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HomeMy WebLinkAbout0045 NEWPORT LANE - Health (2) 69 NEWPORT LANE, OSTERVILLE A= 166 061 I � v i NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric December 29, 1999 Commonwealth of Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup Southeast Region Office 20 Riverside Drive Lakeville, Massachusetts 02347 RE: RESPONSE ACTION OUTCOME (RAO) STATEMENT and REPORT,SUBMITTAL Release Tracking Number(RTN) 4-15139- ComElectric r. Pole Mounted 15 KVA Distribution Transformer `tKneral Oil Dielectric Fluid (MODE)Release 69 Newport Lane 7 ,Osterville, Massachusetts 02655� Dear Sir/Madam: Attached please find a completed RAO Statement and Report for the subject release location. It is ComElectric's opinion that this release location meets a Class A-1 RAO condition as per the Massachusetts Contingency Plan, 310 CMR 40.0000. ComElectric has made public notification of this RAO Statement and Report. Please call Walter Hermenau of my staff at (617) 369-5571 if you have any questions. Sincerely, Sandra J. Little, Director Environmental Affairs Department cc: File RTN 4-15139 NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectdc ComGas Cambridge Electric RESPONSE ACTION OUTCOME(RAO) REPORT Release Tracking Number (RTN) 4-15139 December 1999 ComElectric Pole Mounted 15 KVA Distribution Transformer Mineral Oil Dielectric Fluid (MODF) Release 69 Newport Lane Osterville, Massachusetts 02655 Prepared By Walter.B.Hermenau, P.E.,,L.S.P. NSTAR Services Company 101 Linwood Street Somerville, Massachusetts 02143 S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc ] NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR r Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric TABLE OF CONTENTS Section I. Introduction II. Release,Notification & Site Condition Description III. Immediate Response Action (IRA)Activities IV. Confirmatory Sampling& Analysis V. Remediation Waste Management VI. Risk Characterization VII. Response Action Outcome (RAO) VIII. Licensed Site Professional(LSP) Opinion IX. Public Notification Attachments Figure 1 Site Locus Figure 2 RAO Extent& Release Impact Area Drawing Attachment A BWSC-103 Release Notification Form Attachment B Laboratory Reports Attachment C Remediation Waste Manifests Attachment D Local Area GIS Report Attachment E BWSC-104 Response Action Outcome (RAO) Statement Form Attachment F Public Notification Letter S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc 2 YSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric I. Introduction The NSTAR Environmental Affairs Department (EAD) has prepared this Response Action Outcome (RAO) statement and report on behalf of ComElectric to summarize Immediate Response Action (IRA) activities performed following the sudden release of approximately ten (10) gallons of mineral oil dielectric fluid (MODF) from a pole mounted transformer to the ground surface. ComElectric is an NSTAR Company. As a result of IRA activities conducted by ComElectric, a condition of"No Significant Risk" to human health, public welfare, and the environment was achieved for this release location. It is ComElectric's opinion that this release location meets a Class A-1 RAO condition in accordance with the Massachusetts Contingency Plan (MCP), 310 CMR 40.0000. II. Release, Notification & Site Condition Description On the evening of November 17, 1999, an unoccupied vehicle rolled down the driveway.of 69 Newport Lane, Osterville, continued across the street,'and crashed into utility pole 716/3. The pole cracked and a secondary wire contacted the transformer and burned a 3/4 inch diameter hole in its side about 8 inches above the base. MODF from the transformer spilled onto the vehicle, the edge of pavement (4 by 12 feet) and the surface soil (6 by 10 feet) at the base of the pole. No surface water, groundwater, or storm water catch basins were impacted. The MODF released is a low toxicity, non-flammable, highly refined mineral oil used as an insulating medium in electrical equipment. It is clear to light amber in color and has a specific gravity of less than 1 gm/cm3. The weather was clear with a light wind and a temperature of 40 degrees Fahrenheit. The surrounding neighborhood is residential and reportedly serviced with municipal water. A site locus is presented in Figure l,and the release_ impact area/RAO extent drawing is provided in Figure 2. Nameplate information revealed that the transformer was manufactured by Westinghouse and had serial ID number 65AD3823. The PCB content or liquid capacity was not listed. Records indicate it was put into service May 25, 1965. Samples of MODF from the transformer were screened twice for polychlorinated biphenyls (PCB) using the Dexsil Clor-N-Oil 50 and 500 kits. Both times the kits indicated a PCB concentration between 50 and 500 parts per million (ppm). A sample of the transformer's oil shipped to Groundwater Analytical, a Massachusetts certified laboratory, for rush turnaround using EPA Method 8082 confirmed it was Non-PCB. Because the volume of released MODF equaled the Reportable Quantity (RQ) for oil, ComElectric notified the Massachusetts Department of Environmental Protection (DEP). Mike Moran of the Southeast Region Office issued Release Tracking Number (RTN) 4-15139 and gave IRA approval for the removal of up to 5 cubic yards of contaminated soil. ComElectric also notified Glenn Harrington of the Barnstable Board of Health. A completed BWSC-103 Release Notification Form is provided in Attachment A. S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc 3 CNs NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ' III. Immediate Response Actions ComElectric hired Clean Harbors Environmental Services (CHES) to perform immediate response actions. The scope of services' included enlisting their Licensed Site Professional (LSP), Dana Simpson. Throughout the night and early into the next morning CHES washed down the impacted vehicle and pavement with a biodegradable detergent and generated 4-55 gallon drums of contaminated solids (soil and debris) by removing the first six (6) inches of soil. The vehicle was returned to the garage after laying polyethylene on the concrete floor. The soil was transported to the hazardous waste accumulation area in the Yarmouth Service Center for subsequent transport/disposal by CHES. Upon inspection the following day it was evident that additional soil had to be removed and that the vehicle had to be washed again. Walter Hermenau, an' Environmental Engineer with ComElectric, replaced Dana Simspon as the LSP-of-Record, informed Mike Moran of this change, and the IRA approval was expanded to include 1-55 gallon drum of wash water. An additional 2-55 gallon drums of oil contaminated soil was generated and left on-site until cleanup activities could be completed the following day. The owner of the vehicle and resident of 69 Newport Lane, Mike Valentine, was asked not to drive the vehicle until it was properly cleaned. He was informed that the MODF release was presumed to contain 50-500 pp PC13 [based on field screening] pending confirmatory results. On November 19, 1999, under the direction.Walter Hermenau, CHES cleaned the vehicle and removed all oil impacted soil A cleanup area was setup and the subject vehicle was washed again, thereby, removing all noticeable oil drips or.sheens from the underbody. The oil-stained pavement was washed again with the biodegradable detergent and vacuumed into the 55-gallon drum of decontamination water. All visibly stained and/or oil-like odor soil was removed and containerized in 3-55 gallon drums. These drums, the 1-55 gallon drum of wash water, and the 2-55 gallon drums of soil from the day before were transported/disposed by CHES. The Dexsil PetroFlagTM field TPH screening kit was used to verify that all MODF contaminated soil had been removed to background levels. One (1) background sample, S-1, and two (2) representative samples from the bottom of the excavation, S-2 and S-3, revealed 244, 96 and 23 ppm TPH, respectively. The background sample was collected approximately 100 feet away in an area absent of the release after removing the first six (6) inches of soil alongside the edge of the street. Samples.S-2 and S-3 were collected from a depth of three (3) feet. Groundwater was not observed. Three (3) cubic yards of clean sand and gravel were used to backfill the excavation. The IRA was completed at 3:30 P.M. on November 19, 1999. S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc 4 NSTAR SERVICES CO s The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric IV. Confirmatory Sampling & Laboratory Analysis Laboratory results of the transformer.MODF sample were relayed by ,phone at 3:30 P.M. on November 19, 1999. All results for PCBs were below the reporting limit (BRL) of 1.7 milligrams per kilogram (mg/Kg). This result confirmed a false-positive for PCBs using the Dexsil test kits and all waste was managed as Non-PCB contaminated. Mr. Valentine was informed of the satisfactory laboratory result. Grab samples S-2 and S-3 from the limits of the excavation used in the .PetroFlagTM field screening were composited and submitted for laboratory analysis for DEP Extractable Petroleum Hydrocarbons (EPH) Method with all.targets (PAHs),by GC/FID. Sampling locations are shown in Figure 2. A summary of the PetroFlagTm and laboratory results for soil is presented below in Table 1. The laboratory reports are presented in Attachment B. Table 1 - Soil Results Sample ID PetroFlag EPH Ranges PA Hs TPH 79—C18 C19—C36 C11— C22 Aliphatic Aliphatic Aliphatic Hydrocarbons Hydrocarbons H drocarbons S-1 244 NA NA NA NA (Background) S-2 96 NA NA NA' NA S-3 23 NA NA NA NA S-2 and S-3 NA BRL (32) BRL (32) BRL (32) BRL(0.53) Composite MCP S-1/GW-1 & 200, 800 1,000 2,500 200 > 0.7 GW-3 Method 1 Risk Criteria Notes: l. Results in parts per million(ppm) 2. MCP Risk Criteria as per 310-CMR 40.975, effective October 29, 1999 3. NA=Not Analyzed 4. BRL=Below Reporting Limit. Reporting Limit shown in parentheses. 