing address of owner,if different L PO.Box600 Street Address/PO Box East Bridgewater MA 02379 � CirylTown State Zip � � 50&373-4663 Telephone Number . L B. Authorized Service Provider ' Coastal Engineering Co.,Inc. L. O&M Firm 260 Crenberry Highway i Street Address L Odeans MA 02653 CirylTown Sta�e Zip L508-255-6511 TeleDhone Number LCertfied Operator Name:Brian Gera9My Certifica6on Number.3482 L C. Facility/System Information DEP ID W033722 Manufacturer's Name 81D Model Name 8 Number � Installation Date 6/3/2005 Start of Operation:6/3/2005 .. Approval7ype: = General = Provisional � Piloling C Remedial Seasonal Residence-useE less Man 6 rta.tyear. �' Ves � No D. Operating Information �. Nspection�ate Previous bspection Date 2/132014 2/5/2014 � Sludge Depth(to be checked yeady) Pumping Recortvnended? � Yes C'' No ` 24 Effluent Description: � Slightly cloudy,light yellow color,a few solids,no odor. � 1.. - � E. Field Testing Fieltl Inspection: �1 Coior. � �ay C brown � Clear � turbid �� Other(specify): �ight yellow Odor. ❑ musty � earthy � moldy � offensive �turbid r- Effluent Solids: E no C some PH NA SU D0 NA mg�L Turbidity NA NTU 6 m 9 2 or greater 40 orless � Should a Remedial or Gene21 Use system fail the Fieltl Testing,eHluent samples shall be collectetl per Stantlard Methods antl analyzed for BOD and TSS. F. Sampling Information If sampling informa[ion was completed,see attached sampling report. V+ SamplesTaken � Nfluent � Eftluent Parameters Sampled � pN C' BOD �. TSS � TN C Other(list below) ' � `... Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection&dunng this inspection: � Conducted 08M.Checked pumps and controls.The#1 influent pump is pumping slowly.Cleaned ihe sprey noaJes and fan boxes.Checked the operating of the Eo and anoxic sys[ems.Checketl t�e cond"Rion of the septic tanks.The Bioclere system is operating properly. Notes and Comments: "" Influent pump lt1 is pumping slowly.The Bioclere system is oDerating properly. H. Certi£cation I certify: 1 have inspected the sewage treatment and disposal system at the address above,have completed � this report and the attached technobgy operation and maintenance checWist,and the irdormation reported is true, accurate,and complete as of the time of the inspedion. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature �'�_� Z. ��3 �� oate System owner must submit this report,techrrology O&M checklist,and any required sampiing resufts to the local board of heatth and DEP as follows for each inspection performed: ` Remedial Use-by Piloting Use-within 30 Provisional Use-by General use-by January 31 st of each days of inspedion date March 31st of each September 30th oT each . yearforthe previous calendaryearforthe yearforthe previous 12 r calendar year previous year mordhs Department ot ErnironmeMal Proteclion � � Address for DEP co Attention: Title 5 Permitting Program One Winter � PY' Street, 6th Fbor Boston, MA 02108 �.. � r ' ,� F- 2�13f�.� �,,, COASTAt ENfi.�I[+lEERING GO., INC. 260 CRANBERRY HIGHWAY ORLEANS MA 02653 . � TE�. 5Q8 255-6511 FAX. 508 255-8700 BtOC�ERE FIELD REPORT � Pro'ect I�a.: ` � DatB:-. 63 ! -. -- - - Time: �nstalletion: Sampled: � ' C[ient: SI � /°'1 Service: Commi ' : �.. Address: D c� r4-t2 t'�'ZQ� 4ther. Scheduled 08M: I�F15 8Ct07: { l � �. Bioclere Modei Number s /- - 01 1 Odor around site? Y N Source oi odoC2 ' Check ail that a ( : Mild: Medium: 'i Septic: Musry: 2 Fieid T.estin : da� ,�oro�,so��as,oaa,tes�s � �.51i hf �' vel ex.� �se<ec�5 c"�L)enc- e! co Ci 3 a Nieasure slud e in a ianks and rease tra s as re uired: dryb �� 1C b Slud e de th in rima tar2k: 1��"sc�M ! �d4"�s( � Scum depkh:j-;y�� sludge depth:t�.-t� " � c Doss rease tra need um in ? Y � UNIT'1 UNIT2 L BIOCLERE '1(ENTS a 1s air assin throu h tfie vent? r � j N !f in doubt ut a small lastic ba around vent and aliow to fill. Lb Is the fan o eratin and in ood condition? Y / N / N GEMERAL La An external dama e to the;unit s ? If Yes, rovide details on back. Y Y i b Are cover, fan box and conf�bl anel securel locked? � 1 � c An filter flies in the unit? Y/ ew/many Y! few/many L Location of flies: d locksi iaf est handles. OK? � 1 � e Lid asket OK? . /,N � N - - � Dne.s the fan.bax.contain §tandin wateR = - � Y"' `� : Y �"' • if Yes then remove water and ciean draln holes if necessa . � W ^ Bi0MA5S CNARACTE12iZAT{ON L . : _ , � � PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from control anel. ' Dosin Pum 1: . min on:(,b min offa- min on: (p min off• Dosin Pum 2: min on: [O min off�-} min on:Jp min off: ReC CIe Purt1 : min on: � min on: 1�[sroff: a- �o M � In Bioclere control anel set dosin and rec cie timers to a test c cle: a Am era e of dosin um 1: ;5, amps 3,5 amps .. b Am era e of dosin um 2: amps S� amps c Am era e of rec cle um : �, amps amps i , Are dosin um s altematin ? i N I N .. Are the timers o eratin ro erl ? I N I N Visuall ins ect rela s for wear and record roblems below. I.r * If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above _ and at the Biociere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y I N Pt,mp t oK7 Y i N desi nated rest c cle is occurrin . PumP 2 oK? Y / N Pump 2 OK? Y / N ,., OK7 Y ! N OK? Y I N 'If pumps or control components are not operating properly, record • below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETfINGS: Note an chan es here: min on: min ofE min on: min off: *Do not chan e timers without consultin A uaPoint, Inc. min on: min off: min on: min oft: � PLUMBING a Are the unions in the Bioclere leakin ? Y / N Y N If es, then ti hten with i e wrench � FINAL CHECK. a Main ower"on" and set to le for ali um s to "normal" osition. N / N b Alarm to le set to the`ON" osition. v N Y N c Lock control anel, Bioclere cover and fan box. d if ossible, record the water meter readin : l �l lo REPORT SUMMARY: �` �- ! <'1 cJ�%') — Ur'rJ !i'1 o c,J d —�W cl�'(d" — E-JO�/ '— /oGl 0 �F-in o0 130 2unv1l�l W eG - s � — �'c l � cr� �} a o Pi — o LG s cM - r � rrt� o � lV�vt wa2..CC� W � � t ' Zt� SIGNATURE: d � /3 D:IFORNS CunentlTechServices-War�ewaterl8ioc re Field Repart.doc � r C/� `t 1 '� � r. Massachusetts Department of Environmental Protection I Bureau of Resource Protection -Title 5 �- DEP Approved Inspection and 08M Form for Title 5 I/A Treatment and Disposal Systems i , � I/A Sys�m inspec6on rewlls must be submittetl on Nis DEP form � A. Fecility Shaws Supermarkets,Inc. I Owner L Route 28 1106 Facility Street Atltlress � i South Yamroulh 02664- � Ciry(Town Zip Mailing adtlress of owner,i(different L P.o.Boxsoo SVeet Address/PO Box East Bridgewater MA 02379 � CiTylTown State Zip �"' S0&313-4663 Telephone Number L B. Authorized Service Provider + Coastal Engineering Co.,Inc. ` 08M Firtn 260 Cranberry Highway . - LSVeei Address Odeans MA 02653 (� CitylTown State Zip 50&255-6511 1.. Telephone Number LCert�ed Operator Name:Bnan Gereghty Cert�caUon Number.3482 � C. Facility/System Information �. oePi� W033722 Manufacturefs Name&ID Model Name 8 Number i Installation Date 6/3/2005 StaA of Operation:6/3/2005 � Approval Type: � Generel � Provisional �" Piloting � Remedial Seasonal Residence-used less Nan 6 molyear. � Yes n No D. Operating Information r.r Inspedion Date Previous Inspectlon Date 2/19/2014 2/13/2014 I � Sludge Depth(to be checked yeady) Pumping Recommended? � Yes L''� No ` NA Eftluent DescripGon: NA � ` E. Field Testing Field InsDection: ,,,, coior. c �ay � brown � Clear � turbid �' Other(specify): Odor: ❑ musty � earthy � moldy � offensive C tu�bid " Effluent Solids: � no C some pH SU DO m�i' Turbidity NTU _ b ro 9 2 or greamr 40 or less Should a Remedial or General Use system fail Ihe Field Testing,effluent samples shall be coilected per Standard Methods and analyzed for BOD and TSS ,, � r F. Sampling Information If sampling information was completed,see attached sampling report � Samples Taken � Influent � EfFluent Parameters Sampled � pH � BOD � TSS �' TN �= Other Qist below) � Other 1 Other 2 Other 3 r G. Inspection and Maintenance Description of any maintenance performed since previous inspection 8 during this inspec6on: - � Conducted O&M.Checked pumps and controls.Cleaned ihe spray nomes and fan boxes.Serviced Ihe sodium bicarbonate system.Checked the operation of the E0,aeration and anoxic systems.The system is operating propedy. . Notes and Commenls: � The sys[em is opereting properly. H. Certification I certiTy: I have inspected the sewage treatmerrt and disposal system at the address above,have cortpleted � this report and the attached techrmbgy operation and maintenance checWist,and the iMormation reported is true,accurate,and wmplete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature "��_� 2/((,�/(�{ oate 1 System owner must submit this report,technobgy O&M checWist,and any required sampling resutts to � the bcal board of heatth and DEP as follows for each inspection performed: Remedial Use-by Piloting Use-within 30 Provisional Use-by General use-by January 31st of each days of inspedion date March 31st of each September 30th of each �� year for the previous calendar year for the year for the previous 12 " calendar year previous year moMhs Department of Ernironmerrial Protection j �. Address for DEP copy: Attention: Ttle 5 Permitting Program One Winter �. Street, 6th Floor Boston,MA 02108 r Y�1 r L � r-3/6 /� COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY 4 ORLEANS; MA 02653 . ,_ TEL. 508 255-6511 FAX. 508 255-6700 4 BIOCLERE FIELD REPORT .. Pro'ect No.: W Ao , c� DBte: Tlme: � � �'P Installation: Sampled: i Client: ,Sl-{q�✓�S M 4�ICG7— Service: Commissioned: � Address: �{, d ocr�f- ��p�Tj-�- Other. Sche . , fns ector. � 3 � Bioclere Model Number s —a 3c7 -3 a �. L 1 Odor around site? Y Source of odor? Check all that a I : Mild: Medium: Septic: Musly: 2 Field Testin : dariry,mior,solids,odor,tests � 3 a Measure slud e in rima tanks and rease tra s as re uired: b Slud e de th in rima t8f1k: Scum depth: Sludge depth: 4 c Does rease tra need um in ? v / � UNIT 1 UNIT 2 L BIOCLERE VENTS a Is air assin throu h the vent? Y N ! N If in doubt ut a small lastic ba around vent and ailow to fiil. ` b Is the fan o eratin and in ood condition? Y N � N GENERAL L a An external dama e to the.�unit s ? If Yes, rovide details on back. Y / Y � N b Are cover, fan box and control anel securel locked? Y N Y N c An filter flies in the unit? v i r wi many Y fewf many LLocation of flies: d Locks/lat hes/handles. OK? v N N e Lid asket OK? N N � Does the fan box contain standin water? ' ' ' Y i N Y ' tf Yes then remove water and clean drain holes if necessa . 1 BIOMASS CHARACTERIZATION " a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black S � , 8 other -- b Thickness of biomass 6-12 inches below media surtace. 1 li ht 2 medium 3 hea , � -- NOZZLE SPRAY PATTERN a Does s ra cover the entire surFace area of inedia? Y N v� N ; If not, clean each nozzle with a bottle brush ► Does the s ra now cover the entire surface area? Y / N N If not then: � 1 remove nozzles and soak in a bleach solution �. 2 manuall en a e both dasin um s for two minutes 3 re lace nozzles Does the s ra now cover the entire surface area? Y N Y N ;,,, If not, consult A uaPoint, Inc. .r PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from control aneL DOSIft PUrtI 1: . min on: Q min off:d- min on: min off: Dosin Pum 2: min on: �pmin off: min on: min off• R8C cle PufTl : min on: � tus�off: min on:g��ff: ,�„ In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am ra e of dosin um 1: ;. 5. amps 3, amps ,�, b Am era e of dosin um 2: amps amps c m era e of rec cle um : amps .�- amPs , Are dosin um s altematin ? 6 N 7 N Are the timers o eratin ro eri ? i N N Visuall ins ect rela s for wear and record roblems below. " If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above ,_ and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump t otc? Y / N PUmp 1 OK? Y / N desi nated rest c de is occurrin . Pump 2 OK? Y / N Pump Z OK7 Y / N OK? Y / N OK? Y I N �If pumps or control components are not operating properiy, record • below And consult A uaPoint, Inc. � RESET TIMERS TO ABOVE SEf�'INGS: Note an chan es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, Inc. min on: min off: min on: min off: ` PLUMBING a Are the unions in the Bioclere leakin ? Y / N Y / N ` If es, then ti hten with i e wrench FINAL CHECK. '" a Main ower"on" and set to le for all um s to "normal" osition. v / N ' / N b Alarm to le set to the"ON" osition. N N c Lock control anel, Biociere cover and fan box. � d if ossible, record the water meter readin : �. REPORT SUMMARY: � / cS �' / �T /N �. o rv �a- / " r �in� - �na /'o �, L ' - s �� - s a _ . v �a y� SIGNATURE: D:IFORMSCurrentlTech ervices-Wartewa� ioclereFieldReport.doc r. c1z� /�y L. Massachusetts Department of Environmental Protection � Bureau of Resource Protection -Title 5 i. DEP Approved Inspection and 08M Form for Title 5 I/A Treatment and Disposal Systems � r I/A System inspectian rewRs must be submitted on ihis DEP tomt � A. Facility �. Shaws Supermarkets,bc. Owner LRoute 28 1106 Faciliry Street Prldress South Yarmouth 02664- � City/Town Zip Mailing address of owner,if differenl � P.O.Box 600 LStreet Pddress/PO Box East Bridgewater MA 02379 L CiryfTown State Zip 508313-4663 Telephone Number � I L B. Authorized Service Provider ' Coastal Engineering Co.,hc. �.. O&M Firtn 260 Cranberty Highway ` SVeet Pddress ` Orleans MA 02653 CitylTown State Zip ` 50&255-6511 � Telephone Number LCertfied Operator Name:Brian Gereghty CeAifcation Number.3482 L C. Facility/System Information DEP ID W033722 Manutacturefs Name&ID Model Name&Number Ins[allation Date 6/3/2005 Start W Ope�ation:6/3/2005 �,,, Approval Type: � General � Provisional '=� Piloting � Remedial Seasonal Residence-used less ihan 6 mo.lyear. � Yes � No D. Operating Information i �„ Inspection Date Previous Inspection Date 2/26I2074 . 27192014 `� Sludge Depth(to be checked yeaAy) Pumping Recommended7 � Yes �-' No 24 EfFluent Descnption: � Clear,light yellow wlor,no solids,no odor. r ' � E. Field Testing Field Inspection: ,,,, coior. ❑ �ay � brown � Clear � turbid c Other(specify): light yellow odor. U mus[y � earthy � moldy � offensive �` turbid " EHluenlSolids � no �' some PH NA SU p� NA mf�I- Turbidity NA NTCI ` 6 m 9 2 or gtamr 40 or less Should a Remedial or Generel Use system fail the Fietd Testing,effluen[samples shall be collectetl per Siandard Methods and analyred for BOD and TSS. F. Sampling Information IT sampling information was completed,see attached sampling report. "' Samples Taken � Influent � Effluent Parameters Sampled � pH � BOD � TSS C TN C Other(lisi below) r Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performetl since previous inspection&during this inspection: � Conducted 08M.Checked pumps and controls.Cleaned the sprey noaJes and fan bo�res.Serviced the sodium bicarbonate system.Checked the operation of[he E�,aeretion and anoxc systems.The system is operating properly. r Notes and Comments: - The system is opereting properly. H. Certification I certify: I have inspecled the sewage treatmeM and disposal system at the address above,have completed "" this report arxJ the attached technology operation and mainienance checWist, and the irdormation reported is true,accurate,and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature ��'�� G 6 Z� /�� oace System owner rtust submit this report,technobgy 0&M checklist,and any required sampling resutts to ,_, the bcal board of heatth and DEP as follows for each inspection pertormed: Remedial Use-by Piloting Use-within 30 Provisional Use-by Generel use-by January 31 st of each days of inspection date March 31st of each September 30th of each yearforthe previous calendaryearforthe yearforthe previous 12 � calendar year previous year moMhs �� Department of Ernironmental Protection , ' Address for DEP co Attention: Title 5 Permitting Program One W inler � PY' Street,6th Fbor Boston,MA 02108 .� _ . .. � F- 3/� r L COASTAC ENGINEEF2ING CO., 1NC. 260 CRANBEFtRY HlGHWAY � ORLEANS'MA 02653 TEL. 508 255-&511 FAX. 508 2b5-&78d � BIOCLERE FIELD REPORT ... Pro'ect No.: u1 X Cd �UZ,I Date: � c51�6 ! Time: Q: � �nstallation: sampted: ' � Service: oned: Client: S �'K *- Address: d �y rW otner. cnedn . ins ector: B2t #'� f Siociere Modei Number s !� t -c�'O �- - ; 1 Odor around site? Y/ N Source of odor? 1- Check ail thai a ( : Mild: Medium: Septic: Musty: 2 Field Testin : aanry,coior,soiids,odor,tests l.. GI l t,lo �i�bs - O�o 3 a Measure slud e in rima tanks and rease tra s as re uired: L b Slud s de th in rima t8�tk: Scum depth`. C.�A Studge depfh� _ c Does rease tra need um in ? Y � ^� [1 cS' �c.. a G o2 rl d ur�er a u ��s i.. $l4CLERE VENTS a Is air assin throu h the vent? N v i N If in daubf uf a smaii (astic ba around vent and a31aw to fi31. �.. b Is the fan o eratin and in ood condition? v / N / N � GENERAL �. a An external dama e to the unit s ? If Yes, rovide details on hack. v i N Y i b Are cover, fan box and contrbi anet securel bcked? N ! N � c An fslter flies in ihe unit? Y N sw!many v fewi many Location of flies: d Locks!Iatches/handles. OK? Y t� � N i e Lid asket QK? Y N N {,,, Does the fan box contain standin water? Y � Y i if Yes, fhen remove water and clean drain holes if necessa . �r,,, BIOMASS CHARACTERIZATION a Colorofbiamass? 1)white 2jwhite/gray 3)gray 4�grayPorown S�brown 6)redlbrown 7)black � / 8 other ��' y b Thickness af biomass 8-12 inches belaw media surface. 1 li ht 2 medium 3 hea d r NQZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y / N N L If nat, clean each nauie wi#h a bottte brush Does the s rs now cover the entire surface area? Y N Y N � If not then: � 1 remove nazzles and s ak in a bleach salution ` 2 manuafl en a e both dosin um s far iwo minutes 3 re lace nozzies i Qoes the s ra now caver the entire surface area? Y N 1 � �' If not, consult A uaPoint, Inc. .. PUMPS AND CONTROL PANEL .� a Record dosin and rec cle um timer settin s from control anel. — Dosin Pufn 1: . min on: / min off:d rnin on:(p min otf• Dosin Pu11t 2: min on: (�rnin off: min an:/Q min otf: Rec cle PuRI : min o • � tysrofL• min on: l F�6ff: .- � �� 6 In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;, , amPs ,3. 5' amps .� b Am era e of dosin um 2: - amPs amps c m era e of rec cle um : amps amps Are dosin um s altematin ? Y 'N / N Are the timers o eratin ro erl ? Y 1 N i N Visuall ins ect rela s for wear and record roblems below. r " If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not availabie set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check thai um s are o eratin , altematin and the Pump 1 OK? Y / N PLmp 1 OK? Y / N deSl �eted f2St C CI0 IS OCCU�flfl . Pump 2 OK? Y / N Pump 2 OK? Y I N ,� OK? Y / N OK7 Y / N "If pumps or control components are not operating properly, record • below � And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SEfTINGS: Note an chan es here: min on: min off: min on: min off: *Do not chan e timers without consultin A uaPoint, Inc, min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y N Y � If es, then ti Mten with i e wrench FINAL CHECK. a Main ower"on" and set to le for all um s to 'normal" osition. N / N b Alami to le set to ttie"ON" osition. v N Y N c Lock control anel Bioclere cover and fan box. d if ossible, record the water meter readin : / d O / ` REPORT SUMMARY: — t " m o tdr32lC�rz l— �v,r - o ,� — C � — -F� — — 5 2 nvltrt r 0 c.-c� 2 t �l — " �S u' 2 i'l rb � C' � — x c � �'vn � — — ' .� � ! o C S SIGNATURE: '— d • d ` D:IFORMSCurrentlTech ervices-War[ewnterl8io lereFieldReport.doc r � ' ' - � i � L � , �. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 � DEP Approved Inspection and 08M Form for Title 5 I/A � Treatment and Disposal Systems � I/A Syskm inspectlon resulls must be submilletl an ihis DEP form A. Facility � Shaws Supermarkets,Inc. Owner { Route 28 1106 f � FaciliryStreetAddress South Yamauth 02664- I L CityRown Zip Mailing address of owner,if differen� P.O.Box 600 � StreetAddress/POBax East Bnd9ewater MA 02379 � Ciryffown State Zip - ` 508313-4663 Telephone Number � t- B. Authorized Service Provider Coastal Engineenng Co.,hc. L08M Firm 260 Cranberty Highway � - StreetAddress . LOrteans MA 02653 City/Town Sfate Zip j 508-255-6511 �� Telephone Number i Cert�ed Operator Name:Brian Geraghry Certifcation Number.3482 L C. FacilitylSystem Information ' DEP ID •" W033722 ManWacturer's Name 8 ID Model Name&Number Installation Date 6/3l2005 StaA ot Operation:6/3/2005 ` Approval Type: C General � Provisional � PiloUng � Remadial Seasonal Residence-used less ihan 6 mo./year. � Ves � No � D. Operating Information � Inspection Date Previous Inspec[ion Date L �sizo,a vzsno,a Sludge Depth(to be checked yearly) Pumping Rewmmendetl? � Yes C No � I 6 1.. Effluent Description: Clear,light yellow wlor,no otlor,no solitls. G � .. E. Field Testing Field Inspectian: - � coioc ❑ �ay � brown � Clear � turbid "' Other(specify): light yellow odor: ❑ musty �' earthy �moldy � offensive � turbid ,�, Effluent Solids: � no C some NA SU w+ mp�L NA NTU pH DO Turbidiry b m 9 2 or greater 40 or less �,,, Shoultl a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. � � F. Sampling Information if sampling informa[ion was completed,see attached sampling report. �� Samples Taken � Influent � Effluenf Paremeters Sampled = pH 6 BOD � TSS � TN � Other(list below)� Other 1 Other 2 Other 3 G. Inspection and Maintenance Descripiion of any mainfenance perfortned since previous inspec[ion 8 during this inspeclion: L Conducted O&M.CheckeO pumps and contmis.Cleaned the sprey nonJes antl fan bozes.Checketl the condition of the septic tank.The sepFic tanks were pumped 2/27/14.Checked the operation of the EQ,aeretion and anoxic sysiems.The system is opereting propedy. Notes and Comrtients: ... - The septic tanks were pumped 2/27/14.The system is operating propedy. � H. Certification I certify: I have irupected the sewage ireatment and dsposal system at the address above, have completed .., � this report and the attached technobgy operation and maintenance checklist,and the irdormation reported is true,accurate,and cortplete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. OperatorSignature ��_� � �0`��ly oate ` System owrier must submit this report,technology 08M checklist,and any required sampling resutts to the bcat board of heatth and DEP as follows for each inspection performed: �- Remedial Use-by Ploting Use-within 30 Provisional Use-by General use-by January 31 st of each days of irepection date March 31 st oT each September 30th of each year for the previous calendar year for the year for the previous 12 ` calendar year previous year moMhs Department of Ernironmental Protection � Address for DEP copy: Attention: Title 5 Permitting Program One WiMer y Street,6th Floor Boston, MA 02108 ... � `. � 'GOASTAL ENGtNEERING GO., IMC. 26p CRANBEF2RY HIGHWAY ORLEANS MA 02853 �„ TE�. 508 255-6511 FAX. 508 255-87Q0 BiOCI.ERE FtELD F2EPORT �� Pra'ect No.: {ti1 . Date: .3 5 Time: /� M Installation: Sampled: Client: {S M K Service: Cammissioned: � Address: �QJ 4ther: Schedu � i Ins ectae. k'/ '7� �:s �— � Bioclere Model Number s — a. !-d - 3 Odor around site7 Y N' Source oi ador? � Check all that a I : Mild: Medium: i Septic: Musry: L 2 �183d T2St1() : Uad ,calar,salids,fldar,tests C-��'2 Lf, �'l chcJ Kl0 So iF�S iV c9 d c�a'Z_ 3 a Measure s(ud e in rima tanks and reas�e tra s as re uired: � b Siud e de th in �ima ta�k: Scum aeptn: ��r stuags ae�tn: b a c Does rease tra need um in ? Y � ur�is� uNiT a � BIOCLERE VENTS ` a Is air assin ffirou h tfie vent? v N Y N if in doubt ut a smali lastic ba sround vent and allow ta fill. � b Is the fan o eratin and in ood condition? v i N i N � GENERAL a An extemal dama e to the unit s ? If Yes, rovide dekails on back. v i N Y I b Are cover, fan box and contrbl anet securel Iocked? N t N c An filter flies in the unit? Y! N w/many Y/ ew�many � Location of flies: " d LackSi latcheSl handleS. t}K? Y N Y N e �id asket OK? � N � LDoes fhe fan box contain standin "water? Y Y i if Yes, ttien remove water and cfean drain holes if necessa . � BIOMASS CHARACTERIZA7(ON a Colar af biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black s � 8 ther b Thickness of biomass 6-12 inches below media surface. 1 Ii ht 2 medium 3 hea /, S -- NOZZLE SPRAY PATTERN a Does s ra cover the entire surFace area af inedia? Y N L if not, ctean each nazzle with a boifEe brush Does the s ra now cover the entire surface area? Y / N N ' If not tfien: ; 1 remove �ozzles and s ak in a t�feach sofution L.. 2 manuali en a e both dosin um s for iwo minutes 3 re (ace nozzles Does the s ra now cover the entire surface area? Y t ra v u ;., tf not, consult A uaPoint, Inc. _r PUMPS AND CONTROLPANEL a Record dosin and rec cle um timer settin s from control anel. Dosin Pum 1: , min on:/ min off� min on:(p min off�l DOsin Pum 2: min on:/p miri oft• min on:(pmin off• ReC cle Pum : min on• off: min on: i Jars off: � l7� �F9�+"1 In Bioclere control anel set dosin and rec cie timers to a test c cle: a Am era e of dosin um 1: i, amPs 3. amps b Am era e of dosin um 2: � amps , (� amps c Am era e of rec cle um : •0 amps amps Are dosin um s aftematin ? " y N N r. Are the timers o eratin ro erl ? � N Y / N �suall ins ect rela s for wear and record roblems below. � ` If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above ,. and at the Biociere check the um s' o eration as foliows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y / N PLmp 1 OK? Y / N desi nated rest c cle is occurrin . Pump 2 oK? Y / N Pump 2 OK? Y / N � OK? Y / N OK? Y / N 'if pumps or control components are not operating properly, record • below And consult A uaPoint, Inc. — RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: �Do not chan e timers without consultin A uaPoint, Inc, min on: min off: min on: min or�: PLUMBING a Are the unions in the Bioclere leakin ? Y I N v � If es, then ti hten with i e wrench FINAL CHECK a Main ower"on" and set to le for all um s to `normal" osition. N i N b:PJartn to le set to the °ON" osition. Y N / N c Lock control anel, Bioclere cover and fan box. d if ossible, record the water meter readin : �a 6 O 7 � REPORT SUMMARY: �F S 5 , l.J c��+'1 d- d / 4 O S (.J �` V E� �(O O ` - /h r�c C/- J n�/ !}C J v) 6�I /'p " rl O X I G S �c �G � I � � (.J +��C/ � / � Y- . J r✓1 d ,e- ✓l!'I lvl 0 �- o n i 2 n .� w ` s h ro SIGNATURE: — � -� S �� D:IFORMSCurrentlTechServicer-WastewaterlBe clere Fiefd Report.doc r ,SI � Li� �r i '. � Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 L DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems LI/A Syskm inspection resutts must be submitletl on ihi5 DEP form j A. Facility L' Shaws Supertnarkets,Inc. Owner � Raute 28 1106 L Facility Street Fddress South Yarrtwuth 02664- LciTy/Town zip . Mailing address of owner,if different P.O.Box 600 � ` StreetAddress/POBoz East Bridgewater MA 02379 �� City/Town State Zip L 508313-4663 Telephone Number ( ` B. Authorized Service Provider � Coaffial Engineering Co.,Inc. y,,, 08M Firm 260 Cranberty Highway - � Street Mdress L. Orleans �V+ 02fi53 City/Town State Zip � 50&255-6511 L Telephone Number � Certfietl Operator Name:Brian Gereghty Cert"rficalion Number.3482 1.. ` C. Facility/System Information ` DEP ID W033722 Manufacturefs Name 81D Model Name&Number Installation Date 6/3l2005 Starl ot Operetion:6/32005 i ` Approval7ype: '-' General � Provisional C Piloting � Remedial Seasonal Residence-used less than 6 moJyear. � Yes � No ` D. Operating Information ` Inspection Date Previous hspection Da�e 3/12/2014 3/5/2014 'f Sludge Depth(to be checked yeady) Pumping Rewmmended7 � Yes C'' No { 6" r E1Fluent Description: ' Clear,IigM yellow wbr,no solids,no odor. � f.. E. Fieid Testing Field Inspectian: Coior: ❑ �ay C brown � Clear � turbid � Other(specify): light yellow Odor. ❑ musty � earthy � moldy � offensive G turbid � EfFluent Solids: '"�— no � some PH NA SU D0 NA mg/L' Turbitlity NA NTU 6 m 9 2 or geater 40 or]ess .�. Shoultl a Remedial or Generel Use system fail the Pield Testing,effluent samples shall be collected per Slandard Me[hods and analyzetl for BOD and TSS. r F. Sampling Information If sampling i�formation was completed,see attachetl sampling report. ,,,y Samples Taken � InFluent � EfFluent Parameters Sampletl � pH =-' BOD � TSS � TN �' Other(list below) . Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance pertorcnetl since previous inspection&during this inspection: � Conducted 08M.Checked ihe pumps and controls.Cleaned Ihe spray no�es and fan boxes.Field tested the efFluent. Checked lhe opera[ion of the aeration system.Inspec[ed the influent pump station.Made up sodium bicarbonate solution.The tanks are filling following pumping.The system is opereting properly. Notes and Comments: � The tanks are filling following pumping.The system is operating properly. H. Certification I certiTy: I have inspected the sewage treatment and disposal system at the address above,have completed — this report and the attached techrrobgy operation and maintenance checklist, and the irdormation reported is true,accurate, and cortplete as of the time of the inspedion.I am a�Massachuseris certified operator in accordance with 257 CMR 2.00. Operator Signature 'J ' , I -�1✓��— 3��l� oate System owner rtust submit this report,technoiogy O&M checklist,and any required samplirg results to the local board of heatth and DEP as folbws for each inspection performed: `� Remedial Use-by Piloting Use-within 30 Provisional Use-by General use-by January 31 st of each days of inspection date March 31 st of each September 30th of each year for the previous calendar year for the year for the previous 12 ,,,, calendar year previous year morrths . Department of Environmental Protection Address far DEP copy: Attention: Title 5 Permitting Program One W inter � Street,6th Floor Boston,MA 02108 .. .� r �. ' COASTAL ENGINEERING GO., INC. r J (� �I 260 GRANBERRY HIGHWAY ( ORLEAN$, MA 02653 �- TEL. 508 255-6511 FAX. 508 255-6700 : BIOCLERE FIELD REPORT � �- Pro'ect No.: yK}o Date: �((d 1 Time: 'pp� InstailaGon: Sampled: � Client: SF}qr,�.�'S �`�R-d� '^ Service: Commissioned: �- Address: � 8 �' /� Other. c duled IIns ector: � �� j .. Bioclere Model Number s - ! 1 Odor around site? Y N Source of odor? L Check ail that a I : Mild: Medium: Septic: Musty: L2 F12�d T2Stlf7 : Garity,color,solids,odor,tests Gl.JtQ Lt. El o uJ �a So ��S No 0 00 2 3 a Measure slud e in rima tanks and rease tra s as re uired: dm> T,f,, b Slud e de th in rima tank: t- "�curn < 6 `� ,S�u Scum depth: �'° Sludge depth:Cb� L c Does rease tra need um in ? Y I LUNIT 1 UNIT 2 BIOCLERE VENTS a Is air assin throu h the vent? Y N / N If in doubt ut a small lastic ba around vent and allow to fill. i b Is the fan o eratin and in ood condition? V N / N � GENERAL L a An external dama e to the unit s ? If Yes, rovide detaiis on back. / �i Y N b Are cover, fan box and contrbl anel securel locked? Y / N � c An filter flies in the unit? v I N wi many fewi many ;. Location of flies: d Locks/latches/ handles. OK? i N i N � e Lid asket OK? i N Y N �„ Does the fan box contain standin water? v v � If Yes, then remove water and clean drain holes if necessa . �, BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black � � ' 8 other ` b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea /, ` NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y i N N f If not, clean each nozzle with a bottle brush ` Does the s ra now cover the entire surface area? rv 1 N ` ' If not then: ` 1 remove nozzles and s ak in a bleach solution 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles ! Does the s ra now cover the entire surface area? Y N v N � If not, consult A uaPoint, Inc. PUMPS AND CONTROL PANEL l �! � a Record dosin and rec cle um timer settin s from control anel. - Dosin Pum 1: . min on:�p min off: min on:(p min off: DOSi� Pum 2: min on:/Q mIn oTf: min on:/�j min off: i Rec cle Pum : min on:3 off: min on: off: - � In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ,. amPs 3 .3 amps '_ b Am era e of dosin um 2: � amps S, amps c m era e of rec cle um : c,�F amps p.p amps i =r Are dosin um s altematin ? Y /,N Y N L Are the timers o eratin ro erl Y I N i N Visuall ins ect rela s for wear and record roblems below. * If s are com onents are needed contact A uaPoint, Inc. Ir If an ammeter is not available set ihe timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OKT Y / N Pamp t oK7 Y � N desi nated rest c cle is occurrin . Pump z oK? Y I N Pump 2 OK? Y / N OK? Y / N OK? Y / N *If pumps or controi components are not operating properly, record • below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SEITINGS: Note an chan es here: min on: min off: min on: min off: ' "Do not chan e timers without consultin A uaPoint, inc. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y- N Y / If es, then ti hten with i wrench FINAL CHECK. a Main ower"on' and set to le for all um s to "normal" osition. i N I N b PJarm to le set to the "ON' osition. � N c Lock control anel Bioclere cover and fan box. d if ossible, record the water meter readin : � p p REPORT SUMMARY: — f ocJ 15 0�•7 r T — io�' �F� Gh ( G Oa /'� c �m = F/9�? �DTtf 2Jvl�'i��1 ' �p --� �E1L/472�iz � �rGL — A�E ic . 50 l �Z ' ,�i � T_ — € —FIUF �m � c�0 K[ — �07 /v c�t t � ^ti o �cc{� rc+ 5�"'✓1 [/�l�'t�rl r La' f f✓1 r .�C fYG l� r � ( SIGNATURE: . (� � �d, � D:IFORMSCurrenllTechServicer- nsten,ater iocTereFiefdReporedoc � r � COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY � ORLEANS, MA 02653 '- TEL. 508 255-6511 FAX. 508 255-6700 � FIELD SERVICE CALL REPORT �- Date: 3 0 ! Pro'ect No.: � 4 Client: S ' /� Time: Address: � f. o��j rvlesv � z Ins ector. �2/ ' � � 1 Odor around site? N Source of odor? � L == Field testin conducted durin visit. Y/ - L Chemicals dro ed off or added to s stem Y LIf YES, e and amount of chemicals. LT e of I /A S st m BIOCLERE FAST RSF OTHER ` If OTHER e: L REASON FOR SITE VISIT/ REPORT SUMMARY — / L � 3_ a` a 5�- 5' �-`� - EeJ Lfcc, le�rt_ ✓�o haw r —.s pFl= A'L ►Z/z-2 C/e LJ G Y' r� L - ��- ,� � , - ----- -___- - - -- _ _ _. --__ ----- -_ � _- -- - _ _-- - - - __- - _- , - - �, :,. , .. � � SIGNATURE: ; E:ICSimmons�eldservicerepon.doc D:IDOCIDepartment_Technical_ServiceslFormslAbbrevFieldServiceReport.doc �.. COASTAL ENGINEERING CO., WC. 260 CRANBERRY HIGHWAY '� ORLEANS, MA 02653 TEL. 508 255-6511 FAX. 508 255-6700 FIELD SERVICE CALL REPORT Date: � Pro�ect No.: V 3 "07 Client: ;, ;,.�� 1� a.� Time: ` Address: ,�,�, ins ector. S- M�C:, ; 1 Odor around site? Y/ Source of odor? r. Field testin conducted durin visit. Y N " Chemicals dro ed off or added to s ste Y/N " If YES, t e and amount of chemicals. c� �;� � T e of I /A S stem BIOCLERE FAST RSF OTHER If OTHER t e: REASON FOR SITE VISiT/ REPORT SUMMARY � Q - Y S� 7 tiS � 1 '- �'�� - � fi0 'Jas'�i�s Pa Y �t %,c� . f4{�r_��:.�;1.- ��D � . < < r� as o ,��a.; � f� a:� a-v�, _ .. r i ' `r r � SIGNATURE: E:ICSimmonslfieldservicerepon. oc D:IDOCIDepartmenl_Technica/ ServiceslFornulAbbrevFieldServiceReport.doc r ,> >uvb v"� � . ' V Massachusetts Department of Environmental Protection i Bureau of Resource Protection -Title 5 �. DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems � �,. I/A Sys�m inspection results must be submitted on Ihis DEP tomt � A. Facility �" Shaws Supermarkets,Inc � Owner LRoute 28 1106 Facility Street Pridress South Yarmouth 02664- � Ciry/Town Zip Mailing address of owner,'rfdifferent P.O.Box 600 ( ` S[reet Address/PO Baz East Brid9ewater MA 02379 � City/Town State Zip V. 50&313-4663 Telephone Number I `� B. Authorized Service Provider � Coastal Engineering Co.,Inc. V O&M Firm 260 Cranberry Highway � Stree[Address � Odeans - MA 02653 CitylTown Slate Zip ! 508-25565'11 L Telephone Number LCert'rfied Operetor Name:Brian Gereghty Ce�wtion Number.3482 , C. Facility/System Information ", DEP ID W033722 Manufacturers Name 81D Model Name 8 Number Nstallation Date 6/3/2005 Start M Ope2tion:6/3/2005 � Approval Type: �� General e Provisionai =' PiloGng � Remedial . Seasonal Residence-used less Nan 6 rtaJyear. � Yes � No D. Operating Information ` hspeciion Date Previous Inspection Date 3/26/2014 3/19/2014 � Sludge Depth(to be checked yearly) Pumping Recommended? � Yes � No � 6" EfFluen[Deunption: Clear,light yellow color,no solids,no otlor,pH 7.41. i r E. Field Testing Field Inspection: ` coior. ❑ $ay �brown � Clear � turbid "; Other(specify): light yellow . , odor: ❑ musty � earthy o moldy � offensive c turbid � Effluent Solids: � no �-' some � �.a� SU ru� m�/L w+ N'IU pH DO Turbidity 6 m 9 2 or geater 40 or less � Should a Remedial or Generol Use system fail the Field Testing,effluent samples shall be collecteO per Standard Methotls and analyzetl for BOD and TSS. r F. Sampling Information If sampling information was compieted,see attached sampling report. � SamplesTaken � Influent � EHluent Parameters Sampled �-' pH � BOD ^ TSS n TN C Oiher(list below) Other 1 Other 2 O[her 3 � - G. Inspection and Maintenance Description of any mainienance performe0 since previous inspection&tluring this inspection: ... Conducted 08M.Checked pumps and controls.The flow level is not woficing properly.Bioclere#1 dosing pumps trippetl-will be pulled and serviced.Cleaned the spray nomes and fan boxes.Checketl the condi[ion oi the septic tank.Checked ihe anoxic system.Made up sotlium bicarbonate solu[ion for process control. Notes and Comments: ` The flow level is not working properly.Bioclere#1 dosing pumps Vipped-will be pulletl and serviced. H. Certification I certify: I have inspected the sewage treatmeM and dsposal system at the address above, have completed � this report and the attached technobgy operation and mairdenance checWist, and the irdormation reported is true,accurate,and cortplete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature -�� 31Z�/�� ate System owner must subrrvt this report,technobgy O&M checWist,and any required sampling resuRs to the local board of heatth and DEP as follows for each irspection performed: � Remedial Use-by Piloting Use-within 30 Provisional Use-by General use-by January 31 st of each days of inspection date March 31 st of each September 30th of each yearforthe previous calendaryearforthe yearforthe previous 12 �- calendar year previous year morrths Department of ErrvironmeMal Protection . . Address for DEP copy: AtteMion: Title 5 Permittirg Program One WiMer r„ Street,6th Floor Boston, MA 02108 r� �� I � �. F - /y �r �. COASTAL ENGINEERING CO., INC. 260 GRANBERRY HIGHWAY LORLEANS, MA 02653 TEL. 508 255-6511 FAX. 508 255-6700 � BIOCLERE FIELD REPORT �- Pro'ect No.: /-}-Od . Date: 3 �b I Time: ,61: S Installation: Sampled: � Client � S /�Lfr2KFif� Service: Commissioned: i.. Address: •d �'Dd-f'y iQ-2rr1oJ'�f/ Other. Scheduied . Ins ector. h � �. Bioclere Model Number s �- - a _ i 1 Odor around site? Y N Source of odor? �. Check all that a I : Mild: Medium: tNF - -Oa. EFf - Septic: Musty: i 2 F181d TeStlfl : Gariry,m�or,solids,odor,tests , .. eIF�I-2 0l o�.J �o o,e o sr7 rQs Na � 3 a Measure lud e in rima tanks and rease tra s as re uired: L b Slud e de th in rima tank: scum deptn:/�3 � Sludge depth: 6 c Does rease tra need um in ? Y � UNIT 1 UNIT 2 ,�, BIOCLERE VENTS a Is air assin throu h the vent? v N Y tv � If in doubt ut a small lastic ba around vent and allow to fill. � b Is the fan o eratin and in ood condition? Y N v / N , GENERAL � a An extemal dama e to the unit s ? If Yes, rovide details on back. Y N Y I ` b Are cover, fan box and control anel securel locked? / N i N L c An filter flies in the unit? Y/ N fewi many v 1 ewl many Location of fties: d Locks/latches/handles. OK? v N / N � e Lid asket OK? N i N Does the fan box contain standin water? . v I v I If Yes, then remove water and clean drain holes if necessa . �, BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black � 8 other — b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea � ` NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y � N Y N LIf not, clean each noule with a bottle brush Does the s ra now cover the entire surtace area? Y / N ' If not then: L1 remove nozzles and s ak in a bleach solution 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles � Does the s ra now cover the entire surface area? Y N Y N � If not, consult A uaPoint, Inc. PUMPS AND CONTROL PANEL � � a Record dosin and rec cle um timer settin s from control anel. �- DOSIf1 PUrtI 1: . min on:/�min off�T- min on:(v min off• DOsin Pum 2: min on:(p miri ofFg- min on:(p min off: Rec cle Puri1 : min on• FjrsofL• min on: h � �nl In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: �r i,d • amps 3 .