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Home My WebLink About0371 NORTH STREET - Health 371 North Street, Hyannis A= 3JJO S� 17 Ilk wzr--s- 6AL&- 7-hh orw - 3 �/ ,��l Sr �� Ael 371 Iva 1 t3C i �J&� 0 is 3 You must employ or engage a Licensed Site Professional ("LSP")to manage, supervise or actually perform the necessary response actions at this site. MassDEP has Toivo Lamminen listed as the LSP of Record. If you have any questions relative to this Notice, please contact Lori Williamson at the letterhead address or at(508)946-2794. All future communications regarding this release must reference the following Release Tracking Number:4-19801. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/LW/re 4-19801-nor. Attachments: Summary of Liability under M.G.L.c.2IE fc: Board of Selectmen Board of Health Fire Dept. cc: Green Seal Environmental 28 Route 6A Sandwich,MA 02563 Attn:Terry F.Bauer 6 G� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF DEPARTMENT OF ENVIRONMENTAL PROSOUTHEAST REGIONAL OFFICE twy 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946- MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY July 12,2006 Dan Adams,Owner RE: BARNSTABLE-BWSC Ginsberg Asset Management,LLC 371 North Street 555 Constitution Avenue RTN#4-19801 Taunton,MA 02780 NOTICE OF RESPONSIBILITY M.G.L.a 21E,310 CMR 40.0000 ATTENTION:Dan Adams , On May 23, 2006 the Department of Environmental Protection ('MassDEP') received a Release Notification Form("RNF")which indicates that a release of oil and/or hazardous material has occurred-dt the;; location referenced above. Petroleum contaminated soil was discovered during construction activities h associated with the redevelopment of the site. A Release Abatement Measure (R:AINI) Plan, prepared bye_' .Green Seal Environmental to address this contaminated soil, was also received on May 23,2006. A�RAIVIv Plan Modification was received on June 6,2006. ^'' The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the"MCP"),310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govem the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. MassDEP has reason to believe that the release and/or threat of release, which has been reported,is or may be a disposal site as defined by the MCP. MassDEP also has reason to believe that you(as used in this letter, "you" refers to Ginsberg Asset Management,LLC) are a Potentially Responsible Party(a "PRP") with liability under M.G.L.c.21E§5,for response action costs. This liability is"strict",meaning that it is not based on fault,~but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L.c.21E§5. This liability is also"joint and several",meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. MassDEP encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep 1104 Printed on Recycled Paper Gs`1 2 action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws that establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. SITE INFORMATION Information on file with MassDEP indicates the following contaminant(s) were detected in soil samples collected from the site at concentrations which exceeded the Reportable Concentrations for Soil Category 1,per 310 CMR 40.1600. CHEMICAL CONCENTRATION RCS-1 C9-C 10 Aromatic Hydrocarbons 110 mg/kg 100 mg/kg RELEASE ABATEMENT MEASURE PLAN On May 16,2006 the excavation of contaminated soil was initiated under a Limited Removal Action (LRA). When it became clear that the limit of 100 cubic yards would be exceeded,the LRA was discontinued and a Release Abatement Measure(RAM)Plan was submitted. On May 23,2006 MassDEP received a RAM Plan,prepared and submitted on your behalf by Green Seal Environmental,proposing the removal of 125 cubic yards of contaminated soil. On June 6,2006 MassDEP received a RAM Plan Modification,proposing the removal of an additional 50 cubic yards of soil,bringing the-total to 175 cubic yards,and the removal of up to 1500 gallons of groundwater. . , Pursuant to 310 CMR 40.0443 approval shall not be required from MassDEP to conduct a RAM, unless otherwise specified by MassDEP. Exemption from the need to obtain approval from MassDEP shall not relieve RPs,PRPs, and other.persons of their obligation to submit to MassDEP all required RAM Plans, Status Reports, and Completion Reports. In accordance with 310 CMR 40.0445, a RAM Status Report or Completion Statement must be submitted to MassDEP within.120 calendar days of May 23,2006. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21 E and the MCP. . Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR 40.0300, or from the date MassDEP issues a Notice of Responsibility, whichever occurs earlier, to file with MassDEP one of the following submittals: (1) a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or, if applicable, (3)a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is May 23, 2007. The MCP requires that a fee of$1,200 be submitted to MassDEP when a RAO statement is filed greater than 120 days from the date of initial notification. r Enter your transmittal number ► 1N0911 'S a Transrnittal Number Ll Your unique Transmittal Number can be accessed online: http://www.mass.gov/dep/counter/trasmfrm.shtml or call DEP's Infol-ine at 617-338-2255 or 800-462-0444(from 508, 781, and 978 area codes). Massachusetts Department of Environmental Protection .. . Transmittal Form for Permit Application and Payment 1. Please type or A. Permit Information print.A separate Transmittal Form BRP WS 06 d UIC Closure must be completed 1.Permit Code:7 or 8 character code from permit instructions 2. Name of Permit Category for each permit application. 3.Type of Project or Activity 2. Make your check payable to B, Applicant Information - Firm or Individual the Commonwealth of Massachusetts Ginsberg Asset Management and mail it with a 1.Name of Firm-Or,if party needing this approval is an individual enter name below: copy of this form to: Adams Dan DEP, P.O. Box 4062, Boston, MA 2.Last Name of Individual 3. First Name of Individual 4.MI 02211. 555 Constitution Drive 5.Street Address 3. Three copies of Taunton Ma 02780 508-280-3071 this form will be 6.City/Town 7.State 8.Zip Code 9.Telephone# 10.Ext.# needed. Copy 1 -the 11.Contact Person 12.e-mail address(optional) original must accompany your permit application. C. Facility, Site or Individual Requiring Approval Copy 2 must accompany your fee payment. 1.Name of Facility,Site Or Individual Copy 3 should be 371 North Street retained for your 2.Street Address records Hyannis Ma 02601 4. Both fee-paying 3.City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# and exempt applicants must 8.DEP Facility Number(if Known) 9. Federal I.D. Number(if Known) 10.BWSC Tracking#(if Known) mail a copy of this transmittal form to: D. Application Prepared by (if different from Section B)* DEP Green Seal Environmental P.O.Box 4062 Boston,MA 1. Name of Firm Or Individual 02211 28 Route 6A 2.Address Sandwich Ma 02563 508-888-6034 *Note: For BWSC Permits, 3. City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext..# enter the LSP. Stacey 06rien ' 8.Contact Person 9.LSP Number(BWSC Permits only) - E. Permit - Project Coordination 1. Is this project subject to MEPA review? ❑yes ® no ; .. If yes, enter the project's EOEA file number-assigned when an ryl Environmental Notification Form is submitted to the MEPA unit: EOEA File Number F. Amount Due DEP Use Only Special Provisions: 1. ❑ Fee Exempt(city,town or municipal housing authority)(state agency if fee is$100 or less). Permit No: There are no fee exemptions for BWSC permits,regardless of applicant status. 2. ❑Hardship Request-payment extensions according to 310 CMR 4.04(3)(c). Rec d Date: 3. ❑Alternative Schedule Project(according to 310 CMR 4.05 and 4.10). 4. ❑ Homeowner(according to 310 CMR 4.02). Reviewer. 12114 $90.00 7/28/2006 Check Number. Dollar Amount Date tr-formw•rev. 11/04 Page 1 of 1 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d w091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not. Previously Registered with the UIC Program See instructions Transaction Type ® Closure ❑ Partial Closure ❑ Closure/Replacement ❑ Registration A. Facility Information See Instructions 351 North Street Facility Name Facility Street Address Ginsberg Asset Management Company Name SIC Code# (DEP Use Only)Facility# Hyannis Barnstable Massachusetts City/Town County State Zip Code Facility PWS ID#(if appropriate) UIC ID#(if previously registered with DEP) 508-280-3071 Facility Telephone Number Facility Email(optional) EPA Hazardous Waste Generator ID# EPA Hazardous Waste Generator ID# B. Owner/Operator Information See Instructions For modifications, enter new or revised information: Dan Adams c/o Ginsberg Asset Management 555 Constitution Drive Name of Owner Address of owner(if different from facility) Taunton Massachusetts 02780 City/Town State Zip Code Name of Operator(if different from owner) Address of operator(if different from facility) City/Town . State City/Town Same as above Legal Contact Address of legal contact City/Town State Zip Code 508-280-3071 Legal Contact Phone# Legal Contact Fax# Ownership Type: Private: ❑ Industrial ® Commercial ❑ Non-profit ❑ Residential Public: ❑ Local ❑ Regional ❑ State ❑ Federal C. Injection Well Information See instructions- table at end Registration: ❑ Individual or ❑ Area 5X28 1 Well Type Well Type Number of wells ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- Page 1 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program B R P W S 06 d W0n91155 m Transmittal UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program C. Injection Well Information (cont.) Well Construction (check all that apply) ❑ Drywell ❑ Septic Tank ❑ Cesspool ❑ Dug Well ❑ Improved Sinkhole ❑ Lag000n ® Drainfield/Leachfield ❑ Dustwater onto the ground or pit ❑ Leaching Catch Basin ❑ Infiltration Trench ❑ Drilled Well ❑ Other(describe): Motor Vehicle Waste Type of discharge See instructions- Vehicle Washing table at end Source of water discharged to the well Unknown Unknown 1985 Average flow(gallons per day) Year of well construction Year ceased using well Number of Entry Points to System before closure 1 Number of Entry Points proposed to be closed 1 Number of Entry Points to System after closure(need to be registered with 0 the UIC program) See instructions List any treatment devices in place or proposed prior to the injection point: Oil Water Separator See instructions Approximately 7 feet 200-300 feet Depth to water table(feet) Depth to bedrock Urban fill none Soil type(s)at side-e.g.,fill,sandy till,gravel,sand Distance to nearest private drinking water well(within 1250') Distance to nearest Public Water Supply(within 2500') Name of nearest Public Water Supply D. Proposed Well Closure Activities Check all that apply. Well operation status: See instructions ❑Active ❑ Temporarily abandoned ❑ Active/Partial Closure ® Permanently abandoned/not reported previously Proposed date of well closure: 7/27/06 I ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 2 of 2 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program D. Proposed Well Closure Activities (cont.) Proposed closure activities (check all that apply): ❑ Clean out well(s) ® Sample fluids/sediments ❑ Remove well(s)and any contaminated soil ® Appropriate disposal of remaining fluids/sediments ❑ Conversion to other well type ® Install permanent plug ❑ Partial Conversion to another well type ❑ Other(describe): Floor Drain Source of injection fluid(#1) Source of injection fluid(#2) Source of injection fluid(0) Source of injection fluid(#4) Petroleum Products Potential contaminant#1 Potential contaminant#2 Potential contaminant#3 Potential contaminant#4 E. Site Information See instructions Are there any other discharges on site? ❑ Yes ® No If yes, are they permitted with DEP? ❑ Yes ❑ No If no,are they registered with DEP as Class V wells? ❑ Yes ❑ No Please list the type or types of discharges: Check any of the following that apply to this site: a. ❑ Super-fund site If yes, Federal ID# b. ®Bureau of Waste Site Cleanup Priority Site RTN 4-19801 If yes,file number c. ❑ Bureau of Waste Site Cleanup Waiver Site If yes,file number Please provide a copy of the letter of authorization if applicable. See instructions If the site is currently being regulated by the Bureau of Waste Site Cleanup, check any of the following that apply: ® Incident Response ❑ Short Term Measure ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- Page 3 of 3 Massachusetts Department of Environmental Protection L7Bureau of Resource Protection - Drinking Water Program BRP W S 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Activity and use limitations: Confirm that the applicant has checked that the site does not have any activity restrictions with respect to limiting discharges on the site. ® No restrictions ❑ Restrictions (please explain; attach additional sheets if necessary): Location of Facility: Is the facility located on Native American lands? ❑ Yes ® No Latitude: 41 38 57 Longitude: 70 17 40 degrees min(') sec(") degrees min(') sec(") Latitude &Longitude are no longer optional data. See instructions Identify the method used for locating the latitude/longitude coordinates for the UIC Class V well(s): Type: ® Approximate location of point of UIC Class V well(s) ❑ Approximate center of drainfield(s) ❑ Approximate location of area wellfield(s) ❑ Approximate center of facility(ies) ❑ Approximate center of area where discharges are located Accuracy: ® Estimated horizontal accuracy is less than +/-100 feet ❑ Estimated horizontal accuracy is less than +/-500 feet ❑ Estimated horizontal accuracy is less than +/- 1000 feet Provide a narrative description of the site and the feature to be permitted. As an example: "The site is on the west side of Main Street, the third building north of High Street. The disposal field lies 100 feet off the southwest corner of the building." No permits being sought for this UIC ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 4 of 4 S LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Must be All additional information that is relevant to the installation or operation of this injection well and to the attached-see determination of its potential to endanger underground sources of drinking water USDWs instructions p 9 9 9 ( )— including a site map showing the facility and UIC well(s), on-site drinking water wells, all other on-site discharges and the drains leading to the well and/or drainage area served by the well. MSDS sheets for chemicals likely to be discharged into well must be submitted. Analytical data available on the discharge or raw water as applicable. ® Map attached ❑ Detail sheets attached ❑ MSDS sheets attached ❑ Other information attached Attach a map of the facility based on a USGS topographical map or MassGIS Color Ortho Photography that clearly indicates both your facility and the location of the discharge. The USGS topographical map is available at: http://maps.massgis.state.ma.us/MassGISTopos/viewer.htm or the Color Orthophotography At: http://maps.massgis.state.ma.us/MassGISColorOrthos/viewer.htm. Attach a site plan showing buildings, boundaries, abutting streets, location of test pits, location of all UIC wells, location of on-site drinking water wells, location of monitoring wells and a locus map. Attach a narrative description of the shallow injection well system and its major components.The description should contain a diagram including the plan view and cross sectional view of the shallow injection well system, indicating piping,junction boxes, tanks, and leachfields. Dimensions of all major components and design calculations must be included. Attach existing analytical testing data from the existing waste stream or raw water for expected contaminants in proposed waste stream, based on specified testing parameters. ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Who must register: Any party who has discharged or is discharging to a Class V Well(s) as defined in 310 CMR 27.00 must apply except those listed as exempt from the registration requirement as per 310 CMR 27.07. (2) Groundwater Remediation Projects. Any injection into a Class IV or Class V injection well during a response action conducted or performed in accordance with the provisions of M.G.L. c. 21 E and the Massachusetts Contingency Plan, 310 CMR 40.0000, or for the purpose of remediation at a release site, pursuant to the provisions under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), 42 U.S.C. 9601-9675, or pursuant to requirements and provisions under the Resource Conservation and Recovery Act(RCRA), 42 U.S.C. 6901-6992k shall be exempt from: (b)the registration requirements set forth in 310 CMR 27.08; 3) Registration.The following Class V injection wells are also exempt from the registration requirements of 310 CMR 27.08: (a)on-site subsurface sewage disposal systems used solely for the disposal of sanitary sewage and regulated under 310 CMR 15.000. (b)Class V injection wells permitted under 314 CMR 5.00. Any party closing a UIC Class V well that has not previously registered with the MA DEP UIC Program must register using the BRP WS-06d Pre-Closure Form. If you have not previously registered and you are closing the use of the well(s)for one (or more) uses but want to continue using the well(s)for one(or more) uses you must mark the top of this form by checking the box for"Transaction Type" - Partial Closure/Registration and attach the Pre-Closure Notification Form to this submittal. The Pre-Closure Notification Form must be submitted to the Boston Office.The Boston Office will forward the Pre-Closure form to the appropriate DEP Regional Office for those uses that you intend to discontinue to discharge to the Class V Well. All further communication on closure of the well(s)including filing of the Post-Closure document should be with the appropriate DEP Regional Office. If you have not previously Registered and you are converting the well from a"prohibited" use to a use that is"authorized by rule"you must mark the top of this form by checking the box for"Transaction Type" - Conversion and attach the Pre-Closure Notification Form for those uses that you intend to discontinue to discharge to the Class V Well. The Pre-Closure Notification Form must be submitted to the Boston Office. The Boston Office will forward the Pre-Closure form to appropriate DEP Regional Office for those uses that you intend to discontinue discharging to the Class V Well.All further communication on closure of the well(s)including filing of the Post-Closure document should be with the appropriate DEP Regional Office. If you are registering a well(s)at a residential structure (four units or fewer), the MA DEP UIC registration form WS-06e should be used instead of this one. Who must submit a notification form: If you are closing the well(s)and relocating the well(s)and are planning to have the same discharge (Well Code), you must mark the top of this form by checking the box for Relocation of Well(s)and attach to this submittal a Pre-Closure Form for the well(s) being closed. ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 6 of 6 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d w091155 UIC Class V Well Pre-Closure Notification Form- BRP WS-06d Transmittal Number and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Fees: An application fee(effective 10/08/04) is due when the Registration application is submitted. There is no application fee associated with submitting a Modification application to an existing Registration. Registration Form Category Registration Fee BRP WS 06 a High $480.00 BRP WS 06 b Moderate $240.00 BRP WS 06 c Low $ 90.00 BRP WS 06 d Pre-Closure/Registration $ 90.00 BRP WS 06 a Residential Registration No fee-exempt No DEP Transmittal Form or number is needed when submitting a Modification to an existing UIC Registration or when submitting a Residential Registration Form (WS-06e). There is no annual compliance fee associated with UIC Class V wells. ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 7 of 7 L7 Massachusetts Department of Environmental Protection Bureau of Resource Protection -.Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program F. Affidavit I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and based on my personal knowledge or inquiry of those individuals immediately responsible for obtaining the information, I believe the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment. I/we agree: 1. That the well(s)described herein will not be used for discharges other than those described above; 2. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program) if any of the information (including Ownership, Location or Type of discharge)for the above well(s)changes, but before the change (30 days minimum notice on ownership/operator and 60 day notice on all other changes); 3. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program—Pre-Closure Notification Form)when the above well(s) is no longer in use, but before abandonment and file a Post Closure Notification Form within seven days of completing the closure with the UIC program. 4. That I/we will maintain financial responsibility for the well described above; and That I/w ill provide a sampl' g tap (approved by DEP)and allow sampling at the point of injection. �.�-- A 6 A S' nature of Pr rer Date Printed Name o Preparer PositionlTitie —� ws06d Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 8 of 8 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program Questions Any questions may be directed to the UIC Program at(617) 348-4014 or to the UIC Contact at your Regional DEP Office. MA DEP UIC Webpage- http://www.mass.gov/dep/brp/dws/uic.htm Submit Application to: MA DEP Drinking Water Program 1 Winter Street-6th Floor, Boston, MA 02108 Attn: UIC Program MAILING ADDRESSES UIC Program, DEP Northeast Regional Office (NERO), One Winter Street—5th Floor, Boston, MA 02108 UIC Program, DEP Southeast Regional Office(SERO), 20 Riverside Dr., Lakeville, MA 02347 UIC Program, DEP Central Regional Office(CERO), 627 Main Street, Worcester, MA 01608 UIC Program, DEP Western Regional Office (WERO), State House West, 4th Floor, 436 Dwight Street, Springfield, MA 01103 UIC Program, DEP Boston Office, One Winter Street—6th Floor, Boston, MA 02108 SERVICE CENTER PHONE NUMBERS: Northeast Regional Office 617-654-6500 Southeast Regional Office 508-946-2714 Central Regional Office 508-792-7683 Western Regional Office 413-784-1100 ext. 214 Send duplicate copies of all forms to: Local Board of Health Local Plumbing Inspector ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- Page 9.of 9 UIC Closure Narrative 371 North Street, Hyannis, Massachusetts This narrative has been written by Green Seal Environment , n . ,(GSE) to prove e closure details of an Underground Injection Well located 371 North Street, Hyannis, Massachusetts (hereinafter the"site"). In February 2004, GSE conducted an ASTM Phase 1 Environmental Site Assessment. During the assessment a floor drain system was discovered at the site. Please note that our research indicated that the floor drain itself was plugged in 1985 in response to letters from the Town of Barnstable. The site has a history from the 1960's until 2004 of automobile repair. Based on the results of the assessment, GSE recommended that the Underground Injection Control regulations be applied to the floor drain system and that the discharge point (leach field) be investigated to determine if a release of oil or hazardous materials had occurred. GSE returned to the site and excavated a test pit in the leach field in order to collect a soil sample at the discharge point. A soil sample was collected at the outlet of a distribution box and sent to a laboratory for extractable petroleum hydrocarbons (EPH) plus target polycyclic aromatic hydrocarbons (PAH) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for soil classified as S-1. GSE returned to the site in November 2005 to conduct an update to the ASTM Phase 1 Environmental Site Assessment. During the assessment, GSE installed three groundwater monitoring wells around the perimeter of the leach field (one upgradient and two downgradient) and a fourth well in the center of the leach field. Groundwater samples were collected and sent to a laboratory for extractable petroleum hydrocarbon (EPH) with target Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Petroleum Hydrocarbon (VPH) with target volatile organic compound (VOC) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for groundwater classified as GW-2. Since that time no other actions have occurred regarding the floor drain. Please note that the site is a listed hazardous waste site under the MCP due to the discovery of buried oil filters and waste oil impacted soil in another area of the site that is unrelated to the.floor drain system. Currently a Release Abatement Measure is ongoing. A 7 w ;�� 7 j/�;!