5. PAHs =Polynuclear Aromatic Hydrocarbons S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc j NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric V. Remediation Waste Management As a result of remedial activities performed at this release location, nine (9) 55-gallon drums of oil contaminated solids (soil and debris) and one (1) 55-gallon drum of wastewater was generated. All waste was coded MA01. The original 4-55 gallon drums of solids stored in the Yarmouth Hazardous Waste Accumulation Area were transported on December 23, 1999 by CHES under hazardous waste manifests MDC0867351 and the additional 5-55 gallon drums of solids and 1-55 gallon drum of wastewater were transported by CHES on November 19, 1999 hazardous waste manifest MDC0858708: A copy of the manifests is presented in Attachment C. VI. Risk Characterization A comparison of all data indicates that the level of MODF in the impacted area was reduced to background levels and, therefore, a level of No Significant Risk was achieved. The characterization of risk of harm, safety, public welfare, and the environment is not required since response actions have successfully reduced concentrations to background levels. Applicable Soil and Groundwater Categories for purposes of completing the RAO Statement Form (BWSC-104) are as follows: The soil category is S-1 since children and adults could contact the soil at the base of the pole along the edge of the pavement. The groundwater categories are GW-1 since the release occurred in a geographic area considered to be a Potentially Productive Aquifer (i.e., all aquifers located east of the Cape Cod Canal) and GW-3, at a minimum, since groundwater at'all disposal sites shall be considered a potential source of discharge to surface water. A GIS report for the local area is provided in Attachment D. VII. Response Action Outcome (RAO) As a result of remedial activities performed at this release location, the requirements of a Class A-1 RAO per 310 CMR 40.1036(3) have been achieved. A Permanent Solution has been achieved and the level of MODF in the soil has been reduced to background levels. This RAO does not depend on an Activity&Use Limitation (AUL) or on ongoing maintenance, operations, or monitoring. This RAO addresses the full extent of the release as shown in Figure 2. VIII. Licensed Site Professional(LSP) Opinion An RAO Statement Form(BWSC-104) is provided in Attachment E. It provides the signature and seal of the Massachusetts Licensed Site Professional (LSP) of record for this release. The RAO Statement certifies that, in the LSP's opinion, a condition of "No Significant Risk" to human health, public welfare, and the environment exists at the release location under RTN 4-15139. Response actions were performed in accordance with the MCP. As a result of these response actions, no public safety or imminent hazard conditions exist at this release location. S:\SHARED\ENV[RON\WORD55\Walter\RAO\1RA\4-15139.doc 6 f�NSTAR SERVICES CO The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElecMc ComGas Cambridge Electric IX. Public Notification Pursuant to MCP requirements, notification in regard to this RAO has been made to local public officials. A copy of the public notification letter is provided in Attachment F. S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc 7 ,, STAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric FIGURE 1 - Site Locus UTM Coordinates: 4,610,236 meters No li,^386,021 meters East VLaFi .wrsMETT IL[ `IL.. .v L,3��Mk u��AY c(1 �� CAMMETr �,D • �_� I MQ� � ` ✓�" _ POA 3�'e WAY rpl J (�R S� rlcand .ERPER I( `Ye` 4 r� 10 �r+� 4�Uf N"�Mafp 28 a ; I w(aoun o 4 e <} Nb,.d W t J +r ! xnaa ai`a � ry�u d r,.�� r, Pona Pow .lif!Pone MO�S� s S Z !' `o�"(fKs,<de Y•` �� \rV °,j6 i a auf' O YS i 4 is r..ws 3 ! 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'I'unr I.Pdst R„r S v.rr deck San.ruar,r / Osfl[r II,r4n xr„n BARNSTABLE w'A ►E S Nantucket Sound Scale in Miles S:\SHARED\EN VIRON\WORD55\Walter\RAO\IRA\4-15139.doc /NSTAR SERVICES Co.. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElecMc ComGas } Cambridge Electric FIGURE 2 Release Impact Area & RAO Extent (RTN 4-15139) S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc ELEG COMMONWEALTH��COMPANY Engineering BY 4v9-y DATE UAI SHEET OF� CHKD. BY DATE DEPT./AREA CBA#- WORK ORDER PROJECT �9/ P0�2Tl//✓ GST�l�I%lCt /Nfj SUBJECT pgP F A/ y-/SLR 1 {} F E cr lit ZP lz ff .t i O 4 �L1-r...•--.-h ^----F—�-�--„v .._....a..,.,.�._...3.,,,..,..... 4 _ ' �.- ..�. 4 ,d ---ate-..,,.� S ew---•y � � � ' { F s .. .. r.� _. _ _ f VI Vl T � fr y� F S 4 t 3 W 123 rSTAR SGRV1ClE CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT A BWSC-103 Release Notification Fo rm - (RTN 4-15139) S:\SHARED\ENVIRON\wbRD55\Walter\RAO\IRA\4-15139.doc Massachusetts Department of Environmental Protection BWSC-103 Bureau of Waste Site Cleanup Release Tracking Number RELEASE NOTIFICATION & NOTIFICATION RETRACTION FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned A. RELEASE OR THREAT OF RELEASE LOCATION: POLE Street: %14/l%E Location Aid: %R.4ifi�. SEiE'i gL 6��D 3�23 City/Town: ZIP Code: OZd SS B. THIS FORM IS BEING USED TO: (check one) Submit a Release Notification(complete all sections of this form). ❑ Submit a Retraction of a Previously Reported Notification of a Release or Threat of Release(complete Sections A,B,E,F and G of this for m).. You ) MUST attach the supporting documentation required by 310 CMR 40.0335. C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR): Date and time you obtained knowledge of the Release or TOR. Date: // / 9 Time: J' C S— Specify: ❑ AM ✓PM The date you obtained knowledge is always required. The time you obtained knowledge is not required if reporting only 120 Day Conditions. IF KNOWN,record date and time release or TOR occurred. Date: 9f Time: UZJ Specify: ❑ AMM Re"Check here if you previously provided an Oral Notification to DEP(2 Hour and 72 Hour Reporting Conditions only). Provide date and time of Oral Notification. Date: ////�l9 f Time: 9%/ --7--?— Specify: ❑ AM M Check all Notification Thresholds that apply to the Release or Threat of Release: (for more information see 316 CMR 46.0310-40.0315) 2 HOUR REPORTING CONDITIONS 72 HOUR REPORTING CONDITIONS 120 DAY REPORTING CONDITIONS V//Sudden Release ❑ Subsurface Non-Aqueous Phase ❑ Release of Hazardous Material(s)to Soil or Liquid(NAPL)Equal to or Greater than Groundwater Exceeding Reportable Threat of Sudden Release 1/2 Inch Concentration(s) (—' Oil Sheen on Surface Water ❑ Underground Storage Tank(UST)u T) ❑ Release of Oil to Soil Exceeding Reportable Release Concentration(s)and Affecting More than 2 Cubic ❑j Poses Imminent Hazard ❑ Yards Threat of UST Release ❑ Could Pose Imminent Hazard I ❑ Release of Oil to Groundwater Exceeding Reportable Release Detected in Private Well ElConcentrations Release to Groundwater near ( ) Water Supply ❑ Subsurface Non-Aqueous Phase Liquid(NAPL) U Release to Storm Drain ❑ Release to Groundwater near Equal to or Greater than 1/8 Inch and Less than 112 ❑ Sanitary Sewer Release School or Residence Inch (Imminent Hazard Only) List below the Oils or Hazardous Materials that exceed their Reportable Concentration or Reportable Quantity by the greatest amount. If necessary,attach a list of additional Oil and Hazardous Material substances subject to reporting. Name and Quantities of Oils(0)and Hazardous Materials(HM)Released: Reportable Concentrations 0 or HM Released 0 HM CAS# Amount or Units Exceeded,if Applicable (check one) (if known) Concentration (RCS-1,RCS-2,RCGW-1,RCGW-2) l�?