� amps �. b Am era e of dosin um 2: - fR /q. / amps ,s amps c Am era e of rec cle um : amps amPs , Are dosin um s altematin ? Y I N ' I N .. Are the timers o eratin ro erl I N i N Visuall ins ect rela s for wear and record roblems below. * If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above _ and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump t OK? Y / N PLmp 1 OK? Y / N desi nated rest c cle is occurrin . Pump z oK7 Y I N Pump 2 oK7 Y i N _ OK? Y / N OK? Y ! N *If pumps or control components are not operating properly, record � below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: •Do not chan e timers without consultin A uaPoint, IfIC. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y / N v i If es, then ti hten with i wrench FINAL CHECK. — a Main ower"on" and set to le for all um s to 'normal" osition. � N N b Alarm to le seE to the "ON' osition. v / Y I N c Lock control anel, Bioclere cover and fan box. — d if ossible, record the water meter readin : 3 p I 1 REPORT SUMMARY: —<<'1 �i��/11- v" o /r� ' '�c • � /CJt.� �cJ �'] C:lZ �p � � � , -� - d?'l - _ �� - i � — � n - l e � ro C(�.-c. � ' �. — • c c✓ Sa !H- n-� � — S � � oo I c p G S 2 ��j " �O �s SIGNATURE: �3(n �,�J ►- D:IFORMS CurrentlTechServices-Wastewaterl8ioclerie Field Report.doc r ' . s, 9„y � � Massachusetts Department of Environmental Protection { Bureau of Resource Protection - Title 5 �. DEP Approved Inspection and O&M Form for Titie 5 I/A Treatment and Disposal Systems � I!A Sys�m inspecUon resulls must be wbmi7tetl on ihis DEP form V A. Facility L Shaws Supertnarkets,Inc. Owner LRoute 28 11 D6 Facility Street Pddress SoufhYarrtauth 02664- � LCitylTown Zip Mailing atldress of owner,if tlifferent - P.O.Bax 600 � � Stree[Address/PO Box East Bridgewater MA 02379 ` Ciry/Town State Zip �.. 50&313-4663 Telephane Number � ` B. Authorized Service Provider ' - Coastal Engineenng Co.,Inc. i ` 08M Firm 260 Cranberry Highway ! Street Address ` Odeans MA 02653 CitylTown State 2ip L508-255-6511 Telephone Number - 4 Certfied Operator Name:Sean McCahill Certificalion Number.12499-R L , C. Pacility/System Information �y� DEP ID W033722 Manufacturer's Nama&ID Model Name&Number � Installation Date 6/3/2005 Start of Operetion:6/3/2005 " A�proval Type: � General � Provisional "� Piloting � Remedial Seasonal Residence-used less ihan 6 molyear. � Yes � Na ` D. Operating Information � Inspection Date Previous MspecGon Date a��sno�a a�ivzo�a { Sludge Depth(to be checked yeady) Pumping Recommentled? 0 Yes �'' No ' NA 1.. EtFluent Descnption: 7race cloudy,yellow-gray color,no visible solids,musty odor,pH 7.65,alkalinity 180,NH3 1.8,NO2 1.0,NO3 4.0. I � r E. Field Testing Fieltl Nspection: Coior: ❑ �ay C brown � Clear 0 turbid � Other(specify): yellow-gray Odor. 'L� musty � earthy n moldy � offensive � turbid r Effluen�Solids: � no C some PH 7.65 SU DO � m�j" Turbidity NA NTU � �� 6�0 9 2 or geetet 40 or less � Shoultl a Remedial or General Use system fail ihe Field Testing,effluent samptes shall 6e collectetl per Standard Mefhods and analys±d for BOD and TSS. � � F. Sampling Information If sampling information was completed,see attached sampling report .... Samples Taken � Influent � EHluent Pardmeters Sampled `� pH � BOD == TSS 6 TN C Other(lisl below) Other 1 Other 2 O[her 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection&dunng this inspection: r„ Conducfed O&M.Checked the pumps and rqntrols.Cleaned the fan boxes.Bioclere#1,dosing pump#2 is shu[down for service.Dosing pump#1 will pick-up ihe load.Field[ested the influent&effluent.Mi�2d up sodium bicarbonate solution. Recorded flows,tests and settings. � Notes and Comments: � Bioclere#i,dosing pump#2 is shut down for service.Dosing pump#i will pick up Ihe load. H. Certification I certiTy: I have inspected the sewage treatmerrt and dsposal system at the address above, have completed ^ this report and the attached technobgy operation and maiMenance checWist, and the i�formation reported is true,accurate, and complele as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. � OperatorSignature � C�� /9��y oate System owner must subrrtit this report,techrmbgy O&M checklist,and arry required sampling results to the local board of heatth and DEP as follows for each inspection performed: " Remedial Use-by Piloting Use-within 30 Provisional Use-by Generel use-by January 31st of each days of irspection date March 31st of each September 30th of each yearforthe previous � calendaryearforthe yearforthe previous 12 ... calendar year previous year moMhs DepartmeM of Environmerrial Protection � � Address for DEP copy: Attention: Title 5 Permittirg Program One Winter ' Street,6th Floor � Boston, MA 02108 .. �I 1�1 ' L: t f 4 � ' �OASTAL ENGINEERING Cd., INC. ' 260 C�2ANBERRY NfGNWAY ORLEANS, MA 02fi53 TEL. (50$) 255-6611 FRX. (508) 255-67QQ _ BIOCLERE FIELD REPOR7 ` Pro�ectNo.: - G2 D8t2: ' Tim@: Instaitafian_ Tested: Cllent: �,, t - �1ar�ow�4 Service: Comrnissioned: , AddreSs: � Other: Scheduled 08M:p( 1115 BCtOf. C t�..�� E3iociere Model iVumber(s) � 1 Odor around site? Y 1 Source of odor? Check a(i that apply: r��id: Medium: Strong: Musty: Se tic: 2} Taks inftuentleffluent samples as required. ;"�,��. � , .� E�{' ?. S � r -��ut �u ,�is�st� s� �l _ ,�� . �o , r � u 3 a Measure slud e in rima tanks and rease tra s as re uire : b S(ud e de th in rima fank: �t,.� „;. Scum depth: Siudge depth: � c Does rease tra need um in ? " Y / � �Y UNi71� UNiT 2 � BIOCLERE VENTS a Is air assin throu h the venf? N Y / N !(in dpubt ut a smalf lastic ba around vent and altow ta filt. � b) Is the fan operatin and in ood condifian? N v / K ' �ENERA� ' a An external dama e to the unit s ? If Yes, rovide details on back. v ! N Y i N b Are cover, fan box and control anei securel Iocked? j N Y / t� c)Any filEer flies in the vnit? �;,� �,,��-�� (�� Y t N sewt many v t � tewt many � Location of flies: d Lackst Iatches/handtes. OK? v ! N Y / rv � e} l.id gasket OK? y t � �' 1 M � Does the fan bax cantain standir waier? ��' � � Y /U (i Yes, ifien remave wa#er and clean drain hales if necessa . fi IOMASS CHARACTERiZATIQN a Cotar of biomass? i)white 2lwhitelgray 3)gray 4)graylbrown 5)brown 6}redlbtawn 7)black 3 other b Thlckness afi biamass 6-12 inches betow media surface. 1 li ht 2 medium 3 hea NOZZ�E SPRAY PATTERN a Does s ra cover the entire surfece area of inedia? Y I N / N � tf not, ctean each nozzie with a bottle brush ~ 4d�1(n � ;bl< Does the s ra now caver the entire sur�ace area? y J r� Y t N If not then: 1 remove nozz(es and soak in a bteach salutian 2 manuall en a e bath dosin um s for two minutes 3 re lace nozzles Doas the spray now cover the snfire surface area? Y � � Y 1 t� - If no_t, consult AWT Environmental, Inc. i , - � �. PUMPS AND CONTROLPANEL a Record dosin and rec cle um timer settin s from conirol anel. DOSIiI PU�TI 1: min on: rp min oH:Q min on: (a min oft:2 �OSIII PUf)1 2: min on: b min off:2 min on:�o min ofl:,� , c� Rec cle Pum : min on:,Z�thrs off: min on: hrs ott: �„ � � In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era eofdosin um 1: S,r� amps amPs ' T b Am era e of dosin um 2: .� G � amps 6�d amps r � c Am era e of rec cle um : g, amps �o, 6 amPs � � Are dosin um s altematin ? v � � � N � � � Are the timers o eratin ro erl ? / N � N 3 Visuali ins ect rela s for wear and record robiems below. ' If s are com onents are needed contact AWT i , !f an ammeter is not availabie,set the timers to a test cycle as above ,� and at the Bioclere check the um s's o eration as foliows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N Pump 1 OK? v i N desi nated rest c cle is accurrin . Pump z oK? Y / N Pump 2 otc? Y i t� " OK? Y / N OK? V I N 'If pumps or control companents are not operating properly, record below And consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min oH: *Do not chan e timers without consulting AWT Environmental, Inc. min on: min ott: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y / � Y / N If es, then ti hten with i e wrench U d � FINAL CHECK a Main ower"on" and set to le for all um s to "normal" osition. i � N h Alarm to le set fo the-"ON" osition. Y i i � �, c Lock control anel, Bioctere cover and fan box. ,/ r/ d if ossible, record the water meter readin : L REPORT SUMMARY: �� C�n� � { G�o�.n c c�. Do I t \t � `J^ Y � O rn r1�� r T 4 iu .ne � � !KO W� tu�' � �. u Ll�< < ti t � '� Ni Tc� f � �i.� / �t 1 � R. + � i i� 'c - - s rt ✓h �. �r .�,, t i Rr �.d?� l. �c � ru.w{r;..t..r �� v r c'�' o oIc.,� t u � � w� < a CS `M:an 2 c[� iJ` V f � 3 zo —Ok �+ SIGNA UR : D:IFORMSCurrentTechSe Wastewa�erlBioclereFie/dRepart.doc � � � i I..i i 1 l"� ' � � V Massachusetts Department of Environmental Protection ; Bureau of Resource Protection -Titie 5 �, DEP Approved Inspection and 08M Form for Title 5 I/A Treatment and Disposal Systems f ` I/A Syskm inspec6on rewtts must be submitletl on Ihis DEP form. I{ A. Facility �. Shaws Supermarkets,Inc. Owner � Route 28 710fi V Faciliry Street Pddress South Yamwu[h 02664- LCity/Town Zip Mailing address of owner,if different P.O.Box 600 t S[reet Pddress/PO Box Y.. East Bridgewater MA 02379 I � City/Town State Zip ` 50&373-0663 Telephone Number t `' B. Authorized Service Provider Coastal Engineering Co.,Inc. . � 08M Firm L 260 C2nberry Highway � StreetAtldress L Orleans MA 02653 City/Town State Zip ( 50&255-6511 L Telephone Number � Certified Ope2tor Name:Brian Ge2ghty Cert�cation Numbac 3482 L � C. Facility/System Information � DEP ID ` W033722 Manufacturers Name&ID Model Name 8 Number - Installation Date 6/3/2005 Start ot Operation:W3/2005 � Approval Type: �r—' Generel � Provisional � Piloting e Remedial Seasonal Residence-used less than 6 mo./year. � Yes � No � D. Opereting Information � LInspection Dale Previous Inspedion Date 4/2/2014 3/26/2014 �- Sludge Deplh(to be checked yeaAy) Pumping Recommentled? � Yes E No 1 75' � ERluent Description: � Clear,light yellow color,no solids,no odor. 1 V r E. Field Testing Field Inspection: coior. ❑ �ay �brown o Clear �turbid �' O[her(specify): light yellow odor. ❑musty � earthy � moldy � offensive c mrbid r.. Effluent Solitls: � no C some NA SU NA pH DO m�i' Turbidity � N� , 6 w 9 2 or grea[er 00 or less r � Should a Remetlial or General Use system fail the Fieltl Testing,effluent samples shall be collected per Standard Methods antl analyzed for BOD and TSS. F. Sampling Information It sampling information was completed,see attached sampling report. ,,,, Samples Taken � Influent � Effluent Parameters Sampled �-�- pH � BOD � TSS � TN C Other(lis�below) . Yr Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any main[enance perfortned since previous inspec[ion 8 dunng this inspection: � Conducled O&M.Checked ihe pumps antl wntmis.Bioclere#1 dosing pumps not opereting.The influent flow meter is not working.Checked the effluent.Cleaned fhe sp2y no�es and tan boxes.Checked the condi6on of the septic tank.Checked the operetion of the anapc system.The efFluent pumps are operating properiy. Notes and Comments: -. Bioclere#1 dosing pumps not operetlng.The influent flow meter is not working. H. Certification I certify: I have irepected the sewage treatmerrt and disposal system at the address above, have completed — this report and the attached techrmbgy operation and mairdenance checWist,and the irdormation reported is true,accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature —�`'{�'i_.SJ„�� Y�Z /��( oate System owr�r must subrmt this report,techrmbgy O&M checWist,and any required samplirg resutts to the local board of heaRh and DEP as follows for each inspection performed: � "' Remedial Use-by Piloting Use-within 30 Provisionai Use-by General use-by � January 31 st of each days of inspection date March 31 st of each September 30th of each year for the previous calendar year for the year for the previo� 12 .,., calendar year previous year mordhs Departmerd of Ernironrnerdal Protection �� Address for DEP copy: Attention: Ttle 5 Permitting Program One Winter � Street,6th Floor Boston,MA 02108 r � 1.n 4(,, COASTAL ENGINEE121E�tG GO., INC. 260 CRANBEF2RY HIGliWAY � ORLEANS` MA 02653 L TE�.. 508 255-6511 FAX. 508 255-&700 i BIOCLERE FIELD REPORT � Pro'ect No.: Dat�: / Time: C�: �- Instailetion: Sampled: � Client: � 2,S 6^'�/-1'/2 3ervice: Commissioned: Addrsss: f� , �U t�I Ottrer. Sche i � Iiis 8Ct0� � � � �� Bioeiere Model Number s I-3c`> c3- 1 Odor around site? Y N Source of odor? �i�te � Check all that a ( : � • Medium: SepUc: Musty: � 2 Fieid Testin : Gari ,co�or,saias,odor,tests - ,� r��J o a o5 �a C> 3 a Measu e slud e m rima anks and rease tra s as re uired: b Sl�d e de th in rima tank: Scum aepth: J-3 Smdge deptn: � c Does rease tra need um in ? Y � �'�� UNIT1 UNIT2 L BIOCLERE VENTS a is air assin throu h the vent? v I N I N !f in doubt ut a smaii lastic ba around vent and a1low to fitl. 1 b Is the fan o eratin and in ood condition? Y / N N u GENERAL � a An ezternal dama e to the-unit s ? If Yes, rovide details on back. Y / b Are cover, fan box and contr8i anel securel tocked? Y N Y N c An filter flies in the unit? Y 1 ew!many Y t wt many 1 Location of flies: `' d Locks!tatchest handles. OK? � � � N e Lid aske!OK? N t t� LDoes the fan box contain standin water? _ Y N Y i If Yes, fhen remove water and clean drain holes if necessa . , i BIOMASS CHARACTERIZATION " a Golor of biomass? 1)white 2)whitelgray 3)gray 4)gray/brown 5)brown 6)red/brawn 7)black G! p I 8 ther � X� `- b Thickness of biamass 6-12 inches below media surface. 1 li ht 2 medium 3 hea , — NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? � N Y N tf noi, clean each naule with a battle brush L Does the s ra now cover the entire surface area? � H Y N ' If nat then: i 1 remove nozz[es and s ak in a bteach salutian L 2 manuall en a e both dosin um s for two minutes 3 re tace nozztes � Does the s ra now cover the entire surface area? 'Y / N Y 1 N �,,,, If not, oonsult A uaPoint, Inc. :. PUMPS AND CONTROL PANEL • ## }� a a Record dosin and rec cle um timer settin s from control anel. DOSt� PUfTI 1: . min on: �nin off:a min on:/a min off: DOSItI PUfTI 2: min on: /pmin off: min on: /O min otf: ReC Cle Purz1 : min on: h ofF. min on: off: KJD r In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: oFF i,a 5 • amps amps , b Am era e of dosin um 2: - oFP� c�d •d— amps 5, amps — c Am era e of rec cle um : . U amps , a amps Are dosin um s altematin 7 Y I ! N Are the timers o eratin ro erl Y N - i N "' Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. "" If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: — Dosin um s: check that um s are o eratin , altematin and the Pump 1 oK? Y ! N PLmp 1 OK? Y ! N desi nated rest c cle is occurrin . Pump 2 oK� Y I N Pump z oK? v / N , OK? Y / N OK? Y / N � *If pumps or control components are not operating properiy, record � below : And consult A uaPoint, Inc. '— RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consultin A uaPoint, InC. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y I N Y N If es, then ti hten with i e wrench FINAL CHECK a Main ower"on" and set to le for ali um s to "normal" osition. v N Y N b Alarm t le seE to dhe"ON" sition.. Y N c Lock control anel Bioclere cover and fan box. d if ossible record the water meter readin : REPORT SUMMARY: [O � � ( " �ofi'I os�n v� S r7A 62�(Geh / p6�0� 6 / � �IOcJ �/'- �'i 02�! / � e ! c�- C�/�» U-iZ/C�' — -�E e!' � - 5 a - L �' �c . ✓ � -- - v .s o � s � SIGNATURE: � � d / D:IFORMSCurrentlTechServices-Waslewa�er iaclereFieldReport.doc r ___.... ..-.i........... ..p..... ..y...�..,...............y: u.w u.uawc-u.io-�x.yiuuni.. � �l�d l�y � Massachusetts Department of Environmental Protection ; Bureau of Resource Protection - Title 5 ` DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems i L I/A System inspecGon resutts must be submitted on mis DEP form. f �- A. Facility Shaws Supermarkets, Ina � ! LOwner Route 28 1106 � Facility Street Address . . South Yarmouth 02664- , ' City/Town Zip Mailing address of owner,if different � � P.O.Box 600 L Street Pddress/PO Box East Bridgewater MA 02379 City(fown State Zip L 508-313-0663 Telephone Number �" B. Authorized Service Provider Coastal Engineering Co.,Inc. L O&M Frtn 260 Cranberry Highway LSVeet Address Orleans MA � 02653 i City/Town State Zip �" 508-255-6511 � Telephone Number Certified Operator Name:Brian Geraghty Certifiqtion Number:3482 — C. Facility/System Information DEP ID W033722 ManufacWrer's Name 8,ID Model Name&Number — Installation Date 6/3/2005 Start of Operatlon:6/3/2005 � Approval Type: � General � Provisional � Piloting � Remedial � Seasonal Residence-used less than 6 mo./year: � Yes =� No �- D. Operating Information �. 1 of 5 4/16/2014 3:10 PA "'.�`"�" 'i„'�.... ..y.,,.,..... .y...... ..y...ui...u.a�... ay:uuwa—ax.un�c�.—uua—cv.Yituuu.. 1� Inspection Date Previous Inspection Date 4/10/2014 4/2/2014 Sludge Depth(to be chedced yearly) Pumping Re�mmended? � Yes � No 10" Effiuent Description: Clear,yellow color,no odor,no solids,pH 7.64. E. Field Testing Field Inspection: co�or: ❑ �y o brown o Clear � turbid " o Other(specify): yellow odor: ❑ musty � earthy � moldy � offensive � turbid _, Effiuent Solids: 0 no � some 7.64 SU NA rilg/I, NA NT[J pH DO Turbidity , � 6 to 9 Z or greater 40 or less Should a Remedial or General Use system fail the Field Testing,efFluent samples shall be colleded per Shandard Methods and analyzed for BOD and TSS. F. Sampling Information _ If sampling information was completed,see attached sampling report. Samples Taken � Influent � EfFluent . Parameters Sampled � pH C BOD � TSS � TN � Other(list below) . � Ofher 1 Other 2 Other 3 � G. Inspection and Maintenance — Description of any maintenance performed since previo�s inspection&during fhis inspecfion: Conducted 0&M.Checked_the pumps and controls.Rertwved and cleaned Ne influent pumps.The dosing pumps in Biodere � #1 are not working.Replacements are on order.cleaned the spray no�es and fan boxes.Chedced the condition of the septic � hank and grease trap.Checked the anowc system operation and the EQ system. - Notes and Commenis: Removed and cleaned fhe influent pumps.The dosing pumps in BioGere#1 are not working.Replacements are on order. �" �.. H. Certification I certity: I have inspected the sewage treatment and disposal system at the address above, have compieted .. this report and the attached technology operation and maintenance checklist, and the informa5on reported is true, accurate, and compiete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ... Operator Signature �G8`(�_/� y'�� '�y �ate �) System owner must submit this report,technology O&M checklist, and any required sampling results to �, the local board of heaRh and DEP as follows for each inspection performed: 1�1 2 of 5 4/16/2014 3:10 PN �„ COASTAL EAfGINEERI[�tG GO., INC. 260 CRAlJBERRY HIGHWAY ORLEANS MA 02653 L TE�. 508 255-6511 FAX. 50$ 255-6740 L BiOCL.ERE FIELd REPORT Pro'ect No.: (,t) t� . o Dat6: !a / Time: ('[��- Instaliation: Sampled: Clienf: ✓�tti7�S /�'�' l�,f"�— Service: Commissioned: � Address: �• d ��'C.'UT"f 1 �2r'�'?Lh�?f'�1 t�?+�' Other, cheduled 0&M: !ns ector. ��+^'1 f+'t' � ..3 � Bioclere Model Number s -c� 3 -�o � - 1 Odor around site? N Source af odor? r��2 't'yi� r} �. � Check all that a I : Medium: V Septic: Musty: 2 Fie1d Testin : aa� .�ior,sor,ds,oaor,tes� n • �' , - � e!lo�.J o2 rlca s i�" o oDo� 3 a Measure s�ud e in rima tan s and rease tra s as re uired: b Slud e de ih in rima tank: 5cum deptn: j- sauaye aeptn:'o r ` c Does rease tra need um in ? Y � N UNIT 1 llN(T 2 L BIOCLERE VENTS a Is air assin #hrou h the veni? Y N N ` If in doubt ut a smail laslic ba around veni and ailow ta fi31. � b Is the fan o eratin and in aod condition? Y � v N GENERAL i a An external dama e to the^unit s ? If Yes, rovide details on back. Y N Y / ``� b Are cover, fan box and contrb( ane( securei iocked7 Y c An filter flies Pn the unit? Y N' few!many Y l fewt many � Location of flies: U�Z�� ioC/c� oV d locks!fats,hesi handles. OK? C� � N e Lid asket OK? N N � Does the fan box contain standin water? . v Y i �'" If Yss, then remove water and c(ean drain holes if necessa . I BIOMA3S CiiARACTERIZATtON a Golor ot biamass? i)white 2)white/gray 3)gray 4)gray/brown 5)brawn 6)red/brown 7)black � 8 ther �' b Thickness of biomass 6-12 inches below media surface. 1 �i ht 2 medium 3 hea ,� p �- NOZZLE SPRAY PATTERN a Does s ra cover tfie entire surface area of inedia? / N If�ot, ciean each nozzie wittt a baftle brush •- Does the s ra now cover the entire surface area? Y N f N '!f not then: 1 remove noazles and ak in a bleach solutian �.. 2 manuall en a e bath dosin um s for two minutes 3 re tace nazztes Daes the s ra now cover the entire surface area? Y N Y t N „_, tf not, consuit A uaPoint, inc. PUMPS AND CONTROL PANEL .�- a--. a Record dosin and rec cie um timer seriin s from control anel. Dosin Pum 1: . min on:/p min off:�, min on:�U min oftz� r DOSIfI PUfTt 2: min on: ,(j min offr} min on:/p min off: ReC cle Pum : min on:3 offi min on: off: ` (m o"� In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: �r� � ;5d- emps 3.3 amps � b Am era e of dosin um 2: - ,e, ce� � amps amps c m era e of rec cte um : -g amps amps Are dosin um s altematin ? Y I N Are the timers o eratin ro erl . N Y / N ` Visuall ins ect rela s for wear and record roblems below. " If s are com onents are needed contact A uaPoint, Inc. � If an ammeter is not available set ihe timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: ` Dosin um s: check#hat um s are o eratin , altematin and the Pump 1 OK? Y / N PLmp 1 OK? Y / N desi nated rest c cle is occurrin . Pump 2 otc� Y i N Pump 2 OK? Y f N OK? Y / N OK? Y / N � "If pumps or control components are not operating properly, record • below And consult A uaPoint, Inc. " RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: *Do not chan e timers without consultin A uaPoint, Inc. min on: min otr: min on: min off: `" PLUMBING a Are the unions in the Bioclere leakin ? Y / N v i If es, then 6 hten with i wrench FINAL CHECK a Main ower"on' and set to le for all um s to "normal" osition. Y i N Y N b Alartri t le set to tNe "ON" sition. / N c Lock control anel, Bioclere cover and fan box. d if ossible, record the water meter readin : 1�- p I L. REPORT SUMMARY: —//I /v � � 02.. !�'1 0� 4 C �` � S. � �9- � �o �- # os /�o rz. n - �� fd. O o ✓Yl � r� u ��r � . C� � J`� S �. � � c� o 0 0 ' � ✓�"'1 5 (` ✓I I s r� SIGNATURE: W !� C�� • D:IFORMS CurrentlTechServices-War�ewaterlBioclere F�eld Report.doc ��ma�t� �vt��v�f P��Ps cl��-Yr�D oc�T /�� .� �•�sfr�/,�rj N�.J che�-�r7 s � �- Re hu�✓,� �R r-�crc�- -�' rz w�v��s �d �'��2- '""_"'"""i_'_.... ._..y,.,,..__......�......,..1......................1....�..... w..�.e.. ..uu—azraaaura.... ` yj � 6 � �� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ` DEP Approved Inspection and O&M Form for Title 5 I/A . Treatment and Disposal Systems .. I/A System inspection results must be submitted on Ihis DEP form. � A. Facility Shaws Supermarkets,Inc. i ` Owner Route 28 1106 � - FacilityStreetAddress � � �' SouthYarmouth 02664- � Cityffown Zip � Mailing address of owner,if different � P.O.Box 600 � SVeet Ptidress/PO Box � East Bridgewater � MA 02379 Cityliown State Zip � 508313-4663 L Telephone Number I �"' B. Authorized Service Provider Coastat Engineering Co.,Inc. t �. O&M Firm 260 Cranberry Highway � StreetPddress � Orleans MA 02653 L City/Town State Zip 508-255-6511 ` Telephone Number L Certified Operator Name:Brian Geraghty Certiflration Number:3482 - �- C. Facility/System Information DEP ID W033722 � Manufacturer's Name&ID Model Name&Number — Installation Date 6/3/2005 Start of Operation:6/3/2005 � Approvai Type: � General � Provisional � Piloting � Remedial Seasonal Residence-used less than 6 rta./year: � Yes � No � �- D. Operating Information L I of 5 4/22/2014 7:55 AN � W_r...""' ..�..,......y,......,."".,.......,,y.......... .....�...� .:„o -....ya.u�.-u... r Inspection Date Previous Inspection Date 4/16/2014 4/10/2014 Sludge Depth(to be checked yearly) pumping Recommended? C Yes � No 12" . Effiuent Description: " Clear,yellow-color,no solids.no odor,pH 7.65. E. Field Testing " Field Inspectiorr. . . � coior: ❑ �ay � brown o Clear o turbid �- 0 Other(specify): yellow odor: ❑ musry � earthy � moldy � offensive � turbid EfFluent Solids: � no � some 7.65 SU NA mg/L NA NTU pH DO Turbidity 6 to 9 � 2 or greater 40 or]ess � Should a Remedial or General Use system fail the Field Tesiing,efFluent samples shall be collected per Sfandard Methods and analyzed for BOD and TSS. F. Sampling Information � if sampling information was compieted,see attached sampiing report. Samples Taken � Influent � Effluent Parameters Sampled � pH = BOD � TSS J TN � Other(list below) "" Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance performed since previous inspection&during this inspection: Conducted 0&M.Checked pumps and controls.Replaced Bioclere#1,dosing purtp#1.Checked the condition of the septic tank and influent pumps.Pulled and cleaned Bioclere#1,dosing pump#2,but would not start.Cleaned the spray no�es and � fan boxes.Checked the operation of the EQ and anopc systems. Notes and Comments: . Replaced Bioclere#1,dosing pump#1. " .. H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed r, this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature �I (( (� ((u �ate ` � System owner must submit this report,technology O&M checklist, and any required sampling results to ` the local board of health and DEP as follows for each inspection performed: 2 of 5 4/22/2014 7:55 i�vl ' . . F- 1z, 1�y t„ COASTA� EPtGItVEEIZING CO., INC. 260 CRAlVBERRY HtGHWAY � ORLEANS MA 02653 ;.. TE�. 508 255-6511 FAX. 508 255-8700 � BtOCLERE FIELd REP4RT ,,� Pro'ect Na.: � Date: /C� / Time: :(� Instaliation: Sampled: � Cliettt: —._,.�' ' /-F/2-(� Service: Commissioned: Address: . c� Qther. h LIns ector. t r� -� C N j Bioclere Model Number s L 9 Odor around site? Y N Source of ador? r� rz q- { Check all that a I : i . Meaium: Septic: Musty: 2 Field TBStlti : ctariy,cator,solids,odar,tests n�F_ _ •�� _ ` � � /c�..W�z. cf C�c..? Cm(t�2 t(o (tl�S Dc(D D�o 3 a Measur slud e in rima tan s and rease tra s as re uired: b S(ud e de th in rima tank: Scum depih: �;,3 Sludge depth:J(}- �r �,,, c Does rease tra need um in ? Y � � UNIT 1 UNIT 2 � BIOCLERE VENTS a is air assin throu h the vent? N N if in doubt ut a smail isstie ba araund vent and ailqw to fifi. � b Is the fan o eratin and in ood condition? N N Ir { GENERAL a An external dama e to the-unit s ? If Yes, rovide details on back. Y / Y / � b Are cover, fan box and contrbi ane! securel Iocked? / � N c An filter flies in the unit? Y rt ew many Y rt fe !many � Location of flies: n F /2 _ c%r d Locks!Iatchest handies. OK? � � � N e Lid askei OK? N � N � Does the fan box cantain standin water? Y rr v ` if Yes, then remove water and ciean drain hales if nerzssa . L BIOMASS GHARACTERIZATIQN a Color of biomass? 1)white 2)white7gray 3)gray 4)gray/brown 5)brown 6)redlbrown 7)blaGk C b 8 other � `� b Thickness of b�omass 6-12 inches below media surface. 1 li ht 2 medium 3 hea G • 'S '-' NOZZLE SPRAY PATTERN a does s ra cover the entire surface area of inedia? Y / N Y / N � If not, ciean each nozz(e with a bottle brush �- Does the s ra now cover the entire surface area? Y ! Y ! N � ff not then: ! 1 remave nozzies and ak in a bieach solution �- 2 manuall en a e bath dosin um s for two minutes 3 re tace nozzles ; Does the s ra now caver the er�tire surfaoe area? Y t N `.- if not, consult A uaPoint, Ino. � � PUMPS AND CONTROL PANEL �-- a Record dosin and rec cte um timer seriin s from control anel. DOSIII PUIT1 1: . min on: pmin off: min on: �p min off: DOSIfI PUfTI 2: min on: �p mfn off: min on: �bmin off:d.., Rec cle PuR1 : min on: �j off: min on: off: ` IOfl �oD� In Bioclera control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;. 5 • I amps 3 • amps ; b Am era e of dosin um 2: dd,.d� amps S , amps c m era e of rec cle um : amps amps Are dosin um s altematin ? v I I N Are the timers o eratin ro erl ? � N N Visuall ins ect rela s for wear and record roblems below. " if s are com onents are needed contact A uaPoint, inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N PZmp 1 OK? Y ! N desi nated rest c cle is occurrin . Pump 2 oKz v r N Pump 2 OKT Y / N OK? Y / N OK? Y / N 'If pumps or controi components are not operating properiy, record • below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an Chan es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, If1C. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y N Y If es, then ti hten with i e wrench FINAL CHECK. a Main ower"on"and set to le for all um s to °nortnal" osition. 1 N N b :Alami.to le set to 3tie"ON' osition. v / N c Lock control anel Bioclere cover and fan box. d if ossible, record the water meter readin : > > REPORT SUMMARY: — Ci� � -i-r e�, � Z !l ,- /� v�- 2lG � — 5 - �'t t Q.�� cZ — -ho . rn2 G� r_G o 0 o�-�-j — C ' �f- o —t.�C�2.(E. vt ' �o � ( /lO co �d � � � � 2i G�'L S' � R. !'l�N SIGNATURE: t�a •� � / D:IFORNSCurrentlTechServices-Wastewaterl8i� IereFieldReport.doc .. �.••�`•••�.�y�.�.... u..r.ueuauvuy.�iva„Ywwia un�rui.aaY:un�ci—twuatc<—ociS—OtFllllll!'11... L ylz3/ �y Massachusetts Department of Environmental Protection f Bureau of Resource Protection - Title 5 � DEP Approved Inspection and O&M Form for Title 5 I/A , Treatment and Disposal Systems I � I/A System inspection resulfs must be submiited on mis DEP form. � `' A. Facility � Shaws Supermarkefs,Inc. - LOwner Route 28 1106 ; , � FacilityStreetAddress � South Yarmouth � 02664- � Ciry/iown Zip Mailing address of owner,if different P.O.Box 600 4 SVeetAddress/POBox . � East Bridgewater MA 02379 Ciry(fowrt State Zip L508313-4663 Telephone Number � B. Authorized Service Provider � Coastal Engineering Co.,Inc. "" O&M Firm 260 Cranberry Highway - 1 ` SVeetfWdress Orleans MA 02653 LCity/Town State Zip 508-255-6511 � Telephone Number f � - Certified Operator Name:Brian Geraghty , Certification Number.3482 �- C. Facility/System Information DEP ID W033722 Manufacturer's Name&ID Model Name&Number � Installation Date 6/3/2005 Start of Operation:6/3/2005 i Approval Type: � General �' Provisional � Piloting � Remedial L Seasonal Residence-used less than 6 mo.year. � Yes � No I `' D. Operating Information i 1 of 5 4/23/2014 3:41 PM _ . . . . . ...__ '"__"'_ _—_ __r"—_".. r Inspection Date -� Previous Inspection Date 4/23/2014 4/16/2014 Sludge Depth(to be checked yearly) Pumping Recommended? = Yes � No 12" Effluent Description: ` NA E. Field Testing Field InspecGon: coior: ❑ �ay � brown � Clear �' turbid — � Other(specify): odor: ❑ musty � earthy a moldy �' offensive � turbid _ Effluent Solids: � no 0 some PH 7.55 SU DO nl�/L . Turbidity N�J 6 to 9 2 or geater 40 or less ... Should a Remedial or General Use system fail the Field Testlng,efFluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information If sampling information was completed,see attached sampiing report. Sarrples Taken � Influent � Effluent Parameters Sampled � pH � BOD � TSS � TN � Other pist below) — Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance performed since previous inspection&during this inspecfion: Conducted O&M.Checked the pumps and controls.Cleaned the spray no�es and fan boxes.Checked the condition of the septic tank and grease trap.The aeration and anopc systerr�s are operating properly.The influent pumps are operating — properly.Bioclere#1,dosing pump#2 not working and will be replaced.The rest of the system is operating properly. Notes and Comrtients: Bioclere#1,dosing pump#2 not working and will be replaced.The rest of fhe system is operating properly. "" H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed � this report and the attached technology operation and maintenance checklist,and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts ceRified operator in accordance with 257 CMR 2.00. Operator Signature � �� -� ��/�� oate r System owner must submit this report,techno ogy O&M checklist, and any required sampling results to ` the local board of health and DEP as follows for each inspection performed: 2 of 5 4/23/2014 3:4�D , . f — (�,s�t �,., G4AS3AL ENGtNEE#tING GO., INC. 260'CRANBERRY HlGklWAY ; ORLEAPfS, MA 02658 �. TEl.. b08 255-6511 FAX. 508 255-6700 BIOCLERE FIELD REPORT i, Pro ect No.: Date: d3 � Time: : 3p9 Installation: Sampled: � Client: i S Service: ' ed: Z,,, Address: . o! so� �crnp T M ost,er. s IIns ector. l.'�dti'i � 3 �- _ ,,,, Bioclere Model Number s �- 1 -d� 1 Odor atound site? 5ource of odor`? +-� � �,,, Check al! that a I : ii Medium: //1//', = �-aC� FF s �, S"� BptiC: Musty: L2 Fietd Testin : caar� ,��or,soifds,oaor,tes� 3 a Measure slud e in rima tanks and rease tra s as re uired: b S3ud e de th in rima tank: Scum depth: /-,,�ff Sludge depth: �� - �� Lc Does rease tra need um in ? Y / u��T 1 ur�rr 2 � BIOGLERE VENTS �. a is air assin throu h the vent? i N ! N � if in daubt ut a smai! lastic ba around vsnt and allow to{�}_ � b Is the fan o eratin and in ood condition? Y / N � N GENERAL La An ezternal dama e to the-unit s ? If Yes, rovide details on back. Y / N Y / N b Are caver, fan box and contrtsl anei securet Iocked? N Y N L c An filter flies in the �nit? v� rt w!many Y� sewt ma�y Location of flies: d lacks!latches!handles. OK? N / N � e Lid asket OK? / h � Does the fan box contain standin water? Y � Y !f Yes, then remove water and clean drain holes if necessa . � B(OMASS CHARACTERIZA710N a Color of biomass? 1awhite 2)whitelgray 3)gray 4)gray/brown 5)brown 8)redPorown 7�black 5"' 8 other b Thickness of taiomass 6-12 inches 6elaw media surface. 1 li ht 2 medium 3 hea j. � •-- NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y N � N � If not clean each �ozzle with a bottle brush �— aoes the s ra now cover the entire surface area? � N t N 'If not tnen: � 1 remove noules and s ak in a bieach solution 2 manuall en a e bath dosin um s for hvo minutes 3 re tace noutes Daes the s ra now cover ihe entire surface area? N 1 tv :. If not, consult A uaPoint, Inc. � PUMPS AND CONTROL PANEL � a Record dosin and rec cie um timer settin s from control aneL � Dosin Pum 1: . min on:(�min off� min on: (�min off:d DOSI� PUtT� 2: min on: �(�min ofha min on:J�min off: � Rec cle Pum : min on:3 h off: min on: h ff: �, �O r� In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;. . amPs amps �,,, b Am era e of dosin um 2: r�� ,,�d,e(c„2' -e6� do. g amps S.(� amps c Am e�a e of re cle um : �-�- amps amps Are dosin um s altematin ? Y Is l N Are the timers o eratin ro erl ? Y ! N Y i N Visuall ins ect re�a s for wear and record roblems below. * If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N PLmp 1 OK? Y f N desi nated rest c cle is occurrin . Pump 2 oK� Y / N Pump 2 OK? Y / N OK7 Y / N OK7 Y / N If pumps or control components are not operating properly, record • below � And cwnsult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: mi�on: min off: "Do not chan e timers without consultin A uaPoint, Inc. min on: min otf: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? v N v N If es, then ti hten with i e wrench FINAL CHECK. a Main ower"on" and set to le for all um s to "nortnal" osition. N Y / N b Alarm to le set to ttie "ON' osition. v N v N c Lock conuol anel, Bioclere cover and fan box. d if ossible record the water meter readin : l S�f l0� � REPORT SUMMARY- — / FlIJE� vrY/ " WORKiN " Ro¢�F�/ `. /'?�4i�� 8f SO/c�flo — 3 Tr�. �7' S Ccr�. !v� Co�Id�Tlb�'l — io� i H�n � G D — / � EC-! o2K n' � .�- r' /�e � � � 2 ( J n / � — O�/�'G �S I'lCo - �l S l S 4k9 r o SIGNATURE: � �� D:IFORMSCurrenATechServices-Wartew erlSioclereFieldRepon.doc � , r„ni n„ncyviu.... nttp:ticarnway.b�z7reportslYnntAll.asp'?datel=&date2=&rs=&printA] � � � yr3d�r� Massachusetts Department af Environmental Protectian t Bureau of Resource Protectian - Ti#!e 5 � DEP Approved Inspection and 08�M Farm for Title 5 I/A i Treatment and Disposal Systems �. I/A System inspectlon resuMs must be submided on Ihis DEP form. �`" A. Facility jShaws Supermarkets,Inc. � Owner Route 28 1108 � LFacility Street Address South Yartnouth 02664- L Cityfiown Z�P Mailing address of owne�,if different P.O.Box 600 1 �� Street A[Sdress/P0 Box . L East 8r�lgewater MA 023?9 C'dylCowo State Z�P .L 50Q-313-4663 Telephone Number . ` 8. Authorized Service Pravider Coastai Engmeering Co.,lnc. '� OSM Fim� . 260 Cranberry Highway } Street Address Yr Orleans MA 02653 i Cityliown State Z�D � 508-255-&511 Telepho�e Nvrnber I �.. Certified Operator Name:Brian Geraghty Certification Number.3482 ^-� G. FacilitylSystem Information DEPJD W033722 Manufacturets Name&ID Modei Name&Number � Installatian Daie 61312045 Start af Operatioa:6t37200b � A{�proval Type: � Generel � Provisional Q pifoting � Remedia3 Seesonal Residence-used less than 6 mo.tyear: � Yes � No f ` D. Qperating Informatian .. i of 5 5/112014 3:49 PP r„��h�� ncpu�u.... nttp:iicarmoay.mvreporCs/YnntAll.asp?datel=&date2=&rs=&primAl. Inspection Date Previous Inspection Date 4/30/2014 4/23/2014 � Sludge Depth po be checked yearry) Pumping Recommended? C Yes � No 15" r Ef�uent Description: Clear,light yellow color,no solids, no odor. E. Field Testing Field Inspection: co�or: ❑ gay � brown � Clear � turbid � Other(specify): light yellow Odor: �J musty � earthy � moldy � offensive � turbid -- Eifluent Solids: � no � some PH NA SU pp NA mS� Turbidity NA NTU � 6 ro 9 2 or geazer 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and anayzed for BOD and TSS. F. Sampling Information _ If sampling information was complefed,see attached sampling report. Samples Taken � InFlueM � EfFluent . Parameters Sampled �' pH � BOD � TSS � TN C Other(list below) - r Other 1 Other 2 Other 3 � G. Inspection and Maintenance '" Description of any mainlenance performed since previous inspection&during ihis inspeclion: Conducted 0&M.Checked the pumps and controls.Bioclere#1,dosing pump#2 needs to be replaced.Checked the condition _ of lhe septic tanks.Cleaned the spray noales and fan boxes.Checked the operation of the aeration and anoxc systems.The EQ system is opereting pmpedy. Notes and Comments: Bioclere#1,dosing pump#2 needs to be replaced. � 1�1 H. Certification I ceRify: I have inspected the sewage treatment and disposal system at the address above, have completed "" this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in � accordance with 257 CMR 2.00. � Operator Signature �� - J"�"`r Y/�d�� Date System owner must submit this report, technology 08M checklist, and any required sampling results to `— the local board of heaRh and DEP as follows for each inspection performed: r 2 of 5 5/1/2014 3:47 Ph � COASTAI ENG[fJEE#21NG CO., INC. 2fi0 CRANBEFtRY HIGHWAY ORLEANS' MA 02653 � TEE.. 5d8 255-6511 FRX. 50$ 255-6700 � BiOCLERE FIELD REPORT �„ Pro'eo# Na.: {,,) O� � Date: �a / Time: d: P Installation: Sampled: � Client: $ F�c.t}j5' Service: Cammissioned: Addfess: ..