%• �` � � ;� !�+' ��U��®• '�r"1�v � j, � ++Irk 1 r • Ir 1 I ffr �',.� ��Iy}.••, r ..�� ' Yi��ht r"� L.�� xl,. ©�® ��^��,,j.� Nziw No IN,MIS �•' ® !./r� �li !� 1' !X'..F { ��•1' •��' / � t/f �rx�..vlrPfj^i �{` j�. G� ° � - -171 �l�� - + J f lr�� ', •d �.: �dN,�h� 1L1.0: �i"��'1 � ��'�®��° � � 'Y l- � / �: � V 'g1VI��•.� ca � � 'atx2��' �li ? ��!--- �� il� - �Z�1�1 -- � �`1: -.�� ,� 1 I ��ja4'` :. �~Jt 1 �. ' � ti`4t {\\ fit �}�� J\�. `' ��•-"\.l+�l t _ � �: �� y V a / VI' ! r••i �. �. �W,< l 1 `lam—�ios�. ' 1 i /�i &\V � I /( `I �``� NIA �.. �i •j/+ t� � 4 ®1 el c' r.. �I 1i ILI ®R it) -i 001,� _ ' '� �I ►� ��p`�i�a.:-"�,�` + �j J,, •�a..,,%;+a•:,w 7;y��")ti .,�i�.R � �•P.�.� -.'.!�f_tl� -01 1rHYANNIS / • : � -• 111 r t UIC Schematic Site Plan Commercial Property ek- Trees X40 rr ---- #371 A MDC Trap MW-1 - Leaching MW-3 � A• Field Fenced in ; � MW,=2� Parking Area MW-4-_ Shed ; Approximate Boundary y (red) �. Asphalt ; Building 1 #350 - - - i - - #700 Concrete Area Metal Storage., �--i Container i i Asphalt Grass Main Street `1 Location: 350 Stevens Street Figure 2 Hyannis, Massachusetts Not To Scale C Date: February 13, 2004 Based on Visual Observations A O - O w O a a V O 4 A � y r••) PC w •� M A v En G - Location: 371 North Street �1 1 Hyannis, MA Q Not To Scale Date: July 27, 2006 c��yy ea Based on Visual Observations ,r �a i Enter your transmittal number AN, 0911�'S Transmittal Number Your unique Transmittal Number can be accessed online: http://www.mass.gov/dep/counter/trasmfrm.shtml or call I-- L DEP's Infol-ine at 617-338-2255 or 800-462-0444(from 508, 781, and 978 area codes). Massachusetts Department of Environmental Protection Transmittal Form for Permit Application and Payment 1. Please type or A. Permit Information print.A separate Transmittal Form BRP WS 06 d UIC Closure must be completed 1.Permit Code:7 or 8 character code from permit instructions 2. Name of Permit Category for each permit application. 3.Type of Project or Activity 2. Make your check payable to B, Applicant Information - Firm or Individual the Commonwealth of Massachusetts Ginsberg Asset Management and mail it with a 1. Name of Firm-Or,if party needing this approval is an individual enter name below: copy of this form to: Adams Dan DEP,P.O.Box 4062, Boston, MA 2• Last Name of Individual 3. First Name of Individual 4. MI 02211. 555 Constitution Drive 5.Street Address 3. Three copies of Taunton Ma 02780 508-280-3071 this form will be 6. City/Town 7.State 8.Zip Code 9.Telephone# 10.Ext.# needed. Copy 1 -the 11.Contact Person 12.e-mail address(optional) original must accompany your permit application. C. Facility, Site or Individual Requiring Approval . Copy 2 must accompany your fee payment. AV 1.Name of Facility,Site Or Individual Copy 3 should be 4� 371 North Street retained for your 2.Street Address records Hyannis Ma 02601 4. Both fee-paying 3.City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# and exempt applicants must 8.DEP Facility Number(if Known) 9. Federal I.D. Number(if Known) 10.BWSC Tracking#(if Known) mail a copy of this transmittal form to: D. Application Prepared by (if different from Section B)* DEP Green Seal Environmental r. P.O.Box 4062 Boston,MA 1.Name of Firm Or Individual 02211 28 Route 6A 2.Address Sandwich Ma 02563 508-888-6034 Note:For BWSC Permits, 3.City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# enter the LSP. Stacey OBrien 8.Contact Person I 9.LSP Number(BWSC Permits only) E. Permit - Project Coordination 1. Is this project subject to MEPA review? [:]yes ® no If yes, enter the project's EOEA file number-assigned when an Environmental Notification Form is submitted to the MEPA unit: EOEA File Number F. Amount Due DEP Use Only Special Provisions: 1. ❑ Fee Exempt(city,town or municipal housing authority)(state agency if fee is$100 or less). Permit No:,r There are no fee exemptions for BWSC permits,regardless of applicant status. 2. ❑ Hardship Request-payment extensions according to 310 CMR 4.04(3)(c). Rec'd Date: 3. ❑Alternative Schedule Project(according to 310 CMR 4.05 and 4.10). 4. ❑Homeowner(according to 310 CMR 4.02). Reviewer., 12114 $90.00 7/28/2006 Check Number Dollar Amount Date tr-formw-rev. 11/04 Page 1 of 1 t Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program See instructions Transaction Type ® Closure ❑ Partial Closure ❑ Closure/Replacement ❑ Registration A. Facility Information See Instructions 351 North Street Facility Name Facility Street Address Ginsberg Asset Management Company Name SIC Code# (DEP Use Only)Facility# Hyannis Barnstable Massachusetts City/Town County State Zip Code Facility PWS ID#(if appropriate) UIC ID#(if previously registered with DEP) 508-280-3071 Facility Telephone Number Facility Email(optional) EPA Hazardous Waste Generator ID# EPA Hazardous Waste Generator ID# B. Owner/Operator Information See Instructions For modifications, enter new or revised information: Dan Adams c/o Ginsberg Asset Management 555 Constitution Drive Name of Owner Address of owner(if different from facility) Taunton Massachusetts 02780 City/Town State Zip Code Name of Operator(if different from owner) Address of operator(if different from facility) Cityrrown State City/Town Same as above Legal Contact Address of legal contact City/Town State Zip Code 508-280-3071 Legal Contact Phone# Legal Contact Fax# Ownership Type: Private: ❑ Industrial ® Commercial ❑ Non-profit ❑ Residential Public: ❑ Local ❑ Regional ❑ State ❑ Federal C. Injection Well Information See instructions- table at end Registration: ❑ Individual or ❑ Area 5X28 1 Well Type Well Type Number of wells ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program r BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program C. Injection Well Information (cont.) Well Construction (check all that apply) D ell i T Septic c Tank Cesspool Du Well Improved Sinkhole ❑ � ❑ P ❑ P ❑ 9 ❑ P oe ❑ Lag000n ® Drainfield/Leachfield ❑ Dustwater onto the ground or pit ❑ Leaching Catch Basin ❑ Infiltration Trench ❑ Drilled Well ❑ Other(describe): Motor Vehicle Waste Type of discharge See instructions- Vehicle Washing table at end Source of water discharged to the well Unknown Unknown 1985 Average flow(gallons per day) Year of well construction Year ceased using well Number of Entry Points to System before closure 1 Number of Entry Points proposed to be closed 1 Number of Entry Points to System after closure(need to be registered with 0 the UIC program) See instructions List any treatment devices in place or proposed prior to the injection point: Oil Water Separator See instructions Approximately 7 feet 200-300 feet Depth to water table(feet) Depth to bedrock Urban fill none Soil type(s)at side-e.g.,fill,sandy till,gravel,sand Distance to nearest private drinking water well(within 1250') Distance to nearest Public Water Supply(within 2500') Name of nearest Public Water Supply D. Proposed Well Closure Activities Check all that apply. Well operation status: See instructions El Active ❑ Temporarily abandoned ❑ Active/Partial Closure ® Permanently abandoned/not reported previously Proposed date of well closure: 7/27/06 ws06d Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- Page 2 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP W S 06 d w091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program D. Proposed Well Closure Activities (cont.) Proposed closure activities (check all that apply): ❑ Clean out well(s) ® Sample fluids/sediments Remove wells and any Appropriate disposal of remaining ❑ Y contaminated soil fluids/sediments ❑ Conversion to other well type ® Install permanent plug ❑ Partial Conversion to another well type ❑ Other(describe): Floor Drain Source of injection fluid(#1) Source of injection fluid(#2) Source of injection fluid(#3) Source of injection fluid(#4) Petroleum Products Potential contaminant#1 Potential contaminant#2 Potential contaminant#3 Potential contaminant#4 E. Site Information See instructions Are there any other discharges on site? ❑ Yes ® No If yes, are they permitted with DEP? ❑ Yes ❑ No If no,are they registered with DEP as Class V wells? ❑ Yes ❑ No Please list the type or types of discharges: Check any of the following that apply to this site: a. ❑ Superfund site If yes, Federal ID# b. ® Bureau of Waste Site Cleanup Priority Site RTN 4-19801If yes,file number c. ❑ Bureau of Waste Site Cleanup Waiver Site If yes,file number Please provide a copy of the letter of authorization if applicable. See instructions If the site is currently being regulated by the Bureau of Waste Site Cleanup, check any of the following that apply: ® Incident Response ❑ Short Term Measure ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 3 of 3 r . Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program 1�Ll BRP WS 06 d W091155 UIC Class V Well Pre-Closure Notification Form- BRP WS-06d Transmittal Number and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Activity and use limitations: Confirm that the applicant has checked that the site does not have any activity restrictions with respect to limiting discharges on the site. ® No restrictions ❑ Restrictions (please explain; attach additional sheets if necessary): Location of Facility: Is the facility located on Native American lands? ❑ Yes ® No Latitude: 41 38 57 Longitude. 70 17 40 degrees min(') sec(") degrees min.(') sec(") Latitude &Longitude are no longer optional data. See instructions Identify the method used for locating the latitude/longitude coordinates for the UIC Class V well(s): Type: ® Approximate location of point of UIC Class V well(s) ❑ Approximate center of drainfield(s) ❑ Approximate location of area wellfield(s) ❑ Approximate center of facility(ies) ❑Approximate center of area where discharges are located Accuracy: ® Estimated horizontal accuracy is less than +/-100 feet ❑ Estimated horizontal accuracy is less than +/-500 feet ❑ Estimated horizontal accuracy is less than +/- 1000 feet Provide a narrative description of the site and the feature to be permitted. As an example: "The site is on the west side of Main Street, the third building north of High Street. The disposal field lies 100 feet off the southwest corner of the building." No permits being sought for this UIC ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 4 of 4 LlMassachusetts Department of Environmental Protection 7Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Must be All additional information that is relevant to the installation or operation of this injection well and to the attached-see determination of its potential to endanger underground sources of drinking water(USDWs)— instructions including a site map showing the facility and UIC well(s), on-site drinking water wells, all other on-site discharges and the drains leading to the well and/or drainage area served by the well. MSDS sheets for chemicals likely to be discharged into well must be submitted.Analytical data available on the discharge or raw water as applicable. ® Map attached ❑ Detail sheets attached ❑ MSDS sheets attached ❑ Other information attached Attach a map of the facility based on a USGS topographical map or MassGIS Color Ortho Photography that clearly indicates both your facility.and the.location of the discharge. The USGS topographical map is available at: http://maps.massgis.state.ma.us/MassGISTopos/viewer.htm or the Color Orthophotography At: http://maps.massgis.state.ma.us/MassGISColorOrthos/viewer.htm. Attach a site plan showing buildings, boundaries, abutting streets, location of test pitsJocation of all UIC wells, location of on-site drinking water wells, location of monitoring wells and a locus map. Attach a narrative description of the shallow injection well system and its major components. The description should contain a diagram including the plan view and cross sectional view of the shallow injection well system, indicating piping,junction boxes, tanks, and leachfields. Dimensions of all major components and design calculations must be included. Attach existing analytical testing data from the existing waste stream or raw water for expected contaminants in proposed waste stream, based on specified testing parameters. ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d w091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Who must register: Any party who has discharged or is discharging to a Class V Well(s)as defined in 310 CMR 27.00 must apply except those listed as exempt from the registration requirement as per 310 CMR 27.07. (2) Groundwater Remediation Projects. Any injection into a Class IV or Class V injection well during a response action conducted or performed in accordance with the provisions of M.G.L. c. 21 E and the Massachusetts Contingency Plan, 310 CMR 40.0000, or for the purpose of remediation at a release site, pursuant to the provisions under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), 42 U.S.C. 9601-9675, or pursuant to requirements and provisions under the Resource Conservation and Recovery Act(RCRA), 42 U.S.C. 6901-6992k shall be exempt from: (b)the registration requirements set forth in 310 CMR 27.08; 3) Registration. The following Class V injection wells are also exempt from the registration requirements of 310 CMR 27.08: (a)on-site subsurface sewage disposal systems used solely for the disposal of sanitary sewage and regulated under 310 CMR 15.000. (b)Class V injection wells permitted under 314 CMR 5.00. Any party closing a UIC Class V well that has not previously registered with the MA DEP UIC Program must register using the BRP WS-06d Pre-Closure Form. If you have not previously registered and you are closing the use of the well(s)for one (or more) uses but want to continue using the well(s)for one (or more) uses you must mark the top of this form by checking the box for`Transaction Type" - Partial Closure/Registration and attach the Pre-Closure Notification Form to this submittal. The Pre-Closure Notification Form must be submitted to the Boston Office. The Boston Office will forward the Pre-Closure form to the appropriate DEP Regional Office for those uses that you intend to discontinue to discharge to the Class V Well. All further communication on closure of the well(s)including filing of the Post-Closure document should be with the appropriate DEP Regional Office. If you have not previously Registered and you are converting the well from a"prohibited" use to a use that is "authorized by rule"you must mark the top of this form by checking the box for"Transaction Type"-Conversion and attach the Pre-Closure Notification Form for those uses that you intend to discontinue to discharge to the Class V Well. The Pre-Closure Notification Form must be submitted to the Th Office.Boston ton Office will forward the Pre-Closure form to s O c e Boston appropriate DEP Regional Office for those uses that you intend to discontinue discharging to the Class V Well.All further communication on closure of the well(s)including filing of the Post-Closure document should be with the appropriate DEP Regional Office. If you are registering a well(s)at a residential structure (four units or fewer), the MA DEP UIC registration form WS-06e should be used instead of this one. Who must submit a notification form: If you are closing the well(s)and relocating the well(s)and are planning to have the same discharge (Well Code), you must mark the top of this form by checking the box for Relocation of Well(s)and attach to this submittal a Pre-Closure Form for the well(s) being closed. ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 6 of 6 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program B R P WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Fees: An application fee(effective 10/08/04) is due when the Registration application is submitted. There is no application fee associated with submitting a Modification application to an existing Registration. Registration Form Category Registration Fee BRP WS 06 a High $480.00 BRP WS 06 b Moderate $240.00 BRP WS 06 c Low $ 90.00 BRP WS 06 d Pre-Closure/Registration $ 90.00 BRP WS 06 a Residential Registration No fee-exempt No DEP Transmittal Form or number is needed when submittinga Modification to an existing UIC 9 Registration or when submitting a Residential Registration Form (WS-06e). There is no annual compliance fee associated with UIC Class V wells. ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- Page 7 of 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 �+ Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program F. Affidavit I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and based on my personal knowledge or inquiry of those individuals immediately responsible for obtaining the information, I believe the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment. /we agree: 1. That the well(s)described herein will not be used for discharges other than those described above; 2. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program) if any of the information (including Ownership, Location or Type of discharge)for the above well(s)changes, but before the change (30 days minimum notice on ownership/operator and 60 day notice on all other changes); 3. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program—Pre-Closure Notification Form)when the above well(s) is no longer in use,.but before abandonment and file a Post Closure Notification Form within seven days of completing the closure with the UIC program. 4. That I/we will maintain financial responsibility for the well described above; and That I/w ill provide a sampl' g tap(approved by DEP)and allow sampling at the point of injection. r e3�t� -7 Z OG S' nature of Pr rer Date ^. Printed Name o Preparer Position/Title ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 8 of 8 Massachusetts Department of Environmental Protection L7Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program Questions Any questions may be directed to the UIC Program at(617) 348-4014 or to the UIC Contact at your Regional DEP Office. MA DEP UIC Webpage-http://www.mass.gov/dep/brp/dws/uic.htm Submit Application to: MA DEP Drinking Water Program 1 Winter Street—6th Floor, Boston, MA 02108 Attn: UIC Program MAILING ADDRESSES UIC Program, DEP Northeast Regional Office (NERO), One Winter Street—5th Floor, Boston, MA 02108 UIC Program, DEP Southeast Regional Office (SERO), 20 Riverside Dr., Lakeville, MA 02347 UIC Program, DEP Central Regional Office (CERO), 627 Main Street, Worcester, MA 01608 UIC Program, DEP Western Regional Office (WERO), State House West, 4th Floor, 436 Dwight Street, Springfield, MA 01103 UIC Program, DEP Boston Office, One Winter Street—6th Floor, Boston, MA 02108 SERVICE CENTER PHONE NUMBERS: Northeast Regional Office 617-654-6500 Southeast Regional Office 508-946-2714 Central Regional Office 508-792-7683 Western Regional Office 413-784-1100 ext. 214 Send duplicate copies of all forms to: Local Board of Health Local Plumbing Inspector I ws06d•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 9 of 9 UIC Closure Narrative 371 North Street, Hyannis, Massachusetts This narrative has been written by Green Seal Environmental, Inc. (GSE) to provide the closure details of an Underground Injection Well located at 371 North Street, Hyannis, Massachusetts(hereinafter the"site"). In February 2004, GSE conducted an ASTM Phase 1 Environmental Site Assessment. During the assessment a floor drain system was discovered at the site. Please note that our research indicated that the floor drain itself was plugged in 1985 in response to letters from the Town of Barnstable. The site has a history from the 1960's until 2004 of automobile repair. Based on the results of the assessment, GSE recommended that the Underground Injection Control regulations be applied to the floor drain system and that the discharge point (leach field) be investigated to determine if a release of oil or hazardous materials had occurred. GSE returned to the site and excavated a test pit in the leach field in order to collect a soil sample at the discharge point. A soil sample was collected at the outlet of a distribution box and sent to a laboratory for extractable petroleum hydrocarbons (EPH) plus target polycyclic aromatic hydrocarbons (PAH) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for soil classified as S-1. GSE returned to the site in November 2005 to conduct an update to the ASTM Phase 1 Environmental Site Assessment. During the assessment, GSE installed three groundwater monitoring wells around the perimeter of the leach field (one upgradient and two downgradient) and a fourth well in the center of the leach field. Groundwater samples were collected and sent to a laboratory for extractable petroleum hydrocarbon (EPH) with target Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Petroleum Hydrocarbon (VPH) with target volatile organic compound (VOC) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for groundwater classified as GW-2. Since that time no other actions have occurred regarding the floor drain. Please note that the site is a listed hazardous waste site under the MCP due to the discovery of buried oil filters and waste oil impacted soil in another area of the site that is unrelated to the floor drain system. Currently a Release Abatement Measure is ongoing. i��--ems• � �-.'��' � ' � 7r�', � ,1 � //fir � {'Ilt fit j ' i > '�- .\ .►1�, r' j� ,% } ,sz . .il ��,% -� � / • I TZ� 'W, -.�� ol t�� Etom,,,.,. � � _-/' �V'�`'.�� ! � �,,• �-- MS WE Alm i RM VOM On IVA M, All sal 1, 1�I 9:FA„� A UIC Schematic Site Plan Commercial Property ee'% Trees i %v° - #371 0. - MDC Trap ' MW-1 �� •` - Leaching MW-3 —> � Fieldr Fenced in MW,i2 Parking Area ; CO)MW-4 Shed � Approximate Boundary (red) '.� Asphalt ; CO) Building 1 CD #350 #700 Concrete Area Metal Storag*►_ Container i i Asphalt i Grass Main Street `l.+ Location: 350 Stevens Street Figure 2 Hyannis, Massachusetts Not To Scale Date: February 13, 2004 Based on Visual Observations e� A 0 0 w o � � a •�1 � A A o � M o � A � y M A ►� o w Ej " ELocation: 371 North Street Hyannis, MA p Date: July 27, 2006 Not To Scale o� y az Based on Visual Observations ee n se 64* �G fi s f®noe August 25, 2006 MA DEP Underground Injection Control Program One Winter Street Boston,Massachusetts 02108 h RE: Underground Injection Well Closure Report Dear Sir/Madam, Enclosed is a copy of the Underground Injection Well Closure Report, for property located at 37.1 North Street, Hyannis,Massachusetts. If you haye:any questions or comments, please do not hesitate to contact our office at (508)':8i8�-6034. Sincerely, GREEN SEAL ENVIRONMENTAL, INC. cm9� Richelle Brady Administrative Assistant Enclosure Cc MA DEP—Southeast%agiqp Town of Barnstable—BOH jTown of Barnstable—Plumber Inspector �rl Phone: (508) 888-6034 Fax: (508) 888-1506 28 Route 6A, Sandwich, MA 02563 t`` rf a i.y£1 '...+` i Yt` a ,*, y t,l _ ``, t.- 4j f � y?. �.f '•1 •1 e `z �r+q .^' "'.t1 K 4 r e I bt• d. �„1 F, .�, R „t c _)^. •'A' A A •hi^ y, a "�"'7. • �nr r �5 T ( • ,Y4 �1 .+C + M, 10 4 t,w tk r i t+ r �� ''h` UNDER.wk ROITND-INJECTION WELLY CLO URE „n5 t �` `1.. { • �• x¢, 1 } d�As ', ,r r t+ p 'e } '�r{r e+ s a,rt ✓ .� 1, ." r �'`' a 3 S � ,�� 6 •.'<- 6. Nort Street n f 1'' r .�•� �, N,t > s`'r rt ,y` .,y 'tnf � , 1. 1.�/ °,: r� 'f'`Rr'^ t b1 Y� 11Nt� y .. `7, A^ L. 7r •'da iyy' J ,. , 4 t H�yanis assachusett 5 / r M..} y �, r °: .-L J>Z � +' � `+ a .""^,,,' L �. e+ t S ^ •, .�„ 1 d ,r .!• 1 r 1 �x t�\ D .y r •� H { � Iw t �.r^� � ' # i 1 - w I St R 006: t ,.; 139 h+, i 1 i k' t •d tr �d r+ Y.: ark: ;� �'tA k R rt f l 'y y.� 1 a 7 L" !y)•J" i" T / d 1 _ �C�Y �I •r x '.i ,� t + •$;1 1r3M� V L; i n. +'F y ,+ y }a'° r t'f; +`* r i1 +� . �,d�s � �t � °,^ � l F � •,+„ t .+ it �� t �ft. ° y y� �..�� d �t to ti T, Prepared For 3. co LL ADv NTGE CO' STRLTCTIO" INC :TWO ADAMS�PLACE, SUITE l OO et Qvm&, MA 02169 'f '4.,-j wy t ray r rSl ,.c `� e�.�4 � ?w n f 't 1. {.t•' � Z w~r fit, � r •}'fit x / � � �� _ Z� � pA 3 3 � . +. 9`h^-� a!w a " S 2 r r 1•�:.L }` � 't� �, +.1n.1 'S /.. j� � -.Y k .fit _} - ) L • �. '. • .p ,a { -,1kfy t � y. ..�h f S'r� r, t" y ,+ s` S t: � t b'. , � +` o t;� ,� '! it � �, ° a ♦r b t-:w � a� t. 44 a vz'.c a : .,Y.f f' ,. e "'r a v , •,� 4. .'y � y-.1 t. fw f (G `y4:l . �1 fat ;�yx'jk+. S� �y •r� S e: .