/ti'Ei?AL 0/1- l�iEcECTR/rGc�+/� Fr❑ /U ❑ ❑ D. ADDITIONAL INVOLVED PARTIES: j Check here if attaching names and addresses of owners of properties affected by the Release or Threat of Release,other than an owner who is submitting this Release Notification(required). Check here if attaching Licensed Site Professional(LSP)name and address(optional). You may write in names and addresses on the bottom of the second pa9e of this form. Revised 3/1/95 Supersedes Form BWSC-003 Page 1 of 2 Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-103 Bureau Of waste Site Cleanup Release Tracking Number ia RELEASE NOTIFICATION & NOTIFICATION RETRACTION �— I/ —/3� FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned by DEP E. PERSON REQUIRED TO NOTIFY: Name of Organization: elD," 1`-4-f07—R1C /l/S17�4/? (11OM11WIVy Name of Contact: Title: Street: f d/ L</t/s i&c+i-) 5'Ti2Ei.-7� . City/Town: S c�`lit z5j`f/!(, L-E State: ZIP Code: Telephone: Kl'�t") 369' ss�f Ext.: FAX:(optional) F. RjzLATIONSHIP OF PERSON REQUIRED TO NOTIFY TO RELEASE OR THREAT OF RELEASE: (check one) P or PRP Specify: O Owner (operator O Generator 0 Transporter Other RP or PRP: Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.50)) Any Person Otherwise Required to NotifySp ecify Relationship: G. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: 1, -1,✓19G7-,Ff ,attest under the pains and penalties of perjury(i)that 1 have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(iii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. Itthe person or entity on whose behalf this submittal is made amis aware that there are significant penalties,including,but not limited to, possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By:Z L���' 'e Title: �/l�o/VmE�y/77�L EN6/tip (signature)For: COI-V?EL-A�'C j'2/ C /l 'y/VSi�}/'c C'd�Qr9�vy� Date: �a f��Ip/a (print name of person or entity recorded in Section E) Enter address of the person providing certification,if different from address recorded in Section E: Street: City/Town: State: ZIP Code: Telephone: Ext.: FAX:(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised 3/1/95 Supercedes Form BWSC-003 Page 2 of 2 Do Not Alter This Form /�� YSTAR SERVICES CD. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT B r Laboratory Reports S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc Ds9ER!/i!1�. sa« wa CA/L GROUNDWATERGroundwater Analytical,Inc. P.O.Box 1200 ANALYTICAL 228 Main Street Buzzards Bay,MA 02532 Telephone(508)759-4441 FAX(508)759-4475 November 19, 1999 Mr. Fred Slade Commonwealth Electric Co. 484 W i l low Street Yarmouth, MA 02601 - Project: BB057 Lab 1 D: 30109 Sampled: 11-18-99 Dear Fred: Enclosed is the PCBs Analysis performed for the above referenced project. This project was processed for Rush turnaround. This letter authorizes the release of the analytical results, and should be considered a part of this report. This report contains a project narrative indicating project changes and non-conformances, a brief description of the Quality Assurance/Quality Control procedures employed by our laboratory, and a statement of our state certifications. 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 e 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, Jonathan R.Sanford President JRS/myr Enclosures GROUNDWATER ANALYTICAL EPA Method 8082 Polychlorinated Biphenyls(PCBs) by GC/ECD Field ID: BB057 Laboratory 1D: 30109-01 Project: 66057 QC Batch ID: PO-0373-D Client: Commonwealth Electric Sampled: , 11-18-99 Container: 20mL VOA Vial Received: 11-18-99 Preservation: Cool Extractedr 11.18-99 Matrix: Organic Liquid Analyzed: 11-19-9.9 Dilution Factor: .1 AS NumberConcentration Untts„ , Reporttng Lirnit 12674-11-2 Aroclor 1016 BRL mg/Kg 1.7 1 1 1 04-28-2 Aroclor 1221 BRL mg/Kg lJ 8/ g w 11141-16 5 Aroclor 1232 BRL mg/Kg 1.7 53469-21-9 Aroclor1242 BRL mg/Kg' 17 12672-29-6 Aroclor 1248 BRL mg/Kg 1.7. 1 1 09 7-6971 Aroclor 1254 BRL mg/Kg 1.7 11096-82-5 Aroclor 1260 BRL mg/Kg 1.7 'PrfO$dte upd,: Tetrachloro-m-xylene 84 % 25 121 % Decachlorobiphenyl 106 % 28-138% Metnoa Keterence: i est metnoas Tor tvaivating boiia waste,ub trA,ow-04b, tetra tanion, update ui(i yyb). Anaiyte nst as Aroclor anaiytes rormerty specmea by teA metnod MUM. Kesuits are reported on a'wet weight basis. Kepon Notations: bKL inoicates concentration, it any,is below reporting nma Tor anatyte. reporting iimit is the lowest concentration tnat can oe reiiabty quantmed under routine iaboratory operating conditions. Keponing limits are adjusted Tor sampie dilution ana sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay; MA 02532 GROUNDWATER ANALYTICAL Project Narrative Project: BB057 Lab ID: 30109 Client: Commonwealth Electric Received: 11-18-99 Physical Con' M4 of Samples) T - m This project was received by the laboratory insatisfactory condition. The sample(s) were received undamaged in appropriate containers with the correct preservation. FB Proi ectoc Dumentation This project was accompanied by satisfactory Chain of Custody documentation, with the following amendment(s) or correction(s): 1. Sample 30109-01 was received in one 20mL VOA Vial 2. Sample 30109-01 was reported as an organic liquid. Anal sis of sam les) R �.: Y p.. �* No analytical anomalies or non-conformances were noted by the laboratory during the processing of these sample(s). All data contained within this report are released without qualification. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER B nMarrdds Street MA�02= CHAIN-0E-CUSTODY RECORD ANALYTICAL Telephone(508)759 4441 AND WORK ORDER N2 36592 FAX(508)759.4475 Project Name. Firm:Cc,„�rrvrs.rAa/h �"cu�sr� URN TAROUND F�6CJ/ 7 ANALYSIS REQUEST ❑ STANDARD(10 8usiness Days) rseraes se"1N0�°'s exam tsale EA TPH VOL Vhsft gun � Project Number. Address: ;/Fy //O[r SYQFf i uslness Days) j RUSH(RAN- , Sampler Name: City/State/Zip: +ro.nano 5 5 g y4Gmo-qW, Please FAX ❑ YES ❑ NO ° ° ° ° ° °°°° ° ° ° 00 °gag FAX Number. ° e Project Manager. Telephone: BILLING Purchase Order No.: GWA Reference No.: INSTRUCTIONS:Use separate line for each container(except replicates): 04 13 a ° Sampling Matrix 'type Contalner(s) Preservation Flhers,d $ ° o 0 0 ° 0 o ° rs SAMPLE Y LABORATORY m I 0 �( r{ NUMBER $$ ¢ K kt IDENTIFICATION yyr1 ¢ i g{ g{ Q (Lab Use Only) {$ °Q Q ° 121 i o Oo O o °` o oo o ° o o 1 90T / c,5 7 O 9-1 ------------- I � ` i REMARKS/SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY RECORD Regulatory Program Project Specific OC NOTE As,samples,submitted subject to Standard Terms and Conditions on reverse 49mol. Shipping/Alrblll Number. Many roWlstory programs and EPA meegda require project spec fie DC. a"det� Sampler ❑Safe Drinking Water Act Project specific OC ktekrdss Sample Duplicates,,Metnx Spares,,aralor 9 ")) hI,,reeyyl�����,�� Data The ❑NPDES/Clean WaterAct Matrix Spike DupllWes.Labor"OC Is not proiect epedit union �"��""t^��'V M / :::./Z•2' nw� prearerg xL Project specific OC samples are charged on a par sample 3 . - ❑RCRAMaz.Waste Cher. basis.For water samples,each MS.MSD and Sample Dupacete requires an additional sample aliquot. Ishcd bir.. T Oafs Tyle R by. Custody Seal Number. ❑MA MCP(310 CMR 40) Reportable Concanbatla s PSI apectflo Oc Required aais,otion of OC Sernple ❑RCOW•t ❑RCS•1 �qul by' Date ❑SemMe Dupkaft I ❑Selected by tebomfory Time .R by Laboratory . Coder Serial Number. ❑RCGW•2 ❑RCS•2 ❑Mauler spike ❑Please uss sample:, . ❑Other. ❑matrixO°wale. Method of Shipment:❑OWA Couee .❑E-Vrsss Maa-❑Federal Express ❑UPS' ❑HWW':;❑: ) t GROUNDWATER ANALYTICAL Quality Assurance/Quality Control A Program Overview 1 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 (S.OPs)" 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'doc0 -ented for traceability. Quality Assessment protocols for most organic analyses include a minimum of one laboratory control sample, s 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::' ' r 4 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 1s 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. GROUNDWATER ANALYTICAL Quality Control Report Laboratory Control Sample Category: EPA Method 8082 QC Batch ID:. PB-0373-D Matrix: Organic Liquid Units: mg/Kg Anal e: : a ; ,. eked 7 " ' Measuredr ry Yt.. SP, �Recove .QC Limits ,_ 11097-69-1 Aroclor 1254 10 11 113% 70-130% ~`QC Surrogate Compound'. . , x »a.R % �:2Recovery ,g ; Tetrachloro-m-xylene 93% 25-121 % Decachlorobiphenyl 109% 28-131 % Metnoa Keterence: lest Metnoas for tvaluating Jolla waste, W trA,JVV-64b, I nlro taltlon, upoate III(JVVb). Kesults are calculated on a wet welgnt basis. Keport Notations: An calculations perrormea prior to rounaing. l.4uaury t.ontrol Limits are aennea Dy the metnoaology, or altematively oasea upon the nlstorlcal average recovery plus or minus tnree stanaara aevlation units. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Quality Control Report Method Blank Category: EPA Method 8082 QC Batch ID: PB-0373-D Matrix Organic Liquid w,.CASNumber,a,,._, . Anal' e s . .,.. " Concentration , a <Urnts Reporting Ctmit 12674-11-2 Aroclor 1016 BRL mg/Kg 1.7 1 1 1 04-28-2 Aroclor 1221 BRL mg/Kg 1.7 11141-16-5 Aroclor 1232 BRL mg/Kg 1.7 53469-21-9 Aroclor 1242. BRL mg/Kg 1.7 12672-29-6 Aroclor 1248 BRL mg/Kg 1.7 11097-69-1 Aroclor 1254 BRL mg/Kg 1.7 11096-82-5 Aroclor 1260 BRL mg/Kg 1.7 W, ,Recove limits... Tetrachloro-m-xylene 94 % 25-121 % Decachlorobiphenyl 100 % 28 138 % metnoa Keterence: lest memoas for tvaivaung zoona waste, ua trA,Z)w-04b, i mra tamon, update m t I VVb►. Anaiyie nst as Aroclor anaiytes rormeny specmea oy trA metnoa twtwA. Kesuits are reportea on a wet weignt oasis. Keport notations: MKL inaicates concentration,it any, is oeiow reporting iimit tor anaiyte. Keportinglimit is the towest concentration tnat can oe reuamy quannnea under routine iaooratory operating conditions. Keporting emits are aajustea tor sample auution and sample size. • t Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Certifications,and Approvals CONNECTICUT, Department of Health Services, PH-0586 ' x �. �:.. Potable Water,Wastewater/Trade Waste,Sewage/Effluent,and Soil, pH,Conductivity,Acidity,Alkalinity,Hardness,Chloride,Fluoride,Ammonia,Kjeldahl Nitrogen,Nitrate,Nitrite,Orthophosphate,Total Dissolved Solids,Cyanide,Aluminum,Antimony,Arsenic,Barium,Beryllium,Cadmium,Total Chromium,Hexavalent Chromium,Cobalt,Copper,Iron,Lead, Magnesium,Manganese,Mercury,Molybdenum,.Nickel,Potassium,Selenium,Silver,Sodium,Thallium,Tin,Titanium,Vanadium,Zinc,Purgeable Halocarbons,Purgeable Aromatics,Pesticides,PCBs,PCBs in Oil,Ethylene Dibromide,Phenols,Oil and Grease. MAINE, Department of Human Services, MA103 n Drinking Water Reciprocal certification in accordance with Massachusetts certification for drinking wa ter anal t P es g Y Waste Water Reciprocal certification in accordance with Massachusetts certification for waste water analyzes. MASSACHUSETTS, Department of Environmental Protection, M MA 103� Potable Water Antimony,Arsenic,Barium,Beryllium,Cadmium,Chromium,Copper,Lead,Mercury,Nickel,Selenium,Thallium,Nitrate-N,Nitrite-N,Fluoride, Sodium,Sulfate,Cyanide,Turbidity,Residual Free Chlorine,Calcium,Total Alkalinity,Total Dissolved Solids,pH,Trihalomethanes,Volatile Organic Compounds,1,2-Dibromoethane,1,2-Dibromo-3-chloropropane,Total Colifonn,Fecal Coliform,Heterotrophic Plate Count,E-Coli Non-Potable Water Aluminum,Antimony,Arsenic,Beryllium,Cadmium,Chromium,Cobalt,Copper,Iron,Lead,Manganese,Mercury,Molybdenum,Nickel,Selenium, Silver,Strontium,Thallium,Titanium,Vanadium,Zinc,pH,Specific Conductance,Total Dissolved Solids,Total Hardness,Calcium,Magnesium, Sodium,Potassium,Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Kjeldahl-N,Orthophosphate,Total Phosphorus,Chemical Oxygen Demand,Biochemical Oxygen Demand,Total Cyanide,Non-Filterable Residue,Total Residual Chlorine,Oil and Grease,Total Phenolics, Volatile Halocarbons,Volatile Aromatics,Chlordane,Aldrin,Dieldrin,DDD,ODE,DDT,Heptachlor,Heptachlor Epoxide,Polychlorinated Biphenyls(water),Polychlorinated Biphenyls(oil). MICHIGAN, Department of Environmental Quality Drinking Water Trihalomethanes,Regulated and Unregulated Volatile Organic Compounds by EPA Method,524.2;1,2-Dibromoethane,1,2-bibromo-3- chloropropane by EPA Method 504.1 " NEW HAMPSHIRE, Department of Environmental Services,-202798 Drinking Water Metals by Graphite Furnace,Metals by ICP,Mercury,Nitrite-N,Orthophosphate,Residual Free Chlorine,Turbidity,Total Filterable Residue,Calcium Hardness,pH,Alkalinity,Sodium,Sulfate,Total Cyanide,Insecticides,Herbicides,Base/Neutrals,Trihalomethanes,Volatile Organics,Vinyl Chloride,DBCP,EDB,Nitrate-N. Wastewater Metals by Graphite Furnace,Metals by ICP,Mercury,pH,Specific Conductivity,TDS,Total Hardness,Calcium,Magnesium,Sodium,Potassium, Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Orthophosphate,TKN,Total Phosphorus,COD,BOD,Non-Filterable Residue, Oil&Grease,Total Phenolics,Total Residual Chlorine,PCBs in Water,PCBs in Oil,Pesticides,Volatile Organics,Total Cyanide. _ I RHODE ISLAND, Department of Health, 54 _ Surface Water,Air,Wastewater,Potable Water,Sewage Chemistry: Organic and Inorganic Groundwater Analytical, Inc., P.O. Box 1200,.228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER Groundwater Analytical, Inc. P.O. Box 1200 ANALYTICAL 228 Main Street Buzzards Bay,MA 02532 Telephone(508)759-4441 FAX(508)759-4475 December 9, 1999 Mr. Walter Hermenau Env. Affairs Dept. NSTAR 101 Linwood Street Somerville, MA 02143 Project: Pole 716/3, 69 Newport Ln., Osterville, MA Lab I D: 30193 Sampled: 11-19-99 Dear Walter: Enclosed is the Extractable Petroleum Hydrocarbons Analysis performed for the above referenced project. This project was processed for Standard Two Week turnaround. This letter authorizes the release of the analytical results, and should be considered a part of this report. This report contains a project narrative indicating project changes and non-conformances, a brief description of the Quality Assurance/Quality Control procedures employed by our laboratory, and a statement of our state certifications. 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, Jonathan R. Sanford President J RS/awc Enclosures GROUNDWATER ANALYTICAL Massachusetts DEP EPH Method Extractable Petroleum Hydrocarbons by GC/FID Field ID: S-2&S-3 Laboratory ID: 30193-01 Project: Pole 716/3,69 Newport Ln.,Osterville,MA QC Batch ID: EP-0803-M Client: Commonwealth Electric Sampled: 11-19-99 Container: 60mL Glass Received: 11-23-99 Preservation: Cool Extracted: 11-23-99 Matrix: Soil Analyzed: 12-06-99 %Moisture: 10_ Dilution Factor: Aliphatic:1 Aromatic:1 ,EPHrRartges r "OkConcent!Atiort ,w ., Units„ Reporting omit n-C9 to n-C18 Aliphatic Hydrocarbons BRL mg/Kg 32 n-C19 to n-C36 Aliphatic Hydrocarbons BRL mg/Kg 32 n-C11 to n-C22 Aromatic Hydrocarbons BRL mg/Kg 32 - na ' ed n-C11 to n-C22 Aromatic Hydrocarbons t BRL mg/Kg 32 ACAS°Number , _ _ Taiget AnalYtes"..-;s „ Concentration d ! ry`- its�Un �� Reportin g�init 91-20-3 Naphthalene. BRL mg/Kg 0.53 91-57-6 2-Methyl naphthalene BRL mg/Kg 0.53 85-01-8 Phenanthrene BRL mg/Kg 0.53 83-32-9 Acenaphthene BRL mg/Kg 0.53 208-96-8 Acenaphthylene BRL mg/Kg 0.53 86-73-7 Fluorene BRL mg/Kg 0.53 120-12-7 Anthracene BRL - mg/Kg 0.53 206-44-0 Fluoranthene BRL mg/Kg 0.53 129-00-0 Pyrene BRL mg/Kg 0.53 56-55-3 Benzo[a]anthracene BRL mg/Kg 0.53 218-01-9 Chrysene BRL mg/Kg 0.53 205-99-2 Benzo[b]fluoranthene BRL mg/Kg 0.53 207-08-9 Benzo[k]fluoranthene BRL mg/Kg 0.53 50-32-8 Benzo[a]pyrene BRL mg/Kg 0.53 j 193-39-5 Indeno[1,2,3-c,d]pyrene " BRL mg/Kg 0.53 53-70-3 Dibenzo[a,h]anthracene I BRL mg/Kg 0.53 191-24-2 ,! Benzo[g,h,i]perylene BRL mg/Kg 0.53 :QC Surrogate'',Compounds � a `.``Recovery .„< � ..rt.QC;limits Fractionation: 12-Fluorobiphenyl 80 % 40- 140 % 2-Bromonaphthalene 82 % 40-140% Extraction: Chloro-octadecane 74 % 40-140 % ortho-Terphenyl 77 % 40-140 % s r, lOn CertlflCat < .. . 1. Were all QA/QC procedures required by the method followed? Yes " 2. Were all performance/acceptance standards for the required QA/QC procedures achieved? Yes 3. Were any significant modifications made to the method,as specified in Section 11.3.1.1? Yes Method non-conformances indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Results are calculated on a dry weight basis. Method modified by use of microwave accelerated solvent extraction technique. Report Notations: BRL Indicates concentration, if any, is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution,percent moisture and sample size. t Hydrocarbon range data excludes concentrations of any surrogates)and/or internal standards eluting ii that range. 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Project'Narrative Project: Pole 716/3,69 Newport Ln. Osterville,.MA tab ID: '30193 Client: Commonwealth Electric Received: 11-23-99 A Physical Condition of Samples) This project was received by the laboratory in 'satisfactory condition. The sample(s) were received undamaged in appropriate containers with the correct preservation. B Project Documentation This project was accompanied _by satisfactoryChain of Custody documentation, with the following amendment(s) or correction(s): 1. Sample 30193-01 was received in two 60rhL glass containers. C Analysis ofSample(s) N' •,a. .4, r No analytical anomalies or non-conformances were noted by the laboratory during the processing of these sample(s). All data contained within this report are released without qualification. Groundwater Analytical, Inc.; P.O. Box 1200, 228 Main Street, Buzzards Bay, MA'02532 . 228 Main Street,P.O.Box 1200 DY N2rr/ ✓� G9Q6a<!L S/}!Z --44 Zs�p�c Ti¢�2�'f21 GROUNDWATER Buzzao e(soBMA �1 A02s32 CHAIN-OF-CUSTODY RECORD v s9.vl�Cc; ANALYTICAL FAX(508)759-4475 AND WORK ORDER mP,srr ,51mi4X Ip"s—Z-s 3 Project Name: Firm: Pa LE 7/6/•3 TURNAROUND ANALYSIS REQUEST kr �%M�ec.v�.✓�c+7'rT7! f-l2r•!.y-'T�_!� Cd. 65 NE Po , c Ifry votes" ieaholstllu •m w rmu "� saa tteeollwr aft,(10 Business Days) STANDA Project Number: Address: ❑PRIORITY(5 Business Days) p , A ❑ RUSH(RAN. ) $$ (Rush requires Rush Authorization Number) n o 0 0 3} ❑ Sampler Name: City/State/Zip: f �tl� /Z ,C'/ytF v' �i✓Xh2GfJy}✓v7,/'�' f G 2s / Please FAX I ES ❑NO t FAX Number. ❑ h Project Manager: Telephone: _ jBILLING ❑ 0 o o ❑ o o Purchase Order No.: GWA Reference No.: o A( 1 ° 8 �tixF INSTRUCTIONS:Use separate line for each container(except replicates). e} Sampling Matrix ryPe . Container(s) Preservation F .na aoa000n o8 o ❑ ❑ A LABORATORY SA a tB CATON Q IDENTFl c0❑ 8 - §q _ :(Lab Use Only) g s o o o o o is a I REMARKS/SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY RECORD Regulatory Program Project Specific OC P� ^/1/CJ/(.yG' ?� NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. �� ❑Safe Drinking Water Act Man regulatory L y rag ry programs and EPA methods require project �J P T� MA DEP Form M 1 Relinquished by Sa plat. D e' , ,Time R Receipt Temperature: K ❑ o � specific OC.Project specific OC indudea Sample Duplicates. �' P � / G✓/�I ) p� P P cafes. �� / E�/1i ❑NPDES/CleanWaterAd /� � Matrix Spikes,and/or Matrix Spike Duplicates.Laboratory OC is �G �•�7p as IOyO A r Specify State: not project s ^r 6y F617 j2� P 1 specific unless prearranged.basis. For OC L � ❑RCRA/Haz.Waste Chat samples are charged on a per sample bash.For water samples, Relirgtdahed by:, Dat Time by: 17 Shipping/Alrbill / A MCP each MS,MSD and Sample Duplicate requires an additional Number: C 310 CMR 40 eq s "`�_ ',T �Re Hanle Conte rations sample aliquot l l//l1 1.44� jR� W•1�Q CG ,.r{1tCS-1 Re11 Date Time Custody SeaV J� Pro)eet apaclao OC Required 9aleotys of OC Sample e e Received by laboratory: todY �•/m G2C�/G L��/j'1l�C2/2 ❑RCGW-2❑RCS-2 ❑Sates pr,p„rem D selected M laboratory Cooler �! ❑MA Dredge Disposal O Matrix � ❑Please tnw ❑NH❑RI❑CT❑ME Vie' Method of S ant: GWA Courier❑Express Mail❑Federal Express Specify Category: ❑Matrix Silks Duplicate UPS 0 Hand 0 GROUNDWATER ANALYTICAL Quality Assurance/Quality Control t ? /� PI Ogram'DVQrV1eW 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 - P g Y l A 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.GC/MS sequences, all sequences close with a continuing calibration standard. GUMS systems are tuned to appropriate ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one laboratory control sample, one method blank, one matrix spike sample, and one sample duplicate for each sample preparation batch. Standard curves are derived from one reagent blank and four concentration levels, Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. 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 GROUNDWATER ANALYTICAL Quali ty Control Q y Report Laboratory Control Sample Category: -MA DEP EPH Method QC Batch ID: EP-0803-M Matrix: Soil Units: mg/Kg sCAS,Number U Analyte Spiked INeasu ed�' Reco eFy 'J INFO( Umrts 111-84-2 n-Nonane(C9) 5.0 2.1 43% 40-140 % 629-59-4 n-Tetradecane(C14) 5.0 3.5 70% 40-140% 629-92-5 n-Nonadecane(C19) 5.0 3.8 76% 40-140% 112-95-8 n-Eicosane(C20) 5.0 4.1 . 82 %-- 40-140% 630-024 n-0ctacosane(C28) 5.0 3.9 78% 40-140% 91-20-3 Naphthalene 5.0 3.0 61 % 40-140 % 83-32-9 Acenaphthene 5.0 3.4 68% 40- 140% 120-12-7 Anthracene 5.0 4.0 80% 40-140% 129-00-0 Pyrene 5.0 3.9 77% 40-140% 218-01-9 Chrysene 5.0 4.3 87% 40-140 % c•^✓^'. _ ,.,..w, ,a} r k�" �` ..�nt �•a "` ie � ^a.r_ a*ss'� �^" ',�. i s ,ar > Fractionation: 2-Fluorobiphenyl 80 % 40- 140% 2-Bromonaphthalene 78 % 40-140 % Extraction: Chloro-octadecane ( 79 % 40-140 % ortho-Terphenyl 78,% 40-140% Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). 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. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Quality Control Report Method Blank Category: MA DEP EPH Method. QC Batch ID: EP-0803-M Matrix: Soil I EPH Ra es Corcenfrat�on � �°A.�Umtsa Reportmg�Limt - n-C9 to n-C18 Aliphatic Hydrocarbons BRL mg/Kg 30 n-C19 to n-C36 Aliphatic Hydrocarbons BRL mg/Kg '30 n-C11 to n-C22 Aromatic Hydrocarbons t 0 BRC -mg/Kg 30 Unadjusted n-C11 to n-C22 Aromatic Hydrocarbons} BRL. mg/Kg 30 CASNumbe"Ir.. _Ar TaTrget Anal�rtes Concentrate Un�fs,,:. Repoitrng Lrm't 91-20-3 Naphthalene BRL. .,. mg/Kg 0.50 91-57-6 2-Methyl naphthalene BRL mg/Kg 0.50 85-01-8 Phenanthrene BRL mg/Kg 0.50 83-32-9 Acenaphthene BRL mg/Kg 0.50 . 208-96-8 Acenaphthylene BRL mg/Kg 0.50 1.1 86 73-7 Fluorene BRL mg/Kg 0.50 120-12-7 Anthracene BRL mg/Kg 0.50 20644-0 Fluoranthene BRL mg/Kg 0.50 129-00-0 Pyrene BRL ; mg/Kg _ 0.50 56-55-3 Benzo[a]anthracene BRL mg/Kg 0.50 218-01-9 Chrysene BRL mg/Kg 0.50 205-99-2 Benzo[b]fluoranthene BRL < mg/Kg 0.50 207-08-9 Benzo[k]fluoranthene BRL:; mg/Kg 0.50 50-32-8 Benzo[alpyrene BRL mg/Kg 0.50 193-39-5 Indeno[1,2I3-c,d1pyrene BRL : mg/Kg 0.50 53-70-3 Dibenzo[a,h]anthracene ` BRt ;: mg/Kg 0.50 - 191-24-2 Benzo[g,h,i]perylene BRL mg/Kg.-,' -0.50 C Surr" te.Com unds T ,.��Recove Fractionation: 2-Fluorobiphenyl 81 % 40-140% 2-Bromonaphthalene 82 % 40-140 % Extraction: Chloro-octadecane 81 % ,, 40-140% ortho-Terphenyl 84 % 40-140 Method Reference: Method for the Determination of.Extractable Petroleum Hydrocarbons,MA DEP(1998)• 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 dilution,percent moisture and.sample size. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting it that range. _ 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyze concentrations. r Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532'. GROUNDWATER ANALYTICAL Certifications and Approvals CONNECTICUT, DepartmentofSHealth'Serviees rPH-0586 �,... w.�. / . r Potable Water,Wastewater/Trade Waste,Sewage/Effluent,and Soil pH,Conductivity,Acidity,Alkalinity,Hardness,Chloride,Fluoride,Ammonia,Kjeldahl Nitrogen,'Nitrate,Nitrite;Orthophosphate,Total Dissolved Solids,Cyanide,Aluminum,Antimony,Arsenic,Barium,Beryllium,Cadmium,Total Chromium,Hexavalent Chromium,Cobalt,Copper,Iron,lead, Magnesium,Manganese,Mercury,Molybdenum,Nickel,Potassium,Selenium,Silver,Sodium,Thallium,Tin,Titanium,Vanadium,Zinc,Purgeable Halocarbons,Purgeable Aromatics,Pesticides,PCBs,PCBs in Oil,Ethylene Dibromide,Phenols,Oil and Grease. MAINE .De artment of Human Se rvices MA103 Drinking Water Reciprocal certification in accordance with Massachusetts certification for drinking water analytes. Waste Water Reciprocal certification in accordance with Massachusetts certification for waste water analytes. (NASSACHUSETTS, Department of Environmental Protection, M MA 103 Potable Water Antimony,Arsenic,Barium,Beryllium,Cadmium,Chromium;Copper,Lead,Mercury,Nickel,Selenium,Thallium,`Nitrate-N,Nitrite-N,Fluoride, Sodium,Sulfate,Cyanide,Turbidity,Residual Free Chlorine,Calcium,Total Alkalinity,Total Dissolved Solids,pH,Trihalomethanes,Volatile Organic Compounds,1,2-Dibromoethane,1,2-Dibromo-3-chloropropane,Total Coliform,Fecal Coliform,Heterotrophic Plate Count,E-Coli Non-Potable Water Aluminum,Antimony,Arsenic,Beryllium,Cadmium,Chromium,Cobalt,Copper,Iron,Lead,.Manganese,Mercury,;Molybdenum,Nickel,Selenium, Silver,Strontium,Thallium,Titanium,Vanadium,Zinc,pH,Specific Conductance,Total Dissolved Solids,Total Hardness,Calcium,Magnesium, Sodium,Potassium,Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Kjeldahl-N,Orthophosphate,Total Phosphorus,Chemical Oxygen Demand,Biochemical Oxygen Demand,Total Cyanide,Non-Filterable Residue,Total Residual Chlorine,Oil and Grease,Total Phenolics, Volatile Halocarbons,Volatile Aromatics,Chlordane,Aldrin,Dieldrin,DDD,DDE,DDT,Heptachlor,Heptachlor.Epoxide,Polychlorinated Biphenyls(water),Polychlorinated Biphenyls(oil). , MICHIGAN, Department of Environmental Quality Drinking Water Trihalomethanes,Regulated and Unregulated Volatile Organic Compounds by EPA Method 524.2;1,2-Dibromoethane,1,2-Dibromo-3- chloropropane by EPA Method 504.1 w , NEW HAMPSHIRE, Department of Environmental Services; 202798 ; Drinking Water Metals by Graphite Furnace,Metals by ICP,Mercury,Nitrite•N;Orthophosphate,Residual Free Chlorine,Turbidity;Total Filterable Residue,Calcium Hardness,pH,Alkalinity,Sodium,Sulfate,Total"Cyanide,Insecticides,He Base/Neutrals,Trihalomethanes,Volatile Organics,Vinyl Chloride,DBCP,EDB,Nitrate-N. Wastewater Metals by Graphite Furnace,Metals by ICP,Mercury,pH,Specific Conductivity;"TDS,Total Hardness,'Calcium,Magnesium,Sodium,Potassium, Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Orthophosphate,TKN,Total Phosphorus,COD,BOD,Non-Filterable Residue, Oil&Grease,Total Phenolics,Total Residual Chlorine,"PCBs in Water,PCBs in Oil,Pesticides,Volatile Organics,Total Cyanide. RHODE,ISLAND, Department of•Health, 54 - Surface Water,Air,Wastewater, Potable Water,Sewage Chemistry: Organic and Inorganic, Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street,-Buzzards Bay, MA 02532 NSTAR SERVICES CO. The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT C Remediation Waste Manifests S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc - MARYLAND HAZARDOUS WASTE MANIFEST Department of the Environment-Waste Management Administration 2500 Broening Highway ' Baltimore, MD 21224 Please print or type. `(Forth designed for use on elite(12-pftch)typewriter.) Form Approved.OMB No.2050-0039. UNIFORM HAZARDOUSif s A oocu"J i I 1�1 11 1 9 1 _j SF7�o. _ 2.wage 1 Information in the shaded areas LO M WASTE MANIFEST_ Of is not required by Federal law. 3.Generator s Name and Malting Address 'A::StAd Mentfeat Doamtent'Nianberi` l) } 0858` Commonwealth Electric Company IIADC 7�PO BOX790 484 Willow .Street Geiteiatoc'siDrt)1:T�R 2` :-a� LYD- Yeouth, MA 02675 ;B.,Stete C 4.Generators Phon6A8 291-0950 LLA r T - t3 fYit}ti' HWH rn 5.T er.. 1 Com c ? rspoR Pant Name 6. US EPA ID Number an lD�rranspoiter'sf�h6rte rl�rt 'wd 0 ca 7.Transports+# 2 Company Name. -7 7P I u c 7f tC 1J.Designated Facility Name and Site Adqjass 10. US EPA ID Number t x F TransporteYa .2 an Harbors Of Baltimore InC G.State Facility,ID,�; m Russell Street ;-. �..