�os� Other: Scheduied & . / LIns ecfor. ltt/$-i't �' T .3 '�- Bioclere Mode! Numher s > 1 Odar around site? Y t�! Soutce of odor? rl d�i� jp+� (G, LCheck all that a I : Mi : Medium: /NF. E/_ � ; - `�. Septic: Musty: 2 Field Testin : daa ,�otar,so�ias,odar,ce$� � GlF�t�' L . o� c�(o/C o ..5"�c � � o �do 3 a Mea ure s(u e in rima tan s and rease t s as re uired: b Siud e de th in rima ta�k: sa,m aepth:j_ 3°f 5ludge depth:! -f �� c Does rease tra need um in ? Y ur�tr� urt�z L BIOCLERE VENTS a Is air assin throu h the vent? / N � N !f in doubt ut a smafl lastic ba around vent and ailow to fiii. Lb Is the fan o eratin and in aod condition? Y N � N GENEF2AL � a An ezternal darna e to therunit s ? If Yes, rovide details on back. Y / Y � `' b A.re cover, fan bax and contrbl anei securel fiocked? / N � c An filter flies in the unit? v t few�many Y� fewl many i Loca6on of fiies: `" d Locks! latchesl handies. OK? Y J t� � N e �id asket dK? ! N 1 N L Does the fan box cantain stendin "water? . Y if Yes, then remove water and ciean drain holes if necessa . i BtdMASS CHARAGTEF2IZATION `' a Color of bEomass? 1)white 2)white7gray 3)gray 4kjray/brown 5)brow� 6)red/brown 7)black � � & lher b 7hickness of biomass 6-12 inches below media surFaee. 1 Ii ht 2 medium 3 hea -. NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedie? Y N Y / N � li not, clean sach nozzie with a bot#Ie brush �.. Does the s ra now cover the entire surface area? Y N � N `if not then: 1 remove nozzles and s ak in a bieach solution j 2 manuali en a e both dosin um s for two minutes .. 3 re tace ttozz{es , Daes the s ra now cover the entire surface area? Y N v N ;,^ if not, consutt A uaPoint, Inc. PUMPS AND CONTROLPANEL a Record dosin and rec cle um timer settin s from control anel. DOSifI PUrtI 1: . min on:�p mfn off: min on: /p min off: DOSiII PUrtI 2: min on:J�min off:a min on: (p min off:�; Rec cle Pum : min on:3 off: min on: off: la�Y✓1 �w� In Bioclere controi anel set dosin and rec cIe timers to a test c cle: a Am era e of dosin um 1: ,, amps �, amps b Am era e of dosin um 2: - � �1a,. amps S', — amps c Am era e of rec cie um : amps �. amps Are dosin um s altematin 7 Y 1, N N Are the timers o eratin ro erl ? 1 N � N Visuall ins ect rela s for wear and record roblems below. ` If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above � and ai the Biociere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N PZmp 1 OK7 Y / N desi nated rest c cla is occurrin . Pump 2 otcZ v / N Pump 2 OK? Y / N OK7 Y I N OK? Y / N *If pumps or control components are not operating properly, record • below � And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "Do not chan e timers without consuitin A uaPoint, Inc. min on: min off: min on: min off: PLUMBING <,- a Are the unions in the Bioclere leakin ? Y v t N If es then ti hten with i e wrench FINAL CHECK a Main ower"on' and set to le for all um s to "nortnal" osition. v N Y N b ;Alami f le set to th� "ON' sition. v 1 N N c Lock control anei Bioclere cover and fan box. d if ossibie record the water meter readin : / �j��pp i i REPORT SUMMARY: — �n�tu� � s o'�t� �.c�o2,e.�h — S TlG / -,D/ !� ! � '� rn c�, l — [� ( #d� T nnI � -- x� 8P' — l v � — ru n SIGNATURE: '� � • O� D:IFORMS CurrentlTechServicer-Was�ewa�er ioclere Fiefd Report.doc . r A'int All Reports.... http://cazmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl. � " S/��y � Massachusetts Department of Environmental Protection �. Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A 4 Treatment and Disposal Systems � I/A System inspection results must be subrrvtted on this DEP torm. L A. Facility y Shaws Supermarkets,Inc. L Owner Route 28 1106 � ` Facility Street Address South Yarmouih 02664- j Citylfown Z{p �. Mailing address of owner,if different P.O.Box fi00 LSlreet Address/PO Box - East Bridgewater MA 02379 � Citylfown State Zip �. 508-313�663 - Telephone Number ( 6. B. Authorized Service Provider LCoastal Engineering Co.,Inc. O&M Firm i 260 Cranberry Highway LStreet Address Orleans MA 02653 LCitylfown State ZiP 508-255-6511 ; Telephone Number L CeAified Operator Name:Brian Geraghty CeAification Number.3482 - � I n.. C. Facility/System Information DEP ID ` W033722 Manufacturer's Name&ID Model Name&Number Installation Date 6/3/2005 Start of Operetion:6/3/2005 j Approval Type: � General � Provisional � Piloting Q Remedial L Seasonal Residence-used less lhan 6 mo.ryear: � Yes � No i � D. Operating Information i .,. � 1 of 5 sixnnia a��z v1 Prirn All Reports.... http://carmody.bi7/reports/PrimAll.asp?date 1=&date2=&rs=&printA�.. � Inspedion Date Previous Inspecfion Date ' 5/7/2014 4/30/2014 �„ Sludge Depth(to be checked yeary) pumping Recommended? C Yes � No : 12" I�r Effluent Description: Clear,light yellow color,no solids,no odor. . E. Field Testing Field Inspedion: � � color: ❑ �y o brown � Clear � mrbid � Other(specify): light yellow odor: ❑ musty � earthy � moldy � offensive � turbid " EHluenf Solids: � no � some PH NA SU p� NA m�L' Turbidity NA NTU ,�, 6 to 9 2 or greaier 40 or less Should a Remedial or General Use system fail the Field Tesiing,efFluent samples shall be colleded per Slandard Methods and analyzed for BOD and TSS. F. Sampling Information — If sampling information was completed,see attached sampling report. Samples Taken � InFluent � Effluent _ r Parameters Sampled � pH � BOD � TSS C TN C Other(list below) Other 1 Other 2 Other 3 � G. Inspection and Maintenance Description of any maintenance performed since previous inspeclion 8 during this inspection: Conducted 0&M.Checked the pumps and controls.Bioclere#�,dosing pump#2 musl be replaced.The pump is on order. �- Cleaned the spray noaies and fan boxes.Checked the condition of the septic tanks and aeration lank.Added process control chemicais.The syslem is operational. Notes and Comments: � Biociere#1,dosing pump#2 must be replawd.The pump is on order.The system is operational. I _ H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed ` this report and the attached technology operation and maintenance checklist, and the irdormation reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. �- OperatorSignature ��-� `s` 7/�� ate System owner must subrrvt this report, technology OSM checklist, and any required sampling resufts to ` the local board of heaRh and DEP as foilows for each inspection performed: r tiunnia e��z nri 2 nf 5 � F- S �/i �. ` COASTAL ENGINEERING GO., INC. 260 CRANBERRY HIGHWAY j ORLEANS, MA 02653 L. TEL. 508 255-6511 FAX. 508 255-6700 � , BIOCLERE FIELD REPORT ►- Pro'ect No.: �J �oa , Date: t Time:(d•'�/5� Installation: Sampled: � Client: ShA-�-'LS /�1Al2K� Service: Commissioned: (� Address: - d8 So�-Fh ,�-✓r.wto�} pther. ue i Ins ector. 2� - h 3 � `, Bioclere Model Number s ( - � (=3o a - � 1 Odor around site? N Source of odor?' ✓1� �� y-}- �fz o,-� ,�.,� L Check all that a I : Mild: Medium: ep6c: Musty: 2 Field Testin : c�ariry,coior,solids,odor,tests �, �-�e Lt• /J o sa i os . Na o��+2 3 a Measure slud e in rima tanks and rease tra s as re uired: L b Slud e de th in rima tank: Scum deptn: -3 Sludge depth:�_� a c Does rease tra need um in ? Y I N LUNIT 1 UNIT 2 BIOCLERE VENTS a Is air assin throu h the vent? Y N N � If in doubt ut a smail lastic ba around vent and aliow to fiil. ` b Is the fan o eratin and in ood condition? Y N y / N � GENERAL ` a An extemal dama e to the�unit s ? If Yes, rovide details on back. v N y / b Are wver, fan box and contrbl anel securel locked? Y N Y N c An fiiter flies in the unit? . v e many Y N 1 many LLocation of flies: c�nt�e �{v�� oc(� C'o c/ 5 d Locks/ latches/handles. OK? N N L e Lid asket OK? N N Does the fan box contain standin water? . v i N Y � If Yes, then remove water and clean drain holes if necessa . L BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)whitelgray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black 5 � L8 other b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea '- NOZZLE SPRAY PATTERN a Does s ra cover the entire surtace area of inedia? Y / N Y N LIf not, clean each nozzle with a bottle brush Does the s ra now cover the entire surFace area? Y N Y N ' If not then: L 1 remove nozzles and s ak in a 6leach solution 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles i Does the s ra now cover the entire surface area? Y / N Y N �. If not, consuit A uaPoint, Ina PUMPS AND GONTROL PANEL �- a Ftecord dosin and rec cfe um timer sattin s from contrai anet. DoSln Purti 1" . min on: p min aff: min on: �min off; Dosin Purtl 2: min on: p min pfi- min on: to min off:a; ReC c18 PuRt : m3n on: aff: min an: oif: �p � In Bioclere control aneE set dosin and rec cte timers to a tes# cle: a Am era e of dosin um 1: ; amQs 3� amps b Am era e of dosin um 2: - � d, amps amps c ra e ofi rec cte um : .� amps , amps Are dosin um s altematin ? Y (t i N Are the timers o eratin ro ert Y � N � N Visualf ins ect rela s for weac and recard roblems betow. * if s are oam onents are needed contact A uaPaint, �nc. If an ammete�is not available set the timers to a test cycle as above and at the Bioctere check the um s' a eratian as fo(taws: Dasi um s: check that um s are o erati aitematin and tl�a Pump i oK7 Y t N Pump 1 4K? Y 1 N d�sl ilatgd �eSt C Ge is oCCul'I'In . Pump 2 OK? Y / N Pump 2 OK? Y / N CNtT Y t N OK? Y / N `!f pumgs or cantrol components are nat operating properly, cecard � below ' And consuit A uaPoint, Inc. RESET TIMERS TO AB.OVE SEITINGS: Note an chan es here: min an: min off: min on: min off: "Do noi Cha�l e timers Withaut coClsUltiR A uaPaittt, lnc. min on: min oi#: mio on: min off: PLUMBING s' a Pse the unians in the Biocler�, feak�n ? `t t v rt If es, then ti hten with i e wrench FiNAL CNECK a Main ower"on" and set t le for all um s to "normal" osition. Y N I N b ;A1arm t I set fa the"ON" sition.. Y J . N o tock cantrol anel Biociere cover and fan bax. d if ossible recard the water meter readin : O d i REPORT SUMMARY� — ! fv�*7't' • v' � Tf0 — �-E-V� C v Use*zl4 � 1� `Y�? �'Or1 / � . {c – n ' r, nin� o — �' t �o� tc> (cr - � !' � d� Dosr Jm n — c C� � � — r �c� u o -I'YL -' Iv� c� („�sDn�t?.tn, vv� �' _ � s � SIGNATURE: D:1F4RAfSCvrreattTeehServ+ces-iT'astewate ioelereFietdRepon.doc r `-int All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl.. ►.. � .r(��t �� W � Massachusetts Department of Environmental Protection L. Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems � 1/A System inspection resutts must be submitled on this DEP torm. � 1.. A. Facility LShaws Supermarkets,Inc. Owner Route 28 1106 1 �, FacilityStreetAddress South Yartnouth 02664- � Ciry/iown Zip L. Mailing address otowner,ifdifferent P.O.Bax600 LStreel AddresslPO Box Easl Bridgewater MA 02379 � CitylTown State Zip L 508373-4663 Telephone Number L B. Authorized Service Provider � Coastal Engineering Co., Inc. � O&M Firm 260 Cranberry Highway LStreet Address Orleans MA 02653 LCiry/Town . State Zip 508-255-6511 � Telephone Number Certified Operator Name:8rian Geraghty Certification Number:3482 � e.. C. FacilitylSystem Information DEP ID W033722 Manufacturer's Name&ID Model Name&Number ` Installation Date 6/3/2005 Start of Operalion:6/3/2005 LApproval Type: � General � Provisional � Piloting � Remedial Seasonal Residence-used less than 6 mo.lyear: � Yes � No L D. Operating Information L �n�nnin io.iour 1 nf S Print All Reports.... http://cazmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl . ` Inspection Date Previous Inspection Dafe 5/14/2014 5/712014 ' n. Sludge Depth(to be checked yearry) Pumping Recommended? C Yes � No 18" �./ Effluent Description: Clear,light yeliow, no solids,no odor. - E. Field Testing ` Field Inspection: � r Coior. �i gray � brown o Clear � turbid � Other(specify): light yellow Odor: ❑ musty � earthy � moldy � offensive � turbid " EfFluent Solids: � no fl some PH NA SU p� NA mP� Turbidity NA NTU ,� 6 to 9 2 or geater 40 or less Should a Remedial or General Use system fail the Field Testing,efFluent samples shall be collected per Standard Methods and analyzed tor BOD and TSS. F. Sampling Information _ If sampiing infortnation was compieted,see attached sampling report. Samples Taken � Influent � Eftluent � � Paremeters Sampled � pH � BOD � TSS C TN e Other(lisl below) Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance pedormed since previous inspection 8 during this inspection: Conduded O&M.Checked ihe pumps and controls.Bioclere#1 needs a dosing pump replaced.Cleaned the spray noaJes .-. and fan boxes.Checked the condition of the septic tank and grease trep.Checked the aeration system and the anobc system. The effluent pumps are operational. Notes and Comments: Bioclere#1 needs a dosing pump replaced. ... H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed " this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. �. Operator Signature '"'��-� s/(C( //� Date System owner must submit this report, technology 08M checklist, and any required sampiing results to `' the local board of heaRh and DEP as follows for each inspection performed: r 2 of5 tii�nnin io•i�vn� ; � F sr�6 r�4 L ' COASTAL ENGINEERING CO., INC. 2fi0 GRANBERRY HIGHWAY � ORLEANS:, MA 02653 � TEL. 508 255-6511 FAX. 508 255-6700 ! BIOCLERE FIELD REPORT Pro'ect No.: W �pa , Date: 1 TIfn6: : 5� Installation: Sampled: LClient: Sf{AtJ'S Mi�-teKE p— Service: Commissioned: Addfess: -�. d Qj Sdc�TH �A'✓I dc9T�f{' Other. Sch u ed OS : � Ins ector. ,/3R�W�'l €2� G ff'T 3`f�93� Bioclere Model Number s �/-c3 3Z� �- 3z; � 1 Odor around site? - N Source of odor? s-t�.q� -t'h�. ,�1- / p,•t � Check all that a I : Mila Medium: � F.• r ,�/'/ F� //_ _3� Septic: Musty: ( 2 Field Testin : �a�ry,�oior,soitd5,odor,�e5c� . L :�� lo �a o5 /�o Do2 3 a Meas re slud e in rima tanks and rease tra s as re uired: L b Slud e de th in rima tank: scum deptn: -3 Sludge depth: D — c Does rease tra need um in ? Y � N iUNIT 1 UNIT 2 i BIOCLERE VENTS a Is air assin throu h the vent? Y N N I If in doubt ut a small lastic ba around vent and ailow to fill. ` b is the fan o eratin and in ood condition? / rv v N � GENERAL ` a An external dama e to the•�unit s ? If Yes, rovide details on back. v N Y / b Are cover, fan box and cont�l anel securel locked? v i � N t c An filter flies in the unit? Y i N fewi many / 'few/many , Location of flies: � d Locks/latches/ handles. OK? Y N / N � e Lid asket OK? / N Y / N Does the fan box contain standin water? . v i Y i N If Yes, then remove water and clean drain holes if necessa . � BIOMASSCHARACTERIZATION a Color of biomass? I 1)white 2)white]gray 3)gray 4�ray/brown 5)brown 6)red/brown 7)black J� r 8 other �l C7 `' b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea " NOIILE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y / N / N I If not, clean each nozzle with a bottle brush L Does the s ra now cover the entire surface area? N / N `If not then: L 1 remove nozzles and s ak in a bleach solution 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles � Does the s ra now cover the entire surface area? / N Y N L if not, consult A uaPoint, inc. PUMPS AND CONTROL PANEL . � � a Record dosin and rec cle um timer settin s from control anel. DOSIfI PU�I'1 1: , min on: �min off: min on:� min off; DOSi� PUrtI 2: min on: mfn off: min on:� min atf: Rec cle Pur1t : min on: ofF. min on: oTf: (00 !�O In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;, amPs 3, amPs � b Am era e of dosin um 2: - � -� amps 5,� amps c Am era e of rec cle um : amPs ,� amps Are dosin um s aitematin 1 y � N Are the timers o eratin ro erl N N Visuall ins ect rela s for wear and record roblems below. " if s are com nents are needed contact A uaPoint, Inc. if an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , aitematin and the Pump 1 OK7 Y / N PLmp 1 OK? Y / N desi nated rest c cle is occurrin . aump z oK� Y I N Pump 2 OK? Y / N OK7 Y / N OK? Y / N 'If pumps or control components are not operating properly, record • below And consult A uaPoint, Inc. RESET TIMERS TO AB.OVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, Inc, min on: min orr: min on: min off: PLUMBING a Are the unions in the Biocler� leakin ? Y Y i If es, then ti hten with i e wrench FINAL CHECK - a Main ower"on" and set to le for all um s to 'norrnal" osition. N / N b Alartn.t le set to th�`ON' osition. v � N / N c Lock control anel, Bioclere cover and fan box. d if ossible record the water meter readin : �� d� . REPORT SUMMARY: . � -�- " o era �n «9 — c - �S a / fc — �S tC. CGI ' � pQ r Y� -- 7'L [.t� 2 �' h — !aC l - h Q ose - � � �nn c — n ✓It i �-- � W 0 ro � s' � — � , � � SIGNATURE: _ �� p p� � D:IFORMSCurrentlTechServicer-Wastew erl8ioclereFieldReport.doc � Print All,Reports.... http:f/carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl.. L S(Zt(r�� Massachusetts Department of Environmental Protection ;_ Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A � ' Treatmentand Disposal Systems � I/A System inspeclion resutts must be subrtdtled on this DEP torm ! � A. Facility � Shaws Supermarkets, Inc. L Owner Roule 28 1106 � FacilityStreetAddress South Yarmouth 02664- I Ciry/Town Zip L Mailing address of owner,'rf difterent P.O.Box 600 � Street Address/P0 Box 6. East Bridgewater MA 02379 ' . City/Town State Zip L 508313-4663 Telephone Number L B. Authorized Service Provider I Coastal Engineering Co.,Inc. L 08M Firm I 260 Crenberry Highway f 'r Street Address OAeans MA 02653 L - City/Town State Zip 508-255-6571 ' Telephane Number L Certified Operator Name: Brian Geraghty - Cedification Number:3482 i C. FacilitylSystem Information DEP ID _ W033722 Manufacturels Name&ID Model Name&Number Installation Date 613/2005 Start ot Operation:6/3/2005 � LApproval Type: � General C Provisionai � Pibting � Remedial Seasonal Residence-used less than 6 mo.ryear: � Yes E No L D. Operating Information � 7 nf5 �,,...."" " " " " rnu�r�u nepuru.... http://carmody.biz/reporLs/PrintAll.asp?datel=&date2=&rs=&printAl. ` Inspedion Date Previous Inspection Date 5722/2014 5!'14/2014 , r Sludge Depth(to be checked yearly) Pumping Recommended? C Yes G No 15" EPouent Description: r Clear,light yellow color,no solids,no odor,pH 7.50. �. E. Field Testing �' Field Inspedion: Color. � gay � brown � Clear � turbid "' � Other(specify): light yellow odor. � musry � earthy � moldy o offe�sive � turbid .., Effluent Solids: 0 no � some H 7.50 SU p� NA mg/L ty NA N'j'�] Turbidi .. 6 to 9 2 or greater 40 or le5s Should a Remedial or Generel Use system fail the Field Testing,effluent samples shail be colleded per Standard Methods and analyzed for BOD and TSS. F. Sampling Information _ If sampling intormation was completed,see attached sampling report. SamplesTaken � Influent C EHluent . Parameters Sampied � pH � BOD � TSS C TN C Other(Iist below) � OtAer 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance pertormed since previous inspection&during this inspection: Conduded 0&M.Checked ihe pumps and controls.Repiaced Bioclere#1,dosing pump#2.Cleaned the spray noales and fan boxes.Checked the condRion oi the septic tanks and grease irap.Prepared sodium bicarbonate solution.The system is operating properly. Notes and Comments: Replaced Bioclere#7,dosing pump#2.The system is operating properly. - � r H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed "' this report and the attached technology operation and maiMenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. OperatorSignaWre �`��-�J"^'� �2,'Z(I� �ate System owner must submit this report, technology 08M checklist, and any required sampling results to "" the local board of heatth and DEP as follows for each inspection performed: r 2 of 5 C/^IO/�1/11A 1l.I�A AA � � F- sz �y L 'GOASTAL ENGINEERING CO., INC. 260 GRANBERRY HIGHWAY i ORLEANS; MA 02653 L. TEL 508 255-6511 FAX. 508 255-6700 , BIOCLERE FIELD REPORT ►+ Pro'ect No.: K} Date: / Time: D:c� �- InstailaGon: Sampled: � Cfient: 'S /C� Service: Commissioned: ;� Address: Spsr o ry cheduled 0& : ( Ins ector. K� � T �� ,yd n � L Bioclere Model Number s ,�/v e/ , 1 Odor around site. N Source of odor? vl�-i2 � � �.,.j ` Check all that a I : Mild: edium: ic: Musty: 2 Field Testin : ua�ry,�oio�,soras,oao�,te5� in F� ff= -3 p - ,�p �, C � L . �llo� o o v s /�o 0 0 3 a Measu e slud e in rima tanks and rease tra s as re uired: � b Slud e de th in rima tenk: Scum depth: - ' Sludge depth:/� -� " L c Does rease tra need um in ? v N LUNIT 1 UNIT 2 BIOCLERE VENTS a Is air assin throu h the vent? N / N � If in doubt ut a small lastic ba around vent and allow to fill. ` b is the fan o eratin and in ood condition? Y N N ! GENERAL ` a An external dama e to the.tunit s ? If Yes, rovide details on back. Y N Y i b Are cover, fan box and contrbl anel securel locked? v I N � c An filter flies in the unit? Y fewl many vi few/many L Location of flies: d Locks/latches/ handles. OK? ! N � N L e Lid asket OK? I N � N Does the fan box contain standin water? . v � N If Yes, then remove water and clean drain holes if necessa . y BIOMASS CHARACTERIZATION a Color of biomass? 1)white 2)whitelgray 3)gray 4)gray/brown 5)brown 6)red/brown 7)biack � � 8 other " b Thickness of biomass 6-12 inches below media surtace. 1 li ht 2 medium 3 hea � — NOZZLE SPRAY PATTERN a Does s ra cover the entire surtace area of inedia? v I N I N j If not, clean each nozzle with a bottle brush � Does the s ra now cover the entire surface area? v N N ' If not then: ; 1 remove nozzles and s ak in a bleach solution �- 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles i Does the s ra now cover the entire surface area? Y N Y N .. If not, consult A uaPoint, inc. PUMPS AND GONTROL PANEL t � a Record dosin and rec cle um fimer settin s fram ca�trot anel. qosin Pu�t'f 1: . min on: �min afFd min on: min off: DoSift Purt1 2: min on: min ofr.� min on:/ min off• ReG CIe Pum : mtn on: hrs aff: min an• oif: in Biaciere controt anei set dosin and rec cIe timers to a test c c1e: a Am era e of dasin um 1: ; :5 amRs .5 amps b Am era e of dosin um 2: -�`r c�d• amps amps c m a`a e af re cie um : amps am�s Are dosin urn s altematin ? 4 N � N Are the timers o eratin ro erl v N i N �suall ins ect rela s fa�wear and recard roblems below. " If s are com onents are needed contact A uaPaint, Inc. If an ammeter is not available set the timers ta a test cycle as above and at iha 8iociere check ihe um s' o era6on as foltaws Dosi um s:check that um s are o eratin , altematin and the pump 1 ox? � t H Pam�t oxa Y t N desi nated rest cle is occurrin . Pump 2 oK� Y � N Pump 2 pK? Y / N G1K? Y / N OK? Y 1 N 'It pumps ar con#ro! components are nat operating proper(y, record � below And consuit A uaPoint, Inc. RESET TIMERS TO ABOVE SETfINGS: Note an chan es here: min on: min ott: min on: min off; 'Do not chan e fimers witfiout cansuEtin A uaPoint, IriC. min on: min off: min an: rnin ofi: PLUMBING <._' a Are the unEans in tha Bioc1er81eak'sn ? v N Y lf es, then U hten with i wrench FINAl.GF{EGK a Main awer"on" and set to le for all um s to "normal" sition. N / N b :Atarm.to i seE to#he"ON" osition.. s�9rK o +� ^�R � N c �oc{c conVoi anei, Biaclere cover and fan bax. d if ossible, recoM the water meter readin : REPQR7 SUMMARY: t � " �"i � �� ' I�-Tlca h 2 C<n� ' , ^' .� S � t^ fr�2 �- /2 n i+� v s� -cha.+ i 7 # Lsf' 3 P � � , rn S �+�i s� d� SIGNATURE: w ' � � � D:tFORMSCumenrtTeahServices-Y�astew tertBfoclereFietdRepart.dac rr i L�q��Repo�_,.. http://cazmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl.. ' s�2q (f�( , Massachusetts Department of Environmental Protection L Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems L I/A System inspection resuHs musl be subrrvtted on ihis DEP form. L A. Facility . Shaws Supermarkets,Inc. ` Owner Route 28 1106 ` Facility Street Address � South Yarmouih 02664- ( . City/Town Z�P L Mailing address of owner,if different P.O.Box 600 ' Street Pddress/PO Box V East 8ridgewater MA 02379 4 Cityliown State Zip L 508-313-0663 Telephone Number � L B. Authorized Service Provider LCoastal Engineering Co.,,lnc. O&M Firm L 260 Cranberry Highway Streel AAdress Orleans MA 02653 � Ciry/Town State Zip 508-255-6511 � Telephone Number .� Certified Operalor Name:Brian Geraghty Certification Number:3482 ` C. Facility/System Information DEP ID W033722 Manufacturets Name&ID Model Name&Number Installation Date 6l3/2005 Start of Operafion:6/3I2005 LApproval Type: � Generel � Provisional Q Pibting � Remedial Seasonal Residence-used Iess ihan 6 mo./year: � Yes � No L D. Operating Information .. t nf 5 S/40/9014 1•56 Pi Print All.Reports.... http://carmody.biz/reports/PrintAll.asp?date 1=&date2=&rs=&printAl.. .. Inspection Date Previous Inspection Date 5l292014 5l22/2014 Sludge Depth(to be checked yearly) Pumping Recommended? C Yes � No 10" Effluent Description: Clear,light yellow color,no solids,no odor,pH 7.31. E. Field Testing Field Inspection: Coior. ❑ gay � brown � Cleaz � turbid � Other(specify): light yellow odor: ❑ musty o earthy � moldy � offensive � turbid — EfFluent Solids: � no � some PH 7.31 SU p� NA mP�- Turbidity NA NTU _ 6 to 9 2 or grearer 40 or less Shou�d a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information _ If sampling information was completed,see attached sampling report. Samples Taken � InFluenl � Effluent Parameters Sampled � pH � BOD � TSS C' TN C Other(list below) r Other 1 Other 2 Other 3 _ G. Inspection and Maintenance '-' Description of any maintenance performed since previous inspection 8 during this inspedion: Conducted 0&M.Checked the pumps and controls.Cleaned the sprey noales and fan boxes.Field tested the efFluent.Made � up sodium bicarbonate solution.Checked the operation of the aeration and anopc systems.The EQ system is operating properly.The inFluent pumps are operating slowly and will be monitored.The sysiem is operating properly. Notes and Comments: The sysiem is operafing properly. � H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed �" this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and cort�lete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. OperatorSignature ��-� SIZ-q�«{ Date System owner must submit this report, technology O&M checklist, and any required sampling results to " the local board of heaHh and DEP as follows for each inspection performed: r 9 nf 5 tnnnnin i•s�vr, �_ s 1301 t't i.. ' COASTAL EFIGiNEEF2ENG CO., tNC. 260 Gl�NBERRY HIGNWAY � ORLEANS, MA 02653 � TEL. 5d8 255-6511 FAX. 588 255-&70d BIOCLERE FIELD REPORT �.. Pro'ect Na.: �}fl DatB: S f �'j�g; R � Inskallation: Sampled_ LClient: ` A-2/�'' Service: Commissioned: Addt'8s5: Soss /�r+'tC3U'f 1"( Other. cheduted Ins ector: 1 �2A- ~" L Biociere Model Number s -c} 30 1-3o d- ` 1 Odor around site? Y N Source of odor? �7� `�� "'� ;,, Check ai! that a 1 : 'k ` ��'�'m� - �.= - Septic: Musty: 2 Fie1d Testin : Ga� ,ooio�,spli s,p or,tests • � � - Lv-F• �f o�..) oto�2 0 .sc'}1r1Js NO � 3 a Measure slud e in rima tanks and rease tra s as re ired: L b Slud e de th in rima fank: Scum depth: t-3 u Bludga depth:�p c Does rease tra need um in ? Y � � UNfT 1 URtiT 2 L BIOCLERE YENTS a Is air assin throu h the vent? Y N N L If in daubf ut a smail lasfic ba araund vent and allow to flll. b !s the fa� o eratin and in ood condition? Y N Y I nt LGENERAL � a An ezternal dama e to thexunit s ? If Yes, rovide details on back. v N� v 1 b Are cover, fan box and contr6l anei securel locked? v � N � N c An fiiter flies in the unit? t N ew many r� e many � Location of flies: cJ�.D ! �` d Locks/latches/ hand(es. OK? � � � N L e Lid asket OK? t N t t� Does the fan box contain standin water? v N Y ff Yes, #hen remove water and clean drain hotes if necessa . L BIOMASS CHARACTERIZATION a Color of biomass? 1)whits 2)whitelgray 3)gray 4)graylbrown 5)brown 6)redlbrown 7)biack t � B other '�� " b Thickness of biomass 6-'12 incnes below media su�tace. 1 li ht 2 medium 3 hea /� " NOZZLE SPRAY PA3TERN a Doss s ra cover the entire surface area of inedia? v N Y N If not, clean eacfi nazzte with a bottte brush � Does the s ra now caver the entire surface area? Y � /Y � � If nat then: � 1 remave nazzies and s ak in a bieacfi solution �- 2 manuall en a e both dosin um s for two minutes 3 re Iace nazzlss Does the s ra naw caver the entire surface area? Y 1 Y N :- If not, consult A uaPoint, Inc. � PUMPS AND CONTROL PANEL � � a Record dosin and rec cle um timer settin s from control anel. .. Dosifl Pum 1: . min on:( min off:c�- min on:�p min off: DOSiII PUfi1 2: min on:lp min off min on: ��min off: ReC Cle Pum : min on•.3 off: min orc aff: �, !00 r`'I C�O rl In Biociere control anel set dosin and rec cle timers to a test cle: a Am era e of dosin um 1: , , amps 3, amps " b Am era e of dosin um 2: - S. amps S, amps c m era e of rec cle um : �- amps ,3 amps Are dosin um s altematin ? 1 N � ! N Are the timers o eratin ro er1 Y N I N Visuall ins ect rela s for wear and record roblems below. * If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 oK? Y / N P�,mp 1 OK? Y / N desi nated rest CIB IS OCCURI� . Pump 2 OK7 Y 1 N Pump 2 OK? Y / N � OK7 Y / N OK? Y / N *If pumps or control components are not operating properly, record • below � And consult A uaPoint, inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "Do not chan e timers without consultin A uaPoint, Inc, min on: min otr: min on: min orf: PLUMBING �:> a Are the unions in the Bioclere leakin ? Y N Y / N If es, then ti hten with i e wrench FINAL CHECK a Main ower"on' and set to le for all um s to `nortnal" osition. N / N b ;Alartri.t le se4 to the "ON" osition. N N c Lock control anel Bioclere cover and fan box. d if ossible record the water meter readin : DD i REPORi SUMMARY: — nFlv�rti M `�i � SpcJ — � ! �1 _ � � ? — /L i w� ' t c�-� - Q r — D 6�' � � 0 6Y6 W�)1 � --�F / c SIGNATURE: _ r�O . C� .S �j � D:IFORMSCurrentlTechServices-Was[ewmer ioclereFieldRepon.doc r P-int All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl.. ►. (��{�� Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems 1IA System inspection resutts must be submitled on ihis DEP torm. � ' A. Facility Shaws Supermarkets,Inc. i L Owner � Raute 28 1106 � �, Facility Street Address Soufh Yamrouth 02664- L Citylfown � Zip Mailing address of owner,if different P.O.Box 600 LStreetAddress/POBox East Bridgewater MA 02379 L City/iown State Zip 508313-4663 Telephone Number � 6. B. Authorized Service Provider LCoastal Engineering Co., Inc. � O&M Firm i 260 Cranberry Highway � ►. Street Address Orleans MA 02653 LCiry/Town State Zip 50&255-6511 LTelephone Number Certfied Operator Name:Brian Geraghty Certification Number:3482 �.. C. Facility/System Information DEP ID _ W033722 Manufacturer's Name 8 ID Model Name 8 Number I�stallation Date 6/3/2005 Start of Operation:6/3/2005 IApprovalType: � General � Provisional � Piloting � Remedial V Seasonal Residence-used less than 6 mo.tyear: � Yes � No V r D. Operating Information i L � �f5 6/7(1/901dd•07P1 Print.All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&pri�Al,. � Inspection Date Previous Inspecfion Date 6/4/2014 5/29/2014 . � ... Sludge Depih(to be checked yearly) Pumping Recommended? C Yes � No 12„ �.. Effluent Description: Clear,light yellow color,no solids,no odor. E. Field Testing Field Inspedion: �� r coior: ❑ gray `� brown � Clear � turbid � Other(specify): light yellow odor: ❑ musty o earthy � moldy o offensive � turbid — Effluent Solids: � no � some � PH NA SU DO NA m�' Turbidity NA NTU � 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,efliuent samples shall be collected per Slandard Methods and analyzed for BOD and TSS. � F. Sampling Information _ If sampiing intormation was completed,see attached sampling repoR. Samples Taken � Influent � Effluent Parameters Sampled � pH � BOD � TSS � TN C Other pist below) Other 1 Other 2 Other 3 � G. Inspection and Maintenance Descriplion of any maintenance performed since previous inspection&during this inspedion: Conduded 08M.Checked the pumps and wntrols.Cleaned the spray no�es and fan bmces.Checked the aeration and the � anoxic systems.Checked the condftion of the septic tank.The system is operating properly. Notes and Comments: The system is operating properly. ` .. H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above,have completed "' this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ;,,, OperatorSignature �'Nl. � �///�� oate System owner must submit this report, technology O&M checklist, and any required sampling results to `"' the local board of heaRh and DEP as follows for each inspectio�performed: 2of5 �iionnin n�m rh I � �..' �G7ASTAL ENGINEERiNG CC}., {NC. 2fi4 GRANBERRY HIGHWAY ( fJRLEANS MA 02653 �..� TEL. 5Q8 255-6511 FAX. 508 255-67dd BIQCLERE FIELD REPORT }�,,, Pra'ec# No.: 'i7d . Dat2: l �jmg; /� Installation: SampJed: � Client: �5 /'�ldX. Service: Commissioned: �„ Address: - d �t o ou,er: sch�autea oa . ins ector: R,6 E..,� �3 (,,,, Biociere Modsi Number s �02 ,� - - � 1 Odor around site. Y N Source of ador? � Gor� j,,, Check al! that a ! : Mii . Medium: Septic: Musty: L 2 FIBid TBStlll : dari ,��a�,Soeds,odm,ces� �(E'.�a= �- Bl o b 2 f�/o �a/f05 d ,��3R_ 3 a Measure slud e in rima tanks and rease tra s as re u red: L b Slud e de th irl rima tank: Scum depth: /—3 Siudge depth:�p— '� c Does rease tra need um in ? Y � uw�r� UNIT 2 ; � BIOCLERE VENTS a Is air assin throu h the vent? I N i N If in doubt ut a small lastic ba around vent and allow to fiEl. � 6 Is the fan o eratin and in ood condition? � GENERAL � a An eztemal dama e to the.�unit s ? If Yes, rovide details on back. � Y b Are cover, fan bax and contrbi anel securel tocked7 N Y / N L G Ait filfeC flieS i(t the Uriit? . Y t N many Y t N fe 1 many Loc.�tion of flies: o �'c��' d Lacks/Iatches/hand(es. OK? � � � N L e Lid asket QK? 1 N t rt Does the fan box contain standin water? Y � � ' If Yes, then remove water and clean drain holes if necessa . � BIOMASS CHARACTERIZATION a Colar of biomass? 1)white 2)whitelgray 3}gray 4)graylbrawn 5)brown 6)redtbrown 7)black � � 8 other b Thickness oi biomass 6-12 inches belaw media surface. 1 li ht 2 medium 3 hea c3-- • � " NQZZLE SPRAY PATTERN a Does s ra cover the entire surtace area of inedia? N I N � If no# clean each nozzie with a bottle brush Daes ihe s ra now cover the entire surface area? Y t� t N ' If not then: L 1 remove rrozzEes and s ak in a bieach soiution 2 manua!! eri a e both dosin um s for two minutes 3 re lace nozzies L Qoes the s ra naw cover the entire surface area? Y t / N If not, consuit A uaPoint, Inc. PUMPSAND CONTROL PANEL �t ( a Record dosin and rec cle um timer seriin s from control anel. DOSifI PUrt7 1: � . min on:�p mm off�. min on:�p min off: DOSItI PUfI'I 2: min on: min oRa min on:`�jmin oTf: Rec Cle Pum : min on:3 h off: min on: h if: 6o-ry in Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ; amps d.� amps b Am era e of dosin um 2: - L.l., amps ,a amps c era e of re cle um : amPs amps Are dosin um s altematin ? �N / N Are the timers o eratin ro erl I N i N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. if an ammeter is not avai�able set lhe timers to a test cycie as above and at the Bioclere check the um s' o eration as foilows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N P�mp 7 OK? Y / N desi nated rest c cle is occurrin . PumP 2 oKz Y / N Pump 2 OK? Y / N OK? Y / N OK7 Y / N 'If pumps or control components are not operating properly, record • below � And consult A uaPoint, Inc. RESET TIMERS TO AB.OVE SETTINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consultin A uaPoint, I�C. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? Y / Y / If es then ti hten with i wrench FINAL CHECK a Main ower"on' and set to le for ail um s to "norrnal" osition. Y / N I N b ;Alartri.to le set to ttie'ON" sition.. _ N Y./ N c Lock control anel, Bioclere cover and fan box. d if ossible, record the water meter readin : a- DO I REPORT SUMMARY: • � rn �v�.�fi " �ih--7Zc� �n^ 6w n�F.� ,et�,,-- �(� C.J l s c, — � � ct2l�c ' o ,gcoc( ` ca�c — ox ( 2c� o s ercc � �J a n UG _' � a SIGNATURE: O� , � ' D:IFORMSCurrenATechServices-Waslewa�erl8ioc reFieldReport.doc ' r Pri�All Reports.... hrip://carmody.biz/reports/PrintAll.asp'?datel=&date2=&rs=&printAl.. i . � � J�� y � Massachusetts Department of Environmental Protection �, Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A i Treatment and Disposal Systems �. I/A System inspection resutts must be submitted on Mis DEP form. L A. Facility L Shaws Supermarkets,Inc. Owner Route 28 1706 ` Facility Street Address � South Yarmouth 02664- L Ciry(fown Zip Mailing address of owner, H differeni P.O.Box 600 � Street P.ddress/PO Box East Bridgewater MA 02379 L City/Town State Zip 508313-4663 Telephone Number . � L B. Authorized Service Provider � Coastal Engineering Co.,Inc. � 0&M Firm 260 Cranberry Highway � Street Address Odeans � MA 02653 . � M City/Town State Zip � 508-255-6511 � Telephone Number L Certified Operator Name:Brian Gereghty Certifiwtion Number.3482 ` C. Facility/System Information DEP ID W033722 Manufacturer's Name&ID Model Name&Number ` Installation Date 6/3Y20D5 StaA ot Operation:6/3/2005 LApprovalType: � General � Provisional Q Piloting � Remediai Seasona�Residence-used less than 6 mo.tyear. � Yes � No L D. Operating Information L ] of 5 6/19/2014 429 PP Print Al l Reports.... http://cazmody.biz/reports/PrintAll.asp?date 1=&date2=&rs=&printAl.. �. Inspection Date Previous Inspection Date 6/11/2014 6/4/2014 . Sludge Depth(to be checked yearly) Pumping Recommended? C Yes � No 15" ... Effluent Description: Clear,light yellow color,no solids,no odor. E. Field Testing Field Inspection: Coior: ❑ �y � brown '� Clear � turbid — � Other(specify): light yellow odor. '� musty o earthy � moldy � offensive � turbid ... Effluent Solids: � no � some PH NA SU D0 NA mg/L Turbidity NA NTO ` 6 to 9 2 or geater 40 or less Should a Remediai or Generel Use system fail the Field Testing,etFluent samples shall be collected per Slandard Methods and anatyzed for BOD and TSS. F. Sampling information _ If sampling infortnation was completed,see attached sampling report. Samples Taken � Influent � EfFluenl Parameters Sampled � pH � BOD � TSS � TN C Other pist below) Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any mainienance performed since previous inspection&during this inspection: Conducted O&M.Checked the pumps and controls.Cleaned the spray no�es and fan bo�s.Changed the beli float in the � pre-EQ tank.Cleaned rags from the pre-EQ pumps.Checked the condition of the septic tank.Checked the anobc system. Adjusted the chemical feed dosing rates.Checked the operetion oT the etfluent pumps.The system is operaling property. Notes and Comments: Changed the bell float in the pre-EQ tank.The system is operating properly. � 1� H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed � this repoR and the attached technology operation and maintenance checklist, and the information repoRed is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. � Operator Signature ��.�� 6 /�l 1( y Date I System owner must subrrrt this report, technology O&M checklist, and any required sampling results to � the local board of health and DEP as follows for each inspection performed: � 2 of 5 6/19/2014 429 PIv , � r- � /� (�� 4-' COASTAL ENGIhtEERING CO., IIVC. 2SQ GRA1+lBEF2RY HIGHWAY ! ORLEAPfS' MA 02653 �- TEL. S08 255-651'1 FAX. 508 255-6700 L BIOCI.ERE FIELD REPORT Pro'ect Na.: 1/A Oc�. . DetB: ll � TIm6: c� :b � Installatlo�: Sampied: LClient: � ' M � Serv Commissionsd: Address: , c1. v /✓1 Other. Sched�ed � � tns ector. / �.,Q,� � � r E// p L. Biociere Malei Number s - d 3c) -3C.