� ,war,?- �..F .' ,��} ,.r. A } h., \ '+ + bt✓, ry � } X .. £ t-. � � < { ''� e e n its a ; ' tiRrovrding'Innovative Solutions.For , L �` ' Solid Waste 1 t F� s Health.&;Safety `' 1 ; Hazardous Waste k Environmental Momtormg ' �' r¢}' ' '•t .y<a t ,Fy r r ,f P ,,. 6 t ° d' ` ' J ;., '• ,r�1 � � !'1 ro" f s,cs4� w. :'1 ,p .f '3.,,, i� .r r �r Ir ey Materials:Mana'gement� } ComphancetOutsourcirig b r �"` ��r it ` -? a--:'` e',} r• t:.( F t" t' Ott }. ., '4,� ,,:v ,1 3 1 r'� � -y}7,; t � � -. 1 -; 1 '-r'' � Y . ,+ v. c _s� ,i a we t � z Y t r,�'.� �✓.! �'k �-A xr a. 1 .- G a ,,,,�+y x. _, t. � `+s', t Y '�• / Jr � 1 r v ■ �� {r ✓fir .1.,'�� fC ..t } j r -11.1 r, New`Hampsh'ire Of jce 28 Rout(.'6A,Sandwich,MA 02563 . ' k, >; �, �.,,r •': „� 301 Daniel Webster,Highway,°Mmiinack,-NH 0364,' . t (508)888 6034'L fFax�(508)`888 1506, kx wwwgseenv com b ` k� .yF�',Phone:(603)424-30U4•'Fax. (603)424 3241 r i.'":I .r , a. rt'},i`' �,� � '•',�. t,4 f 3 1. �} b -Y,i r } , { ,�,� w .x 1 .-.f ,�. ^A r .e � .. r.'.✓rA, t �°t �:;t h �b 1 , 1 Aj<d.'..v✓ ei^, _ - ; LJ Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 371 North Street — Injection Well Closure Report 1 Introduction This document has been prepared by Green Seal Environmental, Inc. (GSE) to provide the reader with details of the closure of a floor drain system (underground injection well). This system was located at the 371 North Street building in Hyannis, Massachusetts (hereinafter the "site"). Please see ' Figure 1, Locus Map. All conclusions are based on the scope of work performed and the Service Constraints in Attachment 1. ' Background The site buildingis currently vacant and was recently occupied b John Y Y P Y Frazier and Son Auto Repair. During August 2004, GSE conducted a Phase 1 ' Environmental Site Assessment (ESA) for the subject property. During GSE's site reconnaissance the floor drain system, Metropolitan District Commission (MDC) Trap and associated leaching area were identified. Please note that the floor drains were sealed in concrete at the time of inspection. ' According to the town of Barnstable Board of Health (BOH) files, Notice to Abate Nuisances were issued on 12/29/81, 2/18/82, and 1/19/83 for the discharge of waste hydrocarbons including motor, brake, hydraulic or other refined petrochemicals used as lubricants into the floor drain system of the site building's garage. According to BOH files, the floor drains discharged into a Metropolitan District Commission (MDC) trap and ultimately into a leaching area, which is considered by EPA to be an Underground Injection Control (UIC) well. ' No information was available pertaining to when the floor drains were sealed or how long the floor drain system has been in existence. Assessor's records ' indicate that the site building was constructed in 1964. Prior to John Frazier and Son occupying the site building, previous occupants included Ken's Auto Repair and Lawrence F. Tobey and Son, Inc. Both of those companies were ' in the auto repair business. GSE assumed that the site building has been used as an auto repair facility since 1964. ' Continued on next page Green Seal Environmental 1 i Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 ' 371 North Street — Injection Well Closure Report, Continued 1 Background GSE conducted a limited subsurface investigation of the floor drain system to ' (continued) determine the design of the system and the extent of the leaching area. Subsequent laboratory analysis of the underlying soils within the leaching area indicated that the underlying soils had not been adversely impacted by the floor drain system. Please see the sections below for further details. During November 2005, GSE was contracted by Condyne, LLC to conduct a ' Phase 1 Environmental Site Assessment (ESA) of the site building and surrounding property. As part of this investigation, GSE recommended that the floor drain system be formally closed in accordance with MA DEP's Underground Injection Control Program. GSE installed four(4) groundwater-monitoring wells (one (1) up gradient and ' three (3) down gradient) to determine if groundwater has been adversely impacted by the floor drain system. According to the laboratory data, groundwater in the vicinity of the floor drain leaching area has not been ' adversely impacted. Please see the sections below for further details. ' MA DEP MA DEP requires floor drain systems to be closed under the Underground regulations Injection Control Program (310 CMR 27.00) if they discharge into the ' environment. The floor drain system at the site was connected to an MDC Trap and associated leaching area and therefore discharged into the environment. ' Three (3) forms are required for submittal during the closure process, which include BRP WS 06 d — Pre-Closure Notification Form, Form WS 1 —Notice ' of Plumbing Inspector Approval to Seal Floor Drain, and UIC Class V Well Post-Closure Notification Form. Copies of completed forms are presented in Attachment 2 of this report. ' This report has been prepared to provide Condyne, LLC and MA DEP with details of the closure process, as required by 310 CMR 27.00. Continued on next page Green Seal Environmental 2 Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 ' 371 North Street — Injection Well Closure Report, Continued 1 Configuration As noted above, GSE conducted a Phase 1 ESA of the subject property in ' March 2004. As part of this investigation, GSE also conducted a limited subsurface investigation to determine the design of the floor drain system and the extent of the leaching area. ' The floor drains are each approximately 16" x 16" inches in size and consist of a metal grate and concrete lined drain area. A cast iron 4-inch pipe was ' observed in each floor drain. The piping was capped and sealed on the day of inspection. GSE discovered a MDC trap located approximately 10 feet southwest of the site building. The top of the MDC trap was found approximately 3 inches below the ground surface. ' GSE personnel removed the cover of the MDC trap and found standing water p p g with oil floating on the surface within the trap. Foul odors were noted as ' well. Three pipes were observed within the MDC trap. One of the pipes was a discharge pipe from the garage floor drains. According to the building occupant at the time, John Frazier, the second pipe was a vent pipe, which ' was noted on the southwestern portion of the roof of the site building. ' GSE was able to follow the third pipe, which was a discharge pipe that ran to the south/southwest of the MDC trap. GSE determined that the third pipe led to a distribution box, which was located approximately 20 feet to the south/southwest of the MDC trap. The distribution box was unearthed by a ' backhoe. GSE observed three perforated "orangeburg" drain pipes (rolled tar paper) in ' the distribution box, which lead to the west, south and east. GSE was able to follow the pipe (using a backhoe) that led to the south and determined the ' pipe to be approximately 25 feet in length. The drainage pipes were surrounded by stone as is typical of leaching fields, and the soil was black in color directly adjacent to the pipes. GSE assumed the other two pipes leading to the east and west respectively are the same length and part of the leaching field as well. ' Please refer to Figure 2, Schematic Site Plan for details. Continued on next page Green Seal Environmental 3 Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 371 North Street — Injection Well Closure Report, Continued 1 Soil sample During the March 2004 subsurface investigation of the floor drain system and ' collection for leaching area, GSE collected a composite soil sample from beneath the analysis southerly drainage pipe and sent it to Rhode Island Analytical Laboratories (RIA) for extractable petroleum hydrocarbons (EPH) plus target polynuclear ' aromatic hydrocarbons (PAH) analyses. A summary of the laboratory results is presented in the following table. Leaching Field Laboratory Report Summary—Soil (March 2004) ANALYTE ; '. SAMPLE RESULTS RC=SL'REPORTING MG/KG THRESHOLD EPH C9-C18 Ali hatics BDL 1,000 ' C19-06 Ali hatics 110 2,500 C 11-C22 Aromatics 31 200 ' Target PAHs Naphthalene BDL 4 2-Meth lna hthalene BDL 4 ' Acena hthene BDL 20 Acena hthylene BDL 100 Fluorene BDL 1,000 ' Phenanthrene BDL 100 Anthracene BDL 1,000 Fluoranthene 1.2 1,000 ' Pyrene 1.2 700 Benzo(a)anthracene 0.6 0.7 Chrysene 0.6 7 Benzo(b)fluoranthene 0.4 0.7 Benzo(k)fluoranthene 0.6 N/A ' Benzo(a) yrene 0.5 0.7 Indeno 1,2,3, cd ene 0.6 0.7 Dibenzo(a,h)anthracene 0.4 0.7 ' Benzo)g,h,i)perylene 0.4 1,000 Notes: ➢ Mg/K=milligrams per kilogram ➢ BDL=below detection limit ' ➢ BOLD=exceeds the MA DEP S-1 reporting threshold S-1 =soil classified as S-1 in the Massachusetts Contingency Plan(MCP—310 CMR 40.0000). Soil that is easily accessible to both children and adults in high frequency or within 500 feet of a residential dwelling and within an area where groundwater is classified as GW-1 Continued on next page Green Seal Environmental 4 Underground Injection Well Closure Report 371 North Street,Hyannis Augus ,2006 371tNorth Street - Injection Well Closure Report, Continued p 1 Laboratory According to RIA, no analytes were reported to be above the MCP reporting ' reports thresholds for soil classified as S-1. Please see Attachment 3 for a copy of the laboratory reports. ' Analysis of y In the opinion of GSE, based on the laboratory data, no analytes were laboratory data reported to exceed the MA DEP S-1 reporting threshold. In the opinion of ' GSE, based on the laboratory report, the release of hydrocarbons to the leaching field has not adversely impacted the underlying soils since the reported laboratory analytes were not found to be above a regulatory standard. ' Continued on next page I I' A 1 Green Seal Environmental 5 ' Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 371 North Street s Injection Well Closure Report, Continued 1 Groundwater As noted above, GSE conducted a Phase 1 ESA during November 2005 for sample the subject site and surrounding property. During this assessment, GSE collection for installed four (4) groundwater-monitoring wells around the perimeter of the analysis leach field, which consisted of one up gradient well, two down gradient wells, ' and a well situated in the center of the leaching area. On November 21, 2005, GSE provided oversight for Desmond Well Drilling ' who installed four (4) 2-inch temporary monitoring wells within the above noted areas of the leaching field. The purpose of the well installations was to determine if historic discharges to the floor drain system had adversely impacted groundwater. Monitoring Well 1 (MW-1) was installed to the west of the site building up gradient of the tfloor drain leaching area. MW-2 was installed to the east of the leaching area. MW-3 was installed directly in the leaching area and MW-4 was installed down gradient to the west/southwest of the leaching area. Please see Figure. ' 2-Schematic Site Plan for locations of the wells. ' The wells were installed by a truck-mounted 6-inch auger to a depth of 15 feet. The wells consisted of a ten-foot screen and a riser. A filter sand pack was placed around the wells. Groundwater was encountered at approximately five feet below the surface. Survey elevations were obtained for all four ' wells, which indicate groundwater flow to be in a south/southwesterly direction. ' On November 28, 2005, GSE returned to the site to collect groundwater samples from the four wells. The wells were appropriately purged and samples were collected using the EPA/MA DEP recommended low-flow sampling technique. The samples were delivered to Groundwater Analytical Laboratories of Buzzards Bay (GAL) following standard chain of custody ' procedures for extractable petroleum hydrocarbon (EPH) with target Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Petroleum Hydrocarbon (VPH) with target volatile organic compound (VOQ analyses. ' A summary of the laboratory results is presented in the following table. All results are in micrograms per liter (µg/L). Please see Attachment 3 for a copy of the laboratory data. ' Continued on next page Green Seal Environmental ' 6 ' Underground Injection Well Closure Report 371 North Street,Hyannis Augus ,2006 ' 371t North Street — Injection Well Closure Report, Continued p ' Leaching Field Laboratory Report Summary—Groundwater (November 2005) Parameter Concentration `RC GW=1 Threshold .:.� . . ..: _ MWl 1VIW2` '`MW3 MW4 a EPH ' C9-C18 Ali hatics BRL BRL BRL BRL 1,000 C19-06 Ali haties BRL BRL BRL BRL 5,000 C l l-C22 Aromatics BRL BRL BRL BRL 200 PAHs Na thalene BRL BRL BRL BRL 140 2-Meth lna hthalene BRL BRL BRL BRL 10 Acena hthylene BRL BRL BRL BRL 300 ' Acena htene BRL BRL BRL BRL 20 Fluorene BRL BRL BRL BRL 300 Phenanthrene BRL BRL BRL BRL 50 Anthracene BRL BRL BRL BRL 2,000 Fluoranthene BRL BRL BRL BRL 90 Pyrene BRL BRL BRL BRL 20 Benzo[a]anthracene BRL BRL BRL BRL 1 Chrysene BRL BRL BRL BRL 2 ' Benzo b fluoranthene BRL BRL BRL BRL 1 Benzo[k]fluoranthene BRL BRL BRL BRL 1 Benzo a rene BRL BRL BRL BRL 0.2 ' Indeno[a,2,3-c,d]pyrene BRL BRL BRL BRL 0.5 Dibenzo a,h anthracene BRL BRL BRL BRL 0.5 Benzo[g,h,i erylene BRL BRL BRL BRL 300 VPH ' C5-C8 Ali hatics BRL BRL BRL BRL 400 C9-C12 Ali hatics BRL BRL BRL BRL 1,000 C9-C10 Aromatics BRL BRL BRL BRL 200 ' VPH Targets MTBE BRL BRL BRL BRL 70 Benzene BRL BRL BRL BRL 5 ' Toluene BRL BRL BRL BRL 1,000 Ethylbenzene BRL BRL BRL BRL 700 meta-X lene and para X lene BRL BRL BRL BRL 6,000 ' ortho-Xylene BRL BRL BE BRL 6,000 Naphthalene BRL BRL BRL BRL 140 Notes: ' BRL=below the laboratory method reporting limit RC GW-1 =Reporting concentration for groundwater classified as GW-1 per 310 CMR 40.0000 ' Continued on next page � 1 Green Seal Environmental 7 ' Underground Injection Well Closure Report 371 North Street,Hyannis August,2006 ' 371 North Street — Injection Well Closure.Report, Continued Laboratory According to GAL, all analytes were reported to be below the laboratory ' reports method reporting limits. Please see Attachment 3 for a copy of the laboratory reports. tAnalysis of In the opinion of GSE, based on the laboratory data, the floor drain system laboratory data and associated leaching area has not adversely impacted groundwater at the site. In the opinion of GSE, based on the laboratory data, the floor drain system does not present a REC to the site. ' Continued on next page Green Seal Environmental 8 Underground Injection Well Closure Report 371 North Street,Hyannis ' August,2006 371 North Street — Injection Well Closure Report, Continued 1 Conclusions The following are conclusions based on the scope of work performed and the ' Service Constraints in Attachment 1. 1. During a Phase 1 ESA conducted by GSE in March 2004, a floor drain ' system, MDC trap and associated leaching area was discovered at the property located at 371 North Street Hyannis, Massachusetts. ' 2. GSE conducted a limited subsurface investigation of the floor drain system in March 2004 to determine the specific design and extent of the leaching area. A soil composite was collected from beneath the leaching area for subsequent laboratory analysis, which included extractable petroleum hydrocarbon (EPH) with target polynuclear aromatic hydrocarbons (PAHs). The soil composite was sent Rhode Island Analytical Laboratory (RIAL) via standard chain of custody procedures. ' 3. According to the RIAL laboratory data no contaminants analyzed were present above the applicable laboratory method detection limits ' and/or above the Massachusetts Contingency Plan (MCP — 310 CMR 40.0000) Reportable Concentrations for soil classified as S-1. 4. In the opinion of GSE, based on the laboratory data, the floor drain ' system and associated leaching area has not adversely impacted the underlying soils in concentrations deemed "reportable" for soils ' classified as S-1. 5. GSE conducted a second Phase 1 ESA and limited subsurface investigation at the subject property in November 2005. As part of this investigation, GSE recommended that the floor drain system be formally closed in accordance with MA DEP's Underground Injection ' Control Program. 6. Desmond Well Drilling and GSE installed four (4) groundwater- monitoring wells around the perimeter of the leach field, which consisted of one upgradient well, two down gradient wells, and a well situated in the center of the leaching area. ' Continued on next page 1 i Green Seal Environmental ' 9 ' Underground Injection Well Closure Report 371 North Street,Hyannis 1 371tNorth Street— Injection Well Closure Report, Continued� p I' 1 Conclusions 7. Groundwater samples were collected in November 2005 using low- (continued) flow sampling techniques. The samples were collected after field parameters (pH, conductivity, temperature, dissolved oxygen) stabilized using a Horiba multi-meter. ' 8. The samples were delivered to Groundwater Analytical Laboratories of Buzzards Bay following standard chain of custody procedures for extractable petroleum hydrocarbon (EPH) with target Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Petroleum Hydrocarbon (VPH) with target volatile organic compound (VOC) analyses ' 9. Laboratoryanalysis of groundwater samples collected indicated that Y �' P no contaminants were present above the applicable laboratory method ' detection limits and/or above the Massachusetts Contingency Plan (MCP — 310 CMR 40.0000) Reportable Concentrations for groundwater classified as GW-I. 10. In the opinion of GSE based on the laboratory report, no significant release of OHM from the floor drains to the environment has occurred. ' 11. The (two) floor drains have been removed from the site building and sealed over with a gravel pack and concrete. The town of Barnstable Plumbing Inspector approved the sealing of the floor drains. 12. In the opinion of GSE, no further actions are required at the site regarding the floor drain system. Recommendations GSE makes the following recommendations based on the scope of this project ' and the conclusions above: 1. The site owner should retain records and documentation pertaining to ' the UIC Closure. 2. GSE recommends that this report and associated forms be sent to MA ' DEP's Underground Injection Control Program in Boston, MA DEP southeast regional office and the Barnstable Board of Health and Plumbing Inspector. M Green Seal Environmental 10 ' Service Constraints Service The purpose of this Report is to provide the details of an Underground Injection Control ' closure assessment that meets the Massachusetts UIC regulations. This report included the following tasks: ' A. Identifies and describes the presence of oil or hazardous materials (OHM) in the environment at the UIC system discharge point. B. Where OHM is identified, as reasonably possible estimates the scope of further work at the site. 2. Limitations A. Preliminn Findings ' The following limitation is applicable if the report is stamped "DRAFT" or otherwise identified as draft: Green Seal Environmental Inc. has prepared this Report at the specific request of the client. Due to Client imposed time, information, and financial restrictions, Green Seal Environmental, Inc. has not performed the services necessary for it to render any opinions or reach any conclusions. Accordingly, the studies, data, information, and findings contained in this Preliminary Report are not the final conclusions of Green Seal Environmental, Inc., but merely basic information requested by the client upon which the Client may draw their own conclusions. ' Client agrees that Green Seal Environmental, Inc. shall not be liable for any claims, loss, damage, or expenses incurred by the Client or others arising out of the use of, or reliance on, any information contained in this Report. tB. General 1. This Report was prepared for the exclusive use of Ginsberg Asset Management. No other party is entitled to rely on the conclusions, observations, specifications, or data contained therein without the express written consent of ' Green Seal Environmental, Inc. 2. This Report was prepared pursuant to an Agreement between the Client and ' Green Seal Environmental, Inc. All uses of this Report are subject to, and deemed acceptance of, the conditions and restrictions contained therein. ' C. Purpose of Report It is Green Seal Environmental's understanding that this Report is to be used for the purpose described in the introduction of the Report. This stated purpose has been a ' significant factor in determining the scope and level of services provided for in the Agreement. Should the purpose for which the Report is to be used, or the proposed use of the site(s) change, this Report is no longer valid, and use of this Report by ' Client or others without Green Seal Environmental's review and written authorization shall be at the user's sole risk. Should Green Seal Environmental, Inc. be required to review the Report after its date of submission, Green Seal Environmental, Inc. shall ' be entitled to additional compensation at then existing rates or such other terms as agreed between Green Seal Environmental, Inc. and the Client. ' D. Scope of Services The observations and conclusions described in this Report are based solely on the ' Scope of Services provided pursuant to the Agreement between Client and Green Seal Environmental, Inc. and summarized in the introduction of this Report. Green Seal Environmental, Inc. has not performed any additional observations, investigations, ' studies, or testing not specifically stated therein. Green Seal Environmental, Inc. shall not be liable for the existence of any condition, the discovery of which required the performance of services not authorized under the Agreement. ' E. Time ' The passage of time may result in changes in technology, economic conditions, site variations, or regulatory provisions, which would render the Report inaccurate. Accordingly, neither the Client, nor any other party, shall rely on the information or ' conclusions contained in this Report after three (3) months from its date of submission without the express written consent of Green Seal Environmental, Inc. Reliance on the Report after such period of time shall be at the user's sole risk. t Should Green Seal Environmental, Inc. be required to review the Report after three (3) months from its date of submission, Green Seal Environmental, Inc. shall be entitled to additional compensation at then existing rates or such other terms as may ' be agreed upon between Green Seal Environmental, Inc. and the Client. F. Conclusions The conclusions stated in this Report are based upon: observations of existing physical conditions; our interpretation of site history and site use information; ' information provided by the Client; and information and/or analyses provided by independent testing laboratories upon which Green Seal Environmental, Inc. is entitled to reasonably rely. Green Seal Environmental, Inc. was not authorized and ' did not attempt to independently verify the accuracy or completeness of information or materials received from third parties during the performance of its services. Green Seal Environmental, Inc. shall not be liable for any conditions, information, or ' conclusion, the discovery of which required information not available or independent investigation of information provided to Green Seal Environmental, Inc. unless otherwise indicated. Any site drawing(s) provided within this Report is not meant to ' be an accurate base plan, but is used to present the general, relative locations of features on, and surrounding, the site. II, t Enter your transmittal number091 �5 \,�,. `'Transrnittal Number 1� Your unique Transmittal Number can be accessed online: http://www.mass.gov/dep/counter/trasmfrm.shtm] or call (, DEP's InfoLine at 617-338-2255 or 800-462,0444(from 508, 781, and 978 area codes). Massachusetts Department of Environmental Protection Transmittal Form for Permit Application and Payment �. Please type or A. Permit Information print.A separate Transmittal Form BRP WS 06 d UIC Closure us' be completed 1.-Permit Code:7 or 8 character code from permit instructions 2. Name of Permit Category r each permit pplication. 3.Type of Project or Activity 1 Make your heck payable to B. Applicant Information - Firm or Individual he Commonwealth of Massachusetts Ginsberg Asset Management jnd mail it with a 1.-Name of Firm-Or,if party needing this approval is an individual enter name below: opy of this form to: Adams Dan EP, P.O. Box 4062, Boston, MA 2.Last Name of Individual 3. First Name of individual 4. MI 02211. 