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Home My WebLink About0061 FALLING LEAF LANE - Health 61�Falling Leaf L"ane k Ostervilie" Recir S, - A = 144 003020 f u u IN �cvuEo a UPC 13i34 � g�cow ' YAITIN08,MW 3 X cv�cu�2e—A-� VIY�� LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: REGARDING: SHIPPING METHOD: Regular Mail Pick Up Priority Mail Hand Deliver Express Mail Other A NATURAL SYSTEMS UTILITIES COMPANY LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS * GEOLOGISTS * ENGINEERS 1573 Main Street, Brewster, MA 02631 * 5088961706 * Fax 5088965106 * www.bennettea.com BENNETT ENVIRONMENTAL ASSOCIATES, LLC. Certified Mail Green Card/RR COPIES DATE DESCRIPTION For review and comment: For approval: As requested: For your use: REMARKS: FROM: If enclosures are not as noted, kindly notify us at once t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Robert & Julia Hollenbach Owner 61 Falling Leaf Lane Facility Street Address Osterville City 02655 Zip Mailing address of owner, if different: 61 Falling Leaf Lane Street Address/PO Box: Osterville City MA State 02655 Zip (931) 210 - 3870 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC. O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information Unknown DEP ID Omni Manufacturer ID RSF Model Number Unknown Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 11/14/2023 Inspection Date 5/25/2023 Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 6.75 SU 6 to 9 DO 5 mg/L 2 or greater Turbidity 4.24 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and monitoring event. Collect effuent samples for field testing and laboratory analysis. Adjust float height. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 1/24/2024 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Robert & Julia Hollenbach Owner 61 Falling Leaf Lane Facility Street Address Osterville City 02655 Zip Mailing address of owner, if different: 61 Falling Leaf Lane Street Address/PO Box: Osterville City MA State 02655 Zip (931) 210 - 3870 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC. O&M Firm 1573 Main Street Street Address Brewster City MA State 02631 Zip (508) 896 - 1706 ext. 1140 Telephone Number Brian Fortin Certified Operator Name 15320 Certification Number C. Facility/System Information Unknown DEP ID Omni Manufacturer ID RSF Model Number Unknown Installation Date Unknown Start of Operation Approval Type: General Provisional Piloting Remedial Seasonal Residence – used less than 6 mo./year: Yes No D. Operating Information 5.16.2024 Inspection Date 11/14/2023 Previous Inspection Date 4" sludge, 0" scum Sludge Depth (to be checked yearly) Pumping Recommended Yes No t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: gray brown clear turbid Other (specify): Odor: musty earthy moldy offensive turbid Effluent Solids: no some pH 7.56 SU 6 to 9 DO 4 mg/L 2 or greater Turbidity 9.31 NTU 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: pH BOD CBOD TSS TN Other (list below) Nitrate Other 1 Nitrite Other 2 TKN Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and monitoring event. Collect effuent samples for field testing and laboratory analysis. Process control adjustments, increase pump on time. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 5/24/2024 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 31th of each year for the previous 12 months General Use – by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 L2367590 Bennett Environmental Associates K11430DA.S.IA.700 HOLLENBACH RESIDENCE Client: Project Name: Project Number: 11/27/23 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OH (CL108), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930). (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Serial_No:11272313:32 Page 1 of 16 L2367590-01 Alpha Sample ID EFFLUENT Client ID OSTERVILLE, MA Sample Location HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2367590 11/27/23 11/14/23 08:30 Collection Date/TimeMatrix Receive Date WATER 11/14/23 Serial_No:11272313:32 Page 2 of 16 HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2367590 11/27/23 Case Narrative I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 11/27/23 The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:11272313:32 Page 3 of 16 INORGANICS & MISCELLANEOUS Serial_No:11272313:32 Page 4 of 16 FF EFFLUENTClient ID: 11/14/23 08:30Date Collected: 11/14/23Date Received: Parameter Result Dilution Factor Matrix:Water OSTERVILLE, MASample Location: L2367590-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2367590 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl BOD, 5 day 36. 0.086 4.6 5.74 15 mg/l mg/l mg/l mg/l mg/l 1 1 1 1 2 5.0 0.050 0.10 0.300 4.0 11/15/23 07:39 11/15/23 05:59 11/15/23 06:04 11/17/23 21:35 11/19/23 18:30 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B MRS KAF KAF AT JRG Date Prepared - - - 11/15/23 23:55 11/15/23 00:30 11/27/23 MDL NA -- -- -- NA Sample Depth: Serial_No:11272313:32 Page 5 of 16 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2367590 Date Analyzed Analytical Method Analyst Date Prepared 11/27/23 BOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 2.0 0.050 0.10 5.0 0.300 11/19/23 18:30 11/15/23 03:31 11/15/23 03:36 11/15/23 07:39 11/17/23 21:15 121,5210B 44,353.2 44,353.2 121,2540D 121,4500NH3-H JRG KAF KAF MRS AT 11/15/23 00:30 - - - 11/15/23 23:55 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1852266-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1852307-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1852311-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1852422-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1852718-1 MDL NA -- -- NA -- Serial_No:11272313:32 Page 6 of 16 BOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate Solids, Total Suspended Nitrogen, Total Kjeldahl 100 106 100 90 100 - - - - - 85-115 90-110 90-110 80-120 78-122 - - - - - 20 20 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1852266-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1852307-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1852311-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1852422-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1852718-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2367590 11/27/23 Qual Qual Qual Serial_No:11272313:32 Page 7 of 16 BOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl ND ND ND 1.68 90 4.6 4.1 9.91 90 115 102 103 - - - - - - - - 50-145 80-120 83-113 77-111 - - - - 35 20 6 24 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852266-4 QC Sample: L2367614-02 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852307-4 QC Sample: L2367469-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852311-4 QC Sample: L2367469-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852718-4 QC Sample: L2367596-01 Client ID: MS Sample 100 4 4 8 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2367590 11/27/23 Qual Qual Qual Serial_No:11272313:32 Page 8 of 16 BOD, 5 day Nitrogen, Nitrite Nitrogen, Nitrate Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND 46 37 1.68 ND ND ND 47 37 1.70 mg/l mg/l mg/l mg/l mg/l mg/l NC NC NC 2 0 1 35 20 6 32 32 24 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852266-3 QC Sample: L2367614-02 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852307-3 QC Sample: L2367469-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852311-3 QC Sample: L2367469-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852422-3 QC Sample: L2367615-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852422-4 QC Sample: L2367626-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1852718-3 QC Sample: L2367596-01 Client ID: DUP Sample HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: L2367590Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 11/27/23 Qual Serial_No:11272313:32 Page 9 of 16 *Values in parentheses indicate holding time in days L2367590-01A L2367590-01B L2367590-01C Plastic 250ml H2SO4 preserved Plastic 950ml unpreserved Plastic 950ml unpreserved B B B <2 7 7 2.5 2.5 2.5 Y Y Y Absent Absent Absent B Absent Cooler Custody Seal Cooler Information HOLLENBACH RESIDENCE K11430DA.S.IA.700 TKN-4500(28) NO2-353(2),BOD-5210(2),NO3-353(2) TSS-2540(7) Project Name: Project Number: L2367590Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 11/27/23 Were project specific reporting limits specified?YES <2 7 7 Frozen Date/Time Final pH Initial pH Serial_No:11272313:32 Page 10 of 16 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2367590HOLLENBACH RESIDENCE K11430DA.S.IA.700 11/27/23 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:11272313:32 Page 11 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2367590HOLLENBACH RESIDENCE K11430DA.S.IA.700 11/27/23 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:11272313:32 Page 12 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2367590HOLLENBACH RESIDENCE K11430DA.S.IA.700 11/27/23 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:11272313:32 Page 13 of 16 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2367590HOLLENBACH RESIDENCE K11430DA.S.IA.700 REFERENCES 11/27/23 Serial_No:11272313:32 Page 14 of 16 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 20 Department: Quality Assurance Published Date: 6/16/2023 4:52:28 PM Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:11272313:32 Page 15 of 16 Serial_No:11272313:32 Page 16 of 16 L2427278 Bennett Environmental Associates K11430DA.S.IA.700 HOLLENBACH RESIDENCE Client: Project Name: Project Number: 05/23/24 Eight Walkup Drive, Westborough, MA 01581-1019 Lab Number: Report Date: 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com 1573 Main Street Brewster, MA 02631 Samantha FarrenkopfATTN: ANALYTICAL REPORT (508) 896-1706Phone: The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH-0826), IL (200077), IN (C-MA-03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OR (MA-1316), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT-0935), VA (460195), USDA (Permit #525-23-122-91930A1). Serial_No:05232416:54 Page 1 of 16 L2427278-01 Alpha Sample ID EFFLUENT Client ID OSTERVILLE, MA Sample Location HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2427278 05/23/24 05/16/24 10:30 Collection Date/TimeMatrix Receive Date WATER 05/16/24 Serial_No:05232416:54 Page 2 of 16 HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: Lab Number: Report Date: L2427278 05/23/24 Case Narrative I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Title: Technical Director/Representative Date: 05/23/24 The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re-analysis or re-extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Serial_No:05232416:54 Page 3 of 16 INORGANICS & MISCELLANEOUS Serial_No:05232416:54 Page 4 of 16 FF EFFLUENTClient ID: 05/16/24 10:30Date Collected: 05/16/24Date Received: Parameter Result Dilution Factor Matrix:Water OSTERVILLE, MASample Location: L2427278-01Lab ID: Qualifier Units RL SAMPLE RESULTS Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2427278 Field Prep: Date Analyzed Analytical Method Analyst Not Specified General Chemistry - Westborough Lab Solids, Total Suspended Nitrogen, Nitrite Nitrogen, Nitrate Nitrogen, Total Kjeldahl BOD, 5 day 21. 0.13 5.1 10.5 9.8 mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 5.0 0.050 0.10 0.300 2.0 05/19/24 07:37 05/17/24 03:08 05/17/24 03:08 05/23/24 15:13 05/22/24 12:25 121,2540D 44,353.2 44,353.2 121,4500NH3-H 121,5210B BAY KAF KAF KEP MKT Date Prepared - - - 05/22/24 17:57 05/17/24 14:50 05/23/24 MDL NA -- -- -- NA Sample Depth: Serial_No:05232416:54 Page 5 of 16 FF Parameter Result Dilution FactorQualifierUnitsRL Method Blank Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2427278 Date Analyzed Analytical Method Analyst Date Prepared 05/23/24 Nitrogen, Nitrite Nitrogen, Nitrate BOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND ND ND ND mg/l mg/l mg/l mg/l mg/l 1 1 1 1 1 0.050 0.10 2.0 5.0 0.300 05/17/24 02:13 05/17/24 02:20 05/22/24 12:25 05/19/24 07:37 05/23/24 14:49 44,353.2 44,353.2 121,5210B 121,2540D 121,4500NH3-H KAF KAF MKT BAY KEP - - 05/17/24 14:50 - 05/22/24 17:57 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1922240-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1922245-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1922544-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1923026-1 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1924576-1 MDL -- -- NA NA -- Serial_No:05232416:54 Page 6 of 16 Nitrogen, Nitrite Nitrogen, Nitrate BOD, 5 day Solids, Total Suspended Nitrogen, Total Kjeldahl 100 98 111 89 102 - - - - - 90-110 90-110 85-115 80-120 78-122 - - - - - 20 20 Parameter LCS %Recovery LCSD %Recovery %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1922240-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1922245-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1922544-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1923026-2 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1924576-2 Lab Control Sample Analysis Batch Quality ControlProject Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2427278 05/23/24 Qual Qual Qual Serial_No:05232416:54 Page 7 of 16 Nitrogen, Nitrite Nitrogen, Nitrate BOD, 5 day Nitrogen, Total Kjeldahl ND ND 9.8 ND 4.1 4.0 120 9.28 102 100 105 116 - - - - - - - - 80-120 83-113 50-145 77-111 - - - - 20 6 35 24 Parameter Native Sample MS Found MS %Recovery MSD Found MSD %Recovery Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922240-4 QC Sample: L2427187-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922245-4 QC Sample: L2427187-01 Client ID: MS Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922544-4 QC Sample: L2427278-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1924576-4 QC Sample: L2427506-02 Client ID: MS Sample 4 4 100 8 MS Added Matrix Spike Analysis Batch Quality Control Project Name: Project Number: Lab Number: Report Date: HOLLENBACH RESIDENCE K11430DA.S.IA.700 L2427278 05/23/24 Qual Q Qual Qual Serial_No:05232416:54 Page 8 of 16 Nitrogen, Nitrite Nitrogen, Nitrate BOD, 5 day Solids, Total Suspended Solids, Total Suspended Nitrogen, Total Kjeldahl ND ND 9.8 680 230 ND ND ND 10 670 300 0.353 mg/l mg/l mg/l mg/l mg/l mg/l NC NC 5 1 26 NC 20 6 35 32 32 24 Units RPDParameterNative Sample Duplicate Sample RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922240-3 QC Sample: L2427187-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922245-3 QC Sample: L2427187-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1922544-3 QC Sample: L2427278-01 Client ID: EFFLUENT General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1923026-3 QC Sample: L2427623-01 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1923026-4 QC Sample: L2427623-02 Client ID: DUP Sample General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1924576-3 QC Sample: L2427506-02 Client ID: DUP Sample HOLLENBACH RESIDENCE K11430DA.S.IA.700 Project Name: Project Number: L2427278Lab Number: Report Date: Lab Duplicate Analysis Batch Quality Control 05/23/24 Qual Serial_No:05232416:54 Page 9 of 16 *Values in parentheses indicate holding time in days L2427278-01A L2427278-01B L2427278-01C Plastic 250ml H2SO4 preserved Plastic 950ml unpreserved Plastic 950ml unpreserved A A A <2 7 7 4.3 4.3 4.3 Y Y Y Absent Absent Absent A Absent Cooler Custody Seal Cooler Information HOLLENBACH RESIDENCE K11430DA.S.IA.700 TKN-4500(28) NO2-353(2),BOD-5210(2),NO3-353(2) TSS-2540(7) Project Name: Project Number: L2427278Lab Number: Report Date: Sample Receipt and Container Information Container ID Container Type Cooler Temp deg C Pres Seal Container Information Analysis(*) 05/23/24 Were project specific reporting limits specified?YES <2 7 7 Frozen Date/Time Final pH Initial pH Serial_No:05232416:54 Page 10 of 16 Report Format:Data Usability Report GLOSSARY Project Name: Project Number: Lab Number: Report Date: L2427278HOLLENBACH RESIDENCE K11430DA.S.IA.700 05/23/24 Acronyms DL EDL EMPC EPA LCS LCSD LFB LOD LOQ MDL MS MSD NA NC NDPA/DPA NI NP NR RL RPD SRM STLP TEF TEQ TIC Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction (SPME). Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. Environmental Protection Agency. Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Laboratory Control Sample Duplicate: Refer to LCS. Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. Matrix Spike Sample Duplicate: Refer to MS. Not Applicable. Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. N-Nitrosodiphenylamine/Diphenylamine. Not Ignitable. Non-Plastic: Term is utilized for the analysis of Atterberg Limits in soil. No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Semi-dynamic Tank Leaching Procedure per EPA Method 1315. Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. - - - - - - - - - - - - - - - - - - - - - - - - - Serial_No:05232416:54 Page 11 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2427278HOLLENBACH RESIDENCE K11430DA.S.IA.700 05/23/24 Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post-Treatment value minus the Pre-Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2-Methylnaphthalene, 1-Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a 'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a 'Total' result is requested, the results of its individual components will also be reported. Total: With respect to Organic analyses, a 'Total' result is defined as the summation of results for individual isomers or Aroclors. If a 'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A B C D E F G H I J M - - - - - - - - - - - Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For MCP-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank. For DOD-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ- Air-related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For NJ-related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). Co-elution: The target analyte co-elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co-extracted analyses. Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. The concentration may be biased high due to matrix interferences (i.e, co-elution) with non-target compound(s). The result should be considered estimated. The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. The lower value for the two columns has been reported due to obvious interference. Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICs). Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. - Footnotes Serial_No:05232416:54 Page 12 of 16 Report Format:Data Usability Report Project Name: Project Number: Lab Number: Report Date: L2427278HOLLENBACH RESIDENCE K11430DA.S.IA.700 05/23/24 Data Qualifiers ND NJ P Q R RE S V Z - - - - - - - - - Not detected at the reporting limit (RL) for the sample. Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICs), where the identification is based on a mass spectral library search. The RPD between the results for the two columns exceeds the method-specified criteria. The quality control sample exceeds the associated acceptance criteria. For DOD-related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) Analytical results are from sample re-analysis. Analytical results are from sample re-extraction. Analytical results are from modified screening analysis. The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Serial_No:05232416:54 Page 13 of 16 Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. LIMITATION OF LIABILITIES 44 121 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. Project Name: Project Number: Lab Number: Report Date: L2427278HOLLENBACH RESIDENCE K11430DA.S.IA.700 REFERENCES 05/23/24 Serial_No:05232416:54 Page 14 of 16 Alpha Analytical, Inc.ID No.:17873 Facility: Company-wide Revision 21 Department: Quality Assurance Published Date: 04/17/2024 Title: Certificate/Approval Program Summary Page 1 of 1 Document Type: Form Pre-Qualtrax Document ID: 08-113 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624.1: m/p-xylene, o-xylene, Naphthalene EPA 625.1: alpha-Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene;SCM:Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha-Terpineol, Azobenzene; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. Nonpotable Water: EPA RSK-175 Dissolved Gases Biological Tissue Matrix:EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500Cl-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2-B EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia-N and Kjeldahl-N, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B: Ammonia-N, EPA 351.1,SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500P-E, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al,Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non-Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al,Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Serial_No:05232416:54 Page 15 of 16 Serial_No:05232416:54 Page 16 of 16 HOURS RATE QTY COST 2 $117.30 1 $69.00 Signature Purchase Order Number Print Name Date STATEMENT OF WORK:Inspect IA system on a semi-annual basis per manufacturer's recommendations.Collect treated effluent wastewater samples on a semi-annual basis for field testing of DO,pH,and turbidity.Collect semi-annual treated effluent wastewater samples for analysis by a MA certified laboratory of BOD,TSS,nitrite/nitrate/TKN for total nitrogen under a proper chain-of-custody. Submit inspection and sampling reports on the Barnstable County Dept of Health and Environment online database on a semi-annual basis.Submit laboratory report,inspection checklist,and DEP transmittal forms to MassDEP,and associated manufacturers/local BOH, on an annual basis.Client agrees that only acceptable influent will enter the system in quantities not exceeding its design capacity. Acceptable influent does not include any substances or contaminants that the system is not currently designed to treat.The following budget represents estimated annual costs through one year of service to include two sampling and inspection events.These costs are valid for two years subsequent to the date of the next inspection.In order to avoid interruption of services,we are proceeding with this Scope of Work as outlined.If you do not wish to proceed kindly notify us immediately in writing.Otherwise,please sign the authorization and return one copy of this contract to our office. PRICE PROPOSAL: PRICE $1,215.22 LABOR: Professional Services MATERIALS Robert & Julia Hollenbach, 61 Falling Leaf Lane, Osterville, MA 02655, rchollenbach@icloud.com, 931-210-3870 K11430DA.S 12/12/2023 Net 30 Kara Risk BEA WORK ORDER#(if applicable) 61 Falling Leaf Lane, Osterville, MA 02655 BEA CONTACT (Name/Phone): PROPOSAL DATE: PAYMENT TERMS: PROPOSAL PREPARED BY: Samantha Farrenkopf/508-535-0489 LOCUS: CLIENT CONTACT: The preceding prices, specifications and conditions, including the "Work Order Terms and Conditions" (v 2.3 2020) attached to this Work Order Proposal and incorporated herein as Schedule A are satisfactory and hereby accepted. By way of signature adjacent hereto, Bennett Environmental Associates, LLC., is authorized to proceed with the work in accordance with the conditions herein. $1,215.22 $234.60 Ext PRICE ($) SUBTOTAL LABOR: Laboratory Analysis $759.41 $69.00Barnstable County Dept of Health and Environment database fee $0.00 $303.60 $0.00 $1,518.82ESTIMATED PROPOSAL TOTAL: SUBTOTAL MATERIALS: Contingency Tax ACCEPTANCE OF PROPOSAL: COST PER EVENT: Bennett Environmental Associates, LLC. A Natural Systems Utilities Company RENEWAL CONTRACT1573 Main Street, Brewster MA 02631 508-896-1706 Work Order Terms and Conditions – v.2.3 2020 SCHEDULE A All orders shall be made out to Bennett Environmental Associates LLC. (“Seller”), and shall be subject to acceptance by Seller. The purchaser of goods and services from Seller shall be referred to as the “Buyer”. 1. All transactions between the Buyer and Seller relating to the scope of work (“Scope”) set forth in the attached “Work Order Proposal” (“Proposal”) shall be governed by the terms and conditions set forth in these “Work Order Terms and Conditions”. If there are any terms and conditions contained within the Proposal, the Buyer’s purchase order, or the project specifications that conflict with the terms contained in these Work Order Terms and Conditions, notwithstanding any statement to the contrary contained in Buyer’s purchase order or the project specifications, the terms of these Work Order Terms and Conditions shall govern. The Proposal, any attachments incorporated therein or annexed thereto, these Work Order Terms and Conditions, and any purchase order issued by the Buyer shall be collectively referred to as the “Agreement”. Exceptions or modifications to the Proposal, Work Order Terms and Conditions, or any purchase order shall be contained in a typed statement acknowledged by the Buyer and Seller, and made by an authorized officer. Seller has made no representation of any kind, except as set forth herein. This Agreement supersedes all prior writings and negotiations with respect to the Scope. 2. Seller is obligated to furnish only the quantities and items specifically listed on its Proposal and disclaims responsibility for furnishing any other equipment or material not shown in the specifications and drawings. Any claim that equipment, materials or services are nonconforming or unacceptable shall be made in writing to the Seller within ten (10) days of the delivery of the goods or the rendering of the services, and if not so made shall be deemed waived, and such waiver shall be deemed to bind Buyer to pay Seller the full price for such equipment, materials and services. 3. All services performed by Seller will be charged in accordance with the terms of the Proposal; if not set forth in the Proposal, services will be charged on a time and material basis at Seller’s then prevailing rates. If services are being performed on a time and material basis, the time shall begin to toll upon the service provider’s departure from his current location and will end upon the service provider’s return following performance of the work. Services involving confined space entry, work at landfills or hazardous waste sites, and sewage pumps will be billed at Seller’s then prevailing rates for premium services, unless otherwise set forth in the Proposal. Field services involving sewage pumps and confined spaces require two (2) servicemen. Service trucks, rental equipment and materials used will be billed at Seller’s then prevailing rates, unless otherwise set forth in the Proposal. Unless the Buyer provides at least one (1) business day’s prior notice, all requested services that are outside of the scope of work set forth in the Proposal shall be charged at a rate of one and one -half (1½) times the Seller’s then prevailing rates. There shall be a minimum charge for emergency services, which charge is subject to change without notice. 4. Unless otherwise noted, prices are F.O.B. shipping point. A claim for loss or damage in transit must be entered with the carrier and prosecuted by Buyer. Seller shall not be responsible for any delays in shipping. Where Buyer is responsible for any delay in shipment, the date of the completion of equipment or materials shall be the date of shipment for purposes of payment. Completed equipment and materials shall be held at Buyer’s cost and risk, and Buyer shall be responsible for all storage and insurance costs. 5. Subcontractors and other expenses, including travel, will be subject to a service charge of 15%. The amount of any applicable present and future tax or other government charge upon the production, sale, shipment or use of equipment or materials ordered or sold, serviced or rented will be charged to Buyer unless Buyer provides Seller with an appropriate exemption certificate. 6. Any invoice sent by Seller to Buyer shall be considered correct, accepted and binding upon Buyer, except for specific objections that the Buyer makes in writing to Seller within fifteen (15) days of the date of the invoice. Failure to make an objection in accordance with the above shall be deemed an admission by the Buyer that the amount set forth in the invoice is due and owing to Seller. Buyer shall pay all undisputed invoices within thirty (30) days of the date thereof. Any invoice not paid when due will accrue interest at the rate of one and one-half percent (1.5%) per month, calculated from the date of each invoice. The Buyer shall not have the right to set-off or counterclaim against any amount owed to Seller. If Buyer fails to pay to Seller any amount when due, all outstanding amounts shall, without demand, become immediately due and payable by Buyer to Seller. If Seller refers the unpaid balance to collection, then, without demand, there shall be added to the amount due, collection fees, attorneys’ fees, plus all costs of suit, including deposition costs, repossession and retaking fees, transcript costs, and costs of experts’ reports, and expert witness fees. Any errors in pricing or calculation are subject to correction. 7. Seller may, in its sole discretion, decline to deliver or provide equipment, materials or services except if paid for by cash, or stop equipment or materials in transit, whenever Seller has reasonable doubt as to Buyer’s ability to pay for such equipment, materials or services. Pro-rata payments shall be become due with partial shipments. 8. Orders may be cancelled only with the written consent of Seller and upon payment of a cancellation charge as determined by Seller. 9. Equipment and materials may be returned only when specifically authorized by Seller. Buyer shall be charged the cost of placing the goods in saleable condition, sales expenses incurred by Seller, a restocking charge to be determined by Seller, and any outgoing and incoming transportation costs. 10. Seller shall be responsible for repairing or replacing equipment or parts furnished, assembled, packaged, or installed by it, only to the extent of the original manufacturer’s warranty. Seller warranties to repair any defect in its workmanship, when such defect arises within ninety (90) days from the date of service and is not the result of ordinary or extreme wear and tear, the negligence of the Buyer or any other party, or loss or damag e resulting from causes other than a defect in the Seller’s workmanship. Seller, upon receipt of Buyer’s request for service under the above warranty, shall, during regular business hours, make the necessary repairs without charge to Buyer. Any service, repairs, or parts or replacement of any equipment or parts necessitated by loss or damage resulting from causes other than a defect in the Seller’s workmanship, shall be invoiced to Buyer at Seller’s then prevailing rates. The Seller expressly disclaims any warranty on equipment that has been altered or repaired by anyone except Seller’s authorized employees, and Seller shall not be liable in any event for alterations or repairs made by others, except those made with its written consent. Expressly excluded from this warranty are pump wear parts and hoses installed in bypass pumping. 11. EXCEPT AS OTHERWISE SET FORTH IN SECTION 10, HEREOF, SELLER DISCLAIMS ALL WARRANTIES, INCLUDING ANY WARRANTY AS TO MERCHANTABILITY OR FITNESS OF THE EQUIPMENT OR MATERIALS FOR A PARTICULAR PURPOSE, OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED. 12. In order to secure the obligations of Buyer to Seller, Buyer hereby grants Seller, pursuant to Article 9 of the Uniform Commercial Code (“UCC”), a lien upon all equipment and materials sold by Seller to Buyer. If Buyer shall default on any obligation owed to Seller, Seller shall have all rights of a secured party upon default as provided for in Article 9 of the UCC. Buyer agrees to execute any documents deemed necessary for Seller to perform the security interest granted herein. 13. Seller shall not be liable to Buyer or any other person for any loss, damage or expense of any kind, or for direct or consequential damages related to, or arising from, or caused directly or indirectly by, any equipment, materials or services, or any supplies or accessories or the use thereof, or any deficiency, defect or inadequacy, or any delay in delivery or installation; it being agreed that the extent of Seller’s liability, express or implied, shall be limited to adjustment, repair, or parts replacement. 14. Buyer hereby agrees to and shall, defend, indemnify and hold harmless Seller, its officers, directors, employees, subcontractors and agents from any and all actions, claims, loss, liability, damages, injury, environmental damage or expenses, including attorney’s fees, court costs and expert witness fees that arise from the fault, failure or negligence of the Buyer or any of its officers, directors, employees, subcontractors or agents, but only to the extent of and in proportion to the degree of fault, failure or negligence of the Buyer or any of its officers, directors, employees, subcontractors or agents. 15. An “Uncontrollable Circumstance” is any act, event, condition or circumstance that (1) is beyond the reasonable control of Seller, (2) by itself or in combination with other acts, events, conditions or circumstances adversely affects, interferes with or delays Seller’s ability to perform its obligations under the Agreement, expands the scope of Seller’s obligations under the Agreement, or increases Seller’s cost of performing its obligations under the Agreement, and (3) is not the direct result of the willful or negligent act, intentional misconduct, or breach of the Agreement by Seller. If an Uncontrollable Circumstance occurs, Seller shall be entitled to (1) relief from its performance obligations under the Agreement to the extent the occurrence of the Uncontrollable Circumstance prevents Seller’s performance of such obligations, (2) an extension of schedule to perform its obligations under the Agreement to the extent the occurrence of the Uncontrollable Circumstance prevents Seller’s ability to perform such obligations in the time specified in the Agreement, and (3) an increase in the fee to be paid under the Agreement to the extent the occurrence of the Uncontrollable Circumstance increases Seller’s costs of performance of its obligations under the Agreement. The occurrence of an Uncontrollable Circumstance shall not, however, excuse or delay the Buyer’s obligation to pay monies previously accrued and owing to Seller under the Agreement, or for Seller to perform any obligation under the Agreement not affected by the occurrence of the Uncontrollable Circumstance. 16. The Agreement shall be governed by the laws of the State of Massachusetts and all sales shall be deemed to have occurred in the State of Massachusetts. 17. The Courts of the State of Massachusetts shall have exclusive jurisdiction over any cause of action arising from or connected with the sale of equipment or materials or the rendering of services by Seller to Buyer hereunder. Commonwealth of Massachusetts ILIf-D03- �%P-D ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ern ,M 61 Falling Leaf Lane is Property Address Arthur Casavant ; Owner Owner's Name a information is _-V required for every Osterville MA 02655 1/31/18 �—t page. City/Town State Zip Code Date of Inspection S"w Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information 51# filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Joseph R. Smith use the return Name of Inspector key. Bennett Environmental Associates Inc. —� Company Name P.O. Box 1743 Company Address Brewster MA 02631 City/Town State Zip Code 508-896-1706 S14994 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Fu er Evalua ion by th ocal Approving Authority nspector's Ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments , ,M 61 Falling Leaf Lane SVB'' Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: , ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: None of the failure criteria described in 310 CMR 15.303- 15.304 existed at the time of inspection. The system appeared to be working as designed and functioning adequately under current use. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and.the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts 4 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for VoluntaryAssessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 I ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection D. System Information Description: Omni Recirculating Sand Filter System with engineered design plan by Christopher Costa & Associates, Inc, Falmouth, MA dated 1/14/99. The system is comprised of a 1,500 gallon septic tank, a 1,000 gallon recirculation tank, 2 OMNI filtration modules, a d-box, and 3 leaching chambers (5'W x 8.5' L x 2' D)with 36" of stone along the sides and 2'-3" of stone at each end. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d see below 9 ( Y 9 (gpd)): Detail 2016 = 141,000 gallons, 386 gpd. 2017 = 23,000 gallons, 63 gpd Sump pump? ❑ Yes ® No Last date of occupancy: Fall 2017 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 1 Commonwealth of Massachusetts W In in Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 61 Falling Leaf Lane M Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 City/Town/Town State Zip Code Date of Inspection page. Y P P D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Town BOH, no records on file Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ® Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 3/11/99 As-Built drawing on file with Town of Barnstable Board of Health. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 40'+To town water servicefeet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints and venting were inspected and are in working order, no evidence of leakage encountered while inspecting main sewer line. System vented through roof, no visible obstructions. Septic Tank(locate on site plan): Depth below grade: 2.0 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1,500 gallon septic tank with inlet riser to within 6" of final grade and outlet riser to final grade. Schedule 40 PVC inlet and outlet tees functioning correctly. If tank is metal,'list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1,500 gallons Sludge depth: 011 (Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 34" 0f, Scum thickness 811 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape measure, sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping not recommended at time of inspection. Inlet and outlet tees are functioning properly, septic tank is structurally sound. Liquid levels as related to the outlet invert was at a normal height. No evidence of leakage or backup observed while inspecting septic tank. Both Inlet and outlet covers to within 6" of final grade. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts ' W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box appears structurally sound with no evidence of backup or leakage. No evidence of solids carryover. The D-box is level and distributing flow appropriately. D-Box cover to within 6" of final grade. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): OMNI Recirculation Tank pump, audible/visual alarm, and float switches functioning properly. * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M °r 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 (5'Wx8.5'Lx2'D) ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The Soil Absorption System (SAS) consists of three (3) 5'wide X 8.5' Long X 2' Deep leaching chambers surrounded by 36" of stone along the sides, and 2'-3" of stone at each end. No signs of current or past evidence of hydraulic failure encountered while inspecting the SAS. Normal vegetation in the area surrounding the SAS. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately • 47.77 CV w d' v • 5 EXISTING GARAGE EXISTING ---1s' DWELLING F.FL.=51.5 .co Cn C INV. OUT=48.4 Q' man - 00 0 E --j< - �� -- ✓/" Ob + + + + + + + + + + + + '46.27 + + + + + + + + RESERVE I L--------- 30' �-{1 LOT 20 15,924 s.f. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 V ` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 51+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Plan Date 1/14/99; Revised 2/1/99 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Established estimated depth to high groundwater by referencing the septic system design by Christopher Costa&Associates, of East Falmouth, MA with a plan date of January 14, 1999, and a revised plan date of February 1, 1999, wherein it is noted that the bottom of the leaching facility is at elevation 44.0. The plan also notes in the soil log that no groundwater was encountered at 132" (elevation 35.0) ,which provides a separation to groundwater of 5.0'+from the bottom elevation of the leaching facility. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5fns•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 61 Falling Leaf Lane Property Address Arthur Casavant Owner Owner's Name information is required for every Osterville MA 02655 1/31/18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A,B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Bu, ENNETTENVIRONMEN TAiL AssocTA,,,TES, I NCO LICENSED SITE PROFESSIONALS A ENVIRONMENTAL SCIENTISTS A GEOLOGISTS A ENGINEERS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 j 508-896-1706 A Fax 508-896-5109 www.bennett-ea.com BEAII-10343 March 2, 2017 Mr. Arthur Casavant 61 Falling Leaf Lane Osterville, MA 02655 RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Septic System 61 Falling Leaf Lane—Osterville,MA Dear Mr. Casavant, BENNETT ENVIRONMENTAL ASSOCIATES,INC.(BEA)is pleased to provide you with a budget estimate for the continuation of professional services relative to the operation and maintenance of the Innovative/Alternative septic system located at the above referenced property. The collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the approved Innovative Wastewater Treatment System,as set forth by the MA DEP and the Barnstable Board of Health in a reduction approval decision on October 14, 2014 to qualify treatment capacity on a semi-annual basis. As such,work proposed by BEA includes the collection of wastewater samples for laboratory analysis and the preparation of the required forms for distribution to the appropriate town and state offices as well as you. Additionally, at the time of such sampling, blowers, filters and associated piping will be inspected to assure working condition and regularly scheduled maintenance performed on a fixed cost basis will be invoiced semi-annually. Should any repair or treatment system components replacement be required,or additional sampling beyond the semi-annual requirements necessary, you will be notified to authorize the additional work and expenses. Such work will be billed at time and expense portal to portal. The following budget represents estimated annual costs through one year of service to include two sampling and inspection events. These annual costs are valid for two years subsequent to the May 2047inspection. Please note that this contract runs with the property. As such, it is your responsibility to notify our office in writing of any sale of the subject property so that there is no disruption of services. Furthermore, you are required to notify any buyer for the transfer of this contract. EMERGENCY SPILL RESPONSE WASTE SITE CLEANUP SITEASSESSMENT PERMITTING SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE � WASTEWATER TREATMENT,OPERATION&MAINTENANCE r R MARCH 2,2017 CASAVANTBEAl 1-10343 PAGE 2 OF 2 I/A W WTO&M SEMI-ANNUAL INSPECTION/MAINTENANCE/SAMPLING Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity. Collect semi-annual treated effluent wastewater samples under a proper chain-of-custody for analysis by a MA certified laboratory of BOD,TSS, nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms and file sampling and inspection reports on the County database on a semi-annual basis. Submit laboratory report and DEP transmittal forms to MA DEP, local Board of Health, and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees $ 530.00 Laboratory Analysis[2X—BOD,TSS,Total Nitrogen Series] $ 172.96 TOTAL ANNUAL EXPENSE: $702.96* TOTAL COST PER EVENT: $351.48 *Note:I/A systems located in Barnstable County are required to report inspection and sampling results on the MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)andthe local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year. This fee will be included on your invoice on an annual basis. We are proceeding with this Scope of Work as outlined. If you do not wish to proceed kindly notify us immediately in writing. Otherwise,please sign the authorization and return one copy of this contract to our office. Should you have any questions or need additional information, please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES,INC. Samantha Farrenkopf, WWTO Wastewater Program Manager cc: Kara Risk, Business Manager encl. Abbreviated Terms& Conditions (2011)/Fee Schedule(2016) AUTHORIZATION: , DATE: ONINt En vironmcntrll Systems, Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information Facility StreQt Address. Date of Service City Op rator/OAM Firm 'o w1.1.11 fix- (.> System Startup Date Weather Conditio 1 B. Septic Tank .� Sludge Pumping Required: Yes❑ No[v� Mudge Depth: (�` cum Depth: .% Effluent tee filter: Yes❑ No 6l If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12'of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank Check if sludge accumulating Pumping required: Yes❑ No M Odor problems: Yes ❑ No / If yes,description Effluent tee filter: Yes ElNo If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filler modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No ❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber 1 Vault(if Installed) ❑Pump inspections(all units) If problems,describe ❑ Float switches Check all switches for operation Make'Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe ❑Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation ❑Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. 21nspect ter Modules ("Sand Filters") for ponding Ponding Present:Yes❑ Not Clean bed: Yes❑ No Distribution pipes Flush:Yes❑ No' rush: Yes❑ No .[:]Any obstruction of airflow to filter modules: Yes❑ No EZ If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes d No'd If yes:,JZfBOD ®SS ❑pH & Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: 7 .t la i Pc�t c;,J , :.L V u3 Z /jt,�s.-z 'Aalr_i/�'tc ENNETT ENviR®NVIENTAL - ASSOCIATES, INC o _',V0 1 1.573 Maul St.,P.O.Box 1743 Brewster, MA 02631 509-896-1706 °w\Nw.beruiett-ca.com Date&time of visit: t&6 11= e) 1, °.) A site visit was conducted today for: O&M DYES ❑ NO Testing 13/YES ❑ NO Repair ❑YES If NO Alarm Call ❑yES E(NO Your system is operating correctly El YES ❑ NO Tank(s)in need of pumping ❑YES 0 NO Further maintenance required ❑YES EYNO Repairs needed ❑YES © NO Please contact our office ❑YES MI.NO Contract renewal required ❑/YES EdNO Field testing © Pass ❑ Fail Sample pulled Id YES ❑ NO Laboratory sampling conducted D YES ❑ NO { ',✓, /iJ :ar. I,: 'j'1 r,r 1 m:.i+ \ / 1 t! y.! I I: (()l:•.a_{ -=L'�• t� \�- �--�Aenl!Zl>�1 -.f) 1 iV) .�f\ t: .�:6ENNETT ENVIRONMENTAL :'. ASSOCIATES,INC. ASSESSMENT __- ,,•REMEDIATION _= '.. FESOUFICEMANAGEMENT Serial—No:11151719:50 LHA A`N :4LYT1 CA L ANALYTICAL REPORT Lab Number: L1740751 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 11/15/17 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals:MA(M-MA086),NH NELAP(2064),NJ NELAP(MA935),CT(PH-0574), IL(200077),ME(MA00086),MD(348),NY (11148),NC(25700/666),PA(68-03671),RI(LA000065),TX(T104704476),VT(VT-0935),VA(460195),USDA(Permit#P330-14-00197). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220-www.alphalab.com Page 1 of 16 Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1740751-01 EFFLUENT WATER OSTERVILLE, MA 11/06/17 14:00 11/07/17 Page 2 of 16 `� r Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported. If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. Page 3 of 16 tia Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Case Narrative(continued) BOD, 5 day L1740751-01 was set at the correct dilution for BOD analysis according to prep screening; however, not enough depletion occurred. Therefore, the sample result is reported as"non-detect'at an elevated detection limit. Due to the expiration of the method required holding time, re-analysis could not be performed. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Amita Naik Authorized Signature: Title: Technical Director/Representative Date: 11/15/17 Page 4 of 16 Serial—No:11151719:50 INORGANICS MISCELLANEOUS Page 5 of 16 Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 SAMPLE RESULTS Lab ID: L1740751-01 Date Collected: 11/06/17 14:00 Client ID: EFFLUENT Date Received: 11/07/17 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst GeneraLChemistry=V1(estborough Lab �r..., r xriswn» Solids,Total Suspended 120 mg/I 10 NA 2 11/08/17 00:05 121,2540D VB ......... .... ......... ........__ ...... Nitrogen,Nitrite ND mg/I 0.050 1 - 11/07/17 23:52 44,353.2 MR ............. ......... _ .......... ........ ..._....................................--... Nitrogen,Nitrate 2.3 mg/1 0.10 1 11/07/17 23:52 44,353.2 MR ._...........---- ............. _. — .........._............................-- Nitrogen,Total Kjeldahl 3.42 mg/I 0.600 2 11/07/17 23:30 11/08/17 22:09 121,4500NH3-H AT ._......... - -- --- --------- --- ---- ...---- _.. - ..._......_ .......- .._-_._._ ...-...- ................ ......._. BOD,5 day ND mg/I 5.0 NA 2.5 11/08/17 06:30 11/13/17 09:10 121,5210E TE Page 6 of 16 Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L174O751 Project Number: BEA11-10343 Report Date: 11/15/17 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General-Chemistry-Westborough Lab for samples) 01 Bauch G1 O6O579:1� � r " ,F - Nitrogen,Nitrate ND mg/I 0.10 1 11/07/17 20:56 44,353.2 MR General Chemistry-Westborough Lab,for sampl"e(s) 01 Batch 4WG1O.6O582 1 w�� , ; �� x :� �;,,A �� ..�w. Nitrogen,Nitrite ND mg/I 0.050 1 11/07/17 21:03 44,353.2 MR :General Chemistry-Westborough Lab for samples) 01 Batch: W.G1O;6O651=9 Solids,Total Suspended ND mg/I 5.0 NA 1 11/08/17 00:05 121,2540D VB GeneralChemistry-Westborough Lab for samples)01 ,rt6 h `WG1�0=1� Nitrogen,Total Kjeldahl ND mg/1 0.300 1 11/07/17 23:30 11/08/17 22:03 121,4500NH3-H AT General`Chemistry-Westborough Lab for samples)01 Batch: WG1O6 � k :� BOD,5 day ND mg/1 2.0 NA 1 11/08/17 06:30 11/13/17 09:10 121,521013 TE Page 7 of 16 Serial No:11151719:50 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L174O751 Project Number: BEA11-10343 Report Date: 11/15/17 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits h ml t -.1Nesthorou"I .Lab Associatedaam` le s; 01 Batch:WG106O579x2 `��_ General C e s Nitrogen,Nit rate M104f - 90-110 w ru:.+..�+�:,.*...y'�rntr" ,'�'.• u.rr,.,:p;w.�«*,-^rs �;,�M.n..,E�. .�:'3t?"""C'�y;."..y'�s �a ';--�,,,;�. Ft. „,._,.., .ww...�.�,.... -.�•..-..,.. �.;....,.,,.,.�, ,:., �,:,�...w .u,,.w.,,,,, ,. ... _ General°,Chemistry}-:V1%stborough.Lab :Associated sarnple(s):`O1;"; Batch::WG106O582 2� � t � ;;�„ �.;� � ' `_ � �� x `;� � >;� .�� Nitrogen,Nitrite t 104 - 90-110 20 General Chemist -Westborou h:Lab"Assoclated sam le(sO1� 'Batch`x1NG1O6O66O2 k� _ " K� ,;;:;; Y 5�, ,��: ;_ �;, Nitrogen,Total Kjeldahl91 78 122 ml =Y<Westborou h°:Lab.Assoclated saris le s <01�=„, Batch�WG1.06O74O-2 � -� � �. BOD,5 day 102 - 85-115 20 Page 8 of 16 _ a;a 1 r Serial_No:11151719:50 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits . . Gerieral Chemistry =Westborough Lab;Assoc'iated sample(s)`01 QC,Batdl ID; 1NG1060579-4'` QC Sample: L174Q515-01 Clierif ID:,,MS Sample Nitrogen, Nitrate 4.4 4 8.2 95" - - 83-113 - 6 r -::�Westborou' h.Lab�Associated sam le s :�01 . .,Q.0 Batch ID ;V�lG1060582 4t, ,, QC{Sarnx a ,L1�740515=01Client.ID;�MSaSam le `� X,* Nitrogen, Nitrite ND 4 4.0 F77NO - 80-120 20 ' --- _ r—M,4.•ar;gr^° -;° �rs.a�^^. :.:,., ". .,. �h' �c n ,�,,.n.„,�.,uuy ..,,., :�.,;�, ,.�,�..,�,r�..,u :x. �; ..,•. General'GhemistryWestborough Lab Assoc.rated sample(s);''01 �QC'BatchID:.WG106O660=4` QCSample L17407.60-01 Client ID:'-MS,Sarnple ": Nitrogen,Total Kjeldahl ND 8 7.23 `90 77-111 24 ...... .... a _ - ti- r L A o-i dr: am les 01 . . C,,113 hSlD,.'.WG1Q6074O.4 ;QC Sarn .Ie.L1740750s01 ,.,ClientrlD =MS,Sam le ° ' ' General Chemistry Westbo ough ab ss c a#e s O BOD,5 day 3.1 100 100g 50-145 35 Page 9 of 16 J 614t. tia Serial No:11151719:50 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits Genemtstry�,-WestboroughLab Assoclatedsa ,.p e(s),,,0 .QC. .a , - ,, _ . 7. ,,,, QC,fSamp e. L1740515 01 CllentulD: �DU,P�Sa_rnple <, �$ ,. , ,_ Nitrogen,Nitrate 4.4 4.3 Mg/1 2= 6 General;Chemistry'=Westborough Lab. Associated-sample(s): 01 .QC Batc-MD:�1NG1060582-3= -QC Sample`F-U-740515=Ul Client ID: DUP SampleJr Nitrogen, Nitrite ND ND mg/I NC 20 General Chemist >='Westborou h'Lab vAssoclatedasam ,le s .,.,01., QC_Batch,ID.,WG1060651,,2 , QC,..Sam le L1740751-0:1 .Client ID:`:EFF,LU,ENT - �r, ,:, Solids,Total Suspended 120 140 mg/1 , 29 ;General:,Chemtst =Westborou hLab. Associated sample(s): 01 . Q,C..Batch.ID�WG10.60660=3: `QCr;Sarnple: L1740760-01 Clle`nt ID ;'DUP Sam le �� Nitrogen,Total Kjeldahl ND ND mg/1 NC 24 GeneralChemtst � Westborou h 6ab,Assoclated.,sam-le s .01 Q,C Batch ID,�WG1Q60740-3� -.QC.Sam Iea�L1740750=01; Client ID: DUPSam le��, BOD,5 day 3.1 2.6 mg/1 a 1;8, 35 _. _.........__ ....-....__. ..._...... Page 10 of 16 tia Serial No:11151719:5O Project Name: CASAVANT RESIDENCE Lab Number: L174O751 Project Number: BEA11-10343 Report Date: 11/15/17 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Cooler Custody Seal A Absent Container Information Initial Final Temp Frozen Container ID Container Type Cooler pH pH deg C Pres Seal Date/Time Analysis(*) L1740751-01A Plastic 250ml H2SO4 preserved A <2 <2 2.8 Y Absent TKN-4500(28) L1740751-01 B Plastic 950ml unpreserved A 7 7 2.8 Y Absent NO2-353(2),BOD-5210(2),NO3-353(2) L1740751-01C Plastic 950ml unpreserved A 7 7 2.8 Y Absent TSS-2540(7) Page 11 of 16 *Values in parentheses indicate holding time in days w� y,tia` Serial—No:11151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 . Project Number: BEA11-10343 Report Date: 11/15/17 ' GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NDPA/DPA •N-Nitrosodiphenylamine/Diphenylamine. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values;although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list(TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Final pH:As it pertains to Sample Receipt&Container Information section of the report,Final pH reflects pH of container determined after adjustment at the laboratory,if applicable.If no adjustment required,value reflects Initial pH. Frozen Date/Time:With respect to Volatile Organics in soil,Frozen Date/Time reflects the date/time at which associated Reagent Water- preserved vials were initially frozen.Note:If frozen date/time is beyond 48 hours from sample collection,value will be reflected in'bold'. Initial pH:As it pertains to Sample Receipt&Container Information section of the report,Initial pH reflects pH of container determined upon receipt,if applicable. Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1Ox)the concentration found in the blank.For MCP-related Report Format: Data Usability Report Page 12 of 16 Serial—No:11151719:50 .Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 Data Qualifiers flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times 10x projects, g Y PP P Y ( ) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Firl Page 13 of 16 Serial NoA 1151719:50 Project Name: CASAVANT RESIDENCE Lab Number: L1740751 Project Number: BEA11-10343 Report Date: 11/15/17 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Al h� Page 14 of 16 f Serial_No:11151719:50 AlpKa Analytical, Inc. ID No.:17873 Facility: Company-wide Revision 10 Department: Quality Assurance Published Date: 1/16/2017 11:00:05 AM 1 Title: Certificate/Approval Program Summary Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624:m/p-xylene,o-xylene EPA 8260C:NPW:1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene;SCM:lodomethane(methyl iodide),Methyl methacrylate,1,2,4,5- Tetramethyl benzene;4-Ethyltoluene. EPA 8270D: NPW:Dimethylnaphthalene,1,4-Diphenylhydrazine;SCM:Dimethyl naphthalene,1,4-Diphenylhydrazine. EPA 300: DW:Bromide EPA 6860: NPW and SCM:Perchlorate EPA 9010: NPW and SCM: Amenable Cyanide Distillation EPA 90126: NPW:Total Cyanide EPA 9050A: NPW:Specific Conductance SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM5310C:DW:Dissolved Organic Carbon Mansfield Facility SM 254OD: TSS EPA 3005A NPW EPA 8082A:NPW: PCB:1,5,31,87,101, 110, 141, 151,153, 180, 183,187. EPA TO-15:Halothane,2,4,4-Trimethyl-2-pentene,2,4,4-Trimethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene,1,2,3-Trimethylbenzene, Indan,Indene, 1,2,4,5-Tetramethylbenzene,Benzothiophene, 1-Methylnaphthalene. Biological Tissue Matrix: EPA 3050E The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500C1-D,SM2320B,SM2540C,SM450OH-B EPA 332:Perchlorate;EPA 524.2: THMs and VOCs;EPA 504.1:EDB,DBCP. Microbiology:SM9215B;SM9223-P/A,SM9223B-Colilert-QT,SM9222D. Non-Potable Water SM4500H,B,EPA 120.1,SM2510B,SM2540C,SM23206,SM4500CL-E,SM4500E-BC,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107- 06-1-B:Ammonia-N,SM4500NO3-F,EPA 353.2:Nitrate-N,EPA 351.1,SM4500P-E,SM4500P-B,E,SM4500SO4-E,SM5220D,EPA 410.4, SM52106,SM5310C,SM4500CL-D,EPA 1664,EPA 420.1,SM4500-CN-CE,SM25401). EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan I,Endosulfan II, Endosulfan sulfate,Endrin,Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Extractables),EPA 600/4-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9221 E. Mansfield Facility: Drinking Water EPA 200.7:Ba,Be,Cd,Cr,Cu,Ni,Na,Ca.EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TL.EPA 245.1 Hg. Non-Potable Water EPA 200.7:Al,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,TL,Ti,V,Zn. EPA 200.8:Al,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TL,Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods,please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Page 15 of 16 Serial_No:11151719:50 CHAIN OF CUSS €��ce:�rocatr,L b. <�� "dY mll �] FAX E"k 'Same as client tiara Po 9:1034a: Viterllbornizph Ci9A tMrvsHcid,?AFt PN]QCt Name:Caso.ant Residence- TEB"wff-C66-°Jm TEuSmem 0 ADEx.; 0 .Pidd'I'C3alivP.rolai� Project Loca iCbmosterVME,,MA StatwFed . OWL? ClCeet �mnnatE' vfrdmmentalAs;odates Prgrect# BEA11-10343: Ad*ese:1573 Bath act d R0. x 17.41 Pm dot Mane er C-v1d C.Betirrett DrevmWr.MA:02631 ALPHA Qu4ie' :. fax:S€FB 89s-51`be ANALYSIS Fa staasdard C3 Rush t%&y�F'FM Ap evw. 304MF6E HAt,IDLWa Email:.Varre**ban t-A.oePrw Elncnc I� ;,samplaz iwaitom,pi l aftb"a ey ate, c*0 Dater: 7 me, Not Neee!'ed Mor Prcje6t Specific;RequPreMenWCbmments/Detec;6bn boilts: k�Lab to" i?r�swvaWn " t] �t6fa;do . �'�RBSE 3RYfcfrY.. A+albwi "AE.PRk'ab tQ ampP ,tB Coffin 5 mprb &mr3pfe�s " k.ab t��rdyX` ba:� Time ar►�►aii liii�f� �: El 0 IT Q '. 0 n �. 1 u _ 0 ' cr El El r Cant ainr r Type- 1, p p PresetvaNve O 0 D n6t�'tc�grdina.-rd "� y` Ds3a1`sot$ ,,,! �a�esmtV6c9 a"iy: L2ptClITYt15a lurnaio�rl tlrnedxk;vip n� e J •rasa�bsl, A'.t d1� � . ; 1: 1' 4" y. rnertTams. Page 16 of 16 i. Lezli Rowell From: Lezli Rowell Sent: Wednesday, August 22, 2018 9:28 AM To: 'Malkus, Karen; 'Emily Michele Olmsted' Cc: Samantha Farrenkopf Subject: BEA's I/A O&M Contract for New Owner at 61 Falling Leaf Lane, Osterville Attachments: Reeves Proposal 2018 signed Good morning, Please find attached copy of I/A 0&M contract with BEA received from the new owner of the above referenced property as authorized on 7/11/18. Hard copy will follow by mail,for your records. I understand she has received written request to assure continuity of services and hope that this notice satisfies any concerns. If you have any questions or further needs, please feel free to contact this office, Lezli Rowell Administrative Assistant BE N N ETT ENVIRONMENTAL ASSOCIATES, INC. 1573 Main Street/P.O. Box 1743 Brewster, MA 02631 508-896-1706 508-896-5109 fax htti)://bennett-ea.com Please visit us on Facebook Bennett Environmental Associates, Inc. 1 a � BENNETTENVIRONMENTALAssOCIATES, RNC* LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS d GEOLOGISTS b ENGINEERS 1573 Main Street-P.O.Box 1743,Brewster,MA 02631 8 508-896-1706 6 Fax 508-896-5109 A www.bennett-ea.com PROPOSAL 3 April 17,2018 JUL i 1 2018 Virginia Reeves 61 Falling Leaf Lane Osterville,MA 02655 via email:lcirrone Jinlig rover.com RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Septic System 61 Failing Leaf Lane—Osterville,MA Dear Ms.Reeves, BENNETT ENVIRONMENTAL ASSOCIATES,INC.(BEA)is pleased to provide you-with a budget estimate for the continuation of professional services relative to the operation and maintenance of the Innovative/Alternative septic system located at the above referenced property, upon sale commencing June 15,2018. The collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the approved Innovative Wastewater Treatment System,as set forth by the MA DEP and the Barnstable Board of Health in a reduction approval decision on October 14, 2014 to qualify treatment capacity on a semi-annual basis. z As such,work proposed by BEA includes the collection of wastewater samples for laboratory analysis and the preparation of the required forms for distribution to the appropriate town and state offices as well as you. Additionally, at the time of such sampling, blowers,filters and associated a piping will be inspected to assure working condition and regularly scheduled maintenance performed on a fixed cost basis will be invoiced semi-annually. Should any repair or treatment system A components replacement be required,or additional sampling beyond the semi-annual requirements necessary,you will be notified to authorize the additional work and expenses. Such work will be billed at time and expense portal to portal. t The following budget represents estimated annual costs through one year of service to include two sampling and inspection events. These annual costs are valid for two years subsequent to the fall 2018 inspection. Please note that this contract runs with the property. As such, it is your responsibility to notify our office in writing of any sale of the subject property so that there is no disruption of services. Furthermore, you are required to notify any buyer for the transfer of this contract: is 1 r. EMERGENCY SPILL RESPONSE 6 WASTE SITE CLEANUP 6 SITEASSESSMENT 6 PERMITTING SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE WASTEWATER TREATMENT,OPERATION&MAINTENANCE ' s 1 Y i A_?Ra,17,2018 REEVES PROPOSAL d PAGE 2 OF 2 11A W WTO&M } SEMI-ANNUAL INSPECTION/MAINTENANCE/SAMPLING Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity. Collect semi-annual treated effluent wastewater samples under a proper chain-of-custody for analysis by a MA certified laboratory of BOD,TSS, nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower.units,sludge level and associated piping. REPORTING/FILING Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms and file sampling and inspection reports on the County database on a semi-annual basis. Submit laboratory report and DEP transmittal forms to MA DEP, local Board of Health, and s associated vendors/contractors,as appropriate,on an annual basis. Professional Fees $ 692.50 Laboratory Analysis[2X—BOD,TSS,Total Nitrogen Series] $ 178.25 TOTAL ANNUAL EXPENSE: $870.75* TOTAL COST PER EVENT: $435.38 l *Note:I/A systems located in Barnstable County are required to report inspection and samplingresults on the MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year. This fee will be included on your invoice on an annual basis. Therefore,if you are in agreement and wish to proceed with the work as outlined,please sign the,authorization below indicating acknowledgement and acceptance of our Terms&Conditions and return one copy of this proposal to our office. Should you have.any questions or need additional information;please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES,INC. i Samantha Farrenkopf,WWTO Wastewater Program Manager = cc: Kara Risk,Business Manager r encl. Abbreviated Terms & Conditions(2011)/Fee Schedule(2016) r AUTHORIZATION: 'PATE: 1 (Zk)BCDHE jjBnwwraa.e Counm DEPmm�w oc HErn um EwmOWIENT��'�c.'PROMOTE-PROTECT-SUPPORT s`• . °T a • July 12th, 2018 Arthur and Patricia Cassavant 26361 Clarkston Drive Bonita Springs, FL 34135-2312 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 61 Falling Leaf Lane in the town of Barnstable. Dear Arthur and Patricia Cassavant, Our records indicate that the operation and maintenance contract with Bennett Environmental Associates, Inc. for your innovative/alternative wastewater treatment system may have expired or was canceled as of June 27th, 2018. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Barnstable require you to keep an operation and maintenance (O&M) contract in effect at all times for your system. Information about these requirements may be found at https:Hseptic.barnstablecountyhealth org. You can access the list of wastewater operators of whom we are aware do business in Barnstable County. This septic database also provides further explanation about your I/A septic system, as well as any sample and inspection history for the performance of your system, as entered by previous service providers. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax, or e-mail within fifteen (15) days of receipt of this . letter. For your convenience, I have enclosed a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen(15) days of your receipt of this letter by forwarding a copy of a signed contract, you may be referred to the Barnstable Board of Health for further enforcement action. � l I can be reached at 508-375-6901; my fax number is (508)362-2603. 1 can also be reached via email at emilymichele.olmsted@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Emily Michele Olmsted CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX u 3195 MAIN STREET/PO BOX 427 BARNSTABLE,MASSACHUSETTS 02630 Phone:(508)375-6613 1 Fax:(508)362-2603 1 TDD:(508)362-5885 Web:barnstablecountyhealth.org I Twitter:@BCHDCapeCod (Z6DBCDHE PROMOTE-PROTECT-SUPPORT s n+ 1926-2016 July 12th, 2018 Arthur and Patricia Cassavant 26361 Clarkston Drive Bonita Springs, FL 34135-2312 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 61 Falling Leaf Lane in the town of Barnstable. Dear Arthur and Patricia Cassavant, Our records indicate that the operation and maintenance contract with Bennett Environmental Associates,Inc. for your innovative/alternative wastewater treatment system may have expired or was canceled as of June 27th, 2018. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Barnstable require you to keep an operation and maintenance(O&M) contract in effect at all times for your system. Information about these requirements may be found at https://septic.barnstablecountyhealth.org. You can access the list of Wastewater operators of whom we are aware do business in Barnstable County. This septic database also provides further explanation about your I/A septic system, as well as any sample and inspection history for the performance of your system, as entered by previous service providers. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail,fax, or.e-mail within fifteen (15) days of receipt of this letter. For your convenience, I have enclosed a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt of this letter by forwarding a copy of a signed contract, you may be referred to the Barnstable.Board of Health for further enforcement action. I can be reached at 508-375-6901; my fax number is (508)362-2603. 1 can also be reached via email at emilymichele.olmsted@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Emily Michele Olmsted CC: Barnstable Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET/PO BOX 427 BARNSTABLE,MASSACHUSETTS 02630 Phone:(508)375-6613 1 Fax:(508)362-2603 1 TDD:(508)362-5885 Web:barnstablecountyhealth.org I Twitter:@BCHDCapeCod i i -"ENNETT ENVIROliTMENTAL 9 ASSOCIATES INCO ; LICENSED SITE PROFESSIONALS & ENVIRONMENTAL SCIENTISTS d GEOLOGISTS & ENGINEERS i 1573 Main Street-P.O.Box 1743,Brewster,MA 02631 508-896-1706 6 Fax 508-896-5109 b www.bennett-ea.com j 2)5-- PROPOSAL 3 I - April 17,2018 JUL 1 1 2018 Virginia Reeves 61 Falling Leaf Lane Osterville,MA 02655 via email:Icirrone@j6nlingrover.com RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Septic Sys 61 Falling Leaf Lane—Osterville,MA Dear Ms.Reeves, BENNETT ENVIRONMENTAL ASSOCIATES,INC.(BEA)is pleased to provide you with a budget estimate for the continuation of professional services relative to the operation and maintenance of the Innovative/Alternative septic system located at the above referenced property, upon sale commencing June 15,2018, The collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the approved Innovative Wastewater Treatment System,as set forth by the MA DEP and the Barnstable Board of Health in a' reduction approval decision on October 14, 2014 to qualify treatment capacity on a semi-annual basis. As such,work proposed by BEA includes the collection of wastewater samples for laboratory analysis and the preparation of the required forms for distribution to the appropriate town and state I offices as well as you. Additionally, at the time of such sampling, blowers,filters and associated 1 piping will be inspected to assure working condition and regularly scheduled maintenance performed . b on a fixed cost basis will be invoiced semi-annually. Should any repair or treatment system components replacement be required,or additional sampling beyond the semi-annual requirements necessary,you will be notified to authorize the additional work and expenses. Such work will be billed at time and expense portal to portal. The following budget represents estimated annual costs through one year of service to include ° two sampling and inspection events. These annual costs are valid for two years subsequent to the fall 2018 inspection. Please note that this contract runs with the property. As such, it is your 3 responsibility to notify our office in writing of any sale of the subject property so that there is no disruption of services. Furthermore, you are required to notify any buyer for the transfer of this contract. t e 1 EMERGENCY SPILL RESPONSE b WASTE SITE CLEANUP 1 SITEASSESSMENT PERMITTING SEPTIC DESIGN&INSPECTION € WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE b WASTEWATER TREATMENT,OPERATION&MAINTENANCE € I l APRIL 17,2018 REEVES PROPOSAL PAGE 2 OF 2 I/A WWTO&M SEMI-ANNUAL INSPECTION/MAINTENANCE/SAMPLING Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity. Collect semi-annual treated effluent wastewater samples under a proper chain-of-custody for analysis by a MA certified laboratory of BOD,TSS, nitrite/nitrate/T ,N for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms and file sampling and inspection reports on the County database on a semi-annual basis. Submit laboratory report and DEP transmittal forms to MA DEP, local Board of Health, and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees $ 692.50 Laboratory Analysis[2X—BOD,TSS,Total Nitrogen Series] $ 178.25 TOTAL ANNUAL EXPENSE: $870.75* TOTAL COST PER EVENT: $435.38 *Note:I/A systems located in Barnstable County are required to report inspection and sampling results on the MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year. This fee will be included on your invoice on an annual basis. Therefore,if you are in agreement and wish to proceed with the work as outlined,please sign the authorization below indicating acknowledgement and acceptance of our Terms&Conditions and return one copy of this proposal to our office. Should you have any questions or need additional information,please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES,INC. Samantha Farrenkopf,WWTO Wastewater Program Manager cc: Kara Risk,Business Manager encl. Abbreviated Terms & Conditions.