> c� r - � 1 Odor around site. Y Source of odor? h �y Z.. Check sll fhat a 1 : jp` Mi1 : Medium: Septic: Musty: L2 Fietd Testin : aa� cofor,soHds,odor,tests �.f; cc� CojOlL �tj ft �3 3 a Measure sl d e in ma tanks and r ase tra s as re ui ed: L b Slud e de th in rima tank: scum aepth: -6�� Siudge depth:�- G c Does rease tra need um in ? Y f � UNIT i UN(T 2 ;,_ BlOC�ERE VENTS a Is air assin throu h the vent? Y N N ' If in doubt ut a small lasfic ba around vent and al(ow to#i1I. ,r b Is the fan o eratin and in ood condition? v l N N ti GENERAL j,,, a An ezternal dama e to thefunit s ? !f Yes, ravide detaits on back. Y N� Y / b Are cover, fan box and contrbl anel securel locked? Y N N ( c An filier ft�es in the unit? v r any 1 t� many ` Location of flies: -{t� o� c.'.� d Locks!(etches/handles. OK? 'Y N � N L e lid asket OK? t N t N Does the fan box contain st�[idin water? _ Y � tf Yes, then remave water and c�san drain holes if necessa . � BIOMASS CHARACTERIZATION a Co(ar of biomass? ! 1)whife 2)white7gray 3)gray 4jgraylbrown 5)browr� 8}redt�owm 7}biack it � � $ other C ` b Thickness o( biomass 6-12 inches be(ow media surface. 1 li ht 2 medium 3 hea s�` " I+tOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y N LIf not, clean each nozzie with a bottle brush Doss the s ra now caver ths entire surfacs area? N Y i � ' If not then: � 1 remave nozzles and s ak in a bieach sotution '~' 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles t Does the s ra now covsr the entire surface area? t ta N — If not, consult A uaPoint, Inc. :. PUMPS AND CONTROL PANEL �. a Record dosin and rec cle um timer settin s from control anel. Dosin PUrtt 1: . min on:/p min off� min on: �min oif: DOSIfI PUfil 2: mtn on: /(�mfn off: min on:t In off: � ReC cle Pum : min on: h fG min on: ff: . 6O p In Bioclere control anel set dosin and rec cie timers to a test c cle: a Am era e of dosin um 1: , .S amps 3 amPs b Am era e of dosfn um 2: - amps �, amPs c m era e of rec cle um : amps amps Are dosin um s altematin ? -/,N / N Are the timers o eratin ro er1 N / N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above � and at the Bioclere check ihe um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK7 Y / N PLmp 1 OK? Y / N des( nated rest c Ge is occuRin . Pump 2 OKT Y / N Pump 2 OK? Y i N OK7 Y / N OK? Y / N `If pumps or control components are not operating properiy, record � below i And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SEl-fINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consultin A uaPoint, Inc, min on: min off: min on: min off: PLUMBING a Are the unions in the Biocler�leakin ? Y � Y N If es then ti hten with i e wrench FINAL CHECK , - a Main wer"on' and set to le for ali um s to 'normal" osition. / N I N b �Alartri.t le set to tfie"ON" osition. Y N / N c Lock control anel, Bioclere cover and fan box. d if ossible record the water meter readin : �g� . REPORT SUMMARY: '-e " .ECL ,� 0�4- � – �C — /� "" — �i� - m e / f{- - / G `7� BL — �L F.�o2 i " eV C ,Jz o �r rv- - — 6x�� ' sT (,�Or�f2 �e! — �Jr�rr� o c5 5��+'"i , SIGNATURE: 4.17 !( l D:IFORMSLLrrentlTecRServices-Wartervate IBioclereFieldRepon.doe `: �irt All Reports.... http://carmody.biz/reports/PrirnAll.asp?datel=&date2=&rs=&printAl.. I � :: i Massachusetts Department of Environmentai Protection �. Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Titie 5 I/A � Treatment and Disposal Systems � 4 I/A System inspectlon results must be subrrritted on ihis DEP torm. � I r A. Facility 1 Shaws Supermarkets, Inc. LOwner Route 28 1106 iFaciliry Street Address South Yarmouth 02664- ! City/Town Zip L Mailing address of owner,'rfdifferent P.O.Box 600 I Street Address/PO Box L East Bridgewater MA 02379 � Ciry/Town State Zip - � 508-313-4663 Telephone Number 4 .. B. Authorized Service Provider LCoaslal Engineering Co..Inc. O&M Firm � 260 Cranberry Highway LStreet Address Orleans MA 02653 LCitylTown State Zip 508-255-6571 ' � Telephone Number � Certified Operator Name:Brian Geraghty Certification Number.3482 � C. Facility/System Information DEP ID ` W033722 Manufacturer's Name.&ID . Model Name&Number Instailation Date 6/3/2005 Start of Operation:6/32005 i Approval Type: Q General � Provisional � Piloting Q Remedial � ... Seasonal Residence-used less than 6 mo./year. � Yes E No � � D. Operating Information :. i of5 9/R/901d 4•09 PT, Print All Re,ports.... http://carmody.bizlreports/PrintAll.asp?datel=&date2=&rs=&printAl.. :. Inspection Date Previous Inspection Date 6/20/2014 6/11/2014 ` Sludge Depth(to be checked yeady) Pumping Recommended7 C Yes '�" No 12" � Effluent Description: Clear,light yellow color,no solids,no odor,pH 7.73. E. Field Testing Field Inspeclion: ' r Coior. o �ay � brown � Clear � turbid o Other(specify): light yellow odor. 0 musty � earthy � moldy o oft�ensive o turbid — � EHluent Solids: � no � some PH 7.73 SU p� NA mgJJr- Turbid'rty NA NTU . � 6 to 9 2 or geater 40 or less Should a Remedial or General Use system fail the field Testing,etfluent samples shall be wlleded per Standard Methods and anatyzed for BOD and TSS.- F. Sampling Information _ If sampiing information was completed,see attached sampling report SamplesTaken � Influent � Effluent Parameters Sampled � pH � BOD � TSS G TN C Other(list below) Other t Other 2 Other 3 � G. Inspection and Maintenance Description oi any maintenance pertormed since previous inspection 8 during this inspection: Conduded 0&M.Checked pumps and controls.Checked the condition of the septic tank.Cleaned the spray noales and fan � boxes.Inspected the aeration fank operetion.Checked the anoaic system.Prepared process control chemicals for dosing.The system is opereting properly. � Notes and Comments: � The system is operating properly. H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed "' this report and the attached technology operetion and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ,�, Operator Signature � ��2(�� Date System owner must submit this report, technology 0&M checklist, and any required sampling results to " the local board of heafth and DEP as follows for each inspection performed: 41 2 of 5 7/8/2014 3:09 PD . ° r� 1 $ r ;,,,' GOASTAL ENGIf�lEEF2ENG CO., INC. 2fi�!'CRi4NBERkZY HIGHWAY f ORLEANS: MA 02653 L. 'fE�. 508 255-6511 FAX. 50$ 255-87d0 BIOCLERE �IELD FtEPOR7 � Pro'ect No.: Od , C��} ir Date: d� TIl118: t[7 '. Installatlon: Sampled: Clienf: .S f [ Service: Commissioned: � Address: ottser. Scheaul . Ens ector. Gt�h'7 -y „..3 LBioclere Model Number s J � � '-,3a � � 1 Odor around site? Y N Saurce of odor? � Gheck all that a ! : r�i�d: Medium: F'; - �.� - Septic: Musty: , 2 Field Testin : ua� ,�otw,x,� ,oaor,te5�s � .F'-r9�/Z L f- c( e�J o �. O S� t�s� f�7) Q 3 a Measure siud in rima tanks and rease tra s as re uired: b Slud e de th in rima tank: Scum depth: - J} Sludge depth: a-j " � C D08S rease tra need U!ri Ill ? Y N UNIT 1 UNR 2 I BIOCLERE VENTS y a Is air assin throu h the venf? N i N tf in daubt ut a smalt lastic ba around vent and a1low to fi(i. � b Is the fan o eretin and in ood condition? v / N Y r N GENERAL j a An extemal dama e ta the,vnit s ? If Yes, rovide details on back. v N ` b Are cover, fan box and contrbi anel secure( tocked? Y N Y N c An filter flie:s in the unit? t few many e t many LLocation of flies: r1 Z�� !p �C�- d L.ocks/latdaes/handles. OK? � �t N e Lid asket OK? t t� N � Does the fan box contain standin water? . v Y If Yes fhen remove water and ciean drain hales if necessa . � B10MASS CHAF2ACTERIZATION a Golor of biomass? 1)white 2)whitelgray 3)grey 4kjray/brown 5)brown 6)redlbrown 7}black � � 8 other b Thickness of biomass B-12 inches beSow media sur€ace. 1 li ht 2 medium 3 hea •- NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? I N Y N L li nat, clean each nozzle with a bottie bnash Does the s ra now cover the entire surface area? Y t� Y N ` If not then: E 1 remave naz�tes and s ak in a bieach solution i.. 2 manuall en a e both dosin um s for two minutes 3 re laca nozztes Does the s ra now cover the entire su�fiace area? Y N N ;,_ If not, consult A uaPoint, Inc. ` PU117PS AND CQNTEtOI PANEL ... a Record dosin and re cIe um timer setUn s irom controi anel. DOSlti E�Uti1 1: . mi[l on: Qrntn . mi�on: min otf: Dosift PUtil 2: min on: in off� min on:[ min off: � f�B C�8 �U(t'i : � min au. h oifi min am h oifi �' . � In Biociere control anel set dasin and rec cle timers ta a test c cle: 8 AdYI t8 8 Of dOSRCt UCn 1: i , amps r amps " b Am era e of dosin um 2: • , amps .,j amps c ere e of rec cte um : amps amps � Are dosi urn s aitemaUn ? �N t ta �- Are the timers o eratln ro eri . I N I N �sual( ins ec# reta s far wear and recard robiems below. �. ' If s are com onents are needed contact A uaPoint, Inc. t(an ammeter Is not aveilabls set the Umers to a tesf cycle as abova and at the Bioclere check the um s' o eration as foilows: dosin um s: cheek that um s are a eratin , alfemati and the Pump 1 OIC? Y t H P�,mp t oK� Y t N desi nated rest cle is occurrin . PumP 2 otc� Y I N Pump 2 OK? Y ! N OK7 Y I N OK7 Y ! N *t#pumps ar c+�ntro! components are not operating properiy, record • below ' And cansult A uaPoint, Inc. RESET TIMERS TO ABOVE SETI'INGS: Note an chan es here: min on: min aff: min on: min off: *do nat chan e timers without consutfin A uaPoini, Inc, min on: min off: min on: min off: PI.UMBING ;`' a Are the unions in fhe Biocler�Ieakin ? y N Y / N tf #hen ti hten wtth i wrench FINAL CNECK . � a AAsin wec"on' and set t le far all urn s to °norrnal" osition. H ! N b :Alami.t I� seE to ttis"ON' osition. Y N Y N c Lock control anet, Siac{ere c,�ver and fan box. d if assible record the water meter readin : p . 1 REPQRT SUMMA.RY: - �- " 'c-� �-��, 1'l�G s' � s --- <n f C�9U�- � �' S - � G G �' � � 02- e � SiGNATURE: - �`� � D:IFpRMSCurrenATeahServices-Wastewaterl8i clereFieldRepon.doc . � I" irat All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&prirnAL L i Massachusetts Department of Environmental Protection �- Bureau of Resource Protection - Title 5 DEP Approved Inspection and 08�M Form for Title 5 UA � Treatment and Disposal Systems � I/A Sysfem inspection resutts must be submitted on ihis DEP form. � A. Facility LShaws Supermarkets,Inc. Owner L Route 28 1106 Facility Street Address � SouthYarmouth 02664- L Cityliown Zip Mailing address of owner,'rf different P.O.8ox 600 � � Street Address/PO Box East Bridgewater MA 02379 � City/Town State Zip " 508-313-4663 � � � Telephone Number � B. Authorized Service Provider � Coastal Engineering Co.,Inc. � O&M Firm L260 Cranberry Highway Street Pddress . Odeans MA 02653 LCiryliown State Zip 50&255-6511 � Telephone Number � Cert�ed Operator Name:Brian Gereghty Certification Number.3482 � C. FacilitylSystem Information DEP ID ,_ W033722 Manufacturer's Name 8 ID Model Name&Number Installation Date 6/3/2005 Start of Operetion:6/3/2005 j ApprovalType: � Generel � Provisional � Pibting � Remedial ►� Seasonal Residence-used Iess than 6 mo./year: � Yes � No L D. Operating Information �. 1 nf5 �iunnia2•inur rnnt all x�ports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&prirnAl.. ` Inspedion Date Previous Inspection Date 6125/2014 6/20l2014 ' � Sludge Depth(to be checked yearty) Pumping Recommended? G Yes � No 15" r Effluent Description: Clear,light yellow color,no solids,no odor,pH 6.81. E. Field Testing Field Inspection: Co�or: ❑ �ay � brown � Clear � turbid � Other(specify): light yellow odor: � musty � earthy � moldy � offensive o turbid — Effluent Solids: � no � some � PH 6.81 SU p� NA mg�L Turbidity NA NTU �� 6to9 , 2orgreazer 40orless Should a Remedial or General Use system fail the Field Testing,effluent samples shall be wllected per Standard Methods and analyzed for BOD and TSS. F. Sampting Information — If sampling information was completed,see attached sampling report. Samples Taken � InFluent � EfFluent Parame[ers Sampled e pH � BOD � TSS G TN c Other(list below) r Other 1 Other 2 Other 3 _, G. Inspection and Maintenance Description oi any maintenance performed since previous inspection&during ihis inspection: Conduded 08M.Checked pumps and wntrols.Checked the condition of the seplic tank.Cleaned the spray noales and fan _ boxes. Inspected the aeratlon tank operation.Checked the anoxic syslem. Prepared process control chemicals for dosing.The system is operating properly. Notes and Comments: ,_, The system is operating properly. . y H. Certification j I certify: I have inspected the sewage treatment and disposal system at the address above, have completed �" this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the ins ection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. �.. Operator Signature �/�� 7/l�l�� ate p � System owner must submit this report,technolo 08M checklist, and any required sampting results to " the local board of heaRh and DEP as follows for each inspection performed: r 2 of 5 7/8/2014 3:10 Ph I �- 7(s/� l.' COASTA� ENGIt+lEEF211+JG CO., INC. 2fib CRANBERRY HIGHWAY LORLEAFIS MA 02653 TEG. 508 255-fi61'E Ff1X. 508 255-6784 L BtOC�ERE FtELD REPQRT Pro'ect tJo.: Date: c3 i Time: : O � Installatlo�: ampled: LC140t�t: �' � `— Service: Commissioned: Address; _ d.�. �a oc3T otner. scneaui . � Ltns ector. R! - t-f-1 2.� 6ioclere Model Number s -a o � a -. L 1 4dor araund site? Y Soutce af odor? Check all that a I : Miia: Meaium: _ .3�}- r` � /� ,� Septic: Musty: � 2 Fletd 7estin : aari .�ic�,so�as,oda,te5� G/ L _ . I c�..� olsrc. D -�.`'-C�I S N o p 3 a Measure s(ud e in rima tanks and rease tra s as re uired: b 81ud e de th in rima #ank. &cum deptn: j_ J+ siva9e aepth: 1d- 1 L c Does rease tra need um in ? Y / LLfNiT i UN{T 2 BIOCLBRE VENTS a Is air assin throu h the vent'? v I N i N !f in doubt ut a small lastio I�a around vent and allow to fli. � b Is the fan o eratin and in ood condition? v / N N GENERAL � a An eicternal dama e to the,�anit s ? If Yes, rovide details on back. v / v I 6 Are cover, fan box and eantr�st anel secure( Iocked7 Y N � N c An filter fliss in ihe unit? � Y N ew many Y N e many � Location of flies: v n2��'.tZ -ft�.e. co � p ��r� d locics!latches! handles. OK? ! N N e Lid asket OK? N Y N � Does the fan box contain stendin water? . Y � v � if Yes, then remove wa#er and clean drain ha(es Rf necessa . { BtOMASS CHAitACTERtZATION �" a Cokor af biomass? 1)white 2}whitelgray 3)gray 4kjray/brown 5)brown 6)red/brown 7ablack � L 8 ther t_� '^ b Thickness of biamass 6-12 inches below media sur(ace. 1 Ii ht 2 medium 3 hea c7.. -- NOZZLE SPRAY PATTERN a Does s ra aover the entire surtace area of inedia? v I N N � If nat, ciean each nozzle with a battle brush �+ Does the s ra now cover the entire surface area? Y / Y N ` If not than: L 1 remave nozzles and s ak in a bleach so(utian 2 manuall en a e both dosin um s for two minutes 3 re iace nozzles Does the s ra now cover the entire surface area? Y t Y 1 N j„ lf not, consult A uaPoint, inc. . i PUINPS AND GONTROL PANEL '�' { �" a Record dosin and rec c�e um timar settin s fram controi anei. DOsitl Purtt 1' - min on: q min off: min on: p min off: Dosin Pun1 2: min orr. d min oif: min on: min offc}; ReC cle Pum : min on� ofE: min a�: oif: ' !vD �aa in Biociera control anel sef dosin and rec cIe timers to a test cle: a Am era e of dosin um 1: �Jc, amRs 3 � amps b Am ere e of dosin um 2: • , amps 5, amps c m era e af rec ole urn : �3 amps amps Are dosin um s altematin ? y N N Are the timers o eratin ro eri v N 1 N Usuaii ins ect rsla for wear and recard roblems below. ' If s are com onents are needed contact A uaPoini, �nc. If an ammeter is nat availeble aet the timers to a test cycle as abova � and at tfie Biociere check ihe um s' o eration as foltows: Dosi um s.check that um s are o eratin ai#emati and Yhe Pump 1 oK? Y ! N Pt�mg t OK? Y 1 N dBSi 1lated I'eSt CI8 i5 oCCUI1'PIl . Pump 2 OK7 Y / N Pump 2 OK7 Y I N OK? Y / N OK? Y ! N 'tf pumgs oc con#rol carnponents are not aperating properly, record � below ' And consult A uaPoint, Inc. RESET 71MERS TO AB.dVE SETTINGS: Note an chan es here: min on: min off: min on: min off: *Da not chan e fimers withaut consultin A uaPoint, tnc. m�n on: m�n otr: min on: min oif: PLUMBING s a Ara the unions in ihe Biocler� {eakin ? Y ta Y t If es, then tf hten with i e wrench F1NAL GNECK , a Main awer°on" and set to le for all um s to "normal" osition. Y 1 N Y N b ;Aiarm.t t� seE to the"ON" osition.. � N N c Lack c�ntRrS anet, Biodere cover and fan bax. d if assible recard the water meter readin : P!dd O4 r REPQRT SUMMARY: o - rr r � ---ri'? 8(c��. � t� -- i e+�4� o� ��r �a - �s o ~�_ ` c�(�..��c�F..�. . C L:/� —� 2. o ; r'u rl � tx..9ct ._- no,)c!G S G � o ca -- V C�� +J""1 tit� O �'{C D � C � Gn �� SIGNATURE: �� - � D:tFpRMS Current{TechServices-Wastewate� 'octere Fietd Repon.doe g" y P�irrt Al]Reports.... http://carmody.biz/repor[s/PrintAll.asp?datel=&date2=&rs=&prin[Al.. �' 7 �� ( t Massachusetts Department of Environmental Protection �. Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A E Treatment and Disposal Systems �. I/A System inspection resuits must be submitted on mis DEP torm. � A. Facility LShaws Supermarkets,Inc. Owner Route 281106 � Facility Street Address South Yartnoulh 02664- L Cky/Town Zip Mailing address of owner, 'rf different P.O.Box 60D � StreelAddress/POBox East Bridgewater MA 02379 L Ciry/iown State Zip 508-313-4663 Telephone Number � L B. Authorized Service Provider ' Coastal Engineering Co.,Inc. I � 08M Firm � 260 Crenberry Highway � � Street Address Orleans MA 02653 � Cityfiown . State Zip 508-255-6511 ITelephone Number 1.. Certified Operator Name: 8rian Geraghty Certification Number:3482 � C. Facility/System Information DEP ID _ W033722 Manufacturer's Name&ID Model Name&Number Installation Date 6/3/2005 Start of Operation:6/32005 � ApprovalType: � General � Provisional � Pibting � Remedial � r. Seasonal Residence-used less ihan 6 mo./year: � Yes C No L D. Operating Information �� . I of5 �nnnnie ii•i� e� Print All Repor[s.... hrip://carmody.biz/reports/PriMAll.asp?datel=&date2=&rs=&pritrtAl_. . � /, (��{ .. Inspection Date Previous Inspection Date 7!1l2014 6/25/2014 . Sludge Depth(to be checked yearly) Pumping Recommended? C Yes d No 15" Effluenf Descriplion: Clear,light yellow color,no solids,no odor. .. E. Field Testing Field Inspectiore � � rr co�or: � �ay � brown � Clear � turbid � Other(specify): 1i�t yellow odor: ❑ musty � earthy � moldy � offensive � turbid --� Effluent Solids: � no � some PH NA SU pp NA mg/L Turbidity NA NTU � � 610 9 2 or greazer 40 or less Should a Remedial or General Use system fail the Field Testing,efFluent samples shall be collected per Standard Meihods and analyzed for BOD and TSS. F. Sampling Information — If sampling information was completed,see attached sampling report. Samples Taken � Influent � Effiuent Parameters Sampled n pH � BOD � TSS C TN C Other(list below) Other t Other 2 Other 3 ,,,, G. Inspection and Maintenance Description of any mainienance performed since previous inspection&during this inspection: Conduded O&M.Checked the pumps and controls.Cleaned the spray noales and fan boXes.Checked the wndition of the � sepiic tank.Checked lhe operation of the aeration,anoxic and E�tanks.Made up sodium bicarbonate solution for process control.The system is operating properly. Notes and Comments: ` The system is operating properly. Lr H. Certification I certiTy: I have inspected the sewage treatment and disposal system at the address above, have completed � this report and the attached technology operation and maintenance checklist, and the information reported is true, accurete, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. � Operator Signature � " 1-�-y� 'l(l�(�'� oate System owner must submit this repoR,technology O&M checklist, and any required sampling resuRs to ` the local board of heaRh and DEP as follows for each inspection performed: r 2of5 �nnnnia ii�ia e�� 1 . . -- - a r�t �- COASTAL ENGIhIEERIhIG CO., ING. 2fi0`GR;4NBERRY HIGliWAY � ORLEANS' MA 02653 TE�. 508 255�6511 FAX. 588 255-6780 BIQCLERE FIELD REPORT i.. Pra'ect No.: t,�J � 8 DatB: ( � Titne: daOQP l�stallation: Sampted: LClient: � /� Service: Commissioried: Address: . ot '"' t.l Other. che Ins ecfor. �-'{ -r �„ 8ioolere Model Number s ; � ^ � � � 1 Odor around site? Y/ Source of odor? �, Check a!I that a I : t�iia: t�ediam: Septic: Musty: 2 Fietd Testin : da� cator,soNds, dor,ce5� L �- • � 6�J @ .S� G[�S �t? 3 a Measure slud e in rima tan s and rease tra as re uired: j L b SEud e de th in rima ta11k: 5cum depth: ^ Siudge depth: — c Does rease tra need um in ? Y ( LifNiT 1 Uh1�T 2 BIOCLERE VENTS a �s air a&sin throu h the vent? Y / N Y N L ff in doubt ut a small iasfic ba around vent and allow to fiH. b Is the fan o eratin and in ood condition? Y / �v Y N � GENERAL L a An ezternal dama e to the��unit s ? If Yes, rovide details on back. N / b Are cover, fan box and contr&i ane� securel locked7 �' Y � N c An fllter flies in the unit? Y rewt many Y t ew�many � LocaUon of flies: d Locks/Iat�hes!t�andles. OK? I rv I N L e Lid asket OK? v t t� � t N Does the fan box contain standin water"? . Y Y If Yes then remove water and clean drain holes if necessa . � BIOMASS CHARACTERIZATION a Golor af biomass? L1)white 2)whitelgray 3)gray 4}graylbrawn 5}brown 6xedtbrown 7jbiack � � 8 oifier b ThEckness of biamass 6-12 inches belaw media surface. 1 li ht 2 medium 3 hea o} LPlOZZtE 3PRAY PATTERN a Does s re cover the en#ire surfece area of inedia? Y N i �t LIf no#, clean each noule with a bottle brush Does the s ra now cover the entire surface area? t s� N ' If not then: L1 rernove nozzles and s ak in a taleach so{ution 2 manuall en a e both dosin um s for two minutes 3 re lace nozztes � Does fhe s ra now caver the entire surEace area? Y � tv v N L.. If not, consult A uaPoint, Inc. PUMPS AND CONTROL PANEL a-, a Record dosin and rec cle um timer settin s from control anel. DOSIII PUrtI 1: • min on:/O min off:a. min on:(�min off• DOSIn Pum 2: min on: [Qmin off: min on:(p min ofl:a ReC Cle Pum : min on: of� min on• h off: � ��"1 O� In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ;, amps amps b Am era e of dosin um 2: - amps ,3 amps C e�2 e of�eC CIB um : amps amps Are dosin um s altematin ? 1, N � rv Are the timers o eretin ro eri / N / N �suall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint inc. if an ammeter is not available set the timers to a test cycle as above T and at the Bioclere check the um s' o eration as follows: � Dosin um s: check that um s are o eratin , aftematin and the Pump 1 OK7 Y / N PLmp 1 OK? Y / N desi nated rest G8 IS OCCURItI . Pump 2 OK? Y ! N Pump 2 OK? Y / N OK? Y / N OK7 Y / N *If pumps or control components are not operating properly, record • below � And consuit A uaPoint, inc. RESET TIMERS TO AB.OVE SETTINGS: Note an chan es here: min on: min ol�: min on: min off: �'Do not chan e timers without consultin A uaPoint, Inc. min on: min oft: min on: min orf: PLUMBING a Are the unions in the Biocler�leakin ? v N Y N If es, then ti hten with i wrench FINAL CHECK , ` a Main wer'on' and set t le for alI um s to °norrnal" sition. N / N b Alami.t le set to tH�e"ON' osition.. v N Y N c Lock control anel, Bioclere cover and fan box. d if ossible re�rd the water meter readin : REPOR'FSUMMARY• �6tl � - "v CO n ✓o oC � — ' o -- �/-' h �3 � �,e, i Cr `G cS 0 _ � -..--— Y'J r! � O . . � �5- Q YB Q/L , SIGNATURE: � t D:IFORMSGLrrentlTechServicu-Was�ewaterlBiocle FieldReport.doc � �rim All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&printAl.. 1�g (� y � Massachusetts Department of Environmental Protection L Bureau of Resource Protection - Titie 5 DEP Approved Inspection and O$M Form for Title 5 I/A � Treatment and Disposal Systems � I/A System inspection resulls must be submitted on this DEP form. ' ` A. Facility '` Shaws Supermarkets, Inc. � Owner Roufe 28 1106 V ` Facility Street Address South Yarmouth 02664- � � City/Town Zip �.. Mailing address of owner,if different P.O.Box 600 LStreet Address/PO Box East BrWgewater MA 02379 j City/iown State Zip t V 508-313-4663 Telephone Number . � L B. Authorized Service Provider � Coastal Engineering Co.,Inc. ►.. 08M Firm � 260 Crenberry Highway Street Address Odeans MA � 02653 LCiry/I'own State Zip 508-255-6571 ' Telephone Number i � Certified Operator Name:Brian Geraghty Certification Number:3482 ,..� C. Facility/System Information DEP ID ` W033722 Manufacturefs Name&ID Model Name&Number Installation Date 6/3/2005 Start of Operetion:6/3/2005 I ApprovalType: � General � Provisional � Piloting � Remedial r.. Seasonal Residence-used less than 6 mo./year: � Yes c No I L D. Operating Information � `f5 viini�nin iin< nr Prirn All Reports.... http://carmody.biz/reports/PrintAll.asp?datel=&date2=&rs=&prin�^.1. .. Inspedion Date Previous Inspection Date 7/812014 7/1/2014 r, Sludge Depth(to be checked yearly) Pumping Rewmmended? C Yes G No 18" Effluent Oescription: Clear,light yellow color,no solids,no odor,pH 7.57. r E. Field Testing Field Inspection: `. Color: � �ay � brown � Cleaz � turbid � Other(specify): light yellow odor: � musty � earthy � moldy o offensive � turbid "' Effluent Solids: � no � some PH 7.57 SU pp NA mF�- Turbidity NA NTU .. 6 fo 9 2 or greater 40 or]ess Should a Remediat or Generel Use system fail the Field Testing,effluent samples shall be collecled per Slandard Methods and analyzed for BOD and TSS. F. Sampling Information — If sampiing infortnation was completed,see attached sampling report. SamplesTaken � Influent � Effluent � Parameters Sampled � pH � BOD � TSS � TN c Other(list below) Other 1 Other 2 Other 3 _ G. Inspection and Maintenance Descriplion of any maintenance pertormed since previous inspection&during this inspection: Conducted 08M.Checked the pumps and controls.Cleaned the spray noales and Tan boxes.Checked the condition of the — septic tank.Checked the operation of the aeration,anobc and EQ tanks.Made up sodium bicarbonate soiution tor process control.The system is operating properly. Notes and Comments: .. The system is operating propedy. . `. H. Certification ; ; Yd I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and compiete as of the time of the inspection. I am a Massachusetts certified operetor in I accordance with 257 CMR 2.00. �- Operator Signature ��_ ��_� 71 8/� 7 oate System owner must submit this report, technoiogy O&M checklist, and any required sampling results to ` the local board of health and DEP as follows for each inspection performed: r 2of5 aitni�nin t�.�c .. � , �� `"' GOASTAL ENGINEERING CC3., 1NC. 2fi0 GRANBEFt}2Y ttIGHWAY ; CIRGEANS, MA 02653 `" TEL. 548 255-6511 FAX. 50$ 255-6�00 � BIOC�ERE FIELD REPORT � � Pro'ec# No.: Ck� • D2t9: ! TltTie: Q�" 1ns#allation: Sampled: � Ciient: � S �f�K Service: Commissioned: +— Address - c� ,� u c1 � . eauled O& : tns ector: K! 3 3- r�'/�'�h4no� �'C�Uu- L Biociere Modei Number s �} s � 1 Odor around site? Y/ N Source of odor? d"�I,e TC9 � Gheck ali that a ! : M� : Medium: . �. �.L� ( _ j{ a 9eptic: Musry: L 2 Field Testin : aa� ,�oior,solids,odor,tests E � t� ei o �`a 1 0 3 a Measur slud e in rima tanks and rease tra as re uired: � b Slud e de tfi in rima tank: Scum dep�h: —�� Sludge depth:Id' ` L: G Qo6S fQBS@ tf8 t3@et� Ufi'1 i(i ? Y 1 � UNiT 1 UNtT 2 i.. BlOCLERE VEt+lTS a Is air assin throu h the vent? Y ! N Y I N � }f in doubt ut a smaN las#ic ba around vent and a(iow ta fitl. i.. b !s the fan o eratin and in ood condition? Y N Y � f GENERAL � ;,, a An external dama e to the•'unit s ? If Yes, rovide details on back. v / Y � N b Are cover, fan box and contrtrl anei securel locked? �' � N c An fllter fl'ses in the uni#? v N t many r� sewt ny �, Location of flies: V+7�"/L -f"Y1E. zp pv d Lodcs/latches/handies. OK? / N i N } e lid aske#GK? � N Y H ,,,,, Does the fan box contain standin �water? Y Y ! If Yes then remave water and ctean drain hales if necessa . �,. BIOMAS5 CHARACTERIZATION a Co1ar af biomass? 1)white 2)whitelgray 3)gray 4)gtaylbrown 5}brown S�redtbrown 7}biack � L B other ��7 b 7hickness of biomass 6-12 inches belaw media surface. 1 li ht 2 medium 3 hea , ` NQZZLE SPRAY PATTERN a Does s ra cover the entire surtace area of inedia? Y t N L It not ciean each noule with a bottle brush Does the s ra now cover the entire surfac$ area? Y N v rt ' If not then: � 1 remove nozzles and s ak in a bieach solution 2 manuall en a e both dosin um s far hvo minutes 3 re face nozzles � Does the s ra now cover the sntire surface area? v ra v N �- If not, ponsult A uaPoint, Inc. PUMPS AND COS�ITRC?L PA(+lEL � a Record dosin end rea cte um timer settin s from cantroi anei. DOS1t1 PURi 1; min on: � min atf:� min on: (} min off� DoSitl PUm 2: min on: �omin ofT: min an:/pmin off; ' RB C19 F't7R1 : mtn an: aft: min on• off: ' C�O {9 Q+"t In Bioclere controi anel set dasin and rec cie timers to a test c cie: a Am ra e a(dosin um 1: i amps ..3. amps b Am era e of dosin um 2: - amps 5,c9- amps C Am 8te e of�ec Cfe um : amps ,(� amps', Are dosin um s altematin ? 4 N t N Are the timers o eratin ro erl . Y 1 N Y i N Visuall ins ect rela s far wear and record rabiems below. ` if s are com anents are needed contact A uaPoint, Inc. if an ammeter is nat available set the tirners to a tesf cycle as above 't" and at the Bioclere check the um s' p eration as follows: � Dosin um s: check that um s ara o era6n , altema#in and t�e Pump ti aK? Y ! N P�,mp t aK4 Y t N . desi nated rest c cle is occurcin . Pump 2 OK? Y / N Pump 2 OK? Y ! N QK? Y / N OK7 Y / N *If pumps ar canEro! componen#s are not operating propedy, recard • below ' And cansuit A uaPoint, tnc. RESET TIMERS Tl7 ABOVE SETTINGS: Note any ch2nges here: min on: min off: min on: min off: _. —. �._� `Do not change timers without consulting AquaPoint, IfIC. _ min on: min off: min an: min off: PLUMBING a Are the unions in the Bioclere ieakin ? Y / ta v � rt If es then ti hten wikh I wrench FENA1.CHECFt a Main ower"on" and set to le tor all um s to "noana!" osition. N � � b :Alarm.t I� seE to th�"ON' osition. _ v N � N c tack contro! anel 8iaclere caver and fan box. �o�4 d {t ossibfe, record the water meter readin : � REPORT SUMMARY: - ✓�Fiv�t" ar� �G o C� ,`-i �zl t� -T' 1 S 1 � �4? � 7z n t c.�.� 2(<� - j c( ca21C�ri — ��4+'t� ��7�- s^ n n " .�a � Pr �{r /" t,c,C?2.� Q I � � SlGNATURE: � D7lFOR,MSCurrentlTechServices-Wastewate tocl rePieldRepart.doc � I Drint All Reports.... http://camrodyinc.com/reports/PrimAll.asp?datel=&date2=&rs=&prin. � 7/r e //�( � Massachusetts Department of Environmental Protection �- Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems �., I/A System inspectlon resulls must be submitled on this DEP torm. r A. Facility � Shaws Supermarkets, Inc. L Owner � Route 28 1106 . ` FacilitySireetAddress South Yarmouth 02664- 4 City/iown Zip � L Mailing address of owner,if difterent P.O.Box 600 � Street Address/PO Box L East Bridgewater MA p2379 � Citylfown State Zip L' 506-313�663 Telephone Number ` B. Authorized Service Provider I Coastal Engineering Co., Inc. L 08M Firm � 260 Cranberry Highway � Street Address Orleans MA 02653 LCitylfown State Zip 508-255-6511 j Telephone Number �.. Certified Operator Name:Brian Geraghty Certification Number:3482 ! C. Facility/System Information DEP ID ` W033722 Manufacturers Name&ID Model Name&Number Installation Date 6!3/2005 StaA of Operation:6/3/2005 LApproval Type: � General C Provisional � Piloting � Remedial Seasonal Residence-used less than 6 mo./year: 6 Yes C No . i V D. Operating Information ` ] of5 viaimm�o.te oi Print All Reports.... http://carmodyinc.com/reports/PrimAll.asp?datel=&date2=&rs=8r.g-�n. Inspection Date Previous Inspection Date . 7/16/2014 7/8/2014 .. Sludge Depth(ro be checked yeady) Pumping Rewmmended? C Yes � No 20" Effluent Description: � Clear,light yellow color,no solids, no odor,pH 7.42 � . , �... E. Field Testing Field Inspection: � Coior: ❑ �ay � brown `� Cleaz � turbid � Other(specify): light yellow odor. � musty � earthy � moldy � offensive � turbid — Effluent Solids: � no � some . PH 7.42 SU DO NA . mg/I' Turbidity NA NTU � 6 to 9 2 or greffier 40 or less Should a Remedial or Generel Use system tail the Field Testing,effluent samples shall be collected per Standard Methods and . analyzed for BOD and TSS � '� �.. F. Sampling Information — If sampling information was compieted,see attached sampling report. Samples Taken � Influent C Effluent .,. Parameters Sampled � pH � BOD � TSS C TN C Other(lisl below) Other 1 Olher 2 Olher 3 — G. Inspection and Maintenance Description of any maintenance perfortned since previous inspection&during this inspection: . Conduded O&M.Checked the pumps and controls.Cleaned fhe spray noales and fan boxes.Checked the condition of the � septic tank.Checked the operation of the aeration syslem and anopc system.The sysiem is operaling properly. Notes and Comments: � The system is operating properly. . � H. Certification .. I certify: I have inspected the sewage treatment and disposal system at the address above, have corrpleted this repoR and the attached technology operation and maintenance checklist, and the information reported is true, accurete, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. � Operator Signature ��'�/ ! /� �0 /��Date r System owner must submit this report, technology O&M checklist, and any required sarr�pling resutts to the Iocal board of heaHh and DEP as follows for each inspection performed: .r - q/11/7M A 9.S 4 DT 2�f5 � � . �— (�a 1!� �"` GOASTAL ENGINEERING CO., iNC. 2fi0'4`RfiiNBERRY N{GHWAY ' ORLEANS:, MA 02653 TEL. 508 255-65.91 FAX. 508 255-6T00 ' i BIQCLERE FIELD REPORT Pro'ect Na.: f}O D2te: � 1 Tlftte: �O�' lnstaliation: Sampled: � Client: 5i}FhA`S M�'1�`�" Service: Commissioned: Address: ¢- ,�c��-t t�*vao M omer. cheduled 08M: � tns ector: i�t � Bioclere Modei Number s 6–c� t� a a - f 1 ddor around site? Y! Source oi odor? Check all that a ( : MiEd: Msdium: �.{-�: = �- c�- �'nF.• Septic: Musty: 2 FIBId T85titt : darity,mior,soreas,odor,ces�, 'C.! Lf� ello�c? SO t(JS NO 3 a Measure slud e in rima tanks and rease tra s as re uired: b S(ud e de th in rima le�k: Scum depth: / I Sludge depth: a_d '� c Does rease tra need um in 7 Y t � ur�rr i aNrr z BIOCLERE VENTS a Is air assin throu h the vent? N / N � if in daubt put a smali plastic baq around vent and ailow to fitl. � � ! b Is the fan o eratin and in ood condition? u v N t N , GE REN AL —._ ..�.__..._ ' a An eztemal dama e to therunit s ? If Yes, rovide details on back. Y t v � b Are cover fan box and cantrbi anel securel Iocked? N / N c An filter flies rn the unit7 Y N ' any Pt many � Lacation of flies: crv7��,2 •�� a. � p� d i.ack.s/Iatctsss/fiandEes. OK? / N 1 N , e LId asket OK? t t� N Does the fan box contain standin �water7 . Y I N � N If Yss then remove water and c(ean drain hotes if necessa . t I BIOMASS CHARACTERIZATION a Color'of biamass? 1)whi#e 2)whiteJgray 3)gray 4kjray/brown 5)brown 8�redfbrown 7)btack � � 8 ather b Thickness af biort3ass 6-12 9nches befow media surtace. 1 li ht 2 medium 3 hea � NOZZLE SPRAY.PATTERN a paes s ra 'cover the en�i�e surfaoe aFea of inedia? Y 1 N N i if not cEean each nozzte with a hottle brush poes the s ra npw cover the entira surface area? � N N `I#not then: � '1 remove nozzies and s ak in a bieach soiufion 2 manuall en a e both dasin um s for two minutes 3 re Iace nozzles Doss the s ra now cover the entire surface area? �' tv v N If not, consult A uaPoint Ina. � PUMPB AND GOhiTROL PAM1tEL a Record dosin and rec cie um timer settin s from contra� anel. C}oSin F'UISt 1: . min on: Q min oSY- min on: in att� DOSil1 PUrt1 2: min on: (p mIn aff:a min orr. � min off: Rec cie Pum : min on:3 off: min an: h off: ' p�1 on't In Bioclere control anel set dosin and rec cle timers #o a test c cle: a Am ra e of dostn um '1: ; < amQs 3, amps b Am era e of dosin um 2: • amps amps c era e of rec cle um : amps g• amps Are dosin um s altemaYin ? �N ! � Are the timers o eratin ro erl Y N N �suail ins ect rela s for wear and record roblerns beiow. ` If s are com onents are needed contact A uaPoint, Inc. If an ammeter is nat available set the timers to a test cycfe as abova and at the Bioclere check the um s' p eration as follows: dosin um s. check#hat um s are o eratin , altematin and the �'��P S�? Y � N PitmP ti OK? Y i t3 dB5 fl8ted �eS# CIB !S oCCUfi'11t . Pump 2 OK? Y l N Pump 2 OK7 Y ! N OK? Y / N OK? Y / N *tf pumps ar con#rot componenfs are not operating properiy, record • below ' And cunsuit A uaPoint, Inc. RESET TIMERS TO AB.OVE SETfINGS: Note an chan es here: min on: min off: min on: min off: 'Do nat chan e timers without consuttin A uaPoint, 111c. min on: min off: min on: mm off: PLUMBING ,4 a Are the unions in the Biaclere ieakin ? Y � N Y � � If , then ti hten with i wrench ' FtNAt.CHECK a Matn ower"on" and sst to le tor a11 um s to °norma!" sEtion. � N � N b :Alarni.to �e S2�t0 tfl�"1'N' S�t1011.. _ Y / N Y N c tock cot�trol anei Biaclere cover and fan box. d if ossabie record the water meter readin : 1 a-�� ' REPORT SUMMARY: • � U � o�"l -�� ^U _,� ( .SQt.. � — c9`v'f S TF�tM u-�02,�t �G9 ' ' � �' � 2.U�t ri l G. o�' C J �D �7' �-�-tS c� o� c t n — rlax cc. �fe,rn �2.cm n r ' S Cb �: — r �.V � +'Yt t�1 t,�J� �� , SIGNATURE: � � � P:IFORMSCunent7TeahServices-Warrew terlBioctereFietdReporedoc . r , � irn All Reports.... http://carmodyinc.com/reports/PrimAll.asp?datel=&date2=&rs=&prin.. ` . 7�Z3��Y f Massachusetts Department of Environmental Protection �- Bureau of Resource Protection - Title 5 � DEP Approved Inspection and O&M Form for Title 5 I/A i Treatment and Disposal Systems � I/A System inspec6on resutts must be submiried on Ihis DEP form. � � 6. A. Facility I Shaws Supermarkets,Inc. L owoer L Route 28 1106 Facility Streel Address South Yartnouth 02664- LCitylfown Zip - Mailing address of owner,rf different . P.O.Box 600 ` Streel AddresslPO Box East Bridgewater MA 02379 LCityliown State Zip 508313-4663 jTelephone Number L � B. Authorized Service Provider � Coastal Engineering Co., Inc. � 08M Firm � 260 Cranberry Highway ` Street Address � Orleans MA 02653 v Ciry/iown State Zip 50&255-6511 . Telephone Number ` CeAfied Operator Name:Brian Geraghty CeAfication Number.3482 ` C. Facility/System Information DEP ID � W033722 Manufacturers Name&ID Model Name&Number Installation Date 6/3/2005 Start of Operation:6/3/2005 � Approval Type: � General e Provisional � Piloting � Remedial i.. Seasonal Residence-used less than 6 mo.year: � Yes � No l. D. Operating Information ; l•nF G ont nme o.eo ne Print All Reports.... http://carznodyinacom/reports/PrintAll.asp?datel=&date2=&rs=&py' ,. Inspedion Date Previous Inspection�ate � � 7I2312014 7/16/2014 .... Sludge Depth(to be checked yearly) Pumping Recommended? C Yes � No 18" EHluent Descriptiorr. � Slightly cloudy, light yel�ow color,no solids,no odor. � r E. Field Testing field Inspedion: ,,,, color. ❑ gay � brown � Clear ° turbid � Other(specify): light yellow odor: � musry � earthy '� moldy � offensive � turbid Effluent Solids: —r'� no � some � PH NA SU p� NA mY�' Turbidity � N� — 6 to 9 2 or geater 40 or less Shouid a Remedial or General Use system fail the Field Testing,efFluent samples shail be collected per Standard Methods and analyzed for BOD and TSS. � F. Sampling Information ' If sampling information was completed,see attached sampling report. Sampies Taken � Influent � Effluent -- Parameters Sampled � pH � BOD � TSS C TN � Other(list below) Other 1 Other 2 Other 3 � G. inspection and Maintenance Descriplion of any maintenance performed since previous inspection&during this inspection: .. Conduded O&M.Checked the pumps and controls.Cleaned the spray no�es and fan boxes.Checked the condition of the � seplic tank.Checked the operation of the aeration syslem and anobc system.The system is opereling properly. Notes and Comments: "' The system is operating properly. a.. H. Certification ' .. I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this repoR and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. 1 am a Massachusetts certified operator in accordance with 257 CMR 2.00. `'+ Operator Signature v�" "� ` r z3�1 y Date .