555 Constitution Drive 5.Street Address Three copies of Taunton Ma 02780 508-280-3071 tis form will be 6. CityiTown 7.State B.Zip Code 9.Telephone# 10. Ext.# needed. topy 1 -the 11.Contact Person 12.e-mail address(optional) riginal must accompany your permit application. C. Facility, Site or Individual Requiring Approval Wopy 2 must ccompany your e payment. 1. Name of Facility,Site Or Individual Copy 3 should be 371 North Street tained for your 2.Street Address cords Hyannis Ma 02601 4. Both fee paying 3. City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# and exempt pplicants must 8.DEP Facility Number(if Known) 9. Federal I.D. Number(if Known) 10. BWSC Tracking#(if Known) Wail a copy of.this ransmittal form to: D. Application Prepared by (if different from Section B)* DEP' Green Seal Environmental P.O.Box 4062 e of Firm Or Individual Boston, MA 1. Nam 02211 28 Route 6A 2.Address Sandwich Ma 02563 508-888-6034 Note: 3. City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# For BWSC Permits, Stacey OBrien enter the LSP. 8.Contact Person 9. LSP Number(BWSC Permits only) E. Permit - Project Coordination ' 1. Is this project subject to MEPA review? ❑yes ® no If yes, enter the project's EDEA file number-assigned when an Environmental Notification Form is submitted to the MEPA unit:. ' EOEA File Number F. Amount Due DEP Use Only Special Provisions: 1. ❑ Fee Exempt(city,town or municipal housing authority)(state agency if fee is$100 or less). Irmif No: There are no fee exemptions for BWSC permits,regardless of applicant status, 2. ❑ Hardship Request-payment extensions according to 310 CMR 4.04(3)(c). c'd Date: 3. ❑Alternative Schedule Project(according to 310 CMR 4.05 and 4.10). 4. ❑ Homeowner(according to 310 CMR 4.02). iviewer., 12114 $90.00 7/28/2006 Check Number Dollar Amount Date Irmv%,-rev. 11/04 Page 1 of 1 ' Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 ' Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d t and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program See instructions Transaction Type ' ® Closure ❑ Partial Closure ❑ Closure/Replacement ❑ Registration ' A. Facility Information See Instructions 351 North Street Facility Name Facility Street Address ' Ginsberg Asset Management Company Name SIC Code# (DEP Use Only) Facility# Hyannis Barnstable Massachusetts City/Town County State Zip Code Facility PWS ID#(if appropriate) UIC ID#(if previously registered with DEP) 508-280-3071 ' Facility Telephone Number Facility Email(optional) EPA Hazardous Waste Generator ID# EPA Hazardous Waste Generator ID# B. Owner/Operator Information See Instructions For modifications, enter new or revised information: ' Dan Adams c/o Ginsberg Asset Management 555 Constitution Drive Name of Owner Address of owner(if different from facility) Taunton Massachusetts 02780 ' City/Town State Zip Code Name of Operator(if different from owner) Address of operator(if different from facility) ' City/Town State City/Town Same as above Legal Contact Address of legal contact ' City/Town State Zip Code 508-280-3071 ' Legal Contact Phone# Legal Contact Fax# Ownership Type: ' Private: ❑ Industrial ® Commercial ❑ Non-profit ❑ Residential Public: ❑ Local ❑ Regional ❑ State ❑ Federal ' C. Injection Well Information See instructions- �able at end Registration: ❑ Individual or ❑ Area 5)28 1 Well Type Well Type Number of wells ws06d-Effective 10/08/04. BRP WS 06d-UIC Class V Well Pre-Closure Notification Form ' Page 1 of 2 ' Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not ' Previously Registered with the UIC Program C. Injection Well Information (cont.) Well Construction (check all that apply) ' ❑ Drywell ❑ Septic Tank ❑ Cesspool ❑ Dug Well ❑ Improved Sinkhole ❑ Lag000n ® Drainfield /Leachfield ❑ Dustwater onto the ground or pit ❑ Leaching Catch Basin ❑ Infiltration Trench ❑ Drilled Well ❑ Other(describe): Motor Vehicle Waste Type of discharge See instructions- Vehicle Washing 'table at end Source of water discharged to the well Unknown Unknown .1985 Average flow(gallons per day) Year of well construction Year ceased using well ' Number of Entry Points to System before closure 1 Number of Entry Points proposed to be closed 1 ' Number of Entry Points to System after closure(need to be registered with 0 the UIC program) See instructions List any treatment devices in place or proposed prior to the injection point: Oil Water Separator 1 See instructions Approximately 7 feet 200-300 feet Depth to water table(feet) Depth to bedrock Urban fill none Soil type(s)at side-e.g.,fill,sandy till,gravel,sand Distance to nearest private drinking water well(within 1250') ' Distance to nearest Public Water Supply(within 2500') Name of nearest Public Water Supply D. Proposed Well Closure Activities ' Check all that apply. Well operation status: See instructions ❑ Active ❑ Temporarily abandoned ❑ Active/Partial Closure ' ® Permanently abandoned/not reported previously Proposed date of well closure: 7/27/06 i ws06d-Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- ' Page 2 of 2 Massachusetts Department of Environmental Protection L71 Bureau of Resource Protection - Drinking Water Program I ' TI� BRP W V 06 W09Trans 155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not ' Previously Registered with the UIC Program D. Proposed Well Closure Activities (cont.) ' Proposed closure activities (check all that apply): ' ❑ Clean out well(s) Z Sample fluids/sediments ® Appropriate disposal.of remaining ❑ Remove well(s) and any contaminated soil fluids/sediments ' ❑ Conversion to other well type ® Install permanent plug ❑ Partial Conversion to another well type ❑ Other(describe): ' Floor Drain Source of injection fluid(#1) Source of injection fluid(#2) ' Source of injection fluid(#3) Source of injection fluid(#4) Petroleum Products Potential contaminant#1 Potential contaminant#2 ' Potential contaminant#3 Potential contaminant#4 E. Site Information ,See instructions Are there any other discharges on site? El Yes Z No If yes, are they permitted with DEP? ❑ Yes ❑ No If no, are they registered with DEP as Class V wells? ❑ Yes ❑ No ' Please list the type or types of discharges: ' Check any of the following that apply to this site: a. ❑ Superfund site If yes, Federal ID# ' b. ® Bureau of Waste Site Cleanup Priority Site RTN 4-19801If yes,file number c. ❑ Bureau of Waste Site Cleanup Waiver Site If yes,file number Please provide a copy of the letter of authorization if applicable. See instructions If the site is currently being regulated by the Bureau of Waste Site Cleanup, check any of the ' following that apply: ® Incident Response ❑ Short Term Measure ws06d•Effective 10/08/04 BRP WS O6d-UIC Class V Well Pre-Closure Notification Form - ' Page 3 of 3 iMassachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not ' Previously Registered with the UIC Program E. Site Information (cont.) ' Activity and use limitations: Confirm that the applicant has checked that the site does not have any activity restrictions with ' respect to limiting discharges on the site. ® No restrictions ❑ Restrictions (please explain; attach additional sheets if necessary): ' Location of Facility: Y ' Is the facility located on Native American lands? ❑ Yes No Latitude: 41 38 57 Longitude: 70 17 40 degrees min(') sec(") degrees min(') sec(") ' Latitude &Longitude are no longer optional data. See instructions Identify the method used for locating the latitude/longitude coordinates for the UIC Class V well(s): ' Type: ' ® Approximate location of point of UIC Class V well(s) ❑ Approximate center of drainfield(s) ' ❑ Approximate location of area wellfield(s) ❑ Approximate center of facility(ies) ❑ Approximate center of area where discharges are located ' Accuracy: ® Estimated horizontal accuracy is less than +/-100 feet ' ❑ Estimated horizontal accuracy is less than +/- 500 feet ❑ Estimated horizontal accuracy is less than +/- 1000 feet ' Provide a narrative description of the site and the feature to be permitted. As an example: "The site is on the west side of Main Street, the third building north of High Street. The disposal field lies 100 feet ' off the southwest corner of the building." No permits being sought for this UIC ws061•Effective 11111114 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form - Page 4 of 4 ' Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program ' BRP WS 06' d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not r Previously Registered with the UIC Program E. Site Information (cont.) ' Must be All additional information that is relevant to the installation or operation of this injection well and to the attached-see determination of its potential to endanger underground sources of drinking water(USDWs)— instructions including a site map showing the facility and UIC well(s), on-site drinking water wells, all other on-site ' discharges and the drains leading to the well and/or drainage area served by the well. MSDS sheets for chemicals likely to be discharged into well must be submitted. Analytical data available on the discharge or raw water as applicable. ' ® Map attached ❑ Detail sheets attached ❑ MSDS sheets attached ❑ Other information attached Attach a map of the facility based on a USGS topographical map or MassGIS Color Ortho Photography that clearly indicates both your facility and the.location of the discharge. The USGS topographical map is available at: http://maps.massqis.state.ma.us/MassGISTopos/viewer.htm ' or the Color Orthophotography At: http://maps.massgis.state.ma.us/MassGISColorOrthos/viewer.htm. .Attach a site plan showing buildings, boundaries, abutting streets, location of test pits., location of all ' UIC wells, location of on-site drinking water wells, location of monitoring wells and a locus map. Attach a narrative description of the shallow injection well system and its major components. The ' description should contain a diagram including the plan view and cross sectional view of the shallow injection well system, indicating piping,junction boxes, tanks, and leachfields. Dimensions of all major components and design calculations must be included. ' Attach existing analytical testing data from the existing waste stream or raw water for expected contaminants in proposed waste stream, based on specified testing parameters. 1 1 1 r r ws06d •Effective 1111,11, BRP WS 06d-UIC Class V Well Pre-Closure Notification Form Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program BRP S ®V d W091155 ' Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d ' and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) ' Who must register: Any party who has discharged or is discharging to a Class V Well(s) as defined in 310 CMR 27.00 ' must apply except those listed as exempt from the registration requirement as per 310 CMR 27.07. (2) Groundwater Remediation Projects. Any injection into a Class IV or Class V injection well during a response action conducted or performed in accordance with the provisions of M.G.L. c. 21 E ' and the Massachusetts Contingency Plan, 310 CMR 40.0000, or for the purpose of remediation at a release site, pursuant to the provisions under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), 42 U.S.C. 9601-9675, or pursuant to requirements and provisions under the Resource Conservation and Recovery Act (RCRA), 42 U.S.C. 6901-6992k shall be exempt from: (b)the registration requirements set forth in 310 CMR 27.08; ' 3) Registration. The following Class V injection wells are also exempt from the registration requirements of 310 CMR 27.08: (a) on-site subsurface sewage disposal systems used solely for the disposal of sanitary sewage ' and regulated under 310 CMR 15.000. (b) Class V injection wells permitted under 314 CMR 5.00. Any party closing a UIC Class V well that has not previously registered with the MA DEP UIC ' Program must register using the BRP WS-06d Pre-Closure Form. If you have not previously registered and you are closing the use of the well(s)for one (or more) uses but want to continue using the well(s)for one (or more) uses you must mark the top of this form by checking the box for"Transaction Type" - Partial Closure/Registration and attach the Pre-Closure ' Notification Form to this submittal. The Pre-Closure Notification Form must be submitted to the Boston Office. The Boston Office will forward the Pre-Closure form to the appropriate DEP Regional Office for those uses that you intend to discontinue to discharge to the Class V Well.. All further communication on closure of the well(s)including filing of the Post-Closure ' document should be with the appropriate DEP Regional Office. If you have not previously Registered and you are converting the well from a "prohibited" use to a use ' that is "authorized by rule"you must mark the top of this form by checking the box for"Transaction Type" - Conversion and attach the Pre-Closure Notification Form for those uses that you intend to discontinue to discharge to the Class V Well. The Pre-Closure Notification Form must be submitted to the Boston Office. The Boston Office will forward the Pre-Closure form to ' appropriate DEP Regional Office for those uses that you intend to discontinue discharging to the Class V Well. All further communication on closure of the well(s)including filing of the Post-Closure document should be with the appropriate DEP Regional Office. If you are registering a well(s) at a residential structure (four units or fewer), the MA DEP UIC registration form WS-06e should be used instead of this one. Who must submit a notification form: 1 If you are closing the well(s)and relocating the well(s) and are planning to have the same discharge (Well Code), you must mark the top of this form by checking the box for Relocation of Well(s) and ' attach to this submittal a Pre-Closure Form for the well(s) being closed. ws061•Effective 10/08/04 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form- ' Page 6 of 6 ' Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d ' and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program E. Site Information (cont.) Fees: An application fee (effective 10/08/04) is due when the Registration application is submitted. There is ' no application fee associated with submitting a Modification application to an existing Registration. ' Registration Form Category Registration Fee BRP WS 06 a High $480.00 BRP WS 06 b Moderate $240.00 ' BRP WS 06 c Low $ 90.00 BRP WS 06 d Pre-Closure/Registration $ 90.00 BRP WS 06 a Residential Registration No fee -exempt . No DEP Transmittal Form or number is needed when submitting a Modification to an existing UIC ' Registration or when submitting a Residential Registration Form (WS-06e). There is no annual compliance fee associated with UIC Class V wells. r ws06d -Effective 10/08/04 BRP WS 06d- UIC Class V Well Pre-Closure Notification Form- ' Page 7 of 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program W091155 BRP WS06d Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d and Registration Form for Facilities Closing Class V Wells not ' Previously Registered with the UIC Program F. Affidavit ' I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and based on my personal knowledge or inquiry of those individuals immediately responsible for obtaining the information, I believe the information is true, ' accurate, and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment. ' I/we agree: 1. That the well(s) described herein will not be used for discharges other than those described above; 2. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program) if any of the information (including Ownership, Location or Type of discharge)for the above well(s) changes, but before the change (30 days minimum notice on ownership/operator and 60 day notice on all other changes); ' 3. That I/we will notify the Massachusetts Drinking Water Program/UIC Program (on forms provided by the UIC program—Pre-Closure Notification Form)when the above well(s) is no longer in use, but ' before abandonment and file a Post Closure Notification Form within seven days of completing the closure with the UIC program. 4. That I/we will maintain financial responsibility for the well described above; and ' That I/w ill provide a sampl g tap (approved by DEP)and allow sampling at the point of injection. �- c� _c� -7 h 6(0 6 ' S' nature of Pr rer Date Printed Name o Preparer Position/Title 1 i s06d•Effective 10/08/04 BRP WS O6d-UIC Class V Well Pre-Closure Notification Form - Page 8 of 8 ' Massachusetts Department of Environmental Protection \1� Bureau of Resource Protection - Drinking Water Program BRP WS 06 d W091155 Transmittal Number UIC Class V Well Pre-Closure Notification Form- BRP WS-06d ' and Registration Form for Facilities Closing Class V Wells not Previously Registered with the UIC Program Questions ' Any questions may be directed to the UIC Program at (617) 348-4014 or to the UIC Contact at your Regional DEP Office. MA DEP UIC Webpage - http://www.mass.gov/dep/brp/dws/uic.htm Submit Application to: MA DEP Drinking Water Program 1 Winter Street—6th Floor, Boston, MA 02108 Attn: UIC Program MAILING ADDRESSES ' UIC Program, DEP Northeast Regional Office (NERO), One Winter Street—5th Floor, Boston, MA 02108 ' UIC Program, DEP Southeast Regional Office (SERO), 20 Riverside Dr., Lakeville, MA 02347 UIC Program, DEP Central Regional Office (CERO), ' 627 Main Street, Worcester, MA 01608 UIC Program, DEP Western Regional Office (WERO), ' State House West, 4th Floor, 436 Dwight Street, Springfield, MA 01103 UIC Program, DEP Boston Office, ' One Winter Street—6th Floor, Boston, MA 02108 SERVICE CENTER PHONE NUMBERS: Northeast Regional Office 617-654-6500 Southeast Regional Office 508-946-2714 Central Regional Office 508-792-7683 ' Western Regional Office 413-784-1100 ext. 214 Send duplicate copies of all forms to: Local Board of Health Local Plumbing Inspector ws061•Effective 10118/114 BRP WS 06d-UIC Class V Well Pre-Closure Notification Form ' Page 9 of 9 UIC Closure Narrative ' 371 North Street, Hyannis, Massachusetts This narrative has been written by Green Seal Environmental, Inc. (GSE) to provide the closure details of an Underground Injection Well located at 371 North Street, Hyannis, ' Massachusetts (hereinafter the"site"). ' In February 2004, GSE conducted an ASTM Phase 1 Environmental Site Assessment. During the assessment a floor drain system was discovered at the site. Please note that our research indicated that the floor drain itself was plugged in 1985 in response to letters ' from the Town of Barnstable. The site has a history from the 1960's until 2004 of automobile repair. Based on the results of the assessment, GSE recommended that the Underground Injection Control regulations be applied to the floor drain system and that the discharge point (leach field) be investigated to determine if a release of oil or hazardous materials had occurred. ' GSE returned to the site and excavated a test pit in the leach field in order to collect a soil sample at the discharge point. A soil sample was collected at the outlet of a distribution box and sent to a laboratory for extractable petroleum hydrocarbons (EPH) plus target ' polycyclic aromatic hydrocarbons (PAH) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for soil classified as S-1_ ' GSE returned to the site in November 2005 to conduct an update to the ASTM Phase 1 Environmental Site Assessment. During the assessment, GSE installed three ' groundwater monitoring wells around the perimeter of the leach field(one upgradient and two downgradient) and a fourth well in the center of the leach field. Groundwater samples were collected and sent to a laboratory for extractable petroleum hydrocarbon ' (EPH) with target Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Petroleum Hydrocarbon (VPH) with target volatile organic compound (VOC) analyses. The laboratory report indicated that no analytes were above the Massachusetts Contingency Plan (MCP) Reporting Concentrations for groundwater classified as GW-2. Since that time no other actions have occurred regarding the floor drain. Please note that the site is a listed hazardous waste site under the MCP due to the discovery of buried oil filters and waste oil impacted soil in another area of the site that is unrelated to the floor drain system. Currently a Release Abatement Measure is ongoing. o •1 Jt t0 • /.OM a •� r==-'.' �a--- /�' G ��•• :' 3R •V o ° • o ®�— $�R E JR Y tD J 0.1 lb N rovelu r• ' table I I �' � � , ; 'i d ' ' a:�'� :�-� ��'. P ' '1• gam.: C, A © r y 1 Q `��1,� '�� r '0 �• � �` 9,1 .�• •.� �• U u Ira l�` (°G 34 rpv C+ Fiarbo \� 6 I �LJl1J- •'• °e ;n � { tCerit} Nec o �Bluff� \\ ' S. t ' 7 ° • �\••• � ` ,s rsoN r c ° -�T .• . etefans' �i it rI .Park T ° 8 37 \••ROAD ��. 9 fJ 4 D = ♦ '� 1(\L Kalmus \ f 1 144e6ch AV .:•S•/J, -.- �".'1 ! %a f'' -,.t. � Ke9g gob cn1 f11J7 � 6 1 �I � j L F,.� /. ` • � lr ii .�� Yy YF _ � 2 1. �f�1 1/ •�llr it NIt2 $YANNIS H---------------- 'A T� y * • c F i Light I R�-1 Name: HYANNIS Location: 041° 38'53.6" N 070' 17'44.4" W Date:7/28/2006 Caption: 371 North Street Scale: 1 inch equals 2000 feet, Hyannis, Massachusetts ' '� Copyright(C)1997,Maptech,Inc. UIC Schematic Site Plan Commercial Property . 41 T�nees _ ° ' MDC Trap r MW Leaching ! ° •� - MW-3 �` Field Fenced in °. Parking Area I ` ° (D Mr, MW-4 r` Shed -CD Approximate Boundary `�;;=�� hj �, :_ Asphalt t (red) � . �� y y, Building 1$- M r rL ° S Metal Storage► Concrete Area Container ° Asphalt =i ° -- Grass _ - ' Main Street 1 1 ----- - -- ------------- --------------------------------- --_.- ------ ------ - .._... - -- ---- .. --- - E L1 (Location: 350 Stevens Street Figure 2 Hyannis, Massachusetts Not To Scale C� 'Date: February 13, 2004 Based on Visual Observations i A i a w � A O 1 CO A 1 0 Rt ,a o G 1 ��S rEn r, • Location: 371 North Street �`''' 41'G Hyannis, MA �' B I Date: Jul 27, 2006 y Not To Scale 1 O i Based on Visual Observations � � I 1 NOTICE OF PLUMBING INSPECTOR APPROVAL TO SEAL OFF FLOOR ' DRAIN-WS-1 t Massachusetts Department of Environmental Protection Bureau of Resource Protection — Drinking Water Program Form WS1 Notice of Plumbing Inspector Approval to Seal Floor Drain Note:This Notice is not applicable to an facility where the floor drain is connected to a Municipal Sewer PP Y ltY P System. ' Important: When filling out Facility Information: UIC ID# forms on the computer,use Ginsberg Asset Management ' only the tab key Company Name Nature of Business to move your cursor-do not Street Stree A dress City use the return key_. Massachusetts ' State Zip o e I Phone umber Fa Request to Seal: number of floor drains I- Any additions or alterations to the system are not.permissible without the approval of the local plumbing inspector. All seals must be in compliance with 248 CMR. This form must show the signature of both the Facility Owner and the Local Plumbing Inspector before a copy may be filed with ' DEP. Upon approval by the Local Plumbing Inspector, a completed copy of this notice shall be filed immediately with the DEP Undergro rid Injection Control (UIC) Program at the address below. In additie , u on compI to all cessary work,the applicant shall file a completed DEP UIC Noti do Form to t� m ddress. .�` 7/26/06 ' er i ur Date ✓ fte roval/Sig toeof Local Plumbing Inspector Pliumbind Permit# Plumbing Inspector for the City/Town of: /QRa1l'aB.