(2011)/Fee Schedule(2016) AUTHORIZATION: TE: . 4 ,I 1 , Malkus, Karen From: Lezli Rowell <Irowell@bennett-ea.com> Sent: Friday, September 15, 2017 9:24 AM To: apcasavant@gmail.com;"Malkus, Karen Cc: Samantha Farrenkopf Subject: BEA's filing to DEP: 61 Falling Leaf Lane Osterville,I/A O&M Attachments: 10343 DEP filing 2017.pdf Good morning, Please find attached your copy of the field inspection and service report for the above-referenced project. If you have any questions, please do not hesitate to contact this office, Lezli Rowell Administrative Assistant BENNETT ENVIRONMENTAL ASSOCIATES, INC. 1573 Main Street/ P.O. Box 1743 Brewster, MA 02631 508-896-1706 508-896-5109 fax http://bennett-ea.com Please visit us on Facebook Bennett Environmental Associates, Inc. 1 BENNETT ENVIRONMENTAL ASSOCIATES,INC. Massachusetts Department of Environmental Poteetlon Bureau a of Resource Prtrnonl of Envlronmen el Protection t 1 1 Bureau of Resource Protection-Tina 5 Bureeu of Resource Protection-Title 5 .CBN98081T¢PROPPSSIONAIS,RNNROYMeNI'ALSCIIINItSfS,C&OLOGIS[9,8NGIMtfeRB DEP Approved Inspection and O&M Form for Title 5 I/A DEP Approved Inspection and 08M Form for Title 5 I/A El u-na msvmL r.o.n.,3]m - (soe)a04v66 Treatment and Disposal Systems Treatment and Disposal Systems.,_ Hremin,MA 03631 - fvz(SOB)B96-sw v e F LETTER OF TRANSMITTAL BFILE COPY A.Installation E.Field Testing Impm.nt Ws.n Mhur C—ant _. Flad InaPac fi On TO: DATR: tmm mlmm^ Owwr J NUMtle1L �'e c.y Mauer 81 F.,,In,Laal Lane i Meev.oM1nm.Depmment v(FnvWmvmml Nnlmtivn 6BA11 IO143 - kevlvmmeryir PedmsnmlAam... Co., ❑g v ❑brown, ®clear.� ❑wrote Amvrwl In105Pmgmn dAl/I] mnvr-ev rim Ovlarvllle 02055 I WmlerSum:-6M1PImr uwWmwm coy w ..-....._ '. i ❑OIM1 (eal(y): eonon.—I.. anMC: y/`g Mapngaddrazsorawne NdlKemnt Odor ®musty [I earthy ❑moldy ❑affen,W Elasola ' RGnwvt Waidmcv V __ EMuent aalNa: ®re❑eama 610WIIvglesnmv Amivn,Po� am.0 l .42 NT SHIPPING M1rn1OD: On-la, - '�M amb YW pH DO Turadity 5 L09)420-1112 ed, i Strould a N on,dal or General Usa avydem fell Na FIeIe Tasb'np,ef0uanl.empla shall W collated W Mall ❑ PiN,up ❑ per SWndam Methods and analyzed for Boo and TSS. Prbrle Mdl ❑ Fund1 ❑ Te epnvm NmMx j I9:pms Mau ❑ om ❑ - B.Authorized Service Provider F.Sampling Information , - rti r<dirm ntw O a cmvn -8xennLU Envinenme I—W Inc samples Taken ❑lament ®Esnam -,1. DPSCRIPTON 1573 Main She.t/Po Box 1743 - I Comm.—system.or systems wit,a dealgn ibvbf 2000,pol end Hear,wd-no.Use I PAvw^201 mela=1mn•na Dam m rv.Tine s DA Tmmea menupvw Srel®v M^v®w nitrogen redairg system.. . 0016, 001]) S penln •. erevreter n 1 1 innmmbl Syamms Ivan PO nand Memmmrcv Wpcll.v O:ecklla(Nvvember CM Tow ,J' P2016 y2017) ffi06)BBB-1]06 cot V. _ Parameter.a Pwo:❑pH®BOO 0 C80D 0 TSS❑TN®Other(Ilst below) 1 11/14I 6 IpMAnslyllwl tabmvtwy Repan Tebpmm Nwnmr - " AI,n. vlyOml lubmawry Repv{ Semenlhe F,mnkoof 13266an Numeer Nlreta.NlMte TKNx R Gwee omrebr Nem. Grim wlel C.Facility/System Information G.Inspection and Maintenance For mnew ovd commcnb ❑ For vppmval:❑ Ae mquratW:❑ Forynw :_Q OMNI Env-bonmemal SyM ma OMNI RSF pascrl lion of any Intenanca petlormed alnca xe - o esoml Nunm: P Yma proA.,In,Patlon B during this inspection: cap to mmm:re'I Conductano tl and oel"aren—ra.MakO enetl M rn to Ames.Collect _ --upm.pm — ....-...•.--_ aau.nl eamalea for f.ld..6no and lsooretpry eneNsls. . cal4regow 10/idreg pare on fua pump run Pl lye n,IM Np D6P Inepa-em vvd O&M Pnr durDtgdn,mon1I pmil kmHlmmmyvrymdvv Cheekllm,endlvbvnrory - "-- mWydcvl nyaNWopemtim mdmeintenerca mvduclW dumg Mertpmbg pWpdmthv e6ow mrwnud pmPmy,iryeu low my AFprevel Type '®Generel ❑Pmvaionel❑Pibllnp ❑Remeael qumllmsmregdn eddi5pnd wrormmb4 plmwmvwlmmymr smlint m:wnimca Thvnk ynu. _ '. seasonal Rasitlenm-usetl laethen8mo.year ®Vea ❑No Nara erd CammenN: - w:Dem+mhlvamm.fHmM[Neemdll Mmwllanlmlmmpanenb of tea eyebm ere Operating correctly.EllWatquelity paysetl held teeang Amur Qwvvnl-Pnvp+lY O+��[vu avip - Parsme'L D.Operating Informatlon I—amn ume _- _ Pndvue mapeabn Deu ' .. pe GpN lm be mxttl wM') Pumping Recommended ❑Yea ED Na PRnM: Svmmllle PemnmPL Wenewvmr Ymgrml Mmuga - .. Hmm.e m .m6 tiaremrymxm. ` 19eb..am m.W.l t-t> Ppe1d0 I laelmxdm nave w-It 13 Pepe Massachusetts Departmontof Environmental Protection - Massachusetts Department of Environmental Protection Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 - Bureau of Resource Protection-Title 5 Bureau of Resource Protection-Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A DEP Approved Inspection and O&M Form for Title 5 i/A DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Treatment and Disposal Systems Treatment and Disposal Systems H.Certification A.Installation E.Field Testing I Gamy I have Inspeclotl the eewege treatment and Olaposel system et the etltlreea above have ImmnenL wben A- C -M - ♦ Field In. 0 mnduaed rharsqulmd Said Ta,ang andlweampi.mllealon In sccaaance an SW,dam Mathoda. �mqa roam' pamper - '- pec on: , have mrmI,Wd Nk repon and the attached ISChnobgy oi,sno .ntl—Irts.r.rAecklisL end vnyueni.evr' 01 Felling Ihelnt.rmalion reported Is Vua,am ran.,and vompbteaeof the Ome of teeln,poo=Ieme em�vye^ronxwvp w FecaH semi Aammi -' Color. El gray ❑brown ®dear ❑turd0 Massedlu,eas mmibd op,mW,In--Wlh 257CMR2.W. on.— m6se '®Maning.dd—raw ,gdifferent muary ❑eerMy ❑roomy [Inend avo ElIunMa 1 .... Ema.nlsaae: ®.nP,❑.ama Syelem owner must submit gib report tahnol0gy 08M checklbG PRg any requkatl aempling results - ].O Su 60 mq& 2.00 NTU to Ne local boon of heath vs follows(Or each Inapnetlon iced: c y slum zip_ r PH DO Turbltllly _ ,(500)420-1112 e-L._ Should a RemBtll.l Or Ganarel Use eysfom fall tee Fleltl Testing,elfluant temples shall be mgaclatl Rametllel Uae-by Jenuvry 3l^deah year tar tee prevlascalendar year n prom Nome par standard MaNatls.ntl aneyred for BOO eM TSS. , Piloting Use-WIN.4b coins of inapedhn date r A Prodamn^I use-by Mwm 31^of esen year ter are preNous 12 mate, B.Authorized Service Provider F.Sampling Information G.nvml Uea-by SeDfom0er 3W'Ol sash yar brlae previous l2 monNa OsoMPltt Envirenmental Ae.ocietea Inc _ - Sample.Taken: ❑Inman ®Effluent a.al te: ifi]3 MOIn street/PO Box 1743 _.,.-- Caopan retlucing eyatema tams W Ih o dealgn flow a2000 gPd end greeter,and Generel Uso Dep.Nlrenl of Envlronmenlol PM,,U.n Breweler�n MA 02831 n Arrant-n11.5 Proprem spa emfon,MA One Ngnt 0tr 8 mm S^Flaw (-1 tse-11.ad.12. Paeles amplod:❑pH 0 Boo 0 CBOD®TSS❑TN®ONer(Ilm below) A oz1De rmnw.Nmmm , Sementlm F.—Iona 1.65 Nibere�NlMre_ TKN cWga Opummxm Gmnum xuroe: - aswr —2 - pouf C.Facility/System Information - G.Inspection and Maintenance OMNI Envlmn ntol Syelems OMNI RSF_ Do.clllbn of an wnmamunr to wax Nwmm p Y meinlenence pedolme0 since preWous Inapafbn 8 tlutlrq IM1Ie Inspection: tal4rea taldre9 Conduct en operellon enemanlemnce even[Collect eMuenl amplea for Wtrl bsanp end .. un.oelbnaab s nx operxbn --.—...— latwra�a_WYab. Apprewl TYPe: ®Goxml ❑Pre nsl❑Ztlna ❑Ramadia aaaal Rameae-used lass teen 0 mvlyaar ®Yes ❑No Note.and Conan— NI mOGanlrsI components of the sysmre te o operating co—W.Effluent qu0tlty pas.ee%Id teeMp pareNotare. D.Operating Information wpmdmp.b __ newm.ln.p.mmn Gl. e•elu0.a 0.35�c _ Plvnpinll Roconnaw— ❑Ye,®No smpv omMOv awxm 5^^M t5emmdm:w,op ltn] Pmvsda vLYm.em nv.0a r1-t] Ppvl vl] I,ebm.dm m.M It 1, Pme]x, i Musac fReso Departmentof Titles antalPotecaon eureeu of Resource Protection-Tale 5 DEP Approved Inspection and O&M Form for Title 5 I/A I I F.Pumps,SWltches,Floats,Alarm System Treatment and Disposal Systems OMN1 i E-h—ent ❑pump lnspoNlans cbl wm) IrzfKK,y) l�G,"zl„q,1(PL..,� 7Symena,Inc. uP a a SS— �-'�— H.Certification �l�,/Ted pmre�m�0f'Of 1Bmltl�Pe OMNI RSF Operation and Maintenance Inspection Checklist pdab.iawwYe. wwmmebm I ratify.now inapecletl met-salt treatment aW tloleeed system el a e eddmsa saws,now -L amn em.. mMucbd eta raqubW Flela TesWlg ardor sample co0eclbn m a�tlenee wlm standard MemWa, A.Instellatlon 8 SeMCs Information ; VJ 1ee1 elate 4�� now mmplelW eta report and Bw allana0lecM1robpy opereBon aM membrance cMsklist eM meesmepm,eelreew(eI me Inb, same repoa. is We,axurele,anti com 5 C of me lime ai me Inspacllon.I em a Mpap e s N's LPl 14 Mennsaacnusene r�run�aeNne baCivlm zsY CMR zoo. 1(/¢�lN25 ltn�4„[ _J/-B-IG ®75 mm,mmpm"ml,,,,tlan.wtnw.aurae almr[.lal.nlwbllm.un.11rob.mmmin.,�le.a.�/..I ze'z Z�w crux. LI �I1T_ on G.Filter Modules(-Sand Filters') gwuvsmnaene Svr1aY y� �Wpecl fb PmAr6 Pmdlrq Pmavk Yea❑ .0' eYmmsbmpLSx QL�mm aW: Y., No❑ System weer must suamlt mis repot(technology OdM chackaat and any requpW eampllnp resole j -/ b me local Waal of realm es blbwa(4 eedl lnsDecllon Dedormetl: ,/� EayDmbdNan plpee Flush Vea❑ No IlY encore 4ear No[Y Remetlial Use-by January 3Y of each year far Ue prevbw®lenderyear S.Septic Tank 5/�Jy- tQyQui3 /0'�'o y�/-/L I [ly(vly opsVWipn Wepawrballu nlWllaS Vse❑ No tl)1rYee,eaplW Debw(Le.mvW,dyq Piloting Ilse-MNings daysof Impedbn deco Stage Aaapkp RegAed:-0 No l$ ❑Stage D.lh ❑¢venpepm nmtlfi�memBw --.a reoM�m m.�i®rm ms�u cue n.p.me r�ap, x W-Tmnae Smlm¢ma eler: YmQ Na$1 Ilyes al%P4f�atlun ellmelyreRr❑ menmltlamn maMme Nrp�pmnvW enoW NwebeuaNanryg mbnaon lltie.ambes ProvmloneI Ilea-ay Marts 01^.leech year for coo Prnvbus l2 mores ere mppedame I pwrbbo0-la amtlm Il npegn mNrapPmAnWeemm myer Wo�xnue m�6L Anglnslwneowler M1ew Nswp61 I m�� eeleln��mIV.1Mn.-I- memrw-�NeN�nW�su nav/vwee rowKa- mYNHtlx eepmrymp General Dae-py Sapfempar 30'^of aeon year for me pravbue t2 monme eWmle slomeeaeel M1auanHml nam,meM e,vvmnbwyeernpmM1WN e aepmWpmlmwnuWyaw Mwneuam H.Sample Collecdan sand.: 'I el S-/F/b A1DbnsaMi;n1.16 Pregrem�i P,elaI gay C.Reelreuladon Tank Sl J5,Qel'143 Yere-CI On. tat Street Sur Fbor 13tddre-geema oung PWOV rep,yre4 Yea❑ Ne�/ If yas.UIrW'elf.DpH aTfi DOOmr Retort MA 02108 Odorprebleme:Yse❑ No ua®b.elgb� empmemom.lobn Mmuw mwbldpa lovmAmme nmml�e elw•maen�v..b.ameb,ee, ENuent re.afte, Yea❑ ale[vy 11-.1mosd Datleenelleadyes"Cl dip y°p�hae°1Ne yWylml°Irt Mal ltu rmNlop Oval era eempe rbue 0u unytle mnaaalWee ' Hew tl,�sbynb Wla Our Y realMmn W Iwn,emnlerpumeN W wNaa.Hen Ma metre Mob wve b wp,mN ureb mupwW wf10e p,�m�srlpbe tl.e r,d0ar alowy. pnwet a>pylp W W amrmamlu Hem 0v MmmNau star elAumlmnip mtlolme mnfsbaya nmymdmmulW cos etw Mtllmyn..e e.nlm,p. System Notes: .. D.EquallzaBon'r-k(It Installed). (tuE�a dunk hyh ofax:� 2 ulh SWge PIMpIWRogWred Yea❑No❑ ❑8Ndge0epih ❑Scum Dept, .r Ne r F w N'>b0 5.1..�+ Wfue,e-.- Yu El No❑ Il Yen,haPedQadeen.team yeeay❑ ' _o,,W eeme hupmlM alleaa Ode e.eRlb�-r .r /ltc" a-;-- E.Pump Chamber/vault Of lnstallad) nFE, _P " NI� ❑Pump trepan..tell wile) ewtlunaa � OR Lw�n OFf•. ❑neat erOmee m�.mn.al°I°°rem ame. .cylamlawwmar«imuaw pwenro,wereww mm.m.b ^fK/o rn�S ni�y -o n+.nao<•ar.o.b.IH Pw.a W a a Sebl_Nn:1111161e:09 � Fr A F.Pumps,3,,te es,Floats,Alarm System Q Eneire meninalMN s Sy,tarne,Ina. L M�maPacHom lmluNm7 '2Y o$yc�-��zSL.L13m Cc+�1'� .,. -t-S come LE1.6 PsIW mMmefar.ar-llvac - OMNI RSF Operation and Maintenance Inspection Checklist arks/elN A.Installation&Service lnformetlon [R'Fmlalvrm mMarbwam lml�*+/•tic Lt4F /�.n2. 5-2..1} m r6)-.31. - —W)l.rwru.>memwNe.—Ol.,.Mwcmml,Hro�..n.m,eu�me:NrmlN. 7=1 z v�6/6 e%F :ter."m m ANALVrIGAL REPORT ary o...... m ! G.Filter Modules("Sand Fthere") G,rf 5J �I fwpoMlnp Ponding Proawrt Yea❑ No❑ .6Yeem ma.p title W emWeaa Pan a W: Yw❑ No❑ 1putlon pleas FIUM:Yea❑ No❑ a..:Yea❑ Na❑ B.Septic Tank iy aoatruglon oreblbw to mbr mmubc Y.0 No Olf Ys eapbbmbw Pa,eww,dH) - Sudpe RanPtrg RBgWred YW�No ty I57 Sntlpe Oepm:(Ott �SnM DepR -Kt/ io 1'gamml®6Wndan o4�neDube.Y,epv:W Pm,Ml�m:awm�Amsr Wmnmmmre Tne,mla� Lap Nunlbm. L1M 07 grmmlxmeamn YB,e NoIM�',' 1f Yes.kuDDd D$dAarAila95.l YBHMQ Nebmrn uBae a�eo b�m�Yam^^avWeMNNwebwnlYM1 ee®yoobmbn Hma eufom .�aellmwL nuwrmondHW HUMmowmNw Hre mplomrA � tl^0a^tl.mN^tlalroae maw le me Nbktlb eupaeeWb ClorM1 e daebymp WWn lPo m,bemb mp..aWOI mnwtlWu.end Mel.Nbr-.ffl yuymen a,me abaa:tlevn slat wnnen EnNromron IAmatlalea - PMu�414emeepp,.ahmm eavnmwr mlMeuuratl.Nq mgfia INS M1o,ww.ner Meepumpmg evksn.ee(Wmepnesum rune on lq.inen Pemwrme Allerpetl.e.Huyrbe mmtl. fa/3 Meln Street m { `' elebtlanatl WlM1 eswea aoplege Nubr,llm,manmmdalvom bu Yserpumpmp.draub - aeper,abpmNxneevgmeryamblued ; H.Sample C6llecaon erewamr,MAmea1 .C..6ecl-wevon Tank. 4rr 41�� flr'swr^ Vea C9—Nap Anti: pea ee,,,,.n / �� / Pl (noel B9s-1]os .alydWaa amatlnMeang Pa.o.lee—rm❑ No B" If yea:�D tGtpa[2PH(Bftl Gomm Prdecr Name CASAVANr RE IpENOE Odorprobleme:Vea❑ No.0W� IlN meoaMmn nmbe era lob Wan Mmew nuWeb bmbOln Om roirvvmSu malt ea msb.elmmmemNq P.1w Numper BEAU-10313 a Ereaent erdler. Y-0 Noeet,LNtrfWt�ly Ilyea hlapedDetleen ellmHyomly❑ la erebyrmDMdmmWm.InoNormpnwm e,p•noesmnwrinelbn MeepeNaue aemge Nusme Repon pee: 11/19I1B IlW emlpemyaa®vebrmu lrequ paN urn H.rsdrvaegm Mntmadam 1 Meb eulmwa®wlmeemLLmcmedRnWwl4e.maua.upnuVmeaevpeeuopemWnet mepmaam.0e.rma,aw.xm.awb,am.aeon raw enmNmaboaneruw mmlmb W. + .mx.vpmpsmbbp.pMem MaepWhb.arse rys.nenapmreel. rlrmmmmmelw 04 aetl rmYneW.e,alem0. I . System Notes; D.Equallz ns atlon Tank Seen i5 f7®Pro(.nS Cbrne��Y moe�on�ew�,� �'�i Lg..vu SIWge Pampin9Re,-Yes❑No❑ DSIWge Oepm: ❑Soon Oepm: - OFF SHa®ttes.-. Y.0-11 If Yeamei-cl doandmen Y-YE] N 455C .'[ 'S. fJ/Na,F sameaamrsmalma.4.e Imt !th G< E.Pump Chadebetl V-M-oflnetallad) T�"1i 2"�-Y� Tl�ea�.IPq.a,w�ummmaeoelalw+4ume annMl�.lm,.paarowmwbw✓wmem.l„eee.A.moe ambm ta..r/a/-L32 emery.NMe4eMhW.M.m,egmWmbbmWbm.u,a.mmn a.ram,bbawm ewasawl J� ❑Pump.a-fee uNm) nPexv,.emm wypawb:sle MMAseaLm ltn.eLcrryxasyaL Nx(asmLeu Ntup f, ewlla nlvANeetul sm lNel.upasoYN.xc leaeLnR,wwuteL aoa aaa,tI,ls�ow(pmwm--a eR ❑Flee)ewtlNee ' meu.a uafa4quYn -.'> lae_b pmam pvnPbromeradnYwseap VwamLexaneHme PmVhrMmatlm.Llmmedpb .._ emrndxeee0o,uummMmaen N - EIBMWegary O(F.Watr.mugn,800-41-1g18 (lc^ IIwO D0 - 'SIaAB8AY10(Fex)50B-eBB-B1B3 8a692CA2tq-xvnv.1phdetoe. ND3 - s r'I, AP6 -pS .I Pea.1.11s ' • Serlel No:11141819:09 Svrlvl_Na:1t101819:09 ProjectN.— CASAVANT RESIDENCE Lnb Number-. L1030191 ' Prolec—ber. BEA11-10313 Raporl DaN: 11/14/16 - • Ceae NartetNa .. .- - W • f 10 m w L r`a - �' re.o�N+o.,moramx.aammm�Wm No w�omPWWr""mra.�ma mN.m..,m.mmxwm4Wmb.Pa,wma >monmmm,mamaa m.4.a.Wol:�egmWa.�w"Ewa..roN.pnm,moelur..Ioowxm...wma...,,4. NE—--I. 1 . m $a x�'�'a��.,a...�m.�b.,rm.1�m�.m..,mmmP...xam"M1�.x�emerohroNoarameNr E � -6avx,svoc.acF avvwrmmm oO.av rmvm mu 6a.euiabmaepm xOmrvvl N.OavWd aluvammw WamvWymva x g �� ''° � mmra rwtwmrOmde,r�mwe WevtamvlvyemiauO,ncvem Olw momovrnvvmlv.,mieJ«Hlee�ue.a�m.n�m. 9� 2d t<m.Lx�.w..w..r.:w+re rw�xwx.w wmm.ammwe..�.m..rerrmmm.m.rmerom>•m,em.rra��e".tl Lw, .,c � ..mvo,yarmammaa,a..mmp mPm.a.ir..�r.�.....<w�•eao..weue e.m.mmmc�mrmmm�..m. m mPonoe.ve lamrmw IPmea rom.rni.w,Po..xw.neamW W W"o.w•"n�•, INORGANICS .N..4m tmnemY a.w.6mmm ewm�.mmmY"m��,aim B«„w� ` ��m.sar.w creono 1,mneeantu.v.mmac uxm.m�em.mo.rw."em m.mmwwonwomavo wm. p umwma.mmnw.m�"w.mw.Pwn.,r..��m.rmlvmw.�.smewwm.mm.cum...,.�ewm m. O[ MISCELLANEOUS maenaaamWa.a.mom.wwee.�w•a�..a.e�wrt-.xa�...m.w�..u.m.mmmm."ror..ro.a Nr.x.enu" _ m4"N. .hM��ma;�.Nxa.mm�..rrm W rtl..,.4�� W��,m�.x ��.�"`"'mamma~,m�mpm.emm�..�m.4.mm.P;.wra..�r .. � • .,"NOM1."mm".mbmam.a�mx...Nr..ar".Wo s; I,.,amm.mDWaam"...�mpal.a� mYm.Waa. b f IMa—U.netl,mm'Pmr Nopelne end PmelBu of peAurylM1Ol,bNe bml olmylmmNetl9eend - IenO boeetl upm my peracnol ingWry of Noae reapmelUe fw proN0lnp Ne lnfomralbn conbinetl J �a� In tlJeerielyllcvl mpm.mminlmnelbn leemrmb entl wmple4.Tttla ceNPrete cl enelyYela mt tO mmpbla unleaa Nle peBe ecmmpenl�es�eny(mtl all pe0aa olmh repoN.", • gE r �vv lP�„S71tt0Y 5lerizlrvm • •. _ ' AUIM1wIzetlSl9nebre:. T' B 5 Tltle:Tatlmlml DlratlalRaProeanle0re Dete:11/1d/16 - - R v PeBa3o115 ... Pe0e4 of 15 - r Sorlvl Na:111d1619:09 r Serlal_Na:11141019:09 Prvfecl NamO: CA9AVANtftESIOENCE_ f Loh Number: L183619T -Proloct Noma:. CASAVANT RESIDENCE Lab Nambvr: 1-1636191 Proloct Nlenbor. BEAt1-103a3 Ra 4Dote: 1111411. Project Number. BEA11.10343 Report Dote: 11/14116 . .. SAMPLE RESULTS Methbtl Blank Apelysls _ iI DeelltY Len WI 4 t LOC ID. 1030107 1 0 eColhmetl, 111=101SAS CIIe tID D.I.RemhW: 11/OB116 'O E l I I j Semple Location OmFnvala lleltlProp; Nol Spetlom 3I a a q Metrlx Wvtor - 011uuon Dab Dab Ane�^Ocal Peromebr Reeuk OvellBar Unlle RL MpL Fec1w Proparotl noyaetl od Mnlyat hamrb AvbN d Anv o.r Gene IG mlilry'-VJcntboroupM1 La for eampl(}01"'Siilh WSSE0390.,1 �' venom um Mr -Nv rvnoamry Wo xo mW nm t o I j GB rel Che W elpoio09h Lbb i :.: Garvml Ch M hy.,-Wo OmrmBh Leo for eempb()Ot Batill WG&E03,-1 $ 1 .l xbglmxbme rml - Ganarel CM1 lepy-Wr-+Ibmo+BBlab form PW r 1.0b1A WG950d90.1 1 2' P NNmm TOW Ntlew mpe - eW r a fT. ! TS Gvnarel GhamWlry-Wm bcro Bht tilorm (a)01:Belcp WG95050>-1 rg v p' eag, •ee m xa t ..rrm+ asm m m d Genebl CM1emislry.'-WentboluuBM1 teb WG95095U61' ;.1 xaavm rmvgare .. t ..rnm .. c AT.. 6 j E$ � I y� �� f3 13; 3 3, I • ,4Li D� I it 9I All 1 E Page 5 a115 Be S—N.:111416190 P-1 d N--: C—RESIDENCE Lab Number.—197 61.P—M t Pq. YESC.-m--c.—Y s- c H,, 7 Tq C. -D CI c. , H d—c P— T ..S..l A A I Y P--- A I Y ba E A IN -o' 'a E E �E, .gi S E fY values F—th.I——g lime N IP,, P—1. 1 S P.] CAS—PITRESIDENCE lab Number 11-1117 : CRESIDENCE L-197 N.— CA—RESIDENCE L—El. P.1-N.—. B-1-11— Report III—S Plj.Number: UP,d D,t,: 11114116 Protect Number: BEA11.1-3 .......I.: ii—IS GLOSSARY REFERENCES C -V 44 EP�-BY-.Aw—Wl 7—A mmnqu Q u VI—omo—I—S Ap�McMkal P— —.N.—end d1l.—mrmalb N.ereNO®Ileennp y—y.b0l-PMW.M—d—,—IWIiIydAPI—"-I be et It§mm avpense.1111—-H Alph,—lyt- I-P d.—.-—.bur—d—th W.evmgty mpe wamems W mmplymnn EPA P-1 repalmn9..PW Ypnana,FV—dwr. Papa tt of 10 Papa 1—IS Serlel_No:05091)ie:fii 9odnl No:05e81]te:51 SodnLNo:05091716:51 Project Name: CASAVANT RESIDENCE Lee Nembcr:�L1114198.r!' Prejoct Namo: CASAVANT RESIDENCE Lob Number L1714188 —1-Number. BEAU-10343 Report Date: OSq&1) }i, Project Number, BEA11-to343 Report Ooto:. OSg9/1) SAMPLE RESULTS 1 _ J - " Method Blank Analysis Be-Doelity Control Leb ID: L111416IW1 Dole C011etlod: 0510]/1110:00 - CllonllD: Dnb Rmnivod: e.ull Sample L. : ost[RveLS•r49 Feld Prep: Nol Spodned Mnlrl�: I 011u6an Date Dab Anelyticol Pemmoter Re Belt DaellRer Unite RL MDL F.— PrePored neyepd —h.d neyet you Ar : 4 Po.emeur Rr.11 —1Nr U.I. PL YOL iecu IeePenw Aiiepv4 uelnWaeel AneNa General CberNaVy-Wn91E oLee l eeenple(e):,01 aa1C.WG10W03& - rp euPa'dm ea9 - Geneml CherNaM WeblmrwBhLeb Im eamgd(e)01.Betdd WG10000381 INORGANICS rS N�9r NmN.:. _ _ �T ICM1 vby W tmmgh eGf ae 101:Be WGI0009B1 — — — a� (C•, Gen relCllamLvoy-WealborouBM1Lob loreemple(c)01.Be1cM1.WG100o1941 MISCELLANEOUS ,� ro � >4 Y. Genorel CM1omlplry W Pltortxgh Leb I mple(a);01'Reich:WG1 D003031. =. Y Nmo9niam MFuw 1 Pella 6 d116 . I Page B a118 Pn0e)a118 4 N EI .E, m m a G� Ei C p 3 In 6g DI �. E � ', N � r_P U U A£ oa a : s s s I U E O t O dg Sa S sc :g; g D F' �$ a � s � e w 4 •^ a s s - � a �fr tltl 3p y3B gar E E ' E E3 3. � It l 6atlal_No:1114,e1O:09 •'1-^" —' _ ..... .. Salal_No:05091]18:51 \ Alpba 7 Ma Nu 10 No.:1781 Faclety.Cempp-any+ultla ReNsbn DepammenL Da.nry n..annn. Pxmanm Dnu:efsrmte 11 us6 nN, $•EJ�ftE one unmaemraaoray.Preemm samm.H o CeMflcaUDn Infon Own ' ,n.xn4mnYwbw..e na mmd4mmn vrmm,yN¢av ampaam.a�maea `e ��.�:oF�i� �� eBili�. wrmw .my ra�rrc"uo'"�m+.Y.:*"r.mmnm-®-:.�tl,yrm--.•,m.m.:sal:mm,.m.,.owemma..LaeYmamr.+m+..,.z.s i:: � - 5. `~ T DYn�om�m,+,aann.rm>a�na�.:aas mr�mmae.�emr.v.ngm�,,.4anm�. � �� a 8 Q�aemu . aPc�emh Mmm onamm r& �. ® �: .-.. ANNLttICAL REPORT I eoseA:�Spset- Ce�m mMmm,uamlwao+wm:99f:rmiN_.Tgi_M - ®15t+x�Pawae Peenm fym� tea" w°W: ,....T,„mny„«.w,�mme.a.mm.Ya.Ye.. L�bN L,,,4,66 bmmrMv..emr..bam.ammrn....amro-.hEs amve m.�.41mm, �. •. � xxi ,. �T6 cmm: emmm,Emamm.tlml a�m.,wn row. 7 Q vaL s tss]Nw sl wnwemr S ❑❑ -pDe•wewwwN + IA rbwa,P4rma smmm asa xs,s wem.nL ronmxr swmexuu:xmw..N,xhwvt august ewaopcN�,sva,ep.+. •l/ moamm4r�axansePsu4aurA sd xuatim�.anLr.abxxxm {� s RTTN Ifi0008&1] DnW ) °e . •� •••sxmLq��e.NP er=auvma,elumd.e,aeuawPac,awwpxxsax asaxea,Nwnwueic uex.4it4+Yx - {{ fMgatl Name. C0.SnVAM RESIOFNCE xiYwez0.cs suumve,.eaawePra4daarawaE eNmo4 ova a,o.l )qq! AA 8 Prgatl Number BEA11,O343�mewSN�m�lwe abm,�rie&W emee 4euunnd+c,mmeexc,aaaol DDD,mE.ppi.DmulanLDmoemtr4 f � � � �� Report Omo OW.IN> Es�awm (wa'L'0reNasm�Fq�im�maea �P®a � _. __._.- P.dBy 8 x"x'u eaoau oa room in°e"n.w,�i`>�g1ex.a>awr.nnn.m � g & &&:3 ® a - ii w LL suzNos LL g' wbma as.a�ewweinww.bn.uweon..benarLrm upa+.m.0 wm.Y.m Pmmnma ma.bemmuwm�amymb O � 2 �m.µ+w emyr+bwr,.rw.xmbb�m mwmmmaW m.w9m..m.4wn meww+ ' Pmemrwe mgmewmmammmnee.pmaeawaymuam Fy.aumepw. Z p o ��- •� uon wnprovm Pun(rxxmeaA Nxn¢.w(1awL to xeuPO.wasA crrynm,aAupaovnL ue twabeel ubryae).xv `� gs 999Z96 m �i U _ I+,iaeL xcla,m2aL leaa,a„LanwemseFTA R,w,aa,eL VrM�DSL va(aeme6L OSDa1P.�m nP.an+aams,4 Efgbl WeBUD Odve,Wes,bPaugN,b1A 01591 101g i:99�d �B :�_ 50BABBE220(Fex)500A9BA1BJ 0D&0249220-uvxw elpmbb.wm DBwment Type:Fortn Pre-0uslbex Documanl lD:a&,1s .a ($9a[tl8 $ ; { g �; '!' - Pogo14af1s ' {q SodDI No:05091]16:61 I 6miel No:050g1>18:81 r..slej Pr1-Neme: C VNNTRESIDENCE Lab Nembar. L1]14188 PmJed Name: CNSaVANT RE6IDENCE hNummr L1714180 11j —I-Numbar: BFA11-10343 Rnpon On,e: Ov/WV I P.1-Number: .-1-1-3 Rop_-: OB 11'/ o Casa Nermllva Case Narntive(continued) �n 1 sa J2 meeemm.e wm�.rba mrmeuo.w ue Mbmnemywmµperm aewnm.w.rmn�we4am.reewmpmem ; BOD,6tlay o b amcytlau+m auvu4a mudam�pex�+.Cw�Wnr mbmaem.eN meC4naesuAysn iomieaaweeadlne mpw, i TIie WGIOD0144-2 LC6 rec W(82%),sago leletl w11b 117141B 1,1,ouklde Ne e¢eplance vllerla. uhmpniemmmym uw eompeaammua umwlNeuam Lee xummwmrl NSLxsmpwmveermm � Ime explm8on of Vm meNm requtre0 mbNg tone.no b,nmradbn wag lekan, yi E o rav�Pavamwww�°�r+uamm4nM nueam u.urcnemvw.ibmw•�.4xeuenpon sas.+>aYMver.mis Duo% ii� �€ � 0�� mcl.amwh•wampm%Cmmmeme Os sume•l•aMe R.mrnmumn.emow anemaw u�pm wyum 1 aa �.eep.,mbwM bbelwmun Pmml canblmmewmeo-N Nmxre.TemlMyiaauzm Pmgmnea �. �� 'ae. u� 2 (rlhLtl�ru+-jre�bmn>.vrh mmelmm4 wwnlmamvia pool uw�mhtlNapmn TegaC mL1L P a.mYatlyeemaamWTCLembNurep.M.tloeenphmrw�uyWame.eedaaammererptlrr 4m.lyawmmmahe w rapml,b+mvnioy m a w rarbb v r.rsvr�h aei>,mr mm m'm s•qx'. �rpabb.wmm maopm aamn caeny cwha mmmee me rvnul le.p.nve xmn w Lcs1,su r..cmme•nn+m b®m am�onl mom.Nrylmmmry0unc s4irom spmm%rw.vywxwranumtu ww4o .. 4aoa armorm amm b oobea n ox rwn.u.peeb oc eammum m em mmpunma m w oeu ueemy mmm�a mr ae uwpw ma woo n w m mw..m mue mm w ermm r.eo W arol�rwr,enema.was,wme ew aemr eye r.mam m e ay..pxemmwemaairwrmm�a Denimuma mmamrwem�emwwmmemearrmwaw-+momme mrv�y brmeau.4u.mwmmL . mwmnnmbpweumexlcNalaa(�al u,�r•Nvbaw:aee.unpmlumomu oeenebuuem neP neomeewmreo-ne nq J �sumo lomum4.1D mu0mo lnum�nnevl m�efao.mNneomumelb px!¢tWsum wnu+hamm nme ' armmxmmf m pm Dem Vemmybnmlmvme uwpa emlmra ow4 rerol qc � obgwmwrmdeir reW%m�PbWn. m d m omramm�aumeivyl.pnmD mYumawmewemvea mm uwrpuebyx�ronm m O u�mialW mme Puna GeYeY. F:..�nc�meaue4m mn,µCat p'6,bnlmsrpenMtlm mapuna MaoWwl4emtluge bz+vmraM uupymhmnyluw.AM]+mlvxloraoye,.e wo 4mvme m.Yrmpbembmma muwa wr vnmrae mmr - seVae RepwmmewlmuuempmrmubK,u maNnumlm wmngmNaYbn W ,�r bebpr+enwDeumweabernmmauaeulb pa.abmga.e. E 3 P4 aresw.b. aooez gum rwr.a n • mrmamr O w I,Ne untlenlpnetl.e0esl undoN1 i,gdV fpenal=e bIurymaLte,4e mat of mykrow,edge en0 � � moat eaa mem xpan my pommel IngdN or Hues respmuWle fs pravlmre Ibe Inrolma9Da raawaed w In Ulle malyllcel reparL sutli Idmlm9m Is emmb m mmplem.Tlds mNBrela d elWysb b ewl O mmpbla unloes Vila pogo eccompoNee any entl DII pages d Nla repro. E E RUPadxetl 8lgnaluro: re Undqulrt a L y Tldo:Tedmlcd Olratlor0bprasan nlM Dale:OS 7 Pegs 3 d10 : •a. Poge 4of 10 - . L�_ SeriN_No:05981>18:51 Smlv�No:O50Ati18:51 9orlal No:O50A1]18:51 " P71IN.— CASAVANT RESIDENCE Lob Number:L1714108 Pmlool Nemm C.ASAVANT RE—I CE tmb N.—I. Proles,Nlmo: CASAVANTRESIDENCE Lob Numbor. L171410B ' Prolact Numbor:BEA11-10343 RIP-Oat.:05IDA/1> Pref.ct Numbor: BE411-1 0 3 4 3 Repod pat.: O.S,, prolec,Numbor. BEA1-10343 Rep.—PI:'05MB117 A Semple R.selpt..d C.ntoln.r lnlarmatl.n GLOSSARY _ wu Wero pr.leel eVatlAc rnpoNnA llmlb aPotlfl.tl9 YES I - _ I _ eox czn..mm u.b.am.n.x am m�.mmunlomw mmw..m ' - c •��w .mM.md �ue.(I..w mmme[Nem.r.m,bmwz®e.•er,ua.lbu=e.ean am�a�ememxm.�am�[.maneu.�em�rtpJeellmurytl'Ixelml�mWee.q 'mmrm.>ti mm COD1.r I.Iormo0on Cuatoay Saul I y.-'Ispmcl�' '°"li•,u'zn'�'rmn.hme•x`me`wMl• n ±w�;m^r•wm•ma �me.a�.eu.mnmi•IVlx elymr.wlbmrhwmmge mml...smunx.wa+yaw. Coolor -- I r°"s®minnmmrm4amer'•m ' A Abavn sa uv�r awes . 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PublI.M1.d Dato 1/1BR0171100:06 AM �giap 9 REFERENCES ' CeNOeatlan Information L a Isla' 1 !➢g$�E�� 44 Mallod.l.r NO D.lermNell.n dl lnagBNC Subelvncea In Emlmmnenbl EPIPPIPP. •vmin.••mNet me mtrmlua.e In aurpmm..yxEuaeap.nrA....elr.um:- EPPMWIR-BL100,August 189J. u hFeuuty J F azee:amP,ymm.m.N.ne y y Ar 121 Sl.ndaztl MDmoda fOr lhOExominell.not Weler and We.l.wml.r.APHA-AWWA-WEF. _ mw�z2+To.m�rrrymervero:4Eupmwm,Aamma:p@c bammemm prauMmeeAueuMr�mmzzsle.t,xAS• � 8 xti tl - SlardamMOOloaaOnlbe. �o.-NnN:oe..Esuipupexewa.IFdP'�e�NI�W�aM.:9Gd ve.ouiMwlOimmm.y.ngmrNMt.omm. �m R 6 - CPA eremz:INN-Om+ee m $�j S oo-BN srx�mmmmdvmwm ohm.lb. 6 ® a _ dbszt�o� sya-Yn[�mnie - n e.o�B4Oy: emNe mnNmovmm;30B:Teml nieepxcrm.iuN,la2 rma :{MLoeuhvearp mtar.m � � .� 3z emu :1,4e1.er.lw.,ll.ul.,s,.,v.,eo.tin.,». ®0 aa .?+MnlmrnN2-m+lsw.?+A-neemnlM«.,wm,nibpnma awauNuawre�u. • pigevy xaherasr+na t?STnnmlm.v.m,open,em.m.t,2,AST.e.m.pmvvmn..mmramoa t+/rW�mmmm. eln�blrbeue usMn FPAsasm � --- - ' emMm wbmvmeln.vr..........Eplmpew Am m tnu a� n m1IIM mlll..m A o o � � •.m.•,mN �• ml.r.,am.m.xma F.Mlml.«.NMm«.amumFc.eN+.mwc4�A tmA. _ "'vAn..d:«M ei:+e°a�xn°a+ep.s.ue aewae.eicewemFna amee.exrpaN.E..em.t:A.mrme. AAexATt.4.i. j d � vmato4�.o::A�.uoeu;e.A io°eewN'emc<eepNw<o+°.ova..,em.eo.awaeumxD,SPA .ron.nxc,mmartc.emmexcm.mexc,a.,mm wu.PPe vvr,rnem�+wrte�mmrm�rt 3 8 e.e—.mC, Er.mE,m'rrA.um".rm.N�pmm+m,rmNmhmrEwem,ern. �mm°'da*a°°rot`.rtaA`P eyvu'4°+a xoo. g5 er.m�nwiev�Il nm G ol vA m4z.w, m.o.a,Mxa ra erAa.ce:s4Mea a,u.ra,w.W Wsa RFPA f+4t tp � zYY � � €^ - � k �� u o'ro ma m.�p.lua2Na m.ws...a.w.a.n.nv.za U g Y ® d� IJMRATIOFI OF LIAOILITIC9 6.,A.,eam.u.W u Alphv McMlrml Psrlarmeemvlmay.IlR mgsmnbm cam aM anlpomv wnnNbiho sneMlrnl lea0rq am»+.v O ! Ippomlory lMueby.In Vu event of en arro,be Bole Ina extlusM raepmuWWtY oI AIpM Ar W-1 alre8I.l.mpadarm lho work It llb.wn oxPenae.In n.oven ahM Atha Anlo-I.h.a IM. " IV Pnybddenlvl,mnepuandel or a,P—Ida I. hdIdIM bW nd—I W.dlmogm 1.any war FmemrWN°areOmenMetmam°et°m'pem°m+.°pa Npm Rq't uenepm. a 8 wrmenod with Mo ux ol,lnmrprotnlion ol,Inlommtlan orawlyela provlaetl In ABM.Ano0almL S We eborply uma our dl.nle 1.-m,wlIh EPA pmmml mpezding.omplo volume.Pre.erv.11ln,w.11rg, 9 5a • ..., rmNn .aemPlirp pz.cedume,ho MLLPm WlNrg r4 sampbe b 1.Md i p.mvrmnl Type.Form Pr.-0ue10ea PoOenent ID:0&113 P...11 one Pq/o 1s.11B V� BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O. Box 1743 (508) 6-1706 Brewster,MA 02631 fax(508)86-5109 IV LETTER OF T12ANSMITTAL TO: DATE: JOB NUMBER: r j Massachusetts Department of Environmental Protection 5/31/16 BEA11-10343 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR 0 COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(October 2015,May 2016) 1 OMI`1I Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(October 2015,May 2016) 1 10/21/15 Alpha Analytical Laboratory Report 1 5/18/16 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Form,OM1,11 RSF Operation and Maintenance Inspection Checklist,and laboratory analytical report for operation and maintenance conducted during the reporting period at the above referenced property. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health' Mr.Casavant-Property Owner FROM: David Bennett WWT046243/Samantha Farrenkopf WWTO#13265/Joseph Smith WWTO412529/Greg BrehmWWTO#16149 If enclosures are not as noted,kindly notify us at once Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. Mailing address of owner, if different: ��tab �I Street Address/PO Box: iannn City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 10/13/15 417/15 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc>rev.04-11-13 Page 1 of 3 f LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ®EP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 3.27 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other(list below) Nitrate, Nitrite' TKN Total Alkalinity Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Replace the faulty high level alarm float switch during this site visit. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 { LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&IVI Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certif. d operator in accordance with 257 CMR 2.00. ?�a VVII ,1"Z,"e - �Slk, Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key.tofA Mailing address of owner, if different: rab �I Street Address/PO Box: rea¢n City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896 - 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF_ DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 5/11/16 10/13/15 Inspection Date Previous Inspection Date 4" sludge, 0"scum Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.5 SU DO 5.0 mg/L Turbidity 3.31 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other(list below) Nitrate, Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev.04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 ®EP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257f CMR 2.00. 40 `IT1�14n -. Operator Signature Date System owner must submit this report, technology 0&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 315t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months . Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc^rev.04-11-13 Page 3 of 3 OMNfii&� Environmental Systems,Jn C. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information Facility Street �Add Date ofServIce 0 ,K , tt\V city Operator/O&M Finn System Startup Date Weather Conditions Al v B. Septic Tank Sludge Pumping Required: Yes El NOX El Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes El N(V If yes, inspect 0&clean at least yearly[:1 If the sludge layer is within IT of the outlet invert, recommend that the homeowner have the Septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank UkA [I Check if sludge accumulating Pumping required: Yes F-1 No� .Odor problems: Yes F1 No n If yes,description Effluent tee filter Yes El NCZ14 If yes, inspect E] &clean at least yearly El If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes[I No Sludge Depth: F-1 Scum Depth: Effluent tee filter Yes El No 0 If yes,inspectE]&clean at least yearly F1 Same inspection criteria as septic tank: VA E. Pump Chamber/Vault(if Installed) El Pump Inspections(all units) If problems,describe ❑ Float switches Check all switches for operation 'Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken, F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Test pump alternator,or record hours V�A3-1 GNI. Hours of operation (Float switches 1 ';�V'',-�I k- \-\� � 1�,v=-� �`ti�•-, "�'�v�� S..> .Ltd, Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional, if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") NJ Inspect for ponding Ponding Present:Yes❑ NOA Clean bed: Yes❑ NoA Distribution pipes Flush:Yes❑ NAN Brush: Yes❑ No Any obstruction of airflow to filter modules: Yes❑ N&lf Yes, explain below(i.e.snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye� No❑ If yes:�BOD%.TSS ❑pH XTN Other V0-3 \N,�z ,11'`�� All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: tAd S V��, �,�O�fi • ��>to I AN\ I - I ii PO - TI I i M Envirr{onment&Systems, Inc. OMNI RSA` Operation and Maintenance Inspection Checklist A. Installation & Service Information Taci[0 Street Address Date of Service City operatorib&M rim.- System Startup Date Weather Conditio s B. Septic Tank :, f (J Sludge Pumping Required: Yes❑ No t[�J [ Sludge Depth:,4 cum Depth. Effluent tee filter: Yes❑ No If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12'of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approAmate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule dependlhg 6ii tiiiw-MAvily.thp-sjister+its"ugad, C. Recirculation Tank LA M/Check if sludge accumulating Pumping required: Yes❑ No ef Odor problems: Yes❑ No if yes,description Effluent tee fitter: Yes❑ No If yes, inspect❑&clean at least yearly❑ Ifft sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to p "nt clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least ydarly❑ Caine inspection criteria as§epfic tihk:- E. Pump Chamber 1 Vault (if Installed) ❑Pump Inspections(all units) _ if problems,describe Float switches Check all switches for operation Make Sure the pump is-operational by pulling up the float switch,if the pump is not operational immediate corrective actions need to be taken. i F. Pumps, Switches, Floats, Alarm System0 d- 11 Pump Inspections(all units) �ti U + 27 zw If problems,describe Test pump alternator, or record hours l/ Hours of operation [Float switches r rn/.'IeaAA ch k all switches for operation Test alarm �~ � fMjkJ If no'►►ii-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") inspect for ponding �I Ponding Present: Yes❑ No 2/ ❑ lean bed: Yes ElNohfJ [?istribution pipes Flush:Yes❑ No j ush: Yes❑ No[� Any obstruction of airflow to filter modules: Yes❑ No ZlfYes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then Ilft the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer grooving on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes No❑ If yes: OD ❑TSS ❑pH [ITN ❑Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, Idboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the into the effluent stream i t the manifold three times so that a representative sample can be obtained. P.Weto wear proper 9491V Oquipment while pulling samples(i.e.rubber gloves). System Notes: �if�� l• F `2t?�� 0y1 (£ ` 1f1✓ te}Z C�`ri � 4n.` Ci1l¢ �r �1rt�,rt 6—,,i•-,�FJ 7� v 0t,�5 �jC';.� TV Serial_No:10211511:42 HA N-A,L Y. T I C A L ANALYTICAL REPORT Lab Number: L1525918 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 10/21/15 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 15 Serial—No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1525918-01 EFFLUENT WATER OSTERVILLE, MA 10/13/15 08:05 10/13/15 Page 2 of 15 � L im-i iA Serial—No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds(TICs),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List,even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control ifailures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. 001, Authorized Signature: r Kara Lindquist Title: Technical Director/Representative Date: 10/21/15 Page 3 of 15 \ �� Serial—No:10211511:42 ' INORGANICS MISCELLANEOUS Page 4 of 15 I Serial—No:102'11511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 SAMPLE RESULTS Lab ID: L1525918-01 Date Collected: 10/13/15 08:05 Client ID: EFFLUENT Date Received: 10/13/15 Sample Location: OSTERVILLE,MA Field,Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst w General Chemistry Westborough Lab Solids,Total Suspended __ 8.8 mg/I 5.0 NA f1 - 10/15/15 10:45 30,2540D DW Nitrogen,Nitrite 0.11 mg/I 0.050 — 1 - 10/13/1523:10 44,353.2 MR _ _.-- .-- ---- ------- -------- -......-. _.. --- _........... ..................................... --- Nitrogen,Nitrate 5.9 mg/I 0.10 — 1 - 10/1311523:10 44,353.2 MR Nitrogen,Total Kjeldahl 10.5 mg/I 0.600 -- 2 10/14/15 09:30 10/14/15 21:31 30,4500N-C AT BOD,5 day 19. mg/I 2.0 NA 1 10/14/15 04:50 10/19/15 09:00 30,5210B TA v l�L�Fiiri Page 5 of 15 Serial—No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-.Westborough Lab ,for sample-( ff Batch' WG830498 1: Nitrogen,Nitrate ND mg/1 0.10 1 10/13/15 21:25 44,353.2 MR General Chemistry-Westborough Lab for sample(s) 01 Batch: WG830500 Nitrogen,Nitrite ND mg/I 0.050 — 1 10/13/15 21:28 44,353.2 MR General Chemistry-Westborough Lab for sample(s): 01: Batch- WG830618-1 BOD,5 day ND mg/I 2.0 NA 1 10/14/15 04:50 10/19/15 09:00 30,5210E TA General Chemistry-Westborough Lab forsample(s): .01 Batch: W6830718-1 Nitrogen,Total Kjeldahl ND m9/1 0.300 1 10/14/15 09:30 10/14/15 21:26 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch: WG831060-1 .: Solids,Total Suspended ND mg/1 5.0 NA 1 10/15/15 10A5 30,2540D DW z, /WPHA Page 6 of 15 Serial—No:10211511:42 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits _._ r„ General Chemist Westborou h 6Lab 'Associated`sam le s 01 Batch::UVG830498-2 rY g Nitrogen,Nitrate 90-110 General Chemistry WestboroughtLab Assocjated samples) 01 f3atch WG830500 24 . r Nitrogen,Nitrite 90-110 - 20 a .....v.. ...-.....r .w..... �,.........h.w,r....r..�...;y General Chemistry Westborough Lab Associated sample(s):01 Batch:WG830618 2' SOD,5 dayF `;. Ai - 85-115 20 G"eneral Chemi stry-Westborough.Lab Associated sample.(s):i 01 Batch ;1NG830718-2 { Nitrogen,Total Kjeldahl 90 - 78-122 Page 7 of 15 / �a;� Serial—No:10211511:42 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Native MS MS MS MSD IVISD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lab Associated sample(s); 01 QC Batch ID:VUG830498=4: QC Sample: L1:525875-01 Client ID: MS Sample Nitrogen,Nitrate ND 4 3.6 83-113 - 6 General.Chemistry.-Westborough Lab;'Associated sample(s): 01`` QC Batch ID "VVG83050O 4 : QC.Sample: L1525857'01 ;Client ID MS Sample Nitrogen,Nitrite 0.069 4 4.2 103-'-= — _--- 80-120 20 General Chemistry-1Nestborough Lab Associated sample(s): 01 , QC:Batch ID:VVG830618-3; QC Sample: L9525875-0.1 Client ID MS Sample BOD,5 day 10 100 100 92'' F - 50-145 - 35 .,...y,... —..a.......,... ,,..,..:.. ..wr;v;... .<....,.,. . -.:.. .w o- - ..w.un. ♦ :. .r .�..,.� .r ,. .. �.. ,...:.y .y. ..:.- _.........,.. ., .-...e.ya. TM.v GeneraI Chemistry-Westborough Lab�Assoclatetl sampie(s)": 01 QC"Batch ID:°;WG830718-4 " QC::Samplb:L1:525969=0.1 Client ID:'.4MS:Sample ,> , Nitrogen,Total Kjeldahl 0.942 8 6.93 `.7fi7. Y f Q - - 77-111 - 24 . ........ ......._.._... - . ...._..... . - __... _....._ Page 8 of 15 lFiA Serial—No:10211511:42 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits eneral Chemistry _Westborough Lab Assoclated`sample(s):. 01-, ,QC Batch ID WG830498-3. QC Sample:,.L1525875 01 Client ID:: DUP Sample : Nitrogen Nitrate ND ND mg/I 6 .......... ..........-- .: General Chemistry Westborough',,Lab Associatedsample(s) 01 QC Batch ID ,:,1NG830500 3'..:QG Sample:.'L1.525857 01F Client:ID ~DUP:Sample. Nitrogen, Nitrite 0.069 0.073 mg/I "" ' 6—": . 20 Gen".Chemistry ;Westborough L-ab;Associated•sam le s =" u . . __... .. _._-. . ample :.L1525911 01 'Client+ID DUP Sample P O 01 QC Batch ID ING830618 4 QC,S..: .. Y 44 49 mg/I 71 35 General:Chem istr -_1 lbstborou h Lab. Associated'sample(s)` Al :.QC°Batch,ID .WG830718 3, :QC:Sample ::;L1525969 01 Client:ID DUP;$am le,y g .::::.. _... ."_.... ... m- � ..:t_..:r.r. .. ...,:..-. - s... .. r.:abv ,..-R. . .-..w V'. v t ._.. ,. .o. _. .. ,.,.... +...... . ....,._. .: .... e ...... .„i :._.. -« ._......,_.. ,..._.-.wr. ... e._....e....a. _....... u:. .._...._.. Nitrogen,Total Kjeldahl 0.942 0.980 mg/1 4 24 . .: _ ._ -.a .. ...'.n _ >.-:3-.>. ... ..,.p:. sas a:..m••'.p:l`e(s): .0.. 1 . :.'Q' C.Bat-c h ID -_WG83;106.0 2..'..:. v y L , DUP ample...W Associatedera QCiSame : CD Solids,Total Suspended 1700 1700 mg/I '0`' 29 Page 9 of 15 r ;? � Serial_No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1525918-01 A Plastic 250m]H2SO4 preserved A <2 2.7 Y Absent TKN-4500(28) L1525918-01 B Plastic 950ml unpreserved A 7 2.7 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1525918-01C Plastic 950ml unpreserved A 7 2.7 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days Page 10 of 15 i Serial_No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list (TCL)for the method and/or program.All TICs are qualitatively identified and reported as estimated concentrations. Footnotes I The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(l Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(l Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). Report Format: Data Usability Report i� ka Page 11 of 15 Serial—No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 Data Qualifiers C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the-instmment. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report �ILPHA Page 12 of 15 Serial No:10211511:42 Project Name: CASAVANT RESIDENCE Lab Number: L1525918 Project Number: BEA11-10343 Report Date: 10/21/15 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. Page 13 of 15 Serial_No:10211511:42 Alpha Analytical, Inc. ID No.:17873 Facility: Company-wide Revision 2 Department: Quality Assurance Published Date: 9/28/2015 10:34:24 AM Title: Certificate/Approval Program Summary Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane (methyl iodide) (soil), Methyl methacrylate (soil), Azobenzene. EPA 8270D: Dim ethyl naphtha lene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphenol. SM4500: Soil: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene,Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM21306, SM4500C1-D, SM232013, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM92156; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,B, EPA 120.1, SM25106, SM2540C, SM234013, SM232013, SM4500CL-E, SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM522013, EPA 410.4, SM5210B, SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM25401). EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC,delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 60014-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Page 14 of 15 Serial No:10211511:42 r< `®e HAI N ®� CUSTODY�®'� PAGE 1 0F. 1 �G'( /—1 �' ALPHA #: �il ,m-r,t Date Reed in Lab: AZN h{l V:T:r O A c - • Westborough MA Mansfield,MA 'FAX' ® EMAIL ® Same as.Client info PO#:10343 ( TEL:50&898-9220' TEL 508-822-930n Project:Narw Cassvant:Residence ❑ ADEx ❑.Add'I Deliverables FAX:5OB-898-919 3 FAX:5D8:8P2-3288 e • , �_ ; ��... Project.Location:Ostelville,:MA State/Fed Program Criteria Client.Bennett'Environmental Associates Project#:BEAy1-10343 Address:1573 Main StreeU P:O:Box 1743 Project Manager:,David:C:Bennett Brewster;MA 02631 1,ALPHA Quote#: `Phone:508=896-1706 ANALYSIS Fax:.508-896-5'109 �,Standard ❑.Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING P Email:sfarrenkopf@berfneft-ea com Fllrratlon r p Done ❑These samples have been Previously analyzed by-Alpha. Due,%Date: Time:. ®•Not Needed O Lab to do Other Project':Specific.Requirements/Comm:ents`/DetectiornLimits:. Preservation' ❑.Lab to do Q (Please specify O below) m zti ALPHA Lab:ID Sarriple;.ID Collection Sample Sampler's z (Lab Use Only) Date Time Matrix Initials y. :0 Y Sample:SPeciric Z H-. 17 comments .. :Effluent: �� .t1 ii. ww ® ® ❑ p p ,❑ p ::. . . ❑ ❑ `. 3 ❑ El ❑ ❑ El ❑ ❑ ❑ . F1 ❑ ❑ El o ❑ ❑ ❑ ❑ 0 0 _..._ ❑ ❑ ❑ ❑ ❑ L3 ❑ a . o ❑ ❑. a ❑ o ❑ ❑ ❑ ❑ ❑ ❑ ❑ : oa ❑ ao ❑ -Er ;❑ a ❑ O O ❑ .❑ O .❑. ❑ ❑ ❑ O a E ntainer Type P P p _ Preservative 0 o D Please pint clearly;legibly, and completely,Samples ran nul be logged in and Relinq ' d.By: Data/Time Receiv By:, Date/�Timmee tumarounrJ time clock will not ar unit.:Ay am pile ilias ere resolved ertjo FORMNO.01-0t(174!) 7.r�,�,.,_ ld--( submitted yment Terms. Ire.,20•APPdO) � \�� Alpha's Payment Page 15 of 15 Serial No:05181611:39 is �L NA A �.L Y..T ICA L ANALYTICAL REPORT Lab Number: L1614202 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 05/18/16 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-221.7),USDA(Permit #P-330-11-00240). Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com l�Lr FiA Page 1 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1614202-01 EFFLUENT WATER OSTERVILLE, MA 05/11/16 09:30 05/11/16 Page 2 of 15 ALL,HA Serial No:O5181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative.The data presented in this report is organized by parameter (i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each indivAual sample,followed by the Laboratory Batch Quality Control at the end of each parameter.Tentatively Identified Compounds (TICS),if requested,are reported for compounds identified to be present and are not part of the method/program Target Compound List, even if only a subset of the TCL are being reported.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE", respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific%recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Lura L Troy Title: Technical Director/Representative Date: 05/18/16 Page 3 of 15 �°�� A Serial No:05181611:39 INORGANICS MISCELLANEOUS Page 4 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 SAMPLE RESULTS Lab ID: L16142O2-01 Date Collected: 05/11/16 09:30 Client ID: EFFLUENT Date Received: 05/11/16 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Gene I'ChemistiVWestborough Lab Solids,Total Suspended ND mg/1 5.0 NA 1 - 05/16/16 12:20 121,2540D DW _..._._.._....--._........... ._.._._._................. ......_.._..........:_............._........_................................._............................._.............._...._.__.._..........................................._........._.............._......._....._......._.................._......._............._....__......._....-_..._............._...__-._..................._....._..-------......_._.._..._.. Nitrogen,Nitrite 0.45 mg/1 0.050 — 1 05/11/16 23:31 44,353.2 MR ......................._...._...............-..............._......._.........................................._...._........._..._............__._....._............._..........._............._........................__......_..........._....................-------- ..._..._._......-..................._.._.....__._.._.._._._....................................._..----..._.. -- —-.._..._._..------------ Nitrogen,Nitrate 4.8 _........ . mg/1 0.10 — 1 05/11/16 23:31 .... 44,353.2 ..__..._.- MR -..... .... ....... _ .............._........_............._.....---. _ ........_.........._-... ....I...._.....-_-...._. ........._.......-- --..........----- — . --- ... .... Nitrogen Tota1Kle da„i 8.06 �g/ 0.300 _ 05/12/16 05/12/16 1:521214500N-CAT — ._.._....... ................__..-.._._....._....._......_........... ....._.......-.._....... ....... ........._......------ --- BOD,5 day 7.4 mg/1 2.0 . NA 1 05/12/16 05:30 05/16/16 23:30 121,5210B TA Page 5 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for samples) 01 Batch WG893023 1 s Nitrogen,Nitrate ND mg/I 0.10 1 05/11/1623:26 44,353.2 MR _.. ._..........................._............__...__.....__..._..............._.... ......._......._........_....................._._......._.................................._.........................................._........................._...-.-.................................._...._......................................__................................ GenerffChemistry Westborough Lab for sample(s)� 01 ;Batch .WG893024�'1` .,�.M,.....�,�..., �.�,.-gym.�.,,.....r .,.... Nitrogen,Nitrite ND mg/I 0.050 -- 1 05/11/16 23:29 44,353.2 MR ................................................................_........................................................................._.................................._......................._..._................................................_.......... IX General Chemistry Westborough Lat forsarnple(s) 01 Batch.'WG893111 1 Nitrogen,Total Kjeldahl ND mg/I 0.300 1 05/12/16 08:23 05/12/16 21:47 121,4500N-C AT General_Chemistry Westborough Lab fo�sample(s); 01 Batch: WG893162 1 BOD,5 day ND mg/I 2.0 NA 1 05/12/16 05:30 05/16/16 23:30 121,5210B TA General Chernlstry Westborough Lab for sample(s) 01 Batch: WG894256 1 , Solids,Total Suspended ND mg/I 5.0 NA 1 05/16/16 12:20 121,2540D DW Page 6 of 15 Serial No:05181611:39 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits ;General'Chemistry-.VV6-,,, rough r,a564 Associated'sampie(s) O11 ;B,atch uVVG893O23-2 -` ;i s•t Nitrogen,Nitrate ("^ 947"""', - 90-110 - <•"'�"�'..T,.,,n..'........�w.� ,,..�-.��„.,,,---e�p---"'*---`--�-•''--,,.,_,....,,,..,��.... -.,.,.R,�.....-....wF.-w-.-.-.�...-..,w.4.,..,.--a»�,...�.-�...,�-..,,-.w-....-�-�..- ---,•�•�r-?'� General Chemistry , 1NestboroughWaba Associatedssarnple(s); 01 Batch UVG89.3924 2 •� x k I .:.:.:. ........_..,..... .x.=.:'_:....-�.:�.....:..... ..�rb.S'.-.....,:+ >.a:?.:..a...... ,.a.,....:i::. ....:.....�.w.'._...'::r_.....a...-.....:+'z.ac--,®.+....a♦;'t .- .-.�...,� ,.Y_...f..:.+.._.w,.v,.,t..�-��5:�..... 3..,au.a...lw:..A.l.r...:C.. ..:...,,..,.,,.._mot_ -,-..,._..t.... a .�,...... .. ...__..,_... .......:.V.__..,.-..._. .. Nitrogen,Nitrite 96wW" 90-110 20 _.._.__..... _ .. -.-.. - -_ ... _ .:._ - _. .__... _ _... +rr•,y --- .,:-,..,r----, „�:.,..K...-..-.,..,,.e.... _,. .,,,•.-mow..-w•e.�. v--•--.;""'"..+`m*-`"`•;r^--^-:,,..—a�>. r'"°`-rwr ;,. ^a��x�v^ -•-�- General'Chemist :-W.estborou h Lab. Asso.clated,same le s : 0BatchW,G893.1 1 . ,. .,: .. �...4:.;..w„�,�..sFf'.�:;o,..£'.:...�.Yc.�<�Af:�L,..."F�.,."L�..--.,,-..-....�-......rw......,�.........n,....,.4n...,...,.-...reu.......,.;Yk......�-�,�a«�.ts:»., .....:,..._..,.....,,.,w.na ,._.... ....r..4.._..-.i,..»:.,.r-a:.M..:.,`.,....a Nitro en,Total K'eldahl 96 - 78-122 - 9 1 .� BOD,5 day 713' "" 85-115 - 20 Page 7 of 15 RK �L� 6 oA Serial No:05181611:39 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits .... ... .: ...... ..,,: ,..-.....b....1.- _y....,,,..w„•�..:..�-'.,.-.-r,,.-..-.r-+r.•r.-a..-.....w:a...,;,..�..q,... ._-;•,w ..�:...w,_.,.-.,.r_....,,,.:.W,_. -.._.,.. ..,..:.,... -,.:;,, .,.�.v,..-....,�•.:y„. v,-..;,_.-_..�:--....�.r--„•;.r't::✓x ^srY,-..-?..- .'...,.«,.�.re-,.w�..., ,...General-Chemistry:=Westborough-ILatiAssoc,lated sampl.e(s):,0,1 ;QC�Batch?ID:'WG893023 4 QCf:S;ample:€L16;1.4287,;02 ;CllentID..°MSSample.; Nitrogen,Nitrate 1.5 4 5.2 `—r92, r�! - - 83-113 - 6 ( , 1 . , Mrnet,le 2CleDesbou mes)_0 - QCBachDWG8930244 QC;SampGeneral'Chemistry-Vo i .' Nitrogen,Nitrite ND 4y 4.0 100,' . ' - - 80-120 20 GenerakChemist _ `� �� — ry Westborough°Lab�Assoclated,sample(s) 01 F,=?QCBatchID..tV1/G893.11$1;4 .QG,;SampletL161'421001 �ClleptID MS;S'arnple;# _....a.a,.._ �,.,.;� as..a ::c_...J:...�..x,.-o.,.<..+n.._..,.:..�..c:..�.,..:,..,.., r..-....�r�..«. „s-r'. :.wrr.�... ...,..�o;d�_,s.�ra,_....:.rxL.d:...::t��"+..,»....a�:5,.:..,.......5..:........�W...,...tx. .:a_.,..,.Nitrogen,Total Kjeldahl 13.7 8 20.9 j.. ""''90`:,'� `i - - 77-111 24 General.Chermistry.=Westboroughl, Assoclated'sample(s),: 0,1 .:QC Batch�ID VUG893162 4 'QC:Sample �L1;614212 01 Cllerit,ID:' MS Sample„ _.,.. ..: . -w w_ t BOD,5 day ND 100 120 kx "p}•1;15" „:x - - 50-145 35 Page 8 of 15 [�LPHA �,, .. Serial No:05181611:39 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chem,lstry—Westborough Lab Associated,sample(s). 01 QC.BatchslD WG893023 3 r QC Sample L1614287 02 :Client ID DU.P Sample Nitrogen, Nitrate 1.5 1.5 mg/I '"0 6 1 - - 1, Qe mple�s ` e640GenerahChemist W ab;Associatedsm m ln Nitrogen, Nitrite ND ND mg/I ANC" ? 20 - .S'!� — �`..e i..��.'.r.T ,.,...�..y3e -pye..-........ —n..-. r,..�..r-:.�rn.gi General"Ch,em;istry wWestbo o.ught11 Associated sample s.; 01 QC<'BatchJD =,WG8931::1,1 3 ;-:QC•.$ample:,:L1614210 01f Cllent,ID ,DUP,Samplea {.`r `.r��....�a.a..�......rM p::,;�.:.._......_a..,v..v.:ca...._...,._,..._..... ,_. ..,a'.3r r..,.«_:,�,._..... .:. ,...+Km...,�..:e.�...a_.........o...._..........�_.,..:.,:.�_..... ,..__._...+......:�.�w.a Nitrogen,Total Kjeldahl 13.7 13.8 mg/I1 .=;s 24 General:'Chemistr 1 ,Westbocou h Lab{YAssociated sam ie s 7 0..1,. QCaBatch:fiD.tWG8931i:62 3 QC Sam le `L1`6;14287 0.1 Cltent;glD. QUP Sam lei,.- rr. BOD,5 day 95 89 mg/I �7-.< 35 i sGe.ns-eralC .en..sfr—�-7— e�stborou m..1. Ga..B_..a...:Oh.�—ID W_.G., ", Lt161.4214 0.".1^.=.GID 510 _:.111 �P��Sam`'le, ,. Solids,Total Suspended 88 97 mg/I 10 29 �L1L�?HA Page 9of15a- =- Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Sample Receipt and Container Information Were project specific reporting limits specified? YES Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1614202-01A Plastic 250ml H2SO4 preserved A <2 4.1 Y Absent TKN-4500(28) L1614202-01 B Plastic 950m1 unpreserved A 7 4.1 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1614202-01C Plastic 950ml unpreserved A 7 4.1 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days Page 10 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 GLOSSARY Acronyms EDL -Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA -Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. Ms Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. NP Non-Plastic:Term is utilized for the analysis of Atterberg Limits in soil. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi-dynamic Tank Leaching Procedure per EPA Method 1315. TIC Tentatively Identified Compound:A compound that has been identified to be present and is not part of the target compound list (TCL)for the method and/or program.All TICS are qualitatively identified and reported as estimated concentrations. Footnotes I The reference for this analyte should be considered modified since this analyte is absent frorn the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). Report Format: Data Usability Report Page 11 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 Data Qualifiers C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report w�� IiA Page 12 of 15 Serial No:05181611:39 Project Name: CASAVANT RESIDENCE Lab Number: L1614202 Project Number: BEA11-10343 Report Date: 05/18/16 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. 121 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA-WEF. Standard Methods Online. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers„ sampling procedures, holding time and splitting of samples in the field. HA Page 13 of 15 Seri al_No:05181611:39 Alpha Analytical, Inc. ID No.:17873 ' Facility: Company-wide Revision 6 Department: Quality Assurance Published Date: 2/3/2016 10:23:10 AM Title: Certificate/Approval Program Summary Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA524.2: 1,2-Dibromo-3-chloropropane,1,2-Dibromoethane,m/p-xylene,o-xylene EPA 624:2-Butanone(MEK),1,4-Dioxane,tert-Amylmethyl Ether,tert-Butyl Alcohol,m/p-xylene,o-xylene EPA 625: Aniline,Benzoic Acid,Benzyl Alcohol,4-Chloroaniline,3-Methylphenol,4-Methylphenol. EPA 1010A: NPW: Ignitability EPA 601OC: NPW:Strontium;SCM: Strontium EPA8151A: NPW:2,4-DB,Dicamba,Dichloroprop,MCPA,MCPP;SCM: 2,4-DB,Dichloroprop,MCPA,MCPP EPA8260C:NPW:1,2,4,5-Tetramethylbenzene;4-Ethyltoluene,Azobenzene,Isopropanol;SCM:lodomethane(methyl iodide),Methyl methacrylate (soil);1,2,4,5-Tetramethylbenzene;4-Ethyltoluene. EPA8270D: NPW:Pentachloronitrobenzene, 1-Methylnaphthalene,Dim ethylnaphthalene,1,4-Di phenyl hydrazine;SCM:Pentachloronitrobenzene, 1- Methyl naphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 9010: NPW: Amenable Cyanide Distillation,Total Cyanide Distillation EPA 9038: NPW: Sulfate EPA 905OA: NPW:Specific Conductance EPA 9056: NPW:Chloride,Nitrate,Sulfate EPA 9065: NPW:Phenols EPA 9251: NPW:Chloride SM3500: NPW:Ferrous Iron SM4500:NPW: Amenable Cyanide,Dissolved Oxygen;SCM:Total Phosphorus,TKN,NO2,NO3. SM531OC:DWDW:Dissolved Organic Carbon Mansfield Facility EPA 8270D:NPW: Biphenyl;SCM: Biphenyl,Caprolactam EPA8270DSIM Isotope Dilution: SCM: 1,4-Dioxane SM 2540D: TSS SM254OG: SCM:Percent Solids EPA 1631 E:SCM: Mercury EPA 7474: SCM: Mercury EPA 8081B:NPW and SCM:Mirex,Hexachlorobenzene. EPA8082A: NPW: PCB: 1,5,31,87,101,110,141,151,153, 180,183,187. EPA 8270SIM: NPW and SCM: Alkylated PAHs. EPA TO-15: Halothane,2,4,4-Tdmethyl-2-pentene,2,4,4-Trimethyl-1-pentene,Thiophene,2-Methylthiophene, 3-Methylthiophene,2-Ethylthiophene, 1,2,3-Trimethylbenzene,Indan,Indene, 1,2,4,5-Tetramethylbenzene,Benzothiophene,1-Methyl naphthalene,n- Butylbenzene,n-Propylbenzene,sec-Butylbenzene,tert-Butylbenzene. Biological Tissue Matrix: 8270D-S1M,3050B;3051A;7471B;8081B;8082A;602OA:Lead;827OD:bis(2-ethylhexyl)phthalate,Butyl benzylphthalate, Diethyl phthalate, Dimethyl phthalate,Di-n-butyl phthalate,Di-n-octyl phthalate,Fluoranthene,Pentachlorophenol. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8:Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7:Ba,Be,Ca,Cd,Cr,Cu,Na;EPA 245.1:Mercury; EPA 300.0:Nitrate-N,Fluoride,Sulfate;EPA 353.2:Nitrate-N,Nitrite-N;SM4500NO3-F:Nitrate-N,Nitrite-N;SM4500E-C,SM4500CN-CE,EPA 180.1, SM2130B,SM4500CI-D,SM2320B,SM2540C,SM450OH-B EPA 332:Perchlorate. Microbiology:SM92156;SM9223-P/A,SM9223B-Colilert-QT,Enterolert-QT. Non-Potable Water EPA200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B,EPA 120.1,SM251013,SM2540C,SM2340B,SM2320B,SM4500CL-E,SM4500E-BC,SM426C,SM4500NH3-BH,EPA 350.1:Ammonia-N,LACHAT 10-107-06-1-B:Ammonia-N,SM4500NO3-F, EPA 353.2:Nitrate-N,SM4500NH3-BC-NES,EPA 351.1,SM4500P-E,SM4500P-B,E,SM5220D,EPA 410.4,SM521013,SM5310C,SM4500CL-D, EPA 1664,SM14 510AC,EPA 420.1,SM4500-CWCE,SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608:Chlordane,Toxaphene,Aldrin,alpha-BHC,beta-BHC,gamma-BHC,delta-BHC,Dieldrin,DDD,DDE,DDT,Endosulfan I,Endosulfan II, Endosulfan sulfate,Endrin,Endrin Aldehyde,Heptachlor,Heptachlor Epoxide,PCBs EPA 625:SVOC(Acid/Base/Neutral Extractables),EPA 600/4-81-045:PCB-Oil. Microbiology:SM9223B-Colilert-QT;Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods,please contact your Alpha Project Manager. Document Type: Form Pre-Qualtrax Document ID: 08-113 Page 14 of 15 Serial No:05181611:39 - s 1, 1 OF 1 Date Red'8 in Lab: S r`l r C � ALPHAJob#:�� C HAS�` OF CUSTODY PAGE ❑ FAX ® EMAIL ® Same as Client Info PO V10343. Westborough;MA Marafield,MA Projeol:Name:Casavant t+fesidence 7F1:508498.9220 TELa$OB-822.9300 ❑ ADEx ❑.Add'I Deliverables FA9C S0&898-,9193,. FAX:508-822-3288 t • • Proj6dVLocation:Osterville;MA' State/Fed Program crrraria Client::Benriett Environmental Associates Pro edt#:.BEA11-10343. Address:1573 Vain S#eet'/P;O..Box 1743: Pro edtMana er:David C:Berinett Brewster;MA.02631 ALPHA'Quote,:#: Phdiie:508-89.5-1706 ANALYSIS Fax:508-996-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED). SAMPLE HANDLING r Email:starrenkopf@bennett=ea.com Frrtrason ---- ❑ Done ❑These samples have been Previously analyzed by Alpha Due Date: Time: ® Not Needed Ii ❑ Lab to do r Ofher.Prbject Specific Requirements/CortSmelits/Detection Limits: Preservation ❑Lab to do (P/ease speow O below) m I ALIPHA Lab..ID Sample ID Collection Sample Samplers Z (:(Lab Use Only) Date Tima Matrix, IGiitials _ Semple Speeltic - �C F Z ,; f., comments ` a —V\ , Effluent fi i (a C ! WIN ® ❑ ❑ ❑ ❑ ❑ ❑ El El i❑ 3' ❑ ❑ ❑ ❑. ❑ ❑ , I❑ . ❑ ❑ ❑ El ❑ .❑ ❑ ❑ ❑ I❑ ❑ ❑ ❑ ❑ ❑ ❑ i❑ is ❑ ❑ El El El ❑ M El i❑ ❑. ❑ ❑ ❑ ❑ ❑ ❑ i=❑ E ❑ JR, a ❑ ❑ ❑ ❑ ❑ ❑ i ❑ ❑ ❑ io Container Type P P P ' O O D Please print clearly,legibly Preservative and completely. Samples can not b'e to gged iri an'd' Relinqui 9' Dateliime Received By: Datefrime- turnaround time clock will not t, * start untilanyambiguities:sre resolved. AllsarrIples. submtted are subject to rroae iro:at.otn ru> 1 h r�_� �c1. I Jr X i4%° T-�!/�/ Alphais Paymen tTe ms. (rev:28APRA8) �- I r � / •�!li/ `�� Page 15 of 15 A' t BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: "JOB NUMBER: Massachusetts Department of Environmental Protection 5/4/15 BEAI I-10343 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: C_ Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ - Express Mail ❑ Other ❑ Certified Mail Green Card/RR ❑X COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems(April 2015) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(April 2015) 1 4/14/15 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: . REMARKS: i Please find enclosed the DEP Inspection and O&M Form;OMNI RSF Operation and Maintenance Inspection Checklist,and laboratory analytical report for operation and maintenance conducted during the reporting period at the above referenced property. In November 2014 the Barnstable Board of Health formalized a reduction to semi-annual inspection and effluent monitoring for the system. Based on the lack of occupancy during the part of all of the months of February and March annually,routine inspection events have been scheduled for April-. and October. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Casavant,Property Owner FROM: David Bennett WWTO#6243/Samantha Farrenkopf WWTO#13265/Joseph Smith WWTO#12529/Greg BrehmWWTO#16149 If enclosures are not as noted,kindly notify us at once f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: �I Street Address/PO Box: n City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, Inc. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896 - 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number. 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence-used less than 6 mo./year: ® Yes ❑ No D. Operating Information 4/7115 8/11/14' Inspection Date Previous Inspection Date ' 2" sludge, 0" scum Sludge Depth(to be checked yearly) Pumping Recommended El Yes ® No t5aiom.doc•rev.04-11-13 Page 1 of 3 4 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 5.0 mg/L Turbidity 8.01 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other(list below) Nitrate, Nitrite TKN Total Alkalinity Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent quality passed field testing parameters. Sludge judged tanks, no pumping required at this time. t5aiom.doc•rev.04-11-13 Page 2 of 3 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 5t Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 i wr. OM Nl Eavzra wneolal Systems,bu OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information f Facility Street Address Date of Service ()5-R1&"G6Z 'tve' 5 r-m-r-o A city Operator/0&M Firm Ct-vi ()"" System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ No nSludge Depth: 2'1 [�-Scum Depth: O { Effluent tee filter. Yes❑ No M If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system Is used. C. Recirculation Tank 0It sLu Dt'�' O `' Gv� Check if sludge accumulating Pumping required; Yes❑ No Pi Odor problems: Yes❑ Now If yes,description Effluent tee filter: Yes❑ No; If yes,inspect❑&clean at feast yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. OA- D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑. ❑ Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes,inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: N/A- E. Pump Chamber 1 Vault(if Installed) ❑ Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System `Pump Inspections(all units) If problems,describe Test pump alternator, or record hours lZi I b I Ck 4 4� k t I q M h�J Hours of operation [ Float switches r Chock all switches for operation �}Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional, if not make a note so that corrective actions can be made. G. Filter Modules("Sand Filters") �bU9 (-Iv i '!1yLL/ (- aspect for ponding Ponding Present:Yes❑ NoP� Clean bed: Yes❑ No P Distribution pipes Flush:Yes❑ No�Z Brush: Yes❑ No❑ PAny obstruction of airflow to filter modules: Yes❑ NOA If Yes, explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes No❑ If yes: 0130D [�TSS NpH OTT( Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: 1 /K 60 J L/C.-5- `L Qf -nq- Ln i ' VLF r i ov�W� ��',00 Serial_No:04141511:02 A ANALYTICAL REPORT Lab Number: L1506886 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 04/14/15 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),VA(460195),MD(348),IL(200077),NC(666),TX(T104704476),DOD(1-2217),USDA(Permit #13-330-11-00240). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220-www.alphalab.com Page 1 of 15 Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Alpha Sample Collection Sample ID Client ID, Matrix Location Date/Time Receive Date L1506886-01 EFFLUENT WATER OSTERVILLE, MA 04/07/15 08:30 04/07/15 Page 2 of 15 I Serial No:04141511:O2 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.All specific QC information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM.and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: `+'`• Michelle M. Morris Title: Technical Director/Representative Date: 04/14/15 HA Page 3 of 15 !^` • Serial No:04141511:02 INORGANICS 8c MISCELLANEOUS Page 4 of 15 Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 SAMPLE RESULTS Lab ID: L1506886-01 Date Collected: 04/07/15 08:30 Client ID: EFFLUENT Date Received: 04/07/15 Sample Location: OSTERVILLE,MA Field Prep Not Specified Matrix: Water H Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab = Solids,Total Suspended 17. mg/I 5.0 NA 1 - 04/08/15 10:45 30,2540D DW ---- ------------- --- - ---._ ---- - -- ----- Nitrogen,Nitrite 0.14 mg/I 0.050 1 - 04/08/15 02:48 44,353.2 DE -I-- _.-. - ....... . ..._...... -._...... - ..._.._.. ------.. _... . ..... - ... . -- - -._... ._....-- - -._... Nitrogen,Nitrate 1.6 mg/I 0.10 -- 1 - 04/08/15 02:48 44,353.2 DE Nitrogen,Total Kjeldahl 10.4 mg/I 0.600 - 2 04/08/15 17:00 04/08/15 22:48 30,4500N-C AT - -- --- - ..........---- ---- .—..__.._.-._..._-... - ---- --- --— --------------..------------------ BOD,5 day 20. mg/I 5.0 NA 2.5 04/07/15 22:55 04/11/15 17:05 30,5210E SE F;rl Page 5 of 15 Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for�sample(sj,01 . +Bauch WG774123 BOD,5 day ND mg/I 2.0 NA 1 04/07/15 22:55 04/11/15 17:05 30,5210B SE +�- l 4 x.w.."5C']r" "°'.Y' - w.-.�� -. - -�.^^w .,�,•M f -.n1m .'f" ,'.' `.1...._ _ .........-. �,�-- *.-.r+ ....-..-..w. .«:. a .K.. General:Chemistry Westborough Lab for-samples) ; 01.. Batch:.WG774163-1:: Nitrogen,Nitrate ND mg/1 0.10 — 1 04/08/15 03:09 44,353.2 DE rT General Chemistry-Westborough Lab for sample('):' 01 Batch: WG7T4165=1 "� Nitrogen,Nitrite ND mg/1 0.050 — 1 04/08/15 02:14 44,353.2 DE General Chemistry='Westborough'Lab for-sample(s): 01. Batch: WG774250-41. Solids,Total Suspended ND mg/l 5.0 NA 1 04/08/15 10:45 30,2540D DW Gener4 Chemistry 'Westbo'rough Lab for sample(s): 01' Batch: WG774461=1 Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 04/08/15 17:00 04/08/15 22:35 30,4500N-C AT _...._........_........... ....... ..... ............ ....... ............... .... ... ...._... Page 6 of 15 Serial No:04141511:O2 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L15O6886 Project Number: BEA11-10343 Report Date: 04/14/15 LCS LCSD %Recovery Parameter %Recovery Qua[ %Recovery Qual Limits RPD Qual RPD Limits General Chernlstry estborotlgh,Lab°Associatedsample(s):,01 ...Batch 'W 774:123 2R. =• BOD,5 day "" 86''' - 85-115 - 20 General Chemistry Westborou9 h=Lab Associated saim le s 01 ;:;Batch: V1/G,77-4163.2 T a Nitrogen,Nitrate 98' 90-110 - .. w..,«w,.nww�nry•'.Y"' :.wwp'a �, ._...,u. :Wwu,--.w +}w,.w:w•..: Y �+ ti v-k iMb`.. ^-.N r aw.. General'Chemistry Westborough`Lab Associated sample(s).::O1 :Batch MG774165 2 Nitrogen,Nitrite TOS7 90-110 20 *- y.,,.,-.-...:...w-.—w.w.wm ...�yP-,...t»,.M,::.;air ...�,.p., General Chemistry Westborough Lab;Assoclated$sampO1 Batch �:...... _�.w.:..._ Nitrogen,Total Kleldahl . . ; 78-122 Page 7 of 15 HA Serial No:04141511:02 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough L'ab Associated;sample(s). 01' QC Batch ID:1NG774123=4. Q.CrSample:L1506821=01 Client ID..AMS.Sample BOD,5 day 5.3 100 87 82" 50-145 35 General Chemistry-Westborough Lab Associated sa+mple(s)..01 QC-Batch.ID:;1NG774163:4: QC.Sample..L1506822-9.3 . ClientID:: >MS:Sample a Nitrogen,Nitrate 2.5 4 6.3 ;95' - 83-113 6 General Chemistry,;-:Westborough Lab,Associated'sample(s) 01,,.., QC Batch.,ID:WG7,741654-,, QC'Sample. L1506887-0.1 C;Iient;ID. _MS°Sample _ .. ...x. .w.,.."o-.........+:. ..rl. ...:'.Rs...:� r..f...'58,`...: r _ ,+':. ...;_...,.w _..._....'3.<0 «w...... . .. ..._..._ ,..'... ......... ............. ce..r.�:...-....... ..�.. .x..._........*+L.......... _....._....».Y........:.a.......«. +a...... ..-...,_:4_ .. ..._. Nitrogen,Nitrite ND 4 42 '"'�'106 "�" 80-120 20 Ma- GeneralChemistry_-Westborough Lab Associated sarnple(s). 01 QC Batch ID:,1NG7t74461,4 : QC;Sample L1506921-0:1 Client ID:; EMS Sa m ple '_ Nitrogen,Total Kjeldahl 0.733 8 8.85 w� , 101. j 77-111 24 4.. ax,, Page 8 of 15 IXALtiA Serial No:04141511:02 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General;Chemistry Westborough Lab Assoclated,sample(S); 01 QC Batch�ID.; WG7.74123 3` QC Sample:; L1506880 01 < Iient�ID DUP;Sample . .. _v m.__. ;: _ _... . • . �. _ l 1 _. . _. _ _... . __.. .... ._ BOD,5 day 120 100 mg/I s 18` ¢ 35 GeneralChemistry-Westfjorough'Lab Associated samples,., 01 QC Batch ID. V11G7741:63 3.,--QGSam Ie:;; L1;506822 03: Cltent:ID QUP Sample Nitrogen, Nitrate 2.5 2.5 mg/I '' >0" 6 General-Cherni try ,1/Vestborough Lab A-ss66tated;sam le s ;01 _.:.QGtBateh 1D: 1/VG7741.65 3, ":QC:Barn let::L1506887-01 °_Cllent:ID DUP,Sam le .. A Nitrogen,Nitrite ND ND mg/I t NC'�"'; 20 ..... General Chernlstry.-,�1/Vestboeough:z Lab 3Assoclatedxsam le s .01 :;;QC=Batch:ID:* WG774250-2 QC;Sarri le:; L1506841 01,-,.:Client lD D:U.P:-Sam ,. _ . � �..::�_.�..�..w�._;•may... �.. J Solids,Total Suspended 200 200 mg/I 0` :, 29 Ge 'Chemistwr Y,wnU.�V_._ _ xt, SaIs D:.WG774461 QC. mpneral am le h, -3 .. .L5 .. 01 CelfiD.etborou D__U,pPer_;S_amp le __. .., Nitrogen,Total Kjeldahl 0.733 0.810 mg/I 10; 24 _ ..._...... ._.......... __...-._ .......... .... _......... ............ ......._ _ _ ..... _._._.... l�i�.r�0ir1 Page 9 of 15 ..,.�,a.. Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1506886-01A Plastic 250mlunpreserved A 7 2.4 Y Absent NO2-353(2),NO3-353(2) L1506886-01 B Plastic 950ml unpreserved A 7 2.4 Y. Absent TSS-2540(7) L1506886-01 C Plastic 250ml H2SO4 preserved A <2 2.4 Y Absent TKN-4500(28) L1506886-01 D Plastic 950ml unpreserved A 7 2.4 Y Absent BOD-5210(2) *Values in parentheses indicate holding time in days Page 10 of 15 L __ Serial No:04141511: 2 0 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting Inuit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit.For NJ-related projects(excluding Air),flag only applies to associated field samples that have detectable concentrations of the analyte,which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants(Phthalates,Acetone,Methylene Chloride,2-Butanone). C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. Report Format: Data Usability Report Page 11 of 15 Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 Data Qualifiers G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I -The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE -Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 15 I , Serial No:04141511:02 Project Name: CASAVANT RESIDENCE Lab Number: L1506886 Project Number: BEA11-10343 Report Date: 04/14/15 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES. Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 15 L Serial_No:04141511:02 e Certification Information Last revised December 16,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2:Acetone, 2-Butanone (Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone(MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8270D: 1-Methylnaphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus, TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetra methyl benzene, Benzothiophene, 1-Methyinaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1,SM213013,SM4500CI-D, SM2320B,SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM921513; SM9223-P/A, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se;Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1, SM4500H,B, EPA 120.1,SM251013,SM2540C,SM2340B,SM23206, SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N, SM4500NH3-BC-NES, EPA 351.1,SM4500P-E, SM4500P-B, E, SM522013, EPA 410.4, SM521013, SM5310C, SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE,SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane, Toxaphene, Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Co 1.1 lert-QT; Enterolert-QT, SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 14 of 15 Serial No:04141511:02 Tj y { vi 1 &1th "I t 4,m5�x r ii CHAIN, OF CUSTODY PAGE t OF 1e :� �, i� h'! u� Project Information ReportData�► ❑ FAX ® EMAIL ® Same as Client info PO#:10343 Westborough,MA Mansfield,MA. Project Name:Casavant Residence TEL:508-898-9220 TEL 5OM22-9300 [IADEx ❑ Add'I Deliverables FAX:508-898-9193 FAX:509.822-3288 Project Location:Osterville,MA State/FedProgram Criteria Client:Bennett Environmental Associates Project#:BEA11-10343 Address: 1573 Main Street!P.O.Box 1743 Project Manager:David C.Sennett Brewster,MA 02631 ALPHA Quote# Phone:508-896-1706 Ttirn-ArOLInd Time ANALYSIS Fax:508-896-51 O9 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration Email:sfarrenkopf@bennett-ea.com ❑ Done ❑These samples have been Previously analyzed by Alpha Due Date: l4f me: ® La Needed Q Lab to do c Other Project Specific Requirements/Comments/Detection Limits: P,eseNeson • ❑ Lab to do (Please specify below) N At PiA'La l u Sample ID Collection Sample Sampler's Z Date Time Matrix Initials 0 Z Sample Speci fn fic comments I �I31�F ;l WW ® ® ❑ ❑ ❑ ❑ _l l pppp dll ,LLgs� Effluent 61,7 t q,;� r.8ilk-ti�El'r€I"Ifll�l�illlp i n h��i l} ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 Ell El 11 El ❑ ❑ ❑ ❑ ❑ ❑ El +;E El El 0 0 ❑ 0 0 ❑ its pt d iC'r ryEl El 13 ��P� toAl i,II Y;hli r ��Il�r II Container Type P P P _ _ 0 O D Y easeprliTeariy�ie0 ly�r ' Preservative etl coal eta SFIItRixlr P,Ib6�l4gge"�l�iand�W�)+ I. R ufshe Date(Time Received By: Daterrime d(oUndlfime clocC NIP, I�star��l�r�I$�ny:embigti,)ip a. tQ S ''�� '13 e• �� 4 .t 1S \ rss I � IlsamPlesr `� echo„t�5.-; FORM NO:0101(I-NJ) 1�AlRff�S 8 9n' '}er 5�a f Id¢i. a-29•APR49) r,Wp?� It ".{',I4I t (• 'uEu..d '4�t5t �t�di.sJ s Page 15 of 15 VHE t ti Barnstable o� Town of Barnstable nm-nmedcacNy MAC Board of Health '°rfvr ° 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644. Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M:D. Junichi Sawayanagi November 3, 2014 Ms. Samantha Farrenkopf, ES, WWTO, PWSO Wastewater Program Coordinator Bennett Environmental Associates, Inc. 1573 Main Street, P.O. Box 1743 Brewster, NIA 02631 RE Innovate e/Alternative Syst6ni at 61 Falling Leaf.Lane,`Ostervllle MA �Y -� � k3 $ Dear Ms. Farrenkopf, You are granted permission, on behalf of your clients, Arthur and Patricia Casavant, to continue to use the existing innovative/alternative system with a reduced frequency of sampling and monitoring of the wastewater effluent at 61 Falling Leaf Lane, Osterville, MA. A public hearing was held before the Board of Health on October 14, 2014. The Board has received the sample results reports dated 3/5/14 and 8/19/14.. This permission is granted with the following conditions: ❖ The wastewater effluent shall continue to be tested twice per year. ❖ Operation and Maintenance Inspections shall be conducted on a.regular basis in accordance with MA DEP Regulations.. Sincer , 14 Wayne ller, M.D., Chairman -BOARD F HEALTH Cc: -Mr. and Mrs. Casavant Q:\WPFILES\ReducedlA Mon itoringCasavant2014.doc EXCERPT FROM THE BOARD OF HEALTH MEETING ON 9/10/2013:, I. I/A Monitoring: Bennett Environmental Associates representing Arthur and Patricia Casavant, owners - 61 Falling Leaf Lane, Osterville, requesting reduction in O&M requirements. Samantha Farringcoff, Bennett Environmental Associates, said the owners have a general use approval Omni. Recirculating Sand Filter System which has been in place since 1999. They have completed 10 quarterly results with Bennett Environmental. The system receives only about half of the design flow. At this time, the low, flow actually results in a nutrient load,which is less than what the system should be outputting at its design flow. Samantha stated the intent of the system to reduce the nutrient load to the environment is sound,for this system. She also noted that the owners have been very diligent about the upkeep of the system. Mr. McKean said Karen Malkus has reviewed the results and came up with a few high numbers which bring into question whether the system is working correctly. Mr. McKean wishes to continue with the testing. Mr. McKean also noted that.the. owner's letter on 3/5/12 said that they spent close to $10K. Samantha said the two tests done this year were good and kept the parameters in the correct range. Last September's test stood out has been high and may have been due to the much lower water usage during the past year. Options were discussed including a 2 bedroom deed restriction until the house is sold to ensure the system continues to work with the reduced water flow. Once a, new owner is in, the Board would evaluate how the test results come in with the new owners as they may have a water demand more in line with the'design of the system. Upon a motion duly made by Dr. Miller, seconded by Dr. C'anniff, the Board voted ' to reduce the testing to twice a year for the next year and-returning to the.-Board in A September 2014 to see if they were good ones at which point the Board will consider a permanent reduction to twice a year.. (Unanimously, voted in favor.) C:\cache\Temporary,lnterhet Files\OLK7F\Excerpt BOH Sep 213 61 Falling Leaf.doc i c ��THE Tp� Barnstable j Town of Barnstable ST. BM Board of Health. 1111 rfD ►�° 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M:D. ` Jdnichi Sawayanagi September 12, 2013 Ms. Samantha Farrenkopf,ES, WWTO, PWSO Wastewater Program Coordinator Bennett Environmental Associates, Inc. ; 1513 Main Street, P.O. Box 1743 ' Brewster, MA 02631 RE: Sampling'of Wastewater Effluent from your.'Innovative/Alternative System at 61 Falling Leaf.Lane, Osterville MA Dear Ms. Farrenkopf, You are granted permission, on behalf of your clients,Arthur and Patricia Casavant, to reduce the frequency of sampling and monitoring of the wastewater effluent from the onsite sewage disposal system consisting of innovative/alternative technology at 61 Falling Leaf Lane; : Osterville, NIA. A public hearing was held before the.Board of,Health on September 10, 2013. The Board.has- received your letter dated August 5, 2013. This permission is granted with the following' conditions: ; ' •:• The wastewater effluent shall continue to be tested twice per year: ❖ Operation and Maintenance Inspections.shall be conducted on a regular basis,in accordance with MA DEP Regulations. ❖ You shall present the results of the wastewater effluent sample tests to the Board in one year from now, sometime during mid-September 2014. If the results are not within the allowable limits; the Board will determine whether to restrict this property to two bedrooms maximum or to require the installation of a replacement I/A or , S.T.U. system. SiTI er W llerM.D.,.Chairman B HEALTH . Q:\WPFILES\casavantLAMonitoringReduction2013.doc ' i Project Name: . -CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08119/14 SAMPLE RESULTS Lab ID: L1418159-01 Date Collected: 08/1.1114 10:00 Client ID: EFFLUENT Date Received: 08/12/14 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended 22. mg/I 10— _. NA' 2. — - - _08/14/14 16:05 30,2540D DW Nitrogen,Nitrite ND mg/I 0.10 - 5 08/13/14 03:31 30,4500NO2-B EL - - - _._ .. -- - _ __.. _ ..._. - -- - -- --- ----- - -- Nitrogen,Nitrate ND mg/1 0.10. - 1 08/13/14 02:47 44 353.2 DB _ Nitrogen,Total Kjeldahl 218,. mg/I 3.00 - 10 08/13/14 13:25 08/14/14 21:33 30,4500N-C AT --.. ___. . ... _._ ........ - BOD,5 day 27. mg/I - 5.0 NA 2.5 08/13/14 03:35 08/18/14 00 15 30 5210B SE ZZ5 r e-�V7C__ ALPHA Page 6 of 16 r Serial No:0305141:4:06 Lab Number: L1404250 Project Name: CASAVANT RESIDENCE s Project Number: BEA11-10343 Report Date: 03/05114 SAMPLE RESULTS Date.Collected: 02126/14 07:45 Lab ID: L1404250-01 EFFLUENT Date Received: 02/27/14 Client ID: Field Prep: Not Specified Sample Location: OSTERVILLE,MA Matrix: Water Dilution Date Date Analytical RL MDL Factor Prepared' Analyzed Method Analyst Parameter Result Qualifier Units �ener,al Chemistry -Westborough Lab Solids,Total Suspended ND mg/1 .05 02/28/14 00:55 44,353.2 DB � 1- - DW NA. 03/04/1410:45 30,2540D Jitrogen,Nitrite 0.10 t mgll 02/28/14 01:22 44,353.2 DB 0.050 — 1 - Jitrogen,Nitrate 0.671 mg/I 0.10 — 1 _ i r 1 03/03/14 18:40 03/04/14 21:30 30,4500N-C AT Jitrogen,Total Kjeldahl 11.7 mg/I 0.300 — — 30D,5 day r 18. mg/l 5.0 NA 2.5 02/27/14 22:30 03/04/14 16;35 30,5210B SE I P� 1. z" 71 4 � 14A Page 6of16 (:3,-+ ao ofIV rah Town of Barnstable Barnstable Board of Health AFAmwicaCfty l � � *�6ATU4SfABLEJ� 200 Main Street, Hyannis MA 02601 9. MASS. Q �prFt139-- 5.1 2007 OFFICE: 508-862-4644 . Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Samantha Farrenkopf, Bennett Environment Assoc, PO Box 1743,Brewster, MA 02631 Arthur & Patricia Casavant, 61 Falling Leaf Lane, Osterville, MA 02601 REMINDER OF BOARD HEARING: September 12, 2014 You are on the agenda for our Board of.health meeting 12e: 61 Taping Lea{Lane — Osteryille,follow upon reduced monitoring results for your I/A septic system. Thanky ou. Your item will be heard at the Board of Health Meeting on the: Date of. Tuesday, October 14, 2014 You, or a representative for you, is expected to be present to answer questions the Board may have. . Meeting Location: Town Hall, 367 Main St, Hyannis. Hearing Room, Second Floor Time: 3:00— 6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you once it.is available. It will also be available on line at the town website: www.town.bamstable.ma.us Go to ..."Boards &Committees > Board of Health - or- Go to Official Agendas l CAcache\Temporary Internet Files\OLK4E\let Receipt of BOH Submission 61 Falling Leaf Oct 2014.doc i IKE Town of Barnstable Barnstable Board of Health j edtac j 9`" BLL XAS& 200 Main Street, Hyannis MA 02601 D 1639. A�0 2007 �ptfp MPI OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Samantha Farrenkopf, Bennett Environment Assoc, PO Box 1743, Brewster; MA 02631 Arther & Patricia Casavant, 61 Falling Leaf Lane, Osterville, MA 02601 REMINDER OF BOARD HEARING: September 12, 2014 You are on the agenda for our Board of Health meeting Re : 61 Falling Leaf Lane � - Osterville , follow up on reduced monitoring results for your I /A septic system . Y Thank you . Your item will be heard at the Board of Health Meeting on the: Date of: Tuesday, October 14, 2014 You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time. 3:00=6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: C:\cache\Temporary Internet Files\OLK7F\let Receipt of BOH Submission 61 Falling Leaf Oct 2014.doc J OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information. Facility Street Address 1 Date of Service i 5 V�i� City Operator/O&M Firm System Startup Date Weather Condilions B. Septic.Tank Sludge Pumping Required: Yes❑ NdA 0 Sludge Depth: ❑Scum Depth: Effluent tee filter. Yes❑ N If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,If not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank ❑Check if sludge accumulating Pumping required: Yes❑ NqA I Odor problems: Yes❑ N If yes,description Effluent tee filter: Yes❑ Njo If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing.. D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: �� ► E. Pump Chamber/Vault(if Installed) . ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe , Test pump alternator, or record hours �c,� Hours of operation Float switches �( Check all switches for operation (L�Test alarm l If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ No Clean bed: Yes❑ N Distribution pipes Flush:Yes❑ NcA 4 Brush: Yes ❑ N Any obstruction of airflow to filter modules: Yes El No�If Yes,explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the,media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes No❑ If yesX. BOD4TSS E]pH U6TN Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: dV) 2, ZUb OV Ci nA BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 8/21/14 BEAI I-10343 Attention:Title 5 Program I Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail 0 Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(February and August 2014) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(February and August 2014) 1 3/5/14 Alpha Analytical Laboratory Report 1 8/19/14 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: 0 REMARKS: Please find enclosed the DEP Inspection and O&M Forms,OMNI RSF Operation and Maintenance Inspection Checklists and laboratory analytical reports for operation and maintenance conducted during the reporting period at the above referenced property. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Casavant,Property Owner David C.Bennett,Principal[Internal] Matthew Costa-OMNI Environmental Systems,Inc. [via email] FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once L Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. Mailing address of owner, if different: �I Street Address/PO Box: 2aan City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 110/14/99 Installation Date k3 Start of Operation Approval Type: N eneral ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 2/26/14 9/9/13 Inspection Date Previous Inspection Date Sludge Depth to be checked earl Pumping Recommended ❑ Yes ® No 9 p ( yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 4.0 mg/L Turbidity 3.30 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: The system is operating correctly. Effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 =w Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. �n Mailing address of owner, if different: Street Address/PO Box: �eaon City State Zip (508)420 - 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. 0&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ®I General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 8111/14 2/26/14 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ® turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 7.0 SU DO 2.0 mg/L Turbidity 39.7 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent quality passed field testing parameters. The filter beds are ponding and need a media replacement. The homeowner is aware of the situation and the recirculation pump is currently turned off in order to dry out the filter beds so that the media can be replaced. t5aiom.doc•rev. 11-07-05 Page 2 of 3 �I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use— by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t5 Floor. Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 1=i MNI. Et,v ron.0e i 4 Sysi s, Inc, OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information Ilk Facility Street Addr Date of Se ice oAclr,;\\,�- ; 5 c 5"�. City Operator/O&M-Firm C: "v System Startup Date Weather Conditions B. Septic Tank �L��- ��_ AA' C - 1�� 13 Sludge Pumping Required: Yes❑ N�* ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ NoQ. If yes,inspect❑&clean at least yearly❑ If the sludge layer is within 12'of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank ❑Check if sludge accumulating Pumping required: Yes❑ Not Odor problems: Yes❑ No ❑ If yes,description Effluent tee filter: Yes❑ No1 If yes, inspect❑ &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes,inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) ❑ Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. ,r F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,des ribe 0 Test pump alternator, or record hours 1 C .,d Crib Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ No,IA Clean bed: Yes❑ Nd N�Distribution pipes Flush:Yes❑ N Brush: Yes❑ NcIA ❑Any obstruction of airflow to filter modules: Yes❑ No If Yes, explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. . H. Sample Collection Yes No❑ If yesMBOD�TSS ❑pH 0TN V40ther V,Cz All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: C�Vlj fl U I AI Q.J��` {. `J'"Yi�7`-� \'_i iF"'a"^' �y.f".N',�.�`a'= t.�t✓i..\�C, "�1<,�.,.- (�L�,S - �� 1`� VY�',3v ti - 1� 3 310 Serial_No:03051414:06 HA _A'-.NiA,L,Y.T 1 C A ANALYTICAL REPORT Lab Number: L1404250 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name:. CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 03/05/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 16 Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Alpha Sample Collection Sample ID Client ID Location Date/Time L1404250-01 EFFLUENT OSTERVILLE, MA 02/26/14 07:45 1L'I y_;�y.r I.AI Page 2 of 16 Serial No:O3051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L14O425O Project Number: BEA11-10343 Report Date:. 03/05/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. t Page 3 of 161''�• L Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Case Narrative(continued) Nitrogen,Total Kjeldahl The WG673354-4 MS recovery, performed on 1-1404250-01, is outside the acceptance criteria (114%); however,the associated LCS recoveries were within criteria. No further action was taken. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. � Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 03/05/14 Page 4 of 16 Serial No:03051414:06 e INORGANICS MISCELLANEOUS � � a Page 5 of 16 Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 SAMPLE RESULTS Lab ID: L1404250-01 Date Collected: 02/26/14 07:45 Client ID: EFFLUENT Date Received: 02/27/14 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst i�.::., «,+ .r:.... �.q C"` :+�;k� GeneraLChemistryWestborough Lab r ` Solids,Total Suspended ND mg/I 5.0 NA 1 03/04/14 10:45 30,2540D DW ------........-....._.._.......................-.._.._.........._...._._._.._._...---...........--__.._ __._.........-__._._-.._ - _..._....... — Nitrogen,Nitrite 0.10 mg/I 0.050 - 1 02/28/14 00:55 44,353.2 DB Nitrogen,Nitrate 0.67 mg/I 0.10 -- 1 - 02/28/14 01:22 44,353.2 DB Nitrogen,Total Kjeldahl 11.7 mg/I 0.300 - 1 03/03/14 18:40 03/04/14 21:30 3.0,4500N-C AT - ....-------....................-------..._.__._—.........._..._.._.._._-......._......_......__.... --.._.......- -._...-- - ...------------.._...._....----------------..-............-.._..... ...------.............._._.._.__._.._.__...... - ------ ---- - --- -.. BOD,5 day 18. mg/I 5.0 NA 2.5 02/27/14 22:30 03/04/14 16:35 30,52106 SE Page 6 of 16 Serial No:03051414:06 ✓ Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst eneralChe stry Westborough Labrfor sample(s); 01 y Batch` V1IG672776 10 g BOD,5 day ND mgA 2.0 NA 1 02/27/14 22:30 03/04/14 16:35 30,5210B SE General Chemistry Westborough Lab for samples) 01 Butch 1NG672780 1 Nitrogen,Nitrate ND mg/1 0.10 1 02/28/14 00:37 44,353.2 DB General Chemistry Westborough Lab:for samples) 01, Batch VVG672781 1 Nitrogen,Nitrite ND mg/I 0.050 1 02/28/14 00:39 44,353.2 DB General Chemistry gh Westborou Lab forasarnple(s) 01; Batch UVG673354 1r Nitrogen,Total Kjeldahl ND mgA 0.300 1 03/03/1418:40 03/04/14 21:27 30,4500N-C AT General Chemistry Westborough Lab for samples) 01 Batch V1IG673423 1 p Solids,Total Suspended ND mg/I 5.0 NA 1 03/04/14 10:45 30,2540D DW �t Page 7 of 16 fj Serial No:03051414:06 Lab Control Sample Analysis Batch Quality Control Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits GeneraliGhemistry=WestboroughiLab :5Assocrated sample(s): 01 ;;Batch ,,WG 76-2 BOD,5 day .;. 112 7 _ - 85-115 - 20 �...-o-„�„aa.-..,...�-s_—.��<_�-.:�-,-. �,#--`:s =f-`�- .--="'+--- -:�.;,-« ,•3•w„a�-�-,�^rr-:*- ..-,,,;p<�.,.,�.:,,-.:,.� _ -�----� ^�a^�-�t-;_' - - ...�.�,,,,,....._ :-x General"dbemA =WestboroughALab Associated sample(s);:101 ,;Batch'WG67,2780,2 �«�,......��..,,.x... ;:ewe... �;�- ,.�•:;,Aicd,..>;�:.,,`rc&,;;.o::,�..• .� ......�,�.s�.. '.;�.a..»,�:..:,:a �•.,..a,�.m..._A,�.,,...�,.....:i,r.,:.r�,:i.�...�.s.....�' ,.,�...... ..A.�..,....�....w.. .......,.. _,..�...�.w....,.,.... ....��' ...�:........��-..,.,r.k,.�:.,...,......�. Nitrogen,Nitrate k 90-110 - 1-T •»1F :,.. t yr 4 :ii.; General .,he.l;nlstry,. Westborough�Lab Assoclated�sample(s).r01 ��.Batch.WG672781 2; s . Nitrogen,Nitrite 106,'` "' - 90-110 - 20 +».•;+. : ,• .a9k-:w+wr^ r.,.,,�.. .......-.�:...�• �;-r. •....,,:-r�'•+ ;,;r..s,•ra+ .�'•^-'.*:z.r;zw....,.a ..:;,�..•.ri .,5.».,... .W .,y.� General Chemistry7=Westborough Lab-Assoclated�-sample(s)sF01. Batch:UVG673354 2 Nitrogen,Total Kjeldahl f `89l - 78 122 - Page 8 of 16 A �� Serial—No:03051414:06 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1404250 Project Number: BEA1 1-10343 Report Date: 03/05/14 Native IVIS IVIS IVIS IVISD IVISD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits BOD,5 day 2.9 100 120 50-145 35 .......... ------- ................................... -------- .......................... ......... -------------------------- .......... ...... ......... ....... General b?Asso&ii�.d KlLa �QG�Bdt6h'i ID,. ... 0_14eml�tr..-'Wes 0 ample...- Nitrogen,Nitrate 4.0 4 7.9 83-113 6 ------------ ........... --------- ............ ...................... ................. ............ !13dtqh,�,,IX.W 78 1.�. Client soc w o ro u g �n G 72 Nitrogen,Nitrite ND 4 4.2 106�'- 80-120 20 ...................................................... ................... ................................. ................................................................. ........... ....................... ...... ................. ....................................... General Chemistry a spocia i EFFLUENT Nitrogen,Total Kjeldahl 11.7 8 20.8 =114 Q 77-111 24 —----------- E Page 9 of 16 i Serial No:03051414:06 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General;Chemist Westbor..ou h;Lab rAssoclated am .le s 0 iQC-B 1 : atchID:;;WG.672776 3�''QC'Sam le.':;L1404203.=0.1. Cllerit ID:FDUP Sam le_.: _ BOD,5 day 95 100 mg/I 35 ,General�.Chemist �West_borou h:,Lab•Associated sam le s §Q1 QCBatch�'ID;;:VVG672780 3 'QC.Sample `.L1404201 01; Cllent•ID._.DUP:Sample F - • . � �` Nitrogen,Nitrate 4.0 4.0 mg/I 0`" 6 ,....:: ',i:, ;...n -.n.... .v.. G`eneialwChemistry 1Nestborough Lab,,Associatedsample(s).:01., ;QC Batch.;ID,.WG672781 3 `QC.;Sample. a.L1404241 01 Client?ID.::-DUPzSam le +naa. Nitrogen,Nitrite ND ND mg/I 'NC 20 General Chemistry ';Westborough Lab:sAssoelated sample(s):.01a -QC�Batch�ID,'.WG673354 3� ,—', Sample.'xLx1404250�01 J -..IlenVID ;,.EF,F,LUENT Nitrogen,Total Kjeldahl 11.7 13.1 mg/I 11` 24 . ... s�s aw•ar-:. .-m�; .«� ,;,.._ .,��-,.,,,..�.«.-�.. w�.• �-�„�- �,�.,-Y.,r. „ ,.. ..�.,.. �-.�-: ram.._.,,.,.. : . .,. ,.,:,.w;.. .,,. _,�,...�«,,.�.-5.x : <„e, .,...,._ _ GeneralryChemistry-Wiestborough Lab,Associated samples) °"01 ;QCBatch.ID. WG6Z3423 2. .�QC Sample �L�1.40,4201=02•.Client5lD �-:DUP;,Sample;, ".e. '� Solids,Total Suspended 690 960 mg/I =337—" Q 29 .. i Page 10 of 16 HA Serial No:03051414:06 e Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1404250-01A Plastic 1000ml unpreserved A 8 4.7 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1404250-01B Plastic 1000ml unpreserved A 8 4.7 Y Absent TSS-2540(7) L1404250-01C Plastic 250ml H2SO4 preserved A <2 4.7 Y Absent TKN-4500(28) AIN *Values in parentheses indicate holding time in days HA Page 11 of 16 �� Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 y Project Number: BEA11-10343 Report Date: 03/05/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten tunes(1 Ox)the concentration found in the blank.For MCP-related projects,flag only applies.to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. l E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. Report Format: Data Usability Report Page 12 of 16 Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 Project Number: BEA11-10343 Report Date: 03/05/14 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the metlrod-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are fiom modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 13 of 16 Serial No:03051414:06 Project Name: CASAVANT RESIDENCE Lab Number: L1404250 r Project Number: BEA11-10343 Report Date: 03/05/14 REFERENCES 30 Standard Methods for the Examination.of Water.and Wastewater.APHA-AWWA- . WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha.Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation,cooling, containers, sampling procedures, holding time and splitting of samples in the field. ke� Page 14 of 16 r Serial No:03051414:06 f Certification Information Last revised December 11,2013 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone(Methyl ethyl ketone (MEK)),Tert-butyl alcohol,2-Hexanone,Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine,2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methylnaphthalene, Dimethylnaphthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500:Soil:Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA TO-1 5- Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene,2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,CO3Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM213013,SM4500CI-D, SM232013, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology:SM921513; SM9223-PIA, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7:AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1,SM25106,SM2540C, SM23406, SM232013, SM4500CL-E,SM4500E-BC, SM426C,SM4500NH3-BH, EPA 350.1:Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1,SM4500P-E, SM4500P-B, E,SM52201), EPA 410.4, SM521013, SM5310C,SM4500CL-D, EPA 1664,SM14 510AC, EPA 420.1, SM4500-CN-CE,SM25401). EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC(Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 • Serial_N :030514 14:.0.6 • lS:' t.. - vim., .. ._:5.. ::..F:�. _ _ .+1 I "Date7Rec'dill Lab.. „ a 3 CHAIN OF CUSTODY 'PAGE1 OF, -v Proj ct Information Report Information Data Deliverables Billing Infibirmation el ElFAX EMAIL. igi Same as.Client info PO#:10343... Westborough,MA Mansfield,MA PfOjeCf Name:Casavant Residence TEL 508 898-9220 TEL 508�22-9300; ❑ ADEx' ❑ Add'I Deliverables FAX:.508.898-9193 :. FAX:508.8223288 Regulatory R • •• Project Location:Osterville,MA State/Fed Program Crrt ria Client:Bennett Environmental Associates Pro'ect.#:BEA11-10343 Address:1573 Main Street!P.O.Box 1743' Project Manager:David C.Bennett Brewster MA 32631 ALPHA Quote#: Phone:508-896-1706 TUrniAround ANALYSIS Fax:508-896=5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED] SAMPLE HANDLING Email:sfarrehkopf@benneitt-ea,com / Filfretiorl ❑:Done ❑These sahtples have been Previously analyzed by Alpha Due Date: Time: ® Not Needed :: ❑ Lab to do. Other Project Specific Requirements/Comments/Detection Limits: Preservatl.an • ❑ Lab to do ... ... p " a(Ple se specw p below) m .. ............:....:..1 :.i.. .y,• b .. Sample ID Collection Sam le' Sam lets z i;ALPHA I�ab:lb';: . P P Matrix Initials ,' :. Date Tlme :. .;•;<: . . Sri Y sample spec(a9 Cemmertte IfYN". Effluent `L {p fjV1 ' It103 El El El El 01 •.. o, ;is xs.a - li�1 •xl'7�� - Li I El El .'. El El El 0 : El RM El El ❑ ❑ o ❑ ❑ ❑ o ❑ l El I ❑ ❑ El ❑ ❑ ❑ ❑' ❑ ❑' 3 ... ... .. S.: }. Container Type P: P R �++ ' wPleae ie l ' Preservative ��.: .. o °:... bP �y� m`5111 l�s� Ftot:bef} e'f rid' Relin uished DateTme eceived By: DateTme . „turria'tbuiid time'clddfi h t is 3atait.:6ntil aa't1y,8m� I�iesa�e? resolvedfy;4lif�aiiople FORM N0:0t-01(I-NJ) / tAl({lie#`s,1P yriiefit.7e(fns rr''t: : j .-- r, e / 47, :74. •y t is:.i`:at., L,geNr...,'., ;.>. Page 16 of 16 r s Serial_No:08191412:36 V �A -ANA LY\TI CA L ANALYTICAL REPORT Lab Number: L1418159 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 08/19/14 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Vu � tia Page 1 of 16 Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L1418159-01 EFFLUENT WATER OSTERVILLE, MA 08/11/14 10:00 08/12/14 Page 2 of 16 I '•, �AIPaA r Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples(with the exception of Air canisters)free of charge for 21 calendar days from the date the project is completed.After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples.Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Client Services at 800-624-9220 with any questions. AXALPHA Page 3 of 16 Serial_No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Case Narrative (continued) Nitrogen, Nitrite L1418159-01 has an elevated detection limit due to the dilution required by matrix interferences encountered during analysis. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Cristin Walker Title: Technical Director/Representative Date: 08/19/14 HA Page Page 4 of 16 !•�'� °• r Serial No:08191412:36 111YORGANICS MISCELLANEOUS L\ Page 5 of 16 i Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 SAMPLE RESULTS Lab ID: L1418159-01 Date Collected: 08/11/14 10:00 Client ID: EFFLUENT Date Received: 08/12/14 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General,Chemistry-Westborough Lab Solids,Total Suspended 22. mg/I 10 NA 2 - 08/14/14 16:05 30,2540D DW -- ------ - ------------- ------------ ----------- - -- - —----- - .--------------- -- Nitrogen,Nitrite ND mg/I 0.10 5 - 08/13/14 03:31 30,4500NO2-B EL Nitrogen,Nitrate ND mg/1 0.10 - 1 - 08/13/14 02:47 44,353.2 DB Nitrogen,Total Kjeldahl 23.8 mg/l 3.00 - 10 08/13/14 13:25 08/14/14 21:33 30,4500N-C AT _.--.- _........ __.... .. -_._. _.... . ...........- BOD,5 day 27. mg/I 5.0 NA 2.5 08/13/14 03:35 08/18/14 00:15 30,5210E SE Page 6 of 16 r Serial_No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for sample(s): 01 ;;Batch --=WG713306-1 Nitrogen,Nitrate ND mg/I 0.10 1 08/13/14 01:10 44,353.2 DB General Chemistry-Westborough Lab for sample(s) 01. Batch: WG713379,A BOD,5 day ND mg/I 2.0 NA 1 08/13/14 03:35 08/18/14 00:15 30,5210E SE Gerieral Chemistry Westborough Lab for sam le s 01.. .Bbtdh: WG713554-1 . Nitrogen,Total Kjeldahl ND mg/I 0.300 1 08/13/14 13:25 08/14/14 21:02 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch UVG713861-1 Solids,Total Suspended ND mg/I 5.0 NA 1 08/14/14 16:05 30,2540D DW _. ._. .. .. ........... .. ._._.__. ..... ... .... .. ...... . .... ....._....__ .. .._.. General Chemistry-Westborough Lab for saniple(s): 01 Batch:`WG714074-1 ' >' Nitrogen,Nitrite ND mg/I 0.020 1 08/13/14 03:27 30,4500NO2-B EL �LL`?FiA Page 7 of 16 I Serial_No:08191412:36 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General Chemistry--.Westborough Lab .Associated sample(s)`.01 Batch:.WG713306.72 _ J. . Nitrogen,Nitrate 102. 90-110 General Chemistry. Westborough Lab-Associated samples) 01 Batch :V1/G713379 2 BOD,5 day »89 85-115 - 20 General Chemistry .Westborough Lab-4-Associated sam:.ple(s). 01 Batch .WG713554=2 Nitrogen,Total Kjeldahl 1,1.04 - 78-122 - General:Chem' istry-Westborough Lab Associated sample(s):_01 Batch:WG7.14074 2 Nitrogen,Nitrite 90 - 90-110 - 20 Page 8 of 16 Serial No:08191412:36 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Native MS MS MS IVISD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry Westborough Lab Associated sample.(s) 01, QC-Batch'ID 'WG7,T3306-4. QGZample: L1418142-02. Client ID' MS Sample . Nitrogen,Nitrate 2.6 4 6.6 100 - 83-113 6 General Chemistry Westborough Lab'Associated samples) 01 `_QC!Batch:ID: WG71:3379-4- .'QC-Sample: L1418200-04 Client ID MS Sample BOD,5 day ND 100 130 130 - 50-145 - 35 General Chemistry, Westborough Lab Associated sample(s) 01 QC.Batch ID; WG71:3554.4' !,QC Sample: L1418200-04 :Client ID: :MS.Sample Nitrogen,Total Kieldahl 0.336 8 5.70 67. Q - 77-111 24 General Chemistry Westborough Lab Associated samples) 01 QC:Batch ID. WG714074.4 QC'Sample: L14181.42'02 .;Client ID:'MS Sample . Nitrogen,Nitrite 0.070 0.1 0.16 90: 85-115 20 rZ L\ Page 9 of 16 ,'ILL?FoA r Serial No:08191412:36 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General;Chemistry Westborough Lab Associated:sample(s) :01 QC Batch ID: WG713306-3 QC'Sample: L1418142=02 Client.ID: .DUP Sample. Nitrogen,Nitrate 2.6 2.6 mg/I 0 6 -Gene rail Chemistry :;Westborough Lab:.Associated sample(s): 01 QC.Batch ID. WG713379-3 QC'Sample: 1-14181.57=01 Client'1D: DUP Sample BOD,5 day 120 110 mg/I 9 35 General Chemistry `;Westborough`.Lab. Associated sample(s):. 01 QC.Batch ID.:.WG713554-3 :QC'Sample: L1418200-M Client ID: 'DUP Sample Nitrogen,Total Kjeldahl 0.503 0.480 mg/I 5 24 General Chemistry-Westborou.gh.,Lab. Associated sample(§); 01 QC.Batch ID: .WG713861'-2 QCSample : L1418165=01. Client ID:-DUP Sample. Solids,Total Suspended 13 14 mg/I 7 29 General Chemistry-WestboroughTLab>Associated,-sample(s): 01- QC Batch ID 'MG71a4074-3 QC:Sample: 11418142=02. Client.ID: °DUP Sample. Nitrogen,Nitrite 0.070 0.070 mg/I 0 20 Page 10 of 16 _ r Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1418159-01A Plastic 1000m]unpreserved A 7 2.7 Y Absent NO2-4500NO2(2),BOD- 5210(2),NO3-353(2) L1418159-01B Plastic 1000ml unpreserved A 7 2.7 Y Absent TSS-2540(7) L1418159-01 C Plastic 250ml H2SO4 preserved A <2 2.7 Y Absent TKN-4500(28) r;=` *Values in parentheses indicate holding time in days ,,_�LFHA Page 11 of 16 Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Teri is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 -The reference for this analyte should be considered modified since this analyte is absent fiom the target analyte list of the original method. Terms Total:With respect to Organic analyses,a'Total'result is defined as the summation of results for individual isomers or Aroclors.If a'Total' result is requested,the results of its individual components will also be reported.This is applicable to'Total'results for methods 8260,8081 and 8082. Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(l Ox)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target cornpound(s).The result should be considered estimated. Report Format: Data Usability Report ,FHA Page 12 of 16 Serial No:08191412:36 Project Name: CASAVANT RESIDENCE, Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 Data Qualifiers H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. f Report Format: Data Usability Report Page 13 of 16 Serial No:08191412:36 Project Name: CASAVANT RESIDENCE Lab Number: L1418159 Project Number: BEA11-10343 Report Date: 08/19/14 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater. APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100, August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Serial No:08191412:36 Certification Information Last revised April 15,2014 The following analytes are not included in our NELAP Scope of Accreditation: Westborough Facility EPA 524.2: Acetone,2-Butanone(Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5-Trichlorobenzene,4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260C: 1,2,4,5-Tetramethylbenzene,4-Ethyltoluene, lodomethane (methyl iodide), Methyl methacrylate, Azobenzene. EPA 8330A/B: PETN, Picric Acid, Nitroglycerine,2,6-DANT, 2,4-DANT. EPA 8270D: 1-Methyl naphthalene, Di methyl nap hthalene,1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline,4-Methylphenol. SM4500: Soil: Total Phosphorus,TKN, NO2, NO3. EPA 9071: Total Petroleum Hydrocarbons, Oil &Grease. Mansfield Facility EPA 8270D: Biphenyl. EPA 2540D: TSS EPA TO-15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene;Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Methylnaphthalene. The following analytes are included in our Massachusetts DEP Scope of Accreditation,Westborough Facility: Drinking Water EPA 200.8: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI; EPA 200.7: Ba,Be,Ca,Cd.,Cr,Cu,Na; EPA 245.1: Mercury; EPA 300.0: Nitrate-N, Fluoride, Sulfate; EPA 353.2: Nitrate-N, Nitrite-N; SM4500NO3-F: Nitrate-N, Nitrite-N; SM4500E-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, SM2320113, SM2540C, SM4500H-B EPA 332: Perchlorate. Microbiology: SM9215B; SM9223-PIA, SM9223B-Colilert-QT, Enterolert-QT. Non-Potable Water EPA 200.8:AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn; EPA 200.7: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn; EPA 245.1,SM4500H,B, EPA 120.1, SM2510B,SM2540C,SM2340B, SM2320B, SM4500CL-E, SM4500E-BC, SM426C, SM4500NH3-BH, EPA 350.1: Ammonia-N, LACHAT 10-107-06-1-B:Ammonia-N, SM4500NO3-F, EPA 353.2: Nitrate-N,SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, SM4500P-B, E, SM52201), EPA 410.4, SM5210B, SM5310C,SM4500CL-D, EPA 1664, SM14 510AC, EPA 420.1,SM4500-CN-CE, SM2540D. EPA 624:Volatile Halocarbons&Aromatics, EPA 608: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB-Oil. Microbiology:SM9223B-Colilert-QT; Enterolert-QT,SM9222D-MF. For a complete listing of analytes and methods, please contact your Alpha Project Manager. Page 15 of 16 Serial No:08191412:36 ' ,:p:.•, yn. - .p.. .ice;. ,`S:".. I::.�.-..:.:�? pi:' Y Dat Rec'tl.in La1i:' s: ��..' �I s i -• CHAIN OF CUSTODY PAGE 1 OF ; : :. >:-_: • v ;I .1. �,�,5yF.. 9 .. .,:t .� _,}1. - - - - .•5,•.x.lac':�-:�:'-;..,. „i.�r•':� - M-� �a/� lProje -•• • • - - .. • . •FAX EMAIL.. ® Same as.ClientInfo PO#:10343Westborough,MA Mansfield,MA "'TEL:508.898'9220 TEL 508-822-0300 ct Name:Casa* Residence ]] ADEx ❑ Add']Deliverables FAX:508-898-91'93. FAX:5118.822-3288 Regulatory,Requirements/Report Limits Project Location:Osterville,MA State/Fed.Program: Criteria -- Client:Bennett Environmental Associates Pro-ect#:BEA1'I-10343 Address: 1573 Main Street/P.O.Box 1743 Project Manager:David C:Bennett Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706. Tur�n-Aroqnd Time ANALYSIS.. Fax:508-896-5109 "®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration: _ ❑T il:.sfarrenkopf@bennett-ea:com Ema ❑ Don® hesei samples have been Previously analyzed by Alpha' Due Date:g11��t y Time: ® Not Needed. ❑ Lab.to do Other Project Specific Requirements/Comments/Detection:Limits: Preservation • . ❑ Lab to do (Please specify. p below) m ei. .. ;ALPHHLab ID : :' Sample ID Collection Sample Sampler's Z: (Cali„yse gliiy)r"; Date Time Matrix Initials Z sampie spacifie . `. Z f. 1..: comments Effluent l ��.. �� :lam WW... ® ® ® ❑ ❑ 1.0 ❑ ❑. ❑ ❑. 3 . "'t ❑ El ❑ ❑ ❑ ❑ Cl ❑ E. ❑ ._.. El f,n 71 .,•Rt.gain;,' ?:7.5 _ El L1 El ❑ El El El ❑ 3 Container TypeP P P Preservative o 0 D - - armplesyan 11,1161 mend c�on;pt�tely Relinquished DateTme Received By: . DatelTme.. a$ ond;t ine.cffi.,'lllfi6l< , G a� - � ta: ifFah;enyambiglt,ties';aier;;. 0 1 '�� hC �'.( 1 2+�� '. esoed:."Albs`aiitplsS'k".;: `.. i bsutiinittLi 1 ed:ate;sptije FORM Ro:ot.oisaun D Alptis;PaymeritTerms:;.:r?r:'. _ j;� �e :::a'�:..�s.:'•:� Page 16 of 16 EXCERPT FROM THE BOARD OF HEALTH MEETING ON 9/10/2013: I. I/A Monitoring: Bennett Environmental Associates representing Arthur and Patricia Casavant, owners - 61 Falling Leaf Lane, Osterville, requesting reduction in O&M requirements. Samantha Farringcoff, Bennett Environmental Associates, said the owners have a general use approval Omni Recirculating Sand Filter System which has been in place since 1999. They have completed 10 quarterly results with Bennett Environmental. The system receives only about half of the design flow. At this time, the low flow actually results in a nutrient load which is less than what the system should be outputting at its design flow. Samantha stated the intent of the system to reduce the nutrient load to the environment is sound for this system. She also noted that the owners have been very diligent about the upkeep of the system. Mr. McKean said Karen Malkus has reviewed the results and came up with a few high numbers which bring into question whether the system is working correctly. Mr. McKean wishes to continue with the testing. Mr. McKean also noted that the owner's letter on 3/5/12 said that they spent close to $1OK. Samantha said the two tests done this year were good and kept the parameters in the correct range. Last September's test stood out has been high and may have been due to the much lower water usage during the past year. Options were discussed including a 2 bedroom deed restriction until the house is sold to ensure the system continues to work with the reduced water flow. Once a new owner is in, the Board would evaluate how the test results come in with the new owners as they may have a water demand more in line with the design of the system. Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board voted to reduce the testing to twice a year for the next year and returning to the Board in September 2014 to see if they were good ones at which point the Board will consider a permanent reduction to twice a year. (Unanimously, voted in favor.) C:\cache\Temporary Internet Fi1es\0LK7F\Excerpt BOH Sep 213 61 Falling Leafdoc �VKE 1Q� Barnstable Town of Barnstable. & eriea e'i UN9rABLF MASS ,�� Board of Health Ar fo 3�a 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M:D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi September 12, 2013 Ms. Samantha Farrenkopf,ES, WWTO, PWSO Wastewater Program Coordinator Bennett Environmental Associates, Inc. 1573 Main Street, P.O. Box 1743 Brewster, MA 02631 RE: Sampling-of Wastewater Effluent from your Innovative/Alternative � Gqll 51 Falling Leaf Lane, Osterville MA Dear Ms. Farrenkopf, You are granted permission, on behalf of your clients, Arthur and Patricia Casavant, to reduce the frequency of sampling and monitoring of the wastewater effluent from the onsite sewage disposal system consisting of innovative/alternative technology at 61 Falling Leaf,Lane, Osterville, MA. A public hearing was held before the.Board of Health on September 10, 2013. The Board has received your letter dated August 5, 2013. This permission is granted with the following conditions: ❖ The wastewater effluent shall continue to be tested twice per year. ❖ Operation and Maintenance Inspections shall be conducted on a regular basis in accordance with MA DEP Regulations. ❖ You shall present the results of the wastewater effluent sample tests to the Board in one year from now, sometime during mid-September 2014. If the results are not within the allowable limits, the Board will determine whether to restrict this property to two bedrooms maximum or to require the installation of a replacement I/A or S.T.U. system. Sincer , W e iller, M.D., Chairman B A OF HEALTH Q:\WPFtLES\casavantIAMonitoringReduction2013.doc El�N ET �' ENVIRONMENTAL.As,sociA'�'lES ffNtoR 9 LICENSED SITE PROFESSIONALS 6 ENVIRONMENTAL SCIENTISTS ® GEOLOGISTS ® ENGINEERS 1573 Main Street-P.O. Box 1743,:Brewster,MA 02631 c 508-896-1706 b Fax 508-896-5109 www.bennett=ea:corn a ; BEAI I-10343 August 5, 2013 Mr. Thomas McKean, Director Barnstable Board of Health 200 Main Street Hyannis, MA 02601 `O RE: REQUEST FOR REDUCTION IN OPERATION AND MAINTENANCE 61 Falling Leaf Lane.- Osterville, MA ' Dear Mr. McKean, C_ BENNETT.ENVIRONMENTAL ASSOCIATES, INC. (BEA) is providing this letter at our client's request for a reduction in the operation and maintenance requirements for the above referenced OMNI -Recirculating Sand Filter innovative/alternative septic system, permitted for General use with Nitrogen Reduction Requirements. According to our records, the quarterly operation and maintenance event completed in March 2013 represented the eighth quarterly , event performed by BEA for the system,satisfying.the requirement that eight quarterly operation and maintenance events be performed:at a system prior to reviewing the applicability of granting a reduction in operation and maintenance. The Alternative Septic System is designed for 3 bedroom flow (330 gpd), though it is noted that the home is occupied only by:two residents and on average only about half the design flow.is actually experienced based on water usage records. At design capacity and using a total nitrogen concentration of 19 mg/L, noted as the. discharge permit limitation for the system, a total nitrogen load of 0.0523 lbs of total nitrogen would be discharged by the system. While actual treatment of total nitrogen has primarily been greater than the 19 mg/L discharge limitation, it is noted that due to the significantly lower water usage, actually loading rates are lower than those rates designed and approved as acceptable for the system approval. In 2011, an average water usage of 167 gpd and an average total nitrogen. concentration of 33.84 mg/L is equivalent to a load of 0.0471 lbs, while in 2012 an average water usage of 142 gpd and an average total nitrogen concentration of 36.48 mg/L is equivalent to a load of 0.0432 lbs. While water usage rates for the year to date were unable to be provided by the Barnstable Water Department, it is noted that the average total nitrogen concentration for 2013 to date is 17.75 mg/L. Simply stated, at 50% of the design flow, the system does not provide treatment efficiency to consistently meet the 19 mg/L nitrogen standard, though based on the total nitrogen loading rate the system is providing a greater degree of protection to the environment than if it was operating at full design flow and reducing total nitrogen consistently to 19 mg/L. Despite the owner of the system being a retired veteran on a fixed budget, Mr. and Mrs. Casavant have diligently invested in improvements and repairs toward the upkeep and proper operation of the system. EMERGENCY SPILL RESPONSE WASTE SITE CLEANUP 6E ASSESSMENT Q PERMITTING SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE ® WASTEWATER TREATMENT,OPERATION&MAINTENANCE y ..! - .. 1 AUGUST 5,2013 CASAVANT/BEA10-10343 PAGE 2 OF 2 ALTERNATIVE SEPTIC SYSTEM REDUCTION REQUEST All inspection reports and laboratory analysis conducted for this system under contract by BEA have been filed on the MA Septic database system as required. As such,at this time BEA would like to request that the Board of Health issue a determination as to granting a reduction to the minimum operation and maintenance allowable by the Town and State. We appreciate your review of this information and look forward to working with. the Health Department in determining the appropriate inspection and sampling schedule for this property. If you have any questions or require additional information, please contact David Bennett or me at your earliest convenience. Yours very truly, BENNETT ENVIRONMENTAL ASSOCIATES, INC. Samantha Farrenkopf;ES, WWTO, O Wastewater Program Coordinator cc: Brian Baumgaertel—Barnstable County Department of Health and Environment Arthur Casavant, Homeowner David C. Bennett, President [internal] Zj- N C iz�L 1C�21-, C-lrl l 2- - i To Serial No:01251205:30 Project'a.,ame: CASAVANT Lab Number: L1200932 Prpject Number: BEA11-10343 Report Date: 01/25/12 SAMPLE RESULTS Lab ID: L1200932-01 Date Collected: 01/18/12 08:00 Client ID: EFFLUENT Date Received: 01/18/12 Sample Location: BARNSTABLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Nitrogen,Nitrite 0.33 mg/I 0.05 - 1 01/19/12 18:41 44,353.2 JO Nitrogen,Nitrate 26 mg/I 0.50 - 5 01/19/12 19:07 44,353.2 JO -------- --._...... - -- --- -.._._._....,..--.—._.--------.__._. -- - - — - -- ----- ---- --- --- ---- Nitrogen,Total Kjeldahl 7.1 mg/I 0.30 -- 1 01/19/12 14:00 01/23/12 21:20 30,4500N-C AT HA Page 5 of 17 Serial_No:01251205:30 0 , r Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 4 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemis`try.-Westbor gh,Lab.forWsample(s): 01 Batch: WG— 14384=1 Nitrogen,Total Kjeldahl ND mg/I 0.30 — 1 01/19/12 14:00 01/23/12 21:15 30,4500N-C AT General Chemistry-Westborough Lab for,sample(s); 01 Batch: WG51447M- Nitrogen,Nitrite ND mg/I 0.05 1 - 01/19/1218:21 44,353.2 Jo General Chemistry:-Westborough L"ab. for,sample(s): 01 Batch:. WG514474=2' Nitrogen,Nitrate ND mg/I 0.10 — 1 - 01/19/1218:23 44,353.2 Jo Page 6 of 17 I - Serial No:04031214:11 Project lame: CASAVANT.RESIDENCE Lab Number: L12O51547 Project Number: BEA11-.10343 Report Date: 04/03/12 SAMPLE RESULTS Lab ID: L1205154-01 Date Collected: 03/26/12 08:30 Client ID: EFFLUENT Date Received: 03/27/12 Sample Location: OSTERVILLE,MA Field Prep: . Not Specified Matrix: Water Dilution Date, Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry=Westborough.Lab Solids,Total Suspended ND mg/I 5.0 NA 1 - 03/30/12 14:45 30,2540D DW Nitrogen,Nitrite 0.26 m /I 0.05 1 03/28/12 00:15 44,353.2 TH Nitrogen,Nitrate -_-_24 _--_— mg/I _ 0.50 _ -- 5— - 03/28/12 02:06 44,353.2 TH Nitrogen,Total Kjeldahl--_ 5.4 -_- - mg/1—. 1.5 — 5 03/30/12 12:30 03/30/12 20:16 30,4500N-C JO BOD,5 day 8.7 mg/l 2.0 NA 1 03/27/12 21:50 04/01/12 15:00 30,5210B DB FAA Page 5 of 17 Serial No-0912121.6:46 — Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 SAMPLE RESULTS Lab ID: L1215775-01 Date Collected: 09/04/12 08:45 Client ID: EFFLUENT Date Received: 09/06/12 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended 21 mg/I 10 NA 2 09/11/12 10:45 30,2540D DW Nitrogen,Nitrite 0.05 mg/1 0.02 — 1 09/06/12 14:56 .30,4500NO2-B ML Nitrogen,Nitrate 0.11 mg/I 0.10 -- 1 09/06/12 22:39 44,353.2 DB Nitrogen,Total Kjeldahl 54 mg/1 0.30 -- 1 09/07/12 13:57 09/11/12 20:10 30,4500N-C AT BOD,5 day 42 mg/1 12 NA 6 09/06/12 18:56 09/11/12 16:45 30,5210B SL A. :L�Li?HA Page 6 of 19 40A 9 �sz�rca �� -��_ N - - i - - A IIY3O,✓A��ss�,��y/Q BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/18/13 BEAI I-10343 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑X Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(December 2012;March,June and September 2013) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(December 2012;March,June and September 2013) 1 12/14/12 Alpha Analytical Laboratory Report 1 1/29/13 Alpha Analytical Laboratory Report[Resample] 1 3/11/13 Alpha Analytical Laboratory Report 1 6/11/13 Alpha Analytical Laboratory Report - 1 9/16/13 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Forms,OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklists and laboratory analytical reports for operation and maintenance conducted during this reporting period at the above referenced property. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Casavant,Property Owner David C.Bennett,Principal[Internal] Matthew Costa-OMNI Environmental Systems,Inc. [via email] FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once t I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 . use the return key. city Zip Mailing address of owner, if different: �I Street Address/PO Box: . wem City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No- D. Operating Information 12/7/12 9/4/12 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ® turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 3.50 mg/L Turbidity 38 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN 0 Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the-time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use-by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A . Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: Gaon City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. 0&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 3/5/13 12/7/12 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.5 SU DO 3.0 mg/L Turbidity 11.17 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature i Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use_by March 31th of each year for the previous 12 months General Use—by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: ream City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: E General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence used less than 6 mo./year: ❑ Yes E No D. Operating Information 6/4/13 3/5/13 Inspection Date Previous Inspection Date 5" Sludge, 1" Scum Pumping Recommended ❑ Yes E No Sludge Depth(to be checked yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ❑turbid ® Other(specify): Cloudy Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some 7.0 SU 2.0 mg/L 33.1 NTU PH 6 to 9 D� 2 or greater Turbidity 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken.: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: Effluent quality passed field testing parameters. t5aiom.doc•rev.11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t5 Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: Street Address/PO Box: renen City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip .(508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 9/9/13 6/4/13 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 4.0 mg/L Turbidity 2.75 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory.analysis. Notes and Comments: Effluent quality passed field testing parameters. t5aiom.doc•rev. 11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. Vam a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed:. Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 1\J nv rya �r?t l,Sys Qrns,Inc.. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information Facility Street Add ess Date f Se ice M IN City Operator/OU Firm C 00 System Startup Date Weather Condi ons B. Septic Tank i 1� �� - �v. cs��. �� I t ( 1Z. vk�'k Sludge Pumping Required: Yes❑ Nok� ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ NoVI If yes,inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note.the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler, if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank �� r �, n��S �,< x�Y �'� �` LA` 1Z �" V'�S`� ❑Check if sludge accumulating Pumping required: Yes❑ NdA problems: Yes❑ No�Odor p If yes,description Effluent tee filter: Yes❑ No U If yes,inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. fD. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes,inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: JE. Pump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate, corrective actions need to be taken. i i F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Test pump alternator,or record hours Is �\S (cA� (01A -hI(S { Yh,y-1 WFloat Hrs of operation switchesCheck all switches for operation V,Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ NCX Clean bed: Yes❑ NON , Distribution pipes Flush:Yes❑ No Brush: Yes El Any obstruction of airflow to filter modules: Yes❑ No If Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes No❑ If yesWBOD�TSS ❑pH WTNOther �O� t'IJQs3 ) I t'o All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: oQ over; `11 .(30 Clis ' C.C. �„�,,r, ��,.•,,�P`� w �� E 4�,"�I s� . •P �0 V) — '3, w� v�.R. C)�0�3,SC\C� AID. - I S 0 NNE ��v�rorrl��tz�'Systems,��e: OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service I formation 1 Facility Street Address U Date of Service , City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ N�$ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ N If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank s1v �. � 5 "�ti^ �'` 0 ❑Check if sludge accumulating Pumping required: Yes❑ No% Odor problems: Yes❑ No❑ If yes,description Effluent tee filter: Yes❑ Ndo If yes,inspect❑&clean at least yearly❑ If the sludge layer is greater than 4 request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: �J f� E. Pump Chamber/Vault(if Installed) ❑ Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats,Alarm System Pump Inspections(all units) If problems,describe �4Test pump alternator,or record hours -L-7 &C ccx) 9 vv:-,v, Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding 6A Ponding Present:Yes❑ No Clean bed: Yes❑ N Distribution pipes Flush:Yes❑ Nox] Brush: Yes❑ NOA Any obstruction of airflow to filter modules: Yes ElNo&If Yes,explain below(i.e.snow, dirt) { To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes M No If yes MBOD�(TSS ❑pH ❑TN NOther N"', , z 3 All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: op CIO tJ°z c� N -3 '�k 7i��T . 01�`ll r J f e-i Env*ronnentar 5ystens, OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information (A Lk\ Facility Street Add r ss Date of Service . \ - jaz w•.�� SS Ala -cy City Operator/O&M Firm �- System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ N6f,%K' Sludge Depth:S Scum Depth: 1 Effluent tee filter: Yes❑ N0�4 If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. u� C. Recirculation Tank 3 NE�L Check if sludge accumulating Pumping required: Yes❑ NoZj Odor problems: Yes❑ N64 If yes,description Effluent tee filter: Yes❑ No�, If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes ❑ No❑ ❑Sludge Depth: ❑ Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System QXPump Inspections(all units) If problems,describe Test pump alternator, or record hours 3-170 to !w o^ Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") f�Inspect for ponding / Ponding Present: Yes❑ No IN Clean bed: Yes❑ No Distribution pipes Flush:Yes❑ No(N Brush: Yes❑ No o .Any obstruction of airflow to filter modules: Yes❑ No If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yes No❑ If yes: BOD%kTSS ❑pH WTN WOther All samples are to be taken from the manifold located in.the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: Q`�S` ._ V6;c ��'� �. EavxronvieWcif'SyVe.ms,Mc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation &Service Information 1A OVr�� v3 Facility Street AddrekA Dat'of Arvice 135-�e-tY� N�� Vic'. `5� A� - City Operatod0&M Firm System Startup Date Weather Conditions B. Septic Tank �J� �"�� ` ',r• ©�• b�� 13 Sludge Pumping Required: Yes❑ Not; ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ Nt If yes,inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. \ C. Recirculation Tank 5V3N1& �Q (AkA 13 ❑Check if sludge accumulating Pumping required: Yes❑ Nt Odor problems: Yes❑ No%K If yes,description Effluent tee filter: Yes❑ NtV4 If yes,inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. \-Av D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes,inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps,Switches, Floats,Alarm System Pump Inspections(all units) ��v//��, If robtems describe Test pump alternator,or record hours urs f() _- (C. Z Q t h,- Z inn Ft Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ N �rvClean bed: Yes❑ NOW Distribution pipes Flush:Yes❑ N Brush: Yes El Nc� Any obstruction of airBow to filter modules: Yes❑ N If Yes,explain below(i.e.snow,dirt) To inspect the condition of the filter modules remove the mulch layer at one comer of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it Is suggested to completely expose the filter modules,and rake the filter beds thoroughly;then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection YeSW No❑ If yes:V130D KTSS ❑pH t4TN VOther 1V j��i. All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup Into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: %,4 U :�s v f r CS¢r i� 1 3 Serial—No:12141212:19 ANALYTICAL ANALYTICAL REPORT Lab Number: L1222225 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)89671706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 12/14/12 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(L2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 18 Serial—No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Alpha Sample Collection Sample ID Client ID Location Date/Time L1222225-01 EFFLUENT OSTERVILLE, MA 12/07/12 08:35 Page 2 of 18 /!- Serial No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC;for ail NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated mth an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated.but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 12/14/12 Page 3 of 18 '�� Serial—No:12141212:19 INORGANICS MISCELLANEOUS Page 4 of 18 f Serial—No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 SAMPLE RESULTS Lab ID: L1222225-01 Date Collected: 12/07/12 08:35 Client ID: EFFLUENT Date Received: 12/07/12 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Ghemi§try�jWestborough Lab:M Solids,Total Suspended��94^ _ mgA 30 NA 6 - 12/13/12 15:45 30,2540D DW Nitrogen,Nitrite ND mgA 0.05 -- 1 - 12/07/12 21:39 44,353.2 DB -- - .-.. --- _.__ _.._,... .... ......... . ._........ ..... ..... . ........ ........ -------- - Nitrogen,Nitrate 0.22 mg/I 0.10 - 1 - 12/07/12 21:39 44,353.2 DB ------------ ----- ----- -........ --- -..............- ---.....-.. - --.._............... ................._...--- ... — ...._.............-..-..-. -------,_...............- ---------....- Nitrogen,Total Kjeldahl 44 mg/I 0.60 - 2 12/09/12 14:50 12/10/12 18:33 30,4500N-C AT BOD,5 day 120 mgA 30 NA 15 12/07/12 23:10 12/12/12 15:20 30,5210E SE Page 5 of 18 Serial No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Generaf,Chemis ry;-VUestbo'r uo gh,Lab fonsample(s) ,01. Batch: ,WG578184=1a N ♦n..r_.rvro� ..... w'..,.._..'.. ...w:..a....,..J"u r._.w:9 Nitrogen,Nitrite ND mgA 0.05 - 1 12/07/12 21:04 44,353.2 DB General Chemis ry Westbo uor gh Lab for sample(§) 01 Batch WG578185 1 Nitrogen,Nitrate ND mgA 0.10 -- 1 12/07/12 21:09 44.353.2 DB General.Chemistry `Westborough'Lab for sample(§) 01 Batch: WG578199=,1j �'r� - � A BOD,5 day ND mg/I 2.0 NA 1 12/07/12 23:10 12/12/12 15:20 30,521013 SE ...._...-......._�...-.... �,,..t,,..-�.......,«,-;-,.....9-.. _......: .. ..... v,...., , ., .,..R General Chemistry Westborough Lab for'sainple(s) 01 Batch. '.WG578292=1' Nitrogen,Total Kjeldahl ND mgA 0.30 1 12/09/12 14:50 12/10/12 18:21 30,4500N-C AT General Ch emistry Westborou gh L'ab for sample(§) 01 Batch WG579207 1 Solids,Total Suspended ND mgA 5.0 NA 1 - 12/13/12 15:45 30,2540D DW ........... ..._ . .. .......... ............... ... _..._- ......... ... ............ hie Page 6of18 Serial-No:12141212:19 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits -�., ,..�,.��.. General Chemistry=°,Westb'orough,pLab A"ss"oclated.,sample(s) `01 n.Batch �WG57Y8.184 2' '-=i _ -. . y Nitrogen,Nitrite102: - 90-110 - 20 General Chemistry'='Westbo_roughs;Lab Qssorciated samples) 01:. Batch: WG57t8.185 2 Nitrogen,Nitrate 90-110 - a, .' �t�:-_c ,..,r-e.:-;'. �,,._.�., y,�....-_.y _,-_,+:-- •._`._. __ - _ _ _ _ raLChemistry=Westborough Lab -A ssoclated,sample(s):::01 Batch WG5781:99 2- F Gene .aa BOD 5day 100I 85115 _ 20 _._..__ - _ _ .._....._.... _w_, _ - ... _._......._.. --. _ .... .....—.__-. .... -- ..____ ._... -... _ ..._...__._ __ _. ..... ._. ... --- ..__..._.._. F . General Chemist ry-,Westborough Lab ,Associated sample(s)�01 BatchW.G57.. 8292 2{ .�.... gym_. .- . _ .� .. .� _ _. _ � , ., Nitrogen,Total Kjeldahl 90:' - 78-122 - Page 7 of 18 ti� Serial No:12141212:19 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Native MS MS MS MSD MSD. Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits GeneralAGhemistry-Westborough LabAssociated;sample(s).: 01 QC;BatchalD WG578184 4 ,,w,QC.Sample: L1222200P0.8 Client ID:;`MS Sample Nitrogen,Nitrite 0.60 4 4.6 100 - - 80-120 - 20 • ,�"r-r- • _..r--.-..�,-.' tom-.`.'=+ --n.-=*F..'.--�'.�--:� -;--��rv=-^��.�---'...-.....�.-�...�,...._. ..=.e,-�..�..�.�,._....,:.....q.4.....__>.. y..., _.�,�.,. ......._-...-�....�...r. . _ ,__�..:,- General Chemistry-Westborough,Lab°Associated'sample(s): 01` -QC Batch.ID 1NG578185, 4:- QGSample:::L.1222200-08: Client ID: MS.?Sample _ . Nitrogen,Nitrate 2.8 4 7.0 83-113 - 6 _........ __.. ...._..... ...... - ..__ ... _- ...... . ... .. .._. ...... - _.._....... ............-.-. -+w•sw.r ra«. `"3°^5^�' °3P,-""-'�-Ti"' ... eY. .. j 'r-r-General+Gliemistry<;-;.W.estboroughsLab"Associated;sample(sj;01": QC.Batch ID: WjG578199-4P: QC Sample: L1222187,_-01 Client ID :MS.'.Sam ,le; , r p BOD,5 day ND 100 130 r-771257.: 4, - - 50-145 - 35 .--... ..,.y,.,,.._ y,„ C-.:..,A..,,-.v+w ...r.':e+ryl.�- - _..�.-,< r+...-.w.'.xw..-.�^-s GeneraltChemistry.-Westborough Lab Associated samples) 01 QC,Bat�ch D WG578292-4 QCtSample: L1222.1y87-01r Client ID ;MS'Sample 5 Nitrogen,Total Kjeldahl 1.2 8 8.1 =86" - - 77-111 - 24 Page 8 of 18 Y L HA .Serial—No:12141212:19 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General`G i6 iist ,Westborota h1Lab:rAssoci ted In I ._� ,. - _ry g a ,sa- p e(s):;01 QC6BatcHAD, WG57.8,184 3. QC..Sample: L1222200 0.8-SCllent ID ;D_UP Sample = .. o.�. .., . ... _.W Nitrogen,Nitrite 0.60 0.60 mg/I :0 20 .-,sr,.ms-�n-"RK-:-•�:� r .�n*:tea-�,a.. ;.•,..;..,. p,.,.w.,�...w.,.,q,.,...�+, ,^-'ry'.'y-.w.,�.....M:.;....,:�....y.,�s... y�.�,: .r�.„».-•K.y.r....w!-. "^-s,�nx:�s.w�,..;,...:r: - Gen re a6dremist Westborou h Lb Assoclated`sam le s 0, QC:yBatch ID WG578185 3'-;QC Sam le 'L1222200=08:'Chent ID.: DUP=Samp le Nitrogen,Nitrate 2.8 2.8 mg/I "0 " 6 ..... ------- __.__.. --- ...___,.... .. ............ ............ .... ........... �4-^S.T,T -r�.� -.s�.�-T 3•'..�...w-�-.�-•—�®-- - - _ - - a� -f General Chemistry Westborough,Lab Associated samples) . 01 QGBatd=lD WG5781.99-3; ,QC.Sample. ,L'1,2221:95 01 Cllent-vLD.: DUP_ Sam le s BOD,5 day 71 65 mg/I ". 9�"" 35 , ., •: <+�. ..,. , _ ?�•-=-^�r...,.. ..�, ..„,...�,,....� ..�,..,..� ...—.. a,.�--' �+r.:«w.:.� .,. General Chemistry, Westborough>Lab Associated sample(s). '01 QC Batch-.ID °WG578292 3 ;QC;�Sample: L1222187=01 :ClienVID DUP"Sample " Nitrogen,Total Kjeldahl 1.2 1.2 mg/I 24 * ... _; '�"`�y'yr-,�.-..........,,. ..,....,...,,,..,�...".;e..p,...,..-.-„-.,-,a.,..,_, -....,_....-�r•-a.+easrYw+.+« �H-�.........,,,r,._-.r�•-»rir »r+ - -_ ^s-.:�..�.. 3.,.wy.,.,..,�..<_�:... rY :.. 9, p O._ •' , p - FLUENT = ...G��enal Ctimist �Westbo�,_rou h�LabAssoclatedsam le s.: 01. QC.Batch ID WG579207, 2, �QGS.am le:.�L1222225„0� 1 Client ID�EF,,��,A �� Solids,Total Suspended 94 91 mg/I T-3-7-1 20 Page 9 of 18 HA �,. .. Serial No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1222225-01A Plastic 1000ml unpreserved A 7 3.3 Y Absent TSS-2540(7) L1222225-01B Plastic 1000ml unpreserved A 7 3.3 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1222225-01 C Plastic 250ml H2SO4 preserved A <2 3.3 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days 6 Page 10 of 18 i Serial.No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts.of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC -Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily.designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab`contaminants)in the associatedmethod blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,eo-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported Report Format. Data Usability Report Page 11 of 18 Serial—No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 Data Qualifiers due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report IiA Page 12 of 18 i Serial—No:12141212:19 Project Name: CASAVANT RESIDENCE Lab Number: L1222225 Project Number: BEA11-10343 Report Date: 12/14/12 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time.and splitting of samples in the field. Page 13 of 18 Serial-No:12141212:19 Certificate/Approval Program Summary Last revised August 16,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2,Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide (EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coll. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium(SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters:Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert (SM9223 Enumeration), HPC-Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum, Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA=EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM921513, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C,4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters:504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM2320B, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 624, 625, 8081A, 8082, 8330, 8151A, 8260B, 8270C, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil(Inorganic Parameters: 9010B, 9012A, 9014A, 9030B, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Orqanic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330, 8151A, 8081A, 8082, 3540C, 3546, 3580A, 3630C,5030B,5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM922313; MF-SM9222D.) Page MRfAable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Serial-No:12141212:19 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 52201), EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM25401). Organic Parameters:(EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractablles and SVOC Base/Neutral Extractables), 600/4-81-'045-PCB-Oil, Microbiology Parameters: (ColilertQT SM922313; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID: 200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 92226, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F,2320B,2510B, 2540C,4500E-C, 5310C,2120B,EPA 332.0. Organic Parameters;504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM92221), 9221 B, 92226; 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, SW- 846 6010B, 6010C, 6020, 6020A;7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9030B, 9040B, SM2120B, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D; 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260B, 8270C, 82701), 8330, EPA 624, 625, 608, SW-846 8082, 8082A, 8081A, 8081B, 8151A, 8330, 8270C- SIM,8270D-SIM.) Solid& Chemical Materials (Inorganic Parameters: SW-846 6010B, 6010C, 7196A, 7471A, 1010, 1030, 9010, 901.2A, 9014, 9030B, 9040B, 9045C, 9050, 9065,1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3630C, 5030B, 5035, 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330, 8151A, 8015B, 8015C, 8082, 8082A,8081 A,8081 B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAPAccredited. Drinking Water (Inorganic Parameters: SM922213, 9221 E, 9223B; 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8,. 245.1, 2540C, SM212013, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM52201), 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-27D, EPA 353.2, SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 25401), 2540G, EPA 120.1, SM2510B, SM25206, SM15 426C, 92221), 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B,8015C, 8081A,8081B, 8082,8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270,8015B, NJ EPH.) Solid & Chemical Materials (Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9040C, 9045C, 90451), 9050A, 9065, 9251. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3546, 3580A, 3630C, 5030B, 5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 92226, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM23206, EPA 300.0, SM2120B, 4500CN-E, 4500E-C, 4500NO3-F, 2540C, SM 25106. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 92221), 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM52201), 23.10B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B,. 2540D, EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM212013, LACHAT 10- 204-00-1-A, 4500CN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-13, SM5540C, EPA 3005A, 3015, 9010B, 9030B. Organic Parameters: EPA 624, 8260B, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 625, 608,8081A,8081 B,8151A,8330,8082, 8082A, EPA 3510C, 5030B.) Solid&Hazardous Waste (Inorganic Parameters: EPA 1010, 1030, EPA 6010B, 6010C, 7196A, 7471A, 7471B, 9012A, 9014, 9065, 9050A, EPA 1311, 1312, 3005A, 3050B, 9010B, 9040C, 90451). Organic Parameters: EPA 8260B, 8260C, Page 809, 030B,5035A-HI5035A- -SIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, 3546,3580, Serial-No:12141212:19 North Carolina Department of the Environment and Natural Resources Certificate/Lab ID :666. (Inorganic Parameters: SM2310B,232013,4500CI-E,4500Cn-E, 9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F,353.2, 4500P-E,4500SO4-E, 300.0,4500S-D, 5310B,531QC, 6010C, 6020A, 200.7, 200.8, 3500Cr-B, 7196A,245.1, 7471A, 7471B, 1311,1312. Organic Parameters:608, 80818,8082A,624, 8260B, 625, 82701), 8151A, 8015C,504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8,245.2, 300.0,332.0, 21206, 232013,2510B,2540C,4500-CN-CE, 4500E-C,4500H+-B,4500NO3-F, 5310C. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1312, 3005A,3015, 3060A, 200.7, 200.8,410.4, 1664A, SM25401), 52110B,52201),4500-P,BE,245.1, 300.0, 3501., 350.2, 353.2,420.1, 6010B,6010C,6020, 6020A, 7196A, 7470A, 901013, 9030B, 904013, Lachat 10-107-06-2-D, NJ-EPH, 21206, 231013,232013,234013, 2510C, 254013,2540C, 3500Cr-D, 436C, 4500CN-CE,4500CI-E,4500E-B,4500E-C,4500H+-B,4500NO2-B,4500NO3-F,4500S-D,4500S03- B,5310BCD,5540C. Organic Parameters: EPA 3510C, 3630C, 5030B, 625, 624, 608, 8081A,808113, 8082, 8082A, 8151A, 8260B, 8270C,8270D, 8330, 8015B, ) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 305013, 3060A, 601013, 6010C, 6020A, 7196A, 7471A, 7471B, 901013, 9012A, 9014, 904013, 9045C, 9050, 9065, SM 4500NH3-BH, 903013, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3630C, 5035, 80156, 8015C, 8081A, 80816, 8082, 8082A, 8151A,82606, 8270C, 8270D,8270C-SIM, 8270D-SIM, 8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476-09-1. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8, 245.1, 245.2, 300.0, 350.1,351.1,353.2, 410.4,420.1, 6010, 6020, 7196, 7470, 9040, SM 212013,2310B,232013, 2510B,25406,2540C,25401),426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO2B, 4500P-E,4500 S2 D, 510C,52106, 52201),5310C, 5540C. Organib Parameters: EPA 608, 624, 625, 8081, 8082,8151,8260,8270, 8330.) Solid.&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012,9014, 9040, 9045, 9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7, 200.8, 300.0,2510B,212013,2540C,4500CN-CE,245.2, 232013, 4500E-C,4500E-C,4500NO3-F, 5310C. Organic Parameters: EPA 504.1,524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A,200.7,2..08,245.1, 300.0, 3005A, 3015, 1312, 6010B, 6010C,3060A, 353.2,420.1, 6020,6020A, SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X, 7196A, 7470A, 9010B, 9040B, 2310B, 23206, 2510B, 254013,2540C,3500Cr-D,426C,4500CI-E,4500E-B,4500E-C,4500PE,510AC, 5210B,5310B 5310C, 5540C. Organic Parameters:,EPA 3510C, 3630C, 503013, 826013, 608,624, 625, 8081A, 8081 B, 8082, 8082A, 8151A, 8270C,82701), 8270C-SIM, 8270D-SIM,8330, ) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, 3060A, 3050B, 1311, 1312,6010B, 6010C,6020, , 7196A, 7471A, 747113,6020A, 90306, 90106,9012A, 9014 9040B, 9045C, 9050A, 9065. Organic Parameters: EPA 5035, 3540C, 3546, 3550,3580, 3630C, 826013,80156, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8270C, 8270D, 8270C-SIM,8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters:SM 4500H-B.Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 601013, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 904013,9010B, 180.1. 300.0, 332.0, 6860, 353.2,410.4, 9060, 1664A, SM 4500CN-E,4500H-B,4500NO3-F,4500CL-D, 52201), 5310C, 213013, 2320B, 2540C, 3005A, 3015, 9010B, 9056. Organic Parameters: EPA 826013, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 8330A, 8082, 8082A,8081A, 80816, 3510C, 50306, MassDEP EPH, MassDEP VPH.) Page 16 of 18 Serial-No:12141212:19 Solid&Hazardous Waste(Inorganic Parameters: EPA.200.7, 601013,6010C, 7471A, 6860, 1311, 1312, 3050B,7196A, 901013, 9012A, 904013, 9045C, 3500-CR-D,4500CN-CE,2540G,Organic Parameters: EPA 826013, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM,8330A/B-prep,8082, 8082A,8081A,8081B, 3540C,3546,3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix,SO4 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Page 17 of 18 . ..... ate ee'd�i'CHAIN12 n'La OF CUSTODY ��STDD T . Y �.PAGE t O F 1 ReportProject Information Westborough,MA Mansfield,MA •- - -' 0 FAx • .. :® EMAIL-. - ® Same as.Client in :. ..PO#:10343. CV TEL:508898 9220 rEL:soaszzaaao: Project_Name:Casavant Residence , . . ❑ ADF�c ❑ Add Deliverables � FAX:.508-899-9193 .FAX:508-822.3288 Regulatory Requirements/Report Limits Client Information Project Lticafion:Osterville;MA Stafe/Fed.Program Criteria Client:Bennett Environmental Associates Project#:BEA11-10343 m"Address:1573 Main Street/P.•O.Box 1743 Project Manager bavid C.Bennett. .:. Brewster MA 02631 Phone:508 896-1706 . Time Faic 508-896-5109 ANALYSIS . ®Standard: RUSH(ONLY.IF PRE-APPROVED) SAMPLE.HANDLING Email:sfarrenkopf@bennett-ea.com " F;irravon .. :.' .:. 0 Done ❑These samples have been Previously analyzed by Alpha-: Due.Date: Time: •.. - ., ,, ® Not Needed. :.. .. i]..Lab.tado :' ... Other Project.Specific Requirements/Comments/Detection-Limits: - Preservatfo'ri • ❑ Labtodo. QO (Afeasespecify im �:;ALPI fArLt';ID ';`.;' Sample ID : .Collection Samplers.. z' t. . 2 Lab U Date .Time Initials tA' Z . .. .. .:. Z. .:.N }_'. .: comments Effluent:..... :.:... ;�� 1. " }- .s :;..:...:... a..._ 71 x : JEl .- `P {: r' ❑ El ❑ El ❑ ❑ ❑ ❑ {� ❑ EF ... y. .r r= 17y . ❑ ❑ F ❑ .❑ ❑ ❑ o r:;:).,.- 9 .. .: .. - - , Container Type P: P ' ,P - .. " �':.„ :�;;,� ��... .. " Preservative A: - - _ _ _ _ _ _ Please,prio f,Elearly„Iegil7ly�`v'"O O ' •' ple ely�S d Ales�[, b9.�. ,an. ...... .. b �id;fime clo'eec will not= M Y:a,_bI _ Relinquish QateTme .. guitieS ale:'r: .. Y' a Received B . .. .. � Date�me-. 5 _ ..' MRMNo:0141(LHn : i I 1 's timttted are:snti elct to='ice p A 1 / !�'7�IPha s Paymerd.Tenns -r S e ri a l_N o:012 91312:53 IA HA �N A L Y T 1 C A L ANALYTICAL REPORT Lab Number: L1301316 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 01/29/13 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1301316-01 EFFLUENT OSTERVILLE, MA 01/21/13 10:30 Page 2 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can Abe reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. � aCJI Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 01/29/13 iA Page 3 of 18. �� Serial No:01291312:53 rjuRGA MISCELLANEOUS Page 4 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 SAMPLE RESULTS Lab ID: L1301316-01 Date Collected: 01/21/13 10:30 Client ID: EFFLUENT Date Received: 01/22/13 Sample Location: oSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General�Cliemistry..VVestboroughrLab. Nitrogen,Nitrite 0.07 mg/1 0.05 - 1 - 01/22/13 21:19 44,353.2 DB Nitrogen,Nitrate _ 0.84 mg/1 0.10 _ 1 01/22/13 21:19 44,353.2 DB Nitrogen,Total Kjeldahl 18.7 u mg/I 0,300 1 01/24/13 12:20: 01/25/13 19:02 30,4500N-C AT �t oii Page 5 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General,Chemistry Westborough Lab' for sample(s): 01 ,Batch WG586454 1 T.. , Nitrogen,Nitrate ND mg/1 0.10 1 01/22/13 21:07 44,353.2 DB GM - eneral Chem stry Westborough Lab for samples) 01 Nitrogen,Nitrite ND mg/I 0.05 — 1 01/22/1321:09 44,353.2 DB General Chemistry ,Westborough Lab for sample(s); 01 Batch WG586861 1 Nitrogen,Total Kjeldahl ND mg/I 0.300 — 1 01/24/13 12:20 01/25/13 18:50 30,4500N-C AT Page 6 of 18 Serial No:01291312:53 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits „ #,�•._. a.._....,.. :->....: -+s�� :^.•-.+r-'r o� ,,w �-..�.,..;.::,.M.�,�w.�.,�.....-e*�^^n•-w�-..,- r.- •.�^--. -•,..r.^..t-y..........�. e,.�.w^>yw$-e��.e �.�.+, -.+•.a. ..r y^.,.4,.,r. -,..,,- ,,.._ ^F;. w^-: ..-,�,, �r.-•rs^.,. General_Cf emist �Westborou h Lab -Assoclatedtsam le s 01 Batch WG686454 ,,... .v a.,pXb,'s Y;-� ...�dr..-..n'1-w.ye`..+'t h!r , - y. t. r .� .-a -c -... -s•?�+�.�.�a.b - ..J .,r _ ...r .n ....._ u.. .i .n .w....� .w.. «u.• { - .+'..t.xt;.n r Nitrogen,Nitrate Yr `102`'`"�" - 90-110 - . ...:.,.,.. r., .� 4,�,. ,._.s�r-.r+�.xf.:+*+•t-�..ww�r 'C.�^��r";'*^ate";�::.:w ✓.T.r >•ee-..,�..»• �s ;�'9' 1.' a+,..s.. >,w.�-r urn,m.+w�.�'+N!a'..£t' "Y: � `- 'tern:=-`r w� l % F� s F •.r -i Genecal�Chemistry��WestboroughFLab�sAssoclated samples) .01 ,�BatchWG586455 2 � Nitrogen,Nitrite 90-110 - 20 . General:.Chemist -.Westb:orou htLabAssoclated`sam le s 01 1Batch:;WG586861 2 h � ryr. 9 P � ) a ..•:r.!e:5,_.,.., sv,:>,._r...�.•t %^�: :- :�-:?�.�u'.r,_.:�z.,mrs.�z=s-?v...��v�*.i ��L_.qr.: •-1:.1 rvk, of �:>; - ..'!c.•..?F.6,r..:... Nitrogen,Total Kjeldahl `" r1 10 - 78-122 Page 7 of 18 Serial No:012913.12:53 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General;Chemistry-WestboroughµLab Associatedsample•(s) 01� QC°Batch,ID;.VVG586454-4 QG Sample L"130.1309-01 : Client ID MSSample :- Nitrogen,Nitrate 1.7 4. 5.7 97 - 83-113 6 ti .._...w _.-...a.. ._.- —.... �- �w-.wa s+v a.-..m rv�+- 'r -.fr.. -s.p .:. -. w err_v.- r.w. -. • -. ..s- .-�� _ Gerie[al Cliemistry ,Westborough Lab.`Associated"samOle(s) 01,E.QC-;Batch IDws;V1/G586455 4,: QC Sample L1301302-01 Client ID MS_Sample ,.. _. -. n Nitrogen,Nitrite ND 4 3.8 95 ": - - 80-120 - 20 Gene[al,Chemistry:-Westborough LaUAssociated=sample(s) 01F .„QC;Batch ID ;,WG586861=4 QC::Sample. L1.301302-051 ' Glient ID:;aMS Sample Nitrogen,Total Kjeldahl 1.12 8 7.18 77-111 - 24 Page 8 of 18 �;� Serial No:01291312:53 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits GerieralaChemist. 1Nestborou h rye - g L'ab' Associated samples) ,01 TQC;Batch ID >WG586 ,5 3.�:QCtSample L"1301309 01z,Cllent,ID DUP,Sample ? 7-1 Nitrogen,Nitrate 1.7 1.8 mg/1 07 - 6 -....General:Chemist u =Westborou h;ILab4Associate ..� , . P: aple 1a:TSma 3 ' 'DU mple ,L1: 1> ..., - Nitrogen,Nitrite ND ND mg/I --- Y 20 .,..-g-+.w.rww._.._.......1� '. 7F. r..r'rTR"'v3'! General_Chemist UVestborou h Lab=;Assoclated.sam le s :"01, g;QC Batch ID W.G586861,3<wQQC`Sample 'L1.30.1.302 01, Client ID zDUP Samples x ry g, n, , ate .. . a:_ .. _ Nitrogen,Total Kjeldahl 1.12 0.990 mg/I y 2", 24 Page 9 of 18 � Serial_No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1301316-01A Plastic 250ml H2SO4 preserved A <2 3 Y Absent TKN-4500(28) L1301316-01B Plastic 250ml unpreserved A 7 3 Y Absent NO2-353(2),NO3-353(2) *Values in parentheses indicate holding time in days Page 10 of 18 f Serial No:O.1291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L13O1316 Project Number: BEA11-10343 Report Date: 01/29/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL):The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC -Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable." RPD Relative Percent Difference: The results frommatrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 -The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section ofthe Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(I Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported Report Format: Data Usability Report Page 11 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 Data Qualifiers due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Lint for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE -Analytical results are from sample re-extraction. J -Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 18 Serial No:01291312:53 Project Name: CASAVANT RESIDENCE Lab Number: L1301316 Project Number: BEA11-10343 Report Date: 01/29/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the.Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental,consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation,cooling, containers, sampling procedures, holding time and splitting of,samples in the field. Page 13 of 18 Serial No:01291312:53 Certificate/Approval Program Summary Last revised December 19,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide(EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. -Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC (SM9222D), Fecal Coliform-EC Medium (SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert(SM9223 Enumeration), HPC-Pour Plate (SM9215B), Fecal Coliform-MF m-FC (SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters:504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM232013, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 6010C, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223B, 9222D. Organic Parameters: 608, 624, 625, 8081A, 8081B, 8082, 8082A, 8330, 8151A, 8260B, 8260C, 8270C, 8270D, 3510C,3630C,5030B, ME-DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014, 9030B, 9040B, 9045C, 6010B, 6010C, 6020, 6020A, 7471A, 7471B, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8270D, 8330, 8151A, 8081A, 8081B, 8082, 8082A, 3540C, 3546, 3580A, 3630C, 50306, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- CDibromooethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; Page ' lilF18�T SM9223B; MF-SM9222D.) Serial No:01291312:53 Non-Potable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI;Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 52201), EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE,SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC,gamma-BHC,delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables),600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM92236; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAPAccredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F,2320B,25.10B,2540C,4500E-C, 5310C,2120B, EPA 332.0. Organic Parameters: 504.1,524.2.) Non-Potable Water(Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8,245.1, SW- 846 6010C, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9010C, 9030, 9040B, 9040C, SM2120B, 2310B, 2320B, 2340B, 2540B, 25401), 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D; 4500S03-B, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260C, 8270D,.8330, EPA 624, 625, 608, SW-846 8082A, 8081B, 8015C, 8151A,8330, 8270D-SIM.) Solid& Chemical Materials (Inorganic Parameters: SW-846 6010C, 6020A, 7196A, 7471 B, 1010, 1010A, 1030, 9010C, 9012B, 9014, 9030B, 9040C, 9045C, 9045D, 9050, 9065, 9251, 1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 36201), 3630C, 5030B, 5035, 8260C, 82701), 8270D-SIM, 8330, 8151A, 8015B,8015C, 8082A, 8081B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAPAccredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM21206, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM21206, 2340B, SM4500E-BC, EPA 200.7,200.8, 351.1, LACHAT 10-107-06-2-D, EPA353.2, SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM251013, SM2520B, SM15 426C, 92221), 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 9040C, 3005A, 3015, EPA 6010B,_6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010C, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8011, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9030B, 1010, 1010A, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7.471B, 9010C, 9012B, 9014, 9038, 9040B, 9040C, 9045C, 90451), 9050A, 9065, 9251. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C, 82701), 8270C-SIM,8270D-SIM,3540C, 3546, 3580A, 3620C,3630C, 5030B, 5035L,5035H, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAPAccredited. Drinking Water (Inorganic Parameters: SM92236, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM212013, 4500CN-E, 4500E-C, 4500NO3-F; 2540C, SM 2510B. Organic Parameters: EPA 524.2,504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 92226, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1_, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E; 2540C, 2540B, 25401), EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1, 7470A, SM2120B, LACHAT 10-204- 00-1-A,4500CN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM 2510B, SM4500S-D, SM5540C, EPA 3005A, 3015, 9010C, 9030B. Organic Parameters: EPA 624,8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 625, 608, 8081A, 8081B,8151A, 8330,8082, 8082A, EPA 3510C, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, EPA 6010B, 6010C,7196A,7471A, 7471 B, 9012B, Page�J�AL18065, 9050A, EPA 1311, 1312, 3005A, 3050B, 9010C, 9030B, 9040C, 9045D. Organic Parameters: EPA 8260B, -SIM, 8270D-SIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, 8270C, 8270D, 8270C Serial No:01291312:53 3546,3580A, 5030B, 5035A-H, 5035A-L.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID:666. (Inorganic Parameters:SM2310B, 23206,4500CI-E,4500Cn-E,9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F, 353.2, 4500P-E,4500SO4-E, 300.0,4500S-D,5310B, 5310C, 6010C, 6020A, 200.7, 200.8, 3500Cr-B, 7196A,245.1, 7470A, 7471B, 1311,1312. Organic Parameters: 608, 8081B,8082A,624,826013,625, 8270D, 8151A, 8015C,504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters:Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8, 300.0, 332.0,2120B, 23206,2510B,2540C,4500-CN-CE,4500E- C,4500H+-B,4500NO3-F, 5310C. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(inorganic Parameters: EPA 120.1, 1312,3005A,3015, 3060A, 200.7, 200.8,410.4, 1664A, SM2540D, 5210B, 52201), 4500-P,BE,245.1, 300.0, 350.1, 350.2, 351.1, 353.2,420.1, 6010C, 6020A,7196A, 7470A, 9030B,2120B,2310B, 2320B, 2510B,254013,2540C, 3500Cr-D,426C,4500CN-CE,4500CI-E,4500E-B,4500E-C, 4500H+-B,4500NH3-H,4500NO2-B,4500NO3-F,4500S-D,4500S03-B, 5310BCD, 5540C, 9010C, 9040C. Organic Parameters: EPA 3510C, 3630C, 5030B,625,624, 608,8081 B, 8082A,8151A, 8260C,8270D,8270D-SIM, 8330, 8015C, NJ-EPH.) Solid& Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 3050B, 3060A, 6010C, 6020A, 7196A, 747113, 9010C, 9012B, 9014, 9040B, 90451), 9050A, 9065, SM 4500NH3-BH, 903013, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3620C, 3630C, 5035, 8015C, 8081 B, 8082A, 8151A, 8260C, 82701), 8270D- .SIM, 8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476.NELAPAccredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1,245.2, 300.0, 350.1, 351.1, 353.2, 410.4,420.1, 6010,6020, 7196, 7470,9040, SM 2120B,2310B,232013,2510B,25406,2540C,2540D,426C,4500CL- E,4500CN-E, 4500E-C,4500H+B,4500NH3-H,4500N0213,4500P-E,4500 S2 D, 510C, 521013, 52201),5310C, 5540C. Organic Parameters: EPA 608,624,625, 8081, 8082, 8151,8260, 8270,8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012, 9014,9040, 9045,9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7,200.8, 300.0,2510B, 2120B,2540C,4500CN-CE, 245.2,2320B, 4500E-C,4500NO3-F, 5310C. Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A, 200.7,200.8,245.1, 300.0, 3005A, 3015, 1312, 6010B, 6010C, 3060A,353.2,420.1, 6020, 6020A, SM4500S-D,.SM4500-CN-CE, Lachat 10-204-00-1-X, 7196A, 7470A, 9010B, 904013,2310B,232013,2510B,2540B,2540C,3500Cr-D,426C,4500CI-E,4500E-B, 4500E-C,4500PE, 510AC, 5210B, 5310E 5310C, 5540C. Organic Parameters: EPA 3510C, 3630C, 5030B,82606, 608,624, 625,8081A, 8081B, 8082, 8082A, 8151A, 8270C, 8270D, 8270C-SIM, 827013-SIM, 8330, ) Solid&Hazardous Waste(inorganic Parameters: EPA 1010A, 1030,3060A, 3050B, 1311, 1312, 6010B, 6010C, 6020, , 7196A, 7471A,747113, 6020A,903013, 9010B,9012A, 9014 904013, 9045C,9050A, 9065. Organic Parameters: EPA 503013, 5035, 3540C, 3546, 355130,3580A, 3630C,6020A,82606,80156, 8015C, 8081 A, 8081B, 8082,8082A, 8151A, 8270C, 8270D,8270C-SIM, 8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 60106, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 90406, 9010B, 180.1. 300.0, 332.0, 6860, 353.2,410.4,9060, 1664A, SM 4500CN-E,4500H-B,4500NO3-F,4500CL-D, 52201), 5310C, 21306, 23206, 2540C, 3005A, 3015, 901013, 9056, 7196A, 3500-Cr-D. Organic Parameters: EPA 82606, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 8330A, 8082, 8082A, 8081A, 8081B, 3510C, 50306, MassDEP EPH, MassDEP VPH.) li s� azardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 6010C, 7471A, 6860, 1311, 1312, 3050B, 7196A, Page��1�g(012A,904013, 9045C, 3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 826013, 8260C, 8270C, r Serial No:01291312:53 8270D,8270C-SIM, 8270D-SIM, 8330A/B-prep, 8082, 8082A,8081A, 8081B, 3540C, 3546, 3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene; Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons,Oil&Grease. Page 17 of 18 : . .:,. ... Seri _ o.01 1312,53 . . .. 'al N 29 n;�5<C� y" f �'.< lt'u i-.t'• rf 55 :� si• « ^.: i CHAIN OF CUSTODY :PAGE I OF, CdinL f•ALHA tI Reporta. Deliverables ❑:FAX. ® EMAI! ® Same as Client info' PO#;,0343 Westborough,MA Mansfield,MA Pro,ect.Name;Casevant Residence TF1:609-e9a-9220 TEL 50e-M-9300; .❑ ADEx ❑ Add'I Deliverables _ Regulatory Requirements/Report Limits Client Information Protect Location:Oster,rilla,MA .. State/Fed.Pro ram : Cnfeha Client:l3ennett Environmental Associates Project.#:BEA11A 0343 Address: 9573 Main Street/P.O.Box 1743 Pro ect Mana er.David C.'Beriiiett- E��j Brewster MA 02631 -ALPHA Quote#: i • . Phone:508-896-i706 . ' ...: _ _ ANALYSIS • { Fax.508-896-5109 ®Standard:' ❑'RUsit(ONLY IF PRE-APPROVED) SAMPLE HANDLING Fflfration j Erriali:.sfarrenkopf@bennett-ea.corn " p Done ' ❑These samples have been'Prevlously at IMd by Alpha : Due Date: p��l tme: ® Not Needed Q Lab.todo ... _ i Other Project-Specific Regtiirements/Comments/Detection:Limits: : ": preservorian • ' .. :... : o Lab to do (Please specify beloul AL�F1.AGIiIC Sample ID sample.:. Samplers.. Z.I:. {Lab:llsdbtilyj<x` Date Time Matrix Inliials Sample apec9i y. EfflnenE :, . ca Li . Ww. El El El 11 El C ❑ ❑ ❑ ❑ :. 1=79 ❑ P Container Type P - Preservative 0 . D ` PleOsepnMclearlyNpgUilji;.'•;�_i . ple5 Re li fished .. DateMrne ejved By I DateMme aro a iiSii3°dockvnlil`na€� We 1z AID §ubmi[Fed a1e'.dtYriliGttb< cf �! •� V'� YiZ /� i CIQ wwnN am-0t6+W g .._.✓ 'AIPha's:LayMarifkl;§tjn5, ,.:� Pagel8 of.18 Serial No:03111314:11 �1 HA A.fJQ LYTICAL ANALYTICAL REPORT Lab Number: L1303673 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 03/11/13 3 , The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-221.7),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.blphalab.com Page 1 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1303673-01 EFFLUENT OSTERVILLE, MA 03/05/13 08:15 Page 2 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction.is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Michelle M,Morris Authorized Signature: `� ►lN 'u"��'"fT Title: Technical Director/Representative Date: 03/11/13 L KA Page 3 of 18 =— Serial No:03111314:11 INORGANICS MISCELLANEOUS Page 4 of 18 Serial No:O3111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L13O3673 Project Number: BEA11-10343 Report Date: 63/11/13 SAMPLE RESULTS Lab ID: L13O3673-01 Date Collected: 03/05/13 08:15 Client ID: EFFLUENT Date Received: 03/05/13 Sample Location: OSTERVILLE,MA Field Prep: Not.Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended - 16 �.mg/I 5.0 NA 1 - 03/06/13 16:40 _ 30,25401) DW Nitrogen,Nitrite 0.08 mg/I 0.05 — 1 03/05/13 22:27 44,353.2 DB - - - .. . . . ........ ... Nitrogen,Nitrate 0.67 mg/I 0.10 - 1 - 03/05/13 22:49 44,353.2 DB Nitrogen,Total Kjeldahl 11.7 mg/I 0.300 -- 1 03/07/13 11:45 03/10/13 18:23 30,4500N C AT BOD,5 day 31 mg/1 15 NA 7.5 03/06/13 00:15 03/10/13 18:20 30,5210E SE 1)i-ti . Page 5 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCEIDENCE Lab Number: L13036 73 Project Number: BEA11-10343 Report Date: 03/11/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Generaf,Chemistry-Westborough.Lab for sample(s): 01; Batch WG593433.1: Nitrogen,Nitrate ND mgA 0.10 1 03/05/13 22:07 44,353.2 DB 01 h Lab G eneral Chemistry, We stboroug for s e ampl (s):. Batch; WG593434=1 . .. ,m._�.._.....4 ,.-.mow.._. .....,:W..,F ww ... -. ..�.._.._......... A..--...F.__o..m4..m....,n-..>..m•+.�aa_. .a.......k _ ......_ Nitrogen,Nitrite ND mgA 0.05 1 03/05/13 22:09 44,353.2 DB General Chemist Westtiorou fi L""ab for sam le s : 01' Batch: 1RG5934441' BOD,5 day ND mgA 2.0 NA 1 03/06/13 00:15 03/10/13 18:20 30,521013 SE �.....A..n.....+:�+17 ....-.- ..-' s.+,:.... ..ram.- -- ,r _...�.._.-..- _..._._w.. ,,... .. --.. -..,. ..._,. - General'Chemistry Westborough Lab forsample(s): 0! Batch: WG593501-1a . Solids,Total Suspended ND mgA 5.0 NA 1 03/06/13 16:40 30,2540D DW General Chemistry,-West—bor66—gh Lab f r sample tch:(5). 01, Ba WG593942-1 Nitrogen,Total Kjeldahl ND mgA 0.300 _1 03/07/13 11:45 03/10/13 18:03 30,4500N-C AT ... .. .......... ................................... ................_.... ......... .. .. .. .. _............._. _....... ................... ...... _..._ ._..... .......... I\FHA Page 6 of 18 Serial No:03111314:11 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits .,,m",P:�,. .r._,,.,�. :-�yy7�+w-,. ..:.;^,,'r...«^".,r�,sy .zy:"' ".,'..A..=-• �,.�.;,.�...�.*+�.1..�...••k, , - �.....��rxs-.-as- - ,r --•_ �s� ., :; �.—.;;a 7 General Chemistry:-,Westboroud"h Lab -Associated.sample(s):.01 Batch:WG593433-, ' � '' " s..-n..rr_�r '"_'.' ., _ � '�Jro�- -s•- w+.�� - Nitrogen,Nitrate 90-110 - h Genera C ,nmisct*firyx^..°-W�,+.e� s.t.b'._o ibu gh-*r,r-L-r,a.rb ' B.asc�:-.,W.,ar G59 i34>34,..-..2. Nitrogen,Nitrite "100 - 90-110 20 ' -. .,,.>. -� ;*r�-��-: .: ...x - . GeneralChemistry='Westborough"Lab- Associatetl sa'mple(s)°01 ,Batch WG593444 2` - .� <w BOD 5 day 93 85-115 - 20 c»�--"s^,'^ r:��a.- •..�-.+ns�•��::� v ..�+,.?w-��*+ �<-�b..� .; �:..�,..,� .�. w,'°^c� fir_-;ti'"*"^.��:"�,^:s�? �y�w,.:-fin ,�, -� •�,.w�m.,�:s,� .:✓•r^�. �:� �y General-Chemistry--,VVestboro�ugh�Lab.Associatetl sample(s):_01. _Batch.yWG59 44r- ,L _ r . Nitrogen,Total Kjeldahl •-_, 96 .� - 78-122 - Page 7 of 18 /LLLHA Serial No:03111314:11 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits Gerieral�Chem�try':==Westborough Lab:Associated sample(s): 01_ .QC,BatchID: WG593433=4; QC,Sample: L1303625=01. 'client ID: :MS Sample Nitrogen,Nitrate 4.7 4 8.7 "97 - - 83-113 - 6 ------------- - - - ..,,•,ear•-a'"-•r--.-�:-- --"G"-`^---vr;---»-.-,,.,uy„-.. .,«.-.---.r-r._,...,-z—.»-,.,... _... . ....,.... ..-.,�»�, ,_._ .__ ,..-... .... ._. ,. .,-_..,,.-.a..--,x g- �.......-..._..,. ..-°. --rya-- ...,.--J -- ._,,.. ,m . General Chemistry=Westborough Lab Associated sample(s):'01 QCBatch ID: WG593434 4 QC'Sample: L1.303625=01 Client ID�MS Sample ' Nitrogen,Nitrite 0.11 4 4.5 —109" -, - - 80-120 - 20 General'Cliemist -Westborough Lab Associated,sample(s): 01 .'QC Batch,ID: WG'593444=4' QC:Sample: L1303684=01 Gllent:ID: MS e77 BOD,5 day ND 100 90 50-145 - 35 .. ...a .e+..�. .m. GeneraFChemistry; .Westborough Lab Associated sample(s)',01 QC,Batch ID WG593942-4` ;QGoSample: L1303709`08 Client ID. MS Sample, Nitrogen,Total Kjeldahl 11.8 8 21.0 " 115' Q - - 77-111 - 24 Page 8 of 18 A44LLI ;A Serial No:03111314:11 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1303673 Project Number: 3EA11-10343 Report Date: 03/11/13 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits � , , � q�er,c c•-s�-;° as.�C° - ^�.�»-�-.r�,F,..»�-,« '-.w�:r°.- �,,..,.,..,,....,...-�-'°?'-- �'-�r-fit^•°�.r�- .1�. ;,..d. ,' GeneraLChe.mistry Westbolough;,Lab,„Associated.sample(s). .01 QC'Batch ID WG593433 3-:QC ZSample:�°L1303625 01 `Client ID: 'DUP Sample' -.. _.. Nitrogen,Nitrate 4.7 4.7 mg/I Ge-wnt ev r+-aa<l^}+C,._h.tiye*:ma r:i.srrt-,ry.w',-,n=r;cW,-w»e,rysct.b.r..R�irs�ysr` -'"4�" °''- it Yct-+s• .:a:ea�i:�:"wr,-r':�,:....„-wr ^"-, • -? -. +: ....... - -.;,.,.. ...:.--�. � " »< -...�....:,..., ...'-* w o ,` vwy'xx 6 Sml �e: , ,o �L`.^ Nitrogen, Nitrite 0.11 0.11 mg/I 'p �: 20 '.:.r...�.yi. .,,,M..<..atl �T"4' .'t^IDT'tf,..°Jqf ".:_ 'yK.e,. ." .-1�t�-'r-.e ''v-.,p .: _,,... ''S-4:" .;,.:..,_..... .,�... ...,�. .,�,,..._ General Chemistry=WestboroughyLab ;Associatedsarhple(s-Y."01r `QC Batch:,ID .WG59,3444-3_ QC.Sample_;:L"1303629,01 Cllent ID. :DUP Sample , .. .w � :...tbor - .. maw, - _v . ._. . a _ m . � BOD,5 day ND ND mg/I NG ,, 35 ,r.:�aw��.�,r '.-•:'mS'�•� ',....�,+^.�.w}Yc'wr.;�«wr --�.°'y+:•ys�'.'w5l'at'rn�. e,+a+k'.f,: °.af'*"'4s: .:... •s". .�,..��.-..-.... .,, General Chemistry--WestborouaffL 'Associated sample(s): Q1: , QC Batch�ID .=WG593501=2 _ QG S'ample:,:L1303689 01 r;Client;ID �'DUP..$am le , Solids,Total Suspended 22 20 mg/l 1.0 20 �,.rrrwwr,cr",r -nes�.aa:'x'a+^'-�'-^-xw..-rasa z. i,•td .srer. .-.,..--y,.�...,.�r..;.,.- :rH7�w _ . ...,,-....,.,-`:i,•.«.'-w++e+e-. jt;.,,..-._..•_`_.,�_...,,y..._:' y,�"' General Cfiemistry.=.Westborough.,Lab ,rAssoclatetl.sample(s). .01,,- QC'Batch ID.;=WG593942-3 QC"Sample:< ,L13037.09 08 Cllent,D DUP Sample Nitrogen Total Kteldahl 11.8 12.9 mg/I _...- - .... _... ------- ._.... - Page 9 of 18 t~a Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1303673-01A Plastic 250ml H2SO4 preserved A <2 5 Y Absent TKN-4500(28) L1303673-01B Plastic 500ml unpreserved A 7 5 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1303673-01C Plastic 1000ml unpreserved A 7 5 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days Page 10 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The.use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported Report Format: Data Usability Report fL�I:�HA Page 11 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303673 Project Number: BEA11-10343 Report Date: 03/11/13 Data Qualifiers due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format. Data Usability Report Page 12 of 18 Serial No:03111314:11 Project Name: CASAVANT RESIDENCE Lab Number: L1303678 Project Number: BEA11-10343 Report Date: 03/11/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. a LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the.analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental,consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 18 Serial No:03111314:11 Certificate/Approval Program Summary Last revised December 19,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water(Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2,Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide(EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium (SM 9221 E). WastewaterlNon-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue(Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons(ETPH), MA-EPH, MA-VPH. Microbiology Parameters:Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert (SM9223 Enumeration), HPC-Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters:504.1, 524.2.) WastewateriNon-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM2320B, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 450017-13, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 6010C, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223B, 9222D. Organic Parameters: 608, 624, 625, 8081A, 8081B, 8082, 8082A, 8330, 8151A, 8260B, 8260C, 8270C, 8270D, 3510C, 3630C, 5030B, ME-DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014, 9030B, 9040B, 9045C, 6010B, 6010C, 6020, 6020A, 7471A, 7471B, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8270D, 8330, 8151A, 8081A, 8081B, 8082, 8082A, 3540C, 3546, 3580A, 3630C, 50306, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM9215B; ENZ. SUB. SM9223; Y�Page lil rfQT SM9223B; MF-SM9222D.) i Serial No:03111314:1I Non-Potable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM251013, 2540C, 2340B, 2320B, 4500CL-E, 450OF-BC, 426C, SM450ONH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM450ONH3-BC-NES, EPA 351.1, SM450OP-E, 450OP-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC,gamma-BHC,delta-BHC, Dieldrin,.DDD, DDE, DDT,Endosulfan 1, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables),600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM922313; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 92.15B, EPA 200.7, 200.8, 300.0, SM450OCN-E, 4500H+B, 450ONO3-F,2320B,251OB, 2540C,450OF-C, 531OC,2120B, EPA 332.0. Organic Parameters:504.1,524.2.) Non-Potable Water(Inorganic Parameters: SM9222D, 9221B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8,245.1, SW- 846 6010C, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1,.350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9010C, 9036, 9040B, 9040C, SM2120B, 231013, 2320B, 2340B, 2540B, 2540D, 45001-1+13, 4500CL-E, 450OCN-E, 4500NH3-H, 450ONO3-F, 450ONO2-B, 450OP-E, 4500-S2-D, 450OS03-B, 5210B, 5220D, 2510B, 2540C, 450OF-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 351OC, 3630C, 5030B, 8260C, 8270D, 8330, EPA 624, 625, 608, SW-846 8082A, 8081 B, 8015C, 8151A, 8330, 8270D-SIM.) Solid& Chemical Materials (Inorganic Parameters: SW-846 6010C, 6020A, 7196A, 7471 B, 1010, 1010A, 1030, 901.00, 9012B, 9014, 9030B, 9040C, 9045C, 9045D, 9050,. 9065, 9251, 1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3620D, 3630C, 5030B, 5035, 8260C, 8270D, 8270D-SIM, 8330, 8151A, 8015B,8015C,8082A,8081B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 450ONO3-F, 450OF-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM2120B, 2320B, 2510B, 5310C, SM450OH-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC1 EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM450ONO3-F,450ONO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM2520B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 450ONH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM450OH-B, 450OS03-B, SM350OCr-D, 450OCN-CE, EPA 245.1, SW-846 9040B, 9040C, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010C, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8011, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9030B, 1010, 1010A, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471.13, 9010C, 9012B, 9014., 9038, 9040B, 9040C, 9045C, 9045D, 9050A, 9065, 9251. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C,82701), 8270C-SIM, 8270D-SIM, 3540C,3546, 3580A,3620C,3630C, 5030B, 5035L,5035H, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM922313, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0. SM2320B, EPA 300.0, SM2120B, 450OCN-E, 450OF-C, 450ONO3-F, 2540C, SM 2510B. .Organir- Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310E-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 450OF-C, SM15 426C, EPA 350..1, SM450ONH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 450OP-E, 2540C, 2540B, 2540D, EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM350OCr-D, EPA 245.1, 7470A, SM212013, LACHAT 10-204- 00-1-A, 450OCN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM251013, SM450OS-D, SM5540C, EPA 3005A, 3015, 9010C, 9030B. Organic Parameters: EPA 624, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 625, 608, 8081A, 8081E"8151A, 8330, 8082,8082A, EPA 351OC, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: EPA 101 OA, 1030, EPA 6010B, 601 OC,7196A, 7471A,7471 B, 9012B, PageGi98065, 9050A, EPA 1311, 1312, 3005A, 3050B, 9010C, 9030B, 9040C, 9045D. Organic Parameters: EPA 8260B, j 8270C, 82701), 8270C-SIM, 827013-SIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, Serial No:03111314:11 3546, 3580A,503013, 5035A-H, 5035A-L.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID :666. (Inorganic Parameters: SM2310B,232013,4500CI-E,4500Cn-E,9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F,353.2, 4500P-E,4500SO4-E, 300.0,4500S-D, 5310B,5310C,6010C, 6020A, 200.7,200.8,3500Cr-B, 7196A,245.1, 7470A, 7471B, 1311,1312. Organic Parameters:608, 8081B,8082A,624, 826013, 625, 8270D, 8151A, 8015C, 504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8, 300.0, 332.0,212013, 232013,251013, 2540C,4500-CN-CE,4500E- C,4500H+-B,4500NO3-F, 5310C. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1312, 3005A,3015, 3060A, 200.7, 200.8,410.4, 1664A, SM25401), 5210B, 5220D,4500-P,BE,245.1, 300.0,350.1, 350.2, 351.1,353.2,420.1, 6010C, 6020A, 7196A, 7470A, 903013,2120B, 2310B,232013,2510B,254013,2540C, 3500Cr-D,426C,4500CN-CE,4500CI-E,4500E-B,4500E-C, 4500H+-B,4500NH3-H,4500NO2-B,4500NO3-F,4500S-D,4500S03-B,5310BCD, 5540C, 9010C, 9040C. Organic Parameters: EPA 3510C,3630C, 503013,625, 624, 608, 8081B, 8082A, 8151A, 8260C,8270D, 8270D-SIM, 8330, 8015C, NJ-EPH.) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 3050B, 3060A, 6010C, 6020A, 7196A, 7471B, 9010C, 9012B, 9014, 9040B, 9045D, 9050A, 9065, SM 4500NH3-BH, 9030B, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3620C, 3630C, 5035, 8015C, 80816, 8082A, 8151A, 8260C, 8270D, 8270D- SIM, 8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID: T104704476. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1, 245.2, 300.0,350.1, 351.1, 353.2, 410.4,420.1, 6010, 6020, 7196, 7470,9040, SM 212013, 23106, 2320B,2510B, 254013,2540C, 2540D,426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500N026,4500P-E,4500 S2 D, 510C, 52106, 5220D, 5310C, 5540C. Organic Parameters: EPA 608, 624, 625, 8081, 8082, 8151,8260,8270,8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012,9014, 9040, 9045, 9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7, 200.8, 300.0, 2510B, 2120B,2540C,4500CN-CE, 245.2,23206, 4500E-C,4500NO3-F, 5310C. Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A, 200.7,200.8, 245.1,300.0, 3005A, 3015, 1312, 6010B, 6010C, 3060A, 353.2,420.1, 6020, 6020A, SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X, 7196A, 7470A, 9010B, 9040B,2310B, 232013,2510B,2540B,2540C, 3500Cr-D,426C,4500CI-E,4500E-B,4500E-C,4500PE,510AC, 5210B,5310B 5310C, 5540C. Organic Parameters: EPA 3510C, 3630C, 5030B, 82606, 608, 624, 625, 8081A, 8081B, 8082, 8082A, 8151A, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330, ) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, 3060A, 3050B, 1311, 1312,6010B, 6010C, 6020, , 7196A, 7471A, 74716, 6020A,9030B, 9010B, 9012A, 9014 9040B, 9045C,9050A, 9065. Organic Parameters: EPA 5030B, 5035, 3540C, 3546, 355130, 3580A, 3630C,6020A, 826013,8015B, 8015C, 8081A,8081B, 8082, 8082A, 8151A, 8270C, 8270D,8270C-SIM, 8270D-SIM,8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B.Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 601013, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 9040B, 9010B, 180.1. 300.0,332.0, 6860,353.2,410.4, 9060, 1664A, SM 4500CN-E,45001-1-13,4500NO3-F, 4500CL-D, 5220D, 5310C, 2130B, 232013, 2540C, 3005A, 3015, 9010B, 9056, 7196A, 3500-Cr7D. Organic Parameters: EPA 8260B, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 8330A, 8082, 8082A, 8081A, 80816, 3510C, 5030B, MassDEP EPH, MassDEP VPH.) Page 611lazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 6010C, 7471A, 6860, 1311, 1312, 3050B, 7196A, B, 9012A, 90406, 9045C,3500-CR-D,4500CN-CE, 2540G, Organic Parameters: EPA 8260B, 8260C, 8270C, Serial_No:06111322:45 r'.AA HA dl,'A.'NY(A�V.-Y T 1 C A L ANALYTICAL REPORT Lab Number: L1310213 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 06/11/13 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 Fax 508-898-9193. 800-624-9220-www.alphalab.com (Fax) P V ,a iFtiA Page 1 of 18 Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1310213-01 EFFLUENT OSTERVILLE, MA 06/04/13 08:45 Page 2 of 18 Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical. Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and Ibased upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: ` •U" Michelle.M. Morris Title: Technical Director/Representative Date: 06/11/13 "'ALPHA Page 3 of 18 �t,.a Serial No:06111322:45 INORGANICS MISCELLANEOUS PHA Page 4 of 18 Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L131O213 Project Number: BEA11-10343 Report Date: 06/11/13 SAMPLE RESULTS Lab ID: L1310213-01 Date Collected: 06/04/13 08:45 Client ID: EFFLUENT Date Received: 06/05/13 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst V 1 ,'`°< rti'�f3a,F ;'J Wya b Si•" ii�` cc ,r ,k_ General Chemistry Westborough`Lab µ w - tgE- r= I kr s, x � a.._...:.w.-p�...,.+a..ew,..-._h;:.-.....-...rL.st>✓-r.':ts,..,.vsr,.:,4r. �i i.-:.;..f.....-�_ ... c9. ...a.... ..r.v.-t Solids,Total Suspended 22. mg/I 5.0 NA 1 - 06/06/13 13:35 30,2540D DW Nitrogen,Nitrite _ ND mg/I 0.050 - 1 - 06/05/13 22:59 44,353.2 DB Nitrogen,Nitrate — — ND mg/I 0.10 1 - 06/05/13 22:59 44,353.2 DB — — —----_.._.._.._..- ...... ..__....__.._...-.-.... ----- ....-...._............................................................_......I.,..._,.......--..........-..... ------------- Nitrogen,Total Kjeldahl 21.2 mg/I 0.300 -- 1 06/06/13 15:30 06/07/13 20:40 30,4500N-C AT BOD,5 day 30. mg/I 15 NA 7.5 06/05/13 23:15 06/10/13 1.5:35 30,5210E SE XX Page 5 of 18 Serial. No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry'Westb ro ough Lab for sa mple, . 1 0 ;Batch WG612975 1 Nitrogen,Nitrate ND mgA 0.10 1 06/05/13 22:32 44,353.2 DB General Chemistry Westboroughi"La6 for`sample(s) 01 Batch WG612977`1 t , , r.. ._ gyp. ..a. . may:. .. - d.. .. . ,. , ,;:... i ' Nitrogen,Nitrite ND mg/I 0.050 1 - 06/05/13 22:37 44,353.2 DB .. GeneraL,Che'm Labistryj Westborough forsample(s) B 01 ' atch WG612985 1 ;.....a ...xtv.z. n. ,y.. BOD,5 day ND mgA 2.0 NA 1 06/05/13 23:15 06/10/13 15:35 30,52106 SE General Che1.mis t W6StbOf6J h Lab for Sam le S 01 Batch WG613,035 1 Solids,Total Suspended ND mg/I 5.0 NA 1 06/06/13 13:35 30,25401) DW General Chemistry Westborough Lab. for sample(s): 01 Batch WG613233 1 t Nitrogen,Total Kjeldahl ND mg/I 0.300 1 06/06/13 15:30 06/07/13 20:18 30,4500N-C AT tl pF'A Page 6 of 18 Serial No:06.111322:45 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General'.Chemist KWestborou h:LabAssocatedtsam le s :'.01 ,;:'Batch:=WG6:12975 2 : � _ .F ,, �:_;k . . rY rv,. 9 P ( ) 7 s � .R i._..r.<..,.u:' ... w.,.su...r_.'..-.rx:4adaru.aa:ca:......�e_r.;::;".awe:s;..w.�es4snw.. :.s:ie.........:......,.....-;a.,,..,.,...-..:..::.:....u,. 'e.-•,»...e,.ssn..,...-::r.: -?-� •Ki.::-:e`H...fawti-,T ec�.•i�$c nk}' Nitrogen,Nitrate 95. - 90-110 - 4Fe .e.:t .' y.';.:'^. ,x 1...:..�:.. �-`M•4- :' ..,�M.._�...'.2 - -.- -... s.'af �_. ... x i} w.`Uu..ta•w � -. Y....sy ,.F"x's� r' ra"` x s+u••.�y:„ s gas . .. GeneraliGhemist, Westborota h-Lab Associated sam .le_s . 01 ,Batch.,;WG6<12977 2 �..�..-a a.•.->_: �-- �-,;:...:.a...;:..:.:k:+:.i-:.= . ,,.'��..:e�.a't..-..F-.s,:in�..mttiv.m:+.�.s.: ra...�em wiiiai3"'N:!..••!.' .;:.»:i �+'...e.::.t��`€`'v cw. '. �:'•�c:�.:�. eYk�.„�+.��.•e.:s�.,-.w.-..sxi4.��n.e::.7rs �..v :�.....cµz,...aw..:.-. Nitrogen,Nitrite =; 99 - 90-110 - 20 ,. .__. .,:... _,.. ._ r.. . :,~__., . _:-:c .. - .." n .t_.; _ s.+a.�. „u..o •`.'"� '*.. ,.s S�.t;F;n; •x*,d. General!Chemistry aWestborou hsLab,,Assoclatetl.;s:am les : 01 h.Batch.:;;WG6;12985-2 .. � - ,r=�� BOD,5 day "101" - 85-115 - 20 :".�Assoclated ", cam, ,r',?i ""�"r_...8•L x x.a,,yu Ge.neral;Chemistry; ,Westborough Lab� sample(s).:.01 Batch �WG61.3233 2 >» r ' >> f Nitrogen,Total Kieldahl 9Z` - 78-122 - Page 7 of 18 ,`\ iyLP"A Serial No:06111322:45 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits _. . _.. - - General Chemistry;=Westborough Lab Associated samples) 01 QC.Batch ID LLWG612975 4'` QC Sample V31'0214 01 . 'Client ID WS`Sample Nitrogen,Nitrate 1.2 4 5.1 96_ - - 83-113 - 6 General;Chemistry-yWestborougli Lab=Associated°sample(s):`01 ..QC'Batch ID. WG612977 4. QC'Sam Ie. L1310214=01 :Client ID._`MS:'Sample_ _..x. _._.. �. _ w, _... Nitrogen,Nitrite 0.17 4 4.3 ,104_r - - � 80-120 - s 20 General Chemist Westboroa h Lab,Associated sample(s) 01 "QC'Batch ID rWG6.1;2985-4� QC 'L13,10215,01 Sample: Client ID. IVIS'Sample ' BOD,5 day 4.0 100 110 50-145 - 35 General Chemistry;-Westborough LabtAssociated'sample(s):'s01 QC'Batch ID 7WG61`3233-4, QC S'amplec L131:0167 08 £Iient�ID MS Sample 1. , >.e�.s......�..,.tip....:..xo..w'..-f........�-.a..f......na..m...:iLsr+��...-�.._::...........-. -...._...............rt..d-?..VJ:.:='.a...:.. ..at:.. ....�.:.-�._...._-.-,...e.....e._:......'_.:..H ..a..s.i�i .w_..... ....,.... --a.....« .....-.. + _.:.......... ...�. .... .. ... .�_.._.. Nitrogen,Total Kjeldahl 0.578 8 10.1 ..wn A119"- Q - - 77-111 - 24 lLtiA Page 8 of 18 Serial No:06111322:45 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Parameter Native Sample Duplicate Sample Units RPD Qua[ RPD Limits- ;-..,,>,,»-nce+..H.. �xr»,., ,:�:tx:.,� .. a.;--.-.ro�e�^+�'�a _w��:1-�c•,».:+..r.r -gs!--+*�'+^-v�•Y-•-:._s..A e�.- -1c:. •�v x-�_�w, -r.'�';r� .. �.�. General`�Cbemist. Westborou hlab==Associated sam le s =01 ., QC Batch!ID VVG6,12975 3X QC:S w Ie.;.L;131-02:14 01$.Cllent'ID 1DUP Sarmple Nitro en,Nitrate. 1.2 1.3 m /I aye <' 6 aT:.::r. ,..' •,M,r,�. ,�r.,,....'r .,e:..^£ s. - 1 Gene,ra.l:Cf emist a _ ryr ;Westborough Lfab.�Assoclated,tsample(s) Q1;,,,.QCtBatch,ID ,wWG612977 3 QC Sample ° L1310214 01 Cllent,ID DUP,Sample :.-.. -:......:s:.+,_.ar.,.._..w..:.:zw,. .M.. .t:, ;,�=;.:: rw:P,.,t:.:, .r..,,:.. ..,....' ,w:.. - e ,,::a�.�.ar. ,.;t:,.«f�s,,... 1,....,s:'x. %i'm._:.^s.x..,�..ss`n+.. ..ate:.r..a.::..'.--3aeHc__s,.^ny�w°z,r,...;c.c_.:,.?ae:.,.w, s:.e M,:x✓....e�^ ._a.....s ... ::............. Nitrogen,Nitrite 0.17 0.17 mg/I Ori 20 ate:. xir .. . General"Chemist xW.,estborou htLabAssociated"rsam le s `01$,:QG BafchtlD 'V11G612985`3 `{QG:Sam le L1310089 02 `Client�ID 1DUPSample ': .��!...'7...e: ug __.. � a p��.,� pM.. BOD,5 day 77 84. mg/I sir;9z 35 _...-p&'^.t,�,._.. ...,Y-..r. .r^--'ys:. :... ._r•.:.- :....�. _ ._.-.... ...:,.... .�. . ..`t .,,.�: _.... ..... _ �., .ems.... .. .:.�.. V+t,-i•9': r . •..,..:.e 7 r �'1 Q C� am le:�4L�1310155'0.1 Uient.4M�DUP.'Sam le General:Chemistry .W,estborough Lab,Associated sample(s)., 01;. :QC BatchulD WG6;1`3035 2 _,Q .S p �r ,_-: w.,. m.:,.P ... a vv-" y. ;— +........,a... _ r�.��•--,�eww....,w+-...ae�w._.....a�.;...: ..s,.r,.......✓, ..�r,.,a.rd �.+,.i Solids,Total Suspended 56 54. mg/I r W 4 =t 20 _ram, ,:h is- _-'. General Chemist -=WestborouQhzLab Assoclated.sam le s .0.1 -:QC;.BatcD ,e T W G61.,' 33 3 :QC Sample. ;,L1310:167 08 'Client ID D,UPSSample ::+..n.kva:saee.,;.z-.r� .•sr.�r Nitrogen,Total Kjeldahl 0.578 0.781 mg/I 30-1 C1 24 Page 9 of 18 rL1L�HA Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1310213-01A Plastic 250ml H2SO4 preserved A <2 3.9 Y Absent TKN-4500(28) L1310213-01 B Plastic 1000ml unpreserved A 7 3.9 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1310213-01C Plastic 1000ml unpreserved A 7 3.9 Y Absent TSS-2540(7) * 0' Values in parentheses indicate holding time in daysTTY ? tip Page 10 of 18 I Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: _ L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:.This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 -The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co=elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported Report Format: Data Usability Report Page 11 of 18 Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 Data Qualifiers due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report FHA Page 12 of 18 Serial No:06111322:45 Project Name: CASAVANT RESIDENCE Lab Number: L1310213 Project Number: BEA11-10343 Report Date: 06/11/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of,information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. y PHA Page 13 of 18 Serial No:06111322:45 Certificate/Approval Program Summary Last revised December 19,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574.NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide(EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium (SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons(ETPH), MA-EPH, MA-VPH. Microbiology Parameters:Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert(SM9223 Enumeration), HPC- Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) Maine Department of Human Services Certificate/Lab ID: 2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM21306, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1,524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM23206, 2510B, 2540C, 2540D, 426C, 4500C1-D, 4500C17E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 450011 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 6010C, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223B, 9222D. Organic Parameters: 608,624, 625, 8081 A, 8081 B, 8082, 8082A, 8330, 8151 A, 8260B, 8260C, 8270C, 8270D, 3510C, 3630C,5030B, ME-DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014, 9030B, 9040B, 9045C, 6010B, 6010C, 6020, 6020A, 7471A, 7471B, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8270D, 8330, 8151A, 8081A, 8081B, 8082, 8082A, 3540C, 3546, 3580A, 3630C, 503013, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM213013, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM9215B; ENZ. SUB. SM9223; YRPage TIO qPT SM92236; MF-SM9222D.) Serial No:06111322:45 Non-Potable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.11 SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, 8M14 510AC, EPA 420.1, SM4500-CN-CE,SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC,gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F, 2320B,2510B, 2540C, 4500E-C, 5310C, 2120B, EPA 332.0. Organic Parameters:504.1, 524.2.) Non-Potable Water(inorganic Parameters: SM92221), 9221B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, SW- 846 6010C, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9010C, 9030, 9040B, 9040C, SM2120B, 2310B, 2320B, 2340B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 4500S03-B, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260C, 8270D, 8330, EPA 624, 625, 608, SW-846 8082A, 8081 B, 8015C, 8151A, 8330, 8270D-SIM.) Solid& Chemical Materials(Inorganic Parameters: SW-846 6010C, 6020A, 7196A, 7471 B, 1010, 1010A, 1030, 9010C; 9012B, 9014, 9030B, 9040C, 9045C, 9045D, 9050, 9065, 9251, 1311, 1312, 3005A, 3050B,. 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3620D, 3630C, 5030B, 5035, 8260C, 8270D, 8270D-SIM, 8330, 8151A, 8015B,8015C,8082A,8081B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935.NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM2520B, SM15 426C, 92221), 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 9040C, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010C,.9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8011, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9030B, 1010, 1010A, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9010C, 9012B, 9014, 9038, 9040B, 9040C, 9045C, 90451), 9050A, 9065, 9251. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C,8270D,8270C-SIM, 8270..D-SIM, 3540C, 3546, 3580A, 3620C, 3630C,5030B, 5035L, 5035H, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148.NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM2120B, 4500CN-E, 4500E-C, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA. 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310E-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 25401), EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1, 7470A, SM2120B, LACHAT 10-204- 00-1-A,4500CN7CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-D, SM5540C, EPA 3005A, 3015, 9010C, 9030B. Organic Parameters: EPA 624, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 625, 608, 8081A,8081B,8151A, 8330, 8082, 8082A, EPA 3510C, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, EPA 6010B, 6010C,7196A, 7471A, 7471B,9012B, Page�26lC;'(065, 9 5 82701), 270C-SIM,, 3005A, 3050B, 9010C, 9030B, 9040C, 9045D. Organic Parameters: EPA 8260B, 8270D-SIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, Serial No:06111322:45 3546, 3580A, 503013, 5035A-H, 5035A-L.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID:666. (Inorganic Parameters:SM2310B, 23206,4500CI-E,4500Cn-E, 9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F, 353.2, 4500P-E,4500SO4-E, 300.0,4500S-D,5310B, 5310C, 6010C, 6020A, 200.7, 200.8, 3500Cr-B, 7196A, 245.1, 7470A, 7471B, 1311,1312.Organic Parameters: 608, 808113, 8082A, 624, 826013,625, 82701), 8151A, 8015C, 504.1, MA=EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8, 300.0, 332.0,212013, 232013,2510B,2540C,4500-CN-CE,4500E- C, 4500H+-B,4500NO3-F, 5310C. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1312, 3005A,3015,3060A, 200.7,200.8,410.4, 1664A, SM25401), 521013, 52201),4500-P,BE, 245.1,300.0, 350.1, 350.2, 351.1,353.2,420.1, 6010C, 6020A, 7196A, 7470A, 903013, 2120B,231013, 232013,251013, 25406, 2540C, 3500Cr-D,426C,4500CN-CE,4500CI-E,4500E-B,4500E-C, 4500H+-B,4500NH3-H,4500NO2-B,4500NO3-F,4500S-D,4500S03-B,5310BCD, 5540C, 9010C, 9040C. Organic Parameters: EPA 3510C, 3630C, 5030B, 625, 624, 608, 8081B, 8082A, 8151A, 8260C, 82701),8270D-SIM, 8330, 8015C, NJ-EPH.) Solid& Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 305013, 3060A, 6010C, 6020A, 7196A, 747113, 9010C, 901213, 9014, 904013, 90451), 9050A, 9065, SM 4500NH3-BH, 90306, 9038, 9251. Organic Parameters:3540C, 3546, 3580A, 3620C, 3630C, 5035, 8015C, 808113, 8082A, 8151A, 8260C, 82701), 8270D- SIM, 8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7, 200.8,245.1, 245.2, 300.0, 350.1,351.1, 353.2, 410.4,420.1, 6010, 6020, 7196,7470, 9040, SM 212013, 23106,23206,251013, 254013, 2540C,25401),426C, 4500CL- E,4500CN-E, 4500E-C,4500H+B,4500NH3-H,4500N0213,4500P-E,4500 S2 D, 510C, 521013, 52201), 5310C, 5540C. Organic Parameters: EPA 608, 624,625, 8081, 8082, 8151,8260,8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312,9012,9014, 9040, 9045, 9050,9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7,200.8, 300.0, 2510B,212013,2540C,4500CN-CE,245.2, 232013, 4500E-C,4500NO3-F, 5310C.Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(inorganic Parameters: EPA 120.1, 1664A,200.7,200.8, 245.1, 300.0,3005A, 3015, 1312, 60106, 6010C, 3060A, 353.2,420.1, 6020,6020A, SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X, 7196A, 7470A, 9010B, 904013,2310B,23206,2510B, 25406, 2540C,3500Cr-D,426C,4500CI-E,4500E-B,4500E-C,4500PE, 510AC, 5210B, 5310B 5310C,5540C. Organic Parameters: EPA 3510C, 3630C,503013, 826013, 608,624, 625,8081A, 8081B, 8082, 8082A, 8151A, 8270C,82701), 8270C-SIM,8270D-SIM,8330, ) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, 3060A, 305013, 1311, 1312, 6010B,6010C, 6020, , 7196A, 7471A,7471 B, 6020A,9030B, 9010B, 9012A, 9014 90406, 9045C, 9050A, 9065. Organic Parameters: EPA 50306, 5035, 3540C, 3546, 355130, 3580A, 3630C, 6020A, 82606,8015B, 8015C, 8081A, 8081B, 8082,8082A, 8151A, 8270C, 8270D,8270C-SIM, 8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B.Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 601013, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 90406,9010B, 180.1. 300.0,332.0, 6860, 353.2,410.4, 9060, 1664A, SM 4500CN-E, 4500H-B,4500NO3-F,4500CL-D, 5220D, 5310C, 21306, 232013, 2540C, 3005A, 3015, 901013, 9056, 7196A, 3500-Cr-D. Organic Parameters: EPA 826013, 8260C, 8270C, 82701), 8270C-SIM, 8270D-SIM, 8330A, 8082, 8082A, 8081A, 808113, 3510C, 503013, MassDEP EPH, MassDEP VPH.) Page Ili s&�!-lazardous Waste(Inorganic Parameters: EPA 200.7, 60106,6010C, 7471A, 6860, 1311, 1312, 3050B, 7196A, �,"9012A,904013, 9045C,3500-CR-D,4500CN-CE,2540G, Orqanic Parameters: EPA 826013, 8260C,8270C, Serial No:06111322:45 82701), 827OC-SIM, 8270D-SIM,8330A/B-prep, 8082, 8082A,8081A, 8081B, 3540C, 3546, 3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Page 17 of 18 II Serial_No:06111322:45 .I _ =; CHAIN OF CUSTODY 'PAGE 1 OF 1' 6/s/.3 ALPHA Job#::. I Dale Rec'd in Lab; j w«7snstftirrciar HA Report Information Data Deliverables Billing Information Project Information ❑ FAX ® EMAIL ® Same as Client Info PO M 10343 Westborough,MA Mansfleld,MA Project Name:Casavant Residence TEL:508. SM220 TEL 508-M-9300 ❑ ADEx ❑ Add'I Deliverables 1 FAX 508-898-9193 FAX 608-022-3288 Requirements/Report Regulatory Client Information Project Location:Osterville,MA Staf&Fed Pro ram Criteria Client:Bennett Environmental Associates Project#:BEA11'-10343 Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett Brewster,MA 02631 ALPHA Quote#: j Phone:508-896-1706 a . a e . . ANALYSIS i Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING ' Flftratlon ' Email:sfarrenkopf@bennett-ea.com ! / /� Q Dona j]These samples have been Previously analyzed by Alpha . Due Date: t7 ta• I Time: 0 Not Needed p Lab mdo Other Project Specific Requirements/Comments/Detection Limits: Preservation • 0 Lab to do p (Pleasespeclry 0 below) m ai ALPHA`Lab,ID';,: Sample ID Collection Sample Sampler's 'z (l ¢illse'Only)1 Date Time Matrix Initials N z Sample Specific 0!'. Effluent �Y3 WW .� ® ® ® ❑ ❑ ❑ ❑ El ElEl ❑ El ' ❑ ❑ El 0 0 ❑ Tr 0 El ❑ 0 0 0 ❑ ❑ ❑ ❑ ❑ ❑ El El ❑ ❑ ❑ ❑ ❑ El El ❑ ❑ ❑ ❑ ❑ ❑' ❑ ❑ ❑ ❑ 0 3-F Container Type P P P O O D - - Please:piinl:clearly,legitily,�:.-r; Preservative ;and cori6ldtely. Samples 'no t rna tie togged In and_:. a elinqu d By: DateMme .Recei ed By: DatetT(me tt bldnd tiirle clock will nat J start until ariy'Mblg(itles ark -3 5- �':C �y, {'� t L � resolved. All sainples:... . -- submltted are.subject'to, FOrsrallo:01A111++r1 pfia'sPayment`Terms,. -. Ra.� b l I '00 Page 18 of 18 f Serial_No:09161313:53 /L�► HA ANA LYTI CAL ANALYTICAL REPORT Lab Number: L1317689 Client: Bennett Environmental Associates 1573 Main Street Brewster,MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 09/16/13 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com I1eLPHA „o Page 1 of 18 Serial No:09161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Alpha Sample Collection Sample ID Client ID Location Date/Time L1317689-01 EFFLUENT OSTERVILLE, MA 09/09/13 08:45 ALAI: ti� Page 2 of 18 f Serial No:09161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 21 calendar days from the date the project is completed. After 21 calendar days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 09/16/13 HA Page 3 of 18 � Serial No:09161313:53 INORGANICS MISCELLANEOUS A& Page 4 of 18 r Serial No:O9161313:53 Project Name: CASAVANT RESIDENCE Lab Number: 1-1317689 Project Number: BEA11-10343 Report Date: 09/16/13 SAMPLE RESULTS Lab ID: L1317689-01 Date.Collected: 09/09/13 08:45 Client ID: EFFLUENT Date Received: 09/10/13 Sample Location: osTERVILLE,MA Field Prep:. Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst v. � General Chemistry :Westborough Lab _ r. :r � Solids,Total Suspended ND mg/I w 5.0 NA 1 09/12/13 14:10 30,2540D DW Nitrogen,Nitrite 0.094 mg/I 0.050 -- 1 - 09/11/13 00:59 44,353.2 DB Nitrogen,Nitrate 1.3 mg/I 0.10 -- 1 - 09/11/13 00:59 44,353.2 DB ......- _._.._........._.... ..._..........._........_...... _.._.......------...._.---- Nitrogen,Total Kjeldahl 15.1 mg/l 0.300 1 09/11/13 08:45 09/11/13 20:46 30,4500N-C AT ---- ---- — --- --._._. — _. -- - .. _... ..__._. . . ........ .. .-....... _. -.._....... BOD,5 day 4.2 mg/I 2.0 NA 1 09/10/13 23:20 09/15/13 17:45 30,5210B SE Page 5 of 18 Serial No:O9161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemmstry Westborough Lab for sampie(s) t 01' Batch-WG635114 1 BOD,5 day ND mgfl 2.0 NA 1 09/10/13 23:20 09/15/13 17:45 30,5210B SE General Chemist Westborou h Lab for samples) 01 Batch:,WG635122-1. Nitrogen,Nitrate ND mgfl 0.10 1 09/11/13 00:35 44,353.2 DB General Chemistry Westborough Lab for samples) 01 Batch ,VVG635124 1 Nitrogen,Nitrite ND mg/I 0.050 1 09/11/1300:38 44,353.2 DB General Chemistry Westb1.orough Lab,for am1.ple(s)r 01 Batch': WG635268 1 Nitrogen,Total Kjeldahl ND mgfl 0.300 1 09/11/13 08:45 09/11/13 20:14 30,4500N-C AT General Chemistry Westborough Lab for samples) 01 'Batch'.WG635523-1 Solids,Total Suspended ND mgfl 5.0 NA 1 09/12/13 14:10 30,2540D DW el�'�h�. Page 6 of 18 Serial No:09161313:53 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 LCS LCSD %Recovery Parameter %Recovery Qual %oRecovery Qual Limits RPD Qual RPD Limits ;nre^- i-,---M. „a,^i :;: .;....y�. General Chemist :'-'Westborough LabAssociatedsam le s,::01 _°:Batch jWG6351.14 2 ..,, �,' ..wx..h-.„....».waaiw.... p ( 1,:_:ew.. .».:::i,.:ann. ...n- 3.wK v lr E r ,¢3za_ -� .., ;+.: ... ..... .;x;2u.sm+..az.-"Fi_+. ..a.tz .. v..ieew3 ,n- BOD,5 day � .. 113� - 85-115 - 20 :r.....:.::.. .. ...+...r e . ....., .�. .. .;-aa>S�;ra->�,w..��..d_» ._.�;,�- _,. :>.-r''a....c• - �xT: ;x:.: �,:s. .r. :T.z±?. �Y rcw -_k General;GFiemistr Westborou hL"ab -Associated?sam le s :'01 Batch:UVG635122.2 ,u �: `€ Fr,.'r ` a 'J g ,'.r. p ( .� i, �a a., ,,,. r1 Y 4" z L�' a rr ... v„._...,..w._....�..,.�:,.a:. -• .�_...�m._....^ __..•-:apt:e:.^zN..a.....s•w..v;.,..-:...-r-=-.....tea:_. __ .-, ...:. .�. ... _ ,.�_ h1:: Y-.w.w�:.J.�._:25.�..:+.._ A" -.KS-f2—...-suw ....a- Nitrogen,Nitrate r.�. �99 � ,, - 90-110 General°:Chemist ;:--WN stborou h Lab Associated sam le s : 01 °Batch:WG635124 2 M. Nitrogen,Nitrite �99r�""j - 90-110 - 20 7.' —=—emu Gensr.m l;::.o..,..Chem- "74*^lstryr=.We...�,..;.. ...-„a.^rww nro^: r...<r+- aam,.;..,.;,. � ,.,..� r.... ;w+ .'ti.:-;•«.�. ........... .. .�. �:wxz.W-'`"*.1 C... <. . -Y.`'. ..:-x':""+C!"_'::ram^ .r ..:5 --:t- auk' erastboroughLab-Qssoclatedfsample(s1 01 Batch:bW.G635268 2 `' � h� Y, y „_ Nitrogen,Total Kjeldahl 99 ' - 78-122 - Page 7 of 18 Serial No:O9161313:53 Matrix Spike.Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qua[ Limits RPD Qual Limits General Chemistry'-WestborouahiLab Associated sample(s):<01 QC Batch ID::WG635114=4'' :QC Sample:.L13'17555=01'. Client ID - MS:Sample- BOD,5 day 6.0 100 150 143 - - 50-145 - 35 General Chemist -Westborough Lab Associated`sample(s):'O1 =QC;Batch ID WG635122 4 ° QCSample`L1317,689 01 r Client ID :EFFLUENT Nitrogen,Nitrate 1.3 4 5.2 ;.'<97.'. - - 83-113 - 6 General.Chemist ,> - _ Westborota la Lab'Associated`sam le s :°01 'QC°Batch ID: WG635124=4 QG'Sam le:�L-131!7689 01 Client ID '-EFFLUENT --_fi Nitrogen,Nitrite 0.094 4 3.9 " 96', - - 80-120 - 20 Gene,rahChemist Westborou h Lab:Associated sam le s : 01 -;QC'Batch°ID:'WG635268-4'. QC"Sam le'`L1'31:7619=05 ,.Client ID =MS°Sample - p. P � Nitrogen,Total Kjeldahl ND 8 7.13 89 ;' `a - - 77-111 - 24 Page 8 of 18 L �ti� Serial No:09161313:53 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemist -1Nestborou h L`a As os ciated°sam le s 01 :� C`Batch lD: WG635'"1=14�3 = CySam le =L�1=3:1i7693=01V:Client ID:',SDUP,Sam le g . _ ry�.e� -g � b,€ - p---'�-� -= '..�Q Q .P,.z..:;..�,,.., ,,.:.�.-� b..�s..�.�:..�.c�..;r ; .�....p�.. �� I BOD,5 day 300 250 mg/I _� 18 35 .-y...�,, '•:: ,;.r...-. ..`. .;.- ..-ate• t-:m-.:-: . •". ._ _ r: J.k y..- .._.W--4 _^:7'_- ..; .,•<.., ..'.;�:v GenerataGhemist .V1/estborou hFLab Associated sam le`/s :'01 ,QC�Batch'gLD _WG6351-22 3 '=`QC°'Sample: L131j7689 0,1;Client`rID EFFLUENT r `x�� --.: ....`..w,:®.w.:.est.....,a<;.m....>z.. .w.dm,s. ,a:..a....:...w..e ..._,.-:.........ram."..%.:... irn.•G.s�.iw..,.:w-... i,..:.d.,ra. acu.._rY.:.-x#�v �.•�.,..r....;k,- Nitrogen,Nitrate 1.3 1.3 mg/I '� 0Y 6 Gen eraf=Cherhist"'1Nestboro4 -T& •=Associated sam ales : 01 QC'IBatch=lD `.WG635124`=3�"�QC Sam le: ?L1`31.7689 01 Client ID:.EFFLU:ENT Nitrogen Nitrite 0.094 0.096 mg/I �2 20 ....... ., ........ CGeneaCeW L31s L m 1ry 3 7 Nitrogen,Total Kjeldahl ND ND Mg/1 NC r 24 • -.gyp ..Mr...nwq+s�r 'uz CS-.:e.T•c.v+Cr .ram .. ,-^.Y,. .L:.J.3A8e .o:t... 71111 :+q General Chemist � Westborou h' Labf,ssociated sam le s . `'01 QCiBatch'.ID:;�WG635523T2'�$-QC`Sam le:' L13.1!Z668-01 .Client g: nistry. "ga .�. w_z ....:.� .p�: � . .:_ .p_ . v<-:.6 .� . ,�..� Solids,Total Suspended 2100 2300 mg/1 , ,9 +, 20 Page 9 of 18 PHA Serial No:09161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1317689-01A Plastic 250ml H2SO4 preserved A <2 3.1 Y Absent TKN-4500(28) L1317689-01B Plastic 1000ml unpreserved A 7 3.1 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1317689-01C Plastic 1000ml unpreserved A 7 3.1 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days /[L. ,e.. Page 10 of 18 Y Serial No:O9161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 GLOSSARY Acronyms EDL Estimated Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values,when those target analyte concentrations are quantified below the reporting limit(RL).The EDL includes any adjustments from dilutions,concentrations or moisture content,where applicable.The use of EDLs is specific to the analysis of PAHs using Solid-Phase Microextraction(SPME). EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. .MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original . method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260E is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(IOx)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,.co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. Report Format: Data Usability Report x L�LPHA Page 11 of 18 Serial No:09161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 Data Qualifiers M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) . R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. S -Analytical results are from modified screening analysis. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report ILPNA Page 12 of 18 Serial No:09161313:53 Project Name: CASAVANT RESIDENCE Lab Number: L1317689 Project Number: BEA11-10343 Report Date: 09/16/13 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In,no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to;damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 18 1 Serial No:09161313:53 Certificate/Approval Program Summary Last revised August 29,2013 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane(DBCP)504.1, Ethylene Dibromide (EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium (SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert(SM9223 Enumeration), HPC-Pour Plate (SM9215B), Fecal Coliform MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) State of Illinois Certificate/Lab ID: 003155.NELAP Accredited. Drinking Water (Inorganic Parameters: SM2120B, 2320B, 2510B, 2540C, SM4500CN-CE, 4500E-C, 4500H-B, 4500NO3-F, 5310C, EPA 200.7, 200.8,245.1, 300.0. Organic Parameters: EPA 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: SM21206, 2310B, 2320B, 2340B, 2510B, 2540B, 2540C, 2540D, SM4500CL-E, 4500CN-E, 4500E-C, 4500H-B, 4500NH3-H, 4500NO2-B, 4500NO3-F, 4500P-E, 4500S-D, 4500SO3-B, 5210B, 5220D, 5310C, 5540C, EPA 120.1, 1664A, 200.7, 200.8, 245.1, 300.0, 350.1, 351.1, 353.2, 410.4, 420.1. Organic Parameters: EPA 608, 624, 625.) Hazardous and Solid Waste (Inorganic Parameters: EPA 1010A, 1030, 1311, 1312, 6010C, 6020A, 7196A, 7470A, 7471B, 9012B, 9014, 9038, 9040C, 9045D, 9050A, 9065, 9251. Organic Parameters: 8011 (NPW only), 8015C, 8081B, 8082A, 8151A, 8260C,8270D,8315A,8330.) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM92156, 9222D, 9223B, EPA 180.1, 353.2, SM212013, 2130B, 2320B, 2510C, 2540C,4500CI-D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, 5310C, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 300.0, 350.1, 351.1, 353.2, 410.4, 420.1, 8315A, 9010C, SM212013, 2310B, 2320B, 2510B, 2540B, 2540C, 2540D, 426C, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-C, 4500NH3-B, 4500NH3-H, 4500NO2-B, 4500NO3-F, 4500P-B, 4500P-E, 4500S2-D, 4500SO3-B, 5540C, 5210B, 5220D, 5310C, 9010B, 9030B, 9040C, 7470A, 7196A, 2340B, EPA 200.7, 6010C, 200.8, 6020A, 245.1, 1311, 1312, 3005A, Enterolert, 9223B, 9222D. Organic Parameters: 608, 624, 625, 8011, Page fi l-1'88082A, 8330, 8151A, 8260C, 8270D, 3510C,3630C,5030B, ME-DRO, ME-GRO, MA-EPH, MA-VPH.) Serial No:09161313:53 Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014, 9040B, 9045C, 6010C, 6020A, 7471 B, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B, 9038, 9251. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA- VPH, 8260C, 8270D, 8330,8151A, 8081B, 8082A, 3540C, 3546, 3580A, 3620C, 3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: .Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM9215B; ENZ. SUB. SM9223; ColilertQT SM9223B; MF-SM9222D.) Non-Potable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES; EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC,gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water) (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B; Enterolert-QT: SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F,2320B,2510B,2540C, 4500E-C, 5310C,2120B, EPA 332.0. Organic Parameters: 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8,245.1, SW- 846 6010C, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9010C, 9030, 9040B, 9040C, SM2120B, 2310B, 2320B, 2340B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 4500S03-B, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260C, 8270D, 8330, EPA 624, 625, 608, SW-846 8082A, 8081 B, 8015C, 8151A, 8330, 8270D-SIM.) Solid& Chemical Materials(Inorganic Parameters: SW-846 6010C, 6020A, 7196A, 7471 B, 1010, 1010A, 1030, 9010C, 9012B, 9014, 9030B, 9040C, 9045C, 9045D, 9060, 9065, 9251; 1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3620D, 3630C, 5030B, 5035, 8260C, 8270D, 8270D-SIM, 8330, 8151A, 8015B,8015C,8082A, 8081 B.) New Hampshire Department of Environmental Services Certificate/Lab ID:2064. NELAPAccredited. Drinking Water(Organic Parameters: EPA 524.2: Di-isopropyl ether(DIPE), Ethyl-t-butyl ether(ETBE),Tert-amyl methyl ether(TAME)). Non-Potable Water(Organic Parameters: EPA 8260C: 1,3,5-Trichlorobenzene. EPA 8015C(M): TPH.) Solid&Chemical Materials(Organic Parameters: EPA 8260C: 1,3,5-..Trichlorobenzene.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935.NELAPAccredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2,SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 25400, EPA 120.1, SM2510B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 9040C, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010C, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8011, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270,8015B, NJ EPH.) Page �1►c , Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9030B, 1010, A, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9010C, 9012B, 9014, 9038, 9040B, 9040C, 9045C, 9045D, Serial No:09161313:53 9050A, 9065, 9251. Organic Parameters: SW-846 801513, 8015C, 8081A, 808113, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3546, 3580A, 3620C,3630C, 50306, 5035L, 5035H, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM922313, 922213, 92156, EPA 200.8, 200.7, 245.1, SM5310C, EPA 332.0, SM232013, EPA 300.0, SM212013, 450OCN-E, 450OF-C, 450ONO3-F, 2540C, SM 251013. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 92221), 922113, 922213, 92156, 5210B, 5310C, EPA 410.4, SM5220D, 231013, 232013, EPA 200.7, 300.0, SM4500CL-E, 450OF-C, SM15 426C, EPA 350.1, SM450ONH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 450OP-E, 2340B, 2540C, 254013, 25401), EPA 200.8, EPA 6010C, 6020A, EPA 7196A, SM350OCr-D, EPA 245.1, 7470A, SM212013, 450OCN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM25106, SM450OS-D, SM5540C, EPA 8315A, 3005A, 3015, 9010C, 9030B. Organic Parameters: EPA 624, 8260C, 82701), 8270D-SIM, 625, 608, 808113, 8151A, 8330, 8082A, EPA 3510C, 503013, 8015C, 8011.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, EPA 6010C, 6020A, 7196A, 747113,8315A, 9012B, 9014, 9065, 9050A, 9038, 9251, EPA 1311, 1312, 3005A, 305013, 9010C, 903013, 9040C, 9045D. Organic Parameters: EPA 8260C, 82701), 8270D-SIM, 8015C, 808113, 8151A, 8330, 8082A, 3540C, 3546, 3580A, 5035A-H, 5035A-L.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID : 666. (Inorganic Parameters:SM23106, 23206,4500CI-E,450OCn-E, 9012B, 9014, Lachat 10-204-00-1-X, 1010A, 1030,450ONO3-F, 353.2,450OP-E,450OSO4-E, 300.0,450OS-D, 53106, 5310C, 6010C, 6020A, 200.7,200.8, 350OCr-B, 7196A,245.1, 7470A, 7471B, 1311,1312.Organic Parameters: 608, 8081B, 8082A, 624, 826013,625, 8270D, 8151A, 8015C, 504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAPAccredited. Drinking Water(Inorganic Parameters: 200.7, 200.8, 300.0,332.0,21206, 23206,251013, 2540C,4500-CN-CE,450OF- C,4500H+-B,450ONO3-F, 531 OC. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(inorganic Parameters: EPA 120.1, 1312, 3005A,3015, 3060A, 200.7,200.8,410.4, 1664A, SM25401), 52106, 52201),4500-P,BE,245.1, 300.0, 350.1, 350.2, 351.1, 353.2,420.1, 6010C,6020A, 7196A, 7470A, 903013,2120B,2310B, 232013,251013, 254013, 2540C, 350OCr-D,426C, 450OCN-CE, 4500CI-E,450OF-B,450OF-C, 4500H+-B,450ONH3-H,450ONO2-B,450ONO3-F,450OS-D,450OS03-B, 531OBCD,5540C,9010C, 9040C. Organic Parameters: EPA 3510C, 3630C,5030B, 625, 624, 608, 80816, 8082A, 8151A,8260C, 8270D,8270D-SIM, 8330, 8015C NJ-EPH. Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 305013, 3060A, 6010C, 6020A, 7196A, 74716, 9010C, 901213, 9014, 90406, 90451), 9050A, 9065, SM 4500NH3-BH, 903013, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3620C, 3630C, 5035, 8015C, 8081B,8082A, 8151A, 8260C, 82701), 8270D- SIM, 8330, NJ-EPH.) Rhode Island Department of Health Certificatel'Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476. NELAPAccredited. Non-Potable Water Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1,245.2, 300.0, 350.1,351.1, 353.2, 410.4,420.1, 6010, 6020, 7196, 7470, 9040, SM 21206,231013, 232013,251013, 254013,2540C, 25401),426C,4500CL- E,450OCN-E,450OF-C,4500H+B,450ONH3-H,450ON026,450OP-E,4500 S2 D,510C, 5210B, 52201), 5310C, 5540C.Organic Parameters: EPA 608,624,625„ 8081, 8082, 8151,8260, 8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012, 9014, 9040, 9045,9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7, 200.8, 300.0,251 OB,2120B,2540C,450OCN-CE, 245.1,232013, 450OF-C,450ONO3-F,4500H+B, 5310C. Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A, 200.7,200.8,245.1,300.0, 350.1, 351.1, 351.2, 3005A, 3015, 1312,601013, 6010C, 3060A, 353.2,420.1,234013,6020, 6020A, SM450OS-D, SM4500-CN-CE, Lachat 10-204- Page 43t� h31H6450ONO2--B,450ONO3 F,4500 S034BB4500H B,4 DOPE, 5 OAC, 5210B, 531 OBI53 OC O 54005901 OCm Serial No:09161313:53 9030B, 9040C. Organic Parameters: EPA 3510C, 3630C,5030B,8260B,608, 624,625, 8011,8015C, 8081 A, 8081 B, 8082, 8082A, 8151A,8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM,8330, ) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, 3060A, 3050B, 1311, 1312,601013,6010C, 6020, , 7196A, 7471A, 7471B, 6020A, 9010C,901213, 9030B,9014,9038, 9040C, 9045D, 9251, 9050A, 9065.Organic Parameters: EPA 50306, 5035, 3540C, 3546, 35506, 3580A, 3620C, 3630C, 6020A, 826013,8260C,801513,8015C, 8081A, 8081 B, 8082, 8082A, 8151A, 8270C, 8270D,8270C-SIM, 8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B.Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 6010C, 6020A, 245.1, 7470A, 9040B, 901013, 180.1, 300.0, 332.0, 6860, 351.1, 353.2, 9060, 1664A, SM 4500CN-E, 4500H-B, 4500Norg-C, 4500NO3-F, 5310C, 21306, 2320B, 2340B, 2540C, 5540C, 3005A, 3015, 9056, 7196A, 3500-Cr-D. Organic Parameters: EPA 8015C, 8151A, 8260C, 8270D, 8270D-SIM, 8330A, 8082A, 8081 B, 3510C,5030B, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010C, 6020A, 7471A, 6860, 1311, 1312,305013,7196A, 9040B, 9045C,9010C, 9012B, 9251, SM3500-CR-D,4500CN-CE, 2540G, Organic Parameters: EPA 8015C, 8151A, 8260C, 8270D,8270D-SIM,8330A/B-prep,8082A,8081 B, 3540C, 3546, 3580A, 5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 524.2: Acetone, 2-Butanone (Methyl ethyl ketone (MEK)), Tert-butyl alcohol, 2-Hexanone, Tetrahydrofuran, 1,3,5- Trichlorobenzene, 4-Methyl-2-pentanone (MIBK), Carbon disulfide, Diethyl ether. EPA 8260B: 1,2,4,5- Tetramethyl benzene, 4-Ethyltoluene. EPA 8260 Non-potable water matrix: lodomethane (methyl iodide), Methyl methacrylate. EPA 8260 Soil matrix: Tert-amyl methyl ether (TAME), Diisopropyl ether (DIPE), Azobenzene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine. EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons,Oil&Grease. Page 17 of 18 Serial_No:09161 13*53 CHAIN OF CUSTODY PAGEIOFI Date Redd.in.Lab: : 1j> ALPHA Job#: - -FA Project Information Report Information Data Deliverables Billing Information 1 0 A L FAX ® EMAIL ® Same as Client Info PO tk 10343 Westborough,MA Mansfield,MA Project Name:Casavant Residence TEL:508.89a-9220 TEL 5o6.a22-9300 ❑ ADEx ❑ Add'I Deliverables FAX 508.898.9193 FAX SOM22.32all • Requirements/Report • Project Location:Osterville,MA State/Fed.Program Criteria Client:Bennett Environmental Associates Project*BEA11-10343 Address:1573 Main Street/P.O.Box 1743 Pro ect.Mana er:David C.Bennett Brewster MA 02831 ALPHA Quote#: Phone:508-896-1706 ANALYSIS Fax 508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Filtration Email:sfarrenkopf@bennett-ea.com D Done ❑'These samples have been Previously analyzed by Alpha Due Date: (r \�Time: 0 Not Needed E3 tab to do Other Project Specific Requirements/Comments/Detection Limits: Preservation • Q Lab to do (Piesse specify 0 balo%7 m N - a= ALPHAkab'ID Sample ID Collection Sample Samplers Z (LabUsebrily) Date Time Matrix Initials —0 . .. to Sample Specific Z am h- Commen4 Effluent Z =`�� VUVU ® . ❑ ❑ ❑ ❑ ❑ ❑ 8 ❑ ❑ ❑ ❑ 101 ❑ i ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑0 El 0 El ❑ . ❑ ❑ ❑ ❑ ❑ ❑ Container Type P P P - - - EPlease print olbady,legibly:. ' Preservative O 0 D - and completely:.Samples not be lopged.in and Relin fished DateMme Received By: DateTnte turnaround t me clockw8l start untl any ambiguities are. t� resolved, All- R ) � id e.SAS'io Alpha's Payment Tema. rosaao of mtwas 7 L, (o.2aPR00) Page 18 of 18 BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS ! 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/26/11 BEAI I-10343 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail FX1 Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(June& Sept 2011) 1 6/15/11 Groundwater Analytical Laboratory Report 1 9/16/11 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Form,and laboratory test results of wastewater samples collected during this reporting period for the above referenced property. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Casavant,Owner David C.Bennett,Principal[Internal] Matthew Costa-OMNI Environmental Systems,Inc. FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once I • Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: 61 Falling Leaf Lane Street Address/PO Box.. Osterville MA 02655 City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. 0&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 6/7/11 NA Inspection Date Previous Inspection Date 8"of Sludge, and 1"Scum Layer Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev.11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ® turbid ❑ Other(specify): Odor: ❑ musty ❑ earthy ® moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 7.0 SU DO y 2.09 mg/L Turbidity 25.9 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance I Description of any maintenance performed since previous inspection &during this inspection: First general O&M visit for system functionality and effluent sampling. System is not functioning correctly and needs repair. Effluent quality passed field sampling parameters and effluent samples were collected for field testing. Notes and Comments: Repairs needed: Septic tank outlet risers and cover brought to grade, and correct the pitch of the outlet pipe. Replace recirculation tank inlet and outlet risers with covers brought to grade, electrical splice work to be brought outside of recirculation tank for safety purposes. New manifold and lateral lines installed in filter modules and replace force main line from recirculation tank to filter beds. t5aiom.doc•rev.11-07-05 Page 2 of 3 r LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. I- S.AQ 91 z? Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 i LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip raa Mailing address of owner, if different: Street Address/PO Box: ranch City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. 0&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508)896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 9/8/11 6/7/11 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev.11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 6.0 SU DO 9.03 mg/L Turbidity 8.50 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Performed extensive system repairs on 7/27/11 and 8/2/11. System is now functioning properly. Effluent quality passed field sampling parameters and effluent samples were collected for field testing. Notes and Comments: None t5aiom.doc•rev.11-07-05 Page 2 of 3 i LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature \\.j Date T System owner must submit this report, technology O&M checklist, and any required sampling results to.the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous,12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev.11-07-05 Page 3 of 3 L I 1.� GROUNDWATER Groundwater Analytical,Inca ANALYTICAL1200 Box 2532 228 Main Street Buzzards Bay,MA 02532 Telephone(508)759-4441 FAX(508)759-4475 www.gtoundwateranalytical.com June 15, 2011 Mr. David Bennett Bennett Environmental Associates, Inc. P.O. Box 1743 Brewster, MA 02631 LABORATORY REPORT i Project: Cassavant/BEA11-10343 Lab ID: 142469 Received: 06-08-11 Dear Dave: 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-conformances, 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 specifically noted, or described in the project narrative. The analytical results relate only to the samples received. 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 information, the material contained in this report is, to the best of my knowledge and belief, accurate and complete. Should you have any questions concerning this report, please do not hesitate to contact me. Sincerely, Karyn E. Raymond Project Manager KER/nfm Page 1 of 11 GROUNDWATER ANALYTICAL Sample Receipt Report Project: Cassavant/BEA11-10343 Delivery: GWA Courier Temperature: 3.5°C Client: Bennett Environmental Associates,Inc. Airbill: n/a Chain of Custody: Present Lab ID: 142469 Lab Receipt: 06-08-11 Custody Seal(s): n/a yLi¢ . . # IV d _ . 142469-1 Effluent Aqueous 6/7/2011 10:45 Lachat 10-107-06-2-D(EPA 351.2)TKN Con ID Container Vendor QC Lot Presery QC Lot Prep Ship Receipt Notes C2011922 250 mL Plastic Industrial BX38885 H2SO4 R-6314A 05-02-11 1 n/a c Lab ID rF,',Feld ID ; * Mtatnx.t 6K' Sampled .n..? Method.s Notes 142469-2 Effluent Aqueous 6/7/2011 10:45 SM 2540 D Total Suspended Solids Con ID Container Vendor QC Lot Presery QC Lot Prep Ship Receipt Notes C2034268 1LPlastic Proline BX39291 None n/a n/a n/a _LatxlD ^Field ID ,r, Matnz _ Sampled'a 142469-3 Effluent Aqueous 6/7/2011 10:45 Lachat 10-107-04-1-C(SM 4500-NC3 F)Nitrate Lachat 10-107-04-1-C(SM 4500-NO3 F)Nitrite Con ID Container Vendor QC Lot Presery QC Lot Prep Ship Receipt Notes C2019273 250 mL Plastic n/a n/a None n/a n/a n/a Lab ID ,;.Feld ID ; wMatnx 'aSampledy4 Method "� , x,,F'T� a n? Notes 142469-4 Effluent Aqueous 6/7/2011 10:45 SM 5210 B Biochemical Oxygen Demand Con ID Container Vendor QC Lot Presery QC Lot Prep Ship Receipt Notes C2019271 1 L Plastic n/a n/a None n/a n/a n/a C2019272 1 L Plastic n/a n/a None n/a n/a n/a Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Page 2 of 11 f GROUNDWATER ANALYTICAL Inorganic Chemistry Field ID: Effluent Matrix: Aqueous Project: Cassavant/BEA11-10343 Received: 06-08-1116:50 Client: Bennett Environmental Associates,Inc. Lab ID: 142469-01 Sampled: 06-07-11 10:45 Container:250 mL Plastic Preservation: H2SO4/Cool ,e F._"Analyte _ 3 Result ,;Uniits g ,DF Vol e,�;rAnalyzed QC Batch ;*Method Inst a alrst Nitrogen,Total Kjeldahl(TKN) 40 mg/L 0.5 1 20 mL 06-12-11 10:30 TKN-2938-W ixnono-ioroozocer 1 )R 351 i Lab ID: 142469-02 Sampled: 06-07-11 10:45 Container:1L Plastic Preservation: Cool ;` 'Analyte , Via;' ; ' 'Result Units BRL DF Volume tAnaly`zedQC Bafch Method lost nt v=r ,. Solids,Total Suspended 21 mg/L 5 3 200 mL 06-09-11 09:48 TSS-1929-W SM 2540 D 3 CG Lab ID: 142469-03 Sampled: 06-07-11 10:45 Container:250 mL Plastic Preservation: Cool ` Analyte 3 k"' v -Ya Result its 71X DF vo me --Analyzed QC Batch' Method Inst naalyn Nitrate(as Nitrogen) BRL mg/L 0.02 1 5 mL 06-08-11 19:16 NI-0882-W n"10.10'#'{(S. 1 LD 43°0.NO3F Nitrite(as Nitrogen) 0.05 mg/L 0.02 1 5 mL 06-08-11 19:16 NI-0882-W "`" 4 NM F 5M 1 LD 5°0. Lab ID: 142469-04 Sampled: 06-07-11 10:45 Container:1 L Plastic Preservation: Cool 'Analyte;;; fvfr ; 1Resuk3a Units 1 RL t DF IV9C Batch Method, -lest analyst Biochemical Oxygen Demand 62 mg/L 30 15 20 mL 06-08-11 22:48 BOD-3863-W SM 5210 B 2 Q. Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). 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. RL Reporting Limit. DF Dilution Factor. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: YSI 5100 3 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Page 3 of 11 GROUNDWATER ANALYTICAL Project Narrative Project: Cassavant/BEA11-10343 Lab ID: 142469 Client: Bennett Environmental Associates,Inc. Received: 06-08-11 16:50 A Documentation and Client Communications The following documentation discrepancies,and client changes or amendments were noted for this project: 1 . Effluent sample to be analyzed for BOD,not CBOD as noted on the Chain of Custody,per Samantha. � -�'C� tq U � a_. •xP y.:r Method Modifications,Non Conformances and Observations �' ,r,Ya..a..ti�' .�„�'"R� '?3.N2M �M•'f..:.y�y, � ..,. � w�'s�,-.• .i:�,+r�tS4i'�4F,.XSa"��-"�'�•5:,�'AS."",:.7�+.+-v-Y��3c`wa,..ss=-s�.7:. .i,.t�'.K'�'.. a 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 , No method modifications, non-conformances or analytical issues were noted. Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532Page 4 of 11 ve Maln alraert,.PO.:Box 1200 «: LYRtJUNQIII/.4TE14r 9tizzerda'8ay;Mk02532' CHAIN OF-CUSTODY.RECORD •Telephone(508)'7504"14 FAX(508),758 4A76 ` r 40AL' TLCAL www. roundweteran AND WQRK ORDER l H g slyurel,corn rru(ectNttme:::;. Firm:. _ _ c' }TIJz�4 ',AN ES o.: l ca 't S RNAR AL REQU OUND YSIS T ' �.Ytv'-.YOh vJv�'�,�;'�S�s�+t•�` O•10:Busineas.0ey5:, k�teh.. -.: J .. . aim��N Cnm.WI. otlwr i( rrojscc;Nurnber. ; Address: l b Business Days'; � Yd.rrH� Naeta �:� 3 R.' ❑ AUSH'(RAN � t. ."r �• '� � .�•�� .� { �� a ,�.� ,,'. ... . �M, E:.v.'S�.• la�6nanaa.�a.,�ncnl��me1� ,, ❑ oae �� ❑:❑ � g€ Tarr pier Nema: , CIty L.S[ata/Zip:: '. _. KPiesee Email toSY n.��@ t�tCtK�' c c v S a d 0 Please'FAXto roject Msneger. 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A xas �'s� '..°� i{, <s.� y y k - ��,r... ....,;s:...'��%:.•.¢,_.,t», .a'+.£ w�''.e�k-- i'�t rk:�T i, xx.,.;M.... , M�.,<< 3�i.'' +sP .S �°�.".:� �.''�. f. 'K�. �.Y t,:�. '.s.�,.'z, ,V+' �' - e ...... - :.,,;.. :.._.,.u *6, .. :. qq,� ,.. •$prR i' ue.?^.e :,t:- �_. ..r_::. r 'c,:..rx"; ,•ry" •.. ti': -'?.r`;''s s.-S. h �Ln. + y Y K:sr.,. ..,nJ 3 ,K,• a wU.YiS�.ks''.��$S'a,��1I,� Mks �£ib C k �,(.d xi .v. ,.a:. ,_ y re;.,. ..-, _ a ,;k=: :ak> i .e...•. r' .p �a. tk '�. ,..wa> `- i. , ..C M lie i". e'x REMARKS d.SRECIALIHSTRUCTIONS DATA QUALITY OBJECTIVES ?; ,x , ' CHAIN-OF;CUS fODY RECORD .... . YE$L.NO'MCP Data CeNticatltm requlreo Regu)atory Program:; •._ ':..,Project Spedflc QC .°: -"NOTEi�All.sam es'subm tted subject to. da erme and Con itions on reverse hereof. DYES` NOa'�ACPprinluAg Nreter Sampelrtdudetl..__ 'State Stariderd-r ^;'- .Deliverables, Marry regulatory programsand EPf�rr!ethotlsirequlre.pre)art `liecggm .a l5 ,plan. =Time '+Re-1- Reaeiptrempe(atrire: • -a sPac(finOC:Pro)actspedflc:OCjncludes.Saippie'oupllcates, .'�'Ydatta:analyses regttVa dupircate wilecllon and Trip Blanks). - ❑Ci GMCP;aW 15-L,❑PYVS---Form Ma UlxSpikeaanG/orMatrlxBPike'Dupllgat0s2taboraioryQCis - 'tiv Ana'ryzaOuptlWtes'antl7rip3BtanksoniyaipositNereautbr p'ME:.'OMCPQW-2.5:2 pMLVRA- ..not,pre)actspeciflounlesaprearranaetl.Projmctsperitio:Op WFIV Py Container Cou n samplea;are charged on a par[aample basis':Each MB;iMSD r 9 Rec br' . MA ❑NY.STARS; ❑ � and::Sarttple,Dupllcatarequiras:ensddltion`elasToI ellquot -NH ❑DrinWnp Water ys a r,.:. �YESm'NO�CT�gCFData; tinn.requlrad.:;,,..� _ :...a. -� r - .. ,;w :. .❑IJY astewater• jR inquished:br. .,,. ^.Tune ApoeivedbyLabotaJory, ,a,...: ShipPrVAlrbill - tp � , Js"x• Project 6pesFDe OGHequlretl 9akcUnn o!OC SampiO' r Oa Numlmr,. ' ..._ •,, 9 Al L7 Waste:Dlapaael,: .' ❑;Sample Dupticeig - D Please Us. Pi le ,- 1a VT p Dredge Matertal;:;'' ❑Mahix'Spilm- „ �. . ..:. I Method of SAiprneat❑GWACourier❑exprsse Mail❑'Foderol Express Custody Seal ❑._ p .. . CMatrlxiO4Duplicate . ;..::' ":,. ..❑UPS::❑Hard.q•':...' 'Number: .. I GROUNDWATER ANALYTICAL Quality Assurance/Quality Control „'' •�Y ""x:3�y,,la"` " a3, r '.tt_ i kf"a`y�. 'y' Y"':jma'au P;r"y"�4.p6a,.� r .i jg4 ,iX`l"`r h �" ,,�ay t'P� x'' a�x srasc� � ex3s '. P ,rogramVerVIeW �" afi*sY¢ i x 4 x ._,�a.1 v."F'S ,Mri.., #.S'w x wr• .S awa�"i s�,o'wF -.. r ".` h i�?r' wi'�JgATi� Groundwater Analytical conducts an active Quality Assurance program to ensure the production 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 III (1996). Quality Control protocols include written Standard Operating Procedures (SOPS) developed for each analytical method. SOPS are derived from US EPA methodologies and other established references. 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 GUMS 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. Definitions 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, all 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 Page 6 of 11 t GROUNDWATER ANALYTICAL Quality Control Report S Laboratory Control Sample Category: Inorganic Chemistry Matrix: Aqueous W*Wipt, Wffvn1t4 SPr1(ed Measi,red Recovery ;QC 116 W 47? Analyzed,t_ ,QC Bat O x Method Inst AnalysF Solids,Total Suspended mg/L 100 110 112 % 80-120% 06-09-11 09:48 TSS-1929-W SM 2540 D 3 CG I Total Kjeldahl Nitrogen(TKN) mg/L 30 32 108 % 80-120% 06-12-11 10:02 TKN-2938-W ufi"1..O-Q-0 1 )R (EPA 351.2) Nitrite(as Nitrogen) mg/L 1.0 1.1 105 % 80-120% 06-08-11 18:59 N14882-w (SM SM 4500-NO3 03 F ) 1 LD Nitrate(as Nitrogen) mg/L 2.0 2.0 98 % 80-120% 06-08-11 18:59 NI-4882-W 1 LD (SM 4500NO3 F) Biochemical Oxygen Demand mg/L 200 210 106 % 85-115%1 06-08-11 19:14 1 BOD-3863-W SM 5210 B 2 LD Method Reference: Methods for Chemical Analysis of Water and Wastes,US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). 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. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 InstrumentlD: Y515100 3 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay,MA 02532 Page 7 of 11 GROUNDWATER ANALYTICAL Quality Control Report Method Blank Category: Inorganic Chemistry Matrix: Aqueous Result, ,,��# .Umt's_ Rl ,s pe�Analyied ;QC Batch ' Method Inst Analyst Solids,Total Suspended BRL mg/L 2 06-09-11 09:48 TSS-1929-W SM 2540 D 3 Cc Total Kjeldahl Nitrogen(rKN) BRL mg/L 0.5 06-12-11 10:02 TKN-2938-W 1dchi10.101062 1 )R (EPA 351.2) Nitrite(as Nitrogen) BRL mg/L 0.02 06-08-11 18:59 NI4882-W "`hi101 03F) 1 LD (SM 4s00JJ03 Nitrate(as Nitrogen) BRL mg/L 0.02 06-08-11 18:59 NI4882-W "`""1010'04{ 1 LD (SM 4500-NO3 F) Biochemical Oxygen Demand BRL mg/L 2 06-08-11 19:14 BOD-3863-W SM 5210 B 2 LD Method Reference: Methods for Chemical Analysis of Water and Wastes;US EPA,EPA-600/4-790-020(Revised 1983),and Methods for the Determination of Inorganic Substances in Environmental Samples,US EPA,EPA/600/R-93/100(1993),and Standard Methods for the Examination of Water and Wastewater,APHA,Twentieth Edition(1998),and Test Methods for Evaluating Solid Waste,US EPA,SW-846,Third Edition,Update III(1996). 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. RL Reporting Limit. 1 Instrument ID: Lachat 8000 Autoanalyzer 2 Instrument ID: Y51 5100 3 Instrument ID: Mettler AT 200 Balance Groundwater Analytical, P.O. Box 1200 228 Main Street Buzzards Ba MA 02532 Y Inc., � � Yr Page 8 of 11 GROUNDWATER ANALYTICAL Certifications and Approvals Groundwater Analytical maintains environmental laboratory certification in a variety of states. Copies of our current certificates may be obtained from our website: -- http://www.groundwateranalZical.com/qualifications.htm C"ON NECTICUT Department of Health Services,PH-0586 Potable Water,Wastewater,Solid Waste and Soil http://www.ct.gov/dph/lib/dph/environmental_health/environmental_laboratories/pdf/Out State.pdf fv1ASSAGiUSETTSt+ a W a a-.� i� �?, fi„� �� rI OR E 'x+�..,`_�'�� .raz_�`-: #,+sx�'. _tz',:7�' . Department of Environmental Protection, M-MA-103 Potable Water and Non-Potable Water http://public.dep.state.ma.us/labcerulabcert.aspx Department of Labor, Asbestos Analytical Services,Class A Division of Occupational Safety, AA000195 http://www.mass.gov/dos/foems/la-rpt_list aa.pdf zNEW.HAMPSHIRE -�. Department of Environmental Services, 202708 Potable Water,Non-Potable Water,Solid and Chemical Materials http://www4.eg6v.nh.gov/DES/NHELAP IVEVU:YORK ,¢¢ a u {} s ra' .ry 3«,. ttx%.:;`su ds .. ... "£iTry h ;-•i`,w +'�N,2..?�wi s'. st1.v4A3 =:a ?Y,�"r 4 rft% "C`,.`�,W-'F�N"F#a�4. Department of Health, 11754 Potable Water,Non-Potable Water,Solid and Hazardous Waste http://www.wadsworth.org/labcertlelap/comm.html 'RHODE ISLAND s`' �?ts v k - i :. � zP a e e t11h a t t Y c, Department of Health, Potable and Non-Potable Water Microbiology,Organic and Inorganic Chemistry Division of Laboratories, LA000054 http://www.health.ri.gov/1abs/outofstatelabs.pdf 'U.S..DEPARTMENT,OF,AGRICULTURE;% s;s A ,.�� USDA,Soil Permit, S-53921 Foreign soil import permit iVERMONT ;':.v?:��' Department of Health, VT-87643 Potable Water http://healt.hvermont.gov/enviro/ph_lab/water—test.aspx#cert Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 Page 9 of 11 j GROUNDWATER ANALYTICAL Certifications and Approvals "MAss.ACHUSETTS �,<<s "_ " }. .e, i' „n -� eh ,za� ��.. Department of Er`vironmental Protection,`#M=MA=103 Groundwater Analytical maintains MassDEP environmental laboratory certification for only the methods and analytes listed below. Analyses for certified analytes are conducted in accordance with MassDEP certification standards,except as may be specifically noted in the project narrative. Potable Water(Drinking Water) Non-Potable Water(Wastewater) Analyte Method Analyte Method 1,2-Dibromo-3-Chloropropane EPA 504.1 Aluminum EPA 200.8 1,2-Dibromoethane EPA 504.1 Ammonia-N Lachat 10-107-06-1-B Alkalinity,Total SM 2320-B Antimony EPA 200.7 Antimony EPA 200.8 Antimony EPA 200.8 Arsenic EPA 200.8 Arsenic EPA 200.7 Barium EPA 200.7 Arsenic EPA 200.8 Barium EPA 200.8 Beryllium EPA 200.7 Beryllium EPA 200.7 Beryllium EPA 200.8 Beryllium EPA 200.8 Beta-BHC EPA 608 Cadmium EPA 200.7 Biochemical Oxygen Demand SM 5210-B Cadmium EPA 200.8 Cadmium EPA 200.7 Calcium EPA 200.7 Cadmium EPA 200.8 Chlorine,Residual Free SM 4500-CL-G Calcium EPA 200.7 Chromium EPA 200.7 Chemical Oxygen Demand SM 5220-D Copper EPA 200.7 Chlordane EPA 608 Copper EPA 200.8 Chloride EPA 300.0 . Cyanide,Total Lachat 10-204-00-1-A Chlorine,Total Residual SM 4500-CL-G E.Coli(Treatment and Distribution) Enz.Sub.SM 9223 Chromium EPA 200.7 E.Coli(Treatment and Distribution) NA-MUG SM 9222-G Chromium EPA 200.8 Fecal Coliform(Source Water) MF SM 9222-D Cobalt EPA 200.7 Fluoride EPA 300.0 Cobalt EPA 200.8 Fluoride SM 4500-FL Copper EPA 200.7 Haloacetic Acids EPA 552.2 Copper EPA 200.8 Heterotrophic Plate Count SM 9215-B Cyanide,Total Lachat 10-204-00-1-A Lead EPA 200.8 DDD EPA 608 Mercury EPA 245.1 DDE EPA 608 Nickel EPA 200.7 DDT EPA 608 Nickel EPA 200.8 Delta-BHC EPA 608 Nitrate-N EPA 300.0 Dieldrin EPA 608 Nitrate-N Lachat 10-107-04-1-C Endosulfan I EPA 608 Nitrite-N EPA 300.0 Endosulfan II EPA 608 Nitrite-N Lachat 10-107-04-1-C Endosulfan Sulfate EPA 608 pH SM 4500-H-B Endrin EPA 608 Selenium EPA 200.8 Endrin Aldehyde EPA 608 Silver EPA 200.7 Gamma-BHC EPA 608 Silver EPA 200.8 Hardness(CaCO3),Total EPA 200.7 Sodium EPA 200.7 Hardness(CaCO3),Total SM 2340-B Sulfate` EPA 300.0 Heptachlor EPA 608 Thallium EPA 200.8 Heptachlor Epoxide EPA 608 Total Coliform(Treatment and Distribution) Enz.Sub.SM 9223 Iron EPA 200.7 Total Coliform(Treatment and Distribution) MF SM 9222-B Kjeldahl-N Lachat 10-107-06-02-D Total Dissolved Solids SM 2540-C Lead EPA 200.7 Trihalomethanes EPA 524.2 Magnesium EPA 200.7 Turbidity SM 2130-B Manganese EPA 200.7 Volatile Organic Compounds EPA 524.2 Manganese EPA 260.8 Mercury EPA 245.1 Non-Potable Water(Wastewater) Molybdenum EPA 200.7 Analyte Method Molybdenum EPA 200.8 Nickel EPA 200.7 Aldrin EPA 608 Nickel EPA 200.8 Alkalinity,Total SM 2320-B Nitrate-N EPA 300.0 Alpha-BHC EPA 608 Nitrate-N Lachat 10-107-04-1-C Aluminum EPA 200.7 Non-Filterable Residue SM 2540-D Oil and Grease EPA 1664 Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 Page 10 of 11 r GROUNDWATER ANALYTICAL Certifications and Approvals 9MASSACHUSETTS ,rsz,'=�j rr fi,„ ��> 3�Dipartment of Envir"onmental Protection„M=MA 103 Groundwater Analytical maintains MassDEP environmental laboratory certification for only the methods and analytes listed below. Analyses for certified analytes are conducted in accordance with MassDEP certification standards,except as may be specifically noted in the project narrative. Non-Potable Water(Wastewater) Analyte Method Orthophosphate Lachat 10-115-01-1-A pH SM 4500-H-B Phenolics,Total EPA 420.4 Phenolics,Total Lachat 10-210-00-1-B Phosphorus,Total Lachat 10-115-01-1-C Phosphorus,Total SM 4500-P-B,E Polychlorinated Biphenyls(Oil) EPA 600/4-81-045 Polychlorinated Biphenyls(Water) EPA 608 Potassium EPA 200.7 Selenium EPA 200.7 Selenium EPA 200.8 Silver EPA 200.7 Sodium EPA 200.7 Specific Conductivity SM 2510-B Strontium EPA 200.7 Sulfate EPA 300.0 SVOC-Acid Extractables EPA 625 SVOC-Base/Neutral Extractables EPA 625 Thallium EPA 200.7 Thallium EPA 200.8 Titanium EPA 200.7 Total Dissolved Solids SM 2540•C Total Organic Carbon SM 5310-B Toxaphene EPA 608 Vanadium EPA 200.7 Vanadium EPA 200.8 Volatile Aromatics EPA 602 Volatile Aromatics EPA 624 Volatile Halocarbons EPA 624 Zinc EPA 200.7 Zinc EPA 200.8 Groundwater Analytical, Inc., P.O. Box 1200,228 Main Street, Buzzards Bay, MA 02532 Page 11 of 11 I Serial No:09161112:34 FAA " ANAL.I! T1CAL ANALYTICAL REPORT Lab Number: L1114014 Client: Bennett Environmental Associates 1573 Main St. PO Box 1743 Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT Project Number: BEA11-10343 Report Date: 09/16/11 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY NELAC(11148),CT(PH-0574),NH(2003),NJ(MA935),RI(LA000065),ME(MA0086), PA(Registration#68-03671),USDA(Permit#S-72578),US Army Corps of Engineers,Naval FESC. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 17 Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Alpha Sample Collection Sample ID Client ID Location Date/Time L1114014-01 EFFLUENT 1573 MAIN ST.,BREWSTER MA 09/08/11 08:30 J Page 2 of 17 .d Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. For additional information,please contact Client Services at 800-624-9220. Nitrogen, Nitrate LL1114014-01 has an elevated detection limit due to the dilution required to quantitate the result within the calibration range. BOD, 5 day L1114014-01 has an elevated detection limit due to the dilution required by the elevated concentration present in the sample. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Elizabeth Simmons Authorized Signature: "u' Title: Technical Director/Representative Date: 09/16/11 Page 3 of 17 Serial No:09161112:34 INORGANICS MISCELLANEOUS Page 4 of 17 r Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 • Project Number: BEA11-10343 Report Date: 09/16/11 SAMPLE RESULTS Lab ID: L1114014-01 Date Collected: 09/08/11 08:30 Client ID: EFFLUENT Date Received: 09/09/11 Sample Location: 1573 MAIN ST.,BREWSTER MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst �, _� . - 1 ..' a 1.-47 r u i W.. General C_hemistry;Westborough Lab-,'— .4 Solids,Total Suspended u 11� «y~ mg/I 5.0 NA 1 09/13/11 09:50 30,25401) DW Nitrogen,Nitrite 0.38 mg/I 0.05 1 09/09/11 23:02 44,353.2 JO Nitrogen,Nitrate —J 14 _ mg/I —0.50 — 5 -- — 09/10/11 00:00 — 44,353.2 JO Nitrogen,Total Kjeldahl 11 mg/I 0.30 -- 1 09/09/11 22:00 09/13/11 22:03 30,4500N-C AT BOD,5 day 12 mg/I 5.0 NA 2.5 09/10/11 01:40 09/14/11 21:40 30,5210B KL L'?IiA Page 5 of 17 Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Method Blank Analysis Batch Quality Control Dilution Date Date - Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst -2General WestborughLab forsampls) 0B} � atch:WG489102 Nitrogen,Nitrate ND mg/I 0.10 — 1 09/09/11 22:48 44,353.2 JO General Chemistry-Westborough Lab for sample(s): 01 i60 J`WG489104-2 f .° r - Nitrogen,Nitrite ND mg/I 0.05 — 1 - 09/09/11 22:51 44,353.2 JO eel CheryWestbougLb forsa , BatchWG4 -G 1, Nitrogen,Total Kjeldahl ND mg/I 0.30 — 1 09/09/11 22:00 09/13/11 21:31 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01 Batch: WG489262-1 Solids,Total Suspended ND mg/I 5.0 NA 1 - 09/13/11 09:50 30,2540D DW General Chemistry-Westborough Lab for sample(s): 01 Batch: WG460027-1 BOD,5 day ND mg/I 2.0 NA 1 09/10/11 01:40 09/14/11 21:40 30,5210E KL h� Page 6 of 17 Serial No:09161112:34 Lab Control Sample Analysis Project Name: CASAVANT Batch Quality Control Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 I LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General`.Chemistry-Westborough'Lab�AssociatedLsample(s) `01 Batch:WG489102 1 n y Nitrogen,Nitrate "!100 90-110 - General;Chemistry: WestboroughkLabAssociated sample(s):;01 BatchWG`489104 1� � _� ': es J' ., :' 4 x� r s, .__. Nitrogen,Nitrite '-ZW 90-110 20 .. ... . ..a.:r :a;" ,«......x.,r.�,. :.,� ..e.Y-�..,, e. ,,. ,...,-�,.+�z a ,.z:., ro„ ":. :--..„r ,t5.."'•s,„,L' ,.3- '4,•r �":' k*�,-i e z....g .« ,{°?^;: General`Chemist0. ry>-.rcWestboroughLabxAssoclatedasample(s): 01 PV Batch�WG,489109 2 A ,as$ -wY �kk �Mt Nitrogen,.Total Kjeldahl _ _ �100%j _ _ 85-110 iam�m.a4Y'w Vuc�,' .. - Fs «,r A's�M >Y- ..F '- .&��_# General Ch"emistry-Westborough�Lab-,Associated sample(s): 01 :�„Batch Vl%G490027 2;; n3 ,,; r. x _..sx: ;:aa.«.__•'s'n<.,.zsvJea..r.W°."xwn a.•;n -vv+^.2h.,ib .;.-r'zesn-:.A;fe4ttaavA.,.•z,. ,:: Y.`:r_Y.,.- s7ea4:,:.i'tiM,feia BOD,5 day 86 85-115 20 Page 7 of 17 v� tia Serial No:09161112:34 Matrix Spike Analysis Batch Quality Control Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lab Associated sample(s):.01'' -QC.Batch ID: WG489102-3, QC�Sample:"L1.114011-02 Client'IID: MS Sample. Nitrogen,Nitrate 10 4 14 100 - 83-113 - 6 General Chemistry-Westborough Lab Associated sample(s): 01- -QC.Batch ID: WG489104`3 QCSample: L"1114011=02 Client ID: •MSSample: Nitrogen,Nitrite No 4 4.0 100 - - 80-120 - 20 General.Chemistry,-.Westborough Lab Associated sample(s): 014 QC-,Batch-ID .WG489109 3 =QCSample:�L1113913-01 Client ID MS.Sample Nitrogen,Total Kjeldahl 1.8 8 9.2 "'92 WM - - 77-111 - 24 General<Chemistrya=Westborough Lab:Associat6d sample(s): 01 QC Batch�lD:°WG490027"4 4QC Sample: L1.114031=04 riClient lD: MS Sample.; BOD,5 day 2.3 100 110 Y107, - - 50-145 - 35 Page 8 of 17 Serial No:09161112:34 Lab Duplicate Analysis Project Name: CASAVANT Batch Quality Control Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General'Chemistry=-Westborough Lab Associated'sample(s):�Ov QC`Batch'ID:,-WG489102!4,, QCTSample:*L711'1401.1"02'!Client,ID ,-DUP Sample. Nitrogen,Nitrate 10 10 mg/I 0 6 Genera Chemistry-Westborough;Lab Associated s6mple(s):>101'_ QC,;BatchplD VVG489104-4 fQC£Sample::-L11u1401}1 02 Clierit'ID DUP SampleA'.v t Nitrogen,Nitrite _ ND ND mg/I "NC# 20 General Chemistry==Westborough Lab`;Associatedsample(s) ;01 = QC;Batch?ID: WG4891.09-;4 'QG.°Sample.°SL1R113913'01 .CIIent IDDUPlSample .l. . .. s .: Nitrogen,Total Kjeldahl 1.8 2.1 mg/I -1.11 157 "" 24 Generali:Chemist :`-.Westborough`Lab"Associatedaample(s):�k01,,,iQGBatch'ID G489262{2f-fQC=Sample;L1,114045x01 ClienD DUP Sample �_. tal _ .. ._ Solids,Total Suspended 72 180 mg/I "'=86 '' Q 32 GeneralChemistry,-Westborough' abr'-Associated`sample(s)`.�01r QC;Bat6K-0D WG490027-3't{QC�sampie:�.L1.,114031t02 Cli4ntJD 'DUP S mplen ' BOD,5 day 120 140 mg/I ;15'u 1 F' 35 Page 9 of 17 Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1114014-01A Plastic 1000ml unpreserved A 7 3 Y Absent TSS-2540(7) L1114014-01 B Plastic 1000ml unpreserved A 7 3 Y Absent BOD-5210(2) L1114014-01C Plastic 250ml unpreserved A 7 3 Y Absent NO2-353(2),NO3-353(2) L1114014-01 D Plastic 250ml H2SO4 preserved A <2 3 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days Page 10 of 17 Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 GLOSSARY ' Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes I The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G -The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H -The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I -The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M •Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. P -The RPD between the results for the.two columns exceeds the method-specified criteria. Q -The quality control sample exceeds the associated acceptance criteria.Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less Report Format: Data Usability Report Page 11 of 17 f Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 Data Qualifiers than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 17 f Serial No:09161112:34 Project Name: CASAVANT Lab Number: L1114014 Project Number: BEA11-10343 Report Date: 09/16/11 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental,consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation,cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 17 Serial-No:09161112:34 Certificate/Approval Program Summary 9 Last revised July 28,2011 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574.NELAP Accredited Solid Waste/Soil. Drinking Water(Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Vanadium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP), Ethylene Dibromide (EDB), 1,4-Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-Colilert(SM9223 P/A), E. Coll.-Colilert(SM9223 P/A), HPC-Pour Plate(SM9215B), Fecal Coliform- MF m-FC(SM9222D)) Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate,Total Phosphorus, Aluminum, Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics,TPH (HEM/SGT), Extractable Petroleum Hydrocarbons(ETPH), MA-EPH; MA-VPH. Microbiology Parameters: Total Coliform - MF mEndo (SM9222B), Total Coliform - MTF (SM9221B), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth(SM9221 E).) Solid Waste/Soil(Inorganic Parameters: pH,Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Volatile Organics, Acid Extractables (Phenols), 3.3'-Dichlorobenzidine, Phthalates, Nitrosamines, Nitroaromatics & Cyclic Ketones, PAHs, Haloethers, Chlorinated Hydrocarbons.) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM921513, 9222D, 9223B, EPA 180.1, 353.2, SM21306, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1,524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM232013, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NH3-H, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 8081, 8082, 8330, 8151A, 624, 8260, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil(Inorganic Parameters: 9010B, 9012A, 9014A, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330,8151A,8081A,8082, 3540C, 3546,3580A,3630C,5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM213013, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for' Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM922313; MF-SM9222D.) Non-Potable Water(Inorganic Parameters, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI, V,Zn); 245.1, SM4500H,B, EPA 120.1, Page 14 of 17 Serial No:09161112:34 SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Aldrin, Dieldrin, DDD, DDE, DDT, Heptachlor, Heptachlor Epoxide, PCBs-Water),(EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables),600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B;Enterolert-QT: SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water (Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 245.2, 300.0, SM4500CN-E, 4500H+B,4500NO3-F,2320B,2510B,2540C,4500E-C,5310C,2120B, EPA 332.0.Organic Parameters:504.1,524.2.) Non-Potable Water (Inorganic Parameters: SM9222D, 9221B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, 245.2, SW-846 6010B, 6020, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 351.1, 353.2, 410.4, 420.1, 1664A, SW-846 9010, 9030, 9040B, 9050A, SM426C, SM2120B, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D. Organic Parameters: SW-846 3510C, 5030B, 8260B, 8270C,8330, EPA 624,625,608,SW-846 8082,8081A,8151A.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 9030B, 9040B, 9045C, 9050C, 9065,1311, 1312, 3005A, 3050B. Organic Parameters: SW-846 3540C, 3546, 3580A, 5030B,5035,8260B,8270C, 8330,8151A,8015B,8082,8081A.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935.NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.2, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, SM4500E-BC, EPA 200.7, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F, 4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 450ON113-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 6020, 6020A, 7470A, 5540C, 4500H-B, EPA 200.8, SM3500Cr-D, 4500CN-CE, EPA 245.1, 245.2, SW- 846 9040B, 3005A, 3015, EPA 6010B, 6010C, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8081A, 8081B, 8082,8082A,8151A,8330, NJ OQA-QAM-025 Rev.7, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9045C, 9050A, 9065. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3545,3546,3550B,3580A,3630C,5030B,5035L,5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148.NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM2120B,4500CN-E,4500E-C,4500H-B,4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2,504.1.) Non-Potable Water (inorganic Parameters: SM9221E, 9222D, 9221B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, LACHAT 10-107-04-1-C, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 2540D, EPA 200.8, EPA 6010B, 6020, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM2120B, LACHAT 10-204-00-1-A, EPA 9040B, SM4500-HB, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-D, SM5540C, EPA 3005A, 9010B, 9030B.. Organic Parameters: EPA 624, 8260B, 8270C, 625, 608, 8081A, 8151A,8330,8082, EPA 3510C,5030B.) Solid&Hazardous Waste(Inorganic Parameters: 1010, 1030, EPA 6010B, 7196A, 7471A,9012A, 9014, 9040B,9045C, 9065, 9050, EPA 1311, 1312, 3005A, 3050B, 9010B, 9030B. Organic Parameters: EPA 8260B, 8270C, 8015B, 8081A, 8151A,8330,8082,3540C,3545,3546,3580,5030B, 5035.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID:666.Organic Parameters: MA-EPH, MA-VPH. Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Page 15 of 17 Serial No:09161112:34 Pennsylvania Department of Environmental Protection Certificate/Lab ID:68-03671. NELAP Accredited. Drinking Water(Organic Parameters:EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 1312,200.7,410.4, 1664A,SM25401),5210B,5220D,4500-P,BE. Organic Parameters: EPA 3510C,50306, 625,624,608,8081A,8082,8151A, 826013,8270C,8330) Solid& Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 30506, 60106, 7196A, 7471A, 90108, 9012A, 9014, 904013, 9045C, 9050, 9065, SM 4500NH3-H. Organic Parameters: 3540C, 3545, 3546, 355013, 3580A,3630C, 5035,8015B,8081A,8082, 8151A,82606,8270C, 8330) Rhode Island Department of Health Certificate/Lab ID:LAO00065.NELAP Accredited via NY-DOH. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476-09-1.NELAPAccredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1,245.2, 300.0,350.1,351.1, 353.2, 376.2,410.4,420.1,6010,6020, 7196,7470,9040, SM 212013,2310B,232013,2510B,254013,2540C,2540D,426C, 4500CL-E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO213,4500P-E,4500 S2 D,510C,521013,5220D, 5310C;5540C. Organic Parameters: EPA 608,624, 625,8081,8082,8151, 8260,8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012,9014,9040,9045, 9050,9065.) Department of Defense Certificate/Lab ID:L2217. Drinking Water(Inorganic Parameters:SM 4500H-B. Organic Parameters: EPA 524.2,504.1.) Non-Potable Water(Inorganic Parameters: EPA 200.7,200.8, 6010B, 6020,245.1, 245.2,7470A,904013,300.0,332.0, 6860,353.2,410.4, 9060, 1664A, SM 4500CN-E,45001-1-13,4500NO3-F,5220D,5310C,23206,2540C, 3005A,3015, 9010B,9056.Organic Parameters: EPA 826013,8270C, 8330A,625,8082,8081A,3510C, 503013, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 601013, 7471A,9010, 9012A, 6860, 1311, 1312, 305013, 7196A,9010B,3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 826013,8270C,8330A/B-prep,8082, 8081A,3540C,3546, 3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethyl naphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix,Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. Page 16 of 17 h PAGE!_of ! `� ��!+�'r f,��*�Ifw�/�,r 228 Main Street,PO Box 1200 CHAIN OF CUSTODY RECORD & �T�lU Nam/A!EAf/"Li<•ER Buzzards Bay,MA 02532 ANALYTICALTelephone(508)759 4aa1-Fax(508)759 aa75 WORK ORDERCS ALPHA Job # www.groundwateranalyticai.com ' Project Name: Firm: vc _ TURNAROUND ANALYSIS REQUEST Project Number:'JSTi k 1% " `C5 W3 Address:l513 YY1eNv_5a- Q.. \'I ❑10 Business Days Sampler Name:- t.) Sw.,NNN Ci /State/Zi 33,'c wS MA 'so C5 Business Days Project Manager: w,�, Telephone:SQrd -`d"0%- 1"]IZ)(0 ❑RUSH(RAN- E-mail Address:•• 'N_i&1 1-e��vy Fax:'S�Zv'SS -'1%6 BILLING INFORMATION r INSTRUCTIONS:Use separate line for each container(except replicates). PO No. { Sampling Information Matrix Typel Containers IRtered I rl A SAMPLE t. LAB IDENTIFICATION R 6&11' . .; •'�'�•�� , w � � v .g ..'..,�.. �, ¢ � � o � dF' � m a m use only) E E E E E M E �y p p£ 1n o V! V U U Q N N N N N ' N 2 ' 16 ,10 :1�l+ ` !'I1!11ll�ll' Il,llllill!�Ilil�I !!!,�! I ! i'1 III ,!t`:,!' I I!II �`u!!!! '! JI!'i ! I !!I!!E!C!! I I ' '! i I!I it I ill��''I! �i�1I! � � i►1�! l�� ' II � lII i r tE!!ii'III I lI!III�I 131�I;III,I .1 Ill! Ii IiI , II! 111 . i 11 i � I . i : 10 ftt,t,,, . Milli. I I ,,,�i , , �I i , � ` I r ; I I111111111111011 . 1. ;. I!C 11 `!;;�'' ',1,; Milli i'':' 1 ! Il fl!! IIi'I I I `'! I ti '�' ' i tt11 � I• tI ',•�,m rl 11 � 4��' � I, I � l�j;n ,P N• I I I' i I � I ,I ' I li !'i, � t 1 IiI,�,!`i !! ! !I! •� i�l! � � !!,. ,Il,a l!,I t'• i''I"! I!. III�� l II III.;! 4� � I�!I I.J ! �, i, !� !I,i.l�l ! ;�.IIl� ��il;i # II lI,R,l�� I �!!!�� l�i�' l i I� ! a !!� II II �I' ! !! +•,)i+ I" I I I'!i;I!t•.' � + i. lull.!! !! i : 'I! t� I I it►i'I I ,r Vllli!, ,, ! I' if' III ! I�i,l ! I ' il!!r!, 111: �I i i I f i► <<II,: !!�! '�I!,II!� i I i!'I�i li I ! III I' I.! Ilillll! . II��ijiVl: REMARKS!SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN OF CUSTODY RECORD Q51,MCP Data Certification Required Regulatory Program Project Specific QA Note:Allsamp,e submittaderoaubjaclto standard Terms a Conditions ❑MCP Drinking Water Sample Included State Standard Many regulatory programs and US EPA-approved methods Relin d By: Dat T�i�•me ceiv Y 4 1p ❑Analyze Duplicates and Trip Blanks only if positive CT ❑MCP GW-1/S-1 require project specific QC.Project specific QC includes P ri •C Sample Duplicates,Matrix Spikes,and/or Matrix Spike -Til results. ME ❑MCP GW-1/S-2 Duplicates.Laboratory QC is not project specific,unless pre- n d By: D T e Additional Comments: MA ❑NY STARS arranged.Project specifc QC samples are charged on a per NH ❑Drinking Water sample basis.Each MS,MSD,and Sample Duplicate eiinquishe By: Nid Time Received By: NY ❑Wastewater required an additional sample aliquot. I RI ❑Waste Disposal Project Specific QA Required' Methcsd of Shipment: VT ❑Dredge Materials ❑ Sample Duplicate ❑ MS ❑ MSDS A Courier Epress Mail Dad Ex Don [tent Courier co r c "Town of.Barnstable Regulatory Services Barnstable Thomas F. Geiler, Director AWAmeficaCft * MAS& Public Health Division 1639. 1 3�A Thomas McKean,Director 2007 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 8, 2012 Mr. and Mrs. Arthur Casavant 61 Falling Leaf Lane Osterville, Massachusetts 02655 Dear Mr. and Mrs. Casavant: Thank you for your recent update on your UA.system. We are sorry to hear.of your high cost to maintain this system. Your correspondence will be added to.your file to document your efforts to bring this system into compliance and hope this latest endeavor will succeed. At this time, we have no advice on how to proceed other than to continue working with the engineering firm. Very truly yours, o as cKean, R.S., CHO: Director of Public Health q:\wpfiles\61.falling.leaf.lane.03.08.12.doc h _ .Art ur and Patricia Casavant 61 Falling Leaf Lane . Osterville, MA 02655 508-420-1112 March 5, 2012 Mr. Thomas McKean Director of Public Health Town of Barnstable, MA 200 Main Street Hyannis, MA 02601 Re: Septic system at 61 Falling Leaf Lane Osterville MA y Dear Mr. McKean: I am writing to update you on continuing efforts by my wife and myself to ensure compliance of our septic system with Title V guidelines. As you may recall, we are homeowners at 61 Falling Leaf Lane; the property has a recirculating sand filter system installed by Omni and has not met the denitrification test despite a series of expensive repairs intended to ensure code compliance. .We never received information at the time of our home purchase in 1999 that should have been supplied by our builder McShane " and Company with respect to our septic stem: P Y P P Y As homeowners we are concerned about the failure to reach compliance with the " standards despite having made extensive repairs and testing. In order to continue system, improvement we have entered into a contract with Bennett Environmental to replace the control panel associated with the system. I am assured by Bennett that the re lacement qf. �} the control panel at an estimated cost of$1800 should improve the system's�;erformancr, CD by causing recirculation to improve denitrification. This work is in additiorcyoxpreviou z ' work performed by Bennett to meet Title V standards. ;1 Q I would appreciate your adding this letter to our file as we have already spent car . committed an enormous amount of time and resources to improve system perf'rmance- After receiving a County notification in 2011 that testing had not been done we reacheF out to the County and have worked with Bennett Environmental to meet the compliances requirements. We have spent close to $10,000 since purchasing our home and as retirees on a fixed income we are anxious to close this matter without spending,every,last dime we have. , Our attempts to meet the Title V targets have been both expensive and frustrating.`We are retired senior citizens; I am a legally blind veteran and my wife is a retired Massachusetts school teacher. Both my wife and I are available if you have any additional thoughts or comments on our approach. We appreciate your-advice on how to proceed to get system approval. Sincerely yours, Cc: Bennett Environmental 1573 Main Street P.O. Box 1743 Brewster, MA Attn: Samantha Farrakhand 5C Z, 6f7 2y °F INE T , °* Town of Barnstable EUMSTMIZ 9�pTEA1��' Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S.FAX: 508-790 6304 Brian R.Grady;R.S. Ralph A.Murphy,M.D. Y f µ Decision of the Board of Health Regarding Lots 1 Through 14 and Lots' 16 Through 25 Falling Leaf Lane, Osterville, Shown on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and Identified as Parcels 3.001 Through 3.014 on Assessor's Map 144, and Parcels 3.016 Through 3.025 on Assessor's Map 144. PROCEDURAL HISTORY On November 18, 1996, the Board of Health agent, Thomas McKean, R.S.; C.H.O., received twenty-four (24) disposal system permit applications along with two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who was representing O.R.E. Associates Incorporated and.Osterville Highlands Trust pertaining to proposed, construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144, and parcels 3.016 through 3.025 on Assessor's Map 144. The disposal system . s construction applications indicated that parcels,2, 4, 6, 8, 10, 12, 141 16, 18, 20, 22, and 24 (all the even numbered lots) were owned by Osterville Highlands Trust. The remaining applications' . - 1 Ali , indicated that parcels 1, 3, 5, 7, 9, 11, 13, 17, 19, 21, 23, and 25 (all the odd numbered lots) were owned by O.R.E. Associates. On or about November 21 1996 Mr. McKean disapproved all twenty-four disposal , construction permit applications due to the'fact that the plans lacked maximum feasible compliance with the State Environmental Code, Title 5. He also returned the checks totaling $2,400.00 to Peter Sullivan, P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hearing scheduled on Tuesday December 17, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the State Environmental Code. y v During the first hearing which was held on December 17, 1996, the applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997 public meeting. On February 4, 1997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meetings Continuation hearings were also held on the following dates during 1997: June 17th, July 1st, and August 19th. Many documents were submitted into the record by both the applicant(s) and the Board of Health. The Board members rendered a decision on September 3, 1997 during a special public paring. 2 FINDINGS OF THE BOARD OF HEALTH After discussion and based upon the evidence submitted, the Board of Health made the following findings: I. All 25 lots in the subdivision fall within a DEP approved Zone II of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2. The Zone II for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrate levels (generally <0.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape Cod. 2. All lots in the subdivision are within a DEP-defined nitrogen sensitive area as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of Barnstable defined WP zone, the five year time of travel contribution zone to a public water supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and other ntaminants in groundwater. In recognition of 4 and 5 above, DEP has determined per 310 CMR 15.214(1), that no serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall 3 be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size. Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR 15.214, the half-acre lots would be entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules,. 310 CMR 15.005, the owner of a lot on which construction of a septic system in full compliance with 310 CMR 15.000 is not feasible.is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR 15.000 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR 15.404 and 15.405. 9. 310 CMR 15.404 (maximum feasible compliance)`states that a non-conforming system may be brought into compliance through the installation of an alternative system (i.e. a nitrogen removal system with associated design flow credit may be used to bring a system into compliance with the requirements of 310 CMR 15.214). 10. The Board is in receipt of a letter from DEP to William Nye (one of the applicants)dated February 4, 1997 stating that "the department interprets compliance with the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310 CMR 15.005(c), a considered assessment by the proponent of approved nitrogen removal technologies when site limitations prevent attainment of the 440 gallon per acre design flow standard set for new construction under 310 CMR 15.215(1)..." • i 1 11. The applicant is entitled to pursue an aggregate determination of nitrogen loading per 310 CMR 15.216 and DEP guidelines. _It is this board's belief that the cumulative acreage in the subdivision, minus the acreage devoted to roads, when considered in the aggregate is sufficient to allow the construction of 2-bedroom homes (220 gpd design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 310 CMR-15.214. 12. The applicant has acknowledged that lot-15 will be used for drainage and is not to be considered buildable. 13. At the hearings held on August 19, 1997 and September 3, 1997, the applicants proposed to the Board that dwellings located on 20 of the lots, which specific lots they identified, would be limited to 2 bedrooms unless the system(s) are modified to include enhanced nutrient removal as approved by the Board of Health in which case.a dwelling served by a modified system may be permitted to have not more than 3 bedrooms. The remaining four lots would be limited to not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 14. Based upon the evidence presented, the Board finds that the applicants can achieve maximum feasible compliance with 310 CMR 15.000 through either 1) the construction of 2- bedroom homes on twenty of the lots with the remaining four lots provided with nitrogen removal technology; the twenty lots must have appropriate restrictions placed upon their deeds to indicate that only 2 bedrooms are allowed, or 2) the installation of nitrogen removal technology on any lot will entitle the owner to a design flow of,330 gpd. _ 5 6 15. The applicant may choose in the future to present to this board an: aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if. approved by the board, will negate the restrictions in 14 above. ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health voted to take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger, Trustee and ORE Associates, Inc.: F A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 9, 11, 13, 17, 19, 21, 25 and to Osterville Highland Trust,-John Alger, Trustee for lots 2,-4, 6, 8, 10, 14, 16, 18, 20, 24, as designed, said issuance subject to compliance with the following conditions: 1. All dwellings shall be limited to 2 bedrooms unless the system(s) is modified to include enhanced nutrient removal as approved by the Board of Health in which case a dwelling served by a modified system may be permitted to have Pot more than 3 bedrooms. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (A)(1) above. 3. Deed restrictions, approved as to form by the Town Attorney, limiting the use of the ellings to two bedrooms on each of the above-referenced lots shall be recorded at the stable Registry of Deeds. A copy of the recorded deed restriction for the particular lot for which a Disposal System Construction Permit is sought shall be provided to the Barnstable Board of Health prior to the issuance of a Disposal System Construction Permit. } (B) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots I and 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed, subject to compliance with the following conditions: 1. All dwellings shall be limited to not more.than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 2. Each plan shall be modified by the'applicants to include a'notation.containing the full text of the language recited in paragraph (B)(1) above. t (C) No permit shall issue for lot 15 which has been designated, pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to file with the Board of Health and the DEP a plan pursuant to the provisions of 310 CMR 15.216(2), nor shall the mere filing of such a plan obligate the Board of Health to approve same. VOTE: t IN FAVOR OF DECISION : RASK, GRADY, MURPHY OPPOSED: NONE Dated: October 7, 1997 Susan Rask, Chair, Barnstable Board of Health fiCe BENNETTENVIRONMENTALAssOCIATES, LICENSED SITE PROFESSIONALS 0 ENVIRONMENTAL SCIENTISTS 0 GEOLOGISTS 0 ENGINEERS 1573 Main Street-P.O. Box 1743, Brewster;MA 02631 © 508-896-1706 Fax 508-896-5109 0 www.bennett-ea.com PROPOSAL 41D 3q 3 May 18,2011 Mr. Arthur Casavant 61 Falling Leaf Lane �! Osterville, MA 02655 C CO Ay RE: OPERATION AND MAINTENANCE CONTRACT Innovative/Alternative Septic System 61 Falling Leaf Lane—Osterville, MA Dear Mr. Casavant, BENNETT ENVIRONMENTAL ASSOCIATES,INC.(BEA)is pleased to provide you with a budget estimate for professional services relative to the operation and maintenance of the Innovative/Alternative septic system located at the above referenced property. The collection and laboratory analysis of samples collected from the effluent of the septic treatment system is a required condition of the approved Innovative Wastewater Treatment System,as set forth by the Barnstable Board of Health to qualify treatment capacity on a quarterly basis. As such,work proposed by BEA includes the collection of wastewater samples for laboratory analysis and the preparation of the required forms for distribution to the appropriate town and state offices as well as you. Additionally, at the time of such sampling, blowers, filters and associated piping will be inspected to assure working condition and regularly scheduled maintenance performed on a fixed cost basis will be invoiced quarterly. Should any repair or treatment system componeiats replacement be required, or additional sampling beyond the quarterly requirementekessary, u will be notified to authorize the additional work and expenses. un The following budget represents estimated annual costs through one year of set*ice to inclde T four sampling and inspection events. These annual costs are valid for two years subseq ent the dale of the first inspection. Please note that this contract runs with the property. As suc , it is yourco -- responsibility to notify our office in writing of any sale of the subject property so tha a there is fro r disruption of services. Furthermore, you are required to notify any buyer of the tran fer of contract. 1 EMERGENCY SPILL RESPONSE WASTE SITE CLEANUP. SITE ASSESSMENT PERMITTING SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 0 WASTEWATER TREATMENT,OPERATION&MAINTENANCE MAY 18,2011 CASAVANT/PROPOSAL PAGE 2OF2 UAWWTO&M QUARTERLY INSPECTION/MAINTENANCE/SAMPLING Inspect I/A system and take field measurements of dissolved oxygen,pH and turbidity. Collect quarterly treated effluent wastewater samples under a proper chain-of-custody for analysis by a MA certified laboratory for analysis of BOD,TSS, pH,nitrite/nitrate/TKN for total nitrogen. At the time of sampling events the conditions of the system will be inspected and documented with regards to the blower units,sludge level and associated piping. REPORTING/FILING Review laboratory results relative to conditional requirements of the system under the MA DEP and local Board of Health approvals. Prepare DEP transmittal forms and file sampling and inspection reports on the County database on a quarterly basis. Submit laboratory report and DEP transmittal forms to MA DEP,local Board of Health,and associated vendors/contractors,as appropriate,on an annual basis. Professional Fees Operation&Maintenance and Monitoring $ 840.00 Laboratory Analysis[4X—BOD,TSS,pH,Total Nitrogen Series] $ 270.16 TOTAL ANNUAL EXPENSE: $1,110.16" TOTAL COST PER EVENT: $277.54 *Note:I/A systems located in Barnstable County are required to report inspection and sampling results on the MA Septic online database for use by the Barnstable County Department of Health and Environment(BCDHE)and the local Boards of Health. At this time,BCDHE has found it necessary to institute annual user fees for filing on this required database. This fee is$50 per year. This fee will be included on your invoice on an annual basis. Therefore,if you are in agreement and wish to proceed with the work as outlined,please sign the authorization below to indicating acknowledgement and acceptance of our Terms&Conditions and return one copy of this proposal to our office. Should you have an questions or need additional Y information,please contact me directly at our office. Very truly yours, BENNETT ENVIRONMENTAL ASSOCIATES,INC. Samantha Farrenkopf,ES, WWT�, PWSO Wastewater Program Coordinator cc: Kara Risk,Business Manager encl. Terms&Conditions (2011)/Fee Schedule(2010) AUTHORIZATION: / DATE: BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,SANITARIANS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Brian Baumgaertel,Program Coordinator 1 BEAI I-10343 Barnstable County Department of Health and Environment 6/1/1 3195 Main Street/P.O.Box 427 Barnstable,MA 02630 REGARDING: Innovative/Alternative Septic System Maintenance Contract SHIPPING METHOD: 61 Falling Leaf Lane Osterville,MA Regular Mail ❑X Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 5/18/11 61 Falling Leaf Lane-Osterville,MA For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑ REMARKS: , Please find enclosed the authorized operation and maintenance agreement for the above referenced residence. Thank you. cc:Barnstable Board of Health FROM: Samantha Farrenkopf,Wastewater Program Coordinator If enclosures are not as noted,kindly notify us at once TOWN OF BARNSTABLE LOCATION SEWAGE # oZ� VILLAGE r ASSESSOR'S MAP��tOT '�" ` INSTALLER'S NAME&PHONE NO. R! 11d►f_ Cc.►N'J. SEPTIC TANK CAPACITY LEACHING FACILrrY: (type .z'44e>y�v 4size) NO.OF BEDROOMS i LBt11L OR OWNER PERMITDATE: COMPLIANCE DATE: •' '�"' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ✓�G`l 1/ �f/f'�' I�`d�..'C ► 1 -Z kv z,-Z� ov) � J 1-888-450-ONMI i�, �/�t� (508)548-6424 ®R OFFICE—CAPE COD, MASS. t MANUFACTURING—CAPE COD,MASS. P.O.Box 128 I Falmouth Technology Park-@Acme Precast '465 East Falmouth Highway 011iIN 520 Thomans B.Landers Road East Falmouth,MA 02536 "Groundwater Protection Pure And Simple" East Falmouth,MA 02536 e-mail: OES4500MNI@aol.com e-mail:0ES4500MNI@aol.com Environmental Systems, Ltd. i 14 April 1999 Susan G. Rask, RS Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: #20 FALLING LEAF LANE, OSTERVILLE, BARNSTABLE, MA. OWNER: McSHANE CONSTRUCTION, Co., INC., OSTERVILLE, MA. Dear Madam, Pursuant to Town of Barnstable Board of Health Regulation 12.00"Monitoring of Alternative Septie- Technologies". The following Surveillance/Effluent Testing Plan has been developed for the Omni 2000 Recirculating Sand Filter at#20 Falling Leaf Lane, Osterville, MA. The agreement consists of quarterly testing beginning 15 September 1999. Groundwater Analytical, Inc. of Buzzards Bay, MA., shall perform the following tests: Total Suspended Solids, TSS EPA 160.2 Total Phosphorous EPA 395.1 Biochemical Oxygen Demand, BOD EPA 405.1 Total Nitrogen EPA 350.1-351.4 Omni Environmental Systems, Ltd. shall provide the owner and the local approving authority test results within 30 days of the date of the incident. Please note that the following items are enclosed for the perusal of the board: 1. Owners Manual 2. Operators Manual 3. Maintenance Agreement 4. Effluent Testing Agreement 5. Design Plans stamped and signed 6. "As-built" plans stamped and signed Omni Environmental Systems, Ltd. respectfully requests that the Barnstable Board of Health issue a Certificate of Compliance for the Omni 2000 Recirulating Sand Filter at the above referenced address. If you have any questing or if I can be of any further assistance please don't hesitate to contact me. Sincerely, 1 Christopher Costa, PLS DEP Certified Wastewater Plant Operator Pending 5/15199 Copy: John McShane, McShane Construction, Co. Recirculating Sand Filters F Manufacturing • Testing 9 Maintenance Installations f rtj} Inspection and Testing Requirements 0 1 Barnstable County Department of Health and Environmentr� ` P.O. Box 427 Barnstable,MA 02630 ?ttr'HLI Phone:(508)375-6888 Fax:(508)375-6880 Arthur Cassavant 61 Falling Leaf Lane OSTERVILLE MA 02655 Massachusetts DEP Approval Level: General with Nitrogen Requirements Inspection Requirements._._... _.. Your system is required to be inspected Quarterly ` Additional system components that must be inspected: ❑ Ultraviolet Disinfection Unit- Because of the presence of this unit in your system,you may be required to have your system effluent tested for Fecal Coliform bacteria. See"Testing Requirements" below. ❑ Pump Chambers- " Testing Requirements Your system is required to be tested as follows: ❑ Annual Field Test Includes testing for pH, Dissolved Oxygen(DO)and turbidity. Additionally,the effluent must be visually inspected for color,turbidity and effluent solids. Failure of any of these tests will require that a laboratory test be completed for pH, BOD5,and TSS. Failure of any laboratory test requires a follow-up inspection and field test within 60 days. 9/1 Effluent Lab Testing-Quarterly The effluent is to be tested for: TKN ❑FAlkalinity ❑`� pH (Range: 6-9) Nitrate ❑ Ammonia ❑ Temperature Nitrite BOD5/CBOD (Limit: 30mg/L) ❑ Water Usage Tutai Mirogen (Limit: 19nigiL) 'TSS _..,.`.. (Limit: 36mgiL) ❑ Conductance ❑ Fecal Coliform ❑ Influent Lab Testing- The influent is to be tested for: ❑ TKN ❑ Alkalinity 0.pH ❑ Nitrate ❑ Ammonia ❑ Temperature ❑ Nitrite ❑ BOD5/CBOD ❑ TSS ❑ Total Nitrogen ❑ Fecal Colifonn ❑ Water Usage Please make sure that any contract you sign contains provisions for each of the above requirements. Failure to follow these requirements can result in a Board of Health hearing.Questions can be directed to the Barnstable County Department of Health and Environment or your local Health Department. Ir BENNETT ENWRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 '•,. (508)8964706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Massachusetts Department of Environmental Protection 9/21/12 BEA11-10343 Attention:Title 5 Program 1 Winter Street-6th Floor Boston,MA 02108 REGARDING: Casavant Residence 61 Falling Leaf Lane SHIPPING METHOD: Osterville,MA Regular Mail ❑ Pick Up ❑ Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR ❑ COPIES DATE DESCRIPTION 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems(Dec 2011; Mar,June and Sept 2012) 1 OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklist(Dec 2011; Mar,June and Sept 2012) 1 12/13/11 Alpha Analytical Laboratory Report 1 1/25/12 Alpha Analytical Laboratory Report 1 4/3/12 Alpha Analytical Laboratory Report 1 6/21/12 Alpha Analytical Laboratory Report 1 9/12/12 Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: REMARKS: Please find enclosed the DEP Inspection and O&M Forms,OMNI Environmental Systems,Inc.RSF Operation and Maintenance Inspection Checklists and laboratory analytical reports for operation and maintenance conducted during this reporting period at the above referenced property. If you have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health Mr.Casavant,Owner David C.Bennett,Principal[Internal] Matthew Costa-OMNI Environmental Systems,Inc. [via email] FROM: David C.Bennett,WWTO#6243/Samantha Farrenkopf,WWTO#13265/Joseph Smith,WWTO#12529 If enclosures are not as noted,kindly notify us at once Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return Cuty Zip key. Mailing address of owner, if different: VIRtabA Street Address/PO Box: enen City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/5/11 9/8/11 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: M musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 7.0 SU DO 11.15 mg/L Turbidity 6.07 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH M BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance visit. Collect effluent samples for field testing and laboratory analysis. Effluent quality passed field testing parameters. Notes and Comments: t5aiom.doc•rev.11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 311h of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro hgram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. r� Mailing address of owner, if different: Street Address/PO Box: reaon City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 3126/12 12/5/11 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some pH 6.5 SU DO 16.69 mg/L Turbidity 6.27 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Effluent quality passed field testing parameters. Notes and Comments: t5aiom.doc•rev.11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMiiR 2.00. � a117.1117 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Pro ram One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return key. City Zip Mailing address of owner, if different: tab Street Address/PO Box: rctum city State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 6/14/12 3/26/12 Inspection Date Previous Inspection Date 4" Sludge, 0" Scum Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown M clear ❑ turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6.5 SU DO 14.17 mgiL Turbidity 3.90 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance visit. Collect effluent samples for field testing and laboratory analysis. Effluent quality passed field testing parameters. Notes and Comments: t5aiom.doc•rev. 11-07-05 Page 2 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. &"'4.2 1��_Ad - C�'?�1\2 Operator Signature D to e System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Arthur Casavant filling out forms Owner on the computer, use only the tab 61 Falling Leaf Lane key to move your Facility Street Address cursor-do not Osterville 02655 use the return City Zip key. �1 Mailing address of owner, if different: Street Address/PO Box: iertnn City State Zip (508)420- 1112 ext. Telephone Number B. Authorized Service Provider BENNETT ENVIRONMENTAL ASSOCIATES, INC. O&M Firm 1573 Main Street/ PO Box 1743 Street Address Brewster MA 02631 City State Zip (508) 896- 1706 ext. 129 Telephone Number Samantha Farrenkopf 13265 Certified Operator Name Certification Number C. Facility/System Information OMNI Environmental Systems OMNI RSF DEP ID Manufacturer ID Model Number 10/14/99 10/14/99 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 9/4/12 6/14/12 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes JZ No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ® turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 3.66 mg/L Turbidity 34.7 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ®TN ® Other(list below) Nitrite Nitrate TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance visit. Collect effluent samples for field testing and laboratory analysis. Effluent quality passed field testing parameters. Notes and Comments: The water level was low in the recirculation tank. An adjustment was made to the timers. t5aiom.doc•rev. 11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date -� System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aionn.doc•rev. 11-07-05 Page 3 of 3 IV fwmbw OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information .10 ,55 Facility Street Addrdis Date of Service Wit, �w..a� , C�- ;1 P fLtl,_ City Operator/0&M Firm System Startup Date Weather Conditions t B. Septic Tank Sludge Pumping Required: Yes❑ Nd%� ❑Sludge Depth: 1 g p El Depth: � Effluent tee filter., Yes❑ No\CR If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped;note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily.the system is used. i Of, Recirculation Tank tl tip, F check if sludge accumulating Pumping required: Yes❑ Noo t Oclor.probiems: Yes ❑ NoW If yes,description Effluent fee filter: Yes❑ N44 If yes, inspect El &clean at least yearly[I i If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank (if installed) Sludge Pumping Required: Yes❑ No❑ ❑ Sludge Depth: ❑Scum Depth: i Effluent tee filter: Yes❑ No ❑ If yes, inspect❑ &clean at least yearly❑ Same inspection criteria as septic tank: I i E. Pump Chamber/Vault(if Installed) i ❑ Pump Inspections(all units) If problems,describe ❑ Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. j i F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe i Test pump alternator, or record hours Hours of operation Float switches Check all switches for operation Nest alarm i If non-functioning,corrective action(s) . Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") . i Inspect for ponding Pondirig Present:Yes ❑ No Clean bed: Yes❑ NdX . Distribution pipes Flush:Yes❑ No4 Brush: Yes❑ No Any obstruction of airflow to filter modules: Yes ❑ No VkIf Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye No❑ If yes:%4BOD VTSS ❑pH TN tdOther 730Z All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: IG Envzronmmtcar Systems, Inn OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information I -AvA �'L G Facility Street Ad DatJ of Service City Operator/O&M Firm 6-" r System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes ❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes ❑ N64t, If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. C. Recirculation Tank -Sko� 6 ❑Check if sludge accumulating Pumping required: Yes❑ No ❑ Odor problems: Yes ❑ NoR If yes,description Effluent tee filter: Yes❑ Nor If yes, inspect❑ &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. r� D. Equalization Tank(if installed) Sludge Pumping Required: Yes ❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes ❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: �� . E. Pump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. I r F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe 1 Test pump alternator, or record hours (. ) Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. C. Filter Modules ("Sand Filters") Vinspect for ponding Ponding Present: Yes❑ NOM Im Clean bed: Yes❑ N&Rk Distribution pipes Flush: Yes❑ N Brush: Yes El No ny obstruction of airflow to filter modules: Yes❑ No If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration. If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye0k No❑ If yes. BOD%TSS ❑pH ITN Other All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers. In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: rO r t� fi(a)Vc- ��►�� b1�� OT OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service Information A T'111�� \A i-,"- Facility Street Add tabs Date of S rvice Il City Operator/O&M Firm System Startup Date Weather Conditions E. Septic Tank (4 Sludge Pumping Required: Yes ❑ No \ Sludge Depth: q ' Scum Depth: 0 Effluent tee filter: Yes ❑ N Uk If yes, inspect❑&clean at least yearly❑ If the sludge layer is within 12"of the outlet invert,recommend that the homeowner have the septic tank pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. ua C. Recirculation Tank 3\ `' ` ' �'�' Check if sludge accumulating Pumping requ.ired: Yes❑ No Odor problems: Yes ❑ N If yes,description Effluent tee filter: Yes ❑ No If yes, inspect❑&clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules.Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: E. Pump Chamber/Vault (if Installed) ❑ Pump Inspections(all units) If problems,describe ❑ Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System Xpump Inspections(all units) If problems,descn e Test pump alternator, or record hours zs � Hours of operation Float switches Check all switches for operation V&Test alarm If non-functioning,corrective action(s) Make sure pump(s),Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present: Yes ElNo Clean bed: Yes❑ No[� Distribution pipes Flush:Yes❑ No Brush: Yes ❑ No� A fV_Vny obstruction of airflow to filter modules: Yes❑ No If Yes, explain below(i.e. snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely expose the filter modules,and rake the filter beds thoroughly,then wash the filter beds down with a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Ye� No❑ If yes�&BOD%6TSSE1pH �TN Other I'' � 3 ) Z )'`tQ All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: CM-1 _ � � Env x-onrmnAll.systems,Inc. OMNI RSF Operation and Maintenance Inspection Checklist A. Installation & Service nformation Facility Street Adqr@ga DatJ of Se ice City Operator/O&M Firm System Startup Date Weather Conditions B. Septic Tank Sludge Pumping Required: Yes❑ No ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No If yes, inspect❑&clean at least yearly❑ If the sludge layer is within.12"of the outlet invert.recommend that the,homeowner have the_.septic.tank... ................ ..... ...__.. ..._.__ ._...._.. pumped,note the approximate scum layer thickness as well.Also,inquire if the homeowner has a pumping schedule established with a licensed septage hauler,if not recommend a two to four year pumping schedule depending on how heavily the system is used. . C . Recirculation Tank ❑Check if sludge accumulating Pumping required: Yes❑ NOV Odor problems: Yes❑ N�. Ifyes,description Effluent tee filter: Yes❑ N If yes, inspect❑ &clean at least yearly❑ If the sludge layer is greater than 4"request that the homeowner pump out the recirculation tank in order to prevent clogging of the filter modules. Note the characteristics of the effluent coming out of the manifold this may indicate that the filter bed may need servicing. \� D. Equalization Tank(if installed) Sludge Pumping Required: Yes❑ No❑ ❑Sludge Depth: ❑Scum Depth: Effluent tee filter: Yes❑ No❑ If yes, inspect❑&clean at least yearly❑ Same inspection criteria as septic tank: \ E. Pump Chamber/Vault(if Installed) ❑Pump Inspections(all units) If problems,describe ❑ Float switches Check all switches for operation Make Sure the pump is operational by pulling up the float switch;if the pump is not operational immediate corrective actions need to be taken. F. Pumps, Switches, Floats, Alarm System Pump Inspections(all units) If problems,describe Test pump alternator,or record hours Hours of operation Float switches Check all switches for operation Test alarm If non-functioning,corrective action(s) Make sure pump(s), Float(s)and audible alarm(s)are functional,if not make a note so that corrective actions can be made. G. Filter Modules ("Sand Filters") Inspect for ponding Ponding Present:Yes❑ No Clean bed: Yes❑ NdA Distribution pipes Flush:Yes❑ N�] Brush: Yes ElNo\N •Any obstruction of airflow to filter modules: Yes❑ N4 If Yes,explain below(i.e.snow, dirt) To inspect the condition of the filter modules remove the mulch layer at one corner of the filter module area, then lift the filter fabric so that the media can be inspected through the end of the contactor. The media should"have a thin biomass layer growing on it and should have a brownish shaggy coloration.If the surface of the filter module area appears to be clogged,or the biomass layer is too think it is suggested to completely-expose the filter modules,and rake the filter-beds-thoroughly,-then wash the filterbeds down with — ---- a garden hose(with a pressure nozzle on it).Then Recover the filter beds as they were found. H. Sample Collection Yet R1 No❑ M ' l T If yes:l IXIBOD TSS ❑pH VTN VOther f�� 1��3 ) 0 4, All samples are to be taken from the manifold located in the recirculation tank,and are to be stored in sterile, laboratory supplied containers.In order to prevent any cross-contamination from a previous sample rinse the ' dip cup into the effluent stream at the manifold three times so that a representative sample can be obtained. Make sure to wear proper safety equipment while pulling samples(i.e.rubber gloves). System Notes: CIO i Serial_No:12131110:44 HA 5 ,ANALYTICAL ANALYTICAL REPORT Lab Number: L1120158 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 12/13/11 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 17 Serial No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Alpha Sample Collection Sample ID Client ID Location Date/Time L1120158-01 EFFLUENT OSTERVILLE, MA 12/05/11 10:30 /��t'� Page 2 of 17 Serial—No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: 1-1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. For additional information,please contact Client Services at 800-624-9220. Nitrogen, Nitrate L1120158-01 has an elevated detection limit due to the dilution required to quantitate the result within the calibration range. Nitrogen, Total Kjeldahl 1-1120158-01 has an elevated detection limit due to the dilution required by the sample matrix. BOD, 5 day 1-1120158-01 has an elevated detection limit due to the dilution required by the elevated concentration present in the sample. I, the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Cyr J � Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 12/13/11 Page 3 of 17 '''�`�` Serial No:12131110:44 INORGANICS MISCELLANEOUS A Page 4 of 17 I Serial—No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 SAMPLE RESULTS Lab ID: L1120158-01 Date Collected: 12/05/11 10:30 Client ID: EFFLUENT Date Received: 12/05/11 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter, Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended 10 mg/I 5.0 NA 1 - - 12/06/11 13:55 30,25401) DW Nitrogen,Nitrite 3.1 mg/I 0.05 1 - 12/06/11 22:27 44,353.2 TH Nitrogen,Nitrate 23 mg/I 0.50 5 - 12/07/11 00:57 44,353.2 TH - -- - _-- _._....... ... - Nitrogen,Total Kjeldahl 12 mg/I 1.5 5 12/07/11 09:00 12/12/11 21:10 30,4500N-C AT BOD,5 day 23 mg/I 5.0 NA 2.5 12/05/11 23:55 12/10/11 17:30 30,521013 KL !,L-PFiA Page 5 of 17 Serial No:1213111O:44 Project Name: CASAVANT RESIDENCE Lab Number: L112O158 Project Number: BEA11-10343 Report Date: 12/13/11 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough:Lab for sample(s);, 01 E Batch: WG5O6242-1 r BOD,5 day ND mg/I 2.0 NA 1 12/05/11 23:55 12/10/11 17:30 30,521013 KL General Chemistry-Westborough.Lab for sample(s): 01 Batch: WG506261-1 Solids,Total Suspended ND mg/I 5.0 NA 1 12/06/11 13:55 30,2540D DW General Chemistry Westborough'Lab for sample(s): 01 Batch: WG5O647O-2 4 Nitrogen,Nitrate ND mg/I 0.10 1 12/06/11 22:12 44,353.2 TH General Chemistry Westborough Lab for sample(s): 01 `Batch: W65O6471-2 Nitrogen,Nitrite ND mg/I 0.05 1 12/06/11 22:20 44,353.2 TH General Chemistry Westborough Lab for sample(s): 01 Batch: WG506538-1 Nitrogen,Total Kieldahl ND mg/I 0.30 — 1 12/07/11 09:00 12/12/11 20:56 30,4500N-C AT Page 6 of 17 Serial—No:12131110:44 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General''Chemistry�-Westborough;Lab Associated,sample(s):,01 Batch` WG506242-2 BOD,5 day 98''' - 85-115 20 General Chemistry.-'Westborough,Lab Associated`sample(s): 01+ `Batch: WG506470-1 T Nitrogen,Nitrate =100 90-110 -----------_..---------------_------------ ---��_-tea_.------------------ -— --... .._------------ ---- __ ---..__—_-- --------.__� ..----General,Chemistry=.Wil itborough�Lab Associatedlsampl Batch: WG506471-1- Nitrogen,Nitrite SM` —98 - 90-110 - 20 GeneralsChemistryt-Westborough'Cab Associated samples) 01' _Batch:^WG506538-2- -x i • r w Nitrogen,Total Kjeldahl M'92=- '`- 85-110 - Page 7 of 17 � �� Serial No:12131110:44 Matrix Spike Analysis Batch Quality Control Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lab Associated;sample(s) :01 QC Batch`ID:°WG506242-3 QC-Sample: L1120r141-02 Client•ID: MS Sample BOD,5 day 11 100 110 101 - 50-145 35 General Chemistry-Westborough Lab Associated-sample(s): 01 "QC Batch ID:WG506470-3 QC Sample: L1120155=01 Client{ID: MS.Sample Nitrogen,Nitrate 1.1 4 5.0 98 - 83-113 6 - ---- - ..--- --- - _----- --- .. --- .-- -- -- -- - -- - -- ... ..- - - -- - - - --- -- — - - General Chemistry-Westborough.Lab-Associated samples).101 QC:BatchrlD:WG506471;-3 -QC,Sample ,L1 1 201 55-0.1: Client.ID: MS Sample Nitrogen,Nitrite 0.89 4 5.0 - -103. - 80-120 20 GenerakChemistry.-'Westborough,Lab Associated'sample(s):,:01 QC Batch ID:WG506538-4 QC.Sample:;L1.120141-05 Client=ID:,.MS Sample Nitrogen,Total Kjeldahl 5.7 8 13 91 - 77-111 - 24 Page 8 of 17 [ ti.�►L Serial No:12131110:44 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits 'GeneraltChemistiy,-=.Westboroughl-Lab{Associafedfsample(s):-01- QC,Batch,ID: WG506242-4 QC.Sample:, L1120141-04 Client ID: .DUPZample BOD,5 day 8.4 8.3 mg/I 1: - 35 GeneralsGhemistry-°_V1%estborough.Lab Associated,-sample('s): 01 QC-Batch ID: .WG506261-2 QC Sample: L1120037-01 Client ID: DUP'Sample Solids,Total Suspended 330 440 mg/I 29 32 GeneralChemistry.-Westborough Labr'Associated.sample(s):`01 QCBatch,ID: WG5064704' ,QC,Sampl6: L1120155-01 Client ID: DUP Sample -� Nitrogen,Nitrate 1.1 1.1 mg/I 0`' 6 General Chemistry,-:;Westborough;LaboAssociated; smple(s):,01 QC,BatchJD: WG50647141 QC Sample:rc L1,120155-01.<Client4lD: DUP Sample.- - Nitrogen,Nitrite 0.89 0.91 mg/I 2. 20 Genera l*C hem istry,-Westborough Lab:Associated;sample(s): 01.. QC!Batch dD:,,,WG506538-3::=QC Sample:-,L1120,141.-05*Clienf'ID.;DUP Sample= M } Nitrogen,Total Kjeldahl 5.7 5.8 mg/1 2 24 Page 9 of 17l�IPF,A Serial—No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1120158-01A Plastic 1000m]unpreserved A 7 2.8 Y Absent TSS-2540(7) L1120158-01B Plastic 1000ml unpreserved A 7 2.8 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1120158-01C Plastic 500ml H2SO4 preserved A <2 2.8 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in daysd �;,� Page 10 of 17 Serial No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 GLOSSARY Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI -Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I -The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. Report Format., Data Usability Report ?Hr1 Page 11 of 17 Serial No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 Data Qualifiers P -The RPD between the results for the two columns exceeds the method-specified criteria. Q -The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE -Analytical results are from sample re-extraction. J -Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report Page 12 of 17 Serial No:12131110:44 Project Name: CASAVANT RESIDENCE Lab Number: L1120158 Project Number: BEA11-10343 Report Date: 12/13/11 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental,consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. Page 13 of 17 Serial No:12131110:44 Certificate/Approval Program Summary Last revised December 9,2011 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods, please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Vanadium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP), Ethylene Dibromide (EDB), 1,4-Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-Colilert(SM9223 P/A), E. Coll.-Colilert(SM9223 P/A), HPC-Pour Plate (SM9215B), Fecal Coliform- MF m-FC(SM9222D)) Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium Cobalt Copper, Iron Lead Magnesium, Man Mercury, Molybdenum, Nickel Potassium 9 Manganese, rY, Y Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents p ( ) Y 9 i Parameters: PCBs Or anochlorine Pesticides Technical Chlordane (MBAs), Bromide, Oil and Grease. Organic a g , Toxaphene, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics,TPH(HEM/SGT), Extractable Petroleum Hydrocarbons(ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform - MF mEndo (SM9222B), Total Coliform - MTF (SM9221 B), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth(SM9221 E).) Solid Waste/Soil(Inorganic Parameters: pH, Sulfide, Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Volatile Organics, Acid Extractables (Phenols), 3.3'-Dichlorobenzidine, Phthalates, Nitrosamines, Nitroaromatics & Cyclic Ketones, PAHs, Haloethers, Chlorinated Hydrocarbons. ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM92156, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters:504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM2320B, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NH3-H, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 8081, 8082, 8330, 8151A, 624, 8260, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014A, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330, 8151A, 8081A, 8082, 3540C, 3546, 3580A,3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM92236; MF-SM9222D.) NQntP able Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Page f10-F:° I,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, Serial No:12131110:44 SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B;Enterolert-QT: SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water (Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 245.2, 300.0, SM4500CN-E, 4500H+B,4500NO3-F,2320B,2510B, 2540C,4500E-C, 5310C, 2120B, EPA 332.0.Organic Parameters:504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, 245.2, SW-846 6010B, 6020, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 1664A, SW-846 9010, 9030, 9040B, SM426C, SM2120B, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260B, 8270C, 8330, EPA 624, 625, 608, SW-846 8082, 8081A, 8151A.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 9030B, 9040B, 9045C, 9050C, 9065,1311, 1312, 3005A, 3050B. Organic Parameters: SW-846 3540C, 3546, 3550B, 3580A, 3630C, 5030B, 5035, 8260B, 8270C,8330,8151A, 8015B,8082, 8081A.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.2, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, SM4500E-BC, EPA 200.7, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F, 4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P7B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 6020, 6020A, 7470A, 5540C, 4500H-B, EPA 200.8, SM3500Cr-D, 4500CN-CE, EPA 245.1, 245.2, SW- 846 9040B, 3005A, 3015, EPA 6010B, 6010C, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8081A, 8081B, 8082, 8082A, 8151A, 8330, NJ OQA-QAM-025 Rev.7, NJ EPH.) Solid& Chemical Materials (Inorganic Parameters: SW-846, 6010B, 6010C, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9045C, 9050A, 9065. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3545, 3546, 3550B, 3580A, 3630C, 5030B, 5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM2120B,4500CN-E,4500E-C, 4500H-B, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 92221), 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, LACHAT 10-107-04-1-C, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 25401), EPA 200.8, EPA 6010B, 6020, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM2120B, LACHAT 10-204-00-1-A, EPA 9040B, SM4500-HB, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-D, SM5540C, EPA 3005A, 9010B, 9030B.. Organic Parameters: EPA 624, 8260B, 8270C, 625, 608, 8081A, 8151A,8330, 8082, EPA 3510C, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: 1010, 1030, EPA 6010B, 7196A, 7471A, 9012A, 9014, 9040B, 9045C, 9065, 9050, EPA 1311, 1312, 3005A, 3050B, 9010B, 9030B. Organic Parameters: EPA 8260B, 8270C, 8015B, 8081A, 8151A, 8330, 8082, 3540C, 3545, 3546,3580,5030B,5035.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID: 666. Organic Parameters: MA-EPH, MA-VPH. Page b�iRQ6 Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Serial-No:12131110:44 Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAPAccredited. Drinking Water(Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(inorganic Parameters: EPA 1312,200.7,410.4, 1664A, SM2540D, 5210B, 5220D,4500-P,BE. Organic Parameters: EPA 3510C, 3005A,3630C, 5030B, 625, 624, 608, 8081 A, 8081 B, 8082, 802A, 8151A,82606, 8270C,8270D,8330) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 30506, 3060A, 6010B, 6010C, 7196A, 7471A, 90106, 9012A, 9014, 9040B, 9045C, 9050, 9065, SM 4500NH3-H. Organic Parameters: 3540C, 3546, 3580A,3630C, 5035, 8015B, 8015C,8081 A, 8081B, 8082,8082A,8151A, 826013, 8270C, 8270D, 8330) Rhode Island Department of Health Certificate/Lab ID: LAO00065. NELAP Accredited via NY-DOH. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID: T104704476-09-1. NELAPAccredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664, 200.7,200.8, 245.1, 245.2, 300.0, 350.1,351.1,353.2, 410.4,420.1, 6010, 6020, 7196, 7470, 9040, SM 212013, 2310B, 232013, 2510B,254013, 2540C, 25401),426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO213,4500P-E,4500 S2 D, 510C, 5210B, 5220D, 5310C, 5540C. Organic Parameters: EPA 608,624,625,8081,8082, 8151, 8260,8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312,9012, 9014, 9040,9045, 9050, 9065.) Department of Defense Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water(Inorganic Parameters: EPA 200.7,200.8, 6010B, 6020, 245.1, 245.2, 7470A,9040B, 300.0, 332.0, 6860, 353.2,410.4,9060, 1664A, SM 4500CN-E,45001-1-13, 4500NO3-F, 5220D,5310C, 23206, 2540C, 3005A, 3015, 9010B, 9056. Organic Parameters: EPA 826013, 8270C, 8330A,625,8082, 8081 A, 3510C, 503013, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 7471A, 9010,9012A, 6860, 1311, 1312, 3050B, 7196A,901013,3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 8260B, 8270C, 8330A/B-prep,8082, 8081 A,3540C,3546, 3580A, 5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethyl naphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. Page 16 of 17 �.. 1,..�.•?."..`-. .u 'rtx.= 7E.i ..., - _ o�'.'ca.a c 1i ,c c_�v=_,'.,_�'_!.v??P'== =-.-- .�,�. ..[ • '1�.opruw —•==`-.'••yam',.�.�_...'. :..:ti:•��•c-r��Mj� .t�::�a.C"..��..;�L��.��.��_�IS F^:::.:.^-=':yti-•.Y 1::�?,.,:0.Y,�..T.^.,�'^_..-�—=�i Project Information Report Information Data Deliverables Billing Information ~�v ■ FAX EMAIL .. Westborough,MA Mansfield,MA .. ■ ADExAdd'l Deliverables FAX 508-898-9103 FAX 608-M-3288 sterville,MA Regulatory Requirements/Report Limits Client Information • Client-Bennett Environmental Associates Prolect*BEA1 1-10343 Address,1573 Main Street I• • Box 1743 Project Manaper David I-) Brewster,MA 02631 ALPHA Quote IP 1: :•• .• v Turn-Around Time r ANALYSIS 0 Fax 508-896-5109 19 Standard Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING T sfarrenkopf@)benneft-ea.comFiltration L ■ Done ■Them samples have been Previously analyzed by Alpha Due Date: • Lab to doOther Project Specific Requirements/Cornments/Detection limits: Preservagon 0 T C3 Lab to do T !_ • bdom E 5 Sample ID Sample Sampler's —0-5- 9 F"MM, Date -rime Matrix Initials ^'' c I�©■®©� /1 C�L70001..7MC10LlLI wry ■■��■■r�oaiu�UUnowwml wu ■ •.. wwwIMMIMMMUE UN ■ ■ L7[■]CIIJLJIJCIL7L70UN UN UE mum MMUN In ■ .-..-..tip_^:'•':•:^="-.tiw-'TL-L..i - ■■�■��r�ouuunuMouIn _ ©_ • - ®��■■■■■■■■■ «} �- �:may �/ ■�■■ .. Ti te rs . -- -• .. ��si�;�7-- �-,;ice—�,:�---:: i Serial No:01251205:30 l >>� HA 'ANALYTICAL ANALYTICAL REPORT Lab Number: L1200932 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT Project Number: BEA11-10343 Report Date: 01/25/12 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Alpha Sample Collection Sample ID Client ID Location Date/Time L1200932-01 EFFLUENT BARNSTABLE, MA 01/18/12 08:00 1_\?HA Page 2 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. For additional information,please contact Client Services at 800-624-9220. I, the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. mow.._. Cynthia McQueen Authorized Signature: Title: Technical Director/Representative Date: 01/25/12 4Page 3 of 17 �,. Serial No:01251205:30 INORGANICS MISCELLANEOUS �a Page 4 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 SAMPLE RESULTS Lab ID: L1200932-01 Date Collected: 01/18/12 08:00 Client ID: EFFLUENT Date Received: 01/18/12 Sample Location: BARNSTABLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Nitrogen,Nitrite 0.33 mg/I 0.05 - 1 - 01/19/12 18:41 44,353.2 JO Nitrogen,Nitrate 26 mg/I 0.50 5 - 01/19/12 19:07 44,353.2 JO Nitrogen,Total Kjeldahl 7.1 mgll 0.30 — 1 01/19/12 14:00 01/23/12 21:20 30,4500N-C _ AT Page 5 of 17 Serial No:01251205:30 Lab Control Sample Analysis Project Name: CASAVANT Batch Quality Control Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits _ 4 _�_ �.�- ___ .�_ —_l(__- General Chemistry Westborough Lab Associated sample(s): 01 Batch: WG51438472 Nitrogen,Total Kjeldahl ""``95— - 85-110 —_ ..---....-.......__.._—.._......._.......... ..._.........-.....-._......._.....................__.._-----------_- ._.... -------- General,Chemistry-Westborough Lab A.ssociated samples) 01 Batch: WG514473-1TM Nitrogen,Nitrite " ' 100" - 90-110 20 General Chemistry-Westborough Lab Associated,sample(§):'01 Batch: WG514474-1 Nitrogen,Nitrate 100-- 90-110 - Page 7 of 17 fi/ Serial No:01251205:30 Matrix Spike Analysis Project Name: CASAVANT Batch Quality Control Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Iab—As sociateTsample(s): 01 QC Batch ID: WG 114384-4 QC Sample;`L1200 775-04' Client ID: M— °Sample Nitrogen,Total Kjeldahl 0.50 8 8.0 94- - 77-111 24 General Chemistry-Westborough Lab Associated sample(s):01 QC Batch ID: WG514`47373 QC Sample: L1200919-07"4Client'ID: MS-Sample Nitrogen,Nitrite 0.64 4 4.5 - 96 - -_ 80-120 20 General Chemistry s Westborough Lab Associate&sample(s): 01 QC Batch ID: W.G514474-3 QC Sample: L1200899-01 Client'ID: ,MS Sample Nitrogen,Nitrate 0.63 4 4.5 97—7 - 83-113 _5 Page 8 of 17 / tia Serial No:01251205:30 Lab Duplicate Analysis Project Name: CASAVANT Batch Quality Control Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG514384-3 QC Sample: L1200675-04 Client ID: DUP Sample Nitrogen,Total Kjeldahl 0.50 0.58 mg/I 15 24 Gei eral�Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG514473-4 QC Sample: L1200919-07 Client ID: DUP Sample Nitrogen,Nitrite 0.64 0.64 mg/I 0'-"— 20 Geeera-1 Chemistry Westboouuyg—h Lab, Asssocciated sample(s):~01 QC Batch ID:WG514474 4 QC-Sample: L1200899-03 Client ID: DUP Sample- Nitrogen, Nitrate 12 12 mg/I '0.. 6 Page 9 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1200932-01A Plastic 500ml unpreserved A 7 3 Y Absent NO2-353(2),NO3-353(2) L1200932-01 B Plastic 250ml H2SO4 preserved A <2 3 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days Page 10 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 GLOSSARY Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldo]Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. Report Format: Data Usability Report / Page 11 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 Data Qualifiers P -The RPD between the results for the two columns exceeds the method-specified criteria. Q -The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICs). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report ��L�L�FiA Page 12 of 17 Serial No:01251205:30 Project Name: CASAVANT Lab Number: L1200932 Project Number: BEA11-10343 Report Date: 01/25/12 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation,cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 13 of 17 Serial No:01251205:30 Certificate/Approval Program Summary Last revised January 3,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods, please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Vanadium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP), Ethylene Dibromide (EDB), 1,4-Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-Colilert(SM9223 P/A), E. Coli.-Colilert(SM9223 P/A), HPC-Pour Plate(SM9215B), Fecal Coliform- MF m-FC (SM9222D)) Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform - MF mEndo (SM9222B), Total Coliform - MTF (SM9221 B), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E).) Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Volatile Organics, Acid Extractables (Phenols), 3.3'-Dichlorobenzidine, Phthalates, Nitrosamines, Nitroaromatics & Cyclic Ketones, PAHs, Haloethers, Chlorinated Hydrocarbons. ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM92156, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM23206, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NH3-H, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 8081, 8082, 8330, 8151A, 624, 8260, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014A, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330, 8151A,8081A, 8082,3540C,3546, 3580A,3630C,5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM213013, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM922313; MF-SM9222D.) NQ ntP able Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Pageflo`�:° I,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, Serial No:01251205:30 SM2510B, 2540C, 23406, 23206, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM45001\103-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B;Enterclert-QT: SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID:200307. NELAP Accredited. Drinking Water (Inorganic Parameters: SM 92226, 92236, 921513, EPA 200.7, 200.8, 245.2, 300.0, SM4500CN-E, 4500H+B,4500NO3-F, 232013,2510B, 2540C,4500E-C, 5310C, 2120B, EPA 332.0. Organic Parameters:504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM9222D, 922113, 92226, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, 245.2, SW-846 6010B, 6020, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 1664A, SIN-846 9010, 9030, 90406, SM426C, SM21206, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 251013, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D. Organic Parameters: SW-846 3510C, 3630C, 503013, 82606, 8270C, 8330, EPA 624, 625, 608, SW-846 8082,8081A, 8151A.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 90306, 9040B, 9045C, 9050C, 9065,1311, 1312, 3005A, 3050B. Organic Parameters: SW-846 3540C, 3546, 3550B, 3580A, 3630C, 5030B, 5035,8260B, 8270C, 8330,8151A, 8015B,8082, 8081A.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM92226, 9221 E, 92236, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.2, 2540C, SM212013, 232013, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM52106, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM21206, SM4500E-BC, EPA 200.7, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F, 4500NO2-B, EPA 1664A, SM531013, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 254013, 2540C, 25401), EPA 120.1, SM2510B, SM15 426C, 92221), 9221B, 9221C, 9221E, 92226, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 6020, 6020A, 7470A, 5540C, 4500H-B, EPA 200.8, SM3500Cr-D, 4500CN-CE, EPA 245.1, 245.2, SW- 846 9040B, 3005A, 3015, EPA 601013, 6010C, 7196A, 3060A, SW-846 901013, 9030B. Organic Parameters: SW-846 82606, 8270C, 82701), 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 503013, 8081A, 8081B, 8082,8082A, 8151A, 8330, NJ OQA-QAM-025 Rev.7, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 601013, 6010C, 7196A, 3060A, 9010B, 90306, 1010, 1030, 1311, 1312, 3005A, 30506, 7471A, 7471B, 9014, 9012A, 90406, 9045C, 9050A, 9065. Organic Parameters: SW-846 801513, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 82606, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3545,3546, 3550B, 3580A, 3630C, 503013,5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM922313, 92226, 92156, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM23206, EPA 300.0, SM212013, 4500CN-E, 4500E-C, 4500H-B, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 922213, 9215B, 52106, 5310C, EPA 410.4, SM5220D, 2310E-4a, 23206, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, LACHAT 10-107-04-1-C, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 25406, 2540D, EPA 200.8, EPA 6010B, 6020, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM212013, LACHAT 10-204-00-1-A, EPA 9040B, SM4500-HB, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM251013, SM4500S-D, SM5540C, EPA 3005A, 901013, 9030B.. Organic Parameters: EPA 624, 826013, 8270C, 625, 608, 8081A, 8151A,8330, 8082, EPA 3510C, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: 1010, 1030, EPA 6010B, 7196A, 7471A, 9012A, 9014, 9040B, 9045C, 9065, 9050, EPA 1311, 1312, 3005A, 3050B, 9010B, 9030B. Organic Parameters: EPA 826013, 8270C, 8015B, 8081A, 8151A, 8330, 8082, 3540C, 3545, 3546, 3580, 503013,5035.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID :666. Organic Parameters: MA-EPH, MA-VPH. Page hWAl Q Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Serial No:01251205:30 Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 1312,200.7,410.4, 1664A, SM2540D, 5210B, 5220D,4500-P,BE. Organic Parameters: EPA 3510C, 3005A, 3630C, 503013, 625, 624, 608, 8081 A, 8081 B, 8082, 802A, 8151A,8260B, 8270C, 8270D, 8330) Solid& Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3050B, 3060A, 601013, 6010C, 7196A, 7471A, 90106, 9012A, 9014, 904013, 9045C, 9050, 9065, SM 4500NH3-H. Organic Parameters: 3540C, 3546, 3580A, 3630C, 5035, 8015B, 8015C, 8081 A, 8081B, 8082,8082A, 8151A, 82606, 8270C, 82701), 8330) Rhode Island Department of Health Certificate/Lab ID: LAO00065.NELAP Accredited via NY-DOH. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476-09-1. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1,245.2, 300.0, 350.1, 351.1, 353.2, 410.4,420.1,6010, 6020, 7196, 7470, 9040, SM 2120B, 2310B, 232013,2510B,2540B, 2540C,2540D,426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO2B,4500P-E,4500 S2 D,510C, 5210B, 5220D,5310C, 5540C. Organic Parameters: EPA 608,624, 625, 8081, 8082, 8151, 8260, 8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012,9014, 9040, 9045, 9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 3005A,3015,1312,601013,6010C,SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X. Organic Parameters: EPA 82606) Solid&Hazardous Waste(Inorganic Parameters: EPA 305013, 1311, 1312, 6010B, 6010C, 9030B,9010B, 9012A, 9014. Organic Parameters: EPA 5035, 5030B, 8260B.) Department of Defense Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters:SM 4500H-B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water(Inorganic Parameters: EPA 200.7,200.8, 6010B, 6020, 245.1, 245.2, 7470A, 90406,300.0, 332.0, 6860, 353.2, 410.4, 9060, 1664A, SM 4500CN-E,4500H-B, 4500NO3-F, 5220D, 5310C, 2320B, 2540C, 3005A,3015, 9010B, 9056. Organic Parameters: EPA 8260B, 8270C, 8330A, 625,8082, 8081A, 3510C, 50306, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 7471A, 9010, 9012A,6860, 1311, 1312, 3050B, 7196A, 9010B, 3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 826013, 8270C,8330A/B-prep, 8082, 8081A, 3540C, 3546, 3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAPITNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methyinapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix, TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. Page 16 of 17 N . F CHAT O CUSTODY p C!J S PAGE I O F ALP..ti Jo A. - ate Red in Lab: HA 4 WESTSORO,MA MANSFIELD,MALP nformation ' rables - o illing TEL: 508-898A220 TEL:500-322-9300 Project Name: e nyw ❑FAX EMAIL Same as Client info PO#: 3 M FAX 508-898-9193 FAX: 508-822-3288 1 �P � �+"� �V.S L0 ❑ADEx ❑Add'I Deliverables o Client Information Project Location: N �13 1-L.c - 3 Requirements/Report Pro1ect#:un Client: I Address: �e : Project Manager:. \ State/Fed Program Criteria o l5 73 YYl ,•.S� �� t-�+�3 ".Z),. i �ev�,�.r„��a PRESUMPTIVE _ MA MCP - . ZI 9 c ALPHA Quote#' . ' .. - L Phone: - (a -l TO iDYes' ©No Are MCP Analytical Mefhods Required?REASONABLE N -^l ! Y' Matrix Spike n this D �❑ es C�No Is Mat Ike MS Required o t s S G. If s see note In o e o Comments) P ( ) q ( Y ) Fax: �� t ❑Yes KNo Are CT RCP(Reasonable Confidence Protocols)Required? L Standard ❑RUSH(ony conGmtedllpre•apprwedll Email: t�ow.,r 5;tN (2h\"& C w., Ca Date Due: / Time L ly: ❑ These samples have been previously analyzed by Alpha / SAMPLE HANDLING Other Project Specific Requirements/Comrlients/Detection.Limits: Filtration' Qr ❑Done If MS is required,indicate In Sample Specific Comments which samples and what tests MS to be performed. =" ' (Note: All CAM methods for inorganic analyses require MS every 20 soil samples) Q C4 Not needed 2 % ❑Lab.to.do l Preservation ' ❑Lab to do ALPHALati.ID,:.;;: Collection Sample Sampler's (Please specify.below) ;ab`:Use'::OriI Sample ID Matrix .(,,,,;,. ,.,,,;;,,,;.Y);;=:;? D to Time Initials / / Sample Specific Comments T7 PLEASE ANSWER QUESTIONS ABOVEI Container Type P3ease r(rit?eleaYl }Ie ibl:and.Comte Preservative pletely:SamplesfGa) ,got tie dogged. IS YOUR PROJECT in andturnarouri ;firrie;_.ciock;vyul.not 1� f.....:.........." efinquished B Date/Time Received By: D Time start until.any atnligGtgsare_resolvedC MA MCP or CT RCP? q: DAII,samples aupmitted`a%gsutijct to10 Alpha's Terms`a)id Q 0,itiphs.:;>;. I- FORM N0:01-01(rev,18-Jan•2010) - - -- V Se' yers lje?;;Q I" �, Serial_No:04031214:11 HA I�ANALYT I CA L ANALYTICAL REPORT Lab Number: L1205154 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 04/03/12 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com i' HA Page 1 of 17 i Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Alpha Sample Collection Sample ID Client ID Location Date/Time L1205154-01 EFFLUENT OSTERVILLE, MA 03/26/12 08:30 Page 2of17 I� Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. Please contact Client Services at 800-624-9220 with any questions. I, the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any andall pages of this report. Authorized Signature: Elizabeth Simmons Title: Technical Director/Representative Date: 04/03/12 A Page 3 of 17 � Serial No:04031214:11 INORGANICS MISCELLANEOUS Page 4 of 17 Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L121O634 Project Number: BEA11-10343 Report Date: 06/21/12 SAMPLE RESULTS Lab ID: L1210634-01 Date Collected: 06/14/12 09:00 Client ID: EFFLUENT Date Received: 06/14/12 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough L'ab ne _�____ - --_ _ _ Solids,Total Suspended ND mg/I 5.0 NA 1 - 06/19/12 16:00 30,2540D ST .._......__-......._..... . -- Nitrogen,Nitrite 0.15 mg/1 0.05 -- 1 - 06/15/12 03:15 44,353.2 DB — ---... — -- — ------- — .. . _.- _........... _....._.. _.... _ ............... _._-. ._........ ..------ Nitrogen,Nitrate 16 mg/I 0.50 -- 5 - 06/15/12 04:21 44,353.2 DB ...._..... .........._.__.. .. __..__......... .._.......... ....._..._.._. .._._.._....__. . ......_....... ------- Nitrogen,Total Kjeldahl 4.8 mg/I 0.60 -- 2 06/15/12 17:00 06/17/12 11:22 30,4500N-C AT BOD,5 day 6.0 mg/I 2.0 NA 1 06/15/12 02:30 06/19/12 17:30 30,5210E Sc L�L?I,A Page 5 of 17 A Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General,Chemistry,-Westborough Lab for sample(s):01, Batch: WG542320=1 BOD,5 day ND mg/I 2.0 NA 1 06/15/12 02:30 06/19/12 17:30 30,5210B sC General Chemistry-Westborough Lab for sample(s)- 011 .Batch:WG542335,1 Nitrogen,Nitrate ND mg/I 0.10 1 06/15/12 02:55 44,353.2 DB General Chemistry_Westborough'Lab for sample(s): 01 Batch` WG542338=1 Nitrogen,Nitrite ND mg/I 0.05 — 1 06/15/12 02:56 44,353.2 DB General Chemistry-Westborough Lab for sample(s): 01 Batch: WG542545-1 Nitrogen,Total Kjeldahl ND mg/I 0.30 — 1 06/15/1217:00 06/17/1211:14 30,4500N-C AT General Chemistry-Westborough Lab for sample(s): 01. Batch: WG543128=1 Solids,Total Suspended ND mg/I 5.0 NA 1 06/19/12 16:00 30,2540D ST f�I�L�F,��1• Page 6 of 17 Serial No:04031214:11 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L12O5154 Project Number: BEA11-10343 Report Date: 04/03/12 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD - Qual RPD Limits Gen eral Chemistry Westborough Lab Associated sample(s):�01 Batch: WG525434-2 BOD,5 day 85-115 20 General Chemistry-Westborough Lab. Associated sample(s): 01 Batch: WG525451-1 Nitrogen,Nitrate �100 _ - 90-110 General,Chemistry f.Westborough Lab Associated sample(s): 01 Batch: WG525452,.1 _ Nitrogen,Nitrite rl96- —1 - 90-110 - 20 General Chemistry.-Westborough Lab" Associated sample(s): 01 Batch: WG526157-2 Nitrogen,Total Kjeldahl —102`— - 85-110 - Page 7 of 17 ,✓ OA Serial No:04031214:11 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry-Westborough Lab Associated sample(§): 01 QCBatch ID: 1NG525434-4 -QC Sample: L-1205047-01 Client ID: MS Sample BOD,5 day 48 100 180 129 - 50-145 35 General Chemistry-Westborough-Lab Associated sample(s)_F01 QC Batch ID: WG525451-3' QC Sample: L1205039-01 Client ID: MS Sample' Nitrogen,Nitrate 3.9 4 7.6 - 92 - 83-113 6 General Chemistry.-Westborough Lab Associated sample(s); 01 QC Batch ID: WG525452-3'-QC Sample:.L1205039-09 Client ID: MS.Sample Nitrogen,Nitrite ND 4 3.8 80-120 20 General+Chemistry-Westborough,Lab,AssociatedFsample(sy', 1 QC'Batch ID: )WG526157-4`. QC Sample: L1204743703 Client 1D: MS Sample Nitrogen,Total Kjeldahl 24 8 32 F 1007 - 77-111 _ _ 24 Page 8 of 17 / r�HA Serial No:04031214:11 Lab Duplicate.Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits - ._ _.—W.s- - - _ .�._— --- .,-_ --_1—_--__ __—-- _ _- -._.._ ___ _.-_--__----- —._.___ _. _. �_ General Chemistry-Westborrough Lab Associated sample(§): 01 QC Batch ID: WG525434-3 QC Sample: L1205045-02 Client ID: DUP Sample BOD,5 day 160 180 mg/I 12 35 General�Chemistry Westborough Lab Associated sample(§): 01 QC Batch ID: WG525451-4 QC Sample: L1205039-01 Client°ID: DUP Sample � _ — Nitrogen,Nitrate 3.9 3.9 mg/I 0- 6 General Chemistry Westborough Lab Associated sample(§): 01 QC Batch ID: WG525452-4 QC Sample L1205039-01 Client ID: DUP Sample Nitrogen,Nitrite ND ND mg/I 'NC— 20 General Chemistry yWestborouxlgh Lab Assoiated sample;(s);, 01 QC Batch ID; WG526109-2 QC Sample,: L1205192-01 Clierit ID: DUP Sample Solids,Total Suspended 390 440 mg/I 12 7 20 General�Chemistry-WestboroughhLLab. Associated sample(s): 01 QC Batch•ID: WG526157-3 QC Sample: L1204743-03 Client ID.- DUP Sample Nitrogen,Total Kjeldahl 24 24 mg/I _ T 0 ; 24 Page 9 of 17 ,?�� Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1205154-01A Plastic 1000mi unpreserved A 7 2.3 Y Absent TSS-2540(7) L1205154-01B Plastic 1000ml unpreserved A 7 2.3 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1205154-01 C Plastic 250ml H2SO4 preserved A <2 2.3 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in days 1 a Page 10 of 17 Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 GLOSSARY Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA -Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Botn the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G -The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. Report Format: Data Usability Report Page 11 of 17 Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 Data Qualifiers P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report 41�1��ti�- Page 12 of 17 I Seria I_N o:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to,damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. A. Page 13 of 17 Serial No:04031214:11 Certificate/Approval Program Summary Last revised January 30,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods, please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water(Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Vanadium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP), Ethylene Dibromide (EDB), 1,4-Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-Colilert(SM9223 P/A), E. Coli.-Colilert(SM9223 P/A), HPC-Pour Plate(SM9215B), Fecal Coliform- MF m-FC (SM9222D)) Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics,TPH (HEM/SGT), Extractable Petroleum Hydrocarbons(ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform - MF mEndo (SM9222B), Total Coliform - MTF (SM9221 B), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E).) Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Volatile Organics, Acid Extractables (Phenols), 3.3'-Dichlorobenzidine, Phthalates, Nitrosamines, Nitroaromatics & Cyclic Ketones, PAHs, Haloethers, Chlorinated Hydrocarbons. ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM21306, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM2320B, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NH3-H, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 8081, 8082, 8330, 8151A, 624, 8260, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil (Inorganic Parameters: 9010B, 9012A, 9014A, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330,8151A,8081A, 8082, 3540C, 3546, 3580A,3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM21306, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM92236; MF-SM9222D.) N ntP able Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Pagetloo 1oI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, f Serial No:04031214:11 SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons, Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables),600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM9223B;Enterolert-QT: SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID: 200307. NELAP Accredited. Drinking Water (Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 245.2, 300.0, SM4500CN-E, 4500H+B,4500NO3-F,2320B,2510B,2540C,4500E-C, 5310C,2120B, EPA 332.0. Organic Parameters: 504.1, 524.2.) Non-Potable Water (Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, 245.2, SW-846 6010B, 6020, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 1664A, SW-846 9010, 9030, 9040B, SM426C, SM2120B, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260B, 8270C, 8330, EPA 624,625, 608, SW-846 8082, 8081A,8151A.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 9030B, 9040B, 9045C, 9050C, 9065,1311, 1312, 3005A, 3050B. Organic Parameters: SW-846 3540C, 3546, 3550B, 3580A, 3630C, 5030B,5035, 8260B, 8270C, 8330, 8151A, 8015B, 8082, 8081A.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.2, 2540C, SM2120B, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1,524.2.) Non-Potable Water (Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, SM4500E-BC, EPA 200.7, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F, 4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, EPA 120.1, SM2510B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 6020, 6020A, 7470A, 5540C, 4500H-B, EPA 200.8, SM3500Cr-D, 4500CN-CE, EPA 245.1, 245.2, SW- 846 9040B, 3005A, 3015, EPA 6010B, 6010C, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8081A, 8081B, 8082, 8082A, 8151A, 8330, NJ OQA-QAM-025 Rev.7, NJ EPH.) Solid& Chemica,f Materials(Inorganic Parameters: SW-846, 6010B, 6010C, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9045C, 9050A, 9065. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3545, 3546, 3550B, 3580A, 3630C, 5030B, 5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM2120B,4500CN-E, 4500E-C, 4500H-B, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310E-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, LACHAT 10-107-04-1-C, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 2540D, EPA 200.8, EPA 6010B, 6020, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM2120B, LACHAT 10-204-00-1-A, EPA 9040B, SM4500-HB, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-D, SM5540C, EPA 3005A, 9010B, 9030B.. Organic Parameters: EPA 624, 8260B, 8270C, 625, 608, 8081A, 8151A, 8330, 8082, EPA 3510C, 5030B.) Solid&Hazardous Waste(Inorganic Parameters: 1010, 1030, EPA 6010B, 7196A, 7471A, 9012A, 9014, 9040B, 9045C, 9065, 9050, EPA 1311, 1312, 3005A, 3050B, 9010B, 9030B. Organic Parameters: EPA 8260B, 8270C, 8015B, 8081A, 8151A, 8330, 8082, 3540C, 3545, 3546, 3580,5030B, 5035.) North Carolina Department of the Environment and Natural Resources Certificate/Lab ID : 666. Organic Parameters: MA-EPH, MA-VPH. Page&RkAb Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Serial No:04031214:11 Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 1312,200.7,410.4, 1664A, SM2540D,5210B, 5220D,4500-P,BE. Organic Parameters: EPA 3510C, 3005A, 3630C,5030B, 625, 624, 608, 8081A,8081 B, 8082,802A,8151A, 8260B, 8270C,8270D, 8330) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3050B, 3060A, 6010B, 6010C, 7196A, 7471A, 90106, 9012A, 9014, 904013, 9045C, 9050, 9065, SM 4500NH3-H. Organic Parameters: 3540C, 3546, 3580A,3630C, 5035, 8015B, 8015C,8081A, 8081B,8082,8082A, 8151A, 8260B, 8270C, 8270D, 8330) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NY-DOH. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID: T104704476-09-1. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1,245.2, 300.0, 350.1, 351.1, 353.2, 410.4,420.1,6010, 6020, 7196, 7470, 9040, SM 2120B,2310B, 2320B, 2510B,2540B, 2540C, 2540D,426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO2B,4500P-E,4500 S2 D, 510C,5210B, 5220D, 5310C, 5540C. Organic Parameters: EPA 608,624,625, 8081,8082, 8151, 8260, 8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312,9012, 9014, 9040, 9045, 9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 3005A,3015,1312,60106,6010C,SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X. Organic Parameters: EPA 8260B) Solid&Hazardous Waste(Inorganic Parameters: EPA 3050B, 1311, 1312, 6010B, 6010C, 9030B,9010B, 9012A, 9014. Organic Parameters: EPA 5035, 5030B, 8260B.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water(Inorganic Parameters: EPA 200.7, 200.8, 6010B, 6020, 245.1, 245.2, 7470A, 9040B,300.0, 332.0, 6860, 353.2, 410.4, 9060, 1664A, SM 4500CN-E,4500H-B,4500NO3-F, 52201),5310C, 2320B,2540C, 3005A, 3015, 9010B, 9056.Organic Parameters: EPA 8260B, 8270C, 8330A, 625,8082, 8081A, 3510C, 5030B, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 7471A, 9010, 9012A, 6860, 1311, 1312, 3050B, 7196A, 9010B, 3500-CR-D, 4500CN-CE, 2540G, Organic Parameters: EPA 82606, 8270C,8330A/B-prep, 8082, 8081A,3540C, 3546, 3580A,5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethyl naphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix,TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. Page 16 of 17 ...... __ ....._._.....__ ..D .R n: b•- /� CCUSTODY - - HAIN ®F .�:. .. ,. AGE 1 OF 1 ,:...:..:.:.:. :. =-ALP r .i �A, lt-wAkF1�..T • Information r C A L ort Information - Information r Westborough,MA Mansfield,MA ❑ FAX ® EMAIL ® Same as Client info PO#:10343 Project Name:Casavant Residence N TEL:508-898-Mo TEL:508-822.9300 ❑ ADEx ❑ Add'1 Deliverables M FAX:508-898-9193 FAX 508-822-3288 o Regulatory� Client Information Project Location:Osterville,MA . eq Uirements/Re port Limits o State/Fed Pro ram Griterla Z Client:Bennett Environmental Associates Pro ect#:BEA11-10343 -FUI Address: 1573 Main Street/P.O.Box 1743 Project Manager David C.Bennett •L Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706Turn-Around Time ANALYSIS Fax:508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVEDI SAMPLE HANDLING , Email:sfarrenkopf@bennett-ea.com Filtration ❑ Done ❑These samples have been Previously analyzed by Alpha Due Date: f ! Time: ® Not Needed Other Project Specific Requirements/Comments/Detection Limits: ❑ Lab to de Preservation ❑ Lab to do In (Please specify mbelow) N ALPHA Lab.ID Sample ID Collection Sample samplers Z :N•;+' (L"at'Use"iOnly)':; `i= Date Time Matrix Initials 01 :..,a.. ........::: E to Z Sample SPECIFIC comments Effluent "+j �. i'�. `�'. WW c� ® ® ® ❑ ❑ ❑ ❑ ❑ ❑ ❑' ❑ ❑ 3 =ti _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 3 Container Type P P P Preservative O D Please'pritiE:.`cles�tj;;`legitilyt;4 .:and.completely.%.Samples;caii Relin fished By. Date/Time Received By: -not be:loggad.ir%ana;.:;'.:if :'3i Y DateMme tuFriaroytnd time:clock w ll:not l .�'ZL, ..to,4'staitiliitiCeny;arrlbigiiitiesa 1 1y/�9 resoL4edi±AllsamPles f� sorsM No:axo,twu� �. f• 77 ��sVbnillted8f9sii6jecEto ':t i?4>;; ?i (rer.2s.naR-06) ! 7I20 Alpha's_Payrimerit.Temis: d I Serial_No:06211211:37 HA A NA 1 Y T I C A L ANALYTICAL REPORT Lab Number: L1210634 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 06/21/12 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 17 L- - Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Alpha Sample Collection Sample ID Client ID Location Date/Time L1210634-01 EFFLUENT OSTERVILLE, MA 06/14/12 09:00 A& Page 2 of 17 Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. �a11 Kelly StenstromAuthorized Signature: �41� Title: Technical Director/Representative Date: 06/21/12 Page 3 of 17 �'�` l Serial No:06211211:37 INORGANICS MISCELLANEOUS Ae Page 4 of 17 Serial No:04031214:11 Project Name: CASAVANT RESIDENCE Lab Number: L1205154 Project Number: BEA11-10343 Report Date: 04/03/12 SAMPLE RESULTS Lab ID: L1205154-01 Date Collected: 03/26/12 08:30 Client ID: EFFLUENT Date Received: 03/27/12 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended ND mg/I 5.0 NA 1 - 03/30/12 14:45 30,2540D DW Nitrogen,Nitrite 0.26 mg/I 0.05 - 1 - 03/28/12 00:15 44,353.2 TH Nitrogen,Nitrate 24 mg/1 0.50 -- 5 - 03/28/12 02:06 44,353.2 TH . ........................_................. -......------..__..._._._....... -- _...- ..........---.....-_.....-----------.... .............. -.. Nitrogen,Total Kjeldahl_ _5.4 mg/I 1.5 -- 5 03/30/12 12:30 03/30/12 20:16 30,4500N-C JO BOD,5 day 8.7 mg/I 2.0 NA _ 1 03/27/12 21:50 04/01/12 15:00 30,5210E DB `l1t�l;rl Page 5 of 17 rA Serial No:O4O31214:11 Project Name: CASAVANT RESIDENCE Lab Number: L12O5154 Project Number: BEA11-10343 Report Date: 04/03/12 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General,Chemis`try-W-Westborough'Lab for samples)�01 Batch WG525434-1 BOD,5 day ND mg/1 2.0 NA 1 03/27/12 21:50 04/01/1215:00 30,5210B DB General Chemistry-Westborough Lab for samples) 01 Batch: WG525451-2 I Nitrogen,Nitrate ND mg/I 0.10 1 03/27/12 23:46 44,353.2 TH GeneraFChemistry-Westborough'Lab for samples) 01 Batcli: WG525452-2 Nitrogen,Nitrite ND mg/I 0.05 1 03/27/12 23:54 44,353.2 TH General Chemistry-Westborough Lab for sample(s)- 01 Batch: VVG5261 O4-'l Solids,Total Suspended ND mg/I 5.0 NA 1 - 03/30/1214:45 30,2540D DW General Chemistry-Westborough Lab for sample(s): 01, Batch:.WG526157-1 Nitrogen,Total Kjeldahl ND mg/I 0.30 1 03/30/12 12:30 03/30/1219:57 30,4500N-C JO AL F A Page 6 of 17 Serial No:06211211:37 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Qual Limits RPD Qual RPD Limits General,Chemistry-Westborough Lab Associated sample(s): 01 Batch: WG542320-2 BOD,5 day "u 93'`T ` 85-115 20 General,Chemistry, Westborough Lab Associated sample(s) 01 Batch:WG542335-2 Nitrogen,Nitrate `M90'-- 90-110 General`Chemistry-'Westborough Lab.,Associafe-&s—mple(s):'O1, ,Batch:WG542338-2 _. _ ___ _ Nitrogen,Nitrite `98"`'1 90-110 20 General Chemistry-Westborough Lab Associated samples- 01 Batch:WG542545-2= Nitrogen,Total Kjeldahl W' 102— 85-110 Page 7 of 17 / //4\ HA Serial No:06211211:37 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General,Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG54232074 QC Sample: L1210630-03 Client ID: MS Sample BOD,5 day ND 100 96 -- _-96 -- - 50-145 - 35 General Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG542335-4 QC Sample: L1210633-01 Client ID: MS Sample Nitrogen, Nitrate 0.21 4 4.1 97 - - 83-113 - 6 General Chemistry-Westborough Lab,Associated sample(s): 01 .QC,B to ch IID: WG542338-4„ QC Sample: A 10634-01 Client ID,:;EFFLUENT Nitrogen, Nitrite 0.15 4 4.0 -96~ - - 80-120 - 20 General' , hemistry-Westborough LabAssociated.sample(s):01 QC Batch ID: WG542545-4 QC Sample:.L1210655-01~ Client ID:WMS Sample Nitrogen,Total Kieldahl 1.5 8 9.2 �96'� 4 - - 77-111 24 Page 8 of 17 4\1�6-HA Serial No:06211211:37 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits . ..._. - --.. —— GeneralChe mistry-_Westborough Lab Associated sample(s): 01 QC Batch ID: WG54232073 QC Sample: L1210630-02 Client ID: DUP Sample BOD,5 day 220 290 mg/1 J 27 35 General Chemistry ^Westborough Lab Associated sample(s): 01 QC Batch ID: WG542335-3 QC Sample: L1210633^01 Client ID: DUP Sample Nitrogen, Nitrate 0.21 0.11 mg/I 63 Q 6 General Chemistry-Westborough,Lab Associated,sample(s), 01 QC Batch ID: WG542338-3 QC Sample: L1210634-01 Client ID: EFFLUENT : w M_ .:_ ,a _ � � . ate _ .-__....-_,_ -. _ . - .� _.Y-'I_ , -I-- -- �_.__ — _. _ ,. ---- —_ ... . Nitrogen,Nitrite 0.15 0.18 mg/I 18- 20 ....-._.._- __.____.-_--.. _.__ _ - .___..__......-..____.__ General Chemistry_Westborough Lab Associated sample(s):01 QC Batch ID: WG542545:3 QC Sample: L'1210655=01 Client ID: DUP_ Sample ' Nitrogen Total Kjeldahl 1.5 1.2 mg/I 22 24 -- _.. _._. _......e— ..__ _.-.... _._.......................... .- G-en- eral--.�C. .he_ mist_—_-_.��..�._�-.- _.._ � _..._ ..--ate..�..�_�__..__.�-- -�- -•--- — — ----_._-_ —-:� —.a. ry-Westborough tab Associated Sample(s): 01 QC Batch ID: WG543128-2 QC Sample: L1210531-01 Client ID: RDUR�Sample� w ... _ -.._.._.. . __ .....a.. � .. Solids,Total Suspended 8500 8300 mg/l '2' 20 Page 9 of 17 !-y��-?HA Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1210634-01A Plastic 250ml H2SO4 preserved A <2 2.9 Y Absent TKN-4500(28) L1210634-01 B Plastic 1000mi unpreserved A 7 2.9 Y Absent NO2-353(2),BOD-5210(2),NO3- 353(2) L1210634-01C Plastic 1000ml unpreserved A 7 2.9 Y Absent TSS-2540(7) *Values in parentheses indicate holding time in days A tia Page 10 of 17 Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 GLOSSARY Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RFD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A -Spectra identified as"Aldol Condensation Product". B -The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(10x)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated Feld samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ -Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICs),where the identification is based on a mass spectral library search. Report Format: Data Usability Report ------------- Page 11 of 17 Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 Data Qualifiers P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R -Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND -Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report �✓"/11�HA Page 12 of 17 Serial No:06211211:37 Project Name: CASAVANT RESIDENCE Lab Number: L1210634 Project Number: BEA11-10343 Report Date: 06/21/12 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental,consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. I , 1 Page 13 of 17 Serial No:06211211:37 Certificate/Approval Program Summary Last revised May 11,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods, please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water(Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Vanadium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2, Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP) 504.1, Ethylene Dibromide (EDB) 504.1, 1,4-Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223 P/A), E. Coli. - Colilert (SM9223 P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC (SM9222D, Fecal Coliform-EC Medium 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform - MF mEndo (SM9222B), Total Coliform - MTF (SM9221B), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterolert, E.Coli 9223. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics, Acid Extractables (Phenols), Benzidines, Phthalates, Nitrosamines, Nitroaromatics & Cyclic Ketones, PAHs, Haloethers, Chlorinated Hydrocarbons. ) Maine Department of Human Services Certificate/Lab ID:2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM2130B, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM2320B, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 624, 625, 8081A, 8082, 8330, 8151A, 8260B, 8270C, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil(Inorganic Parameters: 9010B, 9012A, 9014A, 9030B, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C, 8330,8151A, 8081A, 8082,3540C, 3546, 3580A,3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM2130B, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trihalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM922313; MF-SM9222D.) NQQ. able Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Page fo`�:° I,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni;K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, Serial No:06211211:37 SM251013, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-13 for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC, gamma-BHC, delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM922313; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID: 200307. NELAP Accredited. Drinking Water (Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 245.2, 300.0, SM4500CN-E, 4500H+B,4500NO3-F,2320B,2510B, 2540C,4500E-C, 5310C, 2120B, EPA 332.0.Organic Parameters:504.1,524.2.) Non-Potable Water (Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221E-EC, EPA 3005A, 200.7, 200.8, 245.1, 245.2, SW-846 6010B, 6010C, 6020, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9030B, 9040B, SM426C, SM2120B,2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D. Organic Parameters: SW-846 3510C, 3630C, 5030B,8260B,8270C, 8270D, 8330, EPA 624,625, 608, SW-846 8082, 8081A, 8081B, 8151A.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 6010C, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 9030B, 9040B, 9045C, 9050, 9065,1311, 1312, 3005A, 3050B, 3060A. _Organic Parameters: SW-846 3540C, 3546, 3550B, 3580A, 3630C, 5030B, 5035, 8260B, 8270C, 82701), 8270C-SIM,8270D-SIM, 8330, 8151A,8015B, 8082, 8082A, 8081A, 8081B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM92226, 9221 E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.2, 2540C, SM21206, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, 2540G, EPA 120.1, SM251013, SM15 426C, 9222D, 9221 B, 9221C, 9221 E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, 245.2, SW-846 9040B, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ OQA-QAM- 025 Rev.7, NJ EPH.) Solid& Chemical Materials(Inorganic Parameters: SW-846, 6010B, 6010C,6020, 6020A, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9045C, 9050A, 9065. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081 B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C, 8270D, 8270C- SIM, 8270D-SIM, 3540C, 3546, 3580A, 3630C, 5030B, 5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM2320B, EPA 300.0, SM2120B, 4500CN-E, 4500E-C, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2,504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 92221), 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM52201), 2310B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 2540D, EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1, 245.2, 7470A, SM21206, LACHAT 10- 204-00-1-A, 4500CN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM25106, SM4500S-D, SM5540C, EPA 3005A, 3015, 9010B, 9030B. Organic Parameters: EPA 624, 8260B, 8270C, 82701), 625, 608, 8081A, 8081B, 8151A, 8330, 8082, 8082A, EPA 3510C, 5030B.) Solid&Hazardous Waste (Inorganic Parameters: EPA 1010, 1030, EPA 6010B, 6010C, 7196A, 7471A, 7471B, 9012A, 9014, 9065, 9050A, EPA 1311, 1312, 3005A, 3050B, 9010B, 9030B. Organic Parameters: EPA 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, 3546, 3580, 3580A, 5030B, 5035.) Page 15 of 17 Serial No:06211211:37 North Carolina Department of the Environment and Natural Resources Certificate/Lab ID : 666. Organic Parameters: MA-EPH, MA-VPH. Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(Inorganic Parameters: EPA 1312, 3005A, 200.7,410.4, 1664A, SM2540D, 5210B, 5220D,4500- P,BE. Organic Parameters: EPA 3510C, 3630C, 5030B, 625,624, 608, 8081A,808113, 8082, 8082A, 8151A, 8260B, 8270C,8270D, 8330) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 30506, 3060A, 601013, 6010C, 7196A, 7471A, 9010B, 9012A, 9014, 90406, 9045C, 9050, 9065, SM 4500NH3-H. Organic Parameters: 3540C, 3546, 3580A, 3630C, 5035, 80156, 8015C,8081A, 8081B,8082, 8082A, 8151A, 8260B,8270C, 82701), 8330) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NY-DOH. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476-09-1. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664,200.7,200.8,245.1, 245.2, 300.0, 350.1, 351.1, 353.2, 410.4,420.1,6010, 6020,7196, 7470, 9040, SM 212013,231013,232013, 2510B,2540B, 2540C,2540D,426C,4500CL- E, 4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO26,4500P-E,4500 S2 D, 510C, 52106, 5220D, 5310C, 5540C. Organic Parameters: EPA 608, 624, 625,8081,8082, 8151, 8260, 8270,8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312,9012, 9014, 9040, 9045, 9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 3005A,3015,1312,6010B,6010C,SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X. Organic Parameters: EPA 826013) Solid&Hazardous Waste(Inorganic Parameters: EPA 3050B, 1311, 1312,6010B, 6010C, 9030B,9010B, 9012A, 9014. Organic Parameters: EPA 5035,5030B, 826013,8015B,8015C.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B. Or Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 601013, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 9040B, 9010B, 180.1. 300.0, 332.0, 6860, 353.2,410.4, 9060, 1664A, SM 4500CN-E,4500H-B,4500NO3-F, 4500CL-D, 52201), 5310C, 2130B, 2320B, 2540C, 3005A, 3015, 9010B, 9056. Organic Parameters: EPA 826013, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM,8330A, 8082, 8082A, 8081A, 8081 B,3510C, 5030B, MassDEP EPH, MassDEP VPH.) Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 6010C, 7471A, 6860, 1311, 1312,3050B, 7196A, 9010B, 9012A, 9040B, 9045C, 3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 82606, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330A/B-prep, 8082, 8082A, 8081A, 8081B, 3540C, 3546, 3580A, 5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetra methyl benzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix, TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease Page 16 of 17 i � I ` :-dv ::11G?Y•: tw - 4 - ^, x= , - CHAIN n F CUSTODY :A�PH PAGE 1 OF 1 - •i d Y, lh ..`( S�•a>.o-..1��:);1.;.3.;..j::'�?;'.:• tt:T.tiS' S L' 0*A Report Information Data Deliverables Billing Information I� :;s�;Zawr• a v.r r e o A e t'? ❑ FAX ® EMAIL ® Same as Client info PO#:14343 �— Westborough,MA Mansfield,MA Project Name:Casavant Residence N TEL:508-898-9220 TEL:508-822-9300 ❑ ADEx ❑ Add'I Deliverables r- FAX 508-89"193 FAX:508-8223288 • • Requirements/Report oN Client - InformationProject Location:Osterville,MA St".17Fed Pro ram Criteria Z Client:Bennett Environmental Associates Project#:BEA11-10343 �I Address:1573 Main Street/P.O.Box 1743 Project Mana er:David C.Bennett L Brewster,MA 02631 ALPHA Quote#: Phone:508-896-1706 . ANALYSIS Fax 508-896-5109 ®Standard ❑Rush(ONLY IF PRE-APPROVED) SAMPLE HANDLING Email:sfarrenkopf@bennett-ea.com Fiumtion / El Done El These samples have been Previously analyzed by Alpha Due Date: { me: 0 Not Neeoded Other Project Specific Requirements/Comments/Detection Limits: Q Lab to d Preservation 0 Lab to do (Please specify m below) N QLP.HASlLati!ID t,,.. Sample ID Collection Sample Sampler's Z >:(LatiU'segOrily)?:t< < Date Time Matrix Initials co Z Z Imo- Id Sammentseelne . ? Effttlent (, ?C`C� W1N J ® ® ❑ ❑ El - ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 ❑El El EJ ❑ ❑ 4`:% = CAI t±•'•fil''i\�;��i^. E:raiC'1:: ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ = a=:' ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El Container Type P P P Preservative 0 0 D _ _ _ sP,.lea'selpiirit cleaily le9i[ily ::1 Relin ui d B Datefrime ?ani('�cotjrSpl..etely;SamPies`car%; ' Q y R eiv B not pa logged m end ii 66 W v: Dater rime. tumaip2 id time clocks &nd[+?. K t�i f�. � ::sta[t�'Grivflha�fy2trlbigw(ies(,arLri, Y®- �resplved;��A(115a�p�e�y5z:`��a FORM NO:0141(1•N.) �V submitted are�e�1'�cl lo,q F+i trev.29AP"9) 7 Aipha;s Payrtien(•tzefrt)s<k hiJ?r.R�Sr kivr W O.. Serial No:09121216:46 -� t HA A N A,L;Y T I CAL ANALYTICAL REPORT Lab Number: L1215775 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: David Bennett Phone: (508)896-1706 Project Name: CASAVANT RESIDENCE Project Number: BEA11-10343 Report Date: 09/12/12 The original project report/data package is held by Alpha Analytical.This report/data package is paginated and should be reproduced only in its entirety.Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications&Approvals: MA(M-MA086),NY (11148),CT(PH-0574),NH(2003),NJ NELAP(MA935),RI(LA000065),ME(MA00086), PA(68-03671),USDA(Permit #P-330-11-00240),NC(666),TX(T104704476),DOD(1-2217),US Army Corps of Engineers. Eight Walkup Drive,Westborough, MA 01581-1019 . 508-898-9220 (Fax)508-898-9193 800-624-9220-www.alphalab.com Page 1 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Alpha Sample Collection Sample ID Client ID Location Date/Time L1215775-01 EFFLUENT OSTERVILLE, MA 09/04/12 08:45 A PHA Page 2 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted.Sample Receipt,Container Information,and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet all of the requirements of NELAC,for all NELAC accredited parameters.The data presented in this report is organized by parameter(i.e.VOC,SVOC,etc.).Sample specific Quality Control data(i.e.Surrogate Spike Recovery)is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter.If a sample was re-analyzed or re-extracted due to a required quality control corrective action and if both sets of data are reported,the Laboratory ID of the re-analysis or re-extraction is designated with an"R"or"RE",respectively.When multiple Batch Quality Control elements are reported(e.g.more than one LCS),the associated samples for each element are noted in the grey shaded header line of each data table.Any Laboratory Batch,Sample Specific% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report.Performance criteria for CAM and RCP methods allow for some LCS compound failures to occur and still be within method compliance.In these instances,the specific failures are not narrated but are noted in the associated QC table.This information is also incorporated in the Data Usability format for our Data Merger tool where it can be reviewed along with any associated usability implications.Soil/sediments,solids and tissues are reported on a dry weight basis unless otherwise noted.Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. In reference to questions H(CAM)or 4(RCP)when"NO"is checked,the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. In these instances the specific failure is not narrated but noted in the associated QC table.The information is also incorporated in the Data Usability format of our Data Merger tool where it can be reviewed along with any associated usability implications. Please see the associated ADEx data file for a comparison of laboratory reporting limits that were achieved with the regulatory Numerical Standards requested on the Chain of Custody. HOLD POLICY For samples submitted on hold,Alpha's policy is to hold samples free of charge for 30 days from the date the project is completed.After 30 days,we will dispose of all samples submitted including those put on hold unless you have contacted your Client Service Representative and made arrangements for Alpha to continue to hold the samples. Please contact Client Services at 800-624-9220 with any questions. A Page 3 of 19 �'� _ Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Case Narrative(continued) Nitrogen, Nitrite L1215775-01 was performed with the method required holding time exceeded, at the client's request. Nitrogen, Nitrate L1215775-01 was performed with the method required holding time exceeded, at the client's request. BOD, 5 day L1215775-01 was performed with the method required holding time exceeded, at the client's request. I,the undersigned, attest under the pains and penalties of perjury that,to the best of my knowledge and 9 i belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: � Lisa Westerlind Title: Technical Director/Representative Date: 09/12/12 Page 4 of 19 = �°�` Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 SAMPLE RESULTS Lab ID: L1215775-01 Date Collected: 09/04/12 08:45 Client ID: EFFLUENT Date Received: 09/06/12 Sample Location: OSTERVILLE,MA Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab Solids,Total Suspended 21 mg/I 10 NA 2 09/11/12 10:45 30,2540D DW Nitrogen,Nitrite 0.05 mg/I 0.02 1 09/06/12 14:56 30,4500NO2-B ML Nitrogen,Nitrate 0.11 mg/I 0.10 -- 1 09/06/12 22:39 44,353.2 DB Nitrogen,Total Kjeldahl 54 mg/I 0.30 -- 1 09/07/12 13:57 09/11/12 20:10 30,4500N-C AT _.. _. ... ..._.. ..._... .. .... .._ _._._ -.__ ._......__... .. BOD,5 day 42 mg/I 12 NA 6 09/06/12 18:56 09/11/12 16:45 30,5210B SL Page 6 of 19 Serial No:09121216:46 INORGANICS MISCELLANEOUS A Page 5 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Method Blank Analysis Batch Quality Control Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry-Westborough Lab for sample(s)- 01 Batch: WG559186-1 Nitrogen,Nitrate ND mg/I 0.10 1 - 09/06/12 22:05 44,353.2 DB General Chemistry-Westborough Lab for sample(s): 01 Batch: WG559188-1 r. BOD,5 day ND mg/I 2.0 NA 1 09/06/12 18:56 09/11/12 16:45 30,5210E SL General Chemistry-Westborough Lab for sample(s): 01 Batch: WG559228-1 Nitrogen,Nitrite ND mg/I 0.02 — 1 - 09/06/1214:39 30,4500NO2-B ML General Chemistry-Westborough Lab for sample(s): 01, Batch: WG559355-1 Nitrogen,Total Kjeldahl ND mg/I 0.30 — 1 09/07/1213:57 09/11/12 20:02 30,4500N-C AT ....... .. ....._ ..- ._. _._. .,......... .... General Chemistry-Westborough Lab for sample(s): 01 Batch WG559926-1 , Solids,Total Suspended ND mg/I 5.0 NA 1 - 09/11/1210:45 30,2540D DW vL I-iA Page 7 of 19 �I Serial No:09121216:46 Lab Control Sample Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 LCS LCSD %Recovery Parameter %Recovery Qual '%Recovery Qual Limits RPD Qual RPD Limits General Chemistry-Westborough Lab-Associated sample(s):101 Batch: WG559186-2 Nitrogen,Nitrate 92 - 90-110 - General Chemistry-Westborough Lab Associated sample(s):<01 Batch: WG559188-2 _ BOD,5 day 100 85-115 20 General Chemistry-Westborough,Lab .Associated sample(s):.Ol Batch: WG559228-2 <, Nitrogen,Nitrite 90 - 90-110 - 20 General Chemistry:-Westborough,Lab-Associated sam pie(s): 01 Batch:WG559355-2 Nitrogen,Total Kjeldahl 88 - 85-110 - Page 8 of 19 T� Serial No:09121216:46 Matrix Spike Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits Genera[Chemistry-.Westborough-Lab Associated tisample(s)`.t01, QC,Batch ID:iWG559186-4 QC.Sample:`L1215784-01' Client]D: MSSample Nitrogen,Nitrate ND 4 3.6 '90 - - 83-113 - 6 Gen eral:'Chemistry-Westborough:Lab;Associated'=sample:(s) 0 1 `':QC'Batch-ID:,.WG559188-3`." °QC Sample:-L1215774-01 Client ID:-'MS-Sample BOD,5 day 14 100 140 126 - - 50-145 35 General Chemistry, 1estborough Lab'.v sociatedsample(s) 01 . :QC'Batch ID'.WG559228-4, QC.Sample::L1215775:01 ' Client ID:.:EFFLUENT. . Nitrogen,Nitrite 0.05 0.1 0.11 ,106', - 85-115 20 ample, (s) 01_,,..-"QC ' .Sample L1:215897701r ClientID,; MS'Sample Batch'ID:VG559355=4 QC sGeneral,ChemistryWestiiorough. Lab'�Associated Nitrogen,Total Kjeldahl 7.6 8 17 11.8. Q - 77-111 - 24 Page 9 of 19 h.� Serial No:09121216:46 Lab Duplicate Analysis Project Name: CASAVANT RESIDENCE Batch Quality Control Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry-Westborough.