� System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of heaRh and DEP as follows for each inspection performed: r v��i�m� �.eo m O ..Cc � �t7ASTA� ENGINEEE2lNG CO., lNG. 26�'CRANBERF2Y FiIGNWAY � ORLEANS: MA 02653 �- 7EL. 508 255-8511 FAX. 5p8 255-fi700 � BtOCL.ERE FiELD REPORT ;,r Pra'ect No.: W �lt�d C�U p�ytg: '�- � ( Tim2: (: � lnstallatlon: Sampied: Glient: 45 j''1 �, Service: Commissioned: L Address: . d �oJT ✓�✓✓tovT` n/, other sc�, uied oaM: Ins ectar: � 3 �,,, Biociete Modei Number s - (� "` 9 Odor around site? N Source af odor? � �, Check 8ft that a I : v`pnt o tvi � i� : Medium: Septic: Musty: , 2 Field Tes#in : c�a�i ,wbr,soGas,odoc�sts �, SI t t'j f OJ ��SDJ1L15 L'f'. Gt�p�.J CC1 O � 3 a Measur siud e i� rima tank and rease tra s as re uired: � � 6 Slud e de th in rim� tank: Scum depth:3$�' S{udge depth: (8 �� Y � _ c Does rease tra need um in ? UNIT 1 UNIT 2 �„ BIOG�ERE VENTS a 3s air assin throu h the vent? � N N � If in daubt ut a small lastic ba around vent and allow to filL _ b Is the fan o eratin and in ood canditian? Y � Y � � LGENERAL a An eztema! dama e to therunit s ? kf Yes, rovide details on back. Y N Y ! - b Are cover, fan bax and cantrul anei securei locked? Y � N ! c An filter flies in the unit? . N e many N e many L Location of flies: ra �/ d Locks/Iatches! handles. OK? � N � L e Lid asket OK? N N Does the fan box contain standin 'water'? - Y � � ff Yes then remove water and clean drain hoies if necessa . L SiOMASS CHARACTERIZATION a Color of biomass? 1)white 2)whitelgrey 3�ray 4}graylbrown 5}brown 6}red/brown 7}biack � ,� B other b Thickness of biomass 6-12 inches below media surface. 1 fi ht 2 medium 3 hea " "' i+tOZZLE SPRAY PATTERI�! -- _.__ Y a Does s re cov�r the er�ti�e surface area of inedia? N j If not, clean each nozzle with a bottls brush '^� Qoes the s ra now covar the entire surface area7 Y N � � `if not then: � 1 remove nozzles and s ak in a bfeach sofution �- 2 manualf en a e both dosin um s far twa minutes 3 re iace r�ozzies i Does the s ra now cover tfie entire surface area? Y N � N .., �f nof, consu(t A uaPoint, Inc. ` PUMPS AND CONTROL PANEL ,� a Record dosin and rec cle um timer settin s from control anel. DOSIfI PUt11 1: . min on: m(n off: min on:(Omin off:d- DOSIfI PUfTI 2: min on:� min off: min on:j min oft: ReC CIe PU�It : min on:� oft: min on: h ff: . O In B(oclere control anel set dosin and rec cle timers to a test c cie: a Am era e of dosin um 1: ; )" amps �, amps b Am era e of dosin um 2: • amps amps c m era e of rec cte um : amPs amps� Are dosin um s altematin 7 N N Are the timers o eratin ro erl I N N �suall ins ect rela s for wear and record roblems below. ` If s are com onents are needed contact A uaPoini, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N PLmp 1 OK? Y / N' desl neted I'25t C Cle iS OCCURifI . Pump 2 OK? Y / N Pump 2 OK? Y / N OK? Y � N OK? Y / N `If pumps or control components are not operating properiy, record • below ; And consult A uaPoint, �nc. RESET TIMERS TO ABOVE SE�INGS: Note an chan es here: min on: min off: min on: min off: ' 'Do not chan e timers without consultin A uaPoint, If1C. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclera leakin ? Y � N Y r N If es then ti hten with i e wrench � FINAL CHECK - a Main ower"on' and set to le for all um s to 'nortnal" sition. Y 1 N N b Alartri.t I� set to th�"ON" o.sition.. N � N c Lock control anel, Bioclere cover and fan box. d if ossible record the water meter readin : / 5a i o o _ � REPORT SUMMARY: ! �o v -.C/ L3lo � /2�vtY70!'I G' — t� ��A' !� — f;2. "7- o h. — @ —" / ! � �s �un �vr W " — )c " c3 �5-f � pytw�,� • r S SIGNATURE: K}pA- ,C� a. G D:IFORMSCurrentlTecFServices-Wostewater ioclereFieldRepon.doc I �r j4nt All Reports.... http://carmodyinc.com/reporis/PrintAll.asp?datel=&date2=&rs=&prin. �' 7 13d l«{ LMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A ` Treatment and Disposal Systems I/A Syslem inspecdon resulls must be submiqed on Ihis DEP form � A. Facility V Shaws Supermarkets,Inc. �. Owner LRoute 28 1106 Facility Street Address South Yarmouth 02664- LCitylfown Zip Mailing address of owner,'rf differeN � P.O.Box 600 LStreet Add2ss/PO Box East Bridgewater MA 02379 ` Ciry/Town State Zip 508313-0663 � Telephone Number � B. Authorized Service Provider � Coastal Engineering Co., Inc. r 0&M Firm L260 Cranberry Highway Street Address � Odeans � MA 02653 L City/Town State Zip 508-255-6511 r I Telephone Number � r . Cedified Operetor Name:Brian Gereghty Certification Number:3482 �.. C. Facility/System Information DEP ID �- W033722 Manufacturefs Name 8 ID Model Name 8 Number . Installation Date 6/3/2005 StaA of Operetion:6/3Y2005 iApproval Type: � General C Provisional � Pibting �' Remedial Seasonal Residence-used less than 6 mo.tyear: � Yes C No ( 1.. � D. Operating Information I .. 1 nf S -.i�.r�n.. .....,,. Print All Reports.... http://carmodyinacom/reports/PrintAll.asp?datel=&date2=&rs=&p'�.. Inspection Date Previous Inspection Date � 7/30/2014 7/23/2014 ... Sludge Depth(to be checked yeady) Pumping Recommended? C Yes '-� No ��, 20" Effluent Description: Clear,light yellow color,no solids,no odor,pH 7.37. .r E. Field Testing Field Inspection: ` Co�or: � �ay � brown � Clear o turbid � Other(specify): light yellow Odor: ❑ musty � earthy � moldy � offeosive o turbid Effluent Solids: � no � some �� PH 7.37 SU p� NA m�- Turbidity NA N� � 6 b 9 2 or geater 40 o+less Should a Remedial or General Use system fail the Field Testing,eftluent sampies shall be colleded per Standard Methods and � analyzed for BOD and TSS. � r F. Sampling Information " If sampling information was completed,see attached sampling report. Samples Taken�� Influent �-' Effluent .... Parameters Sampled � pH � BOD � TSS C TN C Other Qist below) Other t Other 2 Other 3 � � G. Inspection and Maintenance Description of any maintenance performed since previous inspection 8 during this inspection: �_ Conduded O&M.Checked pumps and controls.Cleaned the spray noales and tan boxes.Checked ihe condition of the septic ` tank.Checked the EQ,aeretion and anoxic systems.Field tested.The system is operating properly. Notes and Comments � " The sysiem is operating properly. �.. ; H. Certification .. I certity: I have inspected the sewage treatment and disposal system at the address above, have completed this repoR and the attached technology operation and maintenance checkiist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachuset[s certified operator in accordance with 257 CMR 2.00. ` OperatorSignature ��— 7�.3d ( �l Date r. System owner must submit this report, technol gy O&M checklist, and any required sampling results to the local board of heafth and DEP as follows for each inspection performed: �.. 9lzinnln nno nT 2 of 5 ; fi- (�� r �- �OAS7AL ENGINEERENG GO. IfVC. 2fit?'GRANSEREtY NIGliYUAY � C7RLEANS:, MA 02653 — TEL. 508 255-651'1 FAX. 508 255-670d ; BiOCLERE FIELD REPORT , � Pra'eck No.: O Dat6: o J TItTtB: :dS lnstaltation: Sampled: � Glient: S t s M �'"- Serviae: Commissioned: �,.. Address: , �} 5oc��vi ou'7- l�2 ostier. cheaul3o . � Ins eetor. 1e t �2+� l � .�--. i.; Bioclere Model Number s �d 3c� rJ 8- s } 1 Odor araund site? Y! Source of ado(? ;., Check a!I that 8 ! : MiEa: Medinrn: .�'!y�`+ Septic: Musty: l2 FieCd T25tiI1 : c�a�i ,wlor,soFds, pr,tests ` . � �-�.. o .��, a� � m �� 3 a Measure siu e in rima tanks and r ase tra s as re uired: r 1 L b S(ud e de th in rima t8nk: Scum depth: — Sludge depkh: c Doss rease tra need um in ? Y 1 UN17 i UNiT 2 BIOCLERE VENTS a Is air assin fhrou h the vent? v N Y�jN i !f in doubt ut a smaii lastic ba around vent and allow to fiil. b Is the fan o eratin end in ood condition? Y tv t r� � GENEt2AL a An ezternal dama e to therunit s ? If Yes, rovide details on back. v I _ v ! b Are caver, fan box and contr�l anel securel iocked? N t c An fllter flies 1R the Unit? , I N #e many 1 N ew many Location of flies: lJ/'1.Z�L2�2_- 7`'''Z� l o C ,_' F' G✓ d Locks!Iatc�es/handles. OiC? ! N I N e Lid asket OK? t N 1 i does the fan box contain standin water7 . v Y tf Yes then remove water and ctesn drain hotes if necessa . � BIOMASS CHARACTERIZA7ION a CoEor of biomass? 1)white 2)white7gray 3)gray 4}gray(brown 5)brown 6}redtbrown 7}bieck � t 8 other �"�+ b Thickness of 6iornass 6-12 inches below media sur€ace. 1 li ht 2 medium 3 hea , WOZ2LE SPRAY PATTERN a Does s ra cavet�ttie enti�e surface area of inedia? Y N Y � ii not clean each nozzte wi#h a bottie brush '"'( Does the spr�y now cover the entire surface area? Y N Y• hr 'If not ttren: 9 remove nozzies and s ak in a bleach soiutian 2 manuall en a e bath dosin um s for two minutes 3 re tace nozz(es ! Does the s ra now cover ihe entire surface acea? v 1 N If nat, cansuit A uaPoint, Inc. . L„ PUMPS AND CONTROL PANEL �^- a Record dosin and re cie um timer settin s from control anei. �QS�� p�� : , rni�fln: min oft: min an; (}min otT: Dosin PUtt1 2: min on: Omin pff: min on: in off� F2eC Ge Purri : mEn an: h ofF. min an: h tn Bioclere control anel sst dasin and rec cie timers to a test c cle: a Am ra e a#dosln um 1: r amps "� r �mps b Am era e of dosin um 2: • ' amps 5, amps, C e1'8 B of teC Cte un1 : i amps � amps Are dosin um s altemati ? " �K K Are the tirrters o el'etitl I'O @�I / N Y / N tlisuali ins ec#rela s far wear and record roblems below. • If s are com onents are needed conkact A uaPaini, Inc. {f an ammeter is not avaitable set the Umers to a test cycie as a6ove and at the Bioelere check the um s' o eration as follaws: Dos's um s: check thaf um s ara o eratin , ettemati and fihe Pump i OK? Y t N PLmp 1 OK? Y ! N des! nat9d rest GIB is oc�CURi� . Pump 2 OK2 Y f N Pump 2 QK3 Y ! N QK7 Y / N OK? Y / N *If pumps ar ctirnfrul components are not operatir�g property, racard • below ' And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SE'T"fINGS: Note an chan es here: min on: min off: min on: min o�f: 'Do not chan e timers witfiout consuitin R uaPoint, inc. min on: min ott: min on: min oft: s PLUMBING a Are the unions in fhe Biocier�leakin ? v � ta v N if es, #hen ti hten wtth i wtench FINAL CHECK � a Main wer"on" and set t fe for all ur� s to "norma{" SitioCl. N Y ! N b ;Narm.t I� set to kti�"ON" osition.. _ N Y / N c Lack control anel Biadere c�ver and #an box. d !f ossible record the water meter readin : � REPOftT 5U14lMARY; � -� �hFrv� 7- o e� ro rt3C t2u u3 i -� �. � — G9 — o YL i i �� 4 ^ � / � SIGNATURE: - �� D:1F012MSCurrentlTechServicer-Wastewat rl8loclereFietdRepon.doc ��. .� , �� " �� 1 (t �- COASTAL ENGtNEEfiIMG CO., IFtC. 2fi�'GRANBERRY }i1GHWAY ! 012LEAN5 MA 02653 �- TEL. 508 255-651'1 FAX. 58$ 255-6700 j BIQCLERE FIELD REPQRT � Pro'ecf Na.: rl . Date: 6 ( 1'Ime: ( ' r�. lnstaltation: SampSad; , Ciient: S F Service: Comm(ssioned: ;.. Address: - d So OU j Qthe� Sc e � Lfns ector. �c�-v` Biaclere Modei Number s � p r} ' �. � ; 9 Odor araund site? Y Saurce of ador? /I,�Z �., Check all that a I : Nii1d: Mediam: Septic: Musty: � �C FIBid T�Stili : dari ,�oior,sof�d5,odor,ws� i,,,, G p CO f2 /� '�`~?ZS G��' �� .�� 3 a Measure slud e i rima kanks an rease tra s as r uired: , b SEud e de th in rima tatik: Scum depth:l— Sludge depth: ()— r �.. c Does rease tra need um in ? Y t ; UNET i UNIT 2 � BIOCLERE VEN7S a is air assin throu h the vent? Y N Y N � � ff in daubl �t a srnall lastic ba around vent and allow Co fl(!. � b Is the fan o eratin and in aod condition? / N � N � GEMEt2AL �„ a An extemal dama e to the-�unit s ? !f Yes, rovide details on back. N Y 1 b Are caver, fan box and confr�i anel securel locked7 Y N Y r N i c An filter flies in the unit? v N fewt en v N few� any �,,, Location of flies: t?�lb�L � �� - �, c+.— d Lac(cs/;atcFles/handies. OK? t� Y N � e �id asket OK? Y N t N (,,,, Does the fan box contain standin 'water? . v N Y tE Yes then remove water and cfean drain hales if necessa . 4 � 1,,, BIOMASS CHARACTERIZA71dN a Co1or of biomass? 1)white 2)white7gray 3)gray 4)graylbrown Sjbrown 6ked(brow�T}biack � 8 ther b Thickness ot biomass 6-12 tnt�es below media sur(ace. 1 1i ht 2 medium 3 hea , ` NOZZLE SPRAY PATTERIU a Does s ra cover�the entire aurface area ofimedia? N Y H i li not clean each noute wi#h a bottte brusfi `" Does the s ra now cover the entire suriace area? Y t� Y N ` 1f not then: � 1 remove nozz(es and s ak in a bteach sotution 2 manuall en a .e both dosin um s for iwo minufes 3 re (ace nozzles i Does the s ra now cover the entire sU�#ace area? Y t N Y N �- if not, consult A uaPoint, Inc. r PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from controi anel. DOSIII Pum 1: . min on: rjmin off: min on: �nin off: DOSI� PU�TI 2: min on: min off: min on: p min off• ReC Cle Pum : mtn on:3 ofF. min on: hrs off: � �v in Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era eofdosin um 1: , .S amps .� amps b Am era s of dosin um 2: • ' .� amps 5 amps C e�'d 8 of�e Cle um : .� amps amps . Are dosin um s altematin ? Y N �I N Are the timers o eratin ro erl . v N " N Vsuail ins ect rela s for wear and record roblems below. * If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above � and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 7 OK? Y ! N PLmp 1 OK7 Y / N desi nated rest CI@ IS OCCUnIII . Pump 2 OK? Y / N Pump 2 OK7 Y / N OK1 Y I N OK? Y ! N `If pumps or control components are not operating properly, record • below ; And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consultin A uaPoint, Inc. min on: min off: min on: min off: PLUMBING a Are the unions in ihe Bioclere leakin ? Y N Y / N If es then ti hten with i wrench FINAL CHECK , a Main ower"on'and set to le for all um s to 'norrnal" osition. �' N Y / N b ;Alarrri.t 1 set to th�"ON' osition.. h N N c Lock control anel Bioclere coVer and fan box. d ff ossible record the water meter readin : ppi . REPORT SUMMARY: — r � o�.d�77cri ; —. S fr� — �o rJ z 1� / — !a ST� . o - � — �t c`�Oot � $o'f"h O �O ,�R. /�!( � Y"v� n c — �O in -' o'(O !G �S� r� J U F'v o0 � � SIGNATURE: a D:IFORMSCurrentlTechServicer-Wastewaterl8i lereFieldReport.doc `. �- ,� I � Ct3AS7A� ENGIAlEER1hlG CO. fNC. 2fib'GR1iMBERi2Y HIGliWAY i ORLEP,NS MA Q2653 1- TEL. 508 255-65'#1 FAX. 508 255-6700 } , BiOCLERE FIELd REPORT ` Pre'ect No.: Oc� - pg(g; ( Time: '�� instailation: 9ampied: Ciient: S `s P✓l �. Service: . . d: L Addfess: rSo��ti-1 O#her. Scheduled 0&M: ins ectar. Ra+�r E�? � Bioclere Mociel Number s - 3a a -d- 3?� '" L 1 Odor around site? Y N Saurce of odor? �r rt.iz�-rto '^'� Check ali tfiat a f : Mild: Medium: Septic; Musty: � 2 Field 7estin : aa�t ,m�w.souas,oaw,eesu v Efif+� CJ Oc� � 62 p � Nb �O 3 a Measure slud e in rima tanks and rease tra s as re uired: h Slud e de th in rima t3ttk. Scum depth: G— Sludge depth: �'_ `,,, c Does rease ira need um in ? Y j UNIT 1 UNIT 2 i �„ BtdGLERE VEt+lTS a is air assin throu h the vent? Y 1 N 1 N If in doubt ut a srnall lastic ba around vent and allow to fill. � ;,,, b) Is the fan operating and in good conditian? Y � � Y � GENERAL �, a An external dama s ta the�unit s ? If Yes, rovide details on back. v / N v I b Are cover, fan box and cont�i anel securel tocked? Y t � e An filterflies in the unit? i N ew many Y� few/many � Location af flies: vn �'�� o �t��- oJ�- d Locks/iatckaes/handies. dK7 N � � e Lid asket OK? N 1 N � Does the fan taox contain standin water'? . Y � if Yss then remove water and clean drain hales 'rf necessa . ' BiOMASS CHARACTERIZATtON a Calor af biomass4 1)white 2)white7gray 3)gray 4kjray/brown 5}brown 6}redlhrown 7}btack S �, 8 ther b Thickness of biomass 6-12 inches below media sur#ace. 1 li ht 2 medium 3 hea �'S fitO7l.lE SPRAY PA'fTERN - a Does s ra cover the entire surface a�ea of inedia? - Y N Y f N � If nat, clean each nazzle with a bottle brush Daes the s ra now cr�ver tha entire surface area7 Y N v �if naf then: 1 remove nozzles and s ak in a bleach solut(on 2 manua!! en a e both dosin um s for two minutes 3 re tace r�ozztes � Does the s ra now cover the entire surface area? Y N / N �f not, cpnsult A uaPoint, Inc. L PUMFS ANQ COhtTROt PANEL a Record dosin and rec cle um timer seriin s from contrai anel. pOsi11 F�Um 1: - mEn on:jp min ofE: min on: p mi�off: Oosill PUm 2: min on: min afr: min on: min oif� Re Cte Pum : min on: ,3 off: min on: otf: . �� In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am ra a of dasin um 1: ; � amPs 3, amps b Am era e of dosin um 2: • amps 5,�; amps, c m era e of rec cle um : amPs , p amps; Are dasEn um s eltematin ? �� 1 N Are the timers o erakin ro ed �l N N �suall ins ect rela s for wear and record robferns below. • If s are com onents are needed contact A uaPoint, Inc. 3f an ammeter is not availabie set the timers to a test cycie as above and at the Bioclena check the um s' a eration as follaws: Dosin um s: check that um s are o eratin , attematin and the P�mP�OK? Y � N Pt�mp t oK? v ! N�, dBs tiat9d (�S#G Cl� iS OCCUfilit . Pump 2 OK? Y t N Pump 2 OK4 Y t N OK? Y / N OK? Y / N *if pumps or controi components are not operating properiy, record � befow And consult A uaPoin#, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: ^ min on: min off: min on: min off: "Do nat chan e timers without consultin A uaPoint, IIIC. _ rnin on: min off: min on: min ofF: PLUMBWG a Are #he unions in ihe eiaciere leakin ? v N v � Cf s, tt�en ti ht�n witf� i wrench FINAt,CHECK a Main wer"on"and set t le for aR um s to `normai' sition. � H � � � b Alarrn.t le set to tfi�"ON" osition.. Y N / N c Lock cor�trol anel, Bioalere cover and fan box. d if ssibie re�rd the water meter ceadin : � REPORT SUMMARY� -1 F7 M c� `p -..5� �, x}v� CcmZ�rv7b 0 `�— t^ /7tvt — �-/ F B c�' � e' 'o Gl o �an � r^v.2nw, 1 wi, n " .� T c� a: y a � � a2-a�1. ✓1. SiGNATURE: � � ` D:IFORMSCurrentlTenhServicer-Wast ter18(oclereFieldReport.doc � f � � f GOASTAL EiJG1t�2EERING CO., lNG. 260'CRANBERRY HIGHWAY i ORLEANS, MA 02653 TEL_ 548 255-651'! FAK. 508 255-&70d ! BtOCLERE FtELD REPOf2T Pro'ect IVo.: d , DBte: o� . ( Time: 6-3 O� Installatlon: Sampletl: Ctient: ` /�6 Service: Commi ' ? Address: . �6U fh2t�ttp�? /�/j Other. S ed�(ed0&M: fns ector: K �„3 ' Bioclere Model Number s Y 1 4dor around site? Y N Source of odor? CheCk all that a I : Mild: Medium: Septia; Musty: � 2 FIBld TeStIi1 : Garity,cabr,sofids,odor,tests � �l� c-6lo� coLo o � , �ta a�, 3 a Measure siu e in rima tanks and rease tra s as re �red: 3n, ! r b Slttd 8 d8 tFt !C1 �ti118 fank: !-y k 5eu cl- grr�5 jv Scum depth: /_,�r+ Sludge depth: jb c Does rease tra need um in ? Y � UN1T 1 UNIT 2 BIOCLERE VENTS a Cs air assin throu h the ven#? / N Y / N If i� doubt u# a srnati lastic ba araund vent and allow to fili. b Is the fan o eratin and in ood condition? v I N v ! N � GENE AR L ! a An external dama e to therunit s ? If Yes, rovide details on back. v N v I b Are cover, fan box and contr&t ane( securel (ocked? v N � N � c An filter flies in ihe unit? t N e t many N fe 1 many Lacation af flies: .�3 0 ["'a,�'� d Lot�csi Ia#ches/handles. OK? ! N � N e Lid asket OK? C�1 N N I Does fihe fan box contain standin water? . v � N v i 3f Yes ihen ramoue water and ciean drain hoies if necessa . Bt4MASS CHARAC7ERIZATION a Color of biamass? 1)white 2)whitelgray 3)grey 4}graylbrown 5)arown 8)redlbrown 7}black � / j $ ather i� b Thickness of biarnass&-12 ir�ches below media surface. 1 li hk 2 medium 3 hea � �, NOZZLE SPRAY PATTERtJ a Does s ra cover the entire surface area of inedia7 Y N i H li na# ciean each nozzEe wifh e bottle brush Does the s ra naw caver the entire surface area? t N Y N ' lf not then: 1 remove nazzies and s ak in a bleach so(ufion 2 manuall en a e both dosin um s for two minutes 3 re Iaoe nozzles ! Does the spray now caver the entire surface area? Y N Y r r� ' if not consult A uaPoint, Inc. L PUMPS ANp CONTROL PANEL a Record dosin and rec cle um timer seriin s frorn cot�krol aneL � Dosin Pum l: . min on:(,v min off� min o�: (pmin off: DOSitt PUiri 2: mi�an:j�mfn aif: mi�r on:l m{n ott: R6C Cle PUtT1 : min on: h off: min on: H� in Biac(ere cantro! ane! set dos'sn and rec cSe timers to a kest c cie: i a Am ere e of dosin um 1: ,, , amps ,S' amps L,,, ta Am ere e of dosin um 2: - amps amps c Am era e qf�ec c{e tam : �, amps anps Are dosin um s aftematin ? l, N 1 N ' Are fhe timers o erafin ro erl . / N Y Pa Visuall ins ect cela s tor wea� and rscosd rablems befo�r. ° tf s are com onents aee needed contact A uaPoint, inc. If an ammeter is not available set the timers to a test cycle as above and at the Biociere check the um s' o eration as tottows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 ac7 Y l r� PLmp t OK? v t hs desi nated rest c cle is occurrin . Pump 2 oK7 v / N Pump 2 OK? v i r� 06C? Y / N dK? Y / N "If pumps or control components ars not operating properly, record • below And consuit A uaPaint, tnc. t RESET TIMERS TQ ABDVE SETTINGS: �lote an chan es here: min on: min off: min on: min oti: ' 'Do not chan e timers without consuttin A uaPoint, lnC. min on: mEn otE: min o�: min oif: PLCiMB(NG a Are the unions in the Bioclere leakin ? Y t r� �' 7 tv If es then ti hten with i e wrerach �eN,a�.cH�ctc . a Main ower"on" and set to le far alf um s to "normal" ositlon. N Y �t ! b :f,tlarm.t te set to dFi�e "ONH osi#ion.. Y N Y t� c Lock controi asrei, Biociere caver and fan bax. d if ossible, record the water meter readin : FiEPO(2T SUMMAFTIP: Im2 t7. � " rc..sa t r Ccs+a � ! c l� � —_—_..--1-� — /� rn �c,t �.. � E cO C. erc � � no x ; � i StGNATUR.E: � . d0 l D:IFORMS CurrentlTechServicer-Wartewa riBioclere fiietd Reporedac .. �, COASTAL ENGINEERiNG CO., INC. r-- � '� 2fi0 CRANBERRY HIGHWAY ORLEAFJS, MA 82653 � TEL. Sd8 255-6511 FAX. 508 255-6700 B10C�ERE FtELQ REPOf2T ` Pro'ect No.: W (7�3 �G' DBte: 1 Time: Installation: ampled: Glient: � ' !"} �' � Service: ommissioned: � Add�eSS: , c,�$ SG�� vri�p 1 i�l OU7er. c ed edq8 : Il1S 2CtOC: �'�fC.' �Z l� �#'� a' � Bioclere Madei Number s -c3 3C'a 1 - �� `" �. 1 Odor around site? Y! Source ot fldor? Check all that a i : Mi�d: Medium: �- Septic: Musty: 2 Feld Testin : c�ad ,co�or,soGcs,odor,eescs � G e.� Dc� ['O Ot2 u��/ � 8 `" 3 a Measure sfud e in rima tanks and rease tra s as re uired: c�n.D b Slud e de th in rima tank: !3��Scu !�"-0�0'` S v � Scum depth:�— �i Sludge depth:ab�3 Lc Does rease tra need um in ? . f-3" � o- a" l Y � uH�r i UNtT 2 , � 8lOCLERE VENT3 a ts air assin throu h the vent? Y N / N If in doubt uf a srnatl lastic ba around vent and allow to fill. 1 b ts the fan o eratin and in ood conditian? Y � f � �. , LGENEftAL — a An extemal dama e to the��unit s ? ff Yes, rovida details on back. Y Y � � b Are cover, fan bax and contrbl ane! securei locked? Y � Y t� c An fiiterflies in the unit? � v N fe many Y/ N te many Lacation of flies: V -f'��. �vG � �' d locks(latches/handles. 4K? � � e Lid asket OK? v � N Y N Does the fan box contain standin water? Y Y N if Yes then remove water and clean drain hafes if necessa . BtOMASS CtiARACTEFtIZAT�ON a Calor af bfomass? 1)white 2)whitelgray 3)gray 4)grayibrown 5jbrawn 6}rsdlbrown 7}black � � , 8 other b Thickness of biomass 6-12 inches below media surFace. 1 li ht 2 medium 3 hea c)- � NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? r N Y N � !f not, clean each nozzle with a bottle brush � � Does ihe s ra now cover the entire surtace area? j H N `If not then: � 1 remove nozzles and s ak in a bfeach salution 2 manua!! en a e both dosin um s for two mi�utes 3 re lace nozzies Does fhe s ra now cover the entire surfsce area? Y � N `v N If not, consult A uaPoint, Inc. � r PUMPS AND CONTROL PANEL �- � a Record dosin and rec cle um timer settin s from control anel. � DoSi� Pum 1: . min on: �min off: min on: min off: Dosin Pum 2: min on: �p min off: min on: /pmin off� � Rec cle Pum : min on:3 oH: min on: pr�off: i..r O � In 8ioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: , , amps 3. amps ... b Am era e of dosin um 2: - ,�, amps S, amps c Am era e of rec cle um : �. amps amps , Are dosin um s altematin ? Y l, N I N ;., Are the timers o eratin ro erl ? v 1 N I N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. r If an ammeter is not available set the timers to a test cycle as above .. and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK7 Y / N PLmp 1 OK7 Y / N I desl n8ted �eSt C Cl2 iS OCCUffifl . Pump 2 OK? Y / N Pump 2 OK? Y / N L OK7 Y / N OK7 Y / N 'If pumps or control components are not operating properly, record • below � ' L And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SEITINGS: Note an chan ES h@fe: min on: min off: min on: min off: `„ "Do not chan e timers without consultin A uaPoint, ItIC, min on: min off: min on: min off: PLUMBING I� a Are the unions in the Bioclere leakin ? v v � If es, then ti hten with i e wrench I L FINAL CHECK. , - a Main wer"on' and set to le tor all um s to "normal" osition. 1 N 1 N � b Alarm to le set to tlie "ON" osition. 1 N � N c Lock control anel, Biociere cover and fan box. d if ossible, record the water meter readin : ( QO � ' L c1 �! --1'h� e REPORT SUMMARY: /�/ — r o0 — �� Gh S" I �O� r l�- - � � i — v .^ r wDn. _ SIGNATURE: e � D:IFORMSCurrenllTechServices-Wastewate �BioclereFieldRepon.doc � � , . �13��y � Massachusetts Department of Environmental Protection ` f, " Bureau of Resoure Protection - Title 5 � �� DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems ; � Impor[ant:When Lfillingoutformson A. Installation the computer,use only the tab key to ShdWS SUP2ff1l8fl(BIS, Inc. moveyourcursor Owner -do not use the 1106 Route 28 � retum key. ` Facility Street Address Yarmouth 02664 rms �iry _ ZiP i � Mailing address of owner, if different: ` � P.O. Box 600 Street Address/P0 Boz: � East Bridgewater 02379 �' City State Zip LTelephone Number � B. Authorized Service Provider � Coastal Engineering, Co. Inc. O&M Firm L 260 Cranberry Highway StreetAddress Orleans MA 02653 City State Zip � 508-255-6511 �' Telephone Number Brian Geraghty 3482 � Certified Operator Name . Certification Number L � C. Facility/System Information � W033722 30 Series DEP ID Manufacturer ID Model Number j 2005-06-03 2005-06-03 ._ Installation Date Start of Operation Approvai Type: ❑ General ❑ Provisional � Piloting ❑ Remedial " Seasonal Residence- used less that 6mo./year: ❑ Yes � No -- D. Operating Information � 2014-09-03 1 g l Z�(�� ` Inspection Date Previous Inspection Date Pumping Recommen�0� Yes � No Sludge Depth L :. r Massachusetts Department of Environmental Protection � Bureau of Resoure Protection - Title 5 + s� DEP Approved Inspection and O&M Form for Title 5 I/A — Treatment and Disposal Systems E. Field Testing Field Inspection: .. Color. ❑ Gray ❑ Brown ❑ Clear ❑ Turbid yellow � Other(specify) Odor: ❑ Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid � Effluent Salids: � No ❑ Some pH 7.6 SU DO 0 mg/L Turbidity 0 NTU � 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing,effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. ... F. Sampling Information _ Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use " nitrogen reducing systems: 0.00 9Pd — Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection&during this inspection: .. Conducted O&M. Checked the pumps and controls. Checked the condition of the septic tank and grease trap. Cleaned the spray nozzles and fan boxes. Field tested the effluent.The anoxic pump#1 is sounding noisy. r Y� Notes and Comments: Conducted O&M. Checked the pumps and controls. Checked the condition of the septic tank and grease trap. Cleaned the spray nozzles and fan boxes. Field tested the effluent.The anoxic pump# 1 �, is sounding noisy. � L � � � Massachusetts Department of Environmental Protection L � Bureau of Resoure Protection - Title 5 � , s� DEP Approved Inspection and O&M Form for Title 5 I/A , Treatment and Disposal Systems i ` H. Certification I � I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, j have completed this report and the attached technology operation and maintenance checklist, and the �. information reported is true, accurate, and complete as of the time of the inspection. I am a Massachuse s ertified o er tor i accordance with 257 CMR 2.00. ` Oper tor Signature Date � �3//� � System owner must submit this report, technology O&M checklist,and any required sampling results to the local board of health as follows for each inspection performed: ! , Remedial Use-by January 31�`of each year for the previous calendar year � Piloting Use-within�days of inspection date � Provisional Use-by March 315t of each year for the previous 12 months �. General Use-by September 31 st of each year for the previous 12 months � Send to: �' Department of Environmental Protection Attention:Title 5 Program L One Winter Street 5th Floor Boston, MA 02108 L i � � L � � F- t(�s�r� GQASTAL ENGlNEEt2fNG GCt., ING. 260 CRANBERRY HIGHWAY CIRLEANS, MA 02653 TEI. 508 255-6511 FAX. 508 255-6740 BiOCLERE FtELD REPORT Pro'ect Na.: tnT Oo'1 ,O Date: 9 3 / Time: f1 Instatletlon: Sampled: Ctierit: SH'Aua'S M�K�- Service: Commissioned: Addtess: /.2 � c3 .5e�u c�c�}�'!� t� /� Other. Scheduled O&M: Ins ector. i Z 3`f8 3-- Bioclere Model Number s l- r7 � 3b d 1 4dor around site. N Source of ador? !? fh..� '-o,� 1 +4n rG. Check all that a I : Mild: Mediurn: 1/�IF•' ' F" 1} = Septic: Musty: 2 F14'Ed �85t1C1 : Gari ,w1ar,solids,odoc,tests C1F�F}'� � Oc•J l0l'2 NO SD (1'� /��7 Olc�C1 3 a Measure sfud e in rima tenks and rease tra s as re uired: b Slud e de th in rima tanlc: Scum depth:t- stuaye depm:Ja.-� 5° c Does rease tra need um in ? Y � llNIT i uNrr z BIOCLERE VENTS a ts air assin tfirou h the vent? Y N Y N If in doub# uk a srnai! tastic ba around vent and allow to fiSl. b Is the fan o eratin and in ood condition? Y N Y N GENERAL a An external dama e to the%unit s ? If Yes, rovide detaiis on back. Y / N v / b Are caver, fan box and contrSi anel securel iocked? Y � � N c An filter flies in the unit? v t few!many Y i few!many Location ofi flies: d �ocksl Iatches!handies. dK? t � � � e Lid asket OK? � N � Does the fan box contain standin water? . Y N Y I tf Yes, then temove water and clear� drain ha(es if necessa . BfOMASS CHARACTERIZATION a Colar of biamass? 1)white 2)white)gray 3)gray 4)gray/brown 5)brown 6}red/brown 7}black � � 8 other b Thickness of biomass 6-12 'snches below media surface. 1 li ht 2 medium 3 hea d-- NQZZLE SPRAY PATTERN a Does s ra cover the entire surFace area of inedia? I N N If nat, clean each noule with a botfle brush Ooes the s ra now cover the entire surface area? I N N � if not then: 1 remove nozzEes and s ak in a bieach soiutio� 2 manuall en a e both dosin um s for two minutes 3 re Iace nozz�es Does the s ra now cover ths entire surface area? Y r� Y � If not, consult A uaPoint, Inc. pUMPS ANO GONTROL PANEL a Record dosin and rec cIe um timer settin s from canfroi anel. D051t1 PURt 1: min on: !pmin off:d. min an: min otf;cl� � Dosin PUfTt 2: m(n on: (b min off min on: �min off: � R�C C18 PU(ri : min on: afF. min on: aff: �CO rvl Cs b I in Bioclere controt anel se# dosin and rec de timers to a test de: a Am era e at dosin i�m 1: , amps , amPs b Am era e of dosin um 2: - amps amps c m era e of rec cfe um : j� amas ,� amps Are dosin um s altemaUn ? 1� N � � Are the timers a eratin ra erl I N Y i N � �suali ins ec#rela s for wear and record rab(ems below. " If s are com onents are needed contact A uaPoint, Inc. t an amme#er is not av�ilable set the tirners to a tesi cycls as above and at the Bioclere check the um s' o eration as follaws: Dosin um s: r.heck that um s are o era#in , aitematin and the Pump t oEc? Y 1 H Pt,mp t ox? Y / t� deSl [I�f9d (@St C Cle !S OCGUffllt . Pump 2 OK? Y / N Pump 2 OK? Y ! N OK1 Y / N OK7 Y I N �tf pumps or co�irot campanents are not operating propacty, recard � � below ' And cansult A uaPoint, inc. � RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consulfin A uaPoint, Inc. min on: min o�: min on: min off: PLUMBING a Are the unions in the Bioctere Ieakin ? v t rv v t ff es, then ti hten with i e wrench INAI,.CHECK. , a Main wer"on' and set to le €or all um s to "normal" osition. Y l N l N I . b ;Alartri.t te set to the "ON" osition.. 1 N I N c Lock control anei, 8ioc(ere ca�er and fan box. d lf ossibls, record the water meter readin : Z 0 O REPORT SUMMARY: .�� ,so( v -? Ft�t� T — #,t! ox � +�+/<S — S o�r�'t� — F' dC Gl F —� lo c�( Gl�} � to� +� � � a � — u �j-+� 2d n c� E , StGNATUFtE: D:IFORMSCurrentlTechServices-Was[ewater ioalereFieldReport.d c . . �'/�a � �� Massachusetts Department of Environmental Protection �"` Bureau of Resoure Protection -Titie 5 � � DEP Approved Inspection and O&M Form for Title 5 UA � Treatment and Disposal Systems i � Important:When fillingouttormson A. Instailation the computer,use � only the tab key to Shaws Supermarkets, Inc. - � move your cursor pWner -do not use the 1106 Route 28 retum key. � _I� Facility Street Address Yarmouth 02664 � CiTy zip � Mailing address of owner, if different: ' �^ P.O. Box 600 � Street Address/PO Box: East Bridgewater 02379 I City State Zip �� Telephone Number I L B. Authorized Service Provider Coastal Engineering, Co. Inc. � O&M Firtn 260 Cranberry Highway � Street Address �., Orleans MA 02653 City State Zip 508-255-6511 � Telephone Number Brian Geraghty 3482 Certified Operator Name Certification Number �.. C. Facility/System Information W033722 30 Series `" DEP ID Manufacturer ID Model Number 2005-06-03 2005-06-03 Installation Date StaR of Operation `, Approval Type: ❑ General ❑ Provisional � Piloting ❑ Remedial Seasonal Residence-used less that 6mo./year: ❑ Yes � No �. D. Operating Information � zo,a-os-,o � R�3//y Inspection Date Previous I peclion Date � Pumping Recommended ❑ Yes � No �" Sludge Depth �.. r i ` Massachusetts Department of Environmental Protection � �"` Bureau of Resoure Protection - Title 5 + �` DEP Approved inspection and O&M Form for Title 5 l/A ; Treatment and Disposal Systems � E. Field Testing LField Inspection: i Color: ❑ Gray ❑ Brown ❑ Clear � Turbid L yeiiow '�l Other(specify) � Odor: ❑ Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid �. Effluent Solids: � No ❑ Some ` pH 7.5 SU DO 0 mg/L Turbidity 0 NTU 6 to 9 2 or greater 40 or Iess f Should a Remedial or General Use system fail the Field Testing, effluent samples shall be coliected `' per Standard Methods and analyzed for BOD and TSS. L F. Sampling Information LSamples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use � nitrogen reducing systems: 0.00 �' gpd i Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) � L ` Other 1 Other 2 Other 3 I �. G. Inspection and Maintenance LDescription of any maintenance pertormed since previous inspection &during this inspection: Conducted O&M. Checked the pumps and controls. Anoxic pump#1 is alarming and will be repiaced. Cleaned the spray nozzles and fan boxes. Fieid tested the effluent. Made up sodium bicarbonate " solution. Except for the anoxic pump the system is operating properly. Notes and Comments: LConducted O&M. Checked the pumps and controls. Anoxic pump#1 is alarming and will be replaced. Cleaned the spray nozzles and fan boxes. Field tested the effluent. Made up sodium bicarbonate solution. Except for the anoxic pump the system is operating properly. � � � � .. Massachusetts Department of Environmental Protection Bureau of Resoure Protection - Title 5 � �� DEP Approved Inspection and O&M Form for Title 5 UA — Treatment and Disposal Systems ` H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have — conducted the required Fieid Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a ,,, Massachusetts certified oper tor in accordance with 257 CMR 2.00. ��ld�l� Operat i atu Date " System owner must submit this report,technology O&M checklist,and any required sampling results _ to the local board of health as follows for each inspection pertormed: Remedial Use- by January 31��of each year for the previous calendar year Piloting Use-within 4�days of inspection date Provisional Use-by March 315t of each year for the previous 72 months General Use-by September 315`of each year for the previous 12 months Send to: Department of Environmental Protection — Attention: Title 5 Program One Winter Street 5th Floor Boston, MA 02108 _ .. .. I ; Vr 6. � �.. � C=- `� i �SI��" COASTAL EhEGINEERING CO., lNC. 2�Q CRANk3ERRX HIGliWAY ORC.EANS, MA 02653 TEL. 588 255-6511 FAX. 50$ 255-6700 f BtOCLEf2E FIELD REPORT Pro ect No.: (,J o2 •a D�te: !p ! T!lTte: � � Installation: Sampied: Client: S ts YY1 � Service: Commis ioned: AddESss: . p2 yy�q�f'� Other. Sched ied O&M: ms eetor. �t 3 c�.. �l4 w� Bioclere Mode{ Number s J-�,1 � j— — , 1 Odar around site? Y N Source of odor? Gheck all that a ! : Mitd: Medinm: ,r� � , � � _ S Septic: Musty: 2 Feld Testin : ciari ,mior,so�ias,oaor,tesu �/f'2.l�I�.. G. � G O CP�G'9"t2_ �� IT'JS 3 a Measure slud e in rima tanks an rease tra s as re uired: b S(ud e de th in rima tattk: Scum depth: Siudge depth: c poes rease tra need um in ? `/ � i UNTf 1 UNiT 2 BIOCLERE VENTS a Is air assin throu h the vent? / N N if in doub# ut a smali iastic ba around vent and allow to fill. � b) Is the fan operating and in gaod condition? Y N t N , GENERA� .� ' a An eicternal dama e to therunit s ? If Yes, rovide details on 4aack. Y i Y ! b Are caver, fan box and contr6l anel securel locked? N Y N e An filter flies �n the unit? �' few many rt w many Location af flies: d Locicst Iatcbesl hand(es, t3K? / N N e Lid askek OK? Y N ra pnes the fan box contain standin water? . v Y If Yes #hen remove wafer and clsan drain holes if necessa . BIOMASS CHARACTERIZATION a Color of biomass? 7)white 2)white7gray 3)gray 4}gray(brown 5}brown 6)redlbrown 7}black � ` S other �'C7 b Thickness of biomass 6-12 'snches below media sur(ace. 1 li ht 2 mediurn 3 hea . "— NQZZLE SPRAX PATTEF2N a) Does spray cover the entire surface area of inedia� Y � Y If not, clean each nazzie with a bottte brush Daes the s ra naw cover the entire surface area? Y N Y t ' If not then: 'i) remove nozzies and spak in a bleach solution 2 manuall en a e both dosin um s for two�minutes 3 re Iace nozzies � Daes the spray nflw cover the entire surface area? " Y N Y t N If not, consult A uaPoint, Inc. � PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from controi anel. Dosin Pum 1: min on:(d min off• min on: (pmin off: Dosin Pum 2: min on: )�min off• min on: �pmin off: Rec cle PUm : min on: off: min on: off: � In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ; �� amPs �, amps b Am era e of dosin um 2: - amps ,S. amps c Am era e of rec cle um : amps 8 . am s bi Are dosin um s altematin ? , N I N Are the timers o eratin ro erl . N Y N Visuall ins ect rela s for wear and record roblems below. " If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: Dosin um s: check that um s are o eratin , altematin and the Pump 1 OK? Y / N PLmp 1 OK? Y / N desi nated rest c cle is occurrin . Pump z otcz Y / N Pump 2 OK7 Y / N OK7 Y / N OK? Y / N 'If pumps or control components are not operating properiy, record • below And co�sult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: "`Do not chan e timers without consultin A uaPoint, If1C. min on: min off: min on: min oft: PLUMBING a Are the unions in ihe Bioclere leakin ? v / N v � If es, then ti hten with i e wrench FINAL CHECK. , a Main ower'on' and set to le for all um s to "normal" osition. N N b ;Alarm.t le set io the "ON" osition. N tv c Lock control anel, Bioclere cover and fan box. d if ossible �ecord the water meter readin : � O � REPORT SUMMARY: cr " J. � r �c� — O c�- ��' / � a- — � ' / F- U cv rz 1 � , - i so �l� d � � — / � o cr — A�1 (3QX�8 Et��D .i'v SIGNATURE: c3- • /jJ / D.