� /J�ystt�ass ' City/Town Name The Facility Owner shall send the completed forms to the appropriate MA DEP Regional Office: UIC Program, DEP Northeast Regional Office, 1 Winter Street, Boston, MA 02108 ' UIC Program, DEP Southeast Regional Office,20 Riverside Dr., Lakeville, MA 02347 UIC Program, DEP Central Regional Office, 627 Main Street,Worcester, MA 01608 UIC Program, DEP Western Regional Office, State House West,a Floor,436 Dwight Street, Springfield, MA 01103 ' For questions and/or additional information, please call the UIC Program Coordinator: DEP Boston Office 617-348-4014 ' Or the appropriate Regional DEP Office: Western 413-784-1100 ext.214 Central 508-792-7683 Northeast 617-654-6614 ' Southeast 508-946-2714 Send duplicate copies of this form to: ' Local Board of Health ws1.doc•rev.08/01/03 Notice of Plumbing Inspector Approval to Seal Floor Drain•Page 1 of 1 ' Massachusetts Department of Environmental Protection Bureau of Resource Protection — Drinking Water Program UIC Class V Well Post-Closure Notification Form ' C. Injection Well Information (continued) WELL OPERATION STATUS: Active ElUnder Construction ❑ Temp.Abandoned See instructions ❑ ' Active/Partial Closure ❑ Permanently Abandoned/Not Reported Previously See instructions Approximately 7 feet 200-300 feet Depth to water table Depth to bedrock ' See instructions Urban fill none Soil type(s)at site- e.g.fill,sandy till,gravel,sand Distance to nearest private drinking water well See instructions Distance to the nearest Public Water Supply Name of nearest Public Water Supply ' D. Well Closure Option Selected and Required Activities (as per MassDEP—UIC Program): Option -Sealing: Plug point of entry, if applicable (see 248 CMR 2.09). Submit copy of Form WS1: Notice of Plumbing Inspector Approval to Seal Floor Drain (where ' applicable) 2006 8/25/06 Form WS-1 #(assigned by MassDEP) Plumbing Permit# Date of Plugging ' Option—IWW Holding Tank(314 CMR 18.00): Connect discharge to a Certified holding tank meeting appropriate MassDEP requirements. Submit-Floor plan with holding tank and floor drain location(s) IWW Holding Tank Certification Transmittal# Date of Submittal ' Tank ID# Date of Connection Option—Sewer: Connect discharge to municipal sanitary sewer Submit Sewer discharge permit#or Letter approval from Local Sewer District. Date of Approval to Connect Date of Connection ' Name of POTW Permit# Note: MassDEP is in the process of updating the regulatory requirements pertaining to the above permit program (Industrial Wastewater Sewer Connection). Please contact your MassDEP Regional Service ' Center for current requirements. Option -Other: Certain other options are also acceptable(e.g. closed loop recirculating system, closure ' and removal of entire operation, surface water discharge permit). Specify and attach a sheet with additional information: ' Specify Option Selected Submit WS-1 if floor drain(s)are closed. 1 Permit# Approval Date Connection Date I ' posclnot•rev.08/06 Massachusetts UIC Class V Well Pre-Closure Notification Form-Page 3of 2 ' ZowMassachusetts Department of Environmental Protection Bureau of Resource Protection — Drinking Water Program UIC Class V Well Post-Closure Notification Form 1 D. Well Closure Option Selected and Required Activities (continued) Submit all screening and Analytical Results: This information must be submitted in accordance with ' criteria specified in the document entitled "Massachusetts Closure Requirements for Shallow Injection Wells." 1 Facilities Waste Management Plan: When required via the issuance of an enforcement order from the MassDEP's UIC program or in response to your Pre-Closure submittal from the MassDEP's UIC program, a waste management plan specifying methods to be used to properly collect, store, and dispose of all potentially hazardous wastes must be submitted Sj2.gIo6 Date of Well Closure(s) ' E. Affidavit ' I/We understand that I/we must handle, store, and dispose of all hazardous wastes in an environmentally sound manner in accordance with all appropriate regulations. I/We certify under penalty of law that I/we have personally examined and am familiar with the 1 information submitted in this document and all attachments and based on my personal knowledge or inquiry of those individuals immediately responsible for obtaining the information, I/we believe the information is true, accurate, and complete. I/we am aware that there are significant penalties for 1 submitting far e informaCt' incl ding possible fines and imprisonment. e� 66 Signature of-Preparer Date 1 Printed Name of Preparer Position/Title 1 F. Additional Instructions Who must register: Any party, other than those who are exempt as per 310 CM 27.07, who 1 discharges or has discharged to a Class V Well as defined in 310 CMR 27.00 must apply. If you are closing the use of the well(s)for one(or more) uses but want to continue using the well(s)for ' one (or more) uses you must mark the top of this form Partial Closure and attach to this submittal a BRP WS 06 Form for those uses that you intend to continue to discharge to the Class V Well. If you are closing the well(s) and relocating the well(s) and are planning to have the same discharge 1 (Well Code), you must mark the top of this form Closure/Replacement and attach to this submittal a BRP WS 06 Form for the replacement well(s). ' posclnot•rev.08/06 Massachusetts UIC Class V Well Pre-Closure Notification Form•Page 4of 3 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Drinking Water Program UIC Class V Well Post-Closure Notification Form 1 F. Additional Instructions (continued) 1 Further Questions: Any questions may be directed to the UIC Program at (617) 348-4014 or to the UIC Regional Contact at your Regional MassDEP Office. Complete and sign this form, include all required attachments, and submit it to the appropriate MassDEP Regional Office: 1 Northeast: UIC Program, MassDEP Northeast Regional Office (NERO), 205b Lowell Street, Wilmington, MA 01887 Southeast: UIC Program, MassDEP Southeast Regional Office, (SERO)20 Riverside Dr., Lakeville, MA 02347 1 Central: UIC Program, MassDEP Central Regional Office (CERO), 627 Main Street, Worcester, MA 01608 Western: UIC Program, MassDEP Western Regional Office (WERO), State House West, 4th 1 Floor, 436 Dwight Street, Springfield, MA 01103 Service Center Phone Numbers: 1 Northeast: 978-694-3200 Southeast: 508-946-2714 Central: 508-792-7683 Western: 413-784-1100x214 1 Send duplicate copies of all forms to: Local Board of Health 1 Local Plumbing Inspector 1 1 1 - 1 1 1 1 posclnot-rev.08/06 Massachusetts UIC Class V Well Pre-Closure Notification Form•Page 5of 4 Page I of 2 R.I. Analytical ' Specialists in Environmental Services ' CERTIFICATE OF ANALYSIS ' Green Seal Environmental,Inc. Date Received: 03/16/2004 Attn: Mr. Terry Bauer Date Reported: 03/22/2004 28 Route 6A P.O.#: Sandwich,MA 02563 Work Order# 0403-03793 DESCRIPTION: HARRTS (ONE SOIL SAMPLE) ' . Subject sample(s)has/have been analyzed by our Warwick,RI laboratorywith the attached results. ' Reference: All parameters were analyzed by U.S.EPA approved methodologies and all NELAC requirements were met. 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 sample's analytical results. Certification#: RI-033,MA-RI015, CT-PH-0508,ME-RIO15 ' NH-253700 A&B, USDA 5-41844,NY-11726 If you have any questions regarding this work,or if we may be of further assistance,please contact us. Approv Vb Pa Pe D to ng anager c: hai of ustody 41 Illinois Avenue,Warwick,RI 02888 131 Coolidge Street,Bldg 2, Hudson,MA 01749 Tel:(401)737-8500 Fax:(401) 738-1970 Tel:(978)568-0041 Fax:(978)568-0078 Page 2 of 2 R.I.Analytical Laboratories,Inc. ' CERTIFICATE OF ANALYSIS ' Green Seal Environmental,Inc. Date Received: 03116/20N Approved by. Work Order#: 0403-03793 R , Sample# 001 SAMPLE DESCRIPTION: COMPOSITE 1 ' SAMPLE TYPE: COMPOSITE SAMPLE DATEMIME: 03/15/2004 SAMPLE DET. DATE PARAMETER RESULTS LB TT UNITS METHOD ANALYZED ANALYST ' EPH/PA14 C9-C18 Aliphatics <10 10 mg/kg dry MADEP 03/19/2004 RIP C19-01 Aliphatics 110 10 mg/kg dry MADEP 03/19/2004 RJP ' CI I-C22 Aromatics 31 .10 mg/kg dry MADEP 03/19/2004 RIP Total EPH 141 mg/kg dry MADEP 03/19/20044 RJP TARGET PAH ANALYTES 03/19/2004 RJP ' Naphthalene <0.4 0.4 nwAg dry MADEP 03/19/2004 RJP 2-Methylnaphthelene <0.4 0.4 mg/kg dry MADEP 03/19/2004 RJP Acenaphthylene <0.4 0.4 mg/kg dry MADEP 03/19/2004 RJP Acenaphthene <0.4 0.4 mg/kg dry MADEP 03/19/2004 RIP ' Fluorene <0.4 DA mg/kg dry MADEP 03/19/2004 RIP Phenanthrene <0.4 0.4 mg/kg dry MADEP 03/19/2004 RJP Anthraces <0.4 0.4 mg/kg dry MADEP 03/19/2004 RIP Fluoranthene 12 0.4 b°` mg/kg dry MADEP 03/19/2004 RJP Pyre 1.2 0.4✓ mg/kg dry MADEP 03/19/2004 RJP Bmzo(a)anthracme 0.6 0A mg/kg dry MADEP 03/19/20t14 RJP Chrysene 0.6 0.4 mg/kg dry MADEP 03/19/2004 RJP Benzo(b)fluoranthenc 0.4 0.4 mg/kg dry MADEP 03/19/2004 RJP Benzo(k)fluoranthene 0.6 0A mg/kg dry MADEP 03/19/2004 RJP Benzo(a)pyrene 0.5 0.4 mg/1Sg dry MADEP 03/19/2004 RIP Indeno(1.2,3-cd)pyrenc 0.6 0.4 mg/kg dry MADEP 03/19/2004 RJP Dibenzo(a,h)anthracene 0.4 0.4 mg/kg dry MADEP 03/19/2004 RIP Bwmo(gh,i)peryl— 0.4 OA mg/kg dry MADEP 03/19/2004 RIP MOISTURE 14 % SM2540 G. 03/17/2004 NMC SURROGATES RANGE 03/19/2004 RJP Chloro-octadecane 76 40-140% MADEP 03/19/2004 RIP Ortho-terphenyl 83 40-140% MADEP 03/19/2004 RJP FRACTIONATION SURROGATES RANGE 03/19/2004 RIP ' 2-Ftuorobiphenyl 78 40-140% MADEP 03/19/2004 RJP 2-Bromonaphthalene 109 40-140% MADEP 03/19/2004 RJP Extraction date Extracted MADEP 03/17/2004 SM ' All QA/QC procedures required by the EPH Method were followed. All Performance/Acceptanee Standards for the required QA/QC procedures were achieved or otherwise stated. No significant modifications were made to the EPH Method with the following exception:C-range values may have been blank subtracted to minimize the effect of leachable plasticizers from the SPE ° cartridges. — - - - 41 Illinois Avenue 131 Coolidge St,Bldg. 2 F o = Warwick, RI 02888 Hudson, MA 01749 �' a . „ a Tel: 800-937-2580 Tel: 888-228-3334 Fax: 401-738-1970 Fax 978 568-U078 Dade T ti n, rA Xp c o Field Ply" aa>i M I a� o I l"` i _ .l••., C6' orgi>►ti;�n~.�,r:>,., �,, .� ,-':,, corrrpartyName- Green Seal Environmental, Inc ProjectName: ' Address: 28 Route 6A P.O.Number Project Number city t state/zip: Sandwich, MA 02563 Report To!- Pbone: Fax: Tetenbune: 508-888-6034 Fax: 508-888-1506 sampled by: C Contaet Person: Quote No: t3nrm7 sddrnss: V/C k L G� -1 I(0' a j 12.4,p Normal MWAIL Report -b_ 57 Busim a days.Poste emdrecp Rush (bneinees days) Circle if applicable GW-1, GW-2, GW-3, S-1 S-2, S-3 MCP Data Enhancement QG Package? Yes sample Pick up Only Cc: results to � Sccn�l,c0�1 ' P1r5rro r, �scs ' , RIAI,samQled;atmchs�eldlmute P � >*`"•' � �� Cam, pt�s S� ux1n WMkMft No: —037 Container Types P=Poly,G=Glass,AG=Amber Glass,V=Vial,St=Sterile Preservation Codes: NP=None,N=HNOs,H=HCI,S=HrSO4,SH=NaOH,SS-NaHSO4,M-MeOH,T-N&,%Oa,Z=ZnOAc,Het Matrix Codes•GW=Groundwater,SW=Surface Water,WW=Wastewater,DW=Drinking Water,S=Soll,SI=Sludge,A=Alr,B=Bulk/Solld,0= Page' of/ .- . 228 Main Street _-----.—__-__.-._Buziards a-8"y,NIA'02532 Telephone(508)7594441 -December 6,2005 www.groundwateranalytical.com ' Mr.Terry Bauer Green Seal Environmental, Inc. 28 Route 6A Sandwich, MA 02563 LABORATORY REPORT — ' Project: Harry's Lab I D: 89656 Received: 1 1-29-fly ' Dear Terry: Enclosed are the analytical results for the above referenced project. The project was processed for ' Priority turnaround. This letter authorizes the release of the analytical results, and should be considered a part of this ' report. This report contains a sample receipt report detailing the samples received, a project narrative indicating project changes and non-contormances, a quality control report, and a statement of our state certifications. The analytical results contained in this report meet all applicable NELAC standards, except as may be specitically noted, or described in the project narrative. This report may only be used or ' reproduced in its entirety. I attest under the pains and penalties of perjury that, based upon my inquiry of those individuals immediately responsible for obtaining the intormation, the material contained in this report is, to the best of my knowledge and bel iet,accurate and complete. 1 Should you have any questions concerning this report, please do not hesitate to contact me. ' Sincerely, Eric H.J sen ' Operati ns nager EHJ/kal Enclosures MAL Sample Receipt Report net mev. Na.,rl Temperature_5.9'C _ "�tiItl�fnsrodY fr+eserK_-- Client- Gen re -Seal Envlronnwntal,lm.__ _ --- _ Lab ID: 89656 Lab Receipt: 11-29-05 Y ' 896561 MW-1 r Aqueous 11/28/05 10:00 MA DEP EPH with PAHs by 8270GMod SIM Con iD Container Vendor QC lit Presery QC Lot Prep Ship C770430 1 L Amber Glass Praline BX19038 H2SO4 R-46100 11-17.05 11-23-05 C770428 1 L Amber Glass Praline BX19038 H2SO4 R 4610E 11-17-05 11-23-05 89656.2 MW 2_...... _ _.-.. Aqueous 1128/05 11. MA DEP EPH with PAHs by 8270C•t•�bd SIM Con ID Container Vendor QC Lot Presery QC Lot Peep Ship _ C770424 1 L Amber Glass Praline BX19038 H2SO4 10 R-46B 11-17-05 11-23-05 C770423 1 L Amber Glass Proline BX19038 H2504 R-46106 11-17-05 1 t-23-05 !8!9656 3 MW-3 Aqueous 1�112810 .15 NV+DEP EPH wi�PAHsy 8270C-Mod SIMCon ID Container Vendor QC Lot QC Lot Ship C770426 1 L Amber Glass Proline BX19038 H2504 R-46106 - 11-23-05� j C770425 1LAmberGlass Proline 'i BX19038 H2SO4 R-4610B 11 77-05 1i-23-0S l 89656A MW-4 Aqueous 11/28/05 12151 MA DEP EPH with PAHs by 8270C-Mod SIM Con ID Container Vendor QC Lot Presery QC Lot Prep Ship C770429 1 L Amber Glass Proline BX1903B H2SO4 R-46108 11-17-05 1 11-23-05 C770427 1 L Amber Glass Proline BX19038 H2SO4 R-46108 11-17-05 11-23-05 Lib H3 , �_ � ��189656.5 MW-1 _ Aqueous 11/28/05 10.00 MA DEP VPH with Targets Con ID Container Vendor QC Lot Presery QC Lot Prep Slop C640384 40 mL VOA Viat Proline BX18871 HCl R 601r 10-28-05 11-23-05 C640372 40 mL VOA Vial Proline BX18871 HCI R 4601E 10-28-05 11-23-05 C640360' 40 mL VOA Vial i Proline BX18871 HO R-4601F 10-28 OS 17-23-05 89b56b MW 2 Aqueous 11/2805 11-00 MA DEP VPH with Targets ' Con ID Container Vendor QC Lot Presery QC Lot Prep Ship C64041 b 40 mL VOA Vial Proline SX18871 HCI R 4601 F 10-28-05 11-23-05 C640408 40 mL VOA Vial Proline BX18871 HC1 R�601 F 10 28-05 11-23-05 C640396 40 mL VOA Vial Proline BX18871 HCI R-4601 F 10-28-05 71-23-05 896567 MW-3 Aqueous 11/28/05 12:15 MA DEP VPH with Targets Can ID Container Vendor QC Lot Presm QC Lot Prep Ship C640415 40mL VOA Vial Proline BX18871 HCl P-4601F 10-28-05 11-23-05 ' C640407 40 mL VOA Vial Proline SX18871 HCI R�601F 1028-05 11-23-05 C640395 40 mL VOA Vial Proline BX18371 HCI R 4601E 10 28-05 17-23-05 _::.. _..#�agnx sar�fed k4e4find - - 89656-8 MW-4 - Aqueous 111211105 13.30'MA DEP VPH with Targets Con ID Container Vendor QC Lot Presery QC Lot Prep slip C640383 40 mL VOA Vial Proline BX18871 HCI R4601F 10.2B4)5 11-23-05 I C64037t 40 mL VOA Vial Proline BX18871 HCI R-A601 F 10 28-05 11-23-05 _ I C640359, 40ml.VOAVial Proline OX18871 I HCI j R-4601F 10-28-05 11-23-05 Groundwater Analytical, Inc.,P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 rtification _._..-- Project: tia�9's Lab ID: 89656 _. Seal Environmental,inc. Received: 11-29-05 16:20 .Client:—�'[�een -... ------ --------- -- ----- Project Location. n/a MA DEP RTN: n/a This Form provides certifications for the following data set: ' I MA DEP VPH: 89656-05,-06,-07,-08 MA DEP EPH: 89656-01,-02,-03,-04 Sample Matrices: Groundwater (X) SoiUSediment ( ) Drinking water ( ) Other ( ) 82606 ( ) 8151A ( ) 8330 ( ) 6010E ( ) 7470AIIA ( ) 2 -= EPH (X) 7000 S3 { ) . Other ' _ - 31?� S�Sdetho69013Ji fF�w+oi�t�r►9tA1 NCz�-0EPobglcath' vadabieGyan�eP __ -_--- An affirmative response to questions A,B,C and D is required for"Presumptive Certainty"status. ' A. I Were all samples received by the laboratory in a condition consistent with that described on the Chain-of-Custody documentation for the data set? Yes B' ------------ Were all QA/QC procedures required for the specified analytical method(s) � ' included in this report followed,including the requirement to note and discuss in a narrative QC data that did not meet appropriate performance standards or guidelines? Yes C. I Does the analytical data included in this report meet all the requirements for"Presumptive Certainty,"as described in Section 2.0 of the MA DEP document CAM VII A,Quality Assurance and Quality Control Guidelines 1 for the Acquisition and Reporting of Analytical Data? Yes D. VPH and EPH m th s onl : Was the VPH or EPH method run without j significant modifications,as specified in Section 11.3? Yes A response to questions E and F below is required for"Presumptive Certainty"status. E. i Were all QC performance standards and recommendations for the i specified methods achieved? I Yes 1 F. Were results for all analyte-list compounds/elements for the specified methods)reported? Yes I All No answers are addressed in the attached Project Narrative. ' 1,the undersigned,attest under the pains and penalties of perjury that,based upon my personal inquiry of those responsible for obtaining the information,the material contained in this i analytical report is,to the best of my knowledge and belief,accurate and complete. Signature: Position: Operations Manager Printed Name: Eri .Jeri n Date: 12406-05 µ I 1 Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 i MOWMER Awt w t yT►r w t -. .. . - assac uses DEP LPN Method -- Ez#racfa-bte-lple-#ro eum y ro _ .._ ....._. . _. - trix: Aqueow Field ID:... -_ t- aotttaner .. £I�s. _. . . .. _ ' Client: Green Sea]Environmental;Inca Preservation: H2SO4/Cooll Laboratory ID: 89656-01 QC Batch ID: EP-1648-F Sampled: 11-28-05 10 00 Instrument ID: GC-7 HP 5890 Received: 11-29-05 16:20 Sample Volume: 1000 rnL Extracted: 11-30-05 17:00 Final Volume: 1 mL Analyzed(AL): 12-02-05 17:41 Aliphatic Dilution Factor: 1 Analyzed(AR): 12-02-05 18:25 Aromatic Dilution Factor. 1 Analyst MM ZZE n-C9 to n-C111 Aliphatic Hydrocarb ug/L ons t BRL I ug/L 500 BRL �50 I n-C19 to n-C36 Aliphatic Hydrocarbons' --�— 50 J BRL ug/L n-C11 to n-C22 Aromatic Hydrocarbons unad'u ted n-C11 to n-C22 Aromatic Hydrocarbons t BRL ug/L__l 150 ' I QC Serrogafieittced _measured- tecovery —. QC=LymitS j r h - 40-140 b Fractionation: 40 34 85 % 40-140b87 !2mnaphtalene �0 35 CBlor ta-Fluombiphcy 40-140J Extraction: h -0dee 83 % ` ortho-Terphenyl 40 3 90% -�— 40-140°/° 1. Were all QA/QC procedures required by the method followed? Yes i 2, were all performance/acceptance standards for the required QA/QC procedures achieved? Yes I 3. were any significant modifications made to the method,as specified in Section 11.3? No Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. J L-.... Method Reference: Method forthe Determination of Extractable Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). Sample extraction performed by separatory funnel technique. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be ' reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 4 n{11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. i Street Buzzards Bay, MA 02532 ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main y, EPA Method 827040 1 MA DEP EPH Pofynuc ear' r�oma ic*Hydir a ns y Matrix: AtRueow Fieli 1Dt_...._..— MW-1 --- '"Rroledi Cit. Great Seal_Envtnonmen preservation: Laboratory ID: .89656-01 QC Batch 1D: EP-1648-F Sampled: 11-28-05 10:00 Instrument ID: MS-6 HP 6890 Received: 11-29-05 16:20 Sample Volume: 1000 mL Extracted: 11-30-05 17:00 Final Volume: 1 mL Analyzed: 12-02-05 19:02 Dilution Factor: 1 Analyst: CALM _ 77ii ug/l 0.5 91-20-3 Naphthalene ug1L 0.5 1 91-57-6 2-Methylaaphthalene ug/L 0.5 208 96 8 Acenaphthylene.9 Acenaphthene ug/L 0.5 ug/L 0.5 86-73-7 Fluorene BRL ug/L 0.5 85-01-8 Phenanthrene BRL ug/L 0.5 i ' 12412-7 Anthracene BRL 20644-0 Fluoranthene u�_ 0.5 BRL ug/L 0.5 129-00 0 Pyrene BRL ug/L 0.1 56.55 3 Senzo[a)anthracene BRL ug/L 0.1 218-01-9 Chrysene BRL ug/L 0.1 205-99-2 Benzo[b]fluoranthene - BRL ug/L 0.1 207-08-9 Benzo[k]fluoranthene 50-32-8 BenzolalpYrene BRL ug/L 0.1 ' BRL ug/L 0.1 193-39 5 lndeno[1,2,3�,d]PYrene BRL ug/L 0.7 L53-q3 Dibenzo[a,h]anthracene BRL ug/L 0.1 191-24-2 i Benzo[gh,ilperylene _ -- QC Sueogate_C I 40 37 92 % 40 140% o- enylp Method Reference: Test Methods for Evaluating Solid Waste,US EPA,SW-946,Third Edition,Update III(1996)• ' Method modified by use of selected ion monitoring(SIM)in accordance with Section 7.5.5 of the method. Method protocol modified to include acidification and the surrogate compound in accordance with the MA DEP Method for the Determination of Extractable Petroleum Hydrocarbons. Sample extraction performed by EPA Method 351 DC. Report Notatiorts: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. ' P.O. Box 1200 Groundwater Analytical, Inc., ,228 Main Street, Buzzards Bay, MA 02532 i-_�ry n►�xwieniQ TICAL Massac use e --- Fzfractalile Pe�rorteum y roca ns GOP,V _._-.._ ... . Field ID: MW-2 Matrix: .. Aqueous _.._.. . H2SO4/C001._............. .. .. Gree�YSeal fnvironmeMal,[nc• Preservation: laboratory ID: 896560.2.. QC Batch ID: EP-1648•F Sampled: 11-28-05 11:00 Instrument ID: GC-7 HP 5890 ' Received: 11-29-05 16:20 Sample Volume: 1000 mL Extracted: 11-30-05 17.00 Final Volume: 1 mL Analyzed(AL) 72-02-05 19:09 Aliphatic Dilution Factor: 1 Analyzed(AR): 12-02-05 19.52 Aromatic Dilution Factor 1 Analyst: MM 7. ; Okla __....__ ug/i.. 500. _.. ....._.. .._. _ .. BRL. � rrC9 to n�113 Ali atic H drocaiiiotts t n-Cl9 to n-C36 Ali hatic Hydrocarbons t _ BRL ug/L Soo n-C11 to n-C22 Aromatic H drocarbons t° BRL ug/L 150 l�n lusted n C11 to n C22 Aromatic Hydrocarbons t gRL ug/L 150 Fractionation: 2-Fluorobiphenyl 40 1 31 �78 % 40 140 ob—`� 40-140% 2-Bromonaphthalene 4031 77 % 1 �Extradion: Chloro-octadecane 40 ^ 31 77 % 40-140*16 ' orthoTetphenyl 40 � Yes 1. Were all QA/QC procedures required by the method followed? Yes ' 2. Were all performance/acceptance standards for the required QAJQC procedures achieved? 3. Were any significant modifications made to the method,as specified in Section 11.3? No Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality j control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004)- Sample extraction performed by separatory funnel technique. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be ' reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 0 n{l l to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 r_arti /ems w■ ... ... — EPA method.13270Cii MA D-EP EPH-Polyriaclear Aroma�c-Hy rocs ons Field ID: MW-2 Matrix: Aqueous _ "" reets Seal fmironmental Preservation:. . .H25 Client: G 04/Cool Laboratory ID: 8%56-02 QC Batch ID: EP-1648-F Sampled: 965 05 11:00 Instrument 1D: MS-6 HP 6890 ' Received: 11-29-05 16.20 Sample Volume: 10001nL Extracted: 11-30-05 17:00 Final Volume: 1 mL Analyzed: 12-02-05 19:42 Dilution Factor. 1 Analyst: CMM 91-20 3 _ Naphthalene BRL ug/L 0.5 91-57-6 2-Methyinaphthalene 8RL i ug/L 0-5 208-96-8 Acenaphthylene I BRL ug/L 0.5 ' 83-32-9 Acenaphthene BRL ug/L 0.5 86-73-7 Fluorene BRL ug/L 0.5 85-01-8 Phenanthrene BRL I ug/L 0-5 ' 120-12-7 Anthracene T BRL ug/L 0.5 20fs44-0 Fluoranthene BRL ug/L 1 0.5 129-00-0 j Pyrene ^j— BRL ug/L 0.5 56 55 3 - r Benzo[aJanthracene BRL uP1L I 0 1 ' 218-01-9 i Chrysene BRL i uglL 0.1 i 205 99 2 Benzo[b]fluoranthene BRL ug/L T 0.1 207-08-9 1 Benzo[k]fluoranthene BRL ug/L 0.1 50-32-8 Benzo]alpyrene BRL ug/L p 1 193-39-5 Indeno[1,2,3-c,d]pyrene BRL ug/L 0.1 53-70-3 Dibenzo[a,h]anthracene BRL ug/L 0.1 191-24 2 ; Benzo(g h,i]perylene BRL ug/L 0.1 gic - J " g - .. ortho-Terphenyl 40 33 82 % 40 140% Method Reference Test Methods for Evaluating Solid Waste,US EPA,SW 846,Third Edition,Update ltl i19961• Method modified by use of selected ion monitoring(SIM)in accordance with Section 7.5.5 of the method. ' Method protocol modified to include acidification and the surrogate compound in accordance with the MA DEP Method for the Determination of Extractable Petroleum Hydrocarbons. Sample extraction performed by EPA Method 3510C. Report Notatiom BRL indicates concentration,if any,is below reporting limit for analyze. Reporting limit is the lowest concentration that can be ' reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. it Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay,MA 02532 _ .—Massachusetts DEP EPH Meth9d Extractable Petroteunl Hy rocar ons-Ely G - --- Matrix: Aqueous I Project:-- _ 7;rarrf's _ _ . Preservation: H2504JCooJ Client: Green Seal Emiron mentai,lnc.� Laboratory ID: 89656-03 QC Batch ID: EP-1648-F Sampled: 11-28-05 12:15 Instrument ID: GC-7 HP 5890 ' Received: 11 29-05 16:20 Sample Volume: 1000 ml. Extracted: 11-30-05 17:00 Final Volume: 1 mL Aliphatic Dilution Factor. 1 Analyzed(AL): t2-02-05 21:20 Analyzed(ARY 12-02-05 22:04 Aromatic Dilution Factor: 1 Analyst- MM - - _ u t. 500 n-C9 to n-C18 Aliphatic Hydrocarbons' BRL ug/L Soo n-C19 to n-C36 Ali hatic Hydrocarbons BRL ug/L 350 n C11 to n L22 Aromatic Hydrocarbons t o Una lusted n-C71 to n-C2 gam, uglL 1502 Aromatic Hydrocarbons' - ' 40 33 84 % 40 140% Fractionation: 2-Fluorobipfienyi —�— —� 40-140% 2-Bromonaphthalene 40 ' 34 85 % Extraction: Chloro octadecane j 40 31 77 % — 40-140 96 ortho 7e hen I 40 34 84% 40-140% Yes 1. Were all QA/QC procedures required by the method followed? see ' 2. Were all performance/acceptance standards for the required QA/Qc procedures achieved? Y 3. Were any significant modifications made to the method,as specified in Section 11.3? y Method norr-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality ) control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Referencm Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). Sample extraction performed by separatory funnel technique. Report Notations: SRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution f Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. p n C71 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations- I Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay,MA 02532 Method 8270C(Modified) MA DEP EPH Polynuclear Aromatic Hydro'ca-r�ons b G Matrix: Aqueom ---_-------- _. . ... _....._..._ .,_ ._................... _ meter• . Project: NAY s Client: Green Seal Environmental Preservation: 1i2SO4/Cool Laboratory ID: 89656-03 QC Batch ID: EP 1648-F ' Sampled. 