• • �.,,r Z timore, MD 21230 H.FedGty's Phone pr1't=e1�S its; M1 *^ 0 o 4 �4 8 � 'Nt _ I tapers 13. 14 T 11.US DOT Description(including Proper Shipping Name Hazard Class,and ID Number) No. T Total Unit � F cr) TYPE Quantity WWoi )) a - CONTAMINATED DEBRIS NON DOT. REG(JI,ATgD, N/A cC E b. W - r f ftTE OIL AND RATER, NON D,O,T, REGULATED N/P. en T C. cCC O R a? d. nrt� CV Q 7 0 J.Additional Descriptions for Materials Usted Above fC Handling codes for wastes Usted Afwve t ro . � ',, - ' ---s� -- ---�- ai.� w . l l l I I l i l l I_ C.0 j� W C-W W.LIJ.: � 1 b.l� W l : l.:.I . l l l I L.. l, d_tJ.-.L1J i i I i t i I I I _ b. 6 W.W d .W rn 1 Handling Instructions and Additional Information L i 1 R79645 IN EMERUENCY ("ALL Ci L i-800-645-8265 a: WOS 8B2065 .7 is 16.GENERATORS CEFMFICATION:I hereby declare that the contentsof this consignment are fully and accurately described above by proper shipping- name and p are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and 'ro national government regulations,and Maryland Statutes or Regulation. Z If I am a large quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to a) be economically practicable and that I have selected the practicable method of treatment, storage,or disposal currently available to me which minimizes the E present and future threat to human health and the environment;OR,if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is available tome and that I can afford. cc c> Print Nyam�e f��' y��b' Si atu Month Da +Year 3 T 17.Transporter 1 Acknowledgement of Receipt of Materials U R �� -- Date 0 E N PrintedlF plam �"� Signature r Month Day (bo EP 0 �� Z / 1 J1 cn U 18.Transporter 2 Acknowledgement of Receipt of ater'als Date 00 R cn T Print yped Name `p R r �. j Si ure ( h �� >� I I Month �y O l C CMG f�.-1.1G 7'-i(V�.-� 00 c 19.Discrepancy IMication Space m (L F E A m c c I cC E 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in item 19. O t T y� Y - - Date Month Day a da?aJo.al�PtoclriQf;YL � tl�tIT�oQE�A �IR {�� rT�ICOPX�TO���E� Q�..T -- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I �C&F DATA eta �IT1a1s�Tate1F=•�.1f11rt8�f7[4 tAf IA4A(14Tdn MARYLAND�F AZARDOUS WASTE.MA IFEST �!bro,y Departmenf:'of:ahe Environment=Waste:Management`Administration +,_�''. = ?«t L41ISf 1..j •'1:.:�:]1.L7:3I'Rir (--r ,i, fa�� �,.i. �_ r _ - ,, 2500 Broening Highway,' Baltimore, MD=21224 `-" .afin 001ts"jnitrr Plea e. or n!1 r, ,l , , ,,') 0 r101C�9cYS1�';'1ur .`',.3 r.i a-,._, •;.- a'7I!^„^,'1 •ac.r + > :1 3?6f2 �t Pit tYPe•: (F dest9ned for:use on elite(12 itch)tYP�Mec)V.: :- Forrn'Approved:QMB No:2050-0U39: _ . , ,> UNIFORM 1 �. s •' f MANIFESTus " ''�l 1i1�� 'i - ;i .t.i';tt'rl7 tlr` Q) J6 'S ,. _� • JtNwnT ttlon In tf1B Shdded'8t989i WASTE: , ' ireq`ulredaiy Faders,law '•^. 3-Generator's'Name",,Mress: ,': �;�:;, ::r;,;, t_;� r►arra.v i�11TSi,'-•lsb ,rJ 2:2v J 6i 3; -o L '�';_ . o - a,lingAddGo�to!:xeai c>� Elm r r it .Cam,,* `Matrdtes!Doctar>e�tt"a £� i. ` i (F9V$$�f ICI-1J(3r�1691 �dkyt�y8ltI21�s'n �!s L"gin b6slioilfaaVns slsr�u lecimun Vie• .. ' ( , 14 GeneratorsPhone � �- _-- CQSFeIe Tranaporte�a7[j ' isT ' v'b��'rfl's� �_ r o - � � : l� -�CtC i •� f� t [i• .� �porte�ptione US D Number ie ..� �a ���� :. 9 DeslgnatedFeaLty,Name and Site Address 10 S EPAJD_Number U rn I 1 dmU(/i C}, "aft-` iN�s 9rtl=as+ne aid I Clean Hsr't�rs tf Flle"l�tie re Y siBieF ;'ro, Z , 5°I?!Q F�398e1'lillt±�1198s'bszllariftis n al�ri�v"t¢= �J(, 1'`fii '0 1s':�^;r w .Lcr 3 ; - {: I I '��e1�f.�3'e, ifLl 2!�fq► � i � >�ae5 �. oI4 �sst� IT.Lf/3 9b0:1 S?2>;:1 2L0`t)1G 3;ai� ;,rns.,� ,t1rJ1nSS)1 AfiJH ion rt ;surr,us ?�11e78,Li i56i 13 8J -14111 IAISAOTDescriptlonOpcfudin9prviper,ShopingName,Hawrd"Class-enCJDIV f'. s Total ],Ueda: tYfl9ft)C1 1i.VSi`/Fi ).;1�19AZ:2�'=T7;s:,levrin.��hr7 auohse�sN Aa �iP?rid .a r , %ii (T1 S)< _trtY (?( WtNol az. _ y� . 1® dBE B;rlEt� O �3Porfli) 9f1J , 1 � ! i � ' . :3I:;sW Wi Alci�;irLtLl ) ! E i b; 9t'iaolloa-- 0 77 p 'N. , ry. atasW.'O,zoT_— T. Ca _O r: t, N 'R i" :9'r� ;!i+)L i! 8`2£ r.li.asboa�n)ifl013 nsrt co d' CM -O LF'Ad. dltlOftBl• _ _ - ter-:-- —�-a�• - -- _ - _ i" - - I •"-�, - _ �: to,am t adHandti, r ►,� "�� a r� 'i ' K t�s r . �c-- a LM C. m I _ � coa,�; e I a.l •iM t.t- ` +. In!II It`yl{,t-II-r�.._ Is^•�^. tfi 7 'Tgc� - J '�" .u--+� r": Y �'•: m f ::. !: d111:�}fr'u' � C?{lbi iiJ� Qflla,SC r i c b ,ti.di 1 i.�`L, � A.Li��J.�fjA&Ir277il��.(1[)i s rtt 1 ,� i-'13.t}3f9if "Ti v e�isil�tr,3n) tivai. r a��nl si:Yerstirsxo f•>_t+fr�i m b.U.l •L � ,( `It It l"'I. .I I{$ I' I"'I �7 d U;,``, �F elr'(.;�1 =1i1 I 1 ;;li �r I'` I nb •`t LI dp �' c15'Special Handling Instructions and Additional Information 0 Special �` r1 i3i'+vim a a9y�'� -- t :I� F�4EkC+�N►'I, CA i C'i�,� i-�►-'6�t5=d2o CL � Wir W2113381 to _ _ — --------------- co - 16:,GENERATORS CERTIFlCATION:I hereby declare that the contents of,this consignment are fully and accuratefy.described above by proper-shipping name end S 0 _ are classified, packed;,marked,and labeled,and are-.in all respects-Improper.condition for transport by.highway according to applicable international And T national government regulations.and Maryland Statutes br Regulation . Z If I am.a largequantity_ .. enerator,I :': '• -' arg _g certify that I have a program-in place to reduce the volume and toxicity of waste generated to the degree I have'detemtUied.to':._ " t be-economically practicable and that-1 have selected the practicable'method.of.treatinent;storage,or disposal currently available to me which minimizes the�s present and future threat-to human health and the environment;OR;ii.l am a small'quantity.generator,1 have made a good faith effort to minimize my;waste= . N I. generation and select the best waste management method that"is available tb'ine and that]can-afford. U Printed/T Name J• _ Signature:- _ - •- i - .. ..- .'•.-"-'!_. - ._ j __- -Month. -Day _Year_ p�p s ;.' r ^, err+[.'f :. , .0 T :17.'Transporter'1 Acknowledgement of Receipt of Materials' W .N -Printedrryped.Name l Signature: Month'.Ols],;` E P ' A ,18.Transporter 2'Acknowledgement of Receipt of Materials ,. .-:. -'. .:::_..,r ,_. / ' 74 - 7_m :T, .Printedrryped Name. - Sigrure _ Date . zW E _ .Month:_Da c .19.Discrepancy Indication Space i^ '' - w 20:Facility.Owner or Operator Certification of recei of hazardous materials.00v O jl! Pt, i ered`byathis manifest except as noted.in item,19.• 7Tm ,T�: �91101 9,T.i :, •J!J ri 2ir?7.23 I IBc03i l],7G `bic�b:tlg }5911:10'�9' rr i- 1f1S,1':3i: + _ :r'291Un, !t f ,FDate319n9♦� �11" b ,Y�. V Prtnted/ryped-Names-,.,!7u•uU v1 �rA� �iri*r u�t,y u,,��s fi,.�{,t „„�:•1,,. ." tl i AA r0A .'( ti 7 o vR31 &U. �C �' I• _„ J,�a7i-� :',1+0310!� I£. .;:1 _ 'O Ziff) pri 0' -ra ;7 Y`'• Lt. �.t EPA"Form 8700 22(3`97)' ... -�. �r �,r 1 Prnvk3,lst>Aiansi�an forf�c fLA4' AI,IhCi ryI61Y,GENFtRA,TE7R'�YrTA�HIiR�Mbll9T•6ldllCDdlQ`ad:aL�[.YCr:c ri�n as�nc>r'Arr,r Ic' cYrl%iniruw_ C'ARNSTARSERVICES -co- The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT D Local Area GIS Report S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc. DataMap Technology Corporation Environmental FirstSearchTM Deport TARGET PROPERTY: 69 NEWPORT LANE OSTERVILLE MA 02655 Job Number: 11/29/99 PREPARED FOR:. Boston Edison Company 101 Linwood Avenue Somerville, MA 02143 11-29'99 Envirunmenlal �� FIRSTS Tel: (781) 320-3720 Fax: (781) 320-3715 Environmental FirstSearch is a registered trademark of DataMap Technology Corporation.All rights reserved. t Environmental FirstSearch Search Summary Report Target etS1te: 69 NEWPORT LAN E OSTERVILLE MA 02655 FirstSearch Summary Database Sel ' Updated Radius Site 4/8 1/4 . 