•1FORMSCurrenllTechServices-WariewoterlBio ereFiefdReport.doc L . � � � z < <� Massachusetts Department of Environmental Protection L Bureau of Resoure Protection - Title 5 � s� DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems � Important:When Lfiilingoutformson A. Installation the computer,use onlythetabkeyto ShawsSupermarkets, lnc. moveyourcursor- Owner � -do not use the �106 Route 28 return key. L � Facility Street Address Yarmouth 02664 � City Zip L � Mailing address of owner, if different: � P.o. aoX soo j Street Address/PO Box: �„ East Bridgewater 02379 Ciry State Zip LTelephone Number I B. Authorized Service Provider L Coastal Engineering, Co. Inc. L O&M Firm 260 Cranberry Highway Street Address Orleans MA 02653 { City State Zip � L 508-255-6511 Telephone Number L Brian Geraghty 3482 Certified Operator Name Certification Number � C. Facility/System Information � W033722 30 Series L DEP ID Manufacturer ID Model Number 2005-06-03 2005-06-03 Installation Date Start of Operation Approval Type: ❑ General ❑ Provisional � Piloting ❑ Remedial �— Seasonal Residence-used less that 6mo./year: ❑ Yes � No ` D. Operating Information � 2014-09-17 1 L Inspec[ion Date. Previous Inspection Date Pumping RecommendkSiO�] Yes � No i Sludge Depth L � `.. r Massachusetts Department af Environmental Protectian Bureau of Resoure Protection - Title 5 �� DEP Approved tnspection and O&M Form far Titte 5 i/A �- Treatment and Disposai Systems .. E. FieEd Testing Fiefd inspec6on: ., Coior: � Gray [] Brown Q Ciear ❑ Turbid light yellaw �S] �ther(specify) " Odor: n Musty ❑ Earthy ❑ Moldy � Offensive ❑ Turbid Effluent Solids: �;j Na ❑ Spme r pH SU DO p mgtl Turbidiiy 0 NTU _. 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Fieid Testing,effluent samples shall be collected per Standard Methads and analyced#or B4D and TSS. — F. Sampling lnformation Samples Taken: ❑ lnfiuent � Eff(uent Commercial systems or systerns with a design f(ow oi 200Q gpd and greater,and General Use r nitrogen reduci�g systems: 0.00 9P� -- Parameters sampled:❑ pH ❑ BOD ❑ CBOD � TSS 0 TN U Other(list below) Other 1 Oiher 2 Other 3 G. inspection and Maintenance r Description of any maintenance performed since previous inspection&during this inspection; �� Conducted O&M. Checked tha pumps and confrois.Anoxic pump#1 needs to be repiaeed. Checked the cond3tion of the septic tank and grease trap. Ghecked the aperation of the EQ system and e(flue�t syste. �r r Notes and Comments: Conducted O&M. Checked the pumps and cantrois.Anoxic pump#1 needs to be replaced. Ghecked the condition of the septic tank and grease trap. Checked the operatian of the EQ system and effluent � sysfe. y r L . Massachusetts Department of Environmental Protection L �'� Bureau of Resoure Protection - Title 5 � �j DEP Approved Inspection and O&M Form for Titie 5 VA ; Treatment and Disposal Systems L � H. Certification L I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, j have completed this report and the attached technology operation a�d maintenance checklist, and the � information reported is true,accurate, and complete as of the time of the inspection. I am a Massachusetts certified op at in accordance with 257 CMR 2.00. L tl1z(� � Operato �gnature Date � � � System owner must submit this report,technology O&M checklist,and any required sampling results to the local board of health as follows for each inspection pertormed: � Remedial Use-by January 31�`of each year for the previous calendar year Piloting Use-within�days of inspection date LProvisional Use-by March 31��of each year for the previous 12 months General Use-by September 315f of each year for the previous 12 months � Send to: Department of Environmental Protection Attention:Title 5 Program � One Winter Street 5th Floor � Boston, MA 02108 i L L L � � L L � �., GOASTAL ENGINEERING Ct}., INC. 260'CRA BERI2Y HIGHWAY QRLEANS, MA 02653 TEL. 548 255-6511 FAK. 50& 255-670d BIOCLERE F1ElD REPORT Pro'ect Rta.: � D�te: � � Time: d:C�p InstallaGon: Sampled: Ctient: .3 s-� j"� Serviae: Com ' ioned: Address: �{_ o! �.5'0 � Uther. Scheduted4& : 1ns ectar: G(i*'7 'Z - -i '3— Bioclere Model Number s (- p G- - 1 Odor around site? Y i Source of odor? Check all that a I : Mild: Medium: SepUc: Musty: 2 Field TBSfiti : ciadty,mior,sofids,ador,tests G ,5� �L�s o� o a2 D.t:� 3 a Measure stud e in rima tanks�and r ase tra s as re uired. b Siud e de th in rima tank: scum depth:l-t.� 5ludge depth: �� c Does rease tra need um in ? Y I UN171 UNIT 2 BIOCLERE VENTS a Is air assin tfirou h the veni? v N N If in doubt ut a srnatt lastic ba around veni and allow ta Ffl. b Is the fan o eratin and in ood condition? v � N / N GENERAL a An external dama e to the�unit s ? If Yes, rovide detaiis on back. Y 1 N v b Are cover, fan box and contrbf anel sacurei Iocked? Y r N c An filter flies in the unit? - N e many N !many l.ocation af flies: UikkaE�'2 fihu � 8 �" cf Laeksl Eatc6es!handles. QK? � � � e Ud asket OK? � N N Does the fan box contain standin water? . Y Y � If Yes, #hen remove wa#er and clean drain holes if necessa . BIOMASS CHARAC7ERIZATION a Golor of biomass? 1�white 2)whitelgray 3)gray 4)graylbrown 5)brown 6)red(brpwn T)black 5 � 8 otfier b Thickness of biomass 6-12 inches below media surFace. 1 li ht 2 medium 3 hea c�- � NQZZLE SPRAY PA7TERN a Does s ra cover the entire surface area of inedia? Y N Y N If not ctean each noute with a bottle brush Does the s ra now cover the entire surface area?. Y N Y N ' If not then: 1 remove nozz(es and s alc i� a bleach solu#ion 2 manuall en a e both dosin um s for two minutes 3 re lace nozzies Does the s ra now cover tne entire surface ares? Y � � 1 N If not, consult A uaPoint, Inc. FUMPS AND CON7ROL PANEL a Record dosin and rec c3e um timer settin s from controi anel. Dosirl Pum 1: min on:�Omin affd min orr. m(n otf- DOSitt PUI71 2: min on: min off• min on:/(�min off: Rec Cts Pum : min an:3 ofi: min on: off: � fI � 'n B'saclere cantro! anel set dosin and rec cte fimers to a test c c{e: � a Am era e of dosin um 1: i � amPs 3• amps b Am era e of dosin um 2: - ,� amps ,�, emps , C l�tit 2i8 B Of�E:C CI0 Util : amps am(1s I 4re dosin um s altematin ? � K � � Are the timers o eratin ra erl ? Y i N Y N � V€suali ins act rela s for wear and record roblems below. * if s are cam onents are needed aontact A uaPoint, Inc. f an ammeter is not available set fhe timers to a test cycle as abave and at#he Bioclere check the um s' o eration as foitows: 7osin um s: check ttraE um s are o eratin , aifematin and the Pump 1 atc� Y t N Pt,mp i ox? v i Ft � jesi nated rest c cle is occurrin . Pump a oK2 Y I N Pump 2 OK? Y ! N OK? Y / N OK? Y � N t `tf pumps ar coniro! components are nat operating progerly, recard � � �elow And consu(t A uaPoint, Inc. �ESET TIMERS Td ABOVE SETTINGS: Note an chan eS h@CB: min on: min off: min on: min off: *Do not change timers without consuifinq A uaPoink, IIIC. min on: min off: min on: mi�oH: �— _. ! ��uMsiN� a Are the untons in ihe Biociere Ieakin ? y N Y � !f es then ti hten with i s wrsnch FNAL G}iECK , a Main ower"on' and set to !e tor a!! um s ta 'norma!" osition. � N N b Alartn f Ie set to tFi� "ON" osition. � N i N c L.ocic control anef Bioclere covet and fsn box. d if ossibie record the water meter readin : �C} i REPORT UMMARY: -` vcn W 6 o G �, ,-� n — o �F3 r - — t c�+- v �� ... n � c� _ �� d S IGNATURE: Q�} _ � D:tF'ORtfSCvrrenttTechServices-WnstewareriEio lereFteldReport.doc I Y� . �I�KIr� � Massachusetts Department of Env4ronrnental Protection Bureau of Resoure Protection - Title 5 � f �.. i � DEP Approved Inspection and O&M Form for Titie 5 I/A � Treatment and Disposat Systems , , � Important:When fi[6ngoutfarrnson A. Instailatian the computer,u5e � on�ymefabkeyto ShawsSupermarkets Ina ... moveyourqursor Owner -do not use the 1�06 Route 28 return key, - � � Facility Street Address � Yarmouth 02664 City Zig � � Mailing address of owner, if different: '�A° P.O. Box 600 � Stree#AddresstPO Box: East Bridgewater 02379 � ��Y State �a L Teiephone Number , L B. Authorized Service Pravider Coastat Engi�eerinq Go. inc. L' O&M Firtn 260 Cranberry H�ghway Street Address ' � Qrleans MA 02653 � G�tY State Zip 508-255-6511 j Telephane Numher �. Brian Geraghty 3482 Cectified Operator Name � Ced'rfication tdumber � . i.. C. Facility/System tnformation Wd33722 30 Series � pEP ID Manufacturer Ip Model Number 2aas-as-as aoos-os-os Installation pate 5tart pf Operation � Approvai Type: ❑ Generai ❑ Provisionai � Piloting ❑ Remediai Seasonal Residence - used less that 6mo./year: � Yes � No � D. Operating Information � 2414-49-24 1 , ; Inspection Date Previous inspection Date �. i Pumping Recommen�4Q� Yes � No `" Sludqe Depth 1 u .. i � � Massachusetts Department of Environmental Protection ; r Bureau of Resoure Protection - Title 5 ` � DEP Approved Inspection and O&M Form for Title 5 I/A ; Treatment and Disposal Systems � , E. Field Testing L Field Inspection: � Color: ❑ Gray ❑ Brown ❑ Clear ❑ Turbid � light yellow � Other(specify) i ;� Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid Effluent Solids: � No ❑ Some L" pH SU DO 0 mg/L Turbidity 0 NTU 6 to 9 2 or greafer 40 or less ` Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. � F. Sampling {nformation E Samples Taken: ❑ Influent ❑ Effluent � Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: ;,,, 0.00 9Pd Parameters sampied:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(Iist below) i ` Other 1 Other 2 Other 3 . L G. lnspection and Maintenance :,,. Description of any maintenance performed since previous inspection &during this inspection: Conducted O&M. Checked the pumps and controls.Cleaned the spray nozzles and fan boxes. , Checked the condition of the septic tank and grease trap.Anoxic pump#1 has failed and will be .-� replaced. Collected effluent samples for lab testing. L Notes and Comments: Conducted O&M. Checked the pumps and controls. Cleaned the spray nozzles and fan boxes. Checked the condition of the septic tank and grease trap.Anoxic pump#1 has failed and will be replaced. Collected effluent samples for lab testing. i �. � .. _ Massachusetts Department of Environmental Protection �, Bureau of Resoure Protection - Titie 5 � DEP Approved Inspection and O&M Form for Title 5 I/A " Treatment and Disposal Systems .., H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have — conducted the required Field Testi�g and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the , information reported is true, accurate, and complete as of the time of the inspection. I am a �- Massachusetts ertified operator in accordance with 257 CMR 2.00. ��LyI�� _ Opera or Signa ure Date System owner must submit this report,technology O&M checklist, and any required sampling results _ to the local board of health as follows for each inspection performed: Remedial Use-by January 31s`of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use-by March 31�'of each year for the previous 12 months General Use-by September 31 s�of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street 5th Floor Boston, MA 02108 — .., r � � � � r i • � � F— �U �ra�� Y L GOASTAI EFiGItJEEF2INC, CQ., iNC. 2fi� CRANBERFtY HIC,IiWAY ` (7RLEANS MA 02653 TEI.. 508 255-6541 FAX. 508 255-67d0 i BIOCLERE F�ELC3 REPORT � s. Pro�act No.: xA- Date: 1 Time: :30R- Insta4latlon: Sampled: I Ctient: c5 M {_ Service: Cammissioned: L, Address: . � �,� ocner. c eau�ee i Ins ector: Rt —t F..,� 3 j,, Biaclere Model Number s - � 1 Odor around site? Y! Source of odor? Check afl that a ( : Miid: Medium: Septic: Musry: L 2 FBtd Testiti : Gari ,co(or,solids,odor,tests � �=Pr2 �. �lla� Cafot2 P�(U Sz� t.L1s n/� L�o 3 a Measure slud e i rima tanks and rease tra s as re uired: b S[ud e de th in rima tatik: Scum depth: -- Sludge depth: �I ` c Qoss rease tra need um in ? Y � � 4 UNIT 1 UNiT 2 ;,., BlOCLERE VENTS a is air assin thrau h the vent? v / N v i N i If in doubt ut a smal! iastic ba around vent and altow to fi1l. �, b Is the fan o eratin and in ood condition2 Y � � � � GENERAL �i ;,, a An eicternal dama e to the,�unit s ? If Yes, rovide details on back. Y / Y � 6 Are covar, fan box and cantr�st anel securel Iocked? Y � N i c An fi(ter fliss in the unii? Y N fe many t� any � Location of flies: -�tl� (�� v � w d L.ocks/Iatches/handles. OK? I N N L 6 �.Id 8Sk@L Q}E? Y t N Y Does the fan box contain standin water? Y Y t N If Yes, then remove water and clean drain holes if necessa . BIOMASS CNARACTERIZATION a Colar of biomass? 1)white 2jwhite7gray 3}c�ray 4jgraylbrown 5}brown B}cedt6rawn 7}btack � / 8 other l� b Thickness of biomass 8-12 inches balow media surface. , 1 li ht 2 medium 3 hea t �"— i NOZZLE SPRAY PATTEt2N a Does s ra cover the entire surface area af inedia? t� Y t N ; Ii nof c{ean each nozzie with a baftle brush Daes the s ra naw caver the enfi�e sur(ace area? � t rt N , ' If not then: � ' i remove nozztes and s ak in a bleach solution 2 manual! en a e both dbsin um s for two minufes 3 re �ace nozzies Does the s ra now cover the entire surface area? v i N Y i ri If not, cansult AquaPoint Inc. ' PUMPS AND CONTROL PANEL �-a— a Record dosin and rec cle um timer settin s from control anel. Dosin Pum 1: . min on: (p min off:G1 min on:(pmin off: DOSifI PUfTI 2: min on: (pmin off: min on: min off• Rec cle PtiR1 : min on:3 off min on: off: bo loowl In Bioclere control anel set dosin and rec de timers to a test cle: a Am era e of dosin um 1: , , amps amPs b Am era e of dosin um 2: - amps amps c Am era e of rec cle um : ,� amps �,(�• amps, Are dosin um s altematin ? l, N N Are the timers o eratin ro erl ? N Y N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. If an ammeter is not available set the timers to a test cycle as above T and at the Bioclere check the um s' o eration as follows: � Dosin um s: check that um s are o eratin altematin and the Pump� oK? Y / N Pt,mp 1 oK? Y / N� desi nated rest CI0 IS OCCIIRIfI . Pump 2 OK7 Y / N Pump 2 OK? Y / N OK? Y / N OK? Y / N *If pumps or control components are not operating properly, record • below And consult A vaPoint, Inc. RESET TIMERS TO AB.OVE SETTINGS: Note an chan es here: min on: min off: min on: min off: `Do not chan e timers without consultin A uaPoint, Inc. min on: min off: min on: min orr: PLUMBING r a Are the unions in ihe Bioclere leakin ? Y I N v � If es then ti hten with i wrench FINAL CHECK , a Main ower"on' and set to le for all um s to "normal" osition. � N Y i N b :Alami.t le set to the"ON' sition. � N i N c Lock control anel Bioclere cover and fan box. d if ossible, record the water meter readin : c� pb 7 REPORT Sk1MMARY: ^ /�7 c�t " O o 0 �-'�' L O �.S �' S o0 nc��i � - d # ��-v c� c o 0 �— Co /! ! �t� SIGNATURE: 1 (,� D:IFORMSCurrentlTecRServices-Was[ewa� IBioclereFieldRepon.doc w. ` COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY � ORLEANS, MA 02653 �, TEL. 508 255-6511 FAX. 508 255-6700 i BIOCLERE FIELD REPORT �, Pro'ect No.: - �a D2te: IQ t - Tirtle: U �} Installation: Testedi ` � Client: �., ,.� Service: Commissioned: �, Address: -�o 'd`3 cr Other: ,�k " Scheduled O&M: Ins ector: S• V1��..1�:tf � Bioclere Model Number s ' 1 Odor around site? Y N Source of odor? ' r, Check all that a I : Mild: Mediurri: Strong: Musty: Se tic: ( 2 Take influent/effiuent sam les as re uired. � 3 a Measure slud e in rima tanks and rease tra s as re uired: - � b Slud e de th in rima tank: } �,{s Scum depth: siudge aepth: : c Does rease tra need um in ? � ��,� � Y / N �,;_ _ • �� < s�, - �y i � � _ ,_ . _ .__ UNIT 1 : _ UNIT 2 �' BIOCLERE VENTS a Is air assin throu h the vent? � / N N � If in doubt ut a small lastic ba around vent and allow to fill. � b Is the fan o eratin and in ood condition? / N (�d � N � GENERAL � � a An external dama e to the unit s ? If Yes, rovide details on back. Y Y b Are cover, fan box and control anel securel locked? / N i N � c An filter flies in the unit? �, {� Y/ N fewl many Y i N fewi many � Location of flies: d Locks/latchesi handles. OK? / N ( N ` e Lid aske# OK? 4 / N I N Does the fan box contain standin wa er? v i y f6b � If Yes, then remove water and clean drain holes if necessa . i �- BIOMASS CHARACTERIZATION a Color of biomass? ; 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black — 8 other a at b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea ` NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y i tv Y i N � If not, clean each nozzle with a tiottle brush .. Does the s ra now cover the entire surface area? Y / Y i N { If not then: � 1 remove nozzles and soak in a bieach solution � 2 manuall en a e both dosin um s for two minutes , 3 re lace nozzles ;,,, Does the s ra now cover the entire surface area? Y Y i N If not, consult AWT Environmentat, Inc. ` PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from controi anel. T DoSin Pum 1: min on: ta min oH: Z min on: W min off: Z r" Dosin Pum 2: min on: !• min off: y min on: �� min off: Z , � RBC d2 PuRt : min on: hrs oH: min on: hrs off: �, Y In Bioclere control anel set dosin and rec cie timers to a test c cle: � � a Am era e of dosin um 1: amps c�,3 amps ,,, � b Am era e of dosin um 2: amps 6.z amps r 3 c Am era e of rec cle um : �,2 amps ,� amPs , � Are dosin um s alternatin ? (� / N I N Are the timers o eratin ro erl ? 4� i N N �suail ins ect rela s for wear and record robiems below. � ' If s are com onents are needed contact AWT if an ammeter is not available,set the timers to a test cycle as above and at the Bioclere check the um s's o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y ! N Pump t OK? Y I N desi nated rest c cie is occurrin . Pump 2 otc? Y i N Pump 2 OK? Y / N .... OK? Y / N OK? Y / N *If pumps or control components are not operating properiy, record below And consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: *Do not chan e timers without consuitin AWT Environmental, Inc. min on: min off: min on: min ofr: PLUMBING � a Are the unions in the Bioclere leakin ? N v i If es, then ti hten with i e wrench FINAL CHECK a Main ower"on" and set to le for all um s to "normal° osition. / N � N b Alarm to le set fo fhe "ON" osition. � N � N � c Lock control anel, Biociere cover and fan box. d if ossible, record the water meter readin : ,/ 1r REPORT SUMMARY: -,o+-r1 , ec,u w� �o��K, �c �- ., c ta< � tY a..� �..1 ��tc #w , :-�J•�� ; � � ,�[ , e �` �.w � a :� C c+n i 4�' �in �-t `t�oa� j . � . E�t r� �or K v b. � n U i�� L < 1L. � . � SIGNATURE: � D:IFORMSCurrentlTechSernces- stewa7erlBioclereFieldReport.doc � �I 11r� I,��y � COASTAL ENGINEEf21NG CO., INC. 260 CRANBERRY HIGHWAY i ORLEANS MA 02853 ,,, TEL. 508 255-6511 FAX. 508 255-670Q � BtOC�ERE FiE�D REPOl2T 4 Pro'ect No.: W 1-1 -+�2Y DatB: I U 30 ( Time: C Installation: Tested: ` ! Client: k • . Service: Cammissianed: `,,, Address: ��, ��i � r � Other: Scheduled O&M: 6� Ins ector: �tuk.� j,,,, Bioclere Model Number s 1 Qdar araund site? Y Source of odar? � Check all that a 1 : Mild: nnedium: Ur Strong: Musty: Se tic: � 2 Take influent/effluent sam tes as re uired. E� 1� �� Yr F J19 'J� t �- u :cQ� o a - L t ��0. �3 f✓� .� -��4-, `�J � � - 3 a M asure slud e in rima tank and' rease# a s as re uire : - ' � b Slud e de #h in rima tank: ,� �m�4 scum deptn: sivage deptn: c Does rea5e tra need usri in ? " `r Y � N � _ UNiT i - UNIT 2 �"' BtOGLERE VEN7S a Is air assin throu h the vent? N / N i If in doubi ut a smalt lastic ba around vent and allow to fili. `" b Is the fan o eratin aitd in ood candition? ' � N N � GENERAL "' a An external dama e to the unit s ? If Yes, rovide deteils on back. Y � Y b Are cover, fan bax and control anel securel locked? / N I tv i c An filfer fties in the unit? ra e many Y/ few/many �' Locatson of fties: p.�`w d Locks/latches/handles. OK? C�/ N L N ' e Lid aske#OK? N ! tv V Does the fan box contain standin water? Y � Y � If Yes, then remove water and dean drain holes if necessa . � "'" BIQMASS CHARACTERIZATION a Co1or of biomass? 1}white 2}whiteigray 3}gray 4}graylbrown 5)brown 6}redtbrown 7}biack � 8 other .S� b Thicknass of biomass 6-12 inches be(ow media surtace. 1 li ht 2 mediuin 3 hea � � NOZZl.E SPRAY PATTERN f a Does s ra cover the entire surface area of inedia? Y � � w If na4, cfean each nozzle with a bottle 6rush J J does fhe s ra naw cover the entire surface area? / � � � If not then: � 1 remove nozztes and soak in a bleach sofution 2 manuati en a e both dasin um s for twa minutes 3 re lace nozzles ;,,,, Does the s ra now cover the entire surface area? Y / N Y / N If not, consult AWT Environmental, Inc. j �. PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from control anel. .. Dosin Pum 1: min on: e,. min o8: 2 min on: ta min off:� DOSi11 PUIT1 2: min on:�� min off:2 min on:�.o min off: z �� 0 R8C CIB PUfI'1 : min on:3 hrs off: min on: Y hrs off: . `, M ? In Bioclere Control anel set dosin and rec cle timers to a test c cle: T a Am era e of dosin um 1: 5-S amps y, amps ,,., o b Am era e of dosin um 2: amps 6,y amps � c Am era e of rec cie um : ,( amps , amps r Are dosin um s alternatin ? � N � N 3 Are the timers o eratin ro eri ? YU/ N I N Visuall irts ect rela s for wear and record roblems below. � ' If s are com onents are needed contact AWT If an ammeter is not available,set the timers to a test cycie as above — and at the Bioclere check the um s's o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y / N Pump 1 OK? Y ! N desi nated rest c cle is occurrin . Pump 2 OK? Y / N Pump 2 OK? Y / N _ OK? Y / N OK? Y / N 'If pumps or control components are not operating properly, record below And consult AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: 'Do not chan e timers without consultin AWT Environmental, Inc. min on: min ofr: min on: min oft: PLUMBING — a Are the unions in fhe Bioclere leakin ? Y � Y �(� If es, then ti hten with i e wrench � FINAL CHECK a Main ower"on° and set to le for all um s to "normal" osition. / N N b Alarm to le set to fhe "ON" osition. Y �(�3 Y � •- c Lock control anel, Bioclere cover and fan box. d if ossible, record the water meter readin : ._ REPORT SUMMARY: ° � �«4< < �2 " , b oxz � o — ri« �� .,1 .,w �1� �� eF , 3• cc. ( � � i Sti � o o �-Q -. a� i . � ` � SIGNATURE: D:IFORMSCurrent(TechService astewaterlBioclere Field Reporcdoc .. 1 � � ~� Massachusetts Department of Environmental Protection i�` Bureau of Resoure Protection - Title 5 � + �� DEP Approved Inspection and O&M Form for Title 5 I/A ; Treatment and Disposal Systems L Important:When fillingoutformson A. Installation � the computer,use L onlythetabkeyto ShawsSupermarkets, inc. move your cursor Owner -do not use the ��06 Route 28 retum key. ` Facility Street Address Yarmouth 02664 r'� city zip L � Mailing address of owner, if different: �°d0n P.O. Box 600 � Street Address/PO Box: 1 East Bridgewater 02379 � City State Zip � Telephone Number r.. , B. Authorized Service Provider �' Coastal Engineering, Co. Inc. O&M Firm I 260 Cranberry Highway r, Street Address Orleans MA 02653 City State Zip � 508-255-6511 � Telephane Number Sean McCahill 12499R I Certifed Operator Name Certification Number L L C. Facility/System Information W033722 30 Series DEP ID Manufaclurer ID Model Number F zoos-os-os zoos-os-os � Installation Date Start of Operation � Approval Type: ❑ General ❑ Provisional � Piloting ❑ Remedial ' Seasonal Residence- used less that 6mo./year. ❑ Yes � No � D. Operating Information 2014-10-30 1 j Inspection Date Previous InspecGon Date �' Pumping Recommended ❑ Yes � No Sludge Depth � �. i � Massachusetts Department of Environmental Protection ` �"` Bureau of Resoure Protection - Title 5 � �� DEP Approved Inspection and O&M Form for Title 5 UA .. Treatment and Disposal Systems � E. Field Testing Field Inspection: ,,,, Color: ❑ Gray ❑ Brown � Clear ❑ Turbid ❑ Other(specify) " Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid Effluent Solids: ❑ No ❑ Some pH 7.7 SU DO 0 mg/L Turbidity 0 NTU _ 6 to 9 2 or greater 40 or less Should a Remedial or Generai Use system fail the Field Testing, effluent samples shall be coliected per Standard Methods and analyzed for BOD and TSS. _ F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use — nitrogen reducing systems: 0.00 gpd � Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance ` Description of any maintenance pertormed since previous inspection&during this inspection: O&M, and field testing conducted. System is operating properly at this time. " � � Notes and Comments: . O&M, and field testing conducted. System is operating properly at this time. .. .. �. f , � ,� Massachusetts Department of Environmental Protection ; �� Bureau of Resoure Protection - Title 5 � � DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems � _ H. Certification � L. I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the Linformation reported is true,accurate, and complete as of the time of the inspection. I am a Massachusetts c rti ied operator in accordance with 257 CMR 2.00. L _� l� � �DI30//`f Operator Signat re Date � 4 System owner must submit this report,technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: ( Remedial Use-by January 31�`of each year for the previous calendar year .. Piloting Use-within�days of inspection date f Provisionai Use- by March 31�`of each year for the previous 12 months L General Use-by September 31�`of each year for the previous 12 months Send to: i Department of Environmental Protection Attention: Title 5 Program � One Winter Street 5th Floor ` Boston, MA 02108 � L L ! � _ L � � :. � Massachusetts Department of Environmental Protection �r, Bureau of Resoure Protection - Title 5 DEP Approved Inspection and O&M Form for Title 51/A � Treatment and Disposal Systems .. Important:When fillingoutformson A. Installation the computer,use �. oniytnetabkeyto ShawsSupermarkets, lnc. " move your cursor Owner -do not use the 1106 Route 28 retum key. , _I� Facility Street Address � Yarmouth 02664 �^ ci�y zp � Mailing address of owner, if different: Y.r �°" P.O. BOX 600 Street Address/PO Box: East Bridgewater 02379 Ciry State Zip �" Telephone Number ' B. Authorized Service Provider �. Coastal Engineering, Co. Inc. O&M Flrtn 260 Cranberry Highway Street Address � Orleans MA 02653 City State Zip 508-255-6571 Telephone Number "'� Sean McCahill 12499R Certifed Operator Name Certification Number C. Facility/System Information W033722 30 Series DEP ID Manufacturer ID Model Number 2005-06-03 2005-06-03 Installation Date Start of Operation .. Approval Type: ❑ General ❑ Provisional � Piloting ❑ Remedial Seasonal Residence -used less that 6mo./year: ❑ Yes � No ", D. Operating Information � 2014-11-07 1 Inspection Date Previous Inspection Date ' �.. Pumping Recommended ❑ Yes � No Sludge Depth �� ... y i _ , �. � Massachusetts Department of Environmental Protection L � Bureau of Resoure Protection - Title 5 t � DEP Approved Inspection and O&M Form for Title 5 1/A F Treatment and Disposal Systems � � E. Field Testing �. Field Inspection: ' Color: ❑ Gray ❑ Brown � Clear ❑ Turbid L. ❑ Other(specify) LOdor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid , Effluent Solids: ❑ No � Some L pH 7.5 SU DO 0 mg/L Turbidity 0 NTU .. 6 to 9 2 or greater 40 or less f �, Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. � F. Sampling Information ! Samples Taken: ❑ Influent ❑ Effluent i Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use j nitrogen reducing systems: �. 0.00 gpd � Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) L Other 1 Other 2 Other 3 L G. Inspection and Maintenance �. Description of any maintenance performed since previous inspection &during this inspection: System is operating properly at this time. + Notes and Comments: �i,,,, System is operating properly at this time. � � � � � Massachusetts Department of Environmental Protection �a Bureau of Resoure Protection -Title 5 � r DEP Approved Inspection and O&M Form for Title 5 VA Treatment and Disposal Systems � H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have � conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the ; information reported is true, accurate, and complete as of the time of the inspection. I am a � Massachusetts certifie operator in accordance with 257 CMR 2.00. � � 11 �`1 �rY � Operator Signa re Date System owner must submit this report, technology O&M checklist, and any required sampling results — to the local board of health as follows for each inspection performed: Remedial Use-by January 31s`of each year for the previous calendar year «. Piloting Use-within 45 days of inspection date Provisional Use-by March 31��of each year for the previous 12 months General Use-by September 3155 of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street 5th Floor Boston, MA 02108 �- •- u �... .. � /Z//�I/7 L COASTAL ENG{NEERING CO., INC. 260 CRANBERRY HIGFiWAY j ORLEANS, MA 02653 �- TEL. 508 255-6511 FAX. 508 255-6700 BIOCLERE FlELD REPQRT ►. Pro ect No.: 1,��(!�-oZ Date: /I � ( Time: j�s Installation: Sampled: i Client: $l.�av' Service: Commissioned: � Addfess: �= ZD , o�;-.. Other. Scheduled 08M: X � ' Ins ector: 5� rC�(ti: � Bioclere Model Number s � 1 Odor around site? Y / Source of odor? �- Check all that a I : Mild: Medium: Septic: Musty: L 2 Field TeStin : darity,co�or,so�ids,odor,tests 7_S e� u° �ic�44 s�t�� aw�bt.r v�.ur � a � (GO NN r�.2 T1✓ I 3 a easure slud e in rima tanks antl rease tra s as re ire : ; b Slud e de th in rima tank: 1;;�� ,,� �. scum aepth: Sludge deptn: �- c Does rease tra need um in ? `° '� v / N � UNIT 1 UNIT 2 L BIOCLERE VENTS a Is air assin throu h the vent? N / N If in doubt ut a small lastic ba around vent and allow to fill. f b Is the fan o eratin and in ood condition? Y N N E GENERAL � a An external dama e to the unit s ? If Yes, rovide detaiis on back. Y / Y i b Are cover, fan box and control anel securel locked? N i N ` c An filter flies in the unit? Y/ N fewi many Y/ ' few/many �. Location of flies: d Locks/latches/handles. OK? / N / N e Lid asket OK? / N �TijJ N i Does the fan box contain standin water? Y Y If Yes, then remove water and clean drain holes if necessa . L BIOMASS CHARACTERIZATION a Color of biomass? � 7)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)redlbrown 7)black � s ,,,, 8 other ,p b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea ` NOZZLE SPRAY PATTERN , a__D__oes_s_[a _cove_.r_the entire surf_ace area of inedia? N Y i N _ . `,; If not, clean each nozzle with a bottle brush J Does the s ra now cover the entire surface area? Y N CY_1 N � If not then: ` 1 remove nozzles and soak in a bleach solution 2 manuall en a e both dosin um s for two minutes � 3 re lace nozzles � Does the s ra now cover the entire surFace area? Y / N Y i N ` If not, consult A uaPoint, Inc. . j PUMPS AND CONTROL PANEL ` a Record dosin and rec cle um timer settin s from control anel. Dosin Pum 1: min on: � min oH:� min on:(o min off: 2 :. r posin PUfll 2: min on:[� min oH: Z min on: �, min ofl: Z N Rec cle Pum : min on:� hrs off:� min on: hrs oY: / �. ' In Bioclere control anel set dosin and rec cle timers to a test c cle: -r a Am era e of dosin um 1: � amps amps � b Am era e of dosin um 2: f. S amps �Y amps ;,. � c Am era e of rec cle um : , � amps ��,� amps 7 Are dosin um s altematin ? � � N �C'/� N � 3 Are the timers o eratin ro erl ? �� N / N ,. Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact A uaPoint, Inc. .� If an ammeter is not availabie set the timers to a test cycle as above and at the Bioclere check the um s' o eration as follows: .... Dosin um s: check that um s a�e o eratin , aiternatin and the Pump 1 OK? Y I N Pump 1 OK? Y / N desi nated rest c cl2 IS Occuffln . Pump 2 OK? Y / N Pump 2 OK? Y / N OK? Y ! N OK? Y / N *If pumps or control components are not operating properly, record below And consult A uaPoint, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: `Do not chan e timers without consultin A uaPoint, Inc. min on: min off: min on: min off: PLUMBING a Are the unions in the Bioclere leakin ? v t�U v If es, then ti hten with i e wrench FINAL CHECK _ a Main ower"on" and set to le for all um s to "normal" osition. / N N b Alarm to le set to the "ON" osition. v i v c Lock control anel, Bioclere cover and fan box. J' � d if ossible, record the water meter readin : .. REPORT SUMMARY: -.p�-ht. el,c.lw 4 lra,. � �,, /b��,u� Qro�4K �{ .. ` PK/yf /` � C� �L=1r 1 J 1 C1� � t� 4n �C 4 .•�I T`�'tRTi^t , �. � G. ,�! �' �K ___ __ __ ; � SIGNATURE: .. D:IFOR14SCurrentlTechServices-Wastewa7erlBiaclere Field Reporr.doc r � '� 113� l`� L �, Massachusetts Department of Environmental Protection I ;�,�`- Bureau of Resoure Protection - Title 5 ` t � DEP Approved Inspection and O&M Form for Title 5 UA � Treatment and Disposal Systems � . Important:When � fiuingoutkrcnson A. Installation . � the computer,use onlythetabkeyto Shaws Supermarkets, Inc. move your cursor Owner -do not use the ��O6 Route 28 I return key. � L, Facility Street Address Yarmouth 02664 r� CITy �P L � Mailing address of owner, if different: 1P°'" P.O. Box 600 L Street Address/PO Box: East Bridgewater 02379 City State Zip ITelephone Number 1.. � B. Authorized Service Provider � Coastal Engineering, Co. Inc. O&M Frtn � 260 Cranberry Highway � Street Atldress Orleans MA 02653 � City State Zip ` 508-255-6511 Telephone Number Sean McCahill 12499R � Certified Operator Name Certification Number L � C. Facility/System information � W033722 30 Series DEP ID Manufacturer ID Model Number � 2005-06-03 2005-06-03 � Installation Dafe $tart of Operation Approval Type: ❑ General ❑ Provisional � Piloting ❑ Remedial _ Seasonal Residence-used less that 6mo./year: ❑ Yes � No — D. Operating Information 2014-11-13 � LInspection Date Previous Inspection Date Pumping Recommended ❑ Yes � No . Sludge Depth I L { � _ Massachusetts Department of Environmental Protection Bureau of Resoure Protection - Title 5 � DEP Approved Inspection and O&M Form for Title 5 I/A ' Treatment and Disposal Systems .. E. Field Testing Field Inspection: "' Color. ❑ Gray ❑ Brown ❑ Clear ❑ Turbid � r yellow-gray � �ther(specify) Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid r Effluent Solids: � No ❑ Some pH 7.1 SU DO 0 mg/L Turbidity 0 NTU — 6to 9 2 orgreater 40 orless Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. `� F. Sampling Information _ Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use ` nitrogen reducing systems: 0.00 9Pd � Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) O[her 1 Other 2 Other 3 . G. Inspection and Maintenance r Description of any maintenance performed since previous inspection&during this inspection: .. Conducted O&M. Checked pumps and controls. Cleaned the spray nozzles and fan boxes. Reduced the aerator up-time. Field tested the effluent. Collected effluent samples for lab testing. � Notes and Comments: Conducted O&M. Checked pumps and controls. Cleaned the spray nozzles and fan boxes. Reduced � ', the aerator up-time. Field tested the effluent. Coliected effluent samples for lab testing. r. r r i � Massachusetts Department of Environmental Protection � r Bureau of Resoure Protection - Title 5 � � :'� DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems � � H. Certification �` I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, � have completed this report and the attached technology operation and maintenance checklist, and the i information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts ce fied operator in accordance with 257 CMR 2.00. ' .,�, I< r�%��i �� 13/l� � Operator�Signatur ° Date � System owner must submit this report, technology O&M checklist, and any required sampling results to the Iocal board of health as follows for each inspection performed: � Remedial Use-by January 3157 of each year for the previous calendar year �. Piloting Use-within 45 days of inspection date Provisional Use-by March 315`of each year for the previous 12 months � Generel Use-by September 31 s`of each year for the previous 12 months ' Sendto: '� Department of Environmental Protection Attention: Title 5 Program � One Winter Street 5th Floor L. Boston, MA 02108 ( � i � r .. � � .. �.. � 1=- rz COASTAL ENGINEERING CO., INC. ' r 260 CRANBERRY HIGHWAY ORLEANS, MA 02653 TEL. 508 255-6511 -FAX. 508 255-6700 L. BIOCLERE FIELD REPORT- '' _ Pro'ectNo.: ✓!�-o�- u �D8t2:� �� . 3 � - --- � - Time: � - - Instailation: . Tested: �� -.. Client: t;,, ` - - Service: - - Commissioned: Addfess7 R� � - arv�m -0ther. j',; ' Scheduletl O&M:p( � Ins ector. f'.N�c. , _ . Bioclere Model Number s - '... 1 Odor around site? Y Source of odor? Check all that a I : - ' Miid: naeaium: . r . Strong: Musty: Se tic: 2 Take influenUeffluent sam les as re uired. .,�, E( �.o L-1 -( �Y,..n - :��. . -. - rr� crb. �- - ar. :a.�. - .- :B�> Alcd ._. _ �� 'M� O_ .;-hJ�d. .O� ��-- �� ` 3 a easure slud e in ri a tank and rease tra s as re uired: b Slud e de th in rima tank: ; Scum depth: :, siud9e depth:; c Does rease t�a need um in ? �� Y / N �- UNIT 1 :UNIT 2 BIOCLERE VENTS ` a Is air assin throu h the vent? Y / N If in doubt ut a small lastic ba around vent and allow to fill. b Is the fan o eratin and in ood condition? N � N — GENERAL a An external dama e to the unit s ? If Yes, rovide details on back. Y Y / �-' b Are cover, fan box and control anel securel locked? / N `/ N c An filter flies in the unit? v fewi many Y few�many Location of flies — d Locks/ latches/handles. OK? / N / N e Lid asket OK? / N v ;N Does the fan box contain standin water? v i : v ni .. If Yes, then remove water and clean drain holes if necessa . BIOMASS CHARACTERIZATION � a Color of biomass? 1)white 2)whitelgray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black " 8 other _ Co .. b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea � �. NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? Y N / N ; If not, clean each nozzle with a bottle brush �.. Does the s re now cover the entire surface area? Y / N Y / N If not then: 1 remove nozzles and soak in a bleach solution ., 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles Does the s ra now cover the entire surface area? Y � N Y / N I If oot, consuit AWT Environmentaf, {nc. � PUMPS AN€? CONTRC3L PANEL a Record dosin and rec cle um timer settin s from control anel. RoSin Putn 1: min on:l� min oH:t min on:tv min aff:y DoSing Pump 2: min on: �� min off:z min on: �, min oH:z Rec c4e Pum : mi�on: nrs otr:t min on: hrs 4fi: a -- � � In Bioclere control anel set dosin and rec cIe timers to a test c cle: a Am ra e of dosin um 1: s'.-7 amps , am�s � b Am era e of dosin um 2: S amps �; amPs c Arn era e of rec c(e um : ,� amps amPs Are dosin um s aEternatin ? t N t n� Are the timers o eratin ro erl ? N ! N ; Visual( ins eci rela s for wear and recard roUlems below. ' If s are com onents are needed contact AWT ` If arr ammeter is not availabEe,sei the Eimers to a test cycie as above and at the Bioclere check the um s's o eration as follows: Dosin urn s: check that um s ere o eratin , altematin and the �ump � oK? v � N Pump� OK? Y J N desi nated rest e c!e is accuR'sn . Pump 2 OK� Y � N Pump z ax? Y t N OK? Y / N OK? Y / N *if pumps or control components are not operating property, record below And consult AWT Environmental, inc. � RESET TIMEF2S TO ABOVE SETTlNGS: Nole an chatt eS hef4': min on: min off: min on: min off: *Do not chan e time�s without consultin AWT Environmental, Inc. min on: min off: min on: min ofl: PLUMBING a Are the unions in the Bioclere leakin ? Y i Y , ff es,then ti hten u+ith i e wrench FINAL CHfCK � a Main wer"an" and sef t 1e for aii um s to "norrnai" sifian. 1 � � b Alarm fo le sef to the "dN° osition. v i Y t c Lock controt anei, Bioclere cover and fan box. d if ossibie, recard ihe water meter readin : FtEPORT SUMMARY: _ o= c �/ 6- �a�� tz � tctA .