71-28-05 12:15 Instrument I D: MS-6 HP 6890 Received: 11-29-05 16:20 Sample Volume: 1000 mlFina►Volume: 1 ml Extracted: 11-3o-05 17:00 Dilution Factor. 1 Analyzed: 12-02-05 20:21 Analyst: CMM _ BRL ug/L 0.5 03 Naphthalene IT BRLI ug/L 0 91-57-6 2-Methyinaphthalene BRL —i— ug/L I 91 208-96-8 Acenaphthylene BRL ug(L 11 0.5 j $3-32-9 Acenaphthene — BRL ug/L 0.5 86-73-7 _ Fluorene — BRL ug/L 0.5 �P f 8501� henanthrene �— _ BRL 0'5 120-12-7 _ Anthracene _ —. BRL ug/L 0.5 —— 206 44 044 0 —. Fluoranthene _—__�—.—— —'— 1 1 BRL _—I ug/L 0:5 1 129-00-0 _ gene BRL^—� ug/L i 0.1 —1 I Benzo[alanthracene —_�__ BRA -- ug1L r— 0.1 ' j Crysene — ug/L L I 0_1218-01-9 205-99-2 Benzo[b]fluoranthene 0.1 207-08 9 Benzofklfluorantene BRL _ BRL ug/L I 0.1 50-32-8 Benzo[alpyrene BRL ug[L 0.1 ' 193-39 5 indeno[i,2,3 c,d]pYrene BRL — ug/L I 0.1 53-70-3 Dibenzo[a,h]anthracene BRL ugtL 01— 11 91-242 j Benzol&nj1perylene rtc[ e7t'.Measuretl :•:==:_atecAver'Y_:- QC_ Dgate.ComPou =. 40 135 87 % 40=140 % ortho-Terphenyl 1 Method Reference: Test Methods for Evaluating Solid waste,US EPA,SW-846,Third Edition,Update 111(1996). Method modified by use of selected ion monitoring(SIM)in accordance with Section 7.5.5 of the method. ' Method protocol modified to include acidification and the surrogate compound in accordance with the MA DEP Method for the Determination of Extractable Petroleum Hydrocarbons. Sample extraction performed by EPA Method 3510C. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 _ — chusetts DEP EPH Metho.d .....:. ...... Extractable Petroleum Hydrkdebd"'GURD Matrix: Project: Preservation: Client: Green Sea!EnvironmenW,Inc. F12SO4/Cool Laboratory ID: 8%56-04 QC Batch 1D: EP-1648-f -05 12:15 Instrument ID: GC-7 HP 5890 Sampled: 965 Sample Volume: 1000 mL Received: 11-29-05 16:20 Extracted: 11-30-05 17:00 Final Volume: 1 mL Aliphatic Dilution Factor: 1 Analyzed(AL): 12-02-05 22 48 Aromatic Dilution Factor:1 Analyzed(AR): 12-02-05 23:32 Analvctc-- NIM 8RL ug/L i son ; n-C9 to n-C18 Aliphatic Hydrocarbons BRL ug/L 500 ' n�-C7 9 to n C36 Aliphatic Hydrocarbonst �— -- u L 150 l n-Ci 1 to n-L-22 ArOmatlC.HydrocarbOnS t o SRL --- BRL uP,/L 150 Unadjusted n C11 to n-C22 Aromatic Hydrocatbons — — _ . .... - , Aeco_verjr;.,.-_: .,;..,..:.::__:: .. -QCiirnjits <�`:._=• — 73 % I 40-140% Fractionation: 2-Fluorobiphenyl 40 _29 ° —4— ---- 2-Bromonaphthalene— 40 29 72 % 40-140 a Extraction: _Chloro-oc_-tadecane—� 40 78 /o 40-140°!° ' ortho-Terphenyl — - -0 r 30 i q 75 L-- ,- 7. Yes 1. Were all QA/QC procedures required by the method followed?' Yes 2. Were all performanceiacceptance standards for the required A/QC Procedures achieved? No i 3. Were any significant modifications made to the method,as specified in Section 11.3? Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quakily i control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative ' ! and quality control report are considered part of this data report. Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(Revision 7.1,2004). Sample extraction performed by separatory funnel technique. Report Notations BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be ' reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 0 n-Cl1 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. I Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 FpA tlwd 8270C(Modiflledk.. MA_DEP EPH Polynuclear Aromat c'H drocar ns y Matrix: Muecias _- project- ' -- Preservation: t12SO4/t:001.client: Green Seal Environmental Laboratory ID: 89fs56-1l4 QC Batch ID: EP-t646-F Instrument 1D: MS-6 HP 6890 Sampled: 11-28-05 12:15 ' Received: 11-29-05 16:20 Sample Volume: 1000 mt Extracted: 1130-05 17:00 Final Volume: 1 mt Dilution Factor. 1 Analyzed: 12-02-05 21:00 Analyst: CMM ug/L 0 5 91-20-3 Naphthalene BRt UgIL. 0.5 I 91-57-6 2-Methylnaphthaiene ' BRL ug/L 0.5 20�g(,g , Acenaphthylene BRL ug/L 0.5 83-32-9 Acertaphthene BRL ug/L 0.5 86-73-7 Fluorene BRL ug/L 0.5 85-013 Phenanthrene' BRL ug/L 0.5 12012-7 Anthracene - BRL ug/L 0.5 206 44-0�Fluoranthene ---- � BRL ug/L 0.5 129-00-0 Pyrene BRL uglL 0.1 �l 56 55 3 Benzo[a)anthracene BRL ug/L 0.1 218 Ot-9 Chrysene BRL ug/L 0.1 ' 205 99-2 Benzo[b)fluoranthene BRL ug/L 0.1 207-08-9 Benzo[k)fluoranthene BRL ug/L 0.1 ' 50-32-8 Benzo[a]Pyrene - BRL ug/L 0.1 193-39-5 Indeno[1,2,3-c,d]PY: e BRL ug/L 0.1 53-70-3 Dibenzo[a,h)anthracene BRL ug/L 0.1 1991-24-2 Benzo[g h i)perylene it igi40 140% ortho-Terphenyi 40 34 ..: 84 % Method Reference: Test Methods for Evaluating Solid Waste,US EPA,Sw-s46,Third Edition,Update 111(1996). Method modified by use of selected ion monitoring(SIM)in' accordance with Section accords f the method.Method protocol modified to include acidification and the surrogate with the MA DEP Method for the Determination of Extractable Petroleum Hydrocarbons- Sampie extraction performed by EPA Method 3510C. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be ' reliably quantified under routine laboratory operating conditions- Reporting limits are adjusted for sample size and dilution. n ' GroundwaterAnalytical,Anal ical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 N UtAiLiFlUVIVARTIER mamchusettsDEPM Method Volatile Petroleum Hydroc ons b.. matrbi: Aqueous - _ - Project: Harry 5 Preservation: HCllGnol Client: Green Seal Environmental Laboratory 1D: 8%56-05 QC Batch ID: VG1-2334-W Sampled: 11-28-05 10.00 Instrument ID-* GC-1 HP 5890 , ' Sample Volume: 5 mL Received. 11-29-05 16.20 Analyzed: 12-02-05 1455 Dilution Factor 1 Analyst: 1H _ _ra�.o�=--+,rr—: ....`�»__-....._—: poi; �. "- -_ --..:. — 20 n-05 to n-C8 Aliphatic Hydrocarbons BRL 20 n-C9.to.n-C] Ali Aliphatic mcarbons+® B� 2 uW Zd n-C9 to n-C10 Aromatic Hydrocarbons ' BRL 20 nad st n-05 to n C8 Ali hatic H drocarbons° BRL ug/L 1 20 Un d'u n-C9 to n-C12 Aliphatic Hydrocarbons' 1 1634-044 methyl tert-butyl Ether BRL BRL � ug/L 1 7143-2 Benzene' BRL ug/L 5 10-"8-3 Toluene : I u L S I j 100 41-4 Ethylbenzene$ BRL ug/L 5 ' r 7pB.3&3 and 106413 meta-X lene and Para-Xylene' i u L 5 95�7-6 ortbo- Xylene= BRL BRL ug(L 5 91-20-3 Naphthalene 2,5-Dibromotoluene(PID) 50 7 -130% i 2,5-Dibromotoluene(FID) 50 45 1 90 % Yes 1. Were all QA/QC procedures required by the method followed? Yes 2. Were all performance/acceptanceslandards for the required QA1QC Procedures achieved? iNo 3. Were any significant modifications made to the method,as specified in Section 11.3.2.1? Method non•conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference Method for the Determination of Volatile Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyze- Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. ' 0 n-05 to n-CB Aliphatic Hydrocarbons range data excludes the method target analyze concentrations. ® n-C9 to n-C12 Aliphatic Hydrocarbons range data excludes the method target analyze concentrations and the concentration for the n-C9 to r-C1 o Aromatic Hydrocarbons range. tt Analyte elutes in the n-05 to n-CS Aliphatic Hydrocarbons range. ' # Analyte elutes in the n-e9 to n•C12 Aliphatic Hydrocarbons range. ' Groundwater Analytical, Inc., P.O.Box 1200,228 Main Street, Buzzards Bay, MA 02532 P_i,1�7!lllJ%'1WATx'� MEAL- Massachusetts e VoU[ile--Pefroteum Hy rota r Matrix: Aqueous Field ID MW-2jai ' Client:' Green Seal&Mrvmnenttal Preservation: HCl/C001 L QC Batch ID: VG1-2334-W Laboratory ID: 8965b-06 Instrument ID: GC-1 HP 5890 Sampled: 11_28-05 11:00 ' Sample Volume: 5 mL Received: 11-29.05 16:20 Analyzed- 12-02-05 15:35 Dilution Factor. 1 Analyst: IH - 1.7 to L _ u L 20 BRL ug/L 20 n-C9 to n-C12 Aliphatic Hydrocarbons+® � 20. , n-C9 to n-Cl0 Aromatic Hydrocarbons BRL + _ ug/L i lnadiusted n-05 to n-C8 Aliphatic Hydrocarbons BRLug/Lt - � { ' L1n usted n C9 to n{12 BRL ug/L 20 Aliphatic Hydrocarbons' - _ ote§ -,GAS 1634-04-4 Methyt tert-butyl Ether n BRL ug/L 5 ' 7143-2 1 Benzene° - BRL uS/L__. 1 108 88 3 Toluene z - BRL ug/L —5 100-41-4 Ethytbenzene t BRL u�L 5 �— BRL ' L iosaaa and 10642-3 meta-Xylene and para-Xylene t ug/ 5 95-47-6 ortho- Xylene' BRL ug/L 5 1 91-20-3 Naphthalene BRL ug/L 5 - ' 2,5-Dibromotoluene(PI99 D) 50 49 97 % 70-130% I Dibromotoluene(F1D) 50 47 93 � �^ 70-130% 2,5 — _ 1. Were all QA/QC procedures required by the method followed? yes roceduresachieved? yes 2. Were all performanceJacceptance standards for the required QA/QC p No 3. Were any significant modifications made to the method,as specified in Section 11.3-2.1? Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference: Method for the Determination of volatile Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). ' Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions- Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range- 0 n-05 to n-C8 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations. ' ® n-C9 to n-C12 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations and the concentration for the n-C9 to n-Cl0 Aromatic Hydrocarbons range. 9 Analyte elutes in the n-05 to n-C8 Aliphatic Hydrocarbons range. ' # Analyte elutes in the n-C9 to n-C12 Aliphatic Hydrocarbons range. ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Massachusetts DEP. . ,. .. .Method 97. Volatile petroleum Hy& car ons y _.._. Matrix: Aqueous Environmental -Preservation: HaC001 Clien.t: Green Seal Environmental Laboratory ID- 896 5607 . QC Batch ID: VG1-2334-W Instrument ID: GC-1 HP 5890 Sampled: 11-28-05 12:15 Sample Volume: 5 tnl Received: 11-29-05 16:20 Dilution Factor; 1 Analyzed: 12-02-05 16.17 Analyst: IH - - -- - - _ _ - - - - - - - LBR 20 n-05 to tp a rc FlOroca n BRL p u 20 n-C9 to n C12 Aliphatic H ti rocarbons+® 20 n-C9 to n-CIO Aromatic H rocarbonst BRL S + BRL ug1L 20 ' nad st n-05 to n-C8 Aliphatic Hydrocarbons BRL ug/L 20 Un d'u n-C9 to n-C12 Ali hatic Hydrocarbons' j 1634-04-4 Methyl tert-butyl Ethers BRL ug/L 5 ' I_ 1 71 43 2 Benzene BRL ugh 108-88-3 Toluene° BRL I ug/L 5 j 100-41-4 Ethylbenzene t BRL _ uglL 5 ' Fit,11 and 11X.Q-3 meta-X lene and tiara Xylene' - BRL ug/L 5 95-47-6 ortho- X lene# BRL ug/L 5 BRL ug/t S 91_20-3 I Naphthalene _ -- -- = - - T=-._-� �-niimoe}�':: :�;-�:=:�:��_�-�_�-'Iced=.. - ..-_ .-: _rsRe�o =`= , .=--- �Csl�>e�s-.�:;::�.� : ' WE—A --... _.. 70-130% 2,5 Dibromotoluene(PID) 50 50 100 % 5D 48 96 % 70-130 j 2 5-Dibromotoluene(FID) _ .:_ -• :._ -_ — - — Yes I ' 1 Were all QA/QC procedures required by the method followed? r A/ C roceduresachieved? Yes 2. were all performancelacceptance standards for the re-qu red Q Q P No 3. Were any significant modifications mane to the method,as specified in Section 11.3.2A? ' Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report Release of this data is authorized by the accompanying signed project cover letter_ The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference: Method for the Determination of Volatile Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). ' Report Notations BRL Indicates concentration,if any,is below reporting limit for analyze. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any sumogate(s)and/or internal standards eluting in that range. 0 n-05 to n-C8 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations. ' ® n-C9 to n-Cl2 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations and the concentration for the n-C9 to n-CI0 Aromatic Hydrocarbons range. tt Analyte elutes in the n-05 to n-C8 Aliphatic Hydrocarbons range. ' 4 Analyte elutes in the n-C9 to n-C12 Aliphatic Hydrocarbons range. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 IL ORION i UWA .._._. —_..__. — .--_. T Massachusetts DEP VPH Withod y Y Volatile-Petlroleui►m'H dro�ar�ons y D f Matrix: Aqueous _ TfieldID: MW-4-. .. _.__._.. 49 nt�VAA. ' ---------- --- - --- ..._.. -- ---- ---- ---[lamer:. -#rah-. .._.. . _ .. ' Project: ttarryis Preservation: HCl/Coo!. Client: Green Seal Environmental Laboratory ID 656 - 89 -08 QC Batch ID: VG7-2334-W Sampled: 165605 t3 30 instrument ID: GC-1 HP 5890 Sample Volume: 5 mL Received: 11-29-05 16:20 Dilution Factor. 1 Analyzed: 12-02-05 1657 Analyst: IH _ _ iJrut ✓ - - - IR n-05 to>C8 i atic Y roca ns u L 20 n-C9 to n-CI Aliphatic Hydrocarbons fi I BRL to C9 to n C1Q Aromatic Hydrocarbons' BRL u L 20 t U C8 BRL I ug/L 20 nadjusted n C5 to n- Aliphatic Hydrocarbons r BRL [ nad-ust n-C9 to n=C12 Aliphatic Hydrocarbons t ug/L 20 :, - _ ,---�oEice��oa __. ^. C}►S.NWinber Analit BRL ug/L 5 ' 1634-04-4 Methyl teR bate!EtherII— L 1 _ 71-43-2 , Benzene ug/L 5 108-88-3 1 Toluene z _.,_.T_.- _. BRL —.5 .. -- -I - ug/L . 1004] 4 thylbenzene$ $_. SRL 108-3&3 and ios-Z3 meta X eene and para-Xylene j- BRL _ uF�L $ a -! BRL _ug/L —5 ' 95-47.6 _ortho- Xylene - BRL ^j ug/L 5 91-20-3 Naphthalene _ Spiked AAeaSa _ Recearery_= - _.. LW - ' - 49 1 98 % 70-130% 2 5-Dibromotoluene(PID) 54 50 47� 94 % � 70-130% � 2,5-Dibromotoluene(FID) _ - ' Yes ] Were all QA/QC procedures required by the method followed? A/ roceduresachieved? Yes 2. were all performance/acceptance standards for the required Q QC P,as spec No fled in Section 173.2.i? 3. were any significant modifications made to the method Method non conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality ' control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative - i and quality control report are considered part of this data report- Method Reference. Method for the Determination of volatile Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). ' Reporl Notations: BRL indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 0 rF-05 to n-C8 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations. ' n.C9 to n-Cl2 Aliphatic Hydrocarbons range data excludes the method target analyze concentrations and the concentration for the n-C9 to n-C10 Aromatic Hydrocarbons range. u Analyte elutes in the n-05 to n-C8 Aliphatic Hydrocarbons range. Anafyte elutes in the n-C9 to n-C12 Aliphatic Hydrocarbons range. II i ' Groundwater Analytical, Inc.;P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 elm ANA- INarvative Lab ID: 89656 .-Harry's �_.... — ..-- - ..:..:.............._. :�. -,-.CBS.-�!6-.. ..- -,_.-. - - Inc: _........ ...... _ CT enT Green•S�eat'��, The following documentation discrepancies,and client changes or amendments were noted for this project: 1 . No documentation discrepancies,changes,or amendments were noted. The sample(s)in this project were analyzed by the references analytical method(s),and no method modifications, non-conformances or analytical issues were noted,except as indicated below: 1 . MA DEP EPH Note:Samples 8965601,02,-03,04.Polynuclear aromatic hydrocarbon(PAH)target analytes were ' identified and quantified by GUMS-SIM, in accordance with the method provision for alternate determinative methodologies.GCJMS-S1M was used to achieve low quantification limits necessary for regulatory compliance. Target analytes were determined utilizing the same sample extract used for carbon range determination by ' GUFID. ' Groundwater Analytical, Inc., P.O.Box 1200,228 Main Street,Buzzards Bay, MA 02532 R®UNDWATER Buz CHAIN-OF-CUSTODY RECORD 228 Main Street,P.O.Box t2oo G Buzzards.Hey,MA 02632 ANALYTICAL Telephone(508)759.4441 z FAX(508)759.4475 AND WORK ORDER www.groundwate ranalytical.com Project Name: Firm; TURNAROUND tt ANALYSIS REQUEST i �TA(C y'S t CU/1A� �f E�', H( 1C7tly ❑ STANDARD(10 Business Days) Ymeaie+ semirotrtnn kr.tea " 6+ c and ah+r Project Number: �Address: /� �1 PRIORITY(5 Business Days) ,A ❑ RUSH(RAN- ., (Raab reeulrae Rueh Pnthodrellan Number) ❑ C:.- U Sampler Name: City/State/Zip: O Please Email to: c n ❑Please SICCING � 3 �x 1 Project Manager: Telephone: c'I - 4 �C CY ►/-'S G` �0 '�`�� 471 1�LA ❑ Purchase Order No.: ❑Third Party Billing: Q y s 6 INSTRUCTIONS:Use separate line for each container(except replicates.). ❑ OWAOuote: e g Q = ❑ g $ Sampling Matrix JiTypel Com r(a)aina Preservotlon c � ° c c ' - s d LABORATORY r f1:11111 ~ c BAMPLE ! NUMBER ' p IDENTIFICATION sr 3 e a m a a p (Lab Ua Only) p� 6t i A a 111 4 Jll i Y� Q 1 I� ® l, B = G c r. - Ie.oC MW.. )C r Nw- a l.r J W W- X rI �� I. 0 X a I - Ell till REMARKS f SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY REC D MA DEP MCP Data Enhancement Afflmratlon Regulatory Program Project Specific OC NOTE:All samples su tted subject to Standard Terms 9nd` mclillons.o r e e YES❑NO MGP Date Certification required. State Standard Deliverables Many regulatory programs and EPA methods require project Relinquished by Sampler: +to Time R ived try: i r U-PT, '/\ s cI11c OC.Project specific QC includes Semple Dupticates, ` 1-1_ pa II Laborator OC Is PWS For M trlx Spikes.and/or Matrix Spike Duplicates, y OYES ❑NO MCP Drinking Water Sample lnduded, ❑CT MCP GW1B 1 ❑ m a p P W (Require collection of contingent duplicate sample. not project specific unless prearranged.Project speclAc OC i _ i: c et er c uni. g *NP P ❑ME ❑MCP GVy-2/S-2 O MW RA samples are charged on a per sample bests.Each MB,M8D Rellnq ilehed by: are Time Received W. Trip Wanks are�al�so�reg�w/reydy,H VOA sample collected). AMA p NY STARS [J and Sample Duplicate requires an additional sample aliquot. Signature:J�� ❑NH ❑Drinking Water ❑NY ❑Wastewater PmJeet Specific OC Required Iselectlon of Ge sempb Relinquished by: ate tlma Re la o S I ble At nl ❑Al ❑Waste Disposal O Sample Duptcate :1 Please use sample: O VT O Dredge Material ❑Matrix Spike Method of Shipment:G GWA Courier❑E Press Med D Federal Express j C Se I i ❑_ ❑ ❑Matrix Spike Duplicate be ❑UPS D H9nd❑ j I i i to production Groundwater Analytical conducts an active Quality..Assurance program ensure the roduct" of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and ' Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980), and Test Methods for Evaluating Solid Waste, US EPA,SW-846, Update 111 (1996). Quality Control protocols include written Standard Operating Procedures (SOPs) developed for each ana ica me ' shad references ived hour 135 HA Standards are..prepared from commercially obtained reference materials of certified purity, and documented for traceability. Quality Assessment protocols for most organic analyses include a minimum of one laboratory control sample, one method blank, one matrix spike sample, and one sample duplicate -for each sample preparation batch. All samples, standards, blanks, laboratory control samples, matrix spikes and sample duplicates are spiked ' with internal standards and surrogate compounds. All instrument sequences begin with an initial calibration verification standard and a blank; and excepting GC/MS sequences, all sequences close with a continuing calibration standard. GUMS systems are tuned to appropriate ion abundance criteria daily, or for each 12 ' hour operating period,whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one laboratory control ' sample, one method blank,one matrix spike sample, and one sample duplicate for each sample preparation batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. B.De-fnitions. ' Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples of the same matrix which are prepared together for the same analysis, using the same lots of reagents and the same techniques or manipulations,al I within the same continuum of time, up to but not exceeding 24 hours. ' Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or sodium sulfate spiked with a group of target analytes representative of the method analytes. Accuracy is defined as the degree of agreement of the measured value with the true or ' expected value. Percent Recoveries for the Laboratory Control Samples are calculated to assess accuracy. Method Blanks are used to assess the level of contamination present in the analytical system. Method Blanks consist of reagent water or an aliquot of sodium sulfate. Method Blanks are taken through all the appropriate ' steps of an analytical method. Sample data reported is not corrected for blank contamination. Surrogate Compounds are used to assess the effectiveness of an analytical method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to the target analytes of interest in chemical behavior, but which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 iboratory Control Sarr>Eples nstlumertt ifl•"'CE'Ti•tP''a9@- _-. Inslrum>�ttifJ:-•£f 1=HP 3690 ._....__..:.___.-...._... .._....- QC Batch ID: VG1-2334-W Analyzed: 12-02-05 09 41 AnAyi d- 1242-05 14 21 Matrix: Aqueous Analyst- Analyst: lH Units: ug/L We 109-66-0 n-Pentane 50 51 �101 % 50 47 - 94 % 7 % 70-130% 25% 107$3 5 2 Methylpentane 50 49 98 % 50 45 91 % 7 % 70-130% 25% n/a Aliphatic Group 1 150 150 100 % 150 140 93 % 7 % 70-130% 25% 7 71=842 rr Nonane 50 ,18 96 50 44 gg gb g % 70-130% 25% ' t 12418 5 o-Decane 50 50 j 101 % 50 45 90 % 72 % 70-130% 25% 1678-93-9 50 n-Butylcyclohexane 50 , 101 % 50 46 93 % 9% 70-130% 25% n/a Aliphatic Group 2 150 1 150 100 % 150 140 93 % 7 % 70-130% 25% 1634-04-4 Methyl tert-butt'(Ether 50 44 89 % 50 42 84 % 6 % 70-130% 25% ' 71-43-2 Benzene 50 50 100 % 50 48 95 % 5 % 70-130% 25% 108-88-3 Toluene 50 50 100 % 50 48 95 % 5 % 70-130% 25% 100 41 4 I thylbenzene 50 53 106�6 50 50 100 % ; 6 % _I 70-130% 25%i ID&3&3 and 10&42-3 meta-Xylene and para-xylene j 100 110 110 % 100 100 100 % I 10 % i 70-130% 25%i 1 95-47-6 i ortho- Xylene 50 ! 52 105 % I 50 51 101 �° 4 °� 70-130°� 2596' 95-63-6 1,2,4-Trimethylbenzene 50 53 ' 105 % ; 50 49 99 % 7 % 70-130°b 2546 91-20-3 Naphthalene 50 44 87 % i 50 1 41 82 % 6 170-130%; 25°,6 n/a Aromatic Group 450 460 102 % 450 430 96 % 7 % 70-130% 25% 2,5-Dibromotoluene(P!D) 50 48 95 % 50 —48 96 % 70-130%—� 2,5-Dibromotoluene(FID) 50 46 92 % 50 46 92 % 1 70-130% ' Method Reference: Method for the Determination of volatile Petroleum Hydrocarbons,AAA DEP(Revision 1.1,2004). Report Notations: Ail calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. I • I ' Groundwater Analytical, Inc., P.Q. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 SIMENW1 WAY ER e _ _. _ ._....... . ... ........ .. . ... ... Method Blank Instrument 1D: GC-1 HP 5890 _..... ... ....._..: _.. _. Analyzed: 12-93.95 .11 01" ' QC Batch ID:_ " VG1-2334-W Matrix: Aqueous Analyst: JH :=�Pt1-. ,_•— �� ;^• _.._ ,�-_• ,_:��.-_` : Neves: :.; =1 -,� n-05 to n�C8 Aliphatic Hydrocarbons t° BRL ug/L 20 ' n-C9 to n-C12 Aliphatic Hydrocarbons"' BRL ug/L 20 n-C9 to n-C10 Aromatic Hydrocarbons T i BRL ug/L 1 20 n d us n-05 to n-C8 Ali hatic H rorarbons t BRL I ug/L 1 20 t BRL u L 20 1634-047 Methyl tert-butvl EtherII BRL ug/L 5 ' 7143-2 Benzene° — 1 _.. . _ BRL ug/L t 108-88-3 Toluene II BRL ug/L _ S 100 41-4 Eth tbenzene' BRL u�g/L 5 a-3and10&4.3 : meta-Xyleneandpara-Xylene= BRL —i ug/L 5 ' 95�47-6-6 ortho- Xylene' BRL uP/L . - 5 91-20-3 Naphthalene BRL ug/L 5 =S . ec1 : fvteasutetl_ ReEoi+ =- r` r[its r_=�Surate Co?npo�iid. 2,5-Dibromotoluene(PID) 50 49 98 % 70-130% ' _2 5-Dibromotoluene(EID) - 50 j 46 93 % 70-130% Method Reference Method for the Determination of Volatile Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004L ' Report Notations: 8RL Indicates concentration,if any,is below reporting iimitfor analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 4 n-05 to n-C8 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations. ' ® n-C9 to n-C12 Aliphatic Hydrocarbons range data excludes the method target analyte concentrations and the concentration for the n-C9 to n-C10 Aromatic Hydrocarbons range. tt Anaiyte elutes in the n—05 to n-C8 Aliphatic Hydrocarbons range. # Analyte elutes in the n-C9 to n-C12 Aliphatic Hydrocarbons range. 1 1 ' Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 MENP 1OWMARN 6-ME It Quality Control Report Laboratory Control Samples LCSD --=--_ -- , EPA 827(K1Vttidified _.insttvirremtiD MS�i ttP6B90 instntment tD iNS-6�1P QC Batch ID: EP-1648-F Extracted- 11-30-05 17:00 Extracted: 11-30-05 17:00 Matrix: Aqueous Analyzed: 12-02-05 17:44 Analyzed: 12-02-05 18:23 Units: ug/l Analyst: CMM Analyst: CMM :r.- - _ -: �[;# ' 91-20-3 Naphthalene 5.0 3.1 1 62 % 5.0 3.3 65 % 5 % 40-i40% i 20% 91-57-6 2-Methylnaphthalene 5.0 , 3.4 69 % 5.0 3.6 71 % 4 % 40-140% 20% _5 ° 5 40-140% 20% 83-32-9 Acenaphthene 5.D 4.0 79 % 5.0 4.2 83 % 5 % 40-140% 20% 208-96-8 Acenaphthylene I 5.0 3.5 70 % 5.0 3.7 74 % 6 % 40-740 96 20� 86-73-7 Fiuorene 5.0 4.0 79 % 5.0 t 4.2 I 83 °k 5 % 40-140% 20% 120-12-7 Anthracene 5.0 4.5 l 90 % 5.0 4.8 ; 96 % 1 6 % l 40-140% 20% �2j 06 qq p Fluoranthene j 5.0 4.9 i 98 °k 5.0 5.3 1 106 % 8 % 40-140% 20% 129-00-0 Pyrene 5.0 5.0 99 % 1 5.0 5-3 # 106 % 7 % 40-140% 20% 56-55-3 j Benzo[a]anthracene 5.0 4.9 98 % 5.0 5.3 105 % 7 % 40-140% 20% ' 218-01-9 Chrysene 5-0 i 4.7 94 1. 