1/2 1/2> ZIP TOTALS NPL .N 10-13-99 1.00 CERCLIS N 10-13-99 0.50 RCRA TSD N 10-18-99 0.50 RCRA COR N 10-18-99 1.00 RCRA GEN N 10-18-99 0.25 RCRA NLR N 10-18-99 0.25 ERNS N 09-17-99 0.25 NPDES N 10-18-99 0.25 FINDS N 10-12-99 0.25 TRIS N 07-16-98 0.25 STATE SITES N 11-02-99 1.00 SPILLS-1990 N 11-02-99 0.50 SPILLS-1980 N 03-10-98 0.25 SWL N 01-04-99 0.50 PERMITS N NA 0.25 OTHER N NA 0.25 REG UST/AST N 06-09-99 0.25 LEAKING UST N NA 0.50 ACTIVE PWS Y 01-20-99 0.50 0 0 0 1 - 0 1 AQUIFERS Y 01-20-99 0.50 1 0 0 0 - 0 1 ACEC Y 01-20-99 0.50 0, 0 0 6 - 0 6 WETLANDS N NA 0.50 - - - - _ FLOODPLA INS N 09-01-96 0.50 - - - _ _ _ RECEPTORS Y 01-01-95 0.50 0 0 0 0 - 0 0 -TOTALS- 1 0 0 7 0 0 8 Notice of Disclaimer Due to the limitations, constraints, inaccuracies and incompleteness of government information and computer mapping data currently available to DataMap Technology Corp.,certain conventions have been utilized in preparing the locations of all federal,state and local agency sites residing in DataMap Technology Corp.'s databases. All EPA NPL and state landfill sites are depicted by a rectangle approximating their location and size.The boundaries of the rectangles represent the eastern and western most longitudes;the northern and southern most latitudes. As such, the mapped areas may exceed the actual areas and do not represent the actual boundaries of these properties. All other sites are depicted by a point representing their approximate address location and make no attempt to represent the actual areas of the associated property.Actual boundaries and locations of individual properties can be found in the files residing at the agency responsible for such information. Waiver of Liability Although DataMap Technology Corp.uses its best efforts to research the actual location of each site,DataMap Technology Corp,does not and can not warrant the accuracy of.these sites with regard to exact location and size.All authorized users of DataMap Technology Corp.'s services proceeding are signifying an understanding of DataMap Technology Corp.'s searching and mapping conventions,and agree to waive any and all liability claims associated with search and map results showing incomplete and or inaccurate site locations. Environmental FirstSearch Site Information Report Request Date: 11-29-99 Search Type: COORD Requestor Name: daniel watton Job Number: 11/29/99 Standard: ASTM Target Address: 69 NEWPORT LANE OSTERVILLE MA 02655 Demographics Sites: 8 Non-Geocoded: 0 Population: 2300 Radon: 0.9-3.2 PCl/L Site Location Degrees(Decimal) Degrees(Min/Sec) UTMs Longitude: -70.368480 -70:22:7 Easting: 386020.617 Latitude: 41.637632 41:38:15 Northing: 4610235.696 Zone: 19 Comment Comment: RTN 4-15139 Additional Requests/Services Adjacent ZIP Codes: 1.00 Mile(s) Services: ZIP Code City Name ST Dist/Dir Sel 02632 CENTERVILLE . MA 0.23 NE N Requested? Date Sanborns N Aerial Photographs N Topographical Maps N Environmental FirstSearch Sites Summary Report TARGET SITE: 69 NEWPORT LANE JOB: 11/29/99 OSTERVILLE MA 02655 RTN 4-15139 TOTAL: 8 GEOCODED: 8 NON GEOCODED: 0 SELECTED: 0 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID l PWS MA ZONE II 0.47 NW 1 ZONEII-661 MA 2 AQUIFER CAPE COD SSA 0.00-- 2 EPA SSA-82/EPA DESIG.SOLE SOUR MA 3 ACEC BUMPS RIVER 0.48 NW 3 OPEN-1205 1/MA OPEN SPACES MA 4 ACEC ISHAM MARSH 0.36 NE 4 OPEN-12077/MA OPEN SPACES MA 5 ACEC 0.29 NW 5 462/MA WETHAB MA 6 ACEC 0.36 NE 6 4120/MA WETHAB MA 7 ACEC 0.30 NW 7 OPEN-I 2073/MA OPEN SPACES MA 8 ACEC 0.36 SE 8 OPEN-12112/MA OPEN SPACES MA CY Environmental FirstSearch `w .5 Mile Radius Fwhmm= PWS Sites 69 NEWPORT.LANE, OSTERVILLE MA 02655 \ , \ice\ L Opd O N9 e a! ;a E o M. s h, to � z S .� eld D1 ® e to ` e m —J & 0 to k nerl0e a o e e o� Main St Clr say Source: 1994 U.S. Census TIGER Files O 1 � Water Bodies,Public Water Supply,DEP Zone II Boundaries...... Target Site,Area Rectangle,Linear Search Line............... Potentially Productive Aquifers:High Yield(GAA),Medium Yield(GA) Identified Site,Multiple Sites,Receptor............................ © Non-Potential Drinking Source:`High Yield(GB),Medium Yield(GC) NPL,Solid Waste Landfill(SWL)or Hazardous Waste............................. EPA Sole Source Aquifer......................................................................... Boundaries:Target ZIP,Adjacent ZIP...................... v Area of Critical Environmental Concern(ACEC),Protected Open Spaces .................. 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' 11 1 I- X. I 1 •1' N IIIII I.1 1 �� 1 Environmental FirstSearch �w .5 Mile Radius FIRST ACEC Sites .� 69 NEWPORT LANE, OSTERVILLE MA 02655 - : _ - ood E a a W s a � S eJd j Ison� ,y o le e .n or iM a m � a � � V Q e e ne c Main St Clr BaY . �c U 1 Source: 1994 U.S. Census TIGER Files WaterO Bodies,Public Water Supply,DEP Zone li Boundaries:..... Pot Target Site,Area Rectangle,Linear Search Line...........:... Potentially Productive Aquifers:High.Yield(GAA),Medium Yield(GA) Identified Site,Multiple Sites,Receptor..........................:. ® (� Non-Potential Drinking Source: High Yield(GB),Medium Yield(GC) 0 NPL,Solid Waste Landfill(SWL)or Hazardous Waste............................. EPA Sole Source Aquifer..................,............................... ......... Boundaries:Target ZIP,Adjacent ZIP........................................ Area of Critical Environmental Concern(ACEC),Protected Open Spaces Railroads.................................................................................................... Estimated Habitats of Rare Wetlands Wildlife,Vernal Pool..................... 0 0 Black Rings Represent 1/4 Mile Radii;Red Ring Represents 500 ft.Radius NSTAR SERVICES CO The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT E BWSC-104 Response Action Outcome(RAO) Statement Form (RTN 4-15139) i S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\4-15139.doc Massachusetts Department of Environmental Protection BWSC-104 y Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM F-A -i Pursuant to 310"CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) A. SITE OR DOWNGRADIENT PROPERTY LOCATION: Site Name:(optional) Street: GS/ lt!2 G/PdW7—_l Location Aid: 77e/* S•S'E gc& GSs� Cityrrown: O$T6a'V/c C E ZIP Code: n 7—6,$_S' ❑ Check here if this Site location is Tier Classified. If a Tier I Permit has been issued,state the Permit Number: Related Release Tracking Numbers that this Form Addresses: If submitting an RAO Statement,you must document the location of the Site or the location and boundaries of the Disposal Site subject to this Statement. If submitting an RAO Statement for a PORTION of a Disposal Site,you must document the location and boundaries for both the portion subject to this submittal and,'to the extent defined,the entire Disposal Site. If submitting a Downgradient Property Status Submittal, you must provide a site plan of the property subject to the submittal and,to the extent defined,the Disposal Site. B. T IS FORM IS BEING USED TO: (check all that apply) Vubmit a Response Action Outcome(RAO)Statement(complete Sections A, B,C.D,E,F,H,I,J and L). Check here if this is a revised RAO Statement. Date of Prior Submittal: Check here if any Response Actions remain to be taken to address conditions associated with any of the Releases whose Release Tracking Numbers are listed above. This RAO Statement will record only an RAO-Partial Statement for those Release Tracking Numbers. Specify Affected Release Tracking Numbers: U Submit an optional Phase I Completion Statement supporting an RAO Statement or Downgradient Property Status Submittal (complete Sections A,B.H,I,J,and L). Submit a Downgradient Property Status Submittal(complete Sections A,B.G,H,I,J and► ). Check here if this is a revised Downgradient Property Status Submittal. Date of Prior Submittal: Submit a Termination of a Downgradient Property Status Submittal(complete Sections A,B,I,J and Q. U Submit a Periodic Review Opinion evaluating the status of a Temporary Solution(complete Sections A,B.H,I,J and Q. Specify one: ❑ For a Class C RAO EJ For a Waiver Completion Statement indicating a Temporary Solution Provide Submittal Date of RAO Statement or Waiver Completion Statement: You must attach all supporting documentation required for each use of form indicated,including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400. C. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) r U Ass ssment and/or Monitoring Only Deployment of Absorbant or Contaminent Materials �' emoval of Contaminated Soils u Temporary Covers or Caps Re-use,Recycling or Treatment Bioremediation 0 On Site O 'Off Site Est.Vol.: cubic yards Soil Vapor Extraction Describe: Structure Venting System s IT Landfill 0 Cover (Do/Disposal Est.Vol.: z cubic yards I17 Product or NAPL Recovery JRemoval of Drums,Tanks or Containers 7 Groundwater Treatment Systems Describe: Air Sparging Removal of Other Contaminated Media ❑ Temporary Water Supplies Specify Type and Volume: u; Temporary Evacuation or Relocation of Residents u✓ ether Response Actions LJ Fencing and Sign Posting Describe: _2Lspd.;544_OF /—S�GfJC. ��Z4�r►'t UFGGf4 !f& I'K 4v'VS/r oiL *4yey SECTION C IS CONTINUED ON THE NEXT PAGE. Revised 4r//95 Supersedes Forms BWSC-004 and 010(in part) Page 1 of 4 Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT & Release Tracking"Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM _ Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) �� �5�3 C. DESCRIPTION OF RESPONSE ACTIONS: (continued) Check here if any Response Action(s)that serve as the basis for this RAO Statement involve the use of Innovative Technologies. (DEP is interested in using this information to create an Innovative Technologies Clearinghouse.) Describe Technologies: D. TRANSPORT OF REMEDIATION WASTE: (if Remediation Waste was sent to an off-site facility,answer the following questions) Name of Facility: G'[E/�.V fBo�25Nd/iedry,>z�.c�J.