( � e t -+, � ..ri c+£c�re: � `- ua a�t �^{=.nx. — k' `Ca. � a� t ; 1 z SIGNATURE: D:IFORMS CurrenATechServices-Was7ewaterl6ioclere Field Reportdac i � Massachusetts Department of Envlronmenta( Protectian � Bureau of Resoure Protection - Title 5 � � DEP Approved Inspectian and O&M Form for Titte 5 I/A � Treatment and D�spasal Systems � Important:When .. fi�E��9pUt��„$o� A. Enstalfatian the computer,use i anPythetabkeyto ShawsSupermarkats ITiC. ,,,,, move your oursor pwner -do noi use the ��06 ROUfe 28 return key. � Facility Stre¢t Address , Yarmouth 02664 " � ��tY Zip � Mailing address of owner, if different: """' P.O. Box 600 � Street Ad&ass1P0 Box: East Bridgewater 02379 , City State . �P �. Teiephone Number B. Autharized Service Provider Coastafi Engineerin Co. inc. ^ O&M Firm 260 Cranberry Highway Street Address Orieans MA 02653 ^ CitY State Z;�y 508-255-6517 Tetephone Number .,. Sean McCahill 12499R Certified Operakor Name Certificatioo Number C. FacilitylSystem Information WD33722 30 Series —" DEP ID Manufacturer ID Model Number 20d5-OB-63 2005-d6-03 InstallsGon pate Start of Operation � � Approval Type: [] General [� Provisional � Piloting ❑ Remedial Seasonal Residence-used less that 6mo./year: ❑ Yas 4q] No � rr D. Operating Infarmation � 2014�17-1$ � inspectlon Date previous inspection Date f Pumping Recommended ❑ Yes � No � SludgCi DepN 1 � rM L � Massachusetts Department of Environmental Protection ; �" Bureau of Resoure Protection - Title 5 � � �` DEP Approved Inspection and O&M Form for Title 5 1/A � Treatment and Disposal Systems � ` E. Field Testing � Field Inspection: ; Color. ❑ Gray ❑ Brown � Clear ❑ Turbid L ❑ Other(specify) � Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid � Effluent Solids: � No ❑ Some � pH 7.1 SU DO 0 mg/L Turbidity 0 NTU 6 to 9 2 or greater 40 or less 1 Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected ` per Standard Methods and analyzed for BOD and TSS. � F. Sampling Information � � Sampies Taken: ❑ influent ❑ Effluent L. Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 0.00 `�' gpd I Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) �. . Other 1 Other 2 Other 3 � � G. Inspection and Maintenance � Description of any maintenance performed since previous inspection &during this inspection: System is operating properly at this time, effiuent grab sample was collected on 17/13/2014. Notes and Comments: LSystem is operating properly at this time, effluent grab sample was collected on 11/13/2014. L � .. Massachusetts Department of Environmental Protection �J Bureau of Resoure Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A — Treatment and Disposal Systems � H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have �- conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the . information reported is true, accurate, and complete as of the time of the inspection. I am a ,,,,, Massachusetts certified operator in accordance with 257 CMR 2.00. �� /I/l/1 rl�l��l� Operator ign re Date � System owner must submit this report,technology O&M checklist,and any required sampling results ,_, to the local board of health as follows for each inspection performed: Remedial Use-by January 3155 of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use-by March 315�of each year for the previous 12 months General Use-by September 31�`of each year for the previous 12 months Send to: Department of Environmentai Protection — Attention:Title 5 Program One Winter Street 5th Floor Boston, MA 02108 .. .. r r r I 2//0//H L COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY � ORLEANS, MA 02653 ` TEL. 508 255-6511 FAX. 508 255-6700 , BIOCLERE FIELD REPORT— - L _ Pro'ectNo.:�,1�A-o2H Date: '� � Time: Installation: Tested:- ` LClient: S aw' Service: Commissioned: Address: �c_� �,1 o Other: ' ` Scheduled OSM:y� _ � : < ' ( lns ector. , e �{. ` Bioclere Model Number s , 1 Odor around site? Y/ Source of odor? - ' �, Check all that a i : Mild: Medium: Strong: Musty: Se tic: � 2 Take influenUeffluent sam les as re uired. � // � �' 6Kw� �� ( - t v- �.. � A4�C- !8 o v m. :� 3 a Measure slud e in rima ta ks and ease ra s as re uired: � b Slud e de th in rima tank: ;.,, --' � scum depth: sludge deptn:: " c Does rease tra need urri in ? ;� Y /_N - � _._ , ._ . UNIT 1 - - UNIT 2 BIOCLERE VENTS a Is air assin th�ou h the vent? v' N i N LIf in doubf ut a small lastic ba around vent and allow to fill. b ls the fan o eratin and in ood condition? _ N : '� N � GENERAL � a An extemal dama e to the unit s ? If Yes, rovide details on back. Y / Y'i b A�e cover, fan box and control anel securei locked? / N / N � c An filte�flies in the unit? . v i fewl many:: Y/ fewi many � Location of flies: d Locks/latches/handles. OK? / N I N L e Lid asket OK? ' - / N ,N Does the fanbox contain standin water? Y / � v If Yes, then remove water and clean drain holes if necessa . - L BIOMASS CHARACTERIZATION a Color of biomass? , 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black .- 8 other _ _ _ . _ �" b Thickness of biomass 6-12 inches below media surface. 1 li ht 2 medium 3 hea - ` NOZZLE SPRAY PATTERN a Does s ra cover the entire surface area of inedia? v / N Y i rv L. If not, clean each nozzle with a bottle brush Does the s ra now cover the entire surface area? v / rv Y i N If not then: ' ;.. 1 remove nozzles and soak in a bleach solution 2 manuall en a e both dosin um s for two minutes 3 re lace nozzles ` Does the s ra now cover the entire surface area? v i N Y i N If not, consuft AWT Environmental, {nc. .. � PUMPS ANQ CONTROL PANEL � a Record dosin and rec cle um timer settin s from control anel. ... o Dosin Pum 1: min on: („ min off: t min on:� min off:� ` Dosin Pum 2: min on: (. min aff:Z min on:�o min off:� 3 Rec cle Pum : min on:3 hrs oH: � min on: hrs off: � In Bioclere Control anel set dosin and rec cle timers to a test c cle: a Am era e of dosin um 1: ,� amps .�r amps _ b Am era e of dosin um 2: ,� amps _G amps c Am era e of rec cle um : ,b amps ;a_y amps Are dosin um s alternatin ? � N �� N _. Are the timers o eratin ro erl ? � N � N Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact AWT r If an ammeter.is not available,set the timers to a test cycle as above — and at the Bioclere check the um s's o eration as follows: Dosin um s: check that um s are o eratin , alternatin and the Pump 1 OK? Y / N Pump 1 OK? Y / N desi nated rest c cie is occurrin . Pump 2 OK? Y 1 N Pump 2 OK? Y 1 N — OK? Y / N OK? Y / N `if pumps or control components are not operating properly, record below — And consuit AWT Environmental, Inc. RESET TIMERS TO ABOVE SETTINGS: Note an chan es here: min on: min off: min on: min off: ... 'Do not chan e timers without consultin AWT Environmental, Inc. min on: min off: min on: min ott: PLUMBING — a Are the unions in the Bioclere Ieakin ? v ��'j v i� If es,then ti hten with i e wrench FINAL CHECK a Main ower"on" and set to le for all um s to "normal' osition. � N / N b Alarm to le set to the "ON" osition. Y i Ci� Y i - _ c Lock control anel, Biociere cover and fan box. d if ossibie, record the water meter readin : ,/ REPORT SUMMARY: Y C�;kec�c c� w�r �e �x ri-. �" bo�cae . n � _ c 1� o �t � � �ne.�C ^�'[ f� O^4..� R i � r � ` �J` /�My' 1 �f / 9 � `�r�c� C'R`K 4 �11 �✓r� �+!-M1 Yr/ � r SIGNATURE: D:IFORMSCurrenllTechServic -Wartewa[erlBioclereFieldRepartdoc ' . � I\ ��`ll 'y 4 L � Massachusetts Department of Environmental Protection j r Bureau of Resoure Protection - Title 5 ` t� ' DEP Approved Inspection and O&M Form for Title 5 I/A ; Treatment and Disposal Systems L � Important:When fillingoutformson A. Installation , L the computer,use onlythetabkeyto Shaws Supermarkets, I�C. move your cursor Owner -do not use the ��06 Route 28 i return key. L Facility Street Address Yarmouth 02664 r� city zip t L � Mailing address of owner, if different: '�°'0 P.O. Box 600 L Street Atldress/PO Box: East Bridgewater 02379 City State Zip � Telephone Number �.. � B. Authorized Service Provider L Coastal Engineering, Co. Inc. O&M Firtn I 260 Cranberry Highway V StreetAddress Orleans MA 02653 � City State Lp L 508-255-6511 Telephone Number Sean McCahill 12499R 1 _ Certified Operator Name Certification Number i L ; C. Facility/System Information L W033722 30 Series DEP ID Manufacturer ID Model Number � 2005-06-03 2005-06-03 �. Installation Date Start of Operation Approval Type: ❑ Generai ❑ Provisional � Piloting ❑ Remediaf ` Seasonal Residence -used less that 6mo./year: ❑ Yes � No — D. Operating Information , 2014-11-24 1 � Inspection Date Prewous Inspecfion Date Pumping Recommended ❑ Yes � No Slutlge Depth ! ... � � Massachusetts Department of Environmental Protection ��` Bureau of Resoure Protection - Titie 5 + � DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems � E. Field Testing Field Inspection: — Color: ❑ Gray ❑ Brown � Clear ❑ Turbid r ❑ Other(speciTy) Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid .. Effl�ent Solids: � No ❑ Some pH 7.3 SU DO 0 mg/L Turbidity 0 NTU _ sto 9 2 orgreater 40 orless Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. — F. Sampling Information � Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use — nitrogen reducing systems: 0.00 9Pd "" Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other i . Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conducted O&M. Checked the pumps and controls. Cleaned the spray nozzles and fan boxes. � Replaced the#1 anoxic pump.Field tested the effluent. Checked the EQ pumps Mixed up sodium bicarbonate solution. The system is operating properly. .r r Notes and Comments: Conducted O&M. Checked the pumps and controls. Cleaned the spray nozzles and fan boxes. Replaced the#1 anoxic pump.Field tested the effluent. Checked the EQ pumps Mixed up sodium ., bicarbonate solution.The system is operating properly. .. .. :. Massachusetts Department of Environmental Protection f r "' Bureau of Resoure Protection - Title 5 ` DEP A p f � pproved Ins ection and O&M Form for Title 5 I/A � Treatment and Disposal Systems L H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, � have completed this report and the attached technology operation and maintenance checklist, and the �- information reported is true,accurate, and complete as of the time of the inspection. I am a Massachus,etts�certified operator in accordance with 257 CMR 2.00. ' �. I� lbWi� ► I �zq �� L Operator Signat e Date 4 � System owner must submit this report,technology O&M checklist, and any required sampling results .. to the local board of health as follows for each inspection performed: � Remedial Use-by January 3151 of each year for the previous calendar year � Piloting Use-within�days of inspection date LProvisional Use-by March 315�of each year for the previous 12 months General Use-by September 31s�of each year for the previous 12 months L Send to: Department of Environmental Protection Attention: Title 5 Program L One Winter Street 5th Floor Boston, MA 02108 � t L. I L �. � :. :. .. t COASTAL ENGlNEERING CO., INC. 260 CRANBERRY HIGHWAY ` OR�EANS MA 02853 TEt�: 508 255-6511 -FAX: 508 255-6704 �. BIOGLERE FtELDl2EPORT- - _ _ Pro'ect Na.: U,J A-CI a ..; Dafe: 1�t - Time: p Insiallation: 7ested: Client: �a'1't w' _ _ Service: Commisstoned: Address: r. �r6- 50.^14+w-�oa^�'k otner: , (y:c : Scnedu�ed oaM: p( A�vx'r� 4 — ins ectar: 31�Gak,t _ Bioclere Model Numbe� s — - � 9 Qdor araund site? Y Source of odor? Check all that � I : - -- - - _ ` Mild: Medium: r _ _ Strong: Musty: Se tic. _ 2 Take influenUeffiuent sam les as re uired. 7�3 G�erjr vin •si�tt S�l� r ^�e � r �"a( e �b A!{ . t? G}.� ,�trt "• 3 a Measure slud e in rima tanks a d rease tra s as e uired: b Slud e iie th in rima tank: ..�- ,�,{.� Scum deptn: Siudge deptn: c Does rease tra need 'urri in ? � Y 1 N — UNIT 1 UNIT 2 BI4CLERE VENTS _. a Is air assin` throu h the vent? � N v I N if in doubt ut a smail Iastic ba araund vent and allow to fill. b Is the fan o e�atin and in oad condition? � N N GENERAL a An external dama e to the unit s ? If Yes, rovide details on back. Y � v t b A�e cover, fan bax and cantroi anet securet locked? Y � N / N : c An filter fiies in ths unit? v t fewl many Y tewl many Location of flies: � d Locks/Ia#ches/handies. OK? � t� -� N e Lid asket OK? : 1 N t,N Does the fan box contain standin water? Y i Y l — If Yes, then remove water and ctean drain hotes if necessa . BIOMASS CHARACTERIZATION ,,. a Colar of biornass? 1}white 2)whitelgray 3)gray Q)graytbrown 5)brown 6}redlbrown 7}b(ack $ other S �' ' V b Thickness of biomass 6-12 inches belaw media sur€ace. 1 !i ht 2 medium 3 hea ( ( _. .. _ . . . . .. .. . . . . E � � N4ZZLE SPRAY PA7TERN a Does s ra cover the entire surface a�ea af inedia? i N i N If na#, clean each nozzle with a bottle brusfi `„ Does the s ra now cover#he entirs surface area? Y t N Y t N _ If not then: 1 remove nozzles and soak in a bieach solution ,,,, 2 manuail en a e both dosin um s far two minutes 3 re lace noz2les Does the s ra now cover the entire surface area? Y l � Y t N �, i If not, consulY AW7 Environmental, fnc. PUNfP3 AND COiUTROL PANEL ` a Record dasin and rec cie um timer settin s from control anei. a=. DOSiO PU�rt 1: min on: (p min oN:2 min on: fo min off:z � C7osin Pum 2: min o,n:Lv min off: 2 min on:/o min oH;2 Rec de Pum : min o�:3 hrs off: min on: firs oif: in Biociere controi anel set dosin and rec cie timers to e test c cie: a Am era e of dosin um 3: S',� amps , 5 amps b Am era e of dosin um 2: g.�' amps , amPs c Am era e of rec c(e um : S,6 amps fc�, amps ' Are dasin um s altematin ? � f � J � Are the timers o eratin ro erl ? � N i N � Usuaii ins ect rela s for wear and record roblems below. � If s are com onents are needed contact AWT 4 !f an ammeter is not available,set the timers to a test cycle as above and at the Bioclere check the um s's o eration as follows: Dnsin um s: check that um s are o eratin altematin and the Pump 1 oK? Y � N Pump 1 OK? Y 1 N dBSi t18t@d �est G GI2 sS OGCUriitt . Pump 2 OK? Y t N Pump 2 QK? Y 1 t�t OK? Y / N OK? Y / N `If pumps ar controi components are not operafing properly, record below And consult AWT Enviranmental, inc. FZESET TlMERS TO ABQVE SETTINGS: Note an chan 25 hef2: min an: min off: min on: min off: *Do nat chan e time�s without consultin AWT Enviranmental, Inc. min an: min otf: min on: min aff: PLUMBING a Are the unions in the Bioclere leakin ? Y � Y � � if es, then ti hten with i wrench F(NAL CHECK a Main awer"on" and sef# le for ali um s#o "normal" sitian. 1 � � b Alarm to le set ta the "ON" osition. Y I N Y t� c Lock control anel Biaclere cover and fan box. � d if ossibte, record the water meter readin : . � REPORT SUMMARY: "" 0'� . C. 2� o ' � ✓toL �c� Ctr � 4 a �E t -. G �..� { a. . . : ' '�c ( i J"G � d �` "P�,--►°.,�,�'�— � — a � �. �, ..t R� � � � , i SIGNATU[2E; � D.�IFORMSCurrenATechServices-WostewoterLBiaclereFieJdRepartdoc w COASTAL Eh1GINEEf26NG CO., INC. � 260 CR,AN�ERRY HIG6iWAY ,., 4R�EAT�lS, td1A 026b3 TEL.. 508 255-fi53'1 FAX. 548 255-6700 .. FIEl�D SERVICE GAI.� EtEFC?RT Date: z�((t Pro'ec1No.: iJ�2�/' ' Client: �W�r Time: � �» Address: �e• `� a�,�o � ; ( tns ector: � �{ � 1 Odor around site? Y Source of ador? i Fieid testin conducted durin visit. Y / -• Chemicais dro ed off or added to s stem Y � tf YES, t e and amount of chemicals. T e af! IA 5 stem BEOCLER �AST RSF t}THER If OTHER t e: � REASON FOR SITE VISIT/ REPORT SUMMRRY :.. �'Y�c r r. r � � i 4 ._.... _ . . ..._ _.. _ ._._. _.. . . ... .._ .. ....... _ .___.....— —.__... ___. ._-- ___ ___.__ ...---...--- - - � L � � SIGNATURE: E:1CSimmorirtfre7d service repori.doc n:tDtJCtI}epartment_Technicat ServicestFormstAbbrrv Fietd Service Repart.dac ' V � �z � �i �`l � Massachusetts Department of Environmental Protection � �"' Bureau of Resoure Protection - Title 5 � F :� DEP Approved Inspection and O&M Form for Title 5 VA ; Treatment and Disposal Systems � Important:When fillingoutformson A. Installation � the computer,use L onlythetabkeyto Shaws Supermarkets, Inc. move your cursor Owner . -do not use me ��06 Route 28 L retum key. FaciliTy Street Address Yarmouth 02664 �� City Zip � Mailing address ot owner, if different: L 'g°°" P.O. Box 600 Sireet Address/PO Boz: ! East Bridgewater 02379 � City State Zip 4 Telephone Number L f B. Authorized Service Provider �" Coastal Engineering, Co. Inc. O&M Firm ' 260 Cranberry Highway LStreet Atltlress Orleans MA 02653 � City State � Zip L 508-255-6511 Telephone Number Sean McCahill 12449-R � Certified Operator Name Certification Number I ,� C. Facility/System information � �' W033722 30 Series DEP ID Manufacturer ID Model Number 2005-06-03 2005-06-03 ` Inst211ation Date Start of Operallon Approval Type: ❑ General ❑ Provisionai � Piloting ❑ Remedial Seasonal Residence-used less that 6mo./year: ❑ Yes � No � D. Operating Information 2oia-i2-os � :� Inspec6on Date Prewousinspection Date . Pumping Recommended ❑ Yes � No Sludge Depth 1 r. � r .. t Massachusetts Department of Environmental Protection ��` Bureau of Resoure Protection - Title 5 t �` DEP Approved Inspection and O&M Form for Title 5 I/A — Treatment and Disposal Systems .. E. Field Testing Field Inspection: .- Color. ❑ Gray ❑ Brown � Clear ❑ Turbid ❑ Other(specify) — Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid r. Effluent Solids: � No ❑ Some pH 7.1 SU DO 0 mg/L Turbidity 0 NTU ,_ sto 9 2 orgreater 40 orless Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. .., F. Sampling Information _ Sampies Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use �- nitrogen reducing systems: 0.00 gptl � Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance — Description of any maintenance performed since previous inspection&during this inspection: Conducted O&M. Checked pumps and controls. Cleaned the spray nozzles and fan boxes. Field ` tested the effluent.Checked the EQ and anoxic units. Mixed up sodium bicarbonate solution for process control dosing. Recorded the system settings and readings.The system is operating properly. �r 1 ', r Notes and Comments: Conducted O&M. Checked pumps and controls. Cleaned the spray nozzles and fan boxes. Field tested the efflue�t.Checked the EQ and anoxic units. Mixed up sodium bicarbonate solution for � process control dosing. Recorded the system settings and readings. The system is operating properly. .. r.. � � Massachusetts Department of Environmental Protection ` ��`- Bureau of Resoure Protection - Title 5 t t� DEP Approved Inspection and O&M Form for Title 5 I/A � Treatment and Disposal Systems � � H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have � conducted the required Field Testing and/or sample collection in accordance with Standard Methods, ` have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massac usetts ceRified Operato in�acco dance with 257 CMR 2.00.� � �%, i 2/ �y Operator Signature Date L System owner must submit this report,technology O&M checklist, and any required sampling results ; to the local board of health as follows for each inspection pertormed: �„ Remedial Use-by January 3151 of each year for the previous calendar year Piloting Use-within�days of inspection date I � Provisional Use-by March 31�`of each year for the previous 12 months General Use-by September 31�`of each year for the previous 12 months ` Sendto: Department of Environmental Protection Attention: Title 5 Program ` One Winter Street 5th Floor Boston, MA 02108 � � � I Y�r � v � � Y.� � �- f S t S COASTAL ENGINEERING GO., INC. i„ 260 CRANBERRY HIGHWAY QRLEANS, MA d2853 - TEL; 588 255-6511 -FAX. 5p8 255-870Q �. BtOCLERE FiELD REPORT - , _ Pro'ect No.: _ i, dafe: -Tif1"le: InsCallation: Tested: '_ Clierit: � - Service: _ Cammissioned: AddrBSS; .� y - ,� Ofher. Scheduled 4&M:� ;,,, Ins ector. b.;t( _ . Bioclere Model Number s 1 Odor around site? Y! � Saurce of adar? Check all that a I : - - Miid: Medium: �„ _ Strang: Musty: Se tic. 2 Take influenUeffluent sam les as re uired. �� ,+� � �3,��. ' <L(� _ 1 " �;. � � f&v Nf� ! o U.S R�co 3 a M asure slud e in rima tan a�d rease tra s as re �uired: b Slud e de th in rima tank: n,J„} ;� Scum depth: = Siudge depth: : c DoeS tease tra neeii Um tn ? + : Y 1 N •• UNiT 7 UNIT 2 BtOCLERE VENTS — a Is air assin throu h the vent? i N Y N tf in doub# ut a smat! tastic ba around vent and aliow to fill. b is the fan a eratin and in ood condition? n� N -- GENERAL a A� eacternal dama e to the unit s ? If Yes, rovide details on beck. Y / Y r b A�e cover fan bax and control anel securel locked? N N c An filter t]ies in the un'�t? v 1 tewt many Y wt many I.ocation of flies: — d Locks/ latches/handles. OK? 1 N v I N ' e Lid asket OK? ' 1 N t;rt Does the fan box contain standin water? v i v L» If Yes, then remove water and clean drain holes if necessa . BlOMASS CHAFtACTERIZATION �- a Color of biomass? 1}white 2}whiteigray 3)gray 4)graylbrawn 5)brawn 6)redlbrawn 7)biack 8 other �' ,., b Thickness of biomass 8-12 inches betaw media su�fiace. 9 ti ht 2 medium 3 hea � _ _ i �. NOZZLE SPI2AY PA'FTERN a Does s ra cover the entire surface area af inedia? Y i N v i N If not, clean each nozzle with a bottle brush ;., t3oes the s ra now cover ihe entire surface area? Y 1 N Y t N If not then: 1 remove nozzles and soak in a bieach solution ,., 2 rrtanuall en a e both dasin um s far iwo minutes 3 re lace nozzles Daes the s ra now cover the entire surfece area? Y t t� Y / t� ,,, i {f not, consult AWT Environmental, lnc. L. FUMP3 AMD CONTRO! PANEG � a Record dosin and rec cie um timer settin s from eontroi anel. Dasin Pum 9: min on: (a min oH: L min on:jo min ot#:2, � Dosin PUm 2: min on: !„. min off: min on: W min off: ''" Rec cte Putrt : min on: 3 hrs off: min on: hrs off: K- � In Bioclere control anel set dosin and rec cle timers to a test c cle: a Am ra e of dosin um 1: S• amps amps � b Am era e of dosin um 2: ,$; amps amps � c Am era e of rec cle Ufll : amps �m, amps Are dosi um s altematin ? � ! � �J � �' Are the timers o eratin ro erl ? � N �'� � � Visuall ins ect rela s for wear and record roblems below. ' If s are com onents are needed contact AWT �' If an ammeter is not availabfe,set fhe timers ta a test cycle as above and at the Bioclere check the um s's o eration as follows: Dosin um s: check fhat um s are o eratin alternatin and the Pump� OK? Y J N Pump 1 OK? Y / N des's nated rasi c cie is occurrin . Pump 2 oKa Y t t� Pum¢2 OK? Y f N OK? Y / N 4K? Y / N ! *If pumps ar control components are not operating properly, record �- below And cansult AWT Environmental, Inc. i �- RESET T{MERS TO ABOVE SETTlNGS: Note an chan es hete: min on: min ott: min on: min otf: 'po not chan e time�s without consultin AWT Enviranmental, InC. min on: min off; min on: min aff: � �- PLUMBtNG a Are the unions in the Biociere leakin ? Y � Y � If es, then ti hEen with i e wrench L FINAL CHECK a Main ower'bn" and sef t le for ati um s ta "narmal° osifian. 1 N � �- b Alarm to le aet to the "ON" osition. Y � Y � c �ock control anel Biociere cover and fan box. ,/ d if ossibfe, record ihe water meter readin : � REPORT SUMMARY: ( �'Ot fJ/ yy L GN V'FY(� 1'UC� +�t ,r l�. d Mr i 4. n a Yv �.. � � ` t`c OY < �.m �. "" c[ � , : � i r SIGNATURE: � D:IFORA9SCurrentlTec ervue -W slewaterLBioclereFieldRepori.doe .. �� )a31��( � Massachusetts Department of Environmental Protection �� Bureau of Resoure Protection - Title 5 � � s� DER Approved inspection and O&M Farm for Title 5 UA Treatment and Disposal Systems � Important:When fitiingautforznson Q. �j'yStB��af(Qn � the computer,use � onrymetabkeym ghawsSupermarkets, Ino. moveyourcursor p�er -do not use me � {06 Route 28 reNrn key. � Faciliry SVeet Address i Yarmouth p2664 j"' rat �� P � Mailing address of owner, if different: I `a"" P.O. Box 600 � Street AddrasslPO Box: East Bridgewater 02379 � Ciiy StaTe Zp � Tetepflpne Ptamber I i.. S. Au#horized Service Prov�der , Coastat Engineering, Co. inc. �- p&M Flrm 260 Cranberry Fiighway Streel Address � Orieans MA 02653 City State 7�P 508-255-6511 i Telaphone Ntunber � .� _ Sean McCahill 72499-R Certifietl 4perator tdame Certificaqon Number k I :.. C. Facility/Sys#em Inforrnation W033722 30 Series '— DEP Ip - Manufacturer ID Motlel Number 2065-06-tt3 2005-06-03 1 Installat(on Dete Start of Operetion � Approvai Type: ❑ Generai ❑ Provisionai � Piioting [� Remediai Seasonai Residence -used less that 6mo.lyear. ❑ Yes � No L D. Operating Information �, 2014•12-23 1 Inspeciion Date Previpus tnspection Date � � Pumping Recommended ❑ Yes � No �- Sludge Depth � �.. � i ` w Massachusetts Department of Environmental Protection j `�` Bureau of Resoure Protection - Title 5 ` f �j�, DEP Approved lnspection and O&M Form for Title 5 I/A ; Treatment and Disposal Systems :. E. Field Testing i � Field Inspection: i Color: ❑ Gray ❑ Brown � Clear ❑ Turbid �. ❑ Other(specify) � Odor: � Musty ❑ Earthy ❑ Moldy ❑ Offensive ❑ Turbid Effluent Solids: � No ❑ Some f � �' pH 7.7 SU DO 0 mg/L Turbidity 0 NTU 6 to 9 2 or greater . 40 or less � Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected `' per Standard Methods and analyzed for BOD and TSS. L. F. Sampling information Samples Taken: ❑ Influent ❑ Effluent L Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: ` 0.00 9Pd - - Parameters sampled:❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below) I .. ' Other 1 Other 2 Other 3 I V G. Inspection and Maintenance � Description of any maintenance performed since previous inspection &during this inspection: Conducted O&M. Checked the pumps and controls. Cleaned the spray nozzles and fan boxes. Field tested the effluent.Adjusted the EQ, pre-aeration and anoxic cycles. Recorded the settings.The ` system is operating properly. Notes and Comments: � Conducted O&M. Checked the pumps and controls. Cleaned the spray nozzles and fan boxes. Field L tested the effluent. Adjusted the EQ, pre-aeration and anoxic cycles. Recorded the settings. The system is operating properly. i � :� , Massachuset#s Department of Environmental Protection � �" Bureau of Resoure Protection - Title 5 j DEP Approved Mnspectian and O&M Farm for Titte 5 tIA �- Treatment and Disposal Systems � Ei. Certificatian 1 certify: 1 have inspected the sewage treatment and dispasal system at the address above,have ... conducted the required Field Testing and/or sample collection in accordance wi#h Standard Methods, have compfeted this report and the attaahed technoiogy operation a�d maintenance cheakiist, and the information reported is true, accurate, and complete as of the time of the inspection. !am a Massac�usetts certified aper or in pc rd nce with 257 CMR 2.40. 'r �r��(�_�i�2r� Date 1 Zi��i 1I�� ,. System owner must submit this report,technology O&M checklist, and any required sampling results tp the Iocai board of heaith as fol(ows for eaeh inspection pertormed: "" Remediai Use-by.lanuary 31 a'of each year far the previous calendar year Piloting Use-within 45 days af inspecfian date "" Provisional Use-by March 37 S`of each year Eor tfie previous 12 mo�ths Generai Use-by September 31�`of each year for the previous 12 months `" Send to: Department of Enviranmenta( Protection _„ Attentian: 7itle 5 Program dne Winter Street 5th Floor Bqston, MA 02108 ... 4 �� r YYI ; . � �1 Y k rM f - �S ` COASTAL ENGINEERING CO.,JNC. 260 CRANBERRY HIGHWAY , ORLEANS, MA 02653 �, TEL. 508 255-6511 FAX. 508 255-6700 ; BIOCLERE FIELD REPORT- - . �. Pro'ect No.: �/YA- DZ Dafe: � - - Time: Insiallation: Tested: `'. � Cli6rlt: - � - Service: Commissioned: �, Address: �_ �ivtm,,�Kq g = �$' Ather. k � Scheduled O&M: p�- �_ Ins ector. �w - �G,G=U _ _ _ _ : �„ Bioclere Model Number s . � 1 Odor around site? Y/ Source of odor? �„ Check all that a I : - - Miid: Medium: _ _ _ Strong: ' Musty: Se tic: L2 Take infiuent/effluent sam les as re uired. � l 4 �. � .f L 6�9�(' �-�� Q�.f9. �� :� �:�f . . 3 a easure slud�e in rima tanks and r ase tra s as re uir d: Lb Slud e de th,in rima ' tank;' 4,,,; scum depth: Sludye depth: c Does rease tra need um in ? . �,,."_a„n,� v i N L , - UNIT 1 UNIT 2 BIOCLERE VENTS a Is_air assin ' throu h the vent? : v N t N � If in doubt "ut a smali lastic ba around vent and allow to fiil. `� b 15the fan o eratin and in ood condition? N y N L GENERAL a An extemal dama e to the unit s ? If Yes, rovide details on back. Y Y / b A�e_cover, fan box and control anel securel locked? / N i N j c An filter flies in the unit? v/ few/many v/ fewi many `� Location of flies d Locks/latches/handles. OK? i N v t N L e Lid asket OK? � N / N Does the fan box contain standin water? Y i y � If Yes, then remove water and clean drain holes if necessa . i . . . . . . . _ _ . �- BIOMASS CHARACTERIZATION __ a Color of biomass? 1)white 2)white/gray 3)gray 4)gray/brown 5)brown 6)red/brown 7)black � 8 other_ _ b Thickness of biomass 6-12 inches below media surface. 1 li hf 2 medium 3 hea � NOZZLE SPRAY PATTERN - j a boes s �a cover the entire surface a�ea of inedia? v i N � N L If not, clean each nozzle with a bottle brush Does the§ ra now cover the entire surface area? Y i N Y / N i If not then: ,. 1 remove nozzies and soak in a bleach solution 2 manuall en a e both dosin um s for two minutes ; 3 re lace nozzles ` Does the s ra now cover the entire surface area? Y / N Y i N If nat, consuft AWT EnvironmenEsi, Rnc. � PUMPS AND CONTROL PANEL a Record dosin and rec cle um timer settin s from control anel. .. Dosift Pum 1: min on:jw min off:� min on:jo min oif: � Rasin Pum 2: min qn:[d min oft:?. min on:t� min aK:Z � ReC Cle PUm : min on: hrs off: min on: hrs off: .., � In Bioclere Control anet set dosin and rec cle timers to a test c cts: � a Am era e of dosin um 1: �, 6 amps amps .r � b A,m era e of dosin um 2: amgs amPs � c Am era e ot rec cle uin : _b amps a, amps 3 Are dosin um s alternatin 7 / N � N �, Are#he timers a eratin ro eri ? 1 rt 1 N Visuall ins ct rela s for wear and record roblems below. .. �` lf s are com anents are needed cantact AWT tf an ammeter is not availab�e,set tfie fimers fo a test cycie as above .,. and at the Biociere cfieck the um s's o eratian as foilaws: Dosin um s: check that um s are o eratin , alternatin and the Pump � oK? Y i N Pump 1 OK? Y / N desi nated rest c cie is occurrin . aumR 2 oK? v i N Pump 2 OK? Y 1 N .. � � OK? Y 1 N QK? Y i N 'If pumps or control components are not operating properly, record below � And cansult AWT Environmental, inc. RESET TIMERS TO ABOVE SETTINGS: Nqte an chan es here: min on: min aft: m'rn on: min off: .., 'Do not chan e timeis without consultin AWT Er�vironmentai, (nc. m;n an: min otr: min o�: min off: PLUMBiNG � a Are the unions in the Biaclere leakin ? Y t y If es, then ti hten with i e wrench FINAL CHECK r a Main ower"on" and set ta le for all um s to "normal' osition. N N b Alarm to le sef to the`ON" osition. Y t Y t ,,, c �ock control anel, Sioclere cover and fan box. ,f d if ossible, record the water meter readin : ,/ REPORT SUMMARY: ^ C'�t .d wJ � -a�t, r •. Y(��t a-u I 1` t 4 f. `/� i ' QH Ie/�� I 1�� F V �kwt 1 r � � r .n � � '!t c ` c�. e:� . . �y . (� r .u"I 6t't�r� L . _ (, «�i �o �,� `.. SlGNATURE: D:IFORMSCurrentTechServiaes � astewaterlBioclereFie7dReportdoc , � r _ _ _ _ i � � �_� � � � � � � � � � � � � _� � �� r I � DISCHARGE MONITORING REPORT FORM � � PILOTING PERMIT No.: W033722 .� NAME OF PROJECT: Shaw's Supermarket, Inc. � FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA 1 " DATE SAMPLED: 1/24I2014 i PARAMETER UNITS INfLUENT PRE-AERATION EFFLUENT � H H units 7.67 � Flow av . dail pd 1,299 �. BODS mglL � C-BODS mglL TSS m IL TKN m IL 11.00 L Nitrite-N m /L <0.05 Nitrate-N m /L 0.12 Total Nitro en m /L 11.12 � Ammonia-N m /L �. REMARKS: Effluent grab samples are collected from the pump chamber after � the anoxic denitrification tank.The test resulls show good system Lperformance. L L DL�DocIWIWYA10241Bioc/ere 7estinglSummary.xls � r ( L L L , � � DISCHARGE MONITORING REPORT FORM � PILOTING PERMIT No.: W033722 � NAME OF PROJECT: Shaw's Supermarket, Inc. � FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA I �- DATE SAMPLED: 2/27/2014 �. PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT H pH units 7.60 �., Flow av . dail pd 1,478 BODS mglL � C-BODS mg/L �. TSS m /L TKN m /L 4.40 � Nitrite-N m /L <0.05 �- Nitrate-N m /L <0.05 Total Nitro en m /L 4.40 Ammonia-N m L L REMARKS: Efflyent grab samples are collected from the pump chamber after L the anoxic denitrification tank.The test results show good system � performance. �. � � t �. DL�DocIIMWYA102418ioc/ere TestinglSummary.x/s �. � �... L � � , DISCHARGE MONITORING REPORT FORM � PILOTING PERMIT No.: W033722 � NAME OF PROJECT: Shaw's Supermarket, Inc. ` PACILITY LOCATION: 1106 Route 28 South Yarmouth, MA ' DATE SAMPLED: 3/28/2014 ' PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT � , pH H units 7.32 L Flow(av . dail d 1,346 BODS mg/L i C-BODS mg/L L TSS m /L TKN m /L 22.00 ; Nitrite-N m 7L <0.05 �' Nitrate-N m /L <0.05 Total Nitro en m /L 22.00 � Ammonia-N m /L � REMARKS: Effluent grab samples are coliected from the pump chamber after I L the anoxic denitrification tank. The test results show good system E performance. L 4 � i � DL�DoctW1WYA102418ioclere TestinglSummary.xls 1.. ... i � i � �. ' DISCHARGE MONITORING REPORT FORM ` , PILOTING PERMIT No.: W033722 � NAME OF PROJECT: Shaw's Supermarket, Inc. �. FACIIITY LOCATION: 1106 Route 28 South Yarmouth, MA � DATE SAMPLED: 4/24/2014 ;_ PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT H pH units 7.50 � Flow av . dail pd 1,316 — BODS mg/L � C-BODS mg/L L TSS m /L TKN m /L 5.40 i Nitrite-N m /L <0.02 �" Nitrate-N m /L 0.41 Total Nitro en m /L 5.81 ` Ammonia-N m /L REMARKS: Effluent grab sampies are collected from the pump chamber after � �" the anoxic denitrification tank.The test results show good system ` performance. L i L � � DCDocIW1WYA10241Bioclere TestinglSummary.xls . ` ..� � I V �.. ' . DISCHARGE MONITORING REPORT FORM � PILOTING PERMIT No.: W033722 ` NAME OF PROJECT: Shaw's Supermarket, Inc. �. FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA I � DATE SAMPLED: 5l27/2014 �, PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT H H units 7.47 �. Flow(av . dail pd 1,761 BODS mglL i GBODS mg/L L TSS m /L TKN m !L 2.70 i Nitrite-N m /L <0.05 �. Nitrate-N m !L <0.05 Total Nitro en m /L 2.70 ` Ammonia-N m /L � REMARKS: Effluent grab samples are collected from the pump chamber after �' the anoxic denitrification tank. The test results show good system f performance. �. L � � DL�DocIIMWYA102418ioclere TestinglSummary.xls L � , � � I DISCHARGE MONITORING REPORT FORM :. , PILOTING PERMIT No.: W033722 ` NAME OF PROJECT: Shaw's Supermarket, Inc. � FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA i r. DATE SAMPLED: 6/25/2014 `, PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT pH H units 7.32 � Flow av . dail ) pd 1,876 BODS mg/L , C-BODS mg/L L TSS m 7L TKN m /L 3.10 � Nitrite-N m /L <0.05 �- Nitrate-N m /L <0.05 Total Nitro en m /L 3.10 ' Ammonia-N m /L �.. REMARKS: Effluent grab samples are collected from the pump chamber after �, the anoxic denitrification tank. The test results show good system � performance. � L � L Dl'DocIWIWYA10241Bioclere Testingl5ummary.xfs � � � � L� � ` ' ' DISCHARGE MONITORING REPORT FORM i PILOTING PERMIT No.: W033722 L NAME OF PROJECT. Shaw's Supermarket, Inc. ■- FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA �- DATE SAMPLED: 7/24/2014 L PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT H pH units 7.47 �. Flow(av . dail ) d 2,501 BODS mg/L C-BODS mg/L �- TSS m /L TKN m /L 3.20 i Nitrite-N m /L �0.05 �- Nitrate-N m /L 0.17 Total Nitro en m /L 3.37 � Ammonia-N m /L .. REMARKS: Effluent grab samples are collected from the pump chamber after �. the anoxic denitrification tank. The test results show good system � performance. � L �.. Dl�DocIIMWYA102418ioclere TestinglSummary.x/s i L.. I v 1 L f L L DISCHARGE MONITORING REPORT FORM � PILOTING PERMIT No.: W033722 � NAME OF PROJECT: Shaw's Supermarket, Inc. �- FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA ■- DATE SAMPLED: 8/27/2014 i L PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT i pH pH units 7.47 ` Flow(avg. daily) gpd 2,311 BODS mg/L , C-BODS mg/L �. TSS m /L TKN mg/L 3.60 � Nitrite-N mg/L <0.05 � Nitrate-N mg/L <0.05 � Total Nitro en mg/L 3.60 � Ammonia-N mg/L � REMARKS: Effluent grab sampies are collected from the pump chamber after i the anoxic denitrification tank.The test results show good system `. performance. I L I L � DI:DocIWiWYA10241Bioclere TestinglSummary.xls L L :. r I ` � DISCHARGE MONITORING REPORT FORM , PILOTING PERMIT No.: W033722 � NAME OF PROJECT: Shaw's Supermarket, Inc. � FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA '- DATE SAMPLED: 9/24/2014 � PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT i pH pH units 7.11 7.56 � Flow(avg. daily) pd 2,055 BODS mg/L � C-BODS mg/L ` TSS mg/L TKN mg/L 4.10 ' Nitrite-N mg/L <0.05 � Nitrate-N mg/L <0.05 , Total Nitrogen mg/L 4.10 � Ammonia-N mg/L REMARKS: EfFluent grab samples are collected from the pump chamber after � the anoxic denitrification tank.The test results show good system 1 performance. .. � �. Dl�DocIIMWYA102418iocle2 TestinglSummary.x/s � � L.. i L :. ; DISCHARGE MONITORING REPORT FORM � PILOTING PERMIT No.: W033722 L NAME OF PROJECT: Shaw's Supermarket, Inc. FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA ` DATE SAMPLED: 10/17/2014 ' PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT � pH pH units 7.51 7.60 '` Flow avg. daily) gpd 1,514 BODS mg/L C-BQDS mg/L � TSS m /L TKN mg/L 3.60 ' Nitrite-N mg/L 0.37 i �— Nitrate-N m /L 8.60 Total Nitro en m /L 12.57 ' Ammonia-N m /L � REMARKS: Effluent grab samples are collected from the pump chamber after '►- the anoxic denitrification tank. The test results show good system ; performance. � � i G � DI:DocIIMWYA102418iocle2 TestinglSummary.xls .► i .. � L ._ ` DISCHARGE MONITORING REPORT FORM PILOTING PERMII W033722 � NAME OF PROJE�Shaw's Supermarket, Ina FACILITY LOCATI 1106 Route 28 � South Yarmouth, MA � DATE SAMPLED: 11/13/2014 � PARAMETER UNITS INFLUENT PRE-AERATION EFPLUENT pH pH units 7.00 7.10 , Flow(av . daily) pd 1,753 � BODS mg/L C-BODS mg/L ' TSS mg/L �" TKN mg/L 4.30 Nitrite-N mg/L <0.05 Nitrate-N mg/L 0.29 �- Total Nitrogen mg/L 4.59 Ammonia-N mg/L � REMARKS: Effluent grab samples are collected from the pump chamber after i the anoxic denitrification tank.The test results show good system � performance. i L :. i �. � �. :. � _ DISCHARGE MONITORING REPORT FORM PILOTING PERMIT No.: W033722 NAME OF PROJECT: Shaw's Supermarket, Inc. �- FACILITY LOCATION: 1106 Route 28 South Yarmouth, MA `- DATE SAMPLED: 12/9/2014 � PARAMETER UNITS INFLUENT PRE-AERATION EFFLUENT pH pH units 7.30 ''- Flow(avg. dail gpd 2,678 BODS mg/L C-BODS mg/L � TSS m /L TKN mg/L 4.00 Nitrite-N mg/L <0.006 ` Nitrate-N mg/L 029 Total Nitrogen m /L 4.29 Ammonia-N mg/L i ` REMARKS: Effluent grab samples are collected from the pump chamber after the anoxic denitrification tank.The test results show good system L performance. i � � � I �. DI:DocIVv1WYA102418ioc/ere TestinglSummary.x/s �. . �.. i.. r u � R.1 . ANALYTICAL Pagelof2 Specialists in Environmental Services ` CERTIFICATE OFANALYSIS ' Coastal Engineering Co., Inc. Date Received: 1/24/2014 �- Attn: Mr. Todd Palmatier Date Reported: 1/30/2014 260 Cranberry Highway P.O.#: Orleans, MA 02653 Work Order#: 1401-01661 �- DESCRIPTION: PROJECT#WXA024.00 SHAW'S MARKET :. Subject sample(s) has/have been analyzed by our Warwick, R.I. laboratory with the attached results. �. Reference: All parameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate ofAnalysis. �- Data qnalifiers (if present) are explained in fuil at the end of a given sampie`s anaiyticai resuits: The Certificate ofAnalysis shall not be reproduced except in full, without written approval of R.I. Analytical. ! Results relate only to samples submitted to the laboratory for analysis. " Test results aze not blank corrected. I :. Certification#: RI-033,MA-RI015, CT-PH-0508, ME-RI015 NH-253700 A& B, USDA S-41844 ` If you have any questions regazding this work, or if we may be of fiirther assistance,piease contact our customer service deoartment. ;,, Approved b : / Shazon Baker '` MIS /Data Reporting � enc: Chain of Custody � L . 