5.0 5.0 100 %- 7 % 40-140% 20% i 1 205-99 2 Benzo[bjfluoranthene 5.0 4.9 98 % 5.0 5.4 108 % 9 % 40-140°,6 20% 207-08 9 Benzo[k]fluoranthene ^r5.0 5.1 101 % 5.0�5.6 113 % 11 % __L 40-140°k 20% 50 32� Benzo[a]pyrene 5.0 1 5.4 109 % 5-0 6.0 120 % 10 % 40-140% 20% ' 193-39-5 Indeno[1,2,3-c,d]pyrene 5.0 4.8 95 %� 5.0 S.4 107 °/° 12 °k 40-140% 20% ' 53-70-3 i Dibenzo[a,h]anthracene j 5.0 1 4.7 1 94 % 1 5.0 ( 5.1 102 % 8 % 40-140°/0 20% 191-24-2 ' Benzo[g,h,7perylene I 5.0 4.6 92 % 5.0 ; 5.0 101 % 1 9 % i 40-140% 20% _. .mil ortho Terpheny[ 40 1 36 89 % 1 40 38 94 % i 40-140% - Method Reference: Test Methods for Evaluating Solid Waste,US EPA,SW-846,Thins Edition,Update III 0996). Method modified by use of selected ion monitoring(SIM)in accordance with Section 7.5.5 of the method. Method protocol modified to include acidification and the surrogate compound in accordance with the MA DE?Method for the Determination of Extractable Petroleum Hydrocarbons. Sample extraction performed by EPA Method 3510C- ' Report Notations: All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or altematively based upon the historical average recovery plus or minus three standard deviation units. The LCS and LCSD are prepared from separate source standards than those used for calibration. t 1 ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ouallitv- Report Method.Blank .. _ r ntoany, _..... PA MAh 270IC-Nod.).-.EPH_FA1:bYGCJMS-51M._-- i,_ ,,....- Instrument ID: MS- HP 6890 EP=1� •Extracted: _71=39•QS...�q.�_. 12-02-05 T 705 Matrix: Aqueous Analyzed..... Analyst: CMM 91-20-3 _ Naphthalene BRL ug/L 0.5 91-57-6 2-Methylnaphthalene BRL ug/L 1 0.5 208796-8 Acenaphthylene BRL ug/L 0.5 83-32-9 Acenaphthene BRL ug/L 0.5 86-73 uorene skt 03ft . g5 01 8 Phenanthrene BRL ug/L 0.5 120-12-7 Anthracerte BRL ug/L 0:5 206-44-0 I Fluoranthene BRL I ug/L 0.5 729000 ! Pyrene. BRL ug/L 0.5 r' BRL ug/L 0.1 56-55-3 Benzola]anthracene 218-01-9 Chrysene BRL ug/L 0.1 205-99-2 Benzo[b]fluoranthene BRL ug/L 0.1 ' ! 207-08-9 Benzo[k]fluoranthene BRL ug/L 1 0.1 50-32-8 Benzo[a]pyrene BRL ug/L 0.1 193-39-5 ! Indeno[I,2,3-c,d]pyrene BRL ug/L 0.1 ' 53-70-3 ! Dibenzo[a,h]anthracene SRL ug/L ! 0.1 191 24-2 j Benzojg h i]perylene BRL ! ug/L 0.1 — ortho-Terphenyl 1 4- 32 81 % 40-140% ' Method Reference: Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update 111(1996). Method modified by use of selected ion monitoring(SIM)in accordance with Section 7.5.5 of the method. Method protocol modified to include acidification and the surrogate compound in accordance ' with the MA DE?Method for the Determination of Extractable Petroleum Hydrocarbons. Sample extraction performed by EPA Method 3510C. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. tGroundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 po A1111p " ra irsti. GC77iP3ff'.�8 Extracted:.._ _ _.. 1.1-30-05 17.00 _ Extracted: 11-30-05 7T:00 Mafrix: Aqueous Analyzed(AL): 12-02-05 14-45 Analyzed(AL): 12-02-05 16:13 Units: ugA Analyzed(AR): 12-02-05 15:29 Analyzed(AR): 12-02-05 16:57 Analyst: MM Analyst: MM 111-84-2 n-Nonane(C9) -- 50 32 6 % 124-18-5 n-Decane(C,d 50 36 73 % 50 34 69 % 6 % 11240-3 36 72 % 5 % 40-140b° 629-59-4 n-Tetradecane(C 25% t� 50 41 82 % 50 39 77, %.' 6.% 40-140% 25% 544-763 n-tiexadecane{Cry 50 47 94 % 50 45 90 % 4 % 40-140% 25% 593-45-3 n-0ctadecane(C,� 50 49 98 % 50 49 98 % 0 % 40-140% 25% n/a n-C9 to n-C18 Group 300 240 81 % 300 230 78 % 4 % 40-140% 25% 629 92-5 n-Noriadecane(C79) 50 48 95 % 50 j 48 1 96 % 0 % 40-140% ! 25% 112-95 8 n-Eicosane(C20) 50 47 94 % :1 SO 47 94 % 0 % 40-140' _45 , 25% 629-97-0 n-docosane(Czz) I 50 45 90 % 50 46 j 92 °h �2 °!o �' 40-140 25%646-31-1 ii etracosane(C2o) 50 44 87 % 50 45 , 90 % ! 3 % 140-140% ' 251b 630-01-3 ( n-Hexacosane(C20 50 i 45 g9 % 50 1 45 91 % 2 % 1 40-140 % 25% 630-02-4 n-0ctacosane(Czal 50 44 87 % i 50 44 89 % 2 % 40-740% 25%' 638 6" n Jnwontane(C3o1 50 43 85 % 50 43 87 % 2 % —-140-, 25% 630 06-0 n-He:mtriacontane(C,j • 501 41 1 81 % 50 43 1 86 % 1 5 % 1 40-140% 25% n/a ; n-C19 to n-C36 Groupi 400 350 89 % 1 4001 360 1 90 % 1 2 % 40-140% 25% ' 91-20-3 Naphthalene 50 40 79 % 50 34 68 % 15 % 40-140% 25% ' ' 91-57-6 2-Methyinaphthalene 50 41 82 50 35 70 % 15 % 40-140% 25% 208 96 8 Acenaphthylene 50 45 91 % 50 42 84 % 8 % 40-140% 25% 83-32-9 Acenaphthene 50 45 89 % 50 41 81 % 9 % 40-140% 25% ` 86-73-7 Fluorene 50 48 96 % 50 45 90 % 7 % 40-140% 25% 85-01-8 j Phenanthrene 50 1 53 106 % 1 50 52 103 % 3 % 40-140% 25°b i 120-12-7 Anthracene 50 52 105 % 50 5i 102 °G 3 % 40-140% j 25% 206-44-0 Fluoranthene 50 54 108 % 50 53 106 ' 129-00-0 Pyrene 50 53 106 % 50 52 1 105 % 7 Sfr55-3 Benzo[a]anthracene 50 55 111 % 50 55 218-01-9 , Chrysene 50 49 97 % 50 48 205-99-2 Benzojb]fluoranthene 50 55 109 % 50 53 106 % 3 % 40-140% 25% ' 207-08 9 Benzo[k]fluoranthene 50 45 90 % 50 46 91 % 2 °b 40-740% 25% 50-32-8 1 Benzo[a]pyrene 50 49 99 % 50 49 98 % 1 % 40-140% 25% 193-39-5 1 lndeno[1,2,3-cd]pyrene 50 52 103 % 50 52 ! 103 % 0 % 40-140% 25% 53-70-3 Dibenzo(a,h)anthracene 50 52 104 % ' 191-24-2 Benzo[g h,i]perylene SO 49 - '°b n/a PAH Group 850 840 98 % 850 810 95 % 4 Y= Fractionation_ 2-Fluorobiphenyl 40 38 95 % 40 33 83 % 40-140% ' 2-Bromonaphthalene 40 41 101 °b — -- 89 % 40-140% Extraction: Ch] Iro-octadecane 40 32 80 % 40 1 32 1 80 % 40-140%ortho Terphenyl 40 39 97 % 40-140% 91-20-3 Naphthalene LCS 0 % LC5D 0 % 5% 91-57-6 2-M_e_thyinaphthalene LCS 1 % SD 1 % 5°k Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(Revision 1.1,2004). J ' Sample extraction performed by reparatory funnel technique. Report Notations: All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. ' The LCS and LCSD are prepared from separate source standards than those used for calibration. - Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay,MA 02532 MA DEP EPl'r! Instrument iD: GC-7-HP 5890 QC Batch 1D: EP-1648-F --.. ....... ax:._._.._...__,. ._......_.._..____..............---_;_. ..-._. . ..__..__......._._....._. . _._..._ .;lap. ..._.. ...._.__......._.............. .._ Analyzed(AL): -- -12-02-05 13:17 Analyzed(AR): 12-02-05 14:01 _ Analyst: NIM n-C9 to n-C18 Ali hatic._. ,�+.:.,.� _ __ _ _- - —_ — —:� ::=-=-_`. '•��.;�= =. F'.��; Hydrrxarbons BRL ug/L 500 n4;19 to n-C36 Ali atic Hydrocarbons t 8RL n-CT 1 to n-C22 Aromatic H rocarbons 10 ug/L 0 BRL 15 ug/L 150 Un d'u n-CI1 to n-C22 Aromatic Hydrocarbons+ BRL _ -- - - : Fractionation 2-FJuorobiphenyl 40 32 81 % _........ 2-Bromonaphthalene 40 33 40 140 ' 75 % 40-140% Extraction: Chlorooctadecane 40 30 75 °r6 -�` 40-140% i ortfio-Terphenyl 40 32 0 ' 81 /0 40-740% � Method Reference: Method for the Determination of Extractable Petroleum Hyd—rbons,MA DEP(Revision 1-1,2004). ' Sample extraction performed by separatory funnel technique. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample size and dilution. t Hydrocarbon range data excludes concentrations of any sunogate(s)and/or internal standards eluting in that range. ' 0 n-CI1 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. I ' Groundwater Analytical, inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 _. ._. .._. __ ..__._..._Groundwater Analytical maintains enyironmental-.laboratory�ettification_�n.a.vanet�+�f - _ _es-_ -- - opres-o flurcurrentcertificates'may-be-obtainedfromourw�site:" hapJ/www.groundwateranalyti Lcom/qlualifications htm CUAtNfCTICU _. ' ,f3epart,nerit Qf,Heq_. Services, IPH i586. Categories: Potable Water,Wastewater,Solid Waste and Soil http://www.dph.state.ct.us/BRS/Environmental Lab/outStateLabList.htm ,. .. _ Categories:SDWA,CWA,RCRA/CERCLA ' http://www.floridadep.oTAabs/ga/dohforms.htm MAIM Dep`a hnent of-Huriian.Services, MA103 ' Categories: Drinking Water and Wastewater http://www.state.me.us/dhs/eng/water/Compliance.htm. MASSACHUSEITS;Depait entof-Enuironmental Protection, M7N_A-103, ' Categories: Potable Water and Non-Potable Water http://www.state.ma.us/dep/bspt/we5/file.s/certiabs.pdf ' NE -HAM ll+tt;Dom _ = t:,of=fxwironmental Servie�; 2037t13 :. .._ . Categories: Drinking Water and Wastewater lftp://www,des.,tate,nh.us/asp/NHELAP/Jabsview.asp -- _ NEW.YORtC,Deparfinent:of_1#eaith,-.33754. Categories:Potable Water, Non-Potable Water and Solid Waste ' httpJ/www.wadsworth.org/labcert/elap/comm.html PENNSYLVANIA;Iartriiiep#of Envrronmetttalrotection,_GS-56S `. ' Environmental Laboratory Registration (Non-drinking water and Non-wastewater) http:/Iwww.dep.state.pa.us/Labs/Registered/ l RHOOfSt AND: rtmerst of}lealfh .. 4 y©+ _ Categories:Surface Water,Air,Wastewater,Potable Water,Sewage http://www.healthri.org/labsAabsCT MA.htm U.S:I�epartrnentof;Agriculmr�;Soit_Permit:��92� ._�'7 Foreign soil import permit 1�ERMONT,Department of Environmental.Gonser 41tim Water.3upply:ivisron: Category: Drinking Water http.-I/www.vermontdrinkingwater.org/wsopsliabtable.PDF Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 Massachusetts Department of Environmental Ma agement Office of Water Resources 144101 TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS-(OPTIONAL) LATITU ' LONGI DE DATUM _;Address at Well Location' f P%perty,0 edClient: Subdivision Name _ Mailing Addre s: -� CitylTown + Yk1P�4 ,. Ci Town: vkl it r Assessors Map Assessors t'#. NOTE: ssessors Map and Lot# rriandatory:rf no s"t eqt„add ss available Board of Health permit obtained.- Yes ❑ `No qu' Peimit•Number Date Issued 2.WORK PERFORMED 3. PRO ED USE, 4.`DRILLING METHOD CX New Well ❑ Abandon ❑ Domestic ❑ Irrigation ❑ Cable '[9 Auger4, ❑ Deepen '❑ Recondition tK Monitoring ❑ Municipal ❑ Air Hammer-- El' Direct Push ❑ Replace _ ❑ Other - ❑ Industrial ❑ Other ❑ Mud Rota "O :❑ Other 5. WELL LOG Water Unconsolidated Consolidated 6.SITE SKETCH (use permanent landmarks with distances) Bearing a ; a Other Rock Type �` w.'�/ and From (ft) To (ft) Zones m Material . Description „t'L' - \ i \ A et K 7. WELL CONSTRUCTION'. 8. CASING Total Depth Drilled ....( From (ft) To (ft) Casing Type and Material 'Size I.D. (in) Well Seal Type Date:Qom lete— - b r vC, �k jpc, .yK Cti f " 9. SCREEN From (ft) To (ft). Slot Size Screen-Type and Material Screen Diameter SI rn .010 _S( A�!6" vC. FTC 2!., 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION ~' f Developed? E;4 Yes ❑ No From (ft) To (ft) Material Description Purpose Fracture Wii P ACK-- Enhancement? ❑ Yes Ej� No Method Disinfected? ❑ Yes No E 12. WELL TEST DATA(ALL SECTIONS MANDATORY FOR PRODUCTION,WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield,., Time`Pum'ped Drawdown to Time to Recover Recovery to Depth Below Date Method (GPM),- . ,(hrs•&min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground SurfaceN(FT) 14. PERMANENT PUMP(IF AVAILABLE) 15.NAMElADDRESS OF PUMP INSTALLATION COMPANY Pump Description Horsepower Pump Intake Depth (ft) Nominal Pump Capacity (gpm) 16. COMMENTS `' 17. WELL DRILLER"S STATEMENT This well was drilled, altered, and/or abandoned under my supervision, according to applicable rules and regulations,and this report is com pIqte and correct to the best of my knowledge. Driller:`IM%i o;S -`` sry - Supervising Driller Signature: a..�� Lam_ Registration #: I DI I-q Firm: LS ` �f 1!+ (t�C Date: / 7 ['. Rig Permit#: NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. >. ": BOARD OF HEALTH COPY Masosetts Department of Environmental MaWent Office of Water Resources 144111 :TYPE OR PRINT ONLY Well Completion Report. ff LOCATION GPS (OPTIONAL) LATITUDE LONGITUDE DATUM at Well Location tt(fit Property Owner/Client: i r non Name Mailing Address: City/Tovvn City/TOwn: 6, Assessors Map 'Assessors Lot# NOTE;Assessors.Map and Lot#:mandatory.rf no street address available,: d Board.of;Health permit obtained: Yes ❑ Not Required LXJ Permit Number DateAssued Y- g -- ,'. 2 WORK PERFORMED' 3: PROPOSED USE: . DRILLfNG METHOD. i New Well ❑ Abandon ❑ Domestic ❑ Irrigation °"`� ❑ Cable ` WAuger ❑ Deepen ❑ Recondition EX Monitoring ❑ Municipal ElAir Hammer--�F l Direct Push, ❑ Re lace ❑ Other ElIndustrial ❑ Qther ❑ MudRota ,❑ Other 5:WELL LOG. _ . Water. Unconsolidated Consolidated 6.SITE SKETCH(use permanent landmarks with distances),, _ Other Rock Type m m d-Bearing an From (ft) To (ft) Zones o 0 Material Description .ti,, •�e ..�,,.. AE � ,C�s 7. WELL CONSTRUCTION 8. CASING p CO Total Depth Drilled From (ft) To (ft) Casing Type.and Material Size-I.D. q VII Sell Type Date Complete F- 4 ". .Sc4% , F,3 2" �4 9. SCREEN " i c-n rn From (ft) To (ft) Slot Size Screen.Type and Material Screen Diameter a 1 .0 1© 1 S 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11.ADDITIONAL WELL INFORMATION Developed? ❑ Yes 2 No From (ft) To (ft) Material Description'-,,',' Purpose Fracture Enhancement? ❑ Yes No Method Disinfected? ❑ Yes ® No 12. WELL TEST DATA(AtL SECTIONS MANDATORY FOR PRODUCTION WELLS) 13.STATIC WATER LEVEL(ALL WELLS) Yield ,,Time Pumped Drawdown to Time to Recover Recovery to Depth Below Date Method (GPM) -(hrs&min) (Ft. BGS) (hrs& min) (R. BGS) Date Measured Ground Surface (FT) e� 14:PERMANENT PUMP (IF AVAILABLE) 15.NAMEIADDRESS OF PUMP INSTALLATION'COMPANY Pump Description Horsepower Pump Intake Depth r �^� ft Nominal Pump Capacity (gPm ) 16. COMMENTS 17.WELL DRILLER'S STATEMENT IThis well was drilled, altered, and/or abandoned under m supervision, according to applicable rules and regulations, and tF}is-re ort i complete and orre t to the best of m knowledge. t �3"'�G z` 9 � � P Y er g - �I Driller: w. �t 'oy Supervising Driller Signature: Registration #: J Firm: �'s Y—s �`i`I 1`� b'I''kll - �� Date: `" `d Rig Permit#: ji NOTE. Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTH COPY �' l � TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops n O unsatisfactory- 4.Manufacturers COMPANY 364K F2�21�`(L (see"Orders") 5. Retail Stores 6.Fuel Suppliers ADDRESS , N Class: 7.Miscellaneous Gino t�Nk QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MAT RIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) X new motor oil (C) transmission/hydraulic Synthetic Organics: Ix degreasers C9 WQ. bq Miscellane s: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply i - b-( ,/ IT) N Q U Sb, Town Sewer lPublic /��s L � oI ) Pl 1� �-�— O On-site OPrivate l 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N6_>L ORI)ERS: O Holding tank:MDC / c f' ��a (� O Catch basin/Dry well �� C O On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product 1• Atom �/ �l �JL, l LIJV G IC.� 1j� NO 2. �C ul Person s) Interviewed Inspector Date TOWN OF BARNSTABq,0 00MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF EALTHsatisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 'S (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous �� QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MAT IALS ' ,- IN OUT IN OUT IN OUT #&gallons Age Test Fuels: --� Qas9line-4e� (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) ' new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miseellaneou : > X,y DISPOSALIRECLAMATION REMARKS: 1. anitary'Sewage 2. ter Supply 5 Town Sewer Public j O On-site OPnvate 3. Indoor Floor Drains YES LNO , O Holding tank:MDC R, O Catch basin/Dry well /414A 0� r:Ez"/ - O On-site system Aill .CG 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter 11 Name of Hauler Destination Waste Product , YES NO 2. t Person s) Int ed In ector Date TOWN OF BARNSTABLE �oMPL1ANCE: CLASS: 1.Marine,Gas Stations,Repair; satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS - Class: 7.Miscellaneous � UANTITIE5 AND 4l'ORAGE (IN=indoors;OUT=outdoors) MAJOR MATtki S - IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 14- L I � L DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer (Public On-site OPrivate i 3. Indoor Floor Drains YES NO O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: Q Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Pei s ( riiewed Inspector Date s TOWN OF BARNSTABLE . COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repa BOARD OF 'Satisfactory 2.Printers��Yj - 3.Auto Body Shops 6 BL unsatisfactory- 4.Manufacturers COMPANY - - t�.01 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS l Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE SUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 'Heavy Oils: waste motor oil (C) t; new motor oil(C) transmissio�ydrauhc_-_ j Synthetic Organics: degreasers Miscellaneous: DISPOSAURECI AMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public ,�VOn-site OPrivaate 3. Indoor Floor Drains YES y NO O Holding tank:MDC� 14 O Catch basin/Dry well .� O On-site system 4. Outdoor Surface drains:YES___NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed? �` te 1. YES_: NO P son(s) Interviewed Inspector Date 05/27/1998 01:21 617-595-7701 GINSBERG PAGE 03 1 �oo = •�nc ms•od. w � Moi wc T'rpToA ces Mom �. I ;�'� ��• NCl/" �• T"OAp: j ' ' I '• CBpf/iyf � rr �p ��• ��• i ..:Sala. Z9 E-1 w "all A� -•.1�:.,',. +,r.:.__,-��.,... -..._.. �� L Pars f J A• � x PARCEL. "B" t 10 ACRES Scoop 13, � ?� ,� ` C8q 1 Oj•90 ep�� .... PARCEL "A" 3.17 ACRES O . 9R. 2s 0 f dU Q4 'tea f 3 .Ofr� h h - W H (LIM o t O h 9 t 415Ts ... 226 44' Z u .e0 . puo�l � LSafl 100. trrot 36' •.•�—� 582 rC T.. r 19pi slm.urea t S 1. a�+er.we�rw eawaow o,�nse4 I. "egtle�w"r•ww h4.,�Re ooigml,ey drte ft�ers of Opts dfb Omnm- ' �Iwp roaacwwe4 . Town of Barnstable Department of Health, Safety, and Environmental Services RAMSTABIA r Public Health Division ��`0N1a P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health June 4, 1998 Mr. &Mrs.Manuel Ginsberg 42 Shepard Avenue Swampscott,MA 01907 RE: 350 Stevens Street,a.k.a. 371 North Street,Hyannis Dear Mr. and Mrs. Ginsberg, In response to your letter dated May 26, 1998,I will attempt to clarify some items regarding our original UIC Notification letter. I apologize for the May 5, 1998 letter arriving in such a roundabout manner. Our notifications are addressed according to Assessors Department records which obviously have not been updated. The May 5, 1998 letter does address issues at the property also known as 371 North Street,Hyannis (formerly occupied by Ken's Auto Repair and currently occupied by John Frazier and Sons). As your letter stated,the two drains in the concrete block building have been temporarily capped. However,the Department of Environmental Protection has different definitions and requirements for permanently capping drains and"closing" the exterior discharge point. I realize that you reportedly have not used or intend to use the floor drain. Glen Harrington,Health Inspector from our Department,who inspected the property, spoke with John Frasier. Mr. Frasier came to our Department for guidance regarding use storage and disposal of oil and hazardous material which showed due diligence on his part. However,we are bound by regulation that the floor drains and UIC are environmental liabilities and must be dealt with. # If you should sell,transfer or refinance this property where a lending institution is involved,the lending institution will require an environmental investigation which will include a historical background review of on-site concerns(i.e.floor drains and UIC's). Attending to this matter at this time will reduce your overall future liabilities. I I checked with the Engineering Department and,unfortunately,this portion of the property does not have municipal sewer available. I have previously forwarded a copy of a list of consulting firms that handle the closure of these systems. If you have any questions or concerns,please do not hesitate to contact Glen Harrington at our office. Sincerely, homas McKean,R.S., CHO Director of Public Health 1 i Z 203 -560 301 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to Street&Number Post Office,Statq/,;�4 �a� Postage f p $ Certlfied Fee Special Delivery Fee Restricted Delivery Fee rn Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address O TOTAL Postage&Fees $ 2 17-7 CD. Postmark or Date 0 LL rn a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. - OD 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 'o LL 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 d SENDER: V I also wish to receive the ■Complete items 1 and/or 2 for additional services. ■Complete items a,4a,and 4b. following services(for an ■Print your name and address on the reverse of this torn so that we can return this extra fee): card to you. a ai ■Attach this form to the front of the mailpieoe,or on the back if space does not 1. ❑ Addressee's Address permit. at ■Write'Retum Receipt Requested'on the maiipiece below the article number. 2. ❑ Restricted Delivery (n ■The Return Receipt will show to whom the article was delivered and the date ` a c delivered. Consult postmaster for fee. 0 3.Arfic/le�jAddressed to: 4a.Article Number � /r[G�izf� �� z G�0,3 �a .�� c a E hJ �0 4 .Service Type r° cjly �n f P.�'�1Q. ? 00�� Registered Certified �I Q� u � . Im ❑ Express Mail p Insured c cc N ❑ Return Receipt for Merck ndi'� D e 0 if 1;1,4 QZ/L 7.Date of Delivery z :; 7 5.Receive (Print ame) 8.Addressee's Address if re t ed W and fee is paid) S ZL = g 6.Signatu eee�or n) ; I PS Form 3811, DecembU 1994 102595-97-13-0179 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS r Permit No.G-10 ® Print your name, address,and ZIP Code in this box O P011c Health Dmilon Town of Bamstable I PO Box 534 I Hyannis, Ma—_`,. --po 02601 Fax(508) - Phone(508) i 5u-u/-o5 lilt Itifil1!111-,1111111111111It1111„1111111 it It r Town of Barnstable �• Department of Health, Safety, and Environmental Services ti ' " BA INIM E, 0 Public Health Division i639• �� AIED � P.O. Box 534, Hyannis MA 02601 Office:t08-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health i r May 5, 1998 i Manuel Ginsburg,Trustee c/o International Mobil Corp. 492 Rutherford Ave. Boston,MA 02129 RE: UIC Notification Letter for 350 Steven's Street,Hyannis,MA Dear Mr. Ginsburg, On March 13, 1998, Glen Harrington, R.S.,Health Inspector for the Town of Barnstable inspected the property known as: Map 308, Parcel 004, 350 Steven's Street, Hyannis, MA. The property was inspected as part of the annual Hazardous Material Registration Program. At that time, floor drains and.an Metropolitan District Commission (MDC) trap was observed at the property. The floor drain was capped but the MDC trap is reportedly still in existence. Due to the presence of the MDC trap, the discharge point is consider an underground injection control system or UIC. Please review the following options for your property. All options below include the proper"closure"of the UIC, according to 310 CMR 27.0. As mandated under the Federal Safe Drinking Water Act, the state UIC regulations prohibit potentially polluting discharge to injection wells. Vehicle maintenance operations commonly use unauthorized injection wells, such as floor drains leading to a septic system, dry well, or oil/water separator which leads to any subsurface leaching structure. Under the State Plumbing Code (248 CMR 2.09 (1) (c) (3), owners/operators of facilities with floor drains tied to injection wells (or discharging to any surface point)have three options: 1. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at the source. For example, cars should no longer be washed and floors should no longer be hosed down. 2. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 4 � 1 3. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 ppm). 4. The `closure"of the UIC includes verifying the location and type of discharge facility, sampling/analyses of wastewater, sludge and soils, backfilling of discharge facility, and notification to proper authorities. A copy of DEP's recommended guidelines are enclosed for your review. In all cases,the owner)must file a UIC NOTIFICATION FORM with DEP. You are directed to comply with the state's UNDERGROUND INJECTION CONTROL regulations (310 CMR 27.00) by informing this department in writing of your intentions within ten (10) days of receipt of this notice and completing the work within thirty(30) days. PER ORDER OF THE BOARD OF HEALTH omas A. McKean Director of Public Health Enc. Industrial Floor Drains cc: Ed Jenkins,Town of Barnstable Plumbing Inspector i i i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair ' satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shop �;J Q unsatisfactory- 4.Manufacturers COMPANY �� r;,•�� / (see"Orders") 5.Retail Stores II,,�II 6.Fuel Suppliers ADDRESS 3 / �1' s � ltY uko Class: / 7.Miscellaneous r'cmr`y K t4i /-+0 0.