-Lab Associated 7sample(s): 01 QC Batch ID: WG559186-3 _QC Sample: 11215784-01 Client-ID: DUP Sample Nitrogen,Nitrate ND 0.12 mg/I NC 6 General Chemistry-Westborough-Lab .Associated sample(s): 01 QC Batch ID: WG559188-4 QC Sample: L1215777-01 ClientlD: .DUP'Sample BOD,5 day 83 80 mg/I 4 35 General.Chemistry-Westborough Lab Associated sample(s): 01 QC Batch ID: WG559228-3 QC Sample: L1215775-01 Client ID:. EFFLUENT Nitrogen,Nitrite 0.05 0.05 mg/I 0 20 Genera l:Chem istry-Westborough Lab:Associated:sample(s): 01 QC Batch;ID::.WG559355-3 QC Sample: L1215897-01 Client ID: DUP<Sample Nitrogen,Total Kjeldahl 7.6 7.7 mg/I 1 24 Generalt Chemistry-Westborough Lab`Associated.sample(s):-01 . QC'Batch ID: WG559926-2 QC Sample: L:1215777-01- Client ID: :DUP Sample Solids,Total Suspended 37 42 mg/I 13 20 Page 10 of 19 ?��,. f Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Sample Receipt and Container Information Were project specific reporting limits specified? YES Reagent H2O Preserved Vials Frozen on: NA Cooler Information Custody Seal Cooler A Absent Container Information Temp Container ID Container Type Cooler pH deg C Pres Seal Analysis(*) L1215775-01A Plastic 1000ml unpreserved A 7 4 Y Absent TSS-2540(7) L1215775-01B Plastic 1000m1 unpreserved A 7 4 Y Absent NO2-4500NO2(2),BOD- 5210(2),NO3-353(2) L1215775-01 C Plastic 250ml H2SO4 preserved A <2 4 Y Absent TKN-4500(28) *Values in parentheses indicate holding time in daysc1t�t;a Page 11 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 GLOSSARY Acronyms EPA Environmental Protection Agency. LCS Laboratory Control Sample:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate:Refer to LCS. LFB Laboratory Fortified Blank:A sample matrix,free from the analytes of interest,spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. MDL Method Detection Limit:This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit(RL).The MDL includes any adjustments from dilutions,concentrations or moisture content,where applicable. MS Matrix Spike Sample:A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. MSD Matrix Spike Sample Duplicate:Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non-detect at the parameter's reporting unit. NI Not Ignitable. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration.The RL includes any adjustments from dilutions,concentrations or moisture content,where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference(RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material:A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method:Both the document from which the method originates and the analytical reference method.(Example:EPA 8260B is shown as 1,8260B.)The codes for the reference method documents are provided in the References section of the Addendum. Data Qualifiers A Spectra identified as"Aldol Condensation Product". B The analyte was detected above the reporting limit in the associated method blank.Flag only applies to associated field samples that have detectable concentrations of the analyte at less than five times(5x)the concentration found in the blank.For MCP-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox) the concentration found in the blank.For DOD-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times(1 Ox)the concentration found in the blank AND the analyte was detected above one-half the reporting limit(or above the reporting limit for common lab contaminants)in the associated method blank.For NJ- Air-related projects,flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. C Co-elution:The target analyte co-elutes with a known lab standard(i.e.surrogate,internal standards,etc.)for co-extracted analyses. D Concentration of analyte was quantified from diluted analysis.Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. G The concentration may be biased high due to matrix interferences(i.e,co-elution)with non-target compound(s).The result should be considered estimated. H The analysis of pH was performed beyond the regulatory-required holding time of 15 minutes from the time of sample collection. I The RPD between the results for the two columns exceeds the method-specified criteria;however,the lower value has been reported due to obvious interference. M Reporting Limit(RL)exceeds the MCP CAM Reporting Limit for this analyte. NJ Presumptive evidence of compound.This represents an estimated concentration for Tentatively Identified Compounds(TICS),where the identification is based on a mass spectral library search. Report Format: Data Usability Report Page 12 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 Data Qualifiers P The RPD between the results for the two columns exceeds the method-specified criteria. Q The quality control sample exceeds the associated acceptance criteria.For DOD-related projects,LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note:This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL.(Metals only.) R Analytical results are from sample re-analysis. RE Analytical results are from sample re-extraction. J Estimated value.This represents an estimated concentration for Tentatively Identified Compounds(TICS). ND Not detected at the reporting limit(RL)for the sample. Report Format: Data Usability Report (� L�HR #'xA Page 13 of 19 Serial No:09121216:46 Project Name: CASAVANT RESIDENCE Lab Number: L1215775 Project Number: BEA11-10343 Report Date: 09/12/12 REFERENCES 30 Standard Methods for the Examination of Water and Wastewater.APHA-AWWA- WPCF. 18th Edition. 1992. 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-93/100,August 1993. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error,the sole and exclusive responsibility of Alpha Analytical shall be to re-perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers,sampling procedures, holding time and splitting of samples in the field. Page 14 of 19 Serial No:09121216:46 Certificate/Approval Program Summary Last revised August 16,2012 -Westboro Facility The following list includes only those analytes/methods for which certification/approval is currently held. For a complete listing of analytes for the referenced methods,please contact your Alpha Customer Service Representative. Connecticut Department of Public Health Certificate/Lab ID: PH-0574. NELAP Accredited Solid Waste/Soil. Drinking Water (Inorganic Parameters: Color, pH, Turbidity, Conductivity, Alkalinity, Chloride, Free Residual Chlorine, Fluoride, Calcium Hardness, Sulfate, Nitrate, Nitrite, Aluminum, Antimony, Arsenic, Barium, Beryllium, Cadmium, Calcium, Chromium, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Zinc, Total Dissolved Solids, Total Organic Carbon, Total Cyanide, Perchlorate. Organic Parameters: Volatile Organics 524.2,Total Trihalomethanes 524.2, 1,2-Dibromo-3-chloropropane (DBCP)504.1, Ethylene Dibromide(EDB)504.1, 1,4- Dioxane (Mod 8270). Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform - Colilert (SM9223, Enumeration and P/A), E. Coli. - Colilert (SM9223, Enumeration and P/A), HPC - Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-EC Medium (SM 9221 E). Wastewater/Non-Potable Water (Inorganic Parameters: Color, pH, Conductivity, Acidity, Alkalinity, Chloride, Total Residual Chlorine, Fluoride, Total Hardness, Silica, Sulfate, Sulfide, Ammonia, Kjeldahl Nitrogen, Nitrate, Nitrite, 0- Phosphate, Total Phosphorus, Aluminum, Antimony, Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Strontium, Thallium, Tin, Titanium, Vanadium, Zinc, Total Residue (Solids), Total Dissolved Solids, Total Suspended Solids (non-filterable), BOD, CBOD, COD, TOC, Total Cyanide, Phenolics, Foaming Agents (MBAS), Bromide, Oil and Grease. Organic Parameters: PCBs, Organochlorine Pesticides, Technical Chlordane, Toxaphene, Acid Extractables (Phenols), Benzidines, Phthalate Esters, Nitrosamines, Nitroaromatics & Isophorone, Polynuclear Aromatic Hydrocarbons, Haloethers, Chlorinated Hydrocarbons, Volatile Organics, TPH (HEM/SGT), CT- Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH. Microbiology Parameters: Total Coliform-MF mEndo (SM9222B), Total Coliform-MTF (SM9221 B), E. Coli-Colilert (SM9223 Enumeration), HPC- Pour Plate (SM9215B), Fecal Coliform-MF m-FC(SM9222D), Fecal Coliform-A-1 Broth (SM9221 E), Enterococcus-Enterolert. Solid Waste/Soil(Inorganic Parameters: pH, Sulfide,Aluminum,Antimony,Arsenic, Barium, Beryllium, Boron, Cadmium, Calcium, Chromium, Hexavalent Chromium, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Molybdenum, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Total Cyanide, Ignitability, Phenolics, Corrosivity, TCLP Leach (1311), SPLP Leach (1312 metals only), Reactivity. Organic Parameters: PCBs, PCBs in Oil, Organochlorine Pesticides, Technical Chlordane, Toxaphene, CT-Extractable Petroleum Hydrocarbons (ETPH), MA-EPH, MA-VPH, Dicamba, 2,4-D, 2,4,5-T, 2,4,5-TP(Silvex), Dalapon, Volatile Organics (SW 8260), Acid Extractables (Phenols) (SW 8270), Benzidines (SW 8270), Phthalates (SW 8270), Nitrosamines (SW 8270), Nitroaromatics & Cyclic Ketones (SW 8270), PAHs (SW 8270), Haloethers (SW 8270), Chlorinated Hydrocarbons (SW 8270). ) Maine Department of Human Services Certificate/Lab ID: 2009024. Drinking Water(Inorganic Parameters: SM9215B, 9222D, 9223B, EPA 180.1, 353.2, SM21306, 2320B, 2540C, 4500CI- D, 4500CN-C, 4500CN-E, 4500E-C, 4500H+B, 4500NO3-F, EPA 200.7, EPA 200.8, 245.1, EPA 300.0. Organic Parameters: 504.1, 524.2.) Wastewater/Non-Potable Water (Inorganic Parameters: EPA 120.1, 1664A, 350.1, 351.1, 353.2, 410.4, 420.1, SM232013, 2510B, 2540C, 2540D, 426C, 4500CI-D, 4500CI-E, 4500CN-C, 4500CN-E, 4500E-B, 4500E-C, 4500H+B, 4500Norg-B, 4500Norg-C, 4500NH3-B, 4500NH3-G, 4500NO3-F, 4500P-B, 4500P-E, 5210B, 5220D, 5310C, 9010B, 9040B, 9030B, 7470A, 7196A, 2340B, EPA 200.7, 6010B, 200.8, 6020, 245.1, 1311, 1312, 3005A, Enterolert, 9223D, 9222D. Organic Parameters: 608, 624, 625, 8081A, 8082, 8330, 8151A, 8260B, 8270C, 3510C, 3630C, 5030B, ME- DRO, ME-GRO, MA-EPH, MA-VPH.) Solid Waste/Soil(Inorganic Parameters: 9010B, 9012A, 9014A, 9030B, 9040B, 9045C, 6010B, 7471A, 7196A, 9050A, 1010, 1030, 9065, 1311, 1312, 3005A, 3050B. Organic Parameters: ME-DRO, ME-GRO, MA-EPH, MA-VPH, 8260B, 8270C,8330,8151A, 8081A, 8082, 3540C, 3546,3580A;3630C, 5030B, 5035.) Massachusetts Department of Environmental Protection Certificate/Lab ID: M-MA086. Drinking Water (Inorganic Parameters: (EPA 200.8 for: Sb,As,Ba,Be,Cd,Cr,Cu,Pb,Ni,Se,TI) (EPA 200.7 for: Ba,Be,Ca,Cd,Cr,Cu,Na,Ni) 245.1, (300.0 for: Nitrate-N, Fluoride, Sulfate); (EPA 353.2 for: Nitrate-N, Nitrite-N); (SM4500NO3-F for: Nitrate-N and Nitrite-N); 4500E-C, 4500CN-CE, EPA 180.1, SM213013, SM4500CI-D, 2320B, SM2540C, SM4500H-B. Organic Parameters: (EPA 524.2 for: Trhalomethanes, Volatile Organics); (504.1 for: 1,2- Dibromoethane, 1,2-Dibromo-3-Chloropropane), EPA 332. Microbiology Parameters: SM92156; ENZ. SUB. SM9223; ColilertQT SM922313; MF-SM9222D.) Page 1115oVotable Water(Inorganic Parameters:, (EPA 200.8 for: AI,Sb,As,Be,Cd,Cr,Cu,Pb,Mn,Ni,Se,Ag,TI,Zn); (EPA 200.7 Serial No:09121216:46 for: AI,Sb,As,Be,Cd,Ca,Cr,Co,Cu,Fe,Pb,Mg,Mn,Mo,Ni,K,Se,Ag,Na,Sr,Ti,TI,V,Zn); 245.1, SM4500H,B, EPA 120.1, SM2510B, 2540C, 2340B, 2320B, 4500CL-E, 4500E-BC, 426C, SM4500NH3-BH, (EPA 350.1 for: Ammonia-N), LACHAT 10-107-06-1-B for Ammonia-N, SM4500NO3-F, 353.2 for Nitrate-N, SM4500NH3-BC-NES, EPA 351.1, SM4500P-E, 4500P-B,E, 5220D, EPA 410.4, SM 5210B, 5310C, 4500CL-D, EPA 1664, SM14 510AC, EPA 420.1, SM4500-CN-CE, SM2540D. Organic Parameters: (EPA 624 for Volatile Halocarbons,Volatile Aromatics),(608 for: Chlordane,Toxaphene,Aldrin, alpha-BHC, beta-BHC,gamma-BHC,delta-BHC, Dieldrin, DDD, DDE, DDT,Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs-Water), (EPA 625 for SVOC Acid Extractables and SVOC Base/Neutral Extractables), 600/4-81-045-PCB-Oil. Microbiology Parameters: (ColilertQT SM922313; Enterolert-QT:SM9222D-MF.) New Hampshire Department of Environmental Services Certificate/Lab ID: 200307. NELAP Accredited. Drinking Water(Inorganic Parameters: SM 9222B, 9223B, 9215B, EPA 200.7, 200.8, 300.0, SM4500CN-E, 4500H+B, 4500NO3-F,2320B,2510B, 2540C,4500E-C, 5310C, 2120B, EPA 332.0. Organic Parameters: 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM9222D, 9221 B, 9222B, 9221 E-EC, EPA 3005A, 200.7, 200.8, 245.1, SW- 846 6010B, 6010C, 6020, 6020A, 7196A, 7470A, SM3500-CR-D, EPA 120.1, 300.0, 350.1, 350.2, 351.1, 353.2, 410.4, 420.1, 426C, 1664A, SW-846 9010B, 9030B, 9040B, SM2120B, 2310B, 2320B, 2540B, 2540D, 4500H+B, 4500CL-E, 4500CN-E, 4500NH3-H, 4500NO3-F, 4500NO2-B, 4500P-E, 4500-S2-D, 5210B, 5220D, 2510B, 2540C, 4500E-C, 5310C, 5540C, LACHAT 10-204-00-1-A, LACHAT 10-107-06-2-D, 3060A. Organic Parameters: SW-846 3510C, 3630C, 5030B, 8260B, 8270C, 8270D, 8330, EPA 624, 625, 608, SW-846 8082, 8082A, 8081A, 8081B, 8151A, 8330, 8270C- SIM, 8270D-SIM.) Solid & Chemical Materials (Inorganic Parameters: SW-846 6010B, 6010C, 7196A, 7471A, 1010, 1030, 9010, 9012A, 9014, 9030B, 9040B, 9045C, 9050, 9065,1311, 1312, 3005A, 3050B, 3060A. Organic Parameters: SW-846 3540C, 3546, 3050B, 3580A, 3630C, 5030B, 5035, 8260B, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330, 8151A, 8015B, 8015C, 8082, 8082A, 8081A, 8081B.) New Jersey Department of Environmental Protection Certificate/Lab ID: MA935. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9222B, 9221E, 9223B, 9215B, 4500CN-CE, 4500NO3-F, 4500E-C, EPA 300.0, 200.7, 200.8, 245.1, 2540C, SM212013, 2320B, 2510B, 5310C, SM4500H-B. Organic Parameters: EPA 332, 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: SM5210B, EPA 410.4, SM5220D, 4500CI-E, EPA 300.0, SM2120B, 2340B, SM4500E-BC, EPA 200.7, 200.8, 351.1, LACHAT 10-107-06-2-D, EPA 353.2, SM4500NO3-F,4500NO2-B, EPA 1664A, SM5310B, C or D, 4500-PE, EPA 420.1, SM510ABC, SM4500P-B5+E, 2540B, 2540C, 2540D, 2540G, EPA 120.1, SM2510B, SM2520B, SM15 426C, 9222D, 9221B, 9221C, 9221E, 9222B, 9215B, 2310B, 2320B, 4500NH3-H, 4500-S D, EPA 350.1, 350.2, SW-846 1312, 7470A, 5540C, SM4500H-B, 4500S03-B, SM3500Cr-D, 4500CN-CE, EPA 245.1, SW-846 9040B, 3005A, 3015, EPA 6010B, 6010C, 6020, 6020A, 7196A, 3060A, SW-846 9010B, 9030B. Organic Parameters: SW-846 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3510C, EPA 608, 624, 625, SW-846 3630C, 5030B,8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 1,4-Dioxane by NJ Modified 8270, 8015B, NJ EPH.) Solid & Chemical Materials (Inorganic Parameters: SW-846, 6010B, 6010C, 6020, 6020A, 7196A, 3060A, 9010B, 9030B, 1010, 1030, 1311, 1312, 3005A, 3050B, 7471A, 7471B, 9014, 9012A, 9040B, 9040C, 9045C, 9045D, 9050A, 9065, 9251. Organic Parameters: SW-846 8015B, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8330, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 3540C, 3546, 3580A, 3630C, 5030B, 5035L, 5035H, NJ OQA-QAM-025 Rev.7, NJ EPH.) New York Department of Health Certificate/Lab ID: 11148. NELAP Accredited. Drinking Water (Inorganic Parameters: SM9223B, 9222B, 9215B, EPA 200.8, 200.7, 245.2, SM5310C, EPA 332.0, SM232013, EPA 300.0, SM212013, 4500CN-E, 4500E-C, 4500NO3-F, 2540C, SM 2510B. Organic Parameters: EPA 524.2, 504.1.) Non-Potable Water (Inorganic Parameters: SM9221 E, 9222D, 9221 B, 9222B, 9215B, 5210B, 5310C, EPA 410.4, SM5220D, 2310B-4a, 2320B, EPA 200.7, 300.0, SM4500CL-E, 4500E-C, SM15 426C, EPA 350.1, SM4500NH3-BH, EPA 351.1, LACHAT 10-107-06-2, EPA 353.2, SM4500-NO3-F, 4500-NO2-B, 4500P-E, 2540C, 2540B, 2540D, EPA 200.8, EPA 6010B, 6010C, 6020, 6020A, EPA 7196A, SM3500Cr-D, EPA 245.1,245.2, 7470A, SM2120B, LACHAT 10- 204-00-1-A, 4500CN-CE, EPA 1664A, EPA 420.1, SM14 510C, EPA 120.1, SM2510B, SM4500S-D, SM5540C, EPA 3005A, 3015, 9010B, 9030B. Organic Parameters: EPA 624, 8260B, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 625,608, 8081A, 8081 B, 8151A, 8330, 8082,8082A, EPA 3510C, 5030B.) Solid&Hazardous Waste (Inorganic Parameters: EPA 1010, 1030, EPA 6010B, 6010C, 7196A, 7471A, 7471 B, 9012A, 9014, 9065, 9050A, EPA 1311, 1312, 3005A, 3050B, 9010B, 9040C, 90451). Organic Parameters: EPA 8260B, 8260C, 827D,5035A-HI503570 jSIM, 8015B, 8015C, 8081A, 8081B, 8151A, 8330, 8082 8082A, 3540C, 3546, 3580, Page 80A90 Serial No:09121216:46 North Carolina Department of the Environment and Natural Resources Certificate/Lab ID:666. (Inorganic Parameters: SM23106,2320B,4500CI-E,4500Cn-E,9014, Lachat 10-204-00-1-X, 1010A, 1030,4500NO3-F, 353.2, 4500P-E,4500SO4-E, 300.0,4500S-D, 5310B,5310C, 6010C, 6020A,200.7, 200.8, 3500Cr-B, 7196A, 245.1, 7471A, 7471 B, 1311,1312.Organic Parameters: 608,8081 B,8082A, 624, 826013, 625,82701),8151 A, 8015C, 504.1, MA-EPH, MA-VPH.) Drinking Water Program Certificate/Lab ID: 25700. (Inorganic Parameters: Chloride EPA 300.0. Organic Parameters: 524.2) Pennsylvania Department of Environmental Protection Certificate/Lab ID : 68-03671. NELAP Accredited. Drinking Water(Inorganic Parameters:200.7,200.8,245.2, 300.0, 332.0, 2120B,23206,2510B, 2540C,4500-CN-CE, 4500E-C,4500H+-B, 4500NO3-F, 5310C. Organic Parameters: EPA 524.2, 504.1) Non-Potable Water(inorganic Parameters: EPA 120.1, 1312, 3005A,3015,3060A, 200.7,200.8,410.4, 1664A, SM2540D, 5210B, 5220D,4500-P,BE, 245.1, 300.0,3501., 350.2, 353.2,420.1,6010B,6010C, 6020, 6020A, 7196A, 7470A, 9010B,9030B, 9040B, Lachat 10-107-06-2-D, NJ-EPH, 2120B, 2310B, 23206,2340B,2510C, 254013,2540C, 3500Cr-D,436C,4500CN-CE,4500CI-E,4500E-B,4500E-C,4500H+-B,4500NO2-B,4500NO3-F,4500S-D, 4500S03- B, 5310BCD, 5540C. Organic Parameters: EPA 3510C, 3630C, 50306, 625, 624, 608,8081A, 8081 B, 8082,8082A, 8151A, 826013,8270C, 8270D,8330, 8015B, ) Solid & Hazardous Waste (Inorganic Parameters: EPA 350.1, 1010, 1030, 1311, 1312, 3005A, 3050B, 3060A, 6010B, 6010C, 6020A, 7196A, 7471A, 7471 B, 901013, 9012A, 9014, 904013, 9045C, 9050, 9065, SM 4500NH3-BH, 9030B, 9038, 9251. Organic Parameters: 3540C, 3546, 3580A, 3630C, 5035, 801513, 8015C, 8081A, 8081B, 8082, 8082A, 8151A, 8260B,8270C, 8270D, 8270C-SIM, 8270D-SIM,8330, NJ-EPH.) Rhode Island Department of Health Certificate/Lab ID: LA000065. NELAP Accredited via NJ-DEP. Refer to MA-DEP Certificate for Potable and Non-Potable Water. Refer to NJ-DEP Certificate for Potable and Non-Potable Water. Texas Commisson on Environmental Quality Certificate/Lab ID:T104704476-09-1. NELAP Accredited. Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664, 200.7,200.8,245.1,245.2, 300.0, 350.1,351.1, 353.2, 410.4,420.1, 6010, 6020, 7196, 7470,9040, SM 212013, 2310B,2320B, 2510B,2540B, 2540C,25401),426C,4500CL- E,4500CN-E,4500E-C,4500H+B,4500NH3-H,4500NO2B,4500P-E,4500 S2 D, 510C, 521013, 5220D, 5310C, 5540C. Organic Parameters: EPA 608, 624,625, 8081,8082, 8151, 8260, 8270, 8330.) Solid&Hazardous Waste(Inorganic Parameters: EPA 1311, 1312, 9012, 9014, 9040, 9045,9050, 9065.) Virginia Division of Consolidated Laboratory Services Certificate/Lab ID:460195. NELAP Accredited. Drinking Water(Inorganic Parameters: EPA 200.7, 200.8, 300.0,251013,212013,2540C,4500CN-CE,245.2,2320B, 4500E-C,4500E-C,4500NO3-F, 5310C. Organic Parameters: EPA 504.1, 524.2.) Non-Potable Water(Inorganic Parameters: EPA 120.1, 1664A,200.7, 2..08, 245.1, 300.0, 3005A, 3015, 1312, 6010B, 6010C, 3060A, 353.2,420.1, 6020, 6020A, SM4500S-D, SM4500-CN-CE, Lachat 10-204-00-1-X,7196A, 7470A, 9010B, 9040B, 2310B, 2320B,2510B,2540B,2540C, 3500Cr-D,426C,4500CI-E,4500E-B,4500E-C,4500PE, 510AC, 5210B, 5310B 5310C,5540C. Organic Parameters: EPA 3510C, 3630C,5030B, 8260B, 608, 624, 625,8081A, 8081 B, 8082, 8082A, 8151A, 8270C,8270D, 8270C-SIM, 8270D-SIM,8330, ) Solid&Hazardous Waste(Inorganic Parameters: EPA 1010A, 1030, 3060A, 305013, 1311, 1312, 6010B, 6010C,6020, , 7196A, 7471A, 7471 B, 6020A, 903013, 9010B, 9012A, 9014 9040B, 9045C, 9050A, 9065. Organic Parameters: EPA 5035, 3540C, 3546, 3550, 3580, 3630C, 826013,801513, 8015C, 8081A, 8081 B,8082, 8082A,8151A, 8270C, 8270D, 8270C-SIM,8270D-SIM, 8330.) Department of Defense, L-A-B Certificate/Lab ID: L2217. Drinking Water(Inorganic Parameters: SM 4500H-B. Organic Parameters: EPA 524.2,504.1.) Non-Potable Water (Inorganic Parameters: EPA 200.7, 200.8, 6010B, 6010C, 6020, 6020A, 245.1, 245.2, 7470A, 9040B, 901013, 180.1. 300.0, 332.0, 6860, 353.2,410.4, 9060, 1664A, SM 4500CN-E,4500H-B,4500NO3-F,4500CL-D, 5220D, 5310C, 2130B, 23206, 2540C, 3005A, 3015, 901013, 9056. Organic Parameters: EPA 8260B, 8260C, 8270C, 8270D, 8270C-SIM,827OD-SIM, 8330A, 8082, 8082A, 8081A,8081B, 3510C, 5030B, MassDEP EPH, MassDEP VPH.) Page 17 of 19 Serial No:09121216:46 Solid&Hazardous Waste(Inorganic Parameters: EPA 200.7, 6010B, 6010C, 7471A, 6860, 1311, 1312, 3050B, 7196A, 90106, 9012A, 9040B, 9045C, 3500-CR-D,4500CN-CE,2540G, Organic Parameters: EPA 826013, 8260C, 8270C, 8270D, 8270C-SIM, 8270D-SIM, 8330A/B-prep, 8082, 8082A, 8081A, 808113, 3540C, 3546, 3580A, 5035A, MassDEP EPH, MassDEP VPH.) The following analytes are not included in our current NELAP/TNI Scope of Accreditation: EPA 8260B: Freon-113, 1,2,4,5-Tetramethylbenzene, 4-Ethyltoluene. EPA 8330A: PETN, Picric Acid, Nitroglycerine, 2,6-DANT, 2,4-DANT. EPA 8270C: Methyl naphthalene, Dimethyl naphthalene, Total Methylnapthalenes, Total Dimethylnaphthalenes, 1,4-Diphenylhydrazine (Azobenzene). EPA 625: 4-Chloroaniline, 4-Methylphenol. Total Phosphorus in a soil matrix, Chloride in a soil matrix, TKN in a soil matrix, NO2 in a soil matrix, NO3 in a soil matrix, SO4 in a soil matrix. EPA 9071: Total Petroleum Hydrocarbons, Oil&Grease. Page 18 of 19 CHAIN Y :• : O F CUSTODY STO D PAGE 1 OF t - 7} f ;?fit yy `�a�yr; _ s ::�'('��s "��!'�.•,= .. T 7�•. ... - v'�•u1'a:.. .t�rG�Lti�Sf�.� '��s...y... .:xi::[u:• � .wLr:c<S. ant. • InformationR-•• • - • 1- Deliverables1 .rC • Information car r r:a w cPO tg:10343.. c0 Westborough,MA Mansfield,MA . [I FAX ® EMAIL ® Same as.Client info Project.Name:Casavant Residence fV TEL:5oe-e�-s22o TEL 5o8a22-9300 ❑ ADEx [] Add'I Deliverables N FAX 508-898-�193 FAX:508,t1223288 .. .... Regulatory Requirements/Report . • °� • Project Location:Osterville,MA - State/Fed Program crftfia Z Client:Bennett Environmental Associates Project*BEA11-10343 I m Address:1573 Main Street/P.O.Box 1743 Project Manager:David C.Bennett L Brewster.MA 02631 ALPHA Quote#: Phone:5OM96-1706 . Time ..ANALYSIS... Fax:508-896-5109 ®Standard ❑-Rush(ONLY IF PRE-4PPROVEDi SAMPLE HANDLING . FRbaOon ' ng Email:.s rrenkopf@ben.nett-ea:com • ' •. "'.. �•.. � •p Hens ❑These samples have been Prevlously analyzed by Alpha . Due.Date: Time: ® Not Needed d a. . : ❑ Lab to do Other Project Specific Requirements/Comments/Detection Limits: Prese,vavice • .. ... ❑ tab to do p (Please spe.ff p bet', m ALPHH Lali:iD:r: Sampie'1D Collection Sample Samplers z .. Date Tme Matrix Initials m Z h H lomaionts . '_'_ J:` _ Effluent NIL_ `_ WW ... ® ® ® ❑ ❑ ❑. ❑ ❑ ❑ ❑. s . : +r�.o.,e......:.. ..a;. ❑ ❑ ❑ El El El ❑ ❑ ❑ ❑ ❑ ❑ ❑ El ❑ ❑ El ❑ ❑ 3 Container Type - I n e ees:• •P• PIe:SeN .o o atlVe - - : : yconj�pletely^sam plesc6ri. .. lfie?fogpe�!irt'7eriE,�•w,.,e>'.-';:.:: Relinquls By: Daterl"Ime Received By: Datefrime.. r,WriiAriiuiidtifrle clocrc wil;not = �v =` 'scaiti"IliiU�?aiiyllintiigullCes'aiit, `'resotveit NI'safiplesj°ti.:'� l,eP.surs-0• !01 :AlpH'a'sPayineMTsrm9'`;':'r.. k, OFFICE MANUFACTURING r,C 5X AG ., usfi r; ouGth �9 wa ErzvEronineniul S.ysteuts,Inc. 2 ` . ra a 5 al er ,st'?inIOLMI, {`�iA 325i 36 East Fali':l'7outh, MA 025 September 3, 2008 Mr. Arthur Casavant 61 Falling Leaf Lane Osterville, MA 02655 RE: 61 Falling Leaf Lane, Barnstable — Innovative/Alternative Septic System Repair Dear Mr. Casavaht: OMNI Environmental Systems, Inc. is pleased to be your service provider for the Innovative/ Alternative septic;system located at the above referenced address. As a part of being your service provider it is our responsibility to make sure that your system is properly operated, maintained, and functioning correctly, as required by (Title V) the State Environmental Code 310 CMR 15.00. L The maintenance visit conducted on August 4, 2008 revealed that the system is not functioning correctly, and is currently not up to code. The following repairs will be necessary to get the system running correctly and current with code: • Electrical;connections for pump and float switches need to be brought outside of Recirculation Tank riser. • Replacement of ME40 Myers effluent pump assembly. As with any.,innovative/Alternative septic system replacement of arts and stem repairs are P Y P going to 6e necessary at some point in time, this is primarily due to the fact that there are mechanical and electrical components that receive a lot of use and become worn over time and eventually need to either be replaced or have extensive maintenance performed on them. We have enclosed a proposal for your review, please sign and return a copy of the enclosed proposal at your earliest convenience so that we can perform the services/repairs in a timely fashion. Please feel free to contact my office for any questions you may have regarding this matter. 8 Respectfu `} r i Ln, Joseph R. Smith„Operations Manager - . OMNI Environmental Systems, Inc. Encl: 2 copies of Pro osalCc .t G. Town of Barnstable Boardof,Health Alternative Septic Technology j '"c11 i, ,..._.r'i1c`i `•.Yi`,.'+ e !'€e!'€ f.:i�t i'.r'. . ! Contract for Repair Services gg ,�,� •"a., k Xsr s r b�-' a i v Client Name 1 Arthur Casavant Project Location 61 Falling Leaf Lane Company Assessors Info. Address 61 Falling Leaf Lane Town Barnstable. City, State Zip I Osterville MA, 02655 Engineer Phone , Bedrooms Notes I System Phone NOTE: OMNI Envi el onmental Systems shall not be responsible for any underground utilities not reported by"Dig Safe" or the landowner, and an unforeseen underground obstacles i.e. utility lines lea ching achin its i 9 ( tY 9 p w wells, soil conditions etc. OMNI Environmental Systems, Inc. (Seller) offers to furnish the following equipment required for the treatment of wastewater. Replacement of ME40 Myers effluent um assembly. $210.00 Labor. For um ' re lacement, and brin in s stem u to code $75 per hour Estimated Total: 1 $360.00 _;.._-ski _€... Additional hours beyond the hours included, are billable at$75.00 per hour,whether those hours are on-site, in- offic e,ce, or travel time. If the terms and conditions contained herein, including the terms and conditions set forth on the enclosed documentation titled TERMS AND CONDITIONS,are acceptable, kindly sign and return one(1)copy of this proposal along with the mentioned retainer. It is understood and agreed that the foregoing, including the TERMS AND CONDITIONS set forth will constitute the full and complete agreement between the parties to this agreement. The proposal expires ithirty(30)days from the date hereof, but may be accepted at any later date at the sole option of the Seller. The undersigned agrees to the following payment schedule: Retainer. j $360.00 Balance Due Upon Completion. $0.00 The above costs, Project Scope of Work,terms and conditions are satisfactory and are hereby accepted. OES is hereby authorized to commence the work as specified. Arthur Casavant ! Date A ternative Septic Technal€ac 1-888-450-OMNI (508) 548-0343 OFFICE Y MANUFACTURING P.O. Box 128 04N1 Falmouth Technology Park 465 East Falmouth Highway 520 Thomas B. Landers Road East Falmouth, MA 02536 Envrrgnmcntnl Systems,Inc.;; East Falmyjt4,MA 02536 August 27, 2003 LANAR 1 9 2004 Mr. Thomas A. McKean, Health AgentEAi NOEPTAeLE Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Recirculating Sand Filter Systems Operation and Maintenance Inspections Dear Mr. McKean: Enclosed, please find the copies of the Recirculating Sand Filter Systems Operation and Maintenance Inspection Checklist for the property located at 61 Falling Leaf Lane, Barnstable, MA. If you have any questions or need additional information, please contact me as soon as possible. Sincerely, a h w C. Costa, President OMNI Environmental Systems, Inc. Encl. RSF System Reports D.E.P. Certified wastewater Operators Recirculating Sand Filters Manufacturing Testing • Maintenance • Installations i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 LL _ RSF System Operation and Maintenance Inspection Checklist A. -Installation & Service Information IF,�Ilin L eq L,tr �C F�cttyStre Tess Da of ervice , City Operator/O&M Firm Inspect&note if B. Septic tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes ❑ No❑ ❑ Sludge Depth: tee filter. Effluent tee filter: Yes❑ No ❑ If yes, inspect❑ &clean at least yearly❑. Clean as necessary. C. Recirculation tank Inspect for sludge. ❑ Check if sludge accumulating Pumping required: Yes ❑ No4 Odor problems: Yes ❑ 'R�� N04 If yes d ption Inspect for sludge.p >; D. Equalization tank (if installed) TD ❑ Check if sludge accumulating Pumping required: Yes ❑ No❑ Inspect pumps& E. Pumps, switches, floats, alarm system electrical switches, test .11 as necessary. Run Pump Inspections(all units) Ty If problems,describe pumps in manual ]Test pump alternator, or record hours mode. Record readings 'C Flours of operation from teeters & Float switches counters. - Check all switches for operation Test alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain Inspect for ponding Ponding Present: Yes ❑ No; bed surface to allow \\ El Clean bed: Ye No proper operation of the s system. ❑ Distribution pipes Flush: Yes,.❑ No ❑ Brush: Yes❑ No❑ ❑ Check head loss in pipes _ Headloss and comments G. Sample Collection Yes ] No❑ If yes: dBBOD dTS ❑Other i e r LiMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 ' RSF System Operation and Maintenance Inspection Checklist A. Insta lation & Service Information Facility treet Addoe;as City Operator/O&M-F* Inspect&note if B. Septic tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. ti Effluent tee filter: Yes K, No❑ If yes, inspect ]&clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. _ ❑Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. Pumps, switches, floats, alarm system electrical switches,test as necessary:Run Pump Inspections(all units) pumps in manual , If problems,describe s mode. Record readings Test 0pump alternator, or record hours g Hours.of operation from meters& Float switches counters. Check all switches for operation Test,alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain Inspect for ponding Ponding Present: Yes❑ No V bed surface to allow proper operation of the El Clean bed: Yes No system. ❑ Distribution pipes Flush:Yes,,❑ No _` � Brush: Yes❑ No El Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other ` 1 '. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 LLi. RSF System Operation and Maintenance Inspection Checklist. A. Installation & Service Information L _ �/v2. Facilit treet Address Date of Sery = City Operatodo&M Firm Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No J ❑ Sludge Depth: tee filter. Effluent tee filter: Yes No❑ If yes, inspect&clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. _ ❑ 1. - Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes ❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. Pumps, switches, floats, alarm system electrical switches,test as necessary. Run Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator,or record hours mode. Record readings Hours,of operation from meters& Float switches counters. Check all switches for operation (�Testalarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on ' • bed. Clean/maintain Inspect for ponding Ponding Present: Yes El No y bed surface to allow 0 Clean bed: Yes Elproper operation of the No system. ❑ Distribution pipes Flush:Yes,,❑ No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments G. Sample Collection Yes❑ NO)Q If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other 14.0 '. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 RSF System Operation and Maintenance Inspection , Checklist A. Installation & Service Information 6 1 PJ(IA AM L l,k �6/16 Facilit treet Address— Date o e ' � . V, � City Operator/O&M Firm Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. Effluent tee filter: Yes No❑ If yes, inspect$(&clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑` No[ Odor problems: Yes ❑ No If yes,description Inspect for sludge. D. Equalization .tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. Pumps, switches, floats, alarm system electrical switches,test as necessary. Run as Inspections(all units) If problems,describe pumps in manual [�I Test pump alternator, or record hours mode. Record readings Hours,of operation from meters& Float switches counters. Check all switches for operation j Test alarm 11 If non-functioning,corrective action(s) Note if weeds 8c F. Recirculation Sand Filter debris are present on bed. Clean/maintain Inspect for ponding Ponding Present: Yes❑ No bed surface to allow proper operation of the Clean bed: Yes ElNo system. ❑ Distribution pipes Flush:Yes,❑' No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other LLiMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 RSF System Operation and Maintenanc e Inspection I Checklist A. Installation & Service Information r_6[I I(VI L u . Lam_ s °� Facility treet Addres��\, Date of Se City Operator/O&M Firm Inspect&note if B. Septic tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No K ❑.Sludge Depth: tee filter. Effluent tee filter: Yes❑ No❑ If yes, inspect W,&clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. _ ❑Check if sludge accumulating Pumping required: Yes❑ No Odor problems: Yes ❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. pumps, switches, floats, alarm system electrical switches,test as necessary: Run Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator, or record hours mode. Record readings Hours.of operation from meters& Float switches counters. Check all switches for operation Test alarm . If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain Inspect for ponding Ponding Present: Yes❑ No� bed surface to allow proper operation of the 0 Clean bed: Yes❑ system. ❑ Distribution pipes Flush:Yes,.❑ No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No ] If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 RSF System Operation and Maintenance Inspection Checklist A. Installation & Service Information I . r4Jt UVA LO&Sj 1 y /o l$ 0� Facility reet Addr@s Date of Se is City Operator/O&M Firm Inspect&note if B. Septic tank(s) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ Nok ❑ Sludge Depth: tee filter. Effluent tee filter: Yes k No❑ If yes, inspect &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No rbr Odor problems: Yes ❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. Pumps, switches, floats, alarm system electrical switches,test as necessary. Run Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator,or record hours mode. Record readings Hours,of operation from meters& \ Float switches counters. ` Check all switches for operation Test alarm If non-functioning,corrective action(s) Note if weeds 8c F. Recirculation Sand Filter debris are present on � , bed. Clean/maintain Inspect for ponding Ponding Present: Yes❑ NOF bed surface to allow El 0 proper operation of the Clean bed: Yes❑ 0 system. ❑ Distribution pipes Flush:Yes,,❑ No❑ Brush: Yes❑ No❑ ❑Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN []Other r i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 RSF System Operation and Maintenance Inspection Checklist A. Installation & Service Information Facft Street Address Date o rvi City Operator/O&M Firm Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑Sludge Depth: tee filter. Effluent tee filter: Yes' ] No❑ If yes, inspect &clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. ❑Check if sludge accumulating Pumping required: Yes❑ No( ` Odor problems: Yes❑ No 1k If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E. pumps, switches, floats, alarm system electrical switches,test as necessary.Run Pump Inspections(all units) If problems,describe pumps in manual mode.Record readings Test pump alternator, or record hours g Hours,of operation from meters& ] Float switches counters. ` Check all switches for operation 4 Test,alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on bed. Clean/maintain IF(Inspect for ponding Ponding Present: Yes❑ No bed surface to allow El Clean bed: Yes Elproper operation of the ON system. ❑ Distribution pipes Flush: Yes•.❑ No❑ Brush: Yes❑ No❑ ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other _ ' fJ,(A P 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 ' r. RSF System Operation and Maintenance Inspection Checklist A. Installation & Service Information F-C, 9, Fir Street CAt�ddr� s�y� ' Date _- 14,( City _9pera r/ &M"111 Inspect&note if B. Septic tanks) pumping is required. Inspect&clean effluent Sludge Pumping Required: Yes❑ No ❑ Sludge Depth: tee filter. Effluent tee filter: Yes No❑ If yes, inspect&clean at least yearly Clean as necessary. C. Recirculation tank Inspect for sludge. T ElCheck if sludge accumulating Pumping required: Yes[I No Odor problems: Yes ❑ No If yes,description Inspect for sludge. D. Equalization tank (if installed) ❑Check if sludge accumulating Pumping required: Yes❑ No❑ Inspect pumps& E.Pumps, switches, floats, alarm system electrical switches,test as necessary: Run �Pump Inspections(all units) If problems,describe pumps in manual Test pump alternator, or record hours mode. Record readings Hours,of operation from meters& Float switches counters. Check all switches for operation Test:alarm If non-functioning,corrective action(s) Note if weeds& F. Recirculation Sand Filter debris are present on ' bed. Clean/maintain 41nspect for ponding Ponding Present: Yes❑ _ No bed surface to allow proper operation of the El Clean bed: Yes❑ No system. ❑ Distribution pipes Flush:Yes,.❑ No❑ Brush: Yes❑ No El ❑.Check head loss in pipes Headloss and comments -G. Sample Collection Yes❑ No ] If yes: ❑BOD ❑TSS ❑pH ❑TN ❑Other j: f oFTNE to TOWN OF BARNSTABLE ro�"Qy^t �y� OFFICE OF Baaa9TOHb : BOARD OF HEALTH MAS& A. 1639. 367 MAIN STREET E�MPY y_ HYANNIS, MASS. 02601 May 13, 1999 Christopher Costa, P.L.S. Omni Box 128 465 East Falmouth Highway East Falmouth, MA 02536 Dear Mr. Costa: Your proposed monitoring plan for the Omni 2000 Recirculating Sand Filter system at 20 Falling Leaf Lane, Osterville, is not approved. The plan shall be revised to include additional testing of all the parameters listed in your letter dated April 14, 1999 bi-annually during the second and third years of operation. Please revise the monitoring plan to include these additional tests. Sincerely yours, usan G. Ask R.S. Chairperson Board of Health Town of Barnstable SGR/bcs costa TOWN OF BARNSTABLE THE TOE 6�Q w ♦o� OFFICE OF HAHa9TM : BOARD OF HEALTH 7 IAII. pj 1639' `00 367 MAIN STREET �£0 ORk' HYANNIS, MASS. 02601 October 20, 1998 John McShane McShane Construction Company P. O. Box 429 Osterville, MA 02655 RE: Falling Leaf Lane Dear Mr. McShane: The Board of Health has no objections to the Ruck System maintenance and monitoring plans proposed by you dated August 3, 1998. The Ruck Systems shall be monitored quarterly for pH, BOD5, TSS, TKN,No3-N, and ammonia. Testing shall begin two months after the system is put into operation. After four successful sampling events, at the request of the owner,the Board of Health may reduce or eliminate the monitoring requirements. The Ruck Systems shall be inspected at least once every two years and maintained. All inspection reports shall be submitted to the Board of Health within thirty (30) days of the inspections. Sincerely yours, Can�Gsk, R. S. Chairperson Board of Health Town of Barnstable SGR/bcs mcshane v �m OMNI: _ Eh, v'Wamenrtal.:' I�vc:. 1 'll OMNI 2000 z r _ of J �... 14 j�w�0 ' Recirculating Sand Filters 1 1 "Groundwater Protection Pure And Simple" 1 1 I ' =7- OMN14&� E4v ro,meatal/Systw s; *wF. 1 About OMNI OMNI Environmental Systems Inc., was founded out of a growing ' demand from municipalities, designers, and the public to provide an answer to the escalating problem of protecting our precious groundwater from contaminated discharges of wastewater by homes ' and businesses, which produce small flows ( < 10,000 gpd) with large cumulative impacts. ' The task was to give the septic system designer the tools needed to solve this ever-growing problem and do it quickly, effectively and economically. The OMNI 2000's modular construction requires that designers need only to specify "OMNI 2000" RSF components in their designs, without any further worries or hassles. OMNI Environmental Systems, Inc. P.O. Box 128/465 East Falmouth Highway East Falmouth,MA 02536 (Toll Free) 1-888-450-OMNI• (508)548-0343 •Fax(508)548-0350 ........ .................... Jll 2 I'M U11 NUNN r6rouncJwater protection (gee sections for details) Recirculating Sand Filters (RSF's) Thanks to technology developed more than 100 years ago, countless RSF's homes, schools, businesses, and small communities in rural areas 1 • WHAT ARE have an alternative to centralized wastewater treatment. Sand filters THEY? treat wastewater using naturally �' . v occurring physical, biological, and , - •.: HOW DO THEY chemical processes. They are one of MF; the best options for additional onsite WOE' treatment where septic tank/soil 1 f absorption systems have failed or OMNI2000 are restricted due to high RSF'S groundwater, shallow bedrock, poor; +, ! 4 , soils, or other site conditions. They , also can be a good choice for homes, FAIL SAFE businesses, institutions, and small DESIGN residential developments and . communities in areas where cOn;�Mt:xciAi.APPLICATION ,rMcDui.Es centralized treatment is unavailable GENERAL or too expensive. APPROVAL Sand filters usually are used as the second step in wastewater treatment after solids in raw wastewater have been separated out in a septic tank, aerobic unit, APPROVED FOR or other sedimentation tank. Wastewater treated by sand filtration is usually REMEDIAL USE colorless and odorless and, depending on local environmental conditions and regulations, sometimes can be disinfected and discharged directly to surface water. When discharged to soil, sand filter effluent can receive further treatment MAINTENANCE in a soil absorption field, even at some sites where conventional septic tank/soil AGREEMENT absorption systems cannot be used. Over the .years, sand filters have proven to be a reliable technology when they are properly designed, constructed, and maintained. Their performance is consistent and they have low operation and DESIGNERS ' maintenance requirements. In addition, overall treatment costs often compare CORNER favorably with other alternative systems. o DEP Small Community Officials: I Homeowners: 'INFORMATION •Sand filters cost less to construct than •Sand filters may enable development or centralized treatment systems. use of difficult sites. ' •They are energy-efficient. •They can remedy an existing •They have low maintenance requirements. malfunctioning system. •They can provide higher quality treatment •They can be a good option for homes in than other systems. environmentally sensitive areas. -.(Summer 1.997 Issue of pipeline(vol.8 No.3) ' P.O:Box'l28 East Falmouth;MA 02536 ■ �/wN�T.2 t) fir%0 Co right©OMNI Environmental 2000 March 22 2000 - { -:t.t ,r.:". .,:... �. ...::," ..r-SiY. ?....r_.. ++wia ', , :..r.-. .. +..✓ + sr.+ IT _ What Are Re circulating Sand Filters? OMNI 2000 Recirculating Sand Filters K t (what makes them urnicgaae) Sand filters are constructed beds of sand or other-suitable ' granular material usually two to three feet deep..The filter materials .(called media) are.sometimes contained in a The OMNI 200 RSF is a "variable multipass" ' liner made of concrete, plastic, or other.impermeable Recirculating Sand Filter. The variable multipass method material.. Depending on the design, the filter may be is accomplished within the OMNI 2000 RSF with its situated.above.ground, partially above ground,.or below adjustable ratio,flow splitter, which allows the operator to ground; and the filter surface may be open. or covered. adjust the effluent mix ratio. The re-pass system transfers Partially treated wastewater is applied to the filter surface a percentage of the oxygenated"effluent to the beginning in intermittent-doses and receives treatment as it slowly of.the process for enhanced:de-nitrification:. The end trickles. through ,the .media. .In most._sand filters, the. product is a:high quality.effluent suitable for discharge to , wastewater then collects in an under drain and flows to a standard soil.absorption. system: .It's "ground,:water, further treatment: and/or disposal' Sand_filter .units.are . protections pure and;simple:" constructed or assembled onsite by. a licensed contractor ' preferably one who has specific sand filter experience. The .OMNI 2000 RSF Is .designed .to.:conform to the Most materials are available.locally,-sometimes: with.the . Corninonwealth of`_ Massachusetts-. Title V technical exception of filter. media If the appropriate.media cannot .: requirements.for Recirculating Sand Filters: ' be .Obtained nearby, it must .be .shipped in, which can greatly ncrease.the filler's cost: Suitable filter media can The 'OMNI :2000 .filter modules can be easily. .hidden' be purchased -from aggregate companies or other beneath a payer of pine bark mulch and.blended into. suppliers: The media must be as clean.and.uniforni in size simple landscape .schemes A ..three bedroom system .1 as :possible to .allow the wastewater. to -flow correctly ` requires an 8' x 8'; 64.sguare.foot area.to remain free of through it:.If not; smaller grains will settle in the:spaces. lawn and plantings: .This area is covered with filter cloth between .the .larger.grams, leaving .no place .for the.. and pine-bark mulch: The-total system add-on,consists of, '. wastewater.to flow. a 1000=gallon recirculation tank and filter modules. .(numbers vary with. bedroom). Typically a three (3) Ho Do.They Work? .bedroom house 2 modules, and up to five (5) bedroom ' li house=3 modules... Like the soil in every backyard, sand filters'are.home to:a variety. of organisms-. .many of which...contnbute to . This compact..and modular design allows : for quick' treatment by:consuming.organic matter in the.wastewater. installations' and minimal amounts of intrusion. for. Bacteria are the most abundant.organisms in the.filters, _: upgrades: No. obtrusive vents or"blowers are exposed. and.they,do most of the:work: There are other beneficial. Ala sand filter components are hidden beneath the ground, life:forms .found in .the filters, such as _:protozoa ,arid surface worms, which also contribute to treatment After the filter has. ,had a chance to mature=usually after a period of OES manufactures each of the components and `provide approximately two weeks-a miniature ecolo ical s stem Initial startup: .OES will establish a.maintenance contract g y with the landowner and provide DEP licensed Wastewater develops as the,organisms multiply and rely on each other. to urvive;The.most significant part of.the filter Technicians to.maintain the RSF systems insuring them to ecosystem. is'.a .thick .layer called the .biomat, :which perform.at peak operating efficacy, ' eventually.forms near the surface of.the filter. This.layer. contains bacteria whieh...consume. .parficles . rn. the .. OES provides free site plan review for designers wastewater. In turn,. .protozoa feed on the bacteria .and , specifying the.QMN12000:.Juste-mail or.snail mail us a: ' help prevent,the. biomat from becoming.so dense.that it. plan and.we will promptly return your,drawing with any . clogs.�the:.filter. This balance .between..the- various life comments. Also,youu can call us, @ 1-888-450-OMNI,: form s and the physical: and efiemical..processes that take with any.questions ' place in the sand 'filter:, results in extremely efficient . - wastewater: treatment requiring minimal operation. and. maintenance ' 1=888=450-OMNI •(508).548-0343 P.O.Box 128*East Falmouth,MA 02536 ' �M'�& f:Iil�� f Co rieht©OMNI Environmental z000 March 22 2000 Fail-Safe Design Did you know? The OMNI 2000 "fail-safe" design automatically goes into standard Title V mode in The OMNI 2000 uses the the event of power failure, with no interruption to the use of the system. ' latest technology maintain for The brains of the OMNI 2000 recirculating sand filter system, the control panel, is controls and maintain the latest technology in remote operated monitoring and control management. The operating parameters. control panel is tied in to the phone line allowing OES access to the controls anytime t 'This-alternative septic of day or night without disturbing the homeowner. The control panel is set to connect to OES's computer system and download the OMNI 2000's operating system can be regulated, information, where a complete performance log is archived. and monitored,.maintaining the Iiest environment '. the a i With a simple phone call to OES the systems can be turned on/off, or set on a p all in, fail-safe, seasonal schedule to coincide with the arrival and departures of seasonal residents. worr-y free�environment. ' Basement r Cross-section" Sand filter modules covered Underground with pine bark mulch ' conduit Mm- AZZ J �► r Septic Tank Recirculation h 4 r ' Tank. . � . ' ec i a°'o ates h • Tile control panel is typically located The OMNI 2000 flow splitter is in the basement(locations vary)and contained completely within the is connected to the phone line and recirculation tank. It is fully oa!t0 e 1� •e set►• ., system devices. adjustable by the maintenance operator. This feature gives the OMNI 2000 un-paralleled • (s a on/o flexibility in providing high quality effluent to the environment. 1-888=450-OMNI •(508).548-0343 P.O.Box 128*East Falmouth,MA 02536 1 l )1 f � ,I .2 0 r /1 co ri ht©OMNI Environmental 2000 March 22 2000 ' DEP General and Remedial Use Approvals Yl V U C t PRICIING a > � c o ti Y V > A,Three,.bedroom system fl ; Cr q Q E "a cost a pproxtmately,�$4;900 a a� >, a� a �, k o c cn E�. n C7-Q c4 U W �s 'F ' and a 4&Sbedroorn tl OM NI 2000Tm RSF's • • • system-,zapproxtmately O $54900:, Prtce�doNRuckg inclu a the elec`trlcal and andscaping costs and.are FAST® . • . • . . subjec to ch-a ge: a +� d Bioclear®. • . • a • • ' li a "D:ELI� +CRY REF's technology has been. used.for years and is a proven method for Nitrogen; TSS' i ehvery isafree fo a�30- ' : bacteria.removal. Its unique ability to be effective used in high groundwater and.nitrogen sensitive� areas.make it an effective tool for septic designers.'leradius. Any de�huetaes' - beyon MIS are;subject to ad ional,charges. Recirculating Sand Filters have, general approval by DEP and- are approved for use in ' nitrogen sensitive areas (such as.Zone.II well recharge areas) allowing applicants to gain-an extra_bedroom.-in-these areas.where the number of bedrooms is limited to 1 bedroom.per. DeLver.;y or-thee Islands I 0,000L square.feet of area. .. ' vanes.Call forb current . ratangy. DEP does NOT require a testing program for the RSF. Further more' it. approved.for remedial use allowing for the following: ' f ` 0 . 2' reduction to ground water separation, or My 50%reduction in leaching area,or 2' reduction of the requirement for four,feet of naturally occurring soil ' *Additional bedroom.in.nitrogen sensitive areas (Zone II well recharge areas):. All OMNI 20.00 RSF's come with a three-year-manufacturers warranty All RSF systems ' .i are setup and run by certified wastewater operators and qualified technicians, �. Maintenance Agreement K The OMNI-:Maintenance Agreement is available as a two-year preventative ..... ,..,•,. .,...., maintenance:agreement. RSF's must be maintained by DEP certified wastewater ' plant operators. - A.-standard maintenance agreement cost $350 dollars per year.. i y0 would' '' et®�e Seasonal use,. homeowners .:and facilities may incur addition charges for. added _o our mat'hng; Bioaugmentation services: ' list contactus atM 5403.4'3 Maintenance agreements are a:mandatory requirement mandated by state and local authorities. ' .. 1-888 450=OMNI •(508)'S48-0343 P.O.Box 128*East Falmouth,MA 02536 t 1 • _ DESIGNER'S CORNE R E R 1 1 1 1 Auto CAD-)cross section availahle to designers(this shows a second pump use in high groundwater areas) 1 Groundwater Problems Performance Do you have problems with high groundwater•? OMNI has been able to install the RSF RSFs produce a high quality 1 in areas where groundwater was around EL. 1.5 and finished grade at EL. 5.5. With effluent with approximately the ?' foot reduction allowed by DEP for remedial use with RSF's, the low profile C4 85 to 951/r BOD and TSS Contactors developed by Cultectrx', and pumping up to the leaching field, OMNI was removal. In addition, able to install a Sub-surface Title V soil absorption system with out an obtrusive depending on 1 modifications mound. in desi-n and operation. SV( - SU;( or more of Denitrification applied nitrogen can hr 1 removed. Sand Filters have been used in the United States for over IOU years. Design has Although physical and unproved significantly in the 1990's. They are a type of aerobic system, meanin�a tile\, chemical processes play an 1 are oxygen rich. In addition to physically filtering the water, they perform as a important role in the biological filter. Microorganisms, highly adapted to decomposing wastewater, live on removal of many particles, the sand -rains. These or-anisms convert much of the carbon or or-anic matter in the the bio- logical processes 1 wastewater to carbon dioxide (CO,). They also convert ammonia (NH;) and organic N Play the most important role to nitrate (NO,-). IF the filter recirculates. then the nitrate will pass from the sand filter since bacteria are the into an anaerobic or oxygen deplete environment in the recirculation tank. This allows primary workers in denitrification. or the transformation from nitrate (NO,) to nitrogen gas (N,,,,,). Nitrate Recirculating sand filters. may be reduced partially to nitrite or completely to nitrogen gas. Complete reduction The OMNI 20001 ' RSF's requires an organic carbon source, which is usually abundant in the septic tank effluent. are designed and maintained Recirculating sand filters have the advantaae of being a technology capable of to enhance the biological en- significant nitro-en reductions. vtronment enhancing the overall performance. 1 Jump start you say? In co-operation with CJH Environmental, OMNI Environmental Services (OMNI) Free AutoCADCO sample Detail 1 has developed a method for"jump-starting' these RSF systems. By means of AutoCADt l rl, of 1 14 files of the Bioaugmentation, the RSF systems can be fully operational within days of startup. RSF schematic and simple site Bioaugmentation is the introduction of biologically engineered colonies of bacteria desi,,n plans can he sent VIA to supplement and fortify existing bacteria. It simply concentrates organisms that mail. 1 grow naturally in the environment to improve and enhance reduction of human or Plan Reviewindustrial wastes to non-polluting products. ' OMNI staff will parvide new The results from CJH Environmental's independent study will soon be available for desi-ners with a tree plan tevie+,- review. service for their first few systems. 1 1-888-450-0MNI • (508)548-11343 P.O. Box 128 •East Falmouth. MA 02,E 10 1 ' April 11, 1997 310 CMR 15.000: TITLE 5 I / A TECHNOLOGIES APPROVED FOR USE IN MASSACHUSETTS ' Title 5 of the Massachusetts Environmental Code, 310 CMR 15 . 000, provides regulations for the design and construction of conventional septic systems and also allows for the use of ' innovative and alternative technologies (I/A) . A conventional system consists of : a septic tank, distribution box and leaching facility. Alternative systems are those systems which provide substitutes or alternatives for one or more of the components of '! a conventional system while providing the same degree of environmental and public health protection. These alternatives are becoming more widely used for cost effective upgrades of old ' failing systems on difficult sites which can not accommodate a conventional system. I/A technologies also hold promise for enhanced wastewater treatment for new construction in ' environmentally sensitive areas or for sites where conventional systems simply don' t function properly. Title 5 establishes a three-tiered process for I/A ' technologies : piloting, provisional and general use. The purpose of a Piloting Approval is to provide field t testing and technical demonstration that the technology can effectively and provide equivalent degree of environmental protection to a Title 5 system at the alternative design t standards proposed by the applicant. No more than 15 systems can be installed statewide under a piloting approval . Provisional Use is intended to evaluate whether a technology ' can provide an equivalent degree of environmental protection under actual field conditions in Massachusetts in a broader setting than a controlled pilot environment . A minimum of 50 ' systems installed under provisional approval will have to be monitored. Technologies approved for piloting or provisional use can only be installed on remedial sites or for new construction ' where a system in full compliance with Title 5 could be built or where a sewer is available. If the technology does not perform as expected the owner of the system will have to replace it with a Title 5 system, with a technology approved for General Use or ' connect the facility to the sewer. To receive General Use Certification a technology must demonstrate that it will provide a level of environmental ' protection at least equivalent to that of a Title 5 system. I� ' List of Innovative / Alternative Systems April 11, 1997 In addition DEP can approve technologies for Remedial Use to ' improve conditions at existing sites served by a failing, failed or sub-standard system. An approval for remedial use should be viewed as a stopgap measure, not as an indication that the technology will ultimately be approved for provisional or general ' use. List of technologies approved as of April 11, 1997 CERTIFIED FOR GENERAL USE ' Recirculating Sand Filter Composting Toilets AWT Bioclere Cromaglass Cultec Eljen In-Drain t EnviroChamber Infiltrator PSA BioDiffuser RUCK Saneco Intermittent Sand Filter ' S&L Single Home and Modular FAST ' APPROVED FOR PROVISIONAL USE AWT Bioclere S&L Single Home and Modular FAST ' APPROVED FOR REMEDIAL USE Recirculating Sand Filter t Composting Toilets AWT Bioclere Saneco Intermittent Sand Filter ' S&L Single Home and Modular FAST APPROVED FOR PILOTING ' Amphidrome Process Cromaglass KROFTA Compact Clarifier Solviva Biocarbon Filter 1 ' Page: 2 1 1 ' List of Innovative / Alternative Systems April 11, 1997 ' RECIRCULATING SAND FILTER Description: enhanced wastewater treatment, nitrogen reduction ' Typically a recirculating sand filter (RSF) has a septic tank, a recirculation tank and pump, and an underdrained open sand filter. Effluent from the septic tank is collected in the ' recirculating tank, where it is mixed with the effluent returned from the sand filter. The mixture is periodically pumped onto the sand filter and evenly distributed over the filter surface. A ' drain line, at the bottom of the sand collects the sand filter effluent and returns it by gravity to the recirculating tank (or if the tank is full, to the leaching field) . Design standards for RSFs can be obtained from the Department . Any registered ' professional engineer or registered sanitarian should be able to design a complying system. ' Status: Certified for General Use when designed in accordance. with Department guidance for use in nitrogen sensitive and private well areas . For systems less than 2, 000 gallons per day, in areas subject to nitrogen loading limitations, the allowable ' loading is 550 gallons per day per acre. Approved for Remedial Use with Title 5 system. In addition to the ' soils described in 310 CMR 15 .242, it can be used in soils of 60 to 90 minutes per inch with a loading rate of 0 . 15 gpd per sq. ft . The following can be reduced: * 50% reduction of the leaching field, or * 2 ' reduction of the groundwater separation or * 2 ' reduction of the requirement for four feet of ' naturally occurring soil. Approval Process: 1 . Where a conventional. Title 5 system can be installed on the ' property: Disposal System Construction Permit from the local approving authority. No application to DEP required, unless DEP variances to Title 5 are needed in which case apply to the ' regional office of DEP using application form BRP WP 59b. 2 . In areas subject to the Nitrogen limitations of Title 5: For systems greater than 2, 000 gallons per day (GPD) , Disposal System ' Construction Permit from the local approving authority and application form BRP WP 57 to the Regional Office of DEP. For systems less than 2, 000 gallons per day no application to DEP is required, unless DEP variances to Title 5 are needed in which ' case apply to the regional office of DEP using application form BRP WP 59b. ' Page: 4 ' List of Innovative / Alternative Systems April 11, 1997 3 . Remedial situations : Disposal System Construction Permit from ' the local approving authority. No application to DEP is required for each installation, provided that the application and use of the technology is consistent with any conditions established by the Department and the new Code. If DEP variances are needed, ' apply to the Regional Office of DEP using application form BRP WP 59b. 1 1 1 • ' Page: 5 1-888-450-OMNI (508)548-6424 OFFICE—CAPE COD,MASS. E a MANUFACTURING—CAPE COD,MASS. P.O.Box 128 Falmouth Technology Park-@4cme Precast 465 East Falmouth Highw OMNI ay 520 Thomans B.Landers Road East Falmouth,MA 02536 — East Falmouth,MA 02536 ?tI e-mail: OES4500MNI@aol.com Groundwater Protection Pure And Simple" e-mail: OES4500MNI@aol.comk Environmental Systems, Ltd. %f MAINTENANCE AGREEMENT r� OMNI 2000 RECIRCILATING SAND FILTER Customer: Location: Start Dater End Date: Contract Price: You are hereby authorized to render Standard and Preventative Maintenance for the Omni 2000 Recirculating Sand Filter listed at the above address for the contract period of One Year. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI will provide the z land owner with 30 days written notice of its then current pricing schedule should the land owner elect to _# 1E extend this agreement. = F 4 The agreement consists of all Standard and Preventative Maintenance listed in the Operators Manual. The Omni 2000 Recirculating Sand Filter has a 3 year warranty against all defective components including parts and labor. l This agreement does not include costs occasioned by neglect,misuse and accident or consumables. In consideration of the services contained in this agrrement we agree to pay OMNI Environmental Systems,Ltd.the sum of$350.00. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems, Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is neither non-cancellable and non-refundable. OMNI Environmental Systems,Ltd, Land Owners Name date - l Authorized si nature date c, a / Land Owner's signature date i f h -tIt :f Recirculating Sand Filters Manufacturing Testing • Maintenance • Instaliations 1-888-450-OMNI (508)548-6424 E OFFICE—CAPE COD, MASS. MANUFACTURING—CAPE COD,MASS. P.O. Box 128 Falmouth Technology Park-@Acme Precast OMNI l� 465 East Falmouth Highway 520 Thomans B.Landers Road ' East Falmouth, MA 02536 — East Falmouth,MA 02536 e-mail: OES4500MNI@aol.com "Groundwater Protection Pure And Simple" e-mail: OES4500M7VI@aol.com Environmental Systems, Ltd EFFLUENT TESTING AGREEMENT OMNI 2000 RECIRCILATING SAND FILTER Customer: Location: Start Date: End Date: Contract Price: You are hereby authorized to render Effluent Testing for the Omni 2000 Recirculating Sand Filter listed at the above address for the contract period of One Year. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI will provide the land owner*with 30 days written notice of its then current pricing schedule should the land owner elect to extend this agreement. _ The agreement consists of quarterly testing for: Total Suspended Solids(EPA 160.2), Total Nitrogen(EPA350.1-351.4), Total Phosphorous(EPA 365.1),Biochemical Oxygen Demand EPA(405.1). All testing shall be performed by Groundwater Analytical, Inc. of Buzzards Bay, MA . Omni Environmental Systems shall provide test results to the the land owner and local approving authority. r . In consideration of the services contained in this agrrement we agree to pay OMNI Environmental Systems, Ltd. the sum of$ 1200.00. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems,Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is neither non-cancellable and non-refundable. OMNI Environmental Systems,Ltd. Land Owner's Name date 46 -Authorized signature date /d p� Land Owner's signature date Recirculating Sand Filters Manufacturing • Testing • Maintenance Installations 1-888-450-ONM (508)548-6424 OFFICE—CAPE COD, MASS. ; MANUFACTURING—CAPE COD,MASS. P.O.Box 128 Falmouth Technology Park-@Acme Precast UMNI 465 East Falmouth Highway � 520 Thomans B.Landers Road East Falmouth,MA 02536 "Groundwater Protection Pure And Semple° East Falmouth,MA 02536 e-mail: OES450OA4NI@aol.com e-mail: OES4500M7VI@aol.com Environmental Systems, Ltd. 14 April 1999 Susan G. Rask, RS Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 ` RE: #� 20_I-ALLING LEAF LANE,OSTERVILLE, BARNSTABLE, MA. OWNER: McSHANE CONS R CTION, Co., INC., OSTERVILLE, MA. Dear Madam, Pursuant to Town of Barnstable Board of Health Regulation 12.00"Monitoring of Alternative Septic Technologies". The following Surveillance/Effluent Testing Plan has been developed for the Omni 2000 rRecirculating--_Sand-Filter-at#2.0 Falling Leaf;Lane,Ostervilla,MMA�: The agreement consists of quarterly testing beginning 15 September 1999. Groundwater Analytical, Inc. of Buzzards Bay, MA., shall perform the following tests: Total Suspended.Solids, TSS EPA 160.2 Total Phosphorous EPA 395.1 Biochemical Oxygen Demand, BOD EPA 405.1 Total Nitrogen EPA 350.1-351.4 Omni Environmental Systems, Ltd. shall provide the owner and the local approving authority test results within 30 days of the date of the incident. Please note that the following items are enclosed for the perusal of the board: 1. Owners Manual 2. Operators Manual 3. Maintenance Agreement 4. Effluent Testing Agreement 5. Design Plans stamped and signed 6. "As-built" plans stamped and signed Omni Environmental Systems, Ltd. respectfully requests`that the Barnstable Board of Health issue a Certificate of Compliance for the Omni 2000 Recirulating Sand Filter at the above referenced address. If you have any questing or if I can be of any further assistance please don't hesitate to contact me. Sincerely, Christopher Costa, PLS DEP Certified Wastewater Plant Operator Pending 5/15/99 Copy: John McShane, McShane Construction, Co. I Recirculating Sand Filters Manufacturing • Testing • Maintenance • Installations TOWN OF BARNSTABLE LOCATION SEWAGE # ;t7 VILLAGE ASSESSOR'S MAP&LOT °�;—0;e6 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY J �—egz%4 ' /� size 's ��LEACHING FACILITY; (type ) NO.OF BEDROOMS �JII.D OR OWNER % PERMTTDATE: 1---e 2 S COMPLIANCE DATE: Ae'^' 5Fy92 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching.Facility(If any wetlands exist within 300 feet of leacl�,ng facility) Feet ',.Furnished by ��?� 2- Z4 r/z1,. 7 47;, 47 9,11 8 ,� S-17-1999 3-SOPM FROM SCHNEIDER"'FIELD 1S087S82849 p. 1 U ' N. Douglas Schneider & Associates, Inc. Professional Civil En -s May 11, 1999 Board of Health Town of Barnstable RE. McShane Construction cC ot:2Q Fat T.ea Lane Osterville,MA Dear Members of the Board,— Please be advised that the sewage disposal system at the above referenced lot has been unstall in substantial complimce with the design plans. f Please feel free to contact this office if you have any questions. �Sineerely, N..-Pan eider, E. Copy= vile 639 NMI* QFg� I I Ccwnty Itflad, P.O. Box 480 Matfapoii°{' MA 02739 1-5{1R-753-7366 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^��J C DATA 4 ONM (508) 548-6424 CAPE COD,MASS. _ MANUFACTURING—CAPE COD,MASS. 128 Falmouth Technology cme Pr �`' Y ';•," st Falmouth Highway Park-@A Precast ® 520 Th s B.Lander `almouth oman s Road , "Groundwater Protection Pure And Simple" East Falmouth,MA 02536 0ES4500MN1@aol.com e-mail: OES4500MNI@aol.com Environmental Systems, Ltd. Mx ;•. 14 April 1999 Susan G. Rask, RS Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: #20 FALLING LEAF LANE, OSTERVILLE, BARNSTABLE, MA. AA ow t Al OWNER: McSHANE CONSTRUCTION, Co., INC., OSTERVILLE, MA. Dear Madam, Pursuant to Town of Barnstable Board of Health Regulation 12.00 "Monitoring of Alternative Septic Technologies". The following Surveillance/Effluent-Testing Plan has been developed for the Omni 200d Recirculating Sand Filter at#20 Falling Leaf Lane, Osterville, MA. The.agreement consists of quarterly testing beginning 15 September 199,9. Groundwater Analytical, Inc. of Buzzards Bay, MA., shall perform the following tests: Total Suspended Solids, TSS EPA 160.2 Total Phosphorous EPA 395.1 Biochemical Oxygen Demand, BOD EPA 405.1 Total Nitrogen EPA 350.1-351.4 Omni Environmental Systems, Ltd. shall provide the owner and the local approving authority test results within 30 days of the date of the incident. Please note that the following items are enclosed for the perusal of the board: 1. Owners Manual 2. Operators Manual 3. Maintenance Agreement 4. Effluent Testing Agreement 5. Design Plans stamped and signed 6. "As-built" plans stamped and signed Omni Environmental Systems, Ltd. respectfully requests that the Barnstable Board of Health issue a Certificate of Compliance for the Omni 2000 Recirulating.Sand Filter at the above referenced address. If you have any questing or if I can be of any further assistance please-don't hesitate to contact me. Sincerely, Christopher Costa, PLS DEP Certified Wastewater Plant Operator Pending 5/15/99 Copy: John McShane, McShane Construction, Co. i Recirculating Sand Filters Manufacturing Testing Maintenance Installations r ,; MNIK (508) 548-6424 -� APE COD,MASS. MANUFACTURING—CAPE COD,MASS F 8 ® Nlddk& Falmouth Technology Park-@Acme Precast r almouth Highway ova 520 Thomans B.Landers Road ;.cifsamouth,MA 02536 East Falmouth,MA 02536"Groundwater Protection Pure And Simple" e-mail: OES4500NINI@ao lcomOES4500V1@aolcom Environmental Systems, Ltd. MAINTENANCE AGREEMENT -%` OMNI 2000 RECIRCILATING SAND FILTER Customer: Location: Start Date: End Date: Contract Price: You are hereby authorized to render Standard and Preventative Maintenance for the Omni 2000 Recirculating Sand Filter listed at the above address for the contract period of One Year. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI will provide the land owner with 30 days written notice of its then current pricing schedule should the land owner elect to extend this agreement. The agreement consists of all Standard and Preventative Maintenance listed in the Operators Manual. The Omni 2000 Recirculating Sand Filter has a 3 year warranty against all defective components including parts and labor. This agreement does not include costs occasioned by neglect, misuse and accident or consumables. In consideration of the services contained in this agreement we agree to pay OMNI Environmental Systems;Ltd. the sum of S 350.00. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems;Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is 4 neither non-cancellable and non-refundable. OMNI Environmental Systems, Ltd. Z Z, Lano wners Name date Authorized si nature date 9c // Land Owner's signature date Recirculating Sand Filters Manufacturing Testing Maintenance Installations �oFTNer � Town of Barnstable P H De artme BARNSTABLE p nt of Health, Safety, and Environmental Services Y�A MASS. 01 1639. Public Health Division - �� 367 Main Street, H annis MA 02601 FAX Date: ~ Numbero€'panes to follow: _ m p To: From: re� � U . ......... Phone: Phone: 508-862-4644 Fax 4hon (�nAla Fax phone: 508-790-6304 CC: REMARKS: ❑ Urgent ❑ 'For your review. ❑. Reply ASAP ❑ Please comment COMMONWEALTH OF MASSACHUSETTS - EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS N DEPARTMENT OF ENVIRONMENTAL PROTECTION � , d s ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 o,M SJev - ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A.LISS Lieutenant Governor Commissioner RENEWAL OF CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Innovative RUCK Systems, Inc. 200 Main Street Falmouth, MA 02540 Trade name of technology and model number: RUCK System for residential facilities with a design flow of less than 2000 gallons per day (hereinafter the "System"). Transmittal Number: 97894 Date of Issuance: April 25, 2000 Expiration date: April 25, 2005 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification for General Use to: Innovative RUCK Systems, Inc., 200 Main Street, Falmouth, MA 02540 (hereinafter "the Company"), certifying for General Use in the Commonwealth of Massachusetts of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. Glenn Haas, Director Date Division of Watershed Management Department of Environmental Protection This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep Za Printed on Recycled Paper Ruck Renewal of General Use Certification I. Purpose 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the installation and use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority;or by DEP if DEP approval is required by 310 CMR 15.000. It. Design Standards 1. The System shall be installed in a manner which does not adversely affect the operation of a Title 5 system as constructed in accordance with 310 CMR 15.100 through 15.279, subject to the provisions of this Certification.. 2. The System consists of two septic tanks; one tank is piped to the greywater system,the second tank is piped to the blackwater system. The greywater system discharges to a standard soil absorption system(SAS). The blackwater system discharges to a RUCK sand filter, consisting of alternative layers of sand and plastic drains constructed within an impermeable liner. Effluent from the sand filter is collected and piped to the greywater septic tank for mixing prior to discharging to the SAS. 3. New Construction: In accordance with 310 CMR 15.217(2), an increase in calculated nitrogen loading per acre is allowed for residential facilities with a design flow of less than 2000 gpd, with the use of the System in areas subject to nitrogen loading limitations, under 310 CMR 15.214. When used in such areas: i. the design flow shall not exceed 660 gallons per day of design flow per acre (gpda) and the total nitrogen(TN) concentration in the effluent shall not exceed 19 milligrams per liter(mg/L), or ii. the design flow shall not exceed 550 gallons per day of design flow per acre (gpda) and the total nitrogen(TN) concentration in the effluent shall not exceed 25 milligrams per liter(mg/L). III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of this System, except those that specifically have been varied by the terms of this Certification. 2. Any required operation and maintenance, monitoring and testing shall_be I erformed in accordance with a Department approved pla�Any=required-an: analysis shall be conducted by_an independent U.S. EPA or DEP approved testing laboratory,a DEP approved independent university laboratory, unless otherwise provided in the Department's written approval. It shall be a violation of Page2 of 6 Ruck Renewal of General Use Certification this Certification to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 6. Design and installation and use of the System shall be in'strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is certified in connection with the discharge of sanitary wastewater only. Any non-sanitary wastewater generated and/or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of.. 2. Operation and Maintenance agreement: i. Throughout its life, the System shall be under an operation and maintenance (O&M) agreement. No O&M agreement shall be for less than one year. ii. No System shall be used until an O&M agreement is submitted to the local approving authority which: provides for the contracting of a person or firm competent in providing services consistent with the System's specifications and the operation and maintenance requirements specified by the designer and any specified by the Department; contains procedures for notification to the Department and the local board-of health within five days of a System failure or alarm event and for corrective measures to be taken immediately; Page3 of 6 Ruck Renewal of General Use Certification — contains a plan to determine the cause of effluent limit violations for total nitrogen if violations occur on two consecutive sampling events; — provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System. The operator must operate and maintain the System at least every three months and anytime there is an alarm event. 3. The owner of the System shall at all times have the System properly operated and maintained in accordance with the Company's and the designer's operation and maintenance requirements and this Certification. 4. The owner of the System shall provide a copy of'this Certification, prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof,to the proposed new owner. 5. The owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 6. In areas subject to the nitrogen load limitations in 310 CMR 15.214: i. For year round residential use, effluent from the System shall be monitored quarterly. The following parameters shall be monitored: pH, biochemical oxygen demand (BODO,total suspended solids (TSS); TN. Each time the System is monitored,the water meter reading also shall be recorded. All monitoring data shall be submitted to the Department within 30 days of the sampling date. After one year of monitoring and at the written request of the owner,the Department may reduce the monitoring requirements. ii. For seasonal residential use where the residence is occupied fewer than six months per year, effluent from the System shall be monitored twice per season; initially 45 days after occupancy and a second time within two weeks prior to System shut down. The following parameters shall be monitored: pH, BOD5, TSS, TN. Each time the System is monitored, the water meter reading also shall be recorded. All monitoring data shall be submitted to the Department within 30 days of the sampling date. After two seasons of monitoring and at the written request of the owner,the Department may reduce the monitoring requirements. V. Conditions Applicable to the Company 1. By January 3 1"of each year,the Company shall submit to the Department, a report, signed by a corporate officer, general partner or Company owner that contains information on the System for the previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts during the previous year•, the address of each installed System,the owner's name and Page4 of 6 Ruck Renewal of General Use Certification address,the type of residential use and the design flow; and for all Systems. installed since the first issuance of Certification for the System, all known failures, malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to its sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System,prior to any sale of the System, with a copy of this Certification. 5. If the Company wishes to continue this Certification after its expiration date, the Company shall apply for and obtain,a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification, unless written permission for a later date has been granted in writing by the Department. VI. . Reporting 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street- 6th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of the annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety,welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by Pages of 6 Ruck Renewal of General Use Certification law with respect to this Certification and/or the System against the owner or operator of the System and/or the Company. VIII. Expiration date 1. Notwithstanding the expiration date of this Certification, any System sold and installed prior to the expiration date of this Certification, and approved, installed and maintained in compliance with this Certification(as it may be modified) and 310 CMR 15.000, may remain in use unless the Department, the local approval authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. General Approval RUCK-97894r Page6 of 6 COMMONWEALTH OF MASSACHUSETTS z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS + d DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 OEM SJev ARGEO PAUL CELLUCCI Governor TRUDY COXE Secretary DAVID B.STRUHS Commissioner i CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Bio-Microbics, Inc. 8271 Melrose Drive Lenexa, KS 66214 Trade name of technology and model: Micro FAST Treatment System (hereinafter the "System"). Date of Application: May 27, 1997 Transmittal Number: 123591 Date of Issuance: May 29, 1998 Expiration date: May 29, 2003 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification for General Use to: Bio-Microbics, Inc., 8271 Melrose Drive, Lenexa, KS 66214 (hereinafter "the Company"), certifying the System described herein for General Use in the Commonwealth of Massachusetts. The Department has determined thai the applicant has demonstrated that the System will provide a level of environmental protection equivalent to that of a standard three component on-site system designed and constructed in accordance with 310 CMR 15.000. Sale and use of the System are conditioned on compliance by the Company and the System owner/operator with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. Lealdon Langley, Acting Program Director Date Watershed Permitting Program Department of Environmental of Environmental Protection I. Design Standards This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep L� Printed on Recycled Paper Micro FAST General Use Certification 5/29/98 1. The System shall be installed in the second compartment of a two compartment septic tank with a total liquid capacity of at least 1,500 gallons. 2. The System is approved for use at facilities with a maximum design flow of 440 gallons per day. TI. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law,the Department or the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as the Department or the local approving authority deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless a variance as provided for in 310 CMR 15.004(4)(b) is obtained. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to the exceptions in this Certification. III. Special Conditions applicable to the System Owner/Operator 1. The System is certified for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 2. Maintenance agreement: i. Throughout its life, the System shall be under a maintenance agreement. No maintenance agreement shall be for less than one year. ii. No System shall be used until a maintenance agreement and contingency plan are approved by the local approving authority which: provides for the contracting of a person or firm competent in providing services consistent with the System's specifications and the operation and maintenance requirements specified by the design engineer and any specified by the Department; - contains procedures for notification to_the local board of health within 24 hours of a System failure or alarm event and for corrective measures to be provides the-name-of the Massachusetts certified operator or operator-s, i accordanc wig 57 CMR 2 00;tha—t will operate the System. The operator-must maintain the Syste!h--:least every three months-a d-1 an here`is=awalar-m=e�ent; Theiprovisions of-31..4 CMR-12,W-ar Micro FAST General Use Certification 5/29/98 incorporated herein and apply to the maintenance and operation of the System. 3. The owner/operator of the System shall at all times properly operate and maintain the System. 4. The owner/operator shall furnish the Department, within a reasonable time,any information that the Department may request regarding the operation and performance of the System. 5. The owner of a facility served by the System shall provide a copy of this Certification,prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof,to any new owner. 6. As part of an individual application to install and use the System, the proposed owner/operator of the System shall demonstrate that a soil absorption system designed in accordance with 310 CMR 15.000 can be installed on the facility. IV. Special Conditions applicable to the Company 1. Before January 31 st of each year,the Company shall submit to the Department, a report, signed by a corporate officer, general partner, or Company owner,that . contains information on the System for the previous calendar year. The report shall state the number of units of the System sold for use in Massachusetts during the previous year. The report also shall include the address of each installed System, the System owner's name and address,the type of use (residential, commercial, school, institutional) and the design flow; all known failures, malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least sixty (60) days in advance of the proposed transfer of ownership of the technology for which this Certification is issued. The notice shall include the name and address of the new owner,the date of transfer, and the respective responsibilities of the parties relative to the System. Unless the Department determines otherwise,this Certification automatically will transfer to the new owner. 3. The Company shall furnish the Department, within a reasonable time, any information that the Department requests regarding the System. 4. Prior to its sale of the System,the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. If the Company wishes to continue this Certification after its expiration date, the Company shall apply for and obtain a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification, unless written permission for a later date has been granted by the Department. V. Reporting All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street- 6th floor Boston, Massachusetts 02108 VI. Rights of the Department Micro FAST General Use Certification 5/29/98 The Department may suspend, modify or revoke this Certification for cause, including, g but not limited to, noncompliance with the terms of this Certification, non-payment of any annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare, or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification and/or the System against the owner, or operator of the System, and/or the Company. VII. Expiration date Notwithstanding the expiration date of this Certification, any System sold and installed prior to the expiration date of this Certification, and approved, installed and maintained in compliance with this Certification(as it may be modified) and 310 CMR 15.000, may remain in use unless the Department, the local approval authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. VIII. Right of Appeal This Certification is an action of the Department. Any person aggrieved by this action may request an adjudicatory hearing. A request for a hearing must be made in writing and postmarked within twenty one (21) days of the date of mailing of this Certification. Under 310 CMR 1.01(6)(b),the request must state clearly and concisely the facts which are the grounds for the request and the relief sought. The hearing request along with a valid check payable to Commonwealth of Massachusetts in the amount of one hundred dollars ($100.00) must be mailed to: Commonwealth of Massachusetts Department of Environmental Protection P.O. Box 4062 Boston, MA 02211 The request will be dismissed if the filing fee is not paid,unless the appellant is exempt or granted a waiver as described below. The filing fee is not required if the appellant is a city or town (or municipal agency), county, or district of the Commonwealth of Massa- chusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee for a person who shows that paying the fee will create an undue financial hardship. A person seeking a waiver must file, together with the hearing request as provided above, an affidavit setting forth the facts believed to support the claim of undue financial hardship. MICRO.APP SENDER: COMPLETE THIS SECTION i :COMPLETE THIS SECT16N'ON DEL VERY, • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. /4' ■ Print your name and address on the reverse so that we can return the card to you. C. Sig . ® Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. El Addressee D. ery address different from item 1? ❑Yes 1. Article Addressed to: If ofYES,enter delivery address below: ❑ No U ' 3. Se ice Type f �p �/�� Certified Mail ❑ Express Mail / � 7o p O2 ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ElC.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) lZ;i2o3 �f.99lgOiii PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 �J UNITED-nSTATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • N Pnblh Ohilsioa Town of Barnstable P.O.Box&U HY=k Massachusetts 02601 l �- Z 203 499 180 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent . Zp rest N01ber st fate,&ZIP Q e Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees - Is z, q M Postmark or Date 0 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 aa) cc 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 rn f, 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 n 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. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. t 025s5-s7-s-0145 a rr • �r OF THE 3'p� STAB Town of Barnstable i6 ,�g' �E039. Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Brian R.Grady,R.S. May 22, 2000 Mr. Christopher Costa, P.L.S. OMNI Environmental Systems, Ltd._ 465 East Falmouth Highway, East Falmouth, MA 02536 NOTICE TO CEASE AND DESIST CONSTRUCTION AND UPGRADING OF ONSITE SEWAGE DISPOSAL SYSTEMS WITHIN THE TOWN OF BARNSTABLE Dear Mr. Costa, , On May 9, 2000, you and your employees of OMNI Environmental Systems, LTD were observed constructing or upgrading an onsite sewage disposal system atELot 21 Falling, LeafT:ane Osterville, without a disposal system construction permit as required under 310 CMR 15.020, State Environmental Code, Title V. The workers informed Health Inspector Donna Miorandi that only"maintenance"was being performed. However, Ms. Miorandi observed your employees "cutting pipe" and she observed an"old manifold on the ground." Furthermore, you do not possess a valid disposal works installers permit for upgrading or constructing septic systems in the Town of Barnstable. You are ordered to cease and desist any construction or upgrading work to any onsite sewage disposal systems within the Town of Barnstable. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days. Failure to comply with an order of the Board of Health may result in a fine of up to one thousand dollars ($1,000)pursuant to M.G.L. 111 Section 31. PER ORDER OF THE BOARD OF HEALTH Th as Vc�Ke a�nR.S C.H.O. Health Agent CC: Sue Rask, Chairman Board of Health E ! �j 22, y5 Ck,jsj-p�le-r GsJO�I �-� 46 0y ,AJ6 �7� s ON a^ D t4o) � Dr Lea G me.Ore..s P2^.� C ell(rj�4� - JA G 1-3S _ PsX � �'S Page 1 of 3 t. Town of Barnstable Health Dept. From: Linda Sperandio <Linda.Sperandio@state.ma.us> To: <everyone@mhoa.com> Sent: Wednesday, May 10, 2000 12:59 PM Attach: 021-OORN.txt Subject: Recall Notification Report, Recall #021-00, Cretons Ham Spr Forward Header Subject: Recall Notification Report, Recall#021-00, Cretons Ham Spr Author: Richard Waskiewicz at DPH-DFD Date: 05/10/2000 3:52 PM Linda, limited production. Send out to Everone @ MHOA Forward Header Subject: Recall Notification Report, Recall#021-00, Cretons Ham Spr Author: FSIS.Recallnoti.fication@usda.gov at Internet Date: 5/10/00 2:25 PM RECALL NOTIFICATION REPORT U.S. DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE PRODUCTS RECALLED: Ready-to-Eat "Mailhot's Best" brand of "Cretons Pork Spread" in 10- ounce plastic cups and 5- pound tin pans. PRODUCTION DATES/IDENTIFYING CODES: Produced on April 27, 2000, and packaged on April 28, 2000. A white sticker with a "Sell By 0526" is affixed on the container labels. Establishment number 9662 in the USDA mark of inspection on the labels.. The shipping boxes are labeled with the same information as the individual containers. PROBLEM/REASON FOR RECALL: Possible Listeria monocytogenes contamination. i HOW/WHEN DISCOVERED: The recall is in response to the finding of Listeria monocytogenes by the Food Safety and Inspection Service through its routine microbiological testing program. FEDERAL ESTABLISHMENT: 09662 M E W Mailhot Sausage Company 258 Bartlett Street 5/18/00 eo t -r/j6-7 � � COO P f f Page 2 of 3 Lewiston, Maine 04240 CORPORATE CONTACT: Mr. Roger Mailhot, 207-786-2454; For consumers the contact number is 800-394-7884 MEDIA CONTACT: Mr. Roger Mailhot, 207-786-2454 QUANTITY RECALLED: Approximately 210 pounds DISTRIBUTION: Massachusetts, Maine and New Hampshire RECALL CLASSIFICATION: Class I RECALL NOTIFICATION LEVEL: Retail. PRESS RELEASE: Yes DIRECT NOTIFICATION MEANS: The firm has notified its customers orally and is following-up with letters. FSIS FOLLOWUP ACTIVITIES: Effectiveness checks by the FSIS, District Enforcement Operations to the retail level. OTHER AGENCIES INVOLVED: No FSIS CONTACTS: Compliance/Recall Coordinator: 202-418-8874 Emergency Response: 202-501-7521 Media Inquiries: 202-720-9113 , Congressional Inquiries: 202-720-3897 Consumer Inquiries: 1-800-535-4555 Web site: http://www.fsis.usda.gov/oa/recalls/rec intr.htm DATE OF RECALL MEETING: May 10, 2000 - RECALL CASE NUMBER: EP- 021-00 <<021-00, RNR.txt>> --------------------------------------------------- United States Department of Agriculture Food Safety & Inspection Service Office of Public Health & Science Emergency Response Division E-mail: FSIS.RecallNotification@usda.gov Phone: (202) 501-7521 FAX: (202) 501-0639 =---------------------------Forwarded with Changes --------------------------- i 5/18/00 SMETQ� The Town of Barnstable HAH39T i Department of Health, Safety and Environmental Services MA08 o 9 �" Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health May 10,2000 This incident occurred while performing an on-site final inspection at Lot#21 Falling Leaf Lane,Osterville on May 9,2000. Donna Miorandi,Health Inspector for the Town of Barnstable observed work being done on a septic system at(Lot 20) #61 Falling Leaf Lane. This septic system consists of a recirculating sand filter. I asked the men if they had a permit for what they were doing and they stated they were just doing maintenance and that they didn't need a permit. I stated that maintenance to me was pumping and testing the system which they were not doing. I am familiar with these gentlemen who work with Cavossa,a licensed septic installer in the Town of Barnstable. However,these men stated they were from"OMNI" Environmental Systems Ltd. At the time they were cutting pipe and had an old manifold on the ground. There was a ladder down in the the recirculating tank and according to witnesses in the neighborhood they were there all day and electrical work was being performed on the system. One of the workers,Mr.Costa, had a white tyvek suit on indicating he was down in the sytem. The gentleman when asked would not- elaborate on what they were doing only that they were performing maintenance. The owner,Mr.Arthur Casavant, stated he has not signed a maintenance agreement nor is the agreement in the office files signed. To date we have not received any testing data for this alternative septic system. According to the homeowners,Omni arrived at 11:15 am and they were still on-site when I was there at approximately 3:45 pm. A letter from Omni to the owners stated they were going to perform maintenance and pumping and some minor pump maintenance. E Donna Z.Miorandi,R. Health Inspector c 5-11-1999 3.50PM FROM SCHNEIDER""FIELD 15087582849 P_ 1 N. Douglas Schneider & Associates Inc. Professional Cia Fngu>eers May 11, 1999 Board of Health , Town of Darnstable RE: McShane Constraction Lot 20.F.alting Y,ea€Lane ostuWWe,MA Dear Members of the Board, Please be advised that the sewage disposal system at the above referenced lot has been install in substw tial compliance wlth the design plans. Please feel free to contact this office if you have any questions. Sincerely, N.Dau eider, Copy Ax mile 639 / N0.Sa5AQ i LC�umrRY�oed, P.O.Box 4y m@WWoi.l�ett MA02734 1-SOR-758-7$G6 1-888-450-OMNI e (508)548-6424 OFFICE—CAPE COD, MA SS ®' !�S �� MANUFACTURING—CAPE COD,MASS. P.O.Box 128 1 Falmouth Technology Park-�af4cme Precast jl®®'/��l 465 East Falmouth Highway ® 520 Thomans B.Landers Road East Falmouth, MA 02536 — East Falmouth,MA 02536 e-mail: OES4500M aol.com @NI "Groundwater Protection Pure And Simple" e-mail:OES4500MNI@aol.com Environmental Systems, Ltd. MAINTENANCE AGREEMENT OMNI 2000 RECIRCILATING SAND FILTER Customer: Location: Start Date: End Date: Contract Price: You are hereby authorized to render Standard and Preventative Maintenance for the Omni 2000 Recirculating Sand Filter listed at the above address for the contract period of One Year. This agreement may be extended by the land owner for an additional agreed upon term by providing OMNI Environmental Systems, Ltd. with 30 days written notice of intent to extend. OMNI will provide the land owner with 30 days written notice of its then current pricing schedule should the land owner elect to . extend this agreement. The agreement consists of all Standard and Preventative Maintenance listed in the Operators Manual. The Omni 2000 Reci_r-culati.ng a:SandFrte_r has a 3 year warranty against all defective components including parts and labor. This agreement does not include costs occasioned by neglect, misuse and accident or consumables. In consideration of the services contained in this agrrement we agree to pay OMNI Environmental Systems,Ltd. the sum of$350.00. Payment is due 10 days from Invoice Date. This agreement is not in effect until payment has been received by OMNI Environmental Systems, Ltd. This agreement is not assignable by either party without the prior written consent of the other party and is neither non-cancellable and non-refundable. OMNI Environmental Systems,Ltd. ` Z Lan wners Name date Authorized s ature . �� LandOwner's signature date Recirculating Sand Filters Manufacturing Testing Maintenance Installations ' e,G6;�- 3, l�1 .7LP � No. may' 6 f t , Fee L THE COMMO EALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migponl *p.5tem Construction 3permit Application for a Permit to Construct U)Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Location Address or Lot No. � 2.a Owner's Name,Address and Tel.No. L �Wf w �/� � /'�o '� 0eL Assessisap -30 IV Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A .Acv Type of Building: Dwelling v No.of Bedrooms a Lot Size l5- sq.ft. Garbage Grinder(/V O Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date - 6 Number of sheets / Revision Date ^� Title ee,14 — r� �0 Size of Septic Tank vr0 0 j Type of S.A.S. X U `Xlnd hi2a Description of Soil {� ' r+1/lri.�.H -,*a"so� Ad Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINM MUST SUPERVISE Date last inspected: INSTALLATION AND,CERTIFY IN V,-`, MNG THE SYSTEM WAS'INSTALLED IN S t RI CT Agreement: ACCORDANCE To PLAN. The undersigned agrees to ensure the construction and maintenance of the afore descnbe -on=sire sewage disposal system in accordance with the provisions of Title 5 of theEnv* �ental a t to ystem in operation until a Certifi- cate of Compliance has been issued by this Boa place the s _ Signed Date 2j 1 41V 79 Application Approved by ` !!�nr Date Application Disapproved for the following reasons Permit No. H Date Issued e— �'--------- --------------------------- .-_« T'R,�, { `.t ...'e>'--- ..r �^" T � --�--T �:/VV�✓ �* 6:'�f5-may;':' ..�.-+�� I`" oa. 1 ' i. y Fee f 1 1 ._.. .- THE COMMO EALTH OF MASSACHUSETTS Entere'd.in computer: Yes - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTSA. - �; 01ppY cation for Digpo5al 6p!5tem C,ongtruction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components ' f a Location Address or Lot No. p�(f o20 Owner's Name,Address and Tel.No. T 6t Assessor ap/Parc Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. - Type of Building: Dwelling ✓ No.of Bedrooms �L'ot=Size' :.V.907 qsq. ft.:. Garbage Grinder(/U _ Other Type of Building No.of Persons n. "Showers( ) Cafeteria( ) r Other Fixtures Design Flow' 55 gallons per day. Calculated daily flow 3 3 a gallons. Plan Date 0 -30 -9 Number of sheets Revision Date Title et�ir d.v� — I / Size of Septic Tank /SO 0 6 Type of S.A.S. e2 ' )( Description of Soil_' r}�/lrittit c.)i SO) 1 '�� %iris., `Ydud Nature of Repairs or Alterations(Answer when applicable) Date last inspitcted: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title S'bf the Env' ental a t to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar o eal _ t, Signed Date � � Application Approved by .r Date Application Disapproved for the following reasons Permit No. g'' Date Issued ' [ w.� THE COMMONWEALTH OF MASSACHUSE�TTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(-)�4 Repaired ( )Upgraded( ) Abandoned( )by at ''�0?0 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. W dated�� Installer Designer The issuance of this permit shal not be construed as a guarantee that the s s will functio as t Date �°" Inspecto r —f ,off,� No. t°s �i i j r + —�� t— ----------------Fee��°"G7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC',HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 'W" iopozal Opotem COn$truction Permit Permission is hereby granted to Construct(�)Repair( )Up rode( )Abandon( ) System located at�� ?0 •��l�� 6t e tqsvala 1� Y' and as descr4d_.in4e above Application for Disposal�'System/f opsjru�tion Permit:The applicant recognizes his/her duty to comply with Title-5 and the following-local provisions orspecial conditions. Proyided:Construction must be completed 'within i-tlked-'years of-this t6of this e i. Date: '° y � Approved b �' "E.t°�� The Town of Barnstable s, BAWgT Department of Health, Safety and Environmental Services � oNp9. Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health May 10,2000 This incident occurred while performing an on-site final inspection at L'ot#2laalli g Lea£Lane,�Osterville:: on May 9,2000. Donna Miorandi,Health Inspector for the Town ofWarnstable observed work being done on a septic system at,(Lot 20)6r6 rFall�u g: eaf Lan.+This septic system consists of a recirculating sand filter. I asked the men if they had a permit for what they were doing and they stated they were just doing maintenance and that they didn't need a permit. I stated that maintenance to me was pumping and testing the system which they were not doing. I am familiar with these gentlemen who work with Cavossa,a licensed septic installer in the Town of Barnstable. However,these men stated they were from"OMNI" Environmental Systems Ltd. At the time they were cutting pipe and had an old manifold on the ground. There was a ladder down in the the recirculating tank and according to witnesses in the neighborhood they were there all day and electrical work was being performed on the system. One of the workers,Mr. Costa, had a white tyvek suit on indicating he was down in the sytem. The gentleman when asked would not elaborate on what they were doing only that they were performing maintenance. The owner,Mr.Arthur Casavant, stated he has not signed a maintenance agreement nor is the agreement in the office files signed. To date we have not received any testing data for this alternative septic system. + According to the homeowners,Omni arrived at 11:15 am and they were still on-site when I was there at r� approximately 3:45 pm. A letter from Omni to the owners stated they were going to perform maintenance and pumping and some minor pump maintenance. Donna Z.Miorandi,R.S. Health Inspector II { r j i i " L 5CZ, v3 hip C 72�' °F IME T ' Town of Barnstable * 1AENSfABLE, # 9�A 1 A,O� Board of Health rF0 MAC 367 Main Street,Hyannis MA 02601 Office: 508-790-Q65 Susan G.Rask;R.S. FAX: 508-790 6304 Brian R.Grady,R.S. Ralph A.Murphy,M.D.' Decision of the Board of Health Regarding Lots 1 Through 14 and Lots 16 Through 25 Falling Leaf Lane, Osterville, Shown on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and Identified as Parcels 3.001 Through 3.014 on Assessor's Map 144, and Parcels 3.016 Through 3.025 on Assessor's Map 144. , PROCEDURAL HISTORY On November 18, 1996, the Board of Health agent, Thomas McKean, R.S., C.H.O. received twenty-four (24) disposal system permit applications along with two checks totaling $2,400..00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who was representing O.R.E. Associates Incorporated and Osterville Highlands Trust pertaining to proposed construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144, and parcels.3.016 through 3.025 on Assessor's.Map 144. The disposal system construction applications indicated that parcels 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 (all the even numbered lots) were owned by Osterville Highlands Trust. The remaining applications. t, - 1 • indicated that parcels 1, 3, 5, 7, 9, 11, 13, 17; 19, 21, 23, and 25 (all the odd numbered lots)were t owned by O.R.E. Associates. On or about November 21, 1996, Mr. McKean disapproved all twenty-four disposal construction permit applications due to the fact that the plans lacked maximum feasible compliance with the State Environmental Code, Title 5. He also returned the'checks totaling : $2,400.00 to Peter Sullivan, P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hearing scheduled on Tuesday December 17, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the State Environmental Code. ,t During the first hearing which was held on December 17, 1996, the applicant requested a continuance. Then the Board members voted to continue this matter to the February 4, 1997- public meeting. On February 4, 1997, the applicant again requested a continuance; then the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation hearings were also held on the following dates during 1997: June 17th, July 1st, and August 19th. Many documents were submitted into.the record by both the applicant(s) and the Board of Health. The Board members rendered a decision on September 3, 1997 during a special public r faring. Q', FINDINGS OF THE BOARD OF HEALTH Q After discussion and based upon the evidence submitted., the Board of Health made the following findings: I. All 25 lots in the subdivision fall within a DEP approved Zone II of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR#3,4, and CO MC#2. The Zone 11 for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrate levels (generally 50.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape. k Cod. 2. All lots in the subdivision are within a DEP-defined nitrogen-sensitive area as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of �\ Barnstable defined WP zone, the five year time of travel contribution zone to a public water supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to'the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and other ntaminants in groundwater. In recognition of 4 and 5 above,'DEP has determined per 310 CMR 15.214(1);that no serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall . . 3 be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.21.7-(enhanced nitrogen removal). 7. All lots in the subdivision are less than an acre in size., Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310'CMR 15.214, the half-acre lots would be entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules, 310 CMR 15.005, the owner of a lot on which construction of a septic system in full compliance with 310 CMR 15.000 is not feasible.is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR. 15.000 to the maximum extent feasible as determined by the local"approving authority pursuant to 310 CMR 15.404 and 15.405. 9. 310 CMR 15.404 (maximum feasible compliance) states that a non-conforming system may be brought into compliance through the installation of an alternative system(i.e. a nitrogen removal system with associated design flow credit may be used to bring a system into compliance with the requirements of 310 CMR 15.214)." 10. The Board is in receipt of a letter from DEP to William Nye (one of the applicants)dated February 4, 1997 stating that"the"department interprets compliance with the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310 CMR 15.005(c), a considered - assessment by the proponent of approved nitrogen removal technologies when site limitations prevent attainment of the 440 gallon per acre design flow standard set for new construction under 310 CMR 15.215(1)..." 4 11. The applicant is entitled to pursue an aggregate determination of nitrogen loading per 310 CMR 15.216 and DEP guidelines. It is this board's belief that the cumulative.acreage in the subdivision, minus the acreage devoted to roads, when considered in the aggregate is sufficient to allow the construction of 2-bedroom homes (220 gpd design flow) on twenty of the lots and this will be in general compliance with the nitrogen loading requirements of 310 CIVIR 15.214. 12. The applicant has acknowledged that lot 15 will be used for drainage and is not to be considered buildable. 13. At the hearings held on August 19, 1997 and September 3, 1997, the applicants proposed to the Board that dwellings located on 20 of the lots, which specific lots they identified, would be limited to 2 bedrooms unless the system(s) are modified to include enhanced nutrient removal as approved by the Board of Health in which case.a dwelling served by a modified system may be permitted to have not more than 3 bedrooms. The remaining four lots would be limited to not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 14. Based upon the evidence presented, the Board finds that the applicants can achieve maximum feasible compliance with 310 CMR 15.000 through either 1) the construction of 2- bedroom homes on twenty of the lots,with the remaining four lots provided with nitrogen removal technology; the twenty lots must have appropriate restrictions placed upon their deeds toy indicate that only 2 bedrooms are allowed, or 2) the installation of nitrogen removal technology on any lot will entitle the owner to a design flow of 330 gpd: 5 15. The applicant may choose in the future to present.to this board an aggregate nitrogen loading which complies with 310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. ` ACTION TAKEN BY BOARD OF,HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health voted to take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger, Trustee and ORE Associates, Inc:: A) Disposal System Construction Permits shall issue to ORE Associates, Inc. for lots 3, 5, 7, 9, 11, 13, 17, 19, 21, 25 and to Osterville Highland Trust, John Alger, Trustee for lots 2, 4, 6, 8, 10, 14, 16, 18, 20, 24, as designed, said issuance subject to compliance with the following conditions 1. All dwellin s.shall be limited to 2'bedrooms unless the s stems is modified to include enhanced nutrient removal as approved by the Board of Health in which case a dwelling served by a modified system"may be permitted to have not more than 3 bedrooms. 4 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (A)(1) above. 3. Deed restrictions, approved as to form by the Town Attorney, limiting the use of the ellings to two bedrooms on each of the above-referenced lots shall be recorded at the t stable Registry. of Deeds. A copy,of the recorded deed restriction for the particular lot for 6 which a Disposal System Construction Permit is sought shall be provided to the Barnstable Board of Health prior to the issuance of a Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to ORE Associates, Inc.'for lots I and i 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed, subject y to compliance with the following conditions: 1. All dwellings shall be limited to, not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (13)(1) above. (C) No permit shall issue for lot 15 which has been designated, pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to file with the Board of Health and the DEP a plan pursuant to the provisions of 310 CMR 15.216(2), nor shall the mere filing of such a plan obligate the Board of Health to approve same. VOTE: IN FAVOR OF DECISION : RASK, GRADY, MURPHY OPPOSED: NONE Dated: October T .1997 Susan Rask, Chair Barnstable Board of Health 7 1 1 BENCHMARK, NAIL&CAP - EL 47.49' - PROJECT AT£ /-FALlJNG LEAF J LAN£ MAO P V � z LOCUS MAP NOT TO SCALE FOUND N eps� LOT 19 f / ``t / N/F G ��P q XfNCL'NT C. -0- ✓6"S B. LE6!AAr Ffs' 'It LEGEND r e•..- Nye 6000 a.a . — -- •— -- EXIS77NG 2'CONTOUR, 1• / �� cry/ \ ��r^ •j f EXISTING SPOT ELEVA?ON FOUND jND u CG1vCRE SOZ,,VG N",ri l.R,,_L NGCE FOUND L10.HT 1( t COM. POST\/�7,\ C. icL. .-CS/DH UND LOT.�(% �q r f 4F / r U6•. _ - \` FO / o 1.!.42ff S.f: r- m '�\ GENERAL NOTES: 1. HOUSE NUMBER: 51 L_.W v Z ASSESSOR'S 1NFORAFA710N: .VAP 144, PARCEL 003, LUt'020 - d:: of, J FLOOD ZONE. X(PANEL NO 250001 0544 J, .DATED JULY 16, 2014) 4. ZONING DISTRICT- RC �n0s f 5. LOT COtcRAGE BY.• °o. 1 EXlS'ANG S RUCRJRES _200 SF./15924 S.F. = 20.iS E-FTSIC IELW \ �1� 70 N a B. EXIST NC&PROPOSED STRUCTURES— J,287 S.F./15,924 S.F. = 20.6X - 6E.r��rOGEO 6. TOPOGRAP,H.1C 1NFORMAT'O,N COMPILED FROM AN ON THE GROUND SURt-Y P.PPPDXIUATE �� - ) ! .. pR _ LOCATION O. � �J � � 7. ELEVA77ONS S140MI ARE BASED ON NORTH AMERICAN VERTICAL DATUM 1988, LOT 21 s sr,a S"�9 C9/DH 8. SITE IS WITHIN IfELLHEAD PRROTECTTON&RESOURCE PROTECTION OVERLAY DISTRICTS FOUND ` ddlCb''LL�'L. B h'TL�TT `. LAWN" / S17E PLAN Ilk— FOR 43 VIRGINIA REEVES _ r ,yam , 61 FALLING LEAF LANE TOK OP BA&VST.4BLff OST€R VILLE MA Scale: 1"--20' Date: SEPTEMBER 20, 2018 • �I `ems H GF Na�,` _ 7 `=��t TYarwick & Associates Inc. G�W 5 LAME O NO.DRAW sr L.M., R,Lw. DATE s/2o/Ta `r 63 County Road Bog 801 20 0 ,o 20 so 9Fr,5, North Falmouth, Afass 02556 CATO<W Br !SC wzrr 1 OF 1 / L Pr Land Propcts 2004 SSl807B d �508) 563 — 7777 I a'9I55/8O7B.�dw'9. SCACE J/NCH=20 FEET References: 1.) Assessor's Mop 144 Parcel 003020 FALLING LEAF LANE 2.) Deed Book 31340 Page 312 3.) Plan Book 388 Page 22 50' PUBLIC WAY . 4.) This property is in a Groundwater Protection District 5.) This property is in Flood Zone X N 53*55'10" E 100.00' E VARIANCE REQUESTED Local Upgrade Approval: 310 CMR 15.211 Lot 20 Variance 310 CMR 15.211: Minimum Setback Distances 1.) Septic system component to foundation setback 15, 9 2 4± S. F. 5.0' Held 5.0' Variance Requested (Not to Exceed 5') I- - - - � NOTE: Gara SEE EXISTING SITE PLAN ge PREPARED FOR VIRGINIA REEVES I L _ _ — ji IUj i DATED: SEPTEMBER 20, 2018 no It � i House #61 - - - -� - o6o to � Lo � ro I I to Z I U) Septic Variance Plan ' Map 114 I 13.0 1 Map 114 Prepared For Parcel 003021 L — — _ _ — — — _ — _ —IL I Parcel 003019 Virginia Reeves c6 o 1 located at 61 FallingLeaf Lane Proposed �-"kA F s r ill A u o�lo�l p �P s9 0ste v e, M 1 0 1 8 Concrete _� STEPHEN oy ,{ 1Tv EF'ter � — � Foundation Wall � MOORE � Date: January 7, 2019 "D Module �O 13. rn Scale: 1" = 20' L_ — — P r d No.39398 ; \ g opose P� Prepared by: �/ Existin Existing , Existing / D—gag 1500 Gal. 3 Overhang All Cape Septic and Survey 1,000 Gal. Septic Tank N�SURVe Recirculation Tank f E—r�� 618 Route 28 r-0 L -T p� �� 1), West Yarmouth, MA 02673 (508) 771-4200 I Existing //f 1�/� allcopesepticOgm oil.com Leaching Chambers SEE EXISTING SEPTIC PLAN GRAPHIC SCALE . PREPARED FOR 20 0 10 20 40 80 MCSHANE CONSTRUCTION CO. DATED: JANUARY 14, 1999 100.00' ( IN FEET ) S 53'16'58" W 1 inch = 20 ft. DWG AC-164 NAILING SCHEDULE 110 MPH EXPOSURE C WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING 26d 1t'A" ROOF FRAMING: BLOCKING TO RAFTER(TOE NAILED) 2-Bd 2-IOd EACH END RIM BOARD TO RAFTER(END NAILED) 2.16 d 11 Btl EACH END Cam' Bd Bd a'4C WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d Si Sd AT JOINTS STUD TO STUD(FACE NAILED) 2-1 B d 2-Sd 24'.¢ 1 HEADER TO HEADER(FACE NAILED) 16E I6tl IS- ALONG ALONG EDGES NEW ASME EN NEW%OVE EN FLOOR FRAMING: A31-2 ABOVE A31-2ABOVE JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 441d 4-IW PER JOIST BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END NEW RSE NEWANOERSEN NEW OERSEN BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 116d 4-ISd FAUN BLOCK DXW16 M0120611� LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) &1Btl 4-16tl EACH JOIST USEM NT FRENCHWOOD DOOR CGF E1 ENT ( JOI ST ON LEDGER TO BEAM(ME NAILED) 341 3_10d PER JOIST BAND J01STTO JOIST(END NAILED) 3.1 Sd 416d PER JOIST Ij. BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3.16d PER FOOT I I IE ROOF SHEATHING: A 1 I A 'T WOOD STRUCTURAL PANELS(PLYWOOD) BUILT4N �� RAFTERS OR TRUSSES SPACED UP TO 1S'0.a Bd 2 CABINET I I NE ER6EN I RAFTERS OR TRUSSES SPACED OVER 16"0.0. Bd 10d S'EDGES"FIELD I I GABLE ENO WALL RAKE OR RAKE TRUSS WIG OVERHANG ed 10d B'EDGE6'FIELD NEW II CASEM 4 N SUNROOM it CASEMENT ¢ W/STRUCTURALOUTLOOKERSBLE END WALL RAKE OR I(E TRUSS Bd 10tl 4EDGElB"FIELD — � (VAULTED CEILING) II GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 6d 10d T EDGE4'FIELD CEILING SHEATHING: I 6'-4 NEW GYPSUM WALLBOARD Bd COOLERS T EDGE/1 V FIELD ` U.C.REF. 11 PLATFORM • WALL SHEATHING; - — i I WOOD STRUCTURAL PANELS(PLYWOOD) STUDSSPAC—— I I CABINET y EXIST. I- II SPX68• 1?&2YJ7 FIBERBOARD ERBOARD PANELS 6d 1� 7EDGEe'FIELD HOUSE iR'GYPSUM WALLBOARD Sd COOLERS — TEDGEIO'FIELD ' ANEW ANOER6EN' FLOOR SHEATHING: FWG100811.4 WOOD STRUCTURAL PANELS(PLYWOOD) FRENCHWOODDOOR 1"OR LESS THICKNESS Bd 10tl B'EOGEI7 FIELD GREATER THAN I-THICKNESS 10d 76tl B'EDGES"FIELD EXIST. EXIST. EXIST. KITCHEN DINING LIVING NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD - FIRST FLOOR PLAN 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT CLIMATE ZONE 5(USE EITHER PRESCRIPTIVEVALUE& RESCALCULATION LEGEND: � TABLE 402.1.2(MINIMUM PRESCRIPTIVE IN&ULATION d FENESTRATION FIRST FLOOR TO BE V-10"ABOVE SUBFLOORN REQUIREMENTS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 0 EXISTING WALLS STATE BUILDING CODE,9TH EDITION AMENDEMENT 81RC2015 -- CONSTRUCTION TO BE REMOVED rvorEs:e6u 5.) 110 MPH EXPOSURE B WIND ZONE ® NEW CONSTRUC'iT ION' - -TiWVALUES ARE MINIMUMS d1YFACTORS ARE MAXIMUMS. 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 2.MISMEANS R-15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING OF THE HOME OR R-19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL - 3.REFER TO IECC MIS CHAPTER 4 FOR ALL INSULATOR 6 ENERGY REQUREMENTS 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e.U360 LOAD - Q13s6 MEANS RSCONTIN000S INSULATED SHEATHING ONTHE WALL EXTERIOR 8.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION'OFALL &R13 CAVITY INSULATION SIMPSON COMPONENTS 9.) VERIFY ALL PLUMBING 8-ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION 10.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE - 11.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE NEW PVC RAKE BOARDS - TOlMTCH EXISTING �—NEWASPHALTROOFSHINGLES TO MATCH EXISTING—� 12 12 MATCH EXIST.. NEW PVC FA6CIA.F MATCH 60FR MATCH T BOARDS TO EXISTING ®L® ® NEW PVC 1a6 FT FM }.. _ CORNERBOARDS ' ® NEW TRIM SILL - � W/7 SILL NEW W.C.SHINGLE SIDING TO MATCH - REAR ELEVATION_ - RIGHT ELEVATION LEFT ELEVATION ---- ._._ THE OTIFIED C OTUIT BAY DESIGN, LLC ERRORS SHALL.OMISSIONS ARE IF ANY SCALE DRAWING NO.: B Q® ADDITION/REMODEL FOR• ERRORS OR OMISSIONS ARE FOUND ON 43 BREWSTER ROAD THESE DRAW NGS PRIOR TO START OF _ 11 MASHPEE,MA 02649 coNsERESPO SIBLEFORTHE oNTRACTOR G �J REEVES V E S RESIDENCE WILL BE RESPONSIBLE FOR 1HE CONTENT 1/41 11-0 MA HPE 274A 0 1NTIESEDRAWINGSIFCGNSTRUCTION PH, 806 COMMENCES WITH OUT SOTFYI FOR HE TH /� FAX 50 74-9402 _ DES IGREROFMY ERRORS OROMISSIONS. DATE THESE DRAWINGS ARE SOLELY FOR THE USE THE THE OWNER NOTED.ANY THE ER USE OF TIESEDT OF REQUIRES NDERRIT'EEN 1/10/2019 61 FALLING LEAF LN, OSTERVILLE, MA CONSEROF THE DESIGNER UNOTE THE CTI ACT OF ISNRAL COPYRIGHT PROTECTION Al - ACT OF 1890. - P.T.4 x 8 POSTS ON IT OW.CONCRETE SONG- I SEPTIC TANK TUBES TO 4'T BELOW- I ',I 2.1 L4'x91/4'LVL RIOGEBE4h1 ABU 6 POST BASE TYP.ROOF CONST. ABU48 POST BASE 6 I I 2 a Bx 16'o.c P.T.Bx6 POSTS 0N I CIA.LONG ACE48 POST CAPS SON ON BE SSU W/2NEATHTOOW 2-0' 20-5 I I 2Jl' ( -2xtCROOFWOO ROOF SHEA FOOTINGS UNDERNEATH 70 4'0' I I •Y8 COX PLYWOOD ROOF SHEATHING BELOW GRADE.USEBASE DIA.ZM4% T-0' e-0' T-0' •ASPHALTROOFSHINGLES ABU6B POST BASE W/`SB'DIA.J-BOLT 12 -1SLB.FELTPAPER 6 PCSZ Oft EP6Z ZMAA POST CAp9 FASTEN JOISTS TO I I NEW T CONCRETE FOUNDATION MATCH BEAM W/SIMPSON W/1P x 34-CONCRETE FOOTINGS ON H2.9A TIES12.4x 4 POST FROM SPRAY0SLOPED CEILINGS(R49) TO PR BELOW GRFDEW EXIST. 2•P.T.2... I I KEY.INSTALL(2)HHORIZONTAL HEADMRIME OWNTO .AT ALL AFTER HURRICANE CUPS BARS AT TOP OF WALL T CLEAR HEADER I ALL RAFTER ENDS )$'GYPSUM.3 -ICE/WATER SHIELD AT BOTTOM L— J BOARD ON tx] M OF ROOF NEW P.T.2 n B4 0 1S a c .WIND WASH BARRIERS -b�. STRAPPING O IT.... SIMPSON BC60 'ME -0• BA �-e• •ALUMINUM GRIP EDGE TOP OF PLATE .1 T4'•I1 7/WLVLHEADER TYRWALL-CONST. L7 \ 7UNIDER \ I ®®®® 1.2x BSTUD6D SHEAt ti --- SIMPSON STHDI4 1i 2.1?PI.YW000 BNF(R20) _ —� STRAP ].BATTINSUTATON(R20) GYPSUM BOARD '. 9.W.C.SHINGLE SIDING 8.TYVEN VAPOR BARRIER NEW —— , — —— � 4 4 T.BALLOON FRAME GABLE WALLA A CRAW A � _ AT VAULTED COILING LOCATIONS 1e NEV, B.MID-HEIGHT BLOCKING AT WALLS b I T CONCRETE I 12-P.T.2 a A 11MILPO T? SUN OO m AS I 1 I I b OPTIONAL 2 n 9 WALLS W/ WINDOW SPRAY FOAM INSULATION WI(2)K BARS I I N W 2 tDe 18'.c. I ELOW i I I SEI TIC I FIRST FLOOR T4'TSGPLYW000 OPENING SUBFLOOR SUBFLOOR-GLUED 4 NAILED NEW I a 1Os 016'a.c. NEW P.T.2 x e SILL W/SEALER R30 SATTINSULATION SK.IJ ON EACH SIDE ON DOUBLE DOOR SAWCUT SP OPENING - h NEW IN EXIST.FOUNDATION FOR NEW P.T.2 x'T.016•-. - zs' ACOESSINTONEW CRAWLSPACE CRAWLSPACE EXIST. P.T.ZA IOLEDGERSOARDSCREWEDTO b 6CONCRE UNDER WI e MILPOLY UNDER BASEMENT 18 e.L—,,mNGLV210JOISTS HA4GERSEW6 - INSTALL SIMPSON DTTiZ TENSION TIES NEW S'CONCRETEFOUNOATION W/IO'z 24'CONCRETE FOOTINGS AT K JOIST ON EACH END TO T04'P SELOWGRADEWl2x4 DECK JOISTWI(i)ON EACH EN0 * KEY.INSTALL(2)W HORIZONTAL BARS AT TOP OF WALL,T CLEAR FOUNDATION PLAN SECTION @ SUNROOM - A2 - • LT _ - ROOF SHINGLES 1T INSTALLW/STYPE ANCHOR BEARING G 1.FEWCDXPLYWOOD SHEATHING MAX..WI SWITHU4 BPS OF BEARING PLATES 2 a 10 RAPIERSNO 15F FELT PAPER 6' PLACE BOLTS WITHIN DEPTH. S LT EACH CORNER AND TO A B-MINIMUM DEPTH.BOLT LENGTH IS 10'. SIMPSON H 2.6A HURRICANE CUPS WIND WASHST WIDE ICVWATER SHIELD B4RRIER b JIEfi i 0 ALUMINUM DRIP EDGE 1r _ }2xBHOR IJ NEW}I 3N'X11 7/CLVLHEAOER SKI 12xBHDR � lx]STRAPPING I,a FASCIASOARO tIT GYPSUM BOA 24'as. I x 4 SOFFIT BOARD ]ILiJ N I--I mu _ � ICOW.VI YLSOFIT VENT A RIDGE DOWN TO2K1J A ,� OARD TYP.2a4WALLS1 SAP CROWN 1 a 8 FRIEZE BOARD El a DETAIL AT WALL b F d Im I I I NEW 2.1—a11 7/8'LVL ELDER T P.T.2.6 SILL WI SEALER I 2K1J INSTALL FLASHING UNDER ♦ 4 a 4 POST FROM O - HOUSEWRAP 3 DECKING RIDGE DOWN TO Ij DECKING m BUILT OVER ROOF"12.6 RAFTERS AT ANCHOR BOLT DETAIL FLOOR JOISTS C P.T.2,69016'c.c. �-I INSTALL PEEL 6 STICK - ' RUBBER MEMBRANE BETWEEN LEDGERSHEATHING P.T.2 a 8 LEDGER BOARD SCREWED SC SOUR BLOCKING W/(2)OISTS HLOK EREWS 1NSTA WSIMAXLU210JOISTSN TIES { .INSTALL LOCATIONS MOM TENSIONTES AT K JOIST FROM THE HOUSE TO DECK JOIST WI(1)ON EACH END ROOF FRAMING PLAN LEDGER DETAIL 1.)ALL ROOF RAFTERS TO BE 2 x 10's UNLESS OTHERWISE NOTED . 2.) USE SIMPSON H2.5A HURRICANE CUPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT - - W/OWNERS j THE DESIGNER SHILL BE NOTIFIED IF ANY a�® COTUITBAYDESIGN, LLC ADDITION/REMODEL FOR. THESE SCON CAWING IRIORTOFOUNOON SCALE : DRAWING NO.: 43 BREWSTER ROAD w LLBE RESPONSIBLE FOR THE GOTMENr MASHPEE,MA 02649 CONSTRUCTION.THEBUILDINGCONTRACTOR c REEVES RESIDENCE C THESE DRAWINGS IF CONSTRUCTION 1/411= 11-0° F�5 08�274-1166 - DES GNEFt OF urc E�ORS OR OMISSIONS. 50 539-9402 THESE OWNER NOTED.ARE SOLELY FOR THE USE A 12 TH THE DRAWINGRA I!S THE OF DATE THESE DRAWINGS REQUIRES THE WRITTE CONSENT 1/_�O/Lo 1 61 FALLING LEAF LN, OSTERVILLE, MA OF TURAL DEBIDNH UNOTECTI ACT OF 199VRAI COPYRIGHT PROTECTION ACT OF 1690. _ = ` Q. NAILING SCHEDULE -', 110 MPH EXPOSURE C WIND ZONE :s JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NA. 4 .,NAIL SPACING 26'-0' 11'-0' _ ROOF FRAMING ' I " • - BLOCKING TO RAFTER(TOE NAILED) 2-ed 2-tOtl EAL\H END - RIM BOARD TO RAFTER(END NAILED) 2-16 d 3.16d EACH END 4--T 8'<' B'1" 4'-8' WALL FRAMING: .5 TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS • - STUD TO STUD(FACE NAILED) 2-16 d 2.18d 24"o.c "A HEADER TO HEADER(FACE NAILED) 16d 16d IS-o.c ALONG,EDGES } NEW ANDERSEN NEW ANDERSEN I FLOOR FRAMING: NEWANDERSE A31-2ABOVE A31.3 ABOVE - A31 ABOVE NEW ANDERSEN . JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) -4.8d 4'1 Od PER JOIST Ml ABOVE - BLOCKING TO JOISTS(TOE NAILED) 2-Bd 2-10tl EACH END NEWANDERS • NEWANDERSEN i BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3.16d 4:16d EACH BLOCK NEW ANDERSEN OXW16 FWG120611-4 CXWIS LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3.16d 4-1fid EACH JOIST CASEMENT FRENCHW ODD DOOR CASEMENT - _ JOIST ON LEDGER TO BEAM(TOE NAILED) 3-Bd 3-10d PER JOIST BANDJOISTTO JOIST(END NAILED) 3-16d 4-16d PERJOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16d 3-16C PER FOOT I L••4, ROOF SHEATHING: A q WOOD STRUCTURAL PANELS(PLYWOOD) - BUILT-IN A b I, RAFTERS OR TRUSSES SPACED UP T016'o.c 8tl 10d 8"EDGE/6"FIELD DABINET. I I NE ERSEN RAFTERS OR TRUSSES SPACED OVER 16"o.c 80 10d 4"EDGE/4"FIELD fl NEW II CXW16 • GABLES D WALL RAKE OR RAKE TRUSS W/O OVERHANG Bd 10d 6"EDGE/6"FIELD — I • CASEMENT GABLE END WALL RAKE OR RAKE TRUSS Bd 1Od 6"EDGE/6"FIELD § SUNROOM ii© § W/STRUCTURAL OUTLOOKERS I I GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4•EDGEM'FIELD b (VAULTED CEILING) I I C I CEILING SHEATHING: 6'-5• EG NEW GYPSUM WALLBOARD Stl COOLERS — 7•EDGE/101 FIELD U.C.REF. II PLATFORM WALL SHEATHING: I I WOOD STRUCTURAL PANELS(PLYWOOD) CABINET 3'0'%fib STUDS SPACED UP TO 24o.c. - ed 10d 6'EDGE/12"FIELD EXIST. - ' I I _ 1/2""&25/32"FIBERBOARD PANELS ed --- T EDGE/6"FIELD HOUSE , 1l2GYPSUM WALLBOARD Stl COOLERS — 7'EDGE/10"FIELD NEWANOERSEN FLOOR SHEATHING: WOOD STRUCTURAL FWG10 11-0 PANELS(PLYWOOD) 06 ` FRENCHWOOD DOOR - I"OR LESS THICKNESS Bd "1 6'EDGE/12"FIELD GREATER THAN I"THICKNESS 10d 18tl 6.EDGEe"FIELD EXIST. EXIST. EXIST. KITCHEN DINING LIVING 82 p NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS INV /� &DIMENSIONS IN THE FIELD 2.) - d :FIRST FLOOR PLAN - CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT I. LEGEND: CLIMATE ZONE 6(USE EITHER PRESCRIPTIVE VALUES OR t RESCHuuK CALCULATION FIRST FLOOR TO BE V-10"ABOVE SUBFLOOR TABLE 4021 2(MINIMUM PRESCRIPTIVE INSULATION 8 FENESTRATION REQUIREMENTS) s9n cxr c9mxo NVODFaN4EDVNlL FWOA 64EENEPr6VM E 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS Q UiK10P a-v.LUE E EXISTING WALLS STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 CONSTRUCTION TO BE REMOVED NOTES: 4I oE�I BP A Nores: 4z: 'B ro>.°,° >o 5•) 11O MPH EXPOSURE B WIND ZONE NEW CONSTRUCTION 1.R-VALUE$AREMINIMUMS&U-FACTORS ARE MAXIMUMS. 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 2.15/19MEANSR=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING OF THE HOME OR R-19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REOUIREMENTS 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD - 4.13 6 MEANS RS CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR , 8.) FOLLOWALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL. &R13 CAVITY INSULATION - ._ SIMPSON COMPONENTS - 9.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE ti DURING FRAMING CONSTRUCTION 10.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE 11.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION ' INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE NEW PVC RAKE BOARDS TO MATCH EXISTING - �—NEWASPHALT ROOF SHINGLES TOMATCHEXISTING-- - - " 12 _ 12 MATCH EXIST . 'EXIST. NEW PVC FASCIA,FRIEZE,& - SOFFITBOARDS TO MATCH EXISTING JL _ IIH�-'�1T�TIII-�yII NEW PVC 1 x6 ` U1J I _ CORNERBOARO6 NEW PVC IX4TRIM' NEW W.C.SHINGLE 6LONG TO MATCH REAR ELEVATION RIGHT ELEVATION LEFT ELEVATION ADDITION/REMODEL FOR• THE DESIGNER SHALL BE NOTIFIED IF ANY COTUIT BAY DESIGN. LLC ERRORS OR OMISSIONS ARE FOUND ON 43 BREWSTER ROAD „°` g* THESEDRAWINGSPRIORTOSTARTOF SCALE : DRAWING NO. 43 BREV E MA. 026D MID„ELE N NS LBE RESPONSIBLE BUILDING CONTRACTOR (H REEVES RESIDENCE GUDI O IN THESE WILL BE RESPONSIBLE FOR THE CONTENT 1/411 pf•I. 508 274-1166 �nSTNo34��`y COMMENCESWITHOUTNOTIFYrnINGTHE FAX(50 )539-9402 °1 fippp THESEDE NORAW NGS ARE SOLELY ER OF ANY ERRORS OR OMISSIONS. THEN USE 61 FALLING LEAF LN OSTERVILLE MA 4I°K° CONSOF EOWNERNOTEIGNERUD.ANY HERNDER THEOF DATE /�/�/'� .�L, THESE DRAWINGS REQUIRES[HE Y°HII IEN 9/26/2018 7 1 G,7/Z7 8 Fp(2 S 1-1, - HE Al RGHTECTTURA COPYRIGHT PROTECTION ACT OF 1980. Its .. VERIFY SEPTIC LINER TANK LOCATIONS IN THE FIELD - 1 M 16'4Y 9'-0' 26'-0' I 11.41' .. 2-1 3/4'x9 1/4"LVL RIDGEBEAM T YP.ROOF QCON$l'. 2x8'aQ 18'o.t W-W Wr COX ROO 1y P.T.4 z 6 POSTS ON I3' -ASPHALT ROOF OD SHINGLES SHEATHING DIA.CONCRETE SONO- L !.1 -ASPHALT ROOF SHINGLES DA.CONCRETE SO O I 1 12 SPRAY FELT PAPER GRADE.USEBELLSIMPSON 6'<• SA' NEW B•CONCRETE FOUNDATION MATCH -SPRAY FOAM INSULATION -7 GRADE.USE BASE& W/10-z 24-CONCRETE FOOTINGS EXIST. 9 TO 4'0'BELOW GRADC W/2 z 4 z POST FROM Q SLOPED CEILINGS(R49) ACE48 POST CAPS 2-P.T.2x6's ( KEY.IN STALL(2)W HOWZONTAL RIDGE DOWN TO -AT ALL RAFT HURRICANE CUPS HEADER AT ALL RAFTER ENDS BARS AT TOP OF WALL.?'CLEAR •GYPSUM WALL" a -ICE/WATER SHIELD AT BOTTOM - i NEWP.' x... 16' c BOARD ONix3 3'0'OFROOF Y2 STRAPPING Q I6'oc -ALUMINUSH' EIDGE — I 1^ SIMPSONSTHDI4 STRAP ' I ---- -- — — -- — — I - TOP OF PLATE _ 3.1 3/4-x11 7/B'LVLHEADER TYPTWALB CONST. -4_ _ - I Q ' 1 — 1 I 2.BA PLYWOOD SHEATHING NEW 2x10's 16'o.c A I - x &3xfi 3.BATGY INSULATION(R20) f 4.112"GYPSUM BOARD L I I A § S.W.C.SHINGLE SIDING BASEMENT I I NEW I I 4'-4' - 6.BALLOON FRaARAME G IBR CRAWLSPAC I I NE 7.BALLOON FRAME GABLE WALLS L2 WANDOW I n I §_ § 6.MI BLOCKING AT WALLS AT VAULTED CEILING LOCATIONS W/(2)Ito BARS I WITH 8'0-HEIGHT OR GREATER a 2'BELOW 2'CONCRETESLABW/ i OPENING I I 10 MIL POLY UNDER I 2-P.T.2XIT SUN 00 OPTIONAL2x4 WALLSWI i I I I I I I SPMV FOAM INSULATION b FIRST FLOOR 314'T&G PLYWOOD I LN TIC I _ SUBFLOORJ, �4 I SUBFLOOR-GLUED B NAILED (, I NEW ZxI 816'at NEWP.T.2x6SILL W/SEALER 30&lTT INs6dnom SKIJ ON EACH S1DE S'OL�D L? ON DOUBLEDOOR Ll"CiI.IoI, .—UT OPENING NEW P.T.2 11- 16'a.c _ NEW IN EXIST.FOUNDATION FOR - CRAWLSPACE 2'-S' ACCESS INTO NEW I _ 2'CONCRETE SLAB WI CRAWISPACE - - 4 _ BMIL POLY UNDER :EXIS'T, Y P.T.2x 10 LEDGER BOARD SCREWED TO BASEMENT SOLID BLOCKING EDGERLOKSCREWS 16'TA W/ZMAXLU210JOISTS HANGERS NEW''CONCRETE FOUNDATION INSAT LL SIMPSONOCATIONS DOMT TENSION HOUSE TIES •I T04'x24'CONCRETE FOOTINGS A7(K LOCATIONS ON EACH END TO KEY INSELOW GRI HORIZONTAL DECK JOIST W/(1)ON EACH ENO - - - KEY INSTALL OF WALL, 2-CLEAR IV BARS A7 TOP OF WALL,2'CLEAR FOUNDATION PLAN A SECTION @ SUNROOM 26'-0' TYPICAL ASPHALT I' ROOF SHINGLES 5/6'CDX PLYWOODSHEATHING 12' INSTALL 6/B'J-TYPE ANCHOR BOLTS AT 24' o.t MAX.LT SIMPSONBPS OFBEARINGPLATES 2x10 RAFTERS 150 FELT PAPER 6' 6' PLACE BOLTS WITHIN 6'-B LT EACH CORNER AND TO A B'MINIMUM DEPTH.BOLT LENGTH IS 10'. SIMPSON H 2.SA HURRICANE CLIPS WIND WASH 3-0- DE ICEIWATER SHIELD BARRIER j I ❑ ALUMINUM DRIP EDGE 1 x B FASCIA BOARD i x 3 STRAPPING W/ x 12x6HDR. 5K.IJ NEW3l 34-X11 71B-LVLHEADER SK1 3.2x6HDR - - 1/2'GYPSUM BOARD I x 4 SOFFIT BOARD 1z CONT.VINYL SOFFIT VENT 3K,1J 10 v 3K1J 1x35OFFITBOARO e TYP.2 x 4 WALLS 1 3/4"CROWN RIDGE DOWNTO - 1 A 2K.1J A ix6 FRIEZE BOARD Ile A 1 u Im � § DETAIL AT WALL SCALE:112„_1,_0„ P.T.2 z 6 SILL W/SEALER NEW 2-1 W4'x 11 7M'LVL EAGERINSTAL I (� 4x0POSTFROM O I HOUSELWRAP&10 DECNG KING 111111 RIDGE DOWN TO rcQ Dm I DECKING BUILT OVER 1-ITEOF ANCHOR BOLT DETAIL FL°DRJDIBTB xBRAFTERS AT - ' 16'o.c. P.T.2 x6'eQ 18'o.c 0 INSTALL PEELS STICK RUBBER MEMBRANE - - BETWEEN LEDGER& SHEATHING \ I , P.T. xLLEDGER BOCKING 1(2)LE SCREWED TO S I6-oD.W ZMAX LU210JOISGSHANGERSEWS _ INSTALL SIM PEON DTT1Z TENSION TIES �^ AT(4)LOCATIONS FROM THE HOUSE TO V f OCCK JOIST W/(1)ON EACH END -ROOF FRAMING 'PLAN LEDGER DETAIL ,1.)ALL.ROOF.RAFTERS TO BE 2 X 1O's UNLESS OTHERWISE NOTED - 2.) USE SIMPSON H2.5A HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT - -- W/OWNERS - FANY COTUIT BAY DESIGN, LLC ADDITION/REMODEL FOR: 6I N4 4 THE DESIGNTO STAR IOF _ .-yA Vr. IFIE ERROR90R OMISSIONS ARE FOUND ON SCALE : DRAWING NO.: 43 BREWSTER ROAD MICHELE THESTRU TIO GTHE BUI LI START OF CUOILO - CONSTRUCTION.THE BUILDING CONTRACTOR MASHPEE MA. 02649 }STRUCT77,1 H NTHESEWILL BE RAWIN BLE SIFC R THE NSTRUCNTENT 1/411- 11-OII c REEVES RESIDENCE Nt 34774 IN THESE DRAWINGS IF CONSTRUCTION PH. 508 274-1166 �E E COMMENCES �� A,2 I'� DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(50 )539-9402 ' sb"�` THESE DRAW NGS ARE SOLELY FOR THE USE 61 FALLING LEAF LN OSTERVILLE MA r� Of4l9��,AFTHEDWNERNDESIGNERTED.ANY NERl6EDF DATE (�.1L JTHESE OP ANNGS REOUIRESTHEWRITTEN ' ' / 'yam ARCHIENT OF TECTURALECOPYRGHTPROTECTION 9/26/20DERTHE 18 I111 ACT OF 1990. FALLING LEAF LANE. 100.00, • I \ • 47.47 47.77 N U S w s 3 EXISTING GARAGE LOT 21 EXISTING 16' DWELLING F.FL.=51.5 LOT 19 cn 00 �9��h o INV. OUT=48.4 00 11' am To q T � ` cli 10.5' + + 46.27 + + + + + + I RESERVE I rn LOT 2® 15,924 s.f. 100.00' f L� PLAN VIEW SCALE: 1 20' '�.::,,. :..,..v"n..: •..-. ■It• IfatalY r��l��l .. .. 1�11�►1�Yltil.�"I��". SEWAGE SYSTEM & RECIRCULAIING SAND FILTER PROFILE .& DETAILS NOT TO SCALE 6" PINE BARK MULCH 4" STACK VENT (2 TYP.) FILTER FABRIC COVER I 3/4" PVC W/SPRAYERS AIRATION HOODS -, 2" WASHED STONE 3/8" FRACTURED FILTER MODULE TRIMMER I 24" SAND MEDIA 1.5" PRESURIZED LINE MAIN LINE TO "SAS" " PVC RETURN LINE FILTER MODULE TRIMMER ZFLUENT du FINISH GRADE 49.0 FLTER el No. 1800 PVC BALL VALVE I " " PVC UNION I SLOPS Z �'` 'ry a',•..<'�.~•C t•••* n ♦• '• }q,..nti•tit'•^' FLOW :..:.: •.. - . - 46 .75 BY-PASS ` . `-` \` :•' _ ^� "`r�'`• ` FILTER MODULE CLEAN BACKFILL -s AC FLOW :6 f ,�' vr' ♦:,•„ �� 3" PEASTONE INV. 10" SPLITTER 47.25 0* 14" 47.0 �..._._ _48.4 BALL i .-3" LIQUID DIVERTER 46.3 O - 0 g�D Fml LEVEL GAS 46.25 -� - SEPTICT BAFFLE 2EU 4 HR. RES. ., DISTRIBUTION 46.08Up` VN1500 GALLON HIGH WAER ALARM 3" PEASTONE BOX46.0ALLING LEAF' LANE ``�-SET LEVEL ,' 2" PERFORATED PVC PIPE I - PUMP VAULT LOW WA�I"'R SHUT OFF - .62 - ---49:85 V "BY-P " 1000 GALLON BOTTOM ASS OAULT I *-- RECIRCULATION NOTE TIM-R AND EVENT COUNTER ' "CHECK VALVE" TANK 44.0 USE 3/5 wideX8.5 IongX2 deep SH°.:JLD BE MONITORED FROM LEACHING CHAMBERS w/36" R ( CO , l•'ROL PANEL IN CELLAR OF STONE ALONG THE SIDES _ - _ . .�..»..........�..-�: .�.,�...... :-.,,.100.00' & 2'-3» OF STONE AT EACH END. 2 N OI E: SEE GENERAL NOTE #3 • 47.47 47.77 - N TOP OF MULCH 49.5 4" STACK VENT (2 TYP.) 5 , w FILTER FABRIC 3" PVC w/SPRAYER a TOP OF AIRATION HOODS " PVC RETURN (1" BELOW FILTER N;�<` "`E DESIGN CRITERIA 3 TOP OF STONE FILTER MODULE TRIMMER NUMBER OF BEDROOMS 3 PERSONS PER BEDROOM 2 EXISTING DAILY FLOW PER PERSON 55 GARAGE TOP OF SAND MEDIA . - ACHING`-REQUIRED 445.9 sq. ft. g LEACHING PROVIDED 450 s .ft TOP OF PEASTONE . M ' EXISTING 16' TOP OF AIRA11ON CHAMBERS CALCULATIONS DWELLING (DEPTH+DEPTH+WIDTH)(LENGTH) LOT 21 F.FL.=51.5 LOT 19 BOTTOM OF FILTER MODULE -► TOP OF MODULE=48.88, 15 X 30 _, 450 sq. ft. Ln co SLOpE 2 o �°' INV. OUT=48.4 O�or _ M .. 24 MIN. SAND MEDIA • . „�lit � � c �xtw;�s �, �as+mac..r;:•r p Xw :.�: :. :' ;.ti;,,+ K"::-,, �srx:• a, },t; ;::;�.�: 3" PEASTONE SOILS LOGS , 10.5' �.-- TO RECIRC. �••:.:• .:: .: :;.� ;•-• 7 ,,,.., •. .,r: : ., BOTTOM OF MODULE=46..13 _. 0" PIT 1 PIT 2 + + . . + + + t . TANK p o e•b=c .o•6 o:ro..o.e o- ,o>.o.V s♦a ;; LOAM & • 46.27 24„ SUBSOIL + + + - ++ + + + +' � +++ + +'+' INV. OUt=46.3$ WATER TIGHT AIRATION CHAMBERS RESERVE I GASKET FILTER MODULE L ----J 30'--� LOT 2( MEDIUM 15,924 s.f. GENERAL NOTES SAND 1. ALL ELEVATIONS SHOWN ARE 100.00' ASSUMED. 2. ALL PIPES IN THE SYSTEM TO BE 132" NO WATER DESIGN SPECIFICATIONS CAST IRON OR SCHEDULE 40 P.V.C. P-6163 Sand Filter Media . . . . . . . . 24" min. depth <1% 200 sieve, 1mm to 2mm 3. REMOVE ALL UNSUITABLE MATERIAL PERCOLATION RATE = <5 MIN./INCH P # . BENEATH THE INVERT ELEVATION OBSERVATIONS BY: AVERAGE DAILY r L0'v'v 55' gpd/per person/per bedroom FOR A RADIUS OF 5' AND BACKFILL Wastewater strength-BOD5 230 mg/liter/residential 42.49 gals./30 •�ycle W/ CLEAN COARSE GRANULAR MATERIAL. DATE TESTED: 11/17/86 Re-Circulation Ratio 5: 1 Use Myers Model #ME40 or equal (65 9:i;s. a, ' ' 4, ALI_BACKFILL SHALL BE CLEAN Re-Circulation Tank Size 150% of design flow COARSE GRANULAR MATERIAL FREE Sand Filter Loading Rate(Residential) . Loading Rate(gpd/sf)=1150/BOD5=5 gpd/!f FROM DEBRIS & LARGE STONES. Sand Filter Surface Area . . . . SA=Flow gpd/Loading Rate gpd/ft2r 5. CHRISTOPHER COSTA & Assoc. 33oe's,,�/,C, z = 6�fT'' ( 8�x g=g � MUST BE NOTIFIED WHEN THE SYSTEM IS INSTALLED PRIOR TO Re-Circulation pump Size [330 + (5030)] x 103% = 2,039.4 gpd BACKFILLING FOR INSPECTION. 6. UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH at Sand Filter Setbacks Same as Title V septic tank �yy4 -. k4s9 MASSACHUSETTS TITLE V SANITARY APPLICANT: MCSHANE CONSTRUCTION CO. SEWER CODE AND LOCAL RULES PLAN VIEW Recommend quarterly inspections for the first ' , ER WHICH MAY BE APPLICABLE IN A EXISTING DWELLING LOCATION SCALE: 1"= 20' year and then semi-annual �� ', '; � �' WORKMAN-LIKE MANNER. .PROPOSED SEWAGE SYSTEM LOCATID�V • ® 7. THIS LOT 15 NOT IN 00 THE FLOOD PLAIN. .F, <w 8. A GARBAGE GRINDER WILL NOT BE INSTALLED ON THE SYSTEM. �J �N of 9. NO CHANGES SHALL BE MADE TO THIS PLAN LOT 20 FALLING LEAF LANE WITHOUT PRIOR APPROVAL FROM CHRISTOPHER CHRISTOPHER 10. DIIGrSAFE SHALL BE NOTIFIED FOR THE PROPER BARNSTABLE (OSTERVI•LLE) MSS. No. 31305 `� LOCATION OF EXISTING UTILITIES PRIOR TO ANY 1 I EXCAVATION. SCALE: AS NOTED DATE: 1 /14/99 MCSFA 0 LEGEND _ suR DRAWN BY: J.A.B. CHECKED BY: C.C. JOB 40 .' PROP. SPOT ELEV. - 49X5 ,�` EXIST. SPOT ELEV. _ 47.77 - CHRISTOPHER COSTA & Assoc. PROP. CONTOUR = REVISED: 2/1/99 P.O. Box 128 / 465 Main St., East Falmor(�h, Ua. EXIST. CONTOUR = ASSESSORS MAP #144 SECTION # PARCEL #3 LOT #20 HSE. f SEWAGE SYSTEM & RECIRCUL,\TING SAND FILTER PROFILE & DETAILS NOT TO 'aCALE 6" PINE BARK MULCH 4" STACK VENT (2 TYP.) FILTER FABRIC COVER _ 3/4" PVC W/SPRAYERS AIRATION HOODS 2" WASHED STONE 3/8" FRACTURED FILTER MODULE TRIMMER 24" SAND MEDIA 1.5" PRESURIZED LINE MAIN LINE TO "SAS" PVC RETURN LINE FILTER MODULE TRIMMER EFFLUENT FILTER PVC BALL VALVE "table" Model No. 1800 PVC UNION SCOPE FINISH GRADE 49.0 ER I 2� � i. FLOW ,�.. �, .;,. _ #' Y � ' ""•J BACKFILL s '\:vw �, .t tea.•'.f�w •� 1�•�'•`: r, 4 ui bdl';•• wY 46.75 BY-PASS ::� �^••;��: = FILTER MODULE CLEAN C FLOW -�rx� � �v(� it • ,` " 10" A _ � • 3 PEASTONE INV. SPLI TTER _ _ 47.25 -/ 000 14" 4LO BALL -- -- 48.4 ._�_.._. " LIQUID DIVERTER 46.3 0 - M E�2 O 92 F - LEVEL GAF 46.25 1 F t� � = 0 t� © BAFFLE 46.08 24 HR. RES. DISTRIBUTION Lam] d - 1500 GALLON SEPTIC TANK "HIGH WA`ER ALARM" BOX � � � PALLING LEA. ' LANE - - -SET LEVEL 3" PEASTONE 46.0 PUMP VAULT "LOW WAT_R SHUT OFF" 2" PERFORATED PVC PIPE - • --=--A-6-1 1• ----- --;�.62 ---w---- - 9:85 " " 1000 GALLON BOTTOM �- BY-PASS ORIFACE RECIRCULATION "CHECK VALVE" TANK NOTE:TIME::; AND EVENT COUNTER 44.0 USE 3/5'w1deX8.5'IongX2'deep SHOJLD BE MONITORED FROM LEACHING CHAMBERS w/36" Cc j70L PANEL IN CELLAR OF STONE ALONG THE SIDES 100.00' & 2'-3" OF STONE AT EACH NOTE: SEE GENERAL NOTE #3 • 47.47 47.77 N mot- TOP OF MULCH 49'5 4" STACK VENT (2 TYP.) s f 6 FILTER FABRIC 3" PVC w/SPRAYER TOP OF AIRATION HOODS i" PVC RETURN (1" BELOW FILTER MOD''..1_;) DESIGN CRITERIA 3 TOP OF STONE FILTER MODULE TRIMMER NUMBER OF BEDROOMS 3 PERSONS PER BEDROOM 2 EXISTING GARAGE TOP OF SAND MEDIA DAILY FLOW PER PERSON 55 LEACHING REQUIRED 445.9 sq. ft. TOP OF PEASTONE LEACHING PROVIDED 450 sq. ft. EXISTING 16 TOP OF AIRATION CHAMBERS CALCULATIONS LOT 21 DWELLING LOT 19 ( )( ) F.FL.=51.5 BOTTOM OF FILTER MODULE - TOP LENGTH ��TOP OF MODULE=48.8815 X :30 . = 450 sq ft. (o S�pp f ° F ` co 2Z t )1P• O INV. OUT=48.4 00 11 V M DECK 24" MIN. SAND MEDIA SS • p l47 2[ ', .1•.• '.+:'. Y• ,Si.•..�•+:\t w. v •.,M•w•o;•ti• .+ t 'y:. " '.! ✓ ' .» :..w R �.::,..M� ; .'•'\•'j••y,!•t�:'. ., N SL Ott is `;�`•: • :s �.w;ta�s sf::"': D; ;t..'•�•"'!�• " -• '. 5. �' -,• ,' 3 PEASTONE ' .. . ,.r .• ••. � �.• y,.� +.'•� 4• •rl.� to •it;.%\ ' � ✓ iA• _• •1 ��•�' ' \` '.S,Y•'�i�•F .�1 •Y•»II••MY•"• ♦�i ti•.:.J. ;• SOILS LOGS 10.5' TO RECIRC. - •. PIT 1 PIT 2 BOTTOM OF MODULE=46.13 " * * * * * « . * * 46.27 TANK 711F =b'".o•d a:b..a.ri:a."a' ''ii:o;ti`�.b• *dN 0 * LOAM & 24" SUBSOIL ** * , +'* * INV. `OUT=46.3$ - WATER TIGHT AIRAT10N CHAMBERS RESERVE Cn GASKET FILTER MODULE --- --J r=-30,=--� LOT 20 MEDIUM 15,924 s.f. _ GENERAL NOTES SAND 1. ALL ELIVATIONS SHOWN ARE 100.00, ASSUMy' D. NO WATER 2. ALL PIPES IN THE SYSTEM TO BE 132 DESIGN SPECIFICATIONS CAST IRON OR SCHEDULE 40 P.V.C. P-6163 3 REMOVE ALL UNSUITABLE MATERIAL PERCOLATION RATE _ <5 MIN./INCH Sand Filter Media 24" min: .depth <1% #200 sieve, 1mm to 2mm size BENEATH THE INVERT ELEVATION OBSERVATIONS BY: AVERAGE DAILY FLOW . . . . . . 55 d ' er person er bedroorn ^r A I�:AUIUS 'O.F 5' AI�� BACKFILL �P /P i /P 42.49 als. 30 -nin, c�° .: Wastewater strength-BOD5 . . . 230 mg/liter/residential g / W/` CLEAN COARSE GRANULAR MATERIAL. DATE TESTED: 11/17/86 Re-Circulation Ratio . . . . . . . . 5: 1 Use Myers Model #ME40 or equal (65 gals. ® 12 TH) 4. ALL BACKFILL SHALL BE CLEAN Re-Circulation Tank Size . . . 150% of design flow COARSE GRANULAR MATERIAL FREE Sand Filter Loading Rate(Residential) Loading Rate(gpd/sf)=1150/BOD5=5 gpd/sf FROM DEBRIS & LARGE STONES. Sand Filter Surface Area . . . . . . SA=Flow gpd/Loading Rate gpd/ft2 5. CHRISTOPHERBENO COSTA & Assoc. 33o�s,�/�z = 6�f•T'' ( g/x8�g••) MUSTTBE NOTIFIED WHEN THE Re-Circulation pump Size : [330 + (5x330)] x 103% = 2,039.4 gpd SYSTEM IS INSTALLED PRIOR TO _ BACKFILLING FOR INSPECTION. 6. UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH Sand Filter Setbacks . . . . . . . . . Same as Title V septic tank � �t"�'F^s APPLICANT: MCSHANE CONSTRUCTION CO. MASSACHUSETTS TITLE V SANITARY N.DOUGLAS°N SEWER CODE AND LOCAL RULES PLAN VIEW Recommend quarterly inspections, for the first SC WHICH WHICH MAY BE APPLICABLE IN A EXISTING DWELLING LOCATION " t year and then semi-annual No•3864® WORKMAN-LIKE MANNER. PROPOSED SEWAGE SYSTEM LOCATION SCALE: 1 = 20 7. THIS LOT IS NOT IN THE FLOOD PLAIN. 8. A GARBAGE GRINDER WILL NOT BE INSTALLED ON THE SYSTEM. LOT 2� FIALLLING .rOF9. NO CHANGES SHALL BE MADE TO THIS PLAN LEAF LANE WITHOUT PRIOR APPROVAL FROM CHRISTOPHER CHRISTOPHER , COSTA & Assoc. COSTA 10. DIG-SAFE SHALL BE NOTIFIED FOR THE PROPER BARNSTABLE (OSTERVILLE) MASS. No. 31305 �" LOCATION OF EXISTING UTILITIES PRIOR TO ANY EXCAVATION. SCALE: AS NOTED DATE: 1 /14/99 MCSHA-20 SUR LEGEND - DRAWN BY: J.A.B. CHECKED BY: C.C. JOB NO. PROP. SPOT ELEV. = 4 � r EXIST. SPOT ELEV. = 47.77 CHRISTOPHER COSTA & assoc. PROP. CONTOUR a EXIST. CONTOUR = ASSESSORS MAP #144 SECTION # PARCEL #3 LOT #20 HSE. REVISED: 2/1/99 P.O. Box 128 / 465 Main St., East Falmouth, Ma. r