41 IllinoisAvenue,Wanvick,RI 02888 ��„�,rianalytical.com �31 Coolidge Street,Suite 105, Hudson,MA01749 ' Phone:401737.8500 Fax:401.738.1970 Phone:978.568.0041 Fax:978.568.0078 � Page 2 of 2 i ` RI. Analytical Laboratories, Inc. I CERTIFICATE OF ANALYSIS L � Coastal Engineering Co.,Inc. ►- Date Received: 1/24/2014 Work Order#: 1401-01661 �" Sample# 001 SAMPLE DESCRIPTION: EFFLUENT SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 1/24/2014 @ 0830 :.. SAMPLE DET. DATE/TIME PARADZETER l2ESULTS LIlVIIT UNITS bfETKOD A1�'�LYZED ANALYST ` pH(field) 7.67 SU SM 4500-H+B IR4R014 830 �CS � Nitrite(asl� <0.05 0.05 mg/I EPA300.0 . 1/24/2014 17:49 DM Nitrate(as I� 0.12 0.05 m�/1 EPA300.0 124/2014 17:49 DM � 7'IIN(as I� 11 0.50 m�/1 SM 4500 NORG D 129/2014 10:00 KTB L , 'CS-Field sarnpling data wac provided by Coa5tal Engineering Co.,inc. L � r � I � � V � � i �.. � � �.. �r.`�� " �� ' ° '�`�'1G.'"��►�L�, � ��.t�'� " - � '� � r ',X�,q`��'M � �' �. a� k rY a ri'��k'l1+iEIIfSehl�hita� 5arvlr.�9 Y 6 � � � r rF�: 'y7y��rJ �'i ;Y ru.$;�'3 5 „,. . . ,� � y �'.s.�':',ti� � a �� 4r3 i . n5i�,�� i�' °�',�t '� � '�l✓04��`-'��' �' y V � �q 41 IIlinois Avenue 131 Coohdge St, Suite 105 � �� o o � � Warw�ck RI02888 3007 Hudson,MA 01749-1331 � o � V � ,y 800-937 2580•Fax 401 738 19�1,70 800 937 2580 Faz: 978-568-0078 a U � j'�]�! o I" � � ..rr "Y6 `N 'Ly . �Yi }}`p if1 . •.. L O EI ty �� i�� ,u ' �" �y �� t,�*='�, ��k1�Samplle:Yde�Y46catio'Si. Chl a a � F� j � QFI y ""a�,l Y� ',.��.' i a �� ;3 �r�l �A w ,< <� ri �'2 l� 5 cv� =u. ' ,. : ' "' Cligi�k.Tnformation ` ;. .'.,-, ` PrtlyecC Lnt'6t�lkoh.: . r,.�; : . � . ; , _. . _. .. .: ,. :�. c��r�y N�e: C' E i n2�e C , k Pmject Narne: S(-�'!C}1.t'�S !'V/I�'KK AddresS: Z �D �N N � W0. � P.O.Number: �� ProjeceNumber: (��( a „Q c�ty i s��i z�P: O r /tq O S Report To: TO a.l� -(ti' �one: Z5S—6 Sl F� ZSS—6?0 Telephom: �$ ZSS� r0 S 1 Fax: �Q Z.s$`— (f�0(� Sampled By: . Email reWrt1.� ConteclPeeson: Tpd � QuoteNo:�� Z��Q�( address: •��CQC�0.�2Ctld• �`� I' � �� A. � M . ' • . . . :�.. . .. � . . . . ..:� :. . r..,. R�Wlt�uy�ed''�Y.S��"�tuY,xs :t Date 7time ReceiVe'd'By:S�gnatuFes.'" ° Dajte 'htrie 15iYne�round'15me � a, � � �� / �,' l . Nortnal EMAIl.Report � 2 � / 6 , f/� S Business days.Powible surcheBe � � Rush-DeteDue:__J_J_ „ � �;�,i r .�., ; r ` .. , _ .. . .,_ c.: , E'co;ject Comments ,. ; .., ` „ • 1;ab TJse�Orily l� .;: .. •:i rr..,w.. N.' .c >r .' .. Circle if applicable: GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement QC Packaae? Yes NO Sempla Pick-UpOnly 6;,�� _ f� � i1_ � / � _ RIAI.eamplW:attach field hours c/ b E�� Shipped on ice Temp.Upon Receipt�' °C �yockoider No: v��-�\�t;,� Conrainers:P=PoIy.G=Glass,AG=Amber Gless,V=VIaI,St=Sterile ar <erva�v •A=Ascorbic Acld,NH4=NH,CI,H=HCI,M=MeOH,N=HNOa,NP=None,S=Hz50.,SB=NaHSO�,SH=NaOH,T=NazSaOe.Z=7nOAc Mae;:Cod�s:GW=Groundwater,SW=Surface Water,WVJ=Wastewater,DW=Drinking Water,S=Soil,SL=Sludge,A=Air,8=8uIWSolid,WP=Wipe,0= Page of �J> , _ � - 1 _.J J , --1 _ 1 ---1 —J _ J �J _—� —J —J 1 I --J --� --� � R.1 . ANALYTICAL Page i of2 • Specialists in Environmentsl Services , CERTIFICATE OFANALYSIS �. ! Coastal Engineering Co.,Inc. Date Received: 2/27/2014 " Attn: Mr. Todd Palmatier Date Reported: 3/6/2014 260 Cranberry Highway P.O. #: Orleans, MA 02653 �'Vork Order#: 1402-04195 '— DESCRIPTION: PROJECT# WYA024.00 SHAW'S MARKET I L Subject sample(s)has/have been analyzed by our Warwick, RL laboratory with the attached results. i � Reference: All parameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate ofAnalysis. ; � Data qualifiers (if present) are explained in full at the end of a given sample's analytical results. The Certificate of Analysis shall not be reproduced except in fuil,without written approval of R.I. Analytical. � Results relate only to samples submitted to the laboratory for analysis. `' Test results aze not blank corrected. t L Certification#: RI-033, MA-RI015, CT-PH-0508, ME-RI015 NH-253700 A&B, USDA S-41844 LIf you have any questions regazding this work, or if we may be of further assistance,please contact our customer service denartment. �, Approved by: i < �° : � ' Sharon Baker _ MIS /Data Reporting ena Chain of Custody � L I 41 Illinois Avenue,Wanvick,RI 02888 yyyryy,fianalytiCal.COm 131 Coolidge Street,Suite 105, Hudson,MA 01749 Phone:401.737.8500 Fax:401.738.1970 Phone:978.568.0041 Fax:978.568.0078 � ' Page 2 of 2 � R.I. Analytical Laboratories, Inc. , CERTIFICATE OFANALYSIS � Coastal Engineermg Co.,Inc. � Date Received: 2/27/2014 Work Order#: 1402-04195 "" Sample# 001 SAMPLE DESCRIPTION: EFFLUENT ' SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 2/27/2014 @ 10:15 � SAMPLE DET. DATE/TIME � PARAMETER RESU',.TS > LfRiIT' II1VI'f'S - "rIETAOB .SNALYZED ANALYST ��. pH(field) 7.6 SU SM4S00-H+B 2R7/2014 10:15 •CS y' Nitri[e(asi� <OAS 0.05 mgJl EPA300.0 7J27R014 19:13 DM Nivate(u I� <0.05 0.05 m�/I EPA300.0 227R014 19:13 DM ' TKN(as t� 4.4 OSO mg/I SM 4500 NORG D 3/5/2014 16:30 K7B L •CS-Field sampling dafa was provided by Coastal Engineering Co.,Inc. _ � I V L i � ;... �. `. � .. L I L `{.�.s'��^"�R„, ��Y� �� v. ! � k F,+'" ' N I a�`�� 4 ��C Y,l'�►�L� a 1,� a5 y J fsYheFi�L'el *,�ervllYtlp u�FNv`'�i '''��l�u V' '�',�-�F�w"dr �t, � r � � M � �• � tr � � � ��}}.!!y�� ] �'Ew��, � ,.�� . .'..S.A 3� � .�;�� '1��4 ,� E C C � � 41 IIlino�s Avenue 131 Coohdge St Suite 105 � � '� .� o � � Warwick,RI02888-3007 Hudson,MA 01749-1331 � a � V vS 500-937 2580�Fax 401 738 1970 800 937-2580 Fax. 978-568-0078 ,n U � •'� �� 'ed ' .. a 7�4:ij br,,,n � ur �., �a �' a) N r�" � ry �� y��s v � �kl a�plea�ilenhfieai3o5�; Chl � � � � � .:"�An , ;:: ,. �ol. '� / /p:l5 C�FlUGrI G 1 NP w� i� r� !� �'7 1� S CJ � s�> ' 4. .. R::( . ,.; , ,.:: Gl��pt�tocmadon , r, ` ,. . P,rtlfectInfbrmg�otl;, ,.. , ,.. . ,,. _ . ,. CompenyName: C E h�E�2 C , k ProjectName: �HfF(,J��S . . �I'RKE Address: Z ( �h N � W0. � . P.O.Number: �--+ Project Number: (,�J /-� (��l .Q ary i s�c�i z�P: O Y O S q Report To: Tp alw�a,�v" �one: ZS.S—6 Sl F� ZS,S—610 Telephoue: ��$ ZS^�S� S� 1 Fax: 5Q�` Z s,r— fj��V Sempled By: Email report1 Contac[Person: TO� ` QuofeNo:��-- �Z� 4'( addreases: T�� CQCC0.04Ctld. 1 ' °"r "ge��e��6;yr,�� ""`�:` ; . Date lyme Receive'd"B S� aHi ` ` D$te 11me �Oii+nr�oundTiine - Y 8�.. . �`. � . e� �J � /�/ � ( / :3 Q pL No�mal EMAII.Report 07 .� 7 `�O/r .O 5 Business dflys.Poaeible su�che�ge � Rush-Date Due:_J_/_ „� .: ,.,. � .. ; .: .. . _ . . ;.�, .., ,�. , '. ., .. P'ro'ectComments � ' . .c, ,; , J ;. , .:; ,, , �ab Use°bnly Circle if ag licable: GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhanc�ment QC Pac4caae7 Yes No SempleAck-UpOnly / / � � IiW.sempled;attach 6eld hours ��1 U�� _ �' � Temp.Upon Receipt "�� °L` Shipped on icc orlwrder No:`�dl..-�"I 1 � on A��. �p�Poly,G=Glass,AG=Amber Glass,V=VIaI,St=Sterile � rva+v �•A=Ascorbic Acid,NH4=NH.CI, H=HCI,M=MeOH,N=HNOa,NP=None,S=HzSO,,SB=NaHSO.,SH=NaOH,T=NazSzOa,Z=ZnOAc Mae;x Code��GW=Groundwater,SW=Surface Water,WW=Wastewaler,DW=Drinking Water,S=Soll,SL=Sludge,A=Air,B=BuIWSolid,WP=Wipe,O= Page of _I" J _ J __ _I __ 1 _ J _ J - J -_J _--J --1 ---1 __J __ ) � — 1 ! _..1 __l _1 ; � R.1 . ANALYTICAL Page 1 of2 ; Specialists in Environmental Serviees . i '_ CERTIFICATE OF ANALYSIS � Coastal Engineering Co., Inc. Date Received: 3/28/2014 � Attn: Mr. Todd Palmatier Date Reported: 4/7/2014 260 Cranberry Highway P.O. #: , Orleans, MA 02653 Work Order#: 1403-06580 � L DESCRIPTION: PROJECT# WYA024.00 SHAW'S MARKET L Subject sample(s)has/have been analyzed by our Warwick, R.I. laboratory with the attached results. ` Reference: All parameters were analyzed by U.S. EPA approved methodologies. The specific methodologies aze listed in the methods column of the Certificate ofAnalysis. �, Data qualifiers (if present) are explained in full at the end of a given sample's analytical results. The Certificate ofAnalysis shall not be reproduced except in full,without written approval of R.I. Analytical. � Results relate only to samples submitted to the laboratory for analysis. Test results are not blank corrected. ` Certification#: RI LAI0033, MA M-RI015, CT PH-0508, ME RI00015 NH 253700 2537,NY 11726 � If you have any questions regarding this work, or if we may be of fiirther assistance,please contact " oer customer service denartment. � Approved b : :. Shazon Baker � MIS /Data Reporting enc: Chain of Custody I :. :. 41 IllinoisAvenue,Warwick,RI 02888 yyyyyy,fi8nal tICal.Com �31 Coolidge Street,Suite 105,Hudson,MA01749 : Phone:401.737.8500 Fax:401.738.1970 y Phone:978.568.0041 Fax:978.568.0078 � 1 � Page 2 of 2 � RI. Analytical Laboratories, Inc. � CERTIFICATE OFANALYSIS � ' Coastal Engineering Co., Inc. — Date Received: 3/28/2014 Work Order#: 1403-06580 ` Sample# 001 SANIPLE DESCRIPTION: EFFLLTENT SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 3/28/2014 @ 08:00 � SAD'IPLE DET. DATEfTIME PARAMETER RESUL3'S LIhiIT U1vITS METHOD ANALYZED ANALYST i pH(field) 7.32 SU SM 4500-H+g 3/282014 5:00 'CS �"' Nitrite(as t� � <0.05 0.05 ma.,/1 EPA300.0 3/292014 538 MEL Nihate(aci� <0.05 0.05 mg/1 EPA300.0 3/29/2014 538 NIEL ' TKN(as I� 22 0.50 mg/1 SM 4500 NORG D 4/32014 830 DM � � *CS-Field sampling data was provided by Coastal En�fneering Co.,Inc. L.. � v � � � i� f L � � _ i � , :. � " ENVIROTECH LABORATORIES, INC. r g��`I ` MA CERT. NO.: M-MA 063 ��``"�`" ` I 8 Jan Sebastian Drive ( �7�jY � � � � Sandwicl:,MA 02563 � (SOS)888-6460 I-800-339-6460 � R � � FAX(S08)888-6446 �� ___�r`.,� � : �_�.___ �, - _ _ Wednesday,Apri130,1014 "Coastal Engineering Co. 260 Cranberry HiRhway , Orleans MA 02653 �ProjectName: Shaw's Market Comments: project Number: WYA024.00 �ollection Date: 04/24/14 Co[lection Time: 08:30 Sampled By: B Geraghty ,, :ab Order Number: WR'-141417 �Date Received: 04/24/14 I _._- . .. .. .G ._ .'.. _ _ ( Parameters Units Test Results RepoRable Limils Date Arsalyzed Analysf Merhod - Kjeldhal Ndrogen mg/L 5.4 0.6 oai2an4 KB SM4500 NH3 C Vitrate-N mglL 0.41 0.05 04/251ta LL 300.0 � Jitrite-N mg/L BRL 0.020 oa/25/ta LL 300.0 V 1 i.. I `.. i.. ( BRL=befaw repnrtable limits � �.. 'see anached � - ; 8y. ` R a[d T. Sa ' Laboratory ' ector j Page 1 of 1 � r-._ , { __ � __ ; �-- i-- �-- � -- �— r — �� t - �-- � _ e__-_ r _ � __ � __ i_ _ �:COAST.AL �'�„ CHAlN �}F CU57'QDY i2�CORC� . �ENGINEERLI�IG , �COMEANY,�C. L8b ContaCf: Ronald J. 8aari Gompany. Envirotech laboratories inc. 260�Cran6prryHighway,Orleana,MA02653 . AfIC�f6S5: SJafISef12St18f7D1'IV8 Ufllt '�2 548.255.b51.i a �an$46;Y55.(i7bQ'i,'�'a2stela�gineeringcompany.com Project Nalne: --�+�""�S /"j fa-k'./C�'� Sandwich MA 02583 Project No.: W ��Oc}�•�b Telephone: 508-888-6480!800-839-8460 Pax:508-888-6446 8ampled By: /` 2«4+? C�/2/�T-�l2°� (please print) � Gontainers � ro � a�^ ::',N N.: Date£fime Sample Identiflcation Na. 6ize �1P t� �j N E Pres�tv. Anatysis RequastedlCommenEs Lab Number Gi:�; � ,if�;: ;� �la�j� �'��,�►-r r' t L �' x' w� "�r No„3 /�/4� C �..�., t < < �, f' x c.� l-� � ,:;��'�4, . . . , 4 .�ii�; ' ��. Sampled/Relinquished by: DatelTime Received by: DatelTime Rellnquished by: Datelfime � �1�1�`f `~� � c� � � Si nafure ' / `•C9�, Si ture Si nature Relinquished by: Datet7lme ft ei ed D tetTi e F2elinquisFred by: DatetTime � �f�� Si nature Si net . ``� '�/ 5i nature Method of Shipment Remarks: ❑ US Express Mail Label No, � ❑ Other: ;;,.� i: ;;•, � ��//�� f Zi �. �,,,i.R, _ � — . ,�`*�.D:iQOCtBtparknext_7'echnica! ServicetlFor++utChatnafCustody-Er+MirotecA 24tl-17-lfi.doc L . " � � R.1 . ANALYTICAL Pade , of� ,. $peciatlsts in �n.�iror.n�asytaf S'ee•�rices 1 L I �- CERTIFICATE OFANALYSIS ` Coastal Engineering Co.,Inc. Date Received: 5/27/20]4 Attn: Mr. Todd Palmatier Date Reported: 6/3/2014 ; 260 Cranberry Highway P.O. #: � Orleans,MA 02653 Work Order#: 1405-11307 � `_ DESCRIPTION: PROJECT#WYA024.00 SHAW S MARKET :_ � Subject sample(s)has/have been analyzed by our Warwick, R.I. laboratory with the attached results. L Reference: All pazameters were analyzed by U.S.EPA approved methodologies. The specific methodologies aze listed in the methods column of the Certificate ofAnalysis. � Data qualifiers (if present) aze explained in full at the end of a given sample's analytical results. � The Certificate.of Analysis shall not be reproduced except in full,without written approval of R.I. Analytical. �, Results relate only to samples submitted to the laboratory for analysis. Test results are not blank corzected. i ` Certification#: RI LAI0033, MA M-RI015, CT PH-0508,ME RI00015 NH 2537,NY 11726 � If you have any questions regarding this work,or if we may be of further assistance,please contact our customer service denartment. ►- Approve y: ... /�"�fl�'�i�-' � / - Sharon Baker � MIS /Data Reporting , enc: Chain of Custody :. .. 41 IllinoisAvenue,Warwick,RI 02668 www.rianal tieal.com 731 Coolidge Street,Suite 105,Hudson,MA Dt749 Phone:401.737.8500 Fax:401.738.1970 Y Phone:978.568.0041 Fa�c:978.568.0078 i... ' , L : i Pa�e 2 of 2 � � i R.I.Analytical Laboratories, Inc. I ` CERTIFICATE OF ANALYSIS i � � Coastal Engineering Co., Inc. ' Date Received: 5/27/2014 � Work Order#: 1405-]1307 �. : Sample# 001 ' SAMPLE DESCRIPTION: EFFLUENT L SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 5/27/2014 @ 09:00 SAMPLE DET. DATE/T1ME ' PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST �"' Nitrite(ast� c0.05 0.05 mg/l EPA300.0 5R72014 2324 1'AH NiVate(ast� <0.05 0.05 m�Jl EPA300A 527/20I4 2324 TAH iKN(az I� 2.7 0.50 mgJl SM 4500 NORG D 6/2/2014 10:00 W W W i pN(field). 7.47 SU SM4500-H+B 5R7/20I4 9:00 •CS �� •CS-Fidd sampling dau waz provided by Coaztal Engincering Co.,Inc. i.. �.. I r ( L L ; .. � � � � ` ,� A��w, �, ,: * r ,. � r � �-- r^ ,.,:,.,,, -� � -- � - � - — - — -- — -.. ��`�`' ��„ ; �E � �� s . , �� : a 4F �t � *�1 S � (1YH�FIYa1 EIsN41f§�p T i�` N'M'� +r)J!( 4 �i ;t.�{ �l u � fr 6 � '� N f* r . ?� Se�'',r �y i1 T1 �.7''nf� . ..�' � . :x? � � t f Y T 1�4I �'�� a y V f � 41 IIlino�s Avenue 131 Coolidge St Suite 105 ° 'ro o o - 7 Wazwiek,RI02888-3007 Hudson.MA 01749-1331 � o � V t� y 800-937 2580•Fax 401 738 1970 800 937.2580•Faz 978-568-0078 �° U � � Q / 'i'��:w ,b`� : K- "S �� n'� 'J'Y �im�,yr� `� ��.. 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' �9b^;�S¢"DII�. ' _ w,;,� s P.P6"ectComments _. ".'... .. Y Circle if aoQlicable: GW-i, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement�C Package7 Yes NO SunplcPick-UpOnly �' y,( . . . RiAl.:ampled:smch ee�a nonrs �. �✓/ " � '�} Shipped on im Temp.UOon Recelpt i ,(� °C �yorkordu No: �O S - � �, �qp(g{p�;P=Poly,G=Glass,AG=Amber Glass,V=Vlal,Sl�lerile Preservauves�A=AseorblC Acltl,NH4=NH.CI,H=HCI,M=MeOH,N=HNO,,NP=None,S=Ha50+,SB=NaHSO.,SH=NaOH,T=NaaS�a,Z=ZnOAc Mn�,is CodsyGW�roundwater,SW=Surtace Water,WW=Wastewater,DW=Drinking Water,S�Soil,SL=5lutlge,A=Air,B=BuIWSolid,WP=Wipe,0= Pagc 1 of / � R.1 . ANQLYTICAL Page 1 of2 � 8pecialEsts in Env[ronmental Services i... � CERTIFICATE OFANALYSIS :., ' Coastal Engineering Co.:Inc. Date Received: 5127l2Q14 ` Attn: Mr. Todd Palmatier Date Reported: 6/3/2014 260 Cranberry Highway p•�•#� Orleans,MA 02653 V4'ork Order#: 1405-11307 � � DESCRIPTION: PROJECT#WYA024.00 SHAW S MAItKET � Subject sample(s}has/have been analyzed by our Wazwick, RI. laboratory wi€h the attached results. i- P.eference: All parameters were analyzed by iT.S. EPA approved mettzoda2ogies. The specific methodologies are listed in the methods column of the Certificate of Analysis. � Data qualifiers(if present} are expIained in full at the end af a given sampie's araalytical results. The Certificate af Analysis shali not be reproduced except in full,without written approval of RZ Analytical. I Results relate only to samples submitted to the laboratory for analysis. `' Test resuIts are not blank corrected. I Cartification#: RI LP,I4033,MA M-RI4I5,CT PH-0508,ME RI40015 � NH 2537,NY 11726 ;s If you have any qnestions regarding tlus work,or if we may be of further assistance, please contact our customer service depar`aneat. � Approve y: � Shazon Baker ,.. MIS!Data Reporting - enc: Chaiz�af Custody .. �Y � 9'i Nlinois Avenue,War.viok,Rt Q2&8& ypy�y,�,�18n8IyfPCOI.COtil �3'i Cootidge Street,Sufte 105,Hudsort,MA 61749 6. Phone:401737.8500 Fax:401.738.1970 �Phane:978.568.0041 FaX:978.568A078 � Page 2 of 2 ` RI. Analytical Laboratories, Inc. , CERTIFICATE OFANALYSIS � : Coastal Engineering Co.,Inc. � Date Received: 5/27/2014 VJork Order#: 1405-11307 '^ Sample# 001 SAMPLE DESCRIPTION: EFFLUENT ; SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 5/27/2014 @ 09:00 ` SAMPLE DET. DATEfTID4E PARAllTF.TFR , RESULTS LIMIT IINITS . METHOD ANALYZED ANALYST i Nitrite(az 1� <0.05 OAS mg/I EPA 300.0 527/2014 2324 TAH L NiVate(as I� <0.05 0.05 mg/1 EPA300.0 5272014 2324 TAH TKN(as I� 2J 0.50 mg/1 SM 4500 NORG D 62/2014 10:00 VJVJW �� pH(field) 7.47 SU SM4500-H+B 527/2014 9:00 *CS � •CS-Field saznpling data wac provided by Coastal Engineering Co.,Inc. l `.. 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Projr.:t Number: ��/T(,�C� �{�f'„� cc�rseaeerz�p: C>c^ s � x�nTo: Ta at �- �,a,� ZS.S`-6S`t � ZSS—&74 Talephouc: s}�$ �$'S.� ,S" S Fax: �" ry'4$'�"- ��d V Sampled By: F.mait report ,1 E+ rothese G[�W�N.�`t'8't�C{'CG0. fCQct� CnnGctPersan: �Q(�, � QuoteNo: �'2.� Ql addrtsses: �,� � .:''- `,'.R�;Icuywshed'$y,^S�gn�tiiixs ' . Date 'i'ime Receivtd'BySignatures<F Date T`iine �ttm�roundTzme . -"�''�l, ji`�3 a $�� 7 t-t lt So Nom,ai �zaa.x�� ,,, �„�� G � � i� (.3 S"ZJ 5 Business days.Possibk smha�gc Rush-DateUne:_J 1_. y .. . ,, .._ ... , ,. �. � � Y:;sB�Ose'Oiit � . .- � Pro"ect Comments ,3, ,. Y �... _ . _ .ir.i -if ar�oticabte: GW-t, GW-2, GW-3, S-1, S-2, S-3 MGP data �n,��ncement G2C Packaas? Yes No samp�r�cx-up o�iy p y� j� . . RtAt.sampicd:attaeh 6e2d bours �, ,_((��'f '- � '-L� Shipped on ire T . Temp.Upon Aeceipt i.� °C WorkorBerNo; - �05 - � � Crn�t��e�s P=Pory,G=Glass,AG=Ambar Glass,V=Viaf,St=Sterile Fres^n^+��:-_..q=Ascorb�Add,NH4=+VH<G.H=HCR,M=MaOH,N=HNCIa,NP=None,S=NsSO,,S6=NaHSO.,SH=Na4H,T=NazS,Q�,,2aZn0Ac �tAtrix Codea:GW=Groundwaler,SW=Sudace Watar,W W=Wastewatar,DW=Drinking Weter,S=Soil,Sl=Siudge,A=Air,6=8utklSotid,WP=WIpe,0=,_ _ Pagc ( of ( , - F - - ` R.1 . ANALYTICAL ' �;,,; � E� ��;;u ; Page , ofZ Specialists in Environmental Services �� CERTIFICATE OFANALYSIS � ; Coastal Engineering Co., Inc. Date Received: 6/25/2014 �- Attn: Mr. Todd Palmatier Date Reported: 7/'7/2014 260 Crauberry Highway P.O. #: Orleans, lbiA 02653 Work Order#: 1406-13934 � f �, DESCRIPTION: PROJECT# WYA024.00 SHAWS MARKET � Subject sample(s) has/have been analyzed by our Warwick, R.I. laboratory with the attached results. ` Reference: All pazameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate of Analysis. � Data qualifiers (if present) are explained in full at the end of a given sampie's analytical results. I'he Certificate of Analysis shall not be reproduced except in full,without written approval of R.I. Analytical. � Kesults relate only to samples submitted to the laboratory for analysis. �. Test results aze not blank correc4ed. ` Certification#: RI LAI0033, MA M-RI015, CT PH-0508, ME RI00015 NH 2537, NY 11726 ( If you have any questions regazding this work, or if we may be of fmther assistance,please contact � our customer service denartment. � Approved by: � Shazon Baker ` MIS /Data Reporting enc: Chain of Custody � .. 41 IllinoisAvenue,Wanvick, RI 02868 y��,rianal tical.com 131 Coolidge Street,Suite 105,Hudson,MA01749 . Phone:401.737.8500 Fax:401.738.1970 � y Phone:978.568.0041 Fax:978.568.0078 ` Page 2 of 2 ': R.T.Analytical Laboratories, Iac. CERTIFICATE OF ANALYSZS .. Coastal Engineering Co.,Tnc. Date Received: 6/ZS/2014 ` Work Order�H: 1406-13934 ;,,_ Sample# 001 SANiPI,E DESCRIPTION: Bl�`FLUENT SAMPLE TYPE: GRAB SAMPLE DATEfTIME: 612512014 @ Q8:30 '� SAMPLE DET. DATElTIME P.4TtAMS�,TER RESULTS LI11�IT iTNITS METHOD ANALYZED ANALYST pH{fieid) . . T32 SU SM 4504-H+}3 6t25t2014 8:30 `CS � Nitrite(u Nj <0.05 0.05 mg/I EPA 300,0 6/25/2014 22:59 TAH � Nitrate as <0.05 O.OS mgll EYA300.6 6f2SJZ0I4 22:59 TAI-I cm r�(�M 31 Q.50 mg4 SM 4500 NORG D 7fW2014 10:15 � NJJ � L 'CS-Fie!d sampling data was provided by Coas[al Hngineering Ca.,Ine, � � { 4 � i... � L�. � �.. i `.. � �.. � �.► ... 4 s .�n �. a h � � � _ vi.- _.i _..i _i ___ .. , ,a ��; �. Y{. � , _ �_ � . � _ �- � - - �- - `M ��'�`�^"�z�xrY.�� :. o a�:' a,- � _ � � �.. � + i E t � �+�(S"�Clayf�'�lfl R�i51lIN�nWteiital $6FViL�Ci� . .J. f l ' .': -,V F �. f u a '� tt � O �'- J ,V 'R�.l` � N � 1 p ' Z 3. ' p � p � p..��"�r a�r.�� OY� d �" U � � �� 41 Illinois Avenue 131 Coohdge S[., Suite 105 � C o 9 � � Wazwick,RI02888 3007 Hudson,MA 01749-1331 V� d � V �'J 800 937 2580•Fax 401 738 1970 800 937-2580•Fax: 978-568-0078 �° U ,'�, 5 � j� ate K k # Yi I ..v �y W t0 �+�11��'te'�Tw �ad�le e�� ,„s", i � ��e1�wSample Ydentificntio5i, C71 � a � i lu�n� P NP w n u " (P s �yJc,� ,� ,� . Client7tifoamation R^rbJOclIn�brmatiori::': Company Name: C E ��N��e � �+ , k Project Name: S f�/�j��5 � �v 1�� Aaa�ss: 2 6 0 C� N � W0. P.O.Number: --�— Project Number. (� Q a . �� City/Stete/Zip: O�` O s ReportTo: TO alw�a,�v� �one: ZSS-6Sl F� ZSS-6?0 Telephone: �$ Z,$',S� 6� 1 Fax: }�` z„S',$�— (j�Q(� Sampled By: � Email report . Con�ectPeison: TOd � QuoteNo:�[�- Z Q( totheu -i=PQ�W��'8'l@,C{'CCqv2CtlG�•C � � addresses: � ',.'; ' ' ReLnCjwshed$qr3igu�tut,es" ; . Date Time Received By Signatures` Date Time �5irim Around Tiine � -- � -_Q � 'S^ � 3_' �� Nolmal EMAl1.Report � � �'f �� 3o I �' S Husincss days.Passible surcharge Rush-Date Due:�_/_ . . +; - . -.. .. .. . . . . ... . . . . , .:. . -� , , ',: . � .. .. � ETo;jectCommen.ts . "•: . .-... �. � Lab•Ose�O,nl:� )'� Circ_ I� if applicable• GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement QC Package7 Yes No SamplePick-UpOnly 1��'�� _ � 2 � � RIAl.sampled:attach field hours .��: �H � Sttipped on ice Temp.UponRecelpt �.4} °C+ �yorkorderNo:��,>�V,) �7 °'� ont ;ners.P=Poly,G=Glass,AG=Amber Glass,V=VIaI,St=Sterile Preservatives•A=Ascorblc Acid,NH4-NH+CI, H=HCI,M=MeOH,N=HNO,,NP=None, S=HeSO,,SB=NaHSO�,SH=NaOH.T=Na,S:Oa,Z=ZnOAc Ma 'x od �•GW-Groundwater,SW=Surface Water,WW=Wastewater,DW=Drinking Wa�er, S=Soll,SL=Sludge,A=Air,B=6uIWSolid,WP=WIpe,0= Page � of, y �� . _ v ' ' R.1 . ANALYTICAL AUU ; z��j� P�e � ofz . Specielists In Environmental Services � � , CERTIFICATE OFANALYSIS � ` Coastal Engineering Co., Ina Date Received: 7/24/2014 Attn: Mr. Todd Palmatier Date Reported: 7/31/2014 260 Cranberry Highway P.O.#: , Orleans, MA 02653 Work Order#: 1407-16346 ` � DESCRIPTION: PROJECT# WYA024.00 SHAW'S � Subject sample(s)has/have been analyzed by our Warwick, RL laboratory with the attached results. i �- Reference: All pazameters were analyzed by U.S. EPA approved methodologies. The specific methodologies aze listed in the methods column of the Certificate ofAnalysis. I � Data qualifiers (if present) aze explained in full at the end of a given sample's analytical results. The Certificate ofAnalysis shall not be reproduced except in full,without written approval of RL Analytical. k Results relate only to samples submitted to the laboratory for analysis. �' Test results are not blank corrected. t =- Certification#: RI LAI0033, MA M-RI015, CT PH-0508, ME RI00015 NH 2537,NY 11726 �, If you have any quesfions regazding this work, or if we may be of further assistance, please contact our customer service denartment. � Approved b : Shazon Baker ... MIS/Data Reporting , enc: Chain of Custody i ._ i :. . 41 IllinoisAvenue,Wanvick, RI 02888 131 Coolidge Street,Suite 105, Hudson,MA01749 � Phone:401.737.6500 Fax:401.738.1970 W�•�iatlalytlCaI.CO1T phone:978.568.0041 Fax:978.568.0078 � � Page 2 of 2 � RI. Analytical Laboratories, Inc. CERTIFICATE OFANALYSIS � Coastal Engineering Co. Inc. �- Date Received: 7/24/2014 Work Order#: 1407-16346 i �" Sample# 001 SAMPLE DESCRIPTION: EFFLUENT SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 7/24/2014 @ 06:00 � SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST � i pA(Seld) 7.47 SU SM 4500-H+B 7/24/2014 6:00 'CS V. Nitri[e(at I� <0.05 0.05 mg/1 EPA 300.0 7/252014 2:59 TAH . Nitrate(as I� 0.17 OAS mg/I EPA 300.0 7252014 2:59 TAH , TKN(as 1`� 32 0.50 mgA SM 4500 NORG D 7Y30/2014 15:04 NJ7 V. Sample# 002 � SAMPLE DESCRIPTION: INFLUENT `' SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 7/2 412 0 1 4 @ 06:00 SAMPLE DET. DATE/TIME � PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST � pH(field) 6.97 SU SM 4500-H+B 724/2014 6:00 •CS I � 'CS-Field saznpling data was provided by Coastal Engineerin�Co.,Inc. L I � �. i � i �. :. '� ,�•�._ rr� 7'�' �n4 i�u' ��i��J��4'�.l.. i._ _ �.�_-� t.-.J.. r-� r�_ �-- �.. . �_ __ � _ ._ xtr � � a 'e 'v a v��w F��"u ,�d��l��di"t�f°'�EiirS'l1+EU11YhefiCal .�.3@i`V{i'.�p � y F�+ a 'fj v Q :;,� w � "��(� ,�'�.x��,�� r�Y RE�01�D a � � � � 41 Il]inoisAvenue 131 Coolidge St.,Suite 105 0 '� o o � ` , Warwick RI 02888 3009 Hudso�,MA 01749-1331 U� p � v M �[• 800-937 2580 Fax 4�1 738 197� 800-937-2580• Faz: 978-568-0078 D° U � H O � w N � � �� . ��, N a� �d � 8 w E�° 0.� �p �I C ��" O u red�`��r ��,e�� ;� r 1 , �'irlkl�,Sample�deutiGcatiot➢, c.71 ac a � , � ` , CG 6_ . �� tP aJP � x << <i �� 5 c� �C � " ,` ,-;;. Client rnformatioa r-� Ps$ject Intormghon.,_, CompanyName: C . E .. Ih{'Q � C� , l� ProjectNarne: S' ..�.�)�5. .� nae�:: Z 60 CHa N � W0. P.O.Numbu: -�'� ProjectNumber Qa , �{�' Ciry/Stam/Zip: Qlr Q S RepoRTo: Tp 0.� '�`IPit Phone: ZSS�GS�� F� Z.�'.s-67� Telephone: S�H ZSS- roS1 Fa�c: Q Zs'S^ (i��V SaspledBy: Emo se�rti`�a1w•a�+e� �c�cca�4CUC�. T3r�o�, Contact Person: TO d � Quote No:� �2� 4( addresses: ' ' Rehnqu�shed�y Sign�tu►xs '' Dat Time ReceiV¢d By Signatiuues` Date �ctte �trnhround Tiine , . . .. �. `�'1. � a I I Z '•r/O� 'J � 'I I .��5~ Normal EMAIl.Repon � �a / � � 5 8usinu5 days.Possibk succhacge �� Rush—Date Due: 1_/_ ` , ` , P'in;ject Commenfs ``.`. ,. �ab�Use'Only 1�. . . , . ..: Circle if applicable' GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement�C Packaae� Yes No SamplePick-UpOnly b .,�� /+ � ` � - , / RIAI.samplrA;attach 5eld hours ��/.� " � � y � � (� . �' 1 — � �' 1 L..- ` p � Shipped on ice � � � I � Temp.UponReceipt C �yorkoraerNo: y�1-1(a3M� Cm,uiners.P=Poly,G=Glass,AG=Ambar Glass,V_Via1,S1=Sterile Preservatives•A=Ascorbic Acid,NH4=NH,CI,H=HCV,PA=MeOH,N=HNO,,NP=None,S=HxSO+,S6=NaHSO�,SH=NaOH.T=Na,SzO�,Z=ZnOAc !Nartix Codes:GW=Groundweter,SW=Surface Water,WVJ=Wastewater,DW=Drinking Water,S=Soil,SL=Sludge,A=Air, B=BuIWSolid,WP=Wipe,0= Page � °f � � R.1 . ANALYTICAL Page 1 of2 , Specielists in Environerental Services � , CERTIFICATE OFANALYSIS � ' Coastal Engineering Co., Inc. Date Received: 8/27/2014 � Attn: Mr. Todd Palmatier Date Reported; 9/5/2014 260 Cranberry Highway P.O.#: Orleans, MA 02653 Work Order#: 1408-19238 .. L DESCRIPTION: PROJECT# WYA024.00 SHAW'S MARKET � Sub;ect sample(s) has/have been analyzed by our Warwick, R.I. laboratory with the attached results. i �. Reference: All pazameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate ofAnalysis. . �- Bata qualifiers (if present) are explained in full at the end of a given sample's analytical results. The Certificate of Analysis shall not be reproduced except in full,without written approval of R.I. Analytical. � Results relate only to samples submitted to the laboratory for analysis. � Test results are not blank corrected. i L Certification#: RI LAI00033, MA M-RI015, CT PH-0�08, ME RI00015 NH 2537,NY 11726 � `, If you have airy questions regazding this work, or if we may be of furtl�er assistance;please contact our customer service deuartment. � Approved by: I � � �j� � ►. Pl/�t.w_n .J/(2/�✓Ina�;� For , Shazon Baker ' MIS /Data Reporting enc: Chain of Custody i �. i` � 41 Illinois Avenue,Wanvick,RI 02888 �,,�,�,W,rianal tical.com �3� Coolidge SVeet,Suite 105,Hudson,MA01749 �� Phone:401737.8500 Fax:401738.1970 y Phone:978.568.0041 Fax:978.568.0078 � � Page 2 of 2 � R.I.Analytical Laboratories, Inc. ' CERTIFICATE OF ANALYSIS � Coastal Engineering Co.,Inc. � Date Received: 8/27/2014 Work Order#: 1408-19238 i ` Sample# 001 SAD4PLE DESCRIPTION: EFFLUENT � SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 8/27/2014 @ 08:00 � SAMPLE DET. DATE/TID4E P�,RAMETER RESULTS LIMIT iJNITS METHQD ANALYZED ANALYST I pH(fieldj 747 SU SM4500-H+B 827/2014 8:00 "CS � NiVite(a;I� <0.05 0.05 m�/I EPA300.0 8/28/2014 1:04 TAH NiVate(asi� <0.05 0.05 m¢/I EPAi00.0 8/28/2014 1:04 TAH j TKN(as I� 3.6 0.50 mg/I SM 4500 NORG D 9/32014 22:00 TAC 1� i 'CS-Field sampling data waz provided by Coastal Enginee�g Co.,Inc. r Samples were received at the labora[ory ouCside of the recommended temperaNre fimiis of 0-6C. - � � L � L � L I �. I �. � i � i L �. n . � �r�.:i.��_ � 1 . L .. ` ��`, �``°� �`��, �l,� tt;-�- *`� r f � � r r r- r r r r_ � � - � - r ��- r'a� ?3��'aaiall��, ��ryiY��rhaHtal ServitS� � a ''d �S w: .. F, � ':P r ., x r . "' ,�, N , ,.,,�U1.�,H �k" ,��"',�l'��"i�'A�^,7`,�,:`�.�Y �=Rr.+.l�:0� a � U x � 41 IILnois Avenue � 131 Coohd e St Suice 105 a �^ o b � Warwick,RI02888 3007 Hudson,MA 01749-1331 U� q � v �7 I 800-937 2580 Fax 401 738 1970 800-937-2580 Fax: 978-568-0078 � ci � '� O do71��"�te'd� �,U�l��tetla Sa�.;�f , ��e1k1e5ao�ple�denhScation. c51 � w � � I _a .i �oo �F�=lv� � �� „ c � l0 5 � , �,k Clieut Information PrU;ject Infocmahoti._; co': - �, ;:.� , :� _...� . : , ,..., .. :. . .,_: . mPany Name: C E Ih'e'e C , lti Project Name: J�/-�{,��v� C�� Address: 'L 6 �NQ N � WA � . P.O.Number: —�— Project Number. (� /�"�c3' .,(97� City/State/tip: Qr O s RepoRTa: T'Q a�H„a,�{y;� Phone: ZSS-6Sl F� ZSS-6?0 Telephone: �$ ZSS– �p S 1 P�: 8 2.sr- 6?0 0 Sampled By: Email report l . ContactPecson: �� IZ 4, . tothcse '{�p0.�Ntioll�'�1�C('Cc0.04ttlG�� TO� � QuoleNo: � ( addresses: � „ '', ReluR§iushed$yx��gn"ahir,es ' Date Ttime Receivpd Bq Signatli'ies" Date Time �m Amund TSme � �('f " � �7 c Nom�al EMAIl.Report s � � '�f 5 Business days.Possiblesurcharge Rush—DeteDue: /_/_ ''` � ' ,� . , Pi-o�ect Commeqts ` Y;ab•Use Only ) Circle if apoiicable• GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement QC Packaqe? Yes No SamplePick-UpOnly )L�"(, G //f� RiAI.sampled;attach field hours EFr'. �� / s �.� '� ✓ � $hi donice PW Temp.Upon Receipt �C �yorkorder No:,v�q`5–lc�a`j� Containers:P=Poly,G=Glass,AG=Amber Glass,V=VIaI,St=Sterile Presecvafives�A=Ascorbic Acid, NH4=NH�CI, H=HCI, M=MeOH, N=HNOa,NP=None,S=Hx50.,SB=NaHSO,,SH=NaOH.T=Naz5,0a.Z=ZnOAc Matrix Codes�GW=Groundwater,SW=Surface Water,WW=Wastewater, DW=Drinking Water,S=Soil,SL=Sludge,A=Air, B=6ulk/Solid,WP=Wipe,0= Page �of � � � � •• ��v i •• I ' � R.1 . ANALYTICAL Pa�e , of2 . -_�_ �� Specialists in Environmental ServEces - '---�.. � Jrr ;� � 201� � f` CERTIFICATE OF ANALYSIS � ' �`�`' � �-rf � � Coastal Engineering Co., Inc. Date Received: 9/24/2014 Attn: Mr. Todd Palmaher Date Reported: 10/1/2014 260 Cranberry Highway P.O. #: WYA024.00 � Orleans, MA 02653 Work Order#: 1409-21499 �' DESCRIPTION: PROJECT#WYA024.00 SHAW'S MARKET � Subject sample(s)has/have been anatyzed by our Warwick, R.I. laboratory with the attached results. � Reference: All pazameters were analyzed by U.S. EPA approved methodologies. The specific methodologies aze listed in the methods column of the Certificate of Analysis. � Data qualifiers (if present) aze explained in full at the end of a given sample's analytical results. The Certificate of Analysis shall not be reproduced except in full, without written approval of R.I. Analytical. i Results relate only to samples submitted to the laboratory for analysis. ` Test results are not blank corrected. �- Certification#: RI LAI00033, MA M-RI015, CT PH-0508,ME RI00015 NH 2537,NY 11726 4 r. If you have any questions regazding this work, or if we may be of further assistance,please contact o•ar customer service de�ark:lant. :.. Approved by: Shazon Baker ... MIS /Data Reporting enc: Chain of Custody :. :. 41 IllinoisAvenue,Warwick,RI 02888 ,Nuvw,rianal IC81.COfT1 131 Coolidge Street,Suite 105,Hudson,MA 01749 � Phone:401.737.6500 Fax:401.738.1970 � Phone:978.568.0041 Fax:978.568.0078 � � Page 2 of 2 � RL Analytical Laboratories, Inc. ', CERTIFICATE OFANALYSIS � i Coastal Engineering Co., Inc. � Date Received: 9/24/2014 Work Order#: 1409-21499 — Sample# 001 SAMPLE DESCRIPTION: EFFLUENT ` SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 9/24/2014 @ 08:45 SANII'LE DET. DATE/TIME PARAi"�fEiER RESIILTS LIMIT UNI3'S NIETHOB ANALY'ZEt7 Ai�TALYST pH(ield) 7.54 SU SM 4500-H+B 9R42014 8:45 �CS � Ni[rite(as I� <0.05 0.05 mg/1 EPA 300.0 9/24f2014 2329 'IAH Nitrate(asI� <0.05 0.05 mfl EPA300.0 9/242014 23:29 TAH TKN(as I� 41 0.50 mg/1 SM 4500 NORG D 926Y2014 22:00 TAC i� � `CS-Field sampling data was provided by Coastal Engineering Co.,Inc. r � I .� � L L ._ � G �. � � - �— � - - - � �-- �-- �-- � :�� -- �— �— �— �— �-- �-- �__ � _ � T a� a,�� '�"'��.�� Spoc1a11sCm In E�vi�onMantal Sa�viCris u �T 6 ��i�4IN:QF CLTST�DY IZECOI� ° � � _ � a ; 41 Illinois Avenue � • 131 Coolidge St., Suite 105 0 •,�^� o � � Wazwick,RT 02888-3007 Hudson,MA 01749-1331 U� o � U ry� Y 800 937-2580•Fax:401-738-1970 800-937-2580•Fax: 978-568-0078 � U ; •� Z f� Date .' Time' , :', o i .� Gollected Collected F�eldiSample Ydentification �� p„ ,'� :�fS�" /ucn f- l NP W DC << <r ,ai (� 5 1.J DC `. Clienf Infocinallon Project:InformaEion Company Name: C a q,s-�-R, (-=y1 1 N`Q`P�^I"• CD . .-L hC � Project Name: 5'�-f.V�S /��i2/�r Addross: Z(po �'�, V�✓ ( l Wa P.O.Number. (�.5y/=�(�L�.(,d ProjeclNumber. (,�J�/9f,�d ,('(� Ciry/Slare/ZiP: Q r I 0.V� I'��- D Z(o � Report To: 0 P Phone: SO g Z,$'I�(ryS( Fax �-,5-_61oa Telephone: ,S`0 Q Z S'- �O S 1 Fax: ,�O g 'Zs,S - b 7 Q Sampled By:�(�( ��G.� Email report � Ca odcl l'�alwta.�� Q q � tothese +-Pal�a.+i� ��ecca�ce Contact Pcrson: uote No: COkI' I Z� addresses: Relinquished By Signatures Date Time Received By Signatures Date Time '1Lrn Around Time �- � ZO Q .. .. _... '� �f G�'� (G ' Normal EMAIL Report � .-�� G � { � � 5 Business days.Possible surcharge � Rush-Da[e Due:_/_/_ Pr.oject Comments Lab Use Only )� ;ircle if applicable: GW-1, GW-2, GW-3, S-1, S-2, S-3 MCP Data Enhancement QC Packaqe? Yes No 'n SamplePick-UpOnIyMM�"(' � RIAf.'sampled;at[ach field hours �/�'�Q �'i' Shipped on ice " ' � � r � �� Temp.Upon Receipt �� °C+ �vorkorderNo:�H o°1-M�nq ;p��ainers:P=Poly,G=Glass,AG=Amber Glass,V=Vial,St=Sterile �r � r�A=Ascorbic Acid,NH4=NH.C1,H=HCI,M=MeOH, N=HNO3, NP=None, S=HzSO., SB=NaHSO,,SH=NaOH,T=NazSzOo,Z=ZnOAc datrix Codes:GW=Groundwater,SW=Sudace Water,WW=Wastewater, DW=Drinking Water,S=Soil,SL=5ludge,A=Air,8=6uIWSolid,WP=Wipe,0= Page�` o� r � ' ENVIROTECHLABORATORIES, INC. ` MA CERT. NO.: M-MA 063 8 Jan Sebastian Drive � Sandwich,MA 02563 (SOS)888-6460 1-800-339-6460 � FAX(508)888-6446 Monday,November 03,2014 �,Coastal Engineering Co. 260 Cranberry Highway � Orleans MA 02653 '�ProjectName: Shaw Yarmouth Comments: Project Numbe�: WYA-024 �ol[ection Date: 10/17/14 Collection Time: 10:00 Sampled By: SKM � ;ab Order Number: WW-1434.i8 �Date Received: 10/17/14 £ � _ � �� _ . _ � � n � .o- o :�: - jParameters Units Test ResuUs Repor[able Limits Date Analyud AnNyst Method Kjeldhal Nitrogen mg/L 3.6 0.6 to/3on4 KB SM4500 NH3 C Nitrate-N mg/L 8.60 0.01 ton�na RL 300.0 � Vitrite-N � mg/L 0.37 0.006 to11�n< RL 300.0 i 6. ( 6. L � � � I BRL=below sepoKa6[e limi7s � *see aaached I By: ` Rona[d . Sa i Laboratory irector � / Page 1 of 1 �... 1 "1 v//'1 � � ' ENVIROTECHLABORATORIES, INC. � MA CERT. NO.: M-MA 063 I 8 Jan Sebastian Drive � Sandwich,MA 02563 (508)888-6460 1-800-339-6460 F,9X(508)888-6446 Monday,December 01,2074 �Coastal Engineering Co. 260 Cranberry Highway ; Orleans MA 02653 �"ProjectName: Shaw's Comments: Project Number: N'YA 024 �Collection Date: 11/13/14 Collection Time: 10:30 Sampled By: SKM j LabOrderNumber: �Jr�'-1-13794 �'Date Received: 17/14/14 � Parameters Units Test Results Reporlable Limits Date Analyzed Ana[yst Mnhnd Kjeldhal Nitrogen mg/L 4.3 0.6 itioina KB SM4500 NH3 C Nitrate-N mg/L 029 0.01 �V�aNa LL 300.0 Nitrite-N mg/L BRL 0.006 ivla/7a LL 300.0 � � .� � ' i �.. v .... 48RL=6elaw reportable Gmits 'see a![ached i By: , ` Ro ald J. ari Labar(itor Director ' Page 1 of i �.. OASTAL CMAIN OF CUSTODY RECORD � NUU.v�DR.1LvG Lab Contact: Ronaid J. Saari 260 Cranberry Highway Orleans, MA 02653 Q�� C. 508.255.6511 FA7C: 508255.6700 Corllpany: Envirotech Laboratories. Inc. Address: 8 Jan Sebastfan Drive Unit 12 ProjectName: -S�Fw't Sandwich. MA02563 Project No.: ��'�i1, nay Telephone: 508-888-6460/800-339-6a60 Fax:508-888-G446 Sampled By: S1�u� (please print) Containers Q � x � � n.•c Date/Time Sample Idenkification No. Size GIP c7 v N � Presrv. Analysis Requested/Comments Lab Number u �3�u'°✓� �'f�'fuY��- 1 zso � � wr� �.,.>r r��Z , ti'"'3 �W�l�l3%%� , ,, ,� ,� ,� „ �� 1�s�y ��N 1 � � Sampled/ el' quished by: Dateffime Received by,; Date/1`ime Relinquished by: Date/Time �J�� tlttY�c4 �� y Si nature � �l � Si nature Si nature Relinquished by: Date/Time Received by: Date/Time Relinquished by: Date/Time Si nature Si nature Si nature Method of Shipment Remarks: ❑ US Express ai! Labe!No. (�Other. i�{�� D:IFORMSITechServices-4YaslewaterlChatnafCuslody-Errvlroreeh l0-14•03,doc _'_, __...� ___ � ._.._� _.�_� __ J �_� . ___� . _....� ..'__� � �.� '___� __� . _..� . .. � .. .. � �_._.� ____� __.� , F- �I6/iy ` ENVIROTECH LABORATORIES, INC. MA CERT. NO.: M-MA 063 ; 8 Jan Sebastian Drive R E C E I V E D ` Sandwich,MA 02563 (508)888-6460 1-800-339-6460 �AN 02 2015 , FAX(508)888-6446 � Friday,December79,1074 Coastal Engineering Co., �pC. �oastal Engineering Co. 260 Cranberry Hi,qhway f Orleans MA 02653 `ProjectName: SHAWS Comments: i °roject Number: WYA 024 �.'aQection Date: 12/09/14 Collection Time: 10:00 Samp[ed By: SKM I :ab Order Number: WW-144083 �a1e Received: 12/09/14 � . . •Ms� . . a�;,a„ .. .'l.fi i : . _. . - �,..��,. �.�, ,�.�:- :�,�,A., --. � , , -... .,,� . .-�.. .,�� e: .OiO� 9 �-''` _.�.�� - 2 � �� e,�^_� ..� - _b .-.� � w�.�nw,.n,a� � � � � < �' ...,r� �� Parnme[ers Units Test Resu[ts Reportab[e Limrts � Dote Analyud Ana[yst Mnhod Kjeldhal Nitrogen mg/L 4.0 0.6 ivisna KB SM4500 NH3 C . 'litrate-N mg/L 029 0.01 tvO9na LL 300.0 ! litrite-N mg/L BRL 0.006 ivosna LL 300.0 I � ._ L 4. I �RL=be[ow reporlab[e limits i. *see attached � Ty: `' Ron d J. Sa r' Laboratory ' ector �� Page 1 of 1 ... �- �- r i r r r r _ r- r - r--- � -- r _ r -- �-- �_ � _ . �_ �_ _ OASTAL CHAIN OF CUSTODY RECORD NGINEERING Lab Contact: Ronald J. Saari 260 Craoberry Highway Orleans,MA 02653 ��Y' �7(,`, 508.255.65I1 FAX: 508.255.6700 Company: Envirotech Laboratories Inc. Address: 8 Jan Sebastian Drive. Unit 12 Project Name: S�av'I Sandwich MA 02563 Project No.: �.�1�{,�- C��`� Telephone: 508-888-6460/800-339-6460 Fax:508-888-6446 Sampled By: .��9i1 (please print) Containers �, x � E �-'� Date/Time Sample Identification No. Size G/P C7 �j N � Presrv. Analysis Requested/Comments Lab Number IR R l fol} ��'tuw�- � �Sv � 9C WtJ C ,�, ( i`�°Z � i+Jv3 �lp-l�I�lD43 G t ci G( . s'„7 c: °! ` `� ��ZSC7 ��lG� SampledlRelin s ed by: Date/Time Rec ' d y: D e/T'me Relinquished by: Date/Time �y��,�y f„�g�� J 5S� Si nature i nature 3—n ature Relinquished by: ``" Date/Time Received by: Datelfime Relinquished by: Date/Time Si nature Si nature Si nature Method of Shipment Remarks: ❑ US 6cpress Mail Label No. ❑ Other. � D:I FORMSITechServires•WpslempterlChainoJCuslady-Emirolec6 l0-24-03.doc i f ` APPENDIX F Yarmouth Shaw's Supermarket — 1106 Route 28, South Yarmouth 2014 Wastewater Pumping Records �. � Date Pumped Location Gallons Pumped Pumping Contractor .� 1/17/2014 pump station 200 ,Wall Septic Service I 2/26/2014 septic tank 15806 Wall Septic Service + 4/15/2014 pump station 400 Wall Septic Service 7/11/2014 pump station 173 Wall Se tic Service 7/25/2014 grease traps 5820 Wall Septic Service I 10/6/2014 pump station 244 Wall Septic Service � 10/20/2014 rease traps 6076 Wall Septic Service ! ' Pumping records provided by the Yarmouth Treatment Plant L.. L � � i.. ' �. I L. � ti ` ` I .. I �