✓ CLZ-,, QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) _ new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARK: 1. Sanitary Sewage 2.Water Supply ojt'eC\A . r 1,0- O Town Sewer OPublic �C,Q,"4l y, J„ O On-site OPrivate ,o CrvL,d"�� lam-. �� -,�� i.e. 3. Indoor Floor Drains YES�NO / O Holding tank:MDC O Catch basin/Dry well2-"� �.✓" �� t'l )-�,,,e � - �'�,,-H.e�-,� 0 On-site system e":7 ° V 1 c 4. Outdoor Surface drains:YES—NO—)( ORDERS: O Holding tank:MDC I(VIP f 3 °4—1 'I J r / r 0 -f O Catch basin/Dry well , c1 . x,,oc . e O On-site system , 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. Qi '✓{��1. yea Ze 2. 11 i.J cam, f6IS C�t Date(s) Interviewed Inspect r f . Date: qq b r`fig f TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: If>r 111 �-� �✓ Sb �ViZ� GAB C� I`I BUSINESS LOCATION: 3 1 Ndth S+- ff\I V)LS I � MAILINGADDRESS: Mail To: L,�{�'1'l�— TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT pT.,E�L�E,PHO E NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS:�1y`' o -Ppal V Does your firm store py of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity _Antifreeze(for gasoline or coolant systems) Drain cleaners /NEW ✓USED Cesspool cleaners Automatic transmission fluid ✓ Disinfectants Engine and radiator flushes Road Salt (Halite) L,--- Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides ✓ NEW L-- USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED �-fOther petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t s Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FOR NAMEOFBUSINESS: S BUSINESS LOCATION: 1 MAILINGADDRESS: S_ _ Mail To: TELEPHONE NUMBER: - Board of Health Town of Barnstable CONTACTPERSON: - P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMB : J� , Q Hyannis, MA 02601 TYPEOFBUSINESS: O Flo vt (w ,Lf Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifr eze(forgasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes oad Salt (Halite) Hydraulic fluid (including brake fluid) r/ Refrigerants Motor oils Pesticides / NEW USED (insecticides, herbicides, rodenticides) "' Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) / lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda 0-ar wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Iwo TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops /� n unsatisfactory- 4.Manufacturers COMPANY � 1� (see"Orders") 5.Retail Stores _ 6.Fuel Suppliers ADDRESS - Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots / Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: J Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) " new motor oil (C) transmission/hydraulic Synthetic Organics: i cq I1h degreasers:MiNI l , wv'c.}l'j'ls6ane �ilU�d G b�l 77 l9x DISPO'qATARECLAMATION REMARKS: . 1. Sanitary Sewage 2. Water Supply O Town Sewer XPublic _. dr <Q Iln-site OPrivate 3. Indoor Floor Drains YES KNO i 4 Holding tank:MDC __T_Y-9Aj O Catch basin/Dry well O L >QOn-site system ` . 4. Outdoor Surface drains:YES NO-21- ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler �p Destination Waste Product ., O 17 `ice r-' C�� YES NO l P son s nterviewed Inspector Date}€ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM � � Mail To: NAME OF BUSINESS: LDS -� Board of Health MAILING ADDRESS: 371 4�j®rA Sf-. l�•r�.�� S _ Town of Barnstable TELEPHONE NUMBER: - " P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more thap.-50-c#—lens liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) ✓JDisinfectants Motor oils/waste oils oad Salt (Halite) Gasoline, Jet fuel � Refrigerants +� Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) /Degreasers for driveways & garages Printing ink ✓ Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners sphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) N/" Paint & lacquer thinners PCB's Paint & varnish,removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers. hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents . Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair f satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops L O unsatisfactory- 4.Manufacturers COMPANY i.._ (LAW (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS U 0 Class: 7.Miscellaneous �7��cri1 QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALSUndergroundove IN OUT IN OUTI IN OUT I#&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) OfJ new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 01 Ara Y6.-,c DISPOSAL/RECLAMATION REMARKS: '1 N 14;-, M 1. Sanitary Sewage 2.Water Supply O Town Sewer �'ublic QD 1q,On-site OPrivate. 3. Indoor Floor Drains YES V NO O Holding tank: MDC O Catch basin/Dry well exx W-Ua O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1 YES NO 2. d Person (s) Interviewe nspector A Date 7, TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM e NAME OF BUSINESS: e its �� . r Mail To: BUSINESS LOCATION: 3'7/ �.Lo r-41 - S-�— Board of Health MAILING ADDRESS: V% ®, o Town of Barnstable I P.O. Box 534 TELEPHONE NUMBER: £s —s.�36 Hyannis, MA 02601 CONTACT PERSON: -A c�c.-r��✓�b EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case S�.,1,Antifreeze (for gasoline or coolant systems) Drain cleaners i C—se Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants t2�Ae,l Motor oils/waste oils Road Salt (Halite) &b-1 Gasoline, Jet fuel (,�Q SRefrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) oh Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 5-G�c-1 Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business y,,r...:.-....y..k„K—.�,"�r!?.`f►"t #-�t�ar"'69Yfnaf��ttr�.*irkd L.+�wr..y.v�-t�xwy:'�1 �"' : _..rft•a., .. .i .... t;t - _ 8'ea+T..,.+ .,.}�" i"}:-', � Y ,. ,arv�.'r ..� ,."i.'r.Kq sht. :,�'ti..r vv'~ 'vim^"^•—,. 7`4 TOXIC*AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: S 04-0 o&..~ �' Mail To: ' BUSINESS LOCATION: .371 hl :-F - Board of Health o .� Town of Barnstable MAILING ADDRESS: e n�;S , r� , < ©.� P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: Y^ EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials li.'pted below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? ..YES... NO a. ".This-#orm-miust.;be.�returned to the-,B-oard-�of H:ealth regar-dfe s�of:-a-yes 'enclosed envelope for your convenience. If you answered YES above, please ind.i,cate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: ' t LIST OF TOXIC AND HAZARDOUS MATERIALS R The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store:' 4 ' Quantity/Case Quantity/Case Ste,Antifreeze (for gasoline or coolant systems) Drain cleaners ` Cs�e Automatic transmission fluid Toilet cleaners `Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Gc,1 Motor oils/waste oils. t Road Salt (Halite) 'a,A,_ �&.,1 Gasoline, Jet fue'f` 60 0 Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticide, herbicides, Other petroleum products: grease, lubricants rodenticides) a6 Degreasers for engines and metal Photochernicals (fixers and developers) Degreasers'-for drive ways` garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents " . Lye or caustic,soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes al Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) S Go-1 Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels •,Metal'polish`es _ - f`- w _, ; , (including chloroform, formaldehyde, Laundry soil &,stain-removers hydrochloric acid, other acids) r W - -(including..blejach) Other products not listed which you"feel'may Spot;remove`rs & cleaning fluids be toxic or hazardous (please list): I .. .. _ (dry clea ers) Other cleaning solvents ,. Bug and tar"remove>1s1'`°`" f , Household cleansers, oven cleaners White Copy- Health De artment/ Cana Co : ss!'°' k`' P canary'Copy"Busine T��N OF E3ARNSTA[3LE COMPLIANCE= CLASS. 1. Marine,Gas Stations,REpatr Q�satisfactory . 2. Printers R p Qr I-ICALTH 3. (luto P.ody Shops . •�� .�� q. manufacturers Q unsatisfactory- COMPANY 0�- r (see"Orders") S. Retail Stores '` 6. fuel Suppliers ADDRESS , s� � 11 i •' a a Class: 7. Miscellaneous � QUANTITIES AND STORAGE (IN=indoors; OUT'=outdoor.� Case -lots Drums AbOveTanks Undetgrohnd Tanks MAJOR MATERIALS- IL IM o QUT N g gallons &M ugu • Gasoline,)Jet Fuel (A) Diesel, Kerosene, 12 (B) Heavy Oils: waste motor oil - (C) new motor oil (C) transmission/hydraulic '-Synthetic Organics: degreasers • Miscellaneous: C � �I t D l�TluA5 < ISPOSAL RECL MI T ON REMUS: 1. Sanitary Sewage 2. -Water Supply tt�� /// ° /!_ ��AA�// ! 0 Town Sewer '� 0 Public r �T��!!� ! �`�' ( �t,'1V_ f` !./ �Jl�� cO On-site Private o rNA �I- y 0� Rb)/ o 001, 3. Indoor Floor Drains: YES NO _ ,o. Ilil__ � (J ( .}(11..l �� 1T /,3U GAL �l'ND' l Holding tank: MDC O Catch basin/Dry well �.� 7�T1 �o� �a0_0��Z- 0��1�I ��/�_��i/�L��r- � �On-.site system ��) " �(� D -0120 IN-7 q. Outdoor Surface drains:YES NO �'} Q 1161dinL tank: MDC w I I l �; J�} i ' Catch basin/Dry well �� r �� /% /�__�� l / �/ . O on-site system �� r /J*C 11 1U7�7 1_ .� s� S. Waste Transporter ' y -..� 'PL}-T' ?� � -'��[l4Gf�5 ��' �I cen s ed 7' -Nam"f—Hauirm ..Aecti a inn kjaste Product u 2a 01 erson s interviewed Inspector Date l A rr Enviro-Safe Corporation Waste Transporters 10-17-89 Ms -Donna Mirandi Barnstable Health Dept . 367 Main St . Hyannis,MA 02601 RE: Sampling at AC Radi.ator ,Hyannis,MA Dear Ms . Mirandi : On 9-22-89 ,Enviro-Safe Corporation obtained samples from Mr . Eric Johnson of AC Radiator, 371 North St . ,Hyannis ,MA. These samples were obtained for the purpose of analysis at Clean Harbors Laboratory on Braintree,MA. Results of these samples indicate the following: Sample # R41733 50/ethylene glycol (Aniti-Freeze) 50/ water r Sample #41638 99 . 5/ water 0. 5% suspended solids (rust and iron oxide) Enviro-Safe Corporation has been retained by AC Radiator to dispose of material collected from radiator flushings (Sample #R41733) at a hazardous waste disposal facility. Enviro-Safe Corporation has provided AC Radiator with 55 gallon metal drums with locking lids and gaskets in order for him to safely collect this material on site . Being a licensed hazardous waste transporter , Enviro-SAfe will routinely pickup these drums ,manifest the hazardous material and safely transport the load for disposal at an approved facility. Due to the high content of water in the other material sampled (R41638) , this material mays be disposed of on site. If the Board of Health has any questions regarding these matters , please feel free to contact us at the address and number listed below. Thank You for your time Sincerely, Heather M.Atwood -; Enviro-Safe Corporation P.O. Box 304, Sagamore Beach, MA 02562 • So8 888-5478 J THE COMMONWFALTH OF MASSACH, SETTS ef BOAR® OF HEALTH NOTICE TO ABATE A NUISANCE 19 As wnerant of 75-lif,-x. - eem2& .s1"' a15V.19a1—". you are hereby notified to remedy the conditions named below within 24 hours of the service of this notice, according to Massachusetts General Laws,Chapter III, Section 123: AIA r�.�'�f4.S ��;.�"`c3 r'.�oal� ,i�,kg/�S# ✓,rf f1��Df1XlGd I/- � lyo al- iW14 Xwo P j ;Al Ags7- dale1" coax r If at the expiration of time allowed thes' n,' 'ons have o7and remedied, such further action will be taken as the law require fine of$20.00 per day may be charged. By Order of the Board of Health ,✓� ' ` Inspector FORM 600 HOBBS&WARREN,INC. REVISi }1979 r� 1 � / COMPLIANCE: CLASS: 1. Maxine Gas Stations RF ai.r r, .r N� OF BARNSTABLE � � p ir, O satisfactory 2. Printers R V OF HEALTH 3. Auto Body Shops • O unsatisfactory- 4. Manufacturers COMPANY r 114,l1;// 57 e:7%1;Y`11- (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS I Clas4t 7 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) ! Case lots Drums AbvveTanks Undetground Tanks MAJOR MATERIALS IN OUT IN IOUT IN OUT gallons Age rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: i waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers { I Miscellaneous: { DISPOSAL RECLAMATION REMARK S. 1. Sanitary Sewage 2. Water Supply Sln�r % i?l'l OTown Sewer Public OOn-site O Private V 3. Indoor Floor Drains: YES ZNO O Holding tank: MDC '`✓�y �; f. ?f',/ �ir�v✓rli" Catch basin/Dry well 0 On-site system _ 4. Outdoor Surface drains-YES NC OHolding tank: MDC 1l�✓0�/;�/ ��" 1%��_._.�`r/Tn � .� t✓/I �'�'�<f"s. t�C'/ 0 Catch basin/Dry well 'A"/x'i 5 / "�X��r i� �`h"� I /� �"/��S tS ( /'. ec_ rjJ•:_ � QOn-site system S. Waste Transporter Licensed? Name of Hauler De_ in tiaa— Raste Product NO 1. 12 23 81 Person(s) Int r"viewed /�' �' Inspector Date ch �RNDER: `Z,Completc items 1.2,-and.3. .c p lY;� Add your.address in the"RETURN To"spp000n rpw)se, o_ r. Tog following service is requested(check one,) X)OCShow to whom and data delvered............ ❑ Show to whore,,date and.address:ofdellvery... 4t R£;STRICTED DELIVERY ' Show to.wt;am and date delivered............*¢ ❑ RESTRICTED DELIVERY. Show to whom,date,and address of delivery.$— (CONSULT POSTMASTER FOR FEES) L .ARTICLE ADDRESSED TO: Mr. Manuel Ginsberg c 492 Rutherford Avenue z Boston, Ma. 02129 x 3. ARTICLE DESCRIPTION: ,m REGISTERED NO. CERTIF.IFD NO, I INSURED NO. 0523311 (Always obtains signature oR addresser►or agent) u: I have received the article described above. -SIGNATURE QAddra ^e .ClAuthorized agent Ix C4 q_ erg DA E OF > B Q 1982 'n :5. ADDRESS(Coret;a!ette.ortly if-requested) ; •�,�� /j' `yn G. UNABLE TODELiVER.BECALSk: U INMALS D *GPO; 1979=990-459 1 i UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FQft PPJVATE SENDER INSTRUCTIONS use To nyoio PAyl/EpT OF POSTAGE,S. aszs�l4sasta Print your name,address,and ZIP Code in the spate below. uslnat • Complete items 1,2,and 3 on the reverse. m • Attach to front of article if space permits, otherwise affix to back of article. +, i • Endorse article"Return Receipt Requessd" adjacent to number. RETURN TO BOARD OF HEALTH (Nactle of Sender) TOWN OF BARNSTABLE P. 0. Box 534 I (Street or P.O.Bax) HYANNIS MA 02601 . ` air,sue,and, pa THE TOWN OF BARNSTABLE Tp OFFICE OF EAHA118 E M BOARD OF HEALTH y AB B. � 1639. \gym D MA`S 367 MAIN STREET � A" HYANNIS, MASS. 02601 February 18, 1982 Mr. Manuel Ginsberg 492 Rutherford Avenue Boston, Mass. 02129 NOTICE TO ABATE VIOLATIONS OF _105. CMR...410-000 .STATE SANITARY CODE AND BARNSTABLE BOARD OF HEALTH REGULATION CONCERNING TOXIC AND HAZARDOUS WASTE The property owned by you, off North Street, Hyannis, (Assessor' s Map No. 308 , Parcel 4) and subsequently leased to Lawrence Tobey, has been inspected on the following dates - December 29, 1981 , January 7, February 16 , and February 18, 1982 . The following vio- lations were observed: REGULATION 410..602..1. ARTI.CLE.. I.I- and- ARTICLE 27 - TOWN BY-LAW CONTROL OF TOXIC AND HAZARDOUS MATERIAL; Large amounts of lubricants, oil and fluids (crankcase oil , transmission fluid, and hydraulic fluid) running onto concrete apron filling floor drains. Automobile engines, automobile parts, tires abandoned on property. The owner of any parcel of land, vacant or otherwise, shall be responsible for maintaining such parcel of land in a clean and sanitary condition and free from garbage, rubbish or other refuse. _J You are directed to abate the above violations within three ( 3 ) days of receipt of this order. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7 ) days after the date order served. Non-compliance could result in a fine of up to $500. Each day' s failure to comply with an order shall constitute a separate vio- lation. PER ORDER OF THE BOARD OF HEALTH- `If �- CT/u.l h� CyLGc� ' S�rTT Thr9T g� '--�� y A n' M. Kelly DISC yu GGr�� Ar oirecto of Pt lic Health JMK/mm �/ �vd'� 471 cc: Lawrence F. Tobey U A_ U I To Oate z- Time WHILE/YOU WERE OUT 17 of Phone Area Code Nu m Extension 'TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator No. 2725-S CHARLBET'S, INC. Hyannis. Ma. 775.2810 Orleans, Ma. 255-3232 J ': ♦p E K "t- , , °a r`,,N t - .a a e A_,S +r h't '.yk- r 0 ` NN . �1. .. '� r + ,, 7 Im td n <•:�,v 4.�+as < +,t p�;- r s+C4 f t .-: { �.,, � i w i Ft p r t'� :� � ;'�>' r -o-ti "I.. a,�' ; ulAS, t -�t` t Sx� ;m � +�'rt l'}., , r:! 'tt k V '.ti ,.,. I% :1•,j at' �. 1, ti:•,. r��. ,.- ' z�'t ,d �r •! r y" li�,,,} 4 , v"R 6•,. ". t Y r f ��,:.. c rt i +:t p" , + ., x '°' el_��_`,_ K • x r + q r.L it q x sf i� r i%.•S '"'-Rat �.+1. c .x �'�_4i..47,, .¢, '+ t ' °;� v f ' ^a ,Lra S 1 . V +. St. i 4 "t ..r f ~' r.a r � x :'S` .�"�"' '- Fry` �.. �, a •c 1" �' - ;•r. 'tee ,. .� tr .�ti �•� a 4 S•• tpl f ,r'S % y` , < �"r 4 A f F 1 •1 II , , '' , 4 a.• R J.a n 4 S 01,1'y rt t 1 1 , R r~ fr _ a A y f f s aa s ry„ �'a S S`: . rfr }ti:n z, », 5.� ++. .t" i '.' T'C ''l a*- t t+,- u-t y is S '�` _{ ! +..4 ti< t'1'• it .� Y - t - ` k .4 4 - S 3 yr.._:' ✓ ;, ,t~ y+.:t .c 0�'' yam « x rx s nti� .,��'a r " T d j h «. a •; ,:. •. 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'� k.�"�tih • ;1, < oar,. t § !'Y,*..+ r <;, p�' 1 '.1'N. r, i,, } y'r-,i �S�t+.,.r. {•-� * r '4 y *S t n , 5t .;'!A� = r - = r a e y ` 1r ` S `+ ./ 198�2 ate. a R k i c y t w h t" da February z�., 4, •:t i , ,� t' a, ��"G t *o ;_ s5, t ",;, :.y ti .1.x.'. ,a Y . a . }, �._ S , a�42 "i„t• at;d' 4. it y n r6 c' 'k z `-.fri• _;'.* y �r r ':.r w•Y I ...r 'f 'a z 1 "!# el 51. a,K 3 t a:+, 'a u aoh,r d , ;i y# ti „ a 0.! •a S r fit° a, # r ,_ y., .+.-. xrt-.r;- c'�`.s^'- �r a"' X rn„fr m, " s. - tr° 4, -,fit. f':,1 a t� ° �'xY f r f ,:. { t - r 5 -ai ♦ i .. �.V 4 .2-1 a:w ,+ y a Ir y. r 4 0 as ,,, 1.11 -r 3'. a ,. >> .t S'$ _'h. S.r r,t R;,,, 0, . �,.,�' v h' a 5 ,_ 4 f ';. y+. :, Mr. %awrehbe`; F, Tobe ,� �} �. v x+ ,� >, .j:ti. ; , f "t ,4�' t `� '•Lawrence' F.t'Tok ey ,&,`Sons xnc +e' � -a FA FR o '. ` :: �: r ;' ., ' 'n: r ! .k l { ` ,� , '+ / r ,,, v�Y+Y a ». {; f . -+ k i ..�s ati " a , , ' rp} ° 5�38° Main Street° �! �� .,� , ,i �r ,a. �� i % X f R g w 4,,a i t l ; , t y v�, t Yr t ':` c i r Va: C i + sL ry pzr ,,;'f, r raX' Hj ann�,S:.jY Ma•' 11, S� c .,t 'y�qa4 k+rav 31: 'VF�yy i , r y'� �J'¢ G \'k 4•?� _v t".,. 1 r:;" _ _�'� A ti w "�}}0` .C x,r ,Si 5 '., ti T } y1, >� _ -aj �. '�f".y.�e `t ,>rt �y c '� 'a f y S e • ...�i ,`•, to i,. S •t y t tr7h a) ., �` i+ - jaa`• - e-rs' NOTICE ' 0..•ABATE ,=VIOLAT3ONS,,OF 1F05 CMR` 410*004<.3TAT , .SAN3TAItY CODE h£. . '� , tp*,,;i.ANM� BARNSTABL •=BOARD' OF SHE REGULA 0 -'CONCERNING'.,TOXIC,.. _", ` < #` �. "` el � yes HAZARDOUS WASTE t , } , ,;, ,� r.' p 'L} ,! - •"` S l t 1y ° ;,. 4 'h , t rD r w5.s., + A a _., ry 'f "� ! -`: q,�1Lla 1,", ,4'r- I . r1 .r a 'A .+."4'r' rF x rJ: -k t 4 �•.-4 f �i wr'. 'w ''i. k ! "' ,y } ',» 4f,, The.: property ko�rnup.ied#by,�yQu'; so North attest° -,Hyannis' tAsse1.ssor >s .E.=-�4��= , ,,t t,--•; �0�V y Map: No , >308 � ParceX';`4). 'has �beenr,. nspected on4�`the; fold w ri - _ r s" �; � `',December r > o X g dates fi , t ".�, L 29, 1'381, •:January y7`,,'Fek ruary.` 16 � and, February` l8� "1982 z. _ % f .':�=The', fol2,owin v of ations' . ' e' b )' I •= T- �a „g r. o served m. >87 _ c. t '-r+� r z °r ><. r:' ,Me,f.,1.. t C • t-s. � ��t f�' �' l•re€"f..h ..,,P k - F e, ,A s f'rW�.,rj1. �S t. _rr, at -, , ,}S. <y :T a s f i a -—,. 1 4 a1 .*y_.:,r jd x.`ih +u.q,,...y 4 s.R''..:.{,s'*r`N f s C :: '4,..es# t "C 'fd'eN a r ter ,,t r a° a... f"t' r A .r.z. A v'k 5 r, a yC. Iz , « 1 'r s b �* r , � •. fl.. j'. ,LAW tea`i ' s t y �„ ,,REGtILATIONi.410 602 ARTICLE 33 AND ARTICLE 27g amountsw of. , ,,. t'- �t,. . .�. ;�, M�CONTROL O TO C,.,AND: RDOUS TER3 ar e" ` �V ��` Y 'lubricants " 'ofl .and flluida,' crankc'as® oil .4trarisin ' _, -� fasion` luid r I f RAY`,•gand- hydrai1# Rfluid)+�t'runh ng;`on"U_concrete `s ri r ``: • ' Fes` -,,�,,;. 1 . P. fib irg�Yfl-or i ��,7" ,� d sins A ; c!k w5kr'� ^, t e + +e'7 t „r.,aaa j t .� , ' d t�= .� ,; r+ . utomob3°le engines, atatombiYe`parts 'tires .'abandoned �_,' a 3'4'- P I 511 �, 1j. < _ # r" ,,s' A oTk r a, l,t �r Qn top . y•*"' t � k� i gam;, at ati^R a } i+y' t � ',•. t t} r �," ",� .- ,r' < rr i". r",- r r;, { dY Jt t #3 _� r i a v p S a S l?¢'L, a r € a° yFA 'y 3 4 ; a'z` r t � s ' r :K Ai a �, c,1. 4, S , «, ! ' �. R . B:� . ,y.•f�('� �I S,,f� w y1TA } § ,�,nn,h.r' qi ° c ; f .., v'e r }pJ n,�..+ `iy .3' "" �.f., �' i,"� t '4't„f S 2' '3. tn �k1.•tSw�'} A'� N 1 *... _ { 4, w�` i }��.5 !, #» Youat are a°°directed' to ;abatis°the; above violations: within three t 3)" " ` > .' � i, , ` days Hof ;race pt `of "tMa4brd -0 �, -1�;w*;.. 4 y ,• r� r,��°k'fe .1 T " : ,; { :, f ;;. t f v, `" S 7 n r ,". st � , Y• ,{yf :sr�•^I �. + a .�Y { .,yam w Y r,qtr `J. . ,- r i .y x. , k .R.. 'vh. �,,'. G + 4,. Sh6. tx ,Jf 0 i "a•t „TT ,yj &'=` S it Y;a" l ^>< L ` ,; z. M,w `,%, p, k i f`i ♦ yt. ti .t.• ^:.A d #� It , ,'4 L=t „w 2 w r c*h 3 * : �'tI t a % rt f^s ..-, t? t,` r 7- pr. y„� ti .' .+..' x. .�_f K, AtJ �., �Ypu may" requrest4 a�hear�ng�before the Boardbof `Hea`lth ' wr 'tten �� p:w� ' } r ,-5 4 .+.O` :t$, > .- �,.... - is " , 'a i 7 r'. �'' petition r® satin received ih nt "seven (7 ' 11, 1 ° '" `�` �_ ,.•_ w t ,k s j- t� g,`same ' h ..,+ wi ), days aftex ti ti> f. t .r=s the date order servec `�� r t j<°' r ' `:.. i " � 4 � ti. f A ,', 44 a ,,1' t'''f 1. e 1.1`x t` -.t� ? +:A+ " F.y r' i'' r e r .:rh, 1 '. ,° ,y'�e' 1 S'+ 9:�.* t-T �'t',S a -.. S `i d k- " .� '' { '� t a`"`` :'�a- ' �t t' F-, . e, t,•, ;. r '^ -Y-• q - ? .. ,s+.T ,� ak r. 'w , S,a� l 4_f^^ ^ •,,..6; ; r a "(.rr q x'# R s vFT R`:'M .'lw�r t� �� Non :comp ,ianceould;`reeu�,t fnrariine `off up to':5500�r' Each:'day's ~ a ;1 t LF ; .,�>< failurex;to Comply;wi'th� an.�order��shal-1`constitute fa .separate`:vio��'°� F� „ r'SJV` g. laon ! < '.r ,7� 4 r P t :l y a "r :� �'-.i :..R„e r r• Fk a t %% he i • , t r-,`✓nJS 1•Q st ' ,, f"'��r Lq ( d ; �..., ! e , n `^ -a{ d 3t' S its' s :.4 !.;` -r < ,� )r a r , . a.,5.* ;, ,+' "If S a .ti •Y at ,.,a ""5 „.1 .g r ._ 7 ,,4.`rl'' 4,Y " >,:.4 '4.n. -< +t f ,� ,:r t ° S - .5 ♦ > , t+r,r > r a! ``4':• .+,.;'Z si t a ,y . F, I. n Pt ,y 'ER t ORDER `OF'' THE;BOARD OF�-,I EAT.TH , 4 ` r�r� : t.j.f �4 'k �V t �,�J ," i s b .: y.+ .y,ti+.•a n -.aj a S , W, , v ",d y, _...4 l*"r ty AA A+rr ,r. .ar;+ F,is q' r 7T * :fi 5 m. Z.�. ', ,}r, o %�•' �'g';S ,'j*•t jet ,�. rt':'j t 1, • r 'taS' at•M S q,.. ,t R "R!', �, 4 }r - - a f v t.- < , . 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COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Clef NOTICE TO ABATE A NUISANCE ------------------------------------------------------------------------- --- Z-- --------- --- --- --------------------------------------------------- ----------------------------------------- ---------------------- As ------ 466-7N of.;Z) ------ you are hereby notified to remedy the conditions named below within ----------- -----days of the service of this notice, Sundays and legal holidays' excepted, or to show cause why you should not be required so to do: ---------------- ......... �7 ----ioA------------------------------ ---------------------------- --- ------ -- ----- - -------------------------------------- --------4, ----------- ---1p�dl 4 ...... ----- ---------- ----------------------- --------- -----------------------4: ---------------- ------- 1'�------------ mmo------------------------------------------------------------------------------------ If at the expiration of time allowed these conditions have not been remedied and no cause aforesaid be shown, such further action will be taken as the law requires. By order of the Board o- eaJdb. ------------------- -------------Inspector. Mail _-_-___.Personal Service-) Any objection or inquiry in reference to this notice should be filed before the expiration of the.time allowed for the abatement of the nuisance. Address all communications,"Board of Health_____-__----_--.__----._____-------------------- -----------------------------------------------------------------------------------Mass. FORM 660 HOBBS & WARREN, INC. r�r i�, COMPLIANCE: CLAS ,Z arine,Gas Stations,OF BARNSA1E, ' s p +' Q satisfactory °.z Printers Aft D . OF� HEALTH 3. Auto Body Shops Ounsatisfactory- 4. Manufacturers 7 (see"Orders")7 ( "Ord ") S. Retail Stores COMPANY t1i�l��S�r Flf. 6. Fuel Suppliers ADDRESS AIN&,,,-1 IL Are�w<rn& Class:3:-7 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgrouad` Tanks !IN OUT IN • OUT IN OUT # & gallonserest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: 9 waste motor oil (C) 4_ new motor oil (C) � �" transmission/hydraulic Synthetic Organics: degreasers + I . Miscellan ou •e s i DISPOSAL RECLAMATION REW RKS: 1. Sanit ry Sewage 2. Water Supply 4 own Sewer Public Q On-site . Private r iq. 3. Indoor Floor Drains: YESV9 NOAIA '� �S 4 Holding tank: MDC �4?� _T J -I O Catch basin/Dry well 7 APewORDERS- On site system 4. Outdoor Surface drains:YES NO +� O Holding tank: MDC O Catch basin/Dry well �- !_I. a _. 1_ 7 ".C .__ .�dln�. O. On-site system S. Waste Transporter Licensed? Name of Hauler. p��t;nati on Naste Prod � YES NO 1. 12 23 81 ,Person(s) Interviewed ��' Inspector /Date