�C S�,Q11oc�s Town and State: f"Z> Quantity of Remediation Waste Transported to Date: Z°SYU53�f' � ` ' OF4191_rl,0V.y77V� i' M E. RESPONSE ACTION OUTCOME CLASS: Specify the Class of Response Action Outcome that applies to the Site or Disposal Site. Select ONLY one Class: ass A-1 RAO: Specify one of the following: �tamination has been reduced to background levels. O A Threat of Release has been eliminated. Class A-2 RAO: You MUST provide justification that reducing contamination to background levels is infeasible. Class A3 RAO: You MUST provide both an implemented Activity and Use Limitation(AUL)and justification that reducing contamination to background levels is infeasible. If applicable,provide the earlier of the AUL expiration date or date the design life of the remedy will end: Class B-1 RAO: Specify one of the following: O Contamination is consistent with background levels O Contamination is NOT consistent with background levels. Class B-2 RAO: You MUST provide an implemented AUL. If applicable,provide the AUL expiration date I ❑ Class C RAO: 7 Check here if you will conduct post-RAO Operation,Maintenance and Monitoring at the Site. Specify One: O Passive Operation and Maintenance O Monitoring Only O Active Operation and Maintenance(defined at 310 CMR 40.0006) F. RESPONSE ACTION OUTCOME INFORMATION: 0 If an RAO Compliance Fee is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. Check here if submitting one or more AULs. You must attach an AUL Transmittal Form(BWSC-113)and a copy of each implemented AUL related to this RAO Statement. Specify the type of AUL(s)below: (required for all Class A-3 RAOs and Class B-2 RAOs) �J Notice of Activity and Use Limitation O Grant of Environmental Restriction Number of AULs attached: Specify the Risk Characterization Method(s)used to achieve the RAO described above and all Soil and Groundwater Categories applicable to the Site. More than one Soil Category and more than one Groundwater Category may apply at a Site. Be sure to check off all APPLICABLE categories,even if more stringent soil and groundwater standards were met. LRiskCharacterization terization Method(s)Used: Method 1 Method 2 El Method 3 y(ies)Applicable: -1 S-2 E. S-3 r Cat ory(ies)Applicable: VW-1 GW-2 GW-3 tting any Class A-1 RAO or a Class B-1 RAO where contamination is consistent with background levels,do NOT specify a on Method. > When submitting any Class A-2 RAO or a Class B-1 RAO where contamination is NOT consistent with background levels,you cannot use an AUL to maintain a level of no significant risk. Therefore,you must meet S-1 Soil Standards,if using Risk Characterization Method 1. Revised 417/95 Supersedes Forms BWSC-004 and 010(in part) Page 2 of 4 Do Not After This Form • Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM _ ? Pursuant to 310 CMR 40.0180(Subpart 8),40.0580(Subpart E)&40.1056(Subpart J) �5�3 G. DOWNGRADIENT PROPERTY STATUS SUBMITTAL: J If a Downgradient Property Status Submittal Compliance Fee is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. 17 Check here if a Release(s)of Oil or Hazardous Material(s),other than that which is the subject of this submittal,has occurred at this property. Release Tracking Number(s): O Check here if the Releases identified above require further Response Actions pursuant to 310 CMR 40.0000. Required documentation for a Downgradient Property Status Submittal includes,but is not limited to,copies of notices provided to owners and operators of both upgradient and downgradient abutting properties and of any known or suspected source properties. H. LSP OPINION: I attest under the pains and penalties of perjury that I have personally examined and am familiar with this transmittal form,including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of(i)the standard of care in 309 CMR 4.02(1),(ii)the applicable provisions of 309 CMR 4.02(2)and(3),and(iii)the provisions of 309 CMR 4.03(5),to the best of my knowledge,information and belief, > if Section B indicates that a Downgradient Property Status Submittal is being provided,the response action(s)that is(are)the subject of this submittal(i)has(have)been.developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,(ii) is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in 310 CMR 40.0183(2)(b),and(iii)complies(y) with the identified provisions of all orders,permits,and approvals identified in this submittal; > if Section B indicates that either an RAO Statemen4 Phase I Completion Statement and/or Periodic Review Opinion is being provided,the response action(s)that is(are)the subject of this submittal(i)has(have)been developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000.(ii)is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,and(iii)complies(y)with the identified provisions of all orders,permits,and approvals identified in this submittal. I am aware that significant penalties may result,including,but not limited to,possible fines and imprisonment,if I submit information which I know to be false,i ccurate or materially incomplete. Check here if the Response Action(s)on which this opinion is based,if any,are(were)subject to any order(s),permit(s)and/ approvals) issued by"DEEP or EPA. If the box is checked,you MUST attach a statement identifying the applicable provisions t r f. LSP Name: fq//gL � 13 f1-41011LG� LSP#: Stamp: Of MAS Telephone: -t/rT C{�—S �� Ext.: y> GJ, . ' FAX:(optional). W��RS . HERMEµAU Cl) � N0•19� ., Signature: Date: Z- Q Sfp GO`r`i�'�\o� I. RSON MAKING SUBMITTAL: (� Name of Organization: CD-yi, G lect f j G Ah NS T/itZ lm Name of Contact: �C�V1(e L A W AT L A Title: h C ll �— Street: (o i L i In w00 S f Cityrrown: So Merv,I I t' State: ZIP Code: 02)—1 Telephone: b I �bq 5 V? � Ext.: FAX:(optional) J. RELATIONSHIP TO SITE OF PERS�AKING SUBMITTAL: (check one) K RP or PRP Specify: kJ Owner ;^ Operator 0 Generator 0. Transporter Other RP or PRP: Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.50)) Any Other Person Submitting This Form Specify Relationship: Revised 4/7i95 Supersedes Forms BWSC-004 and 010(in part) Page 3 of 4 Do Not Alter This Form - ` Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM �S/3 Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) K. CERTIFICATION OF PERSON SUBMITTING DOWNGRADIENT PROPERTY STATUS SUBMITTAL: I. attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form;(ii)that,based on my inquiry of the/those individual(s)immediately responsible for obtaining the information,the material information contained herein is,to the best of my knowledge, information and belief,true,accurate and complete;(iii)that,to the best of my knowledge,information and belief,IRhe person(s)or entity(ies)on whose behalf this submittal is made satisfy(ies)the criteria in 310 CMR 40.0183(2);(iv)that I/the person(s)or entity(ies)on whose behalf this submittal is made have provided notice in accordance with 310 CMR 40.0183(5);and(v)that I am fully authorized to make this attestation on behalf of the person(s)or entity(ies)legally responsible for this submittal. I/the person(s)or entity(ies)on whose behalf this submittal is made is/are aware that there are significant penalties,including,but not limited to,possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By: Title: (signature) For: Date: (print name of person or entity recorded in Section 1) Enter address of the person providing certification,if different from address recorded in Section 1: Street: City/Town: State: ZIP Code: Telephone: Ext.: FAX:(optional) L. ERTIFICATION OF PERSON MAKING SUBMITTAL: ou are completing only a Downgraddient Property Status Submittal,you do not need to complete this section of the form. I, 1 P.' I/J A I L I U ,attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(iii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I/the person or entity on whose behalf this submittal is made anYrs aware that there are significant penalties,including,but not limited to, possibl i and i 'sonrrtent.for..will(ully submitting fnal'se,innaccurate,or incomplete information. By: C,l1STii� Title: PY:1v1L.'PcA( �hy (signature)` For: C t7 on G�2 t ; �, YV! InDate: (print name of person&ertgi -,r rded in Section 1) Enter address of the person proyiding:cerfifioion,if different from address recorded in Section I: Street: City/Town: State: ZIP Code: Telephone: Ext.: FAX:(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM, YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE,AND YOU MAY INCUR ADDITIONAL COMPLIANCE FEES. Revised 4/7/95 Supersedes Forms BWSC-004 and 010(in part) Page 4 of 4 Do Not Alter This Form /�� ^ p C cam+ �•+ I rSTi`-117 SERVICE t,.�0 The NSTAR Companies 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric ATTACHMENT F Public Notification Letter S:\S HARE D\ENVIRON\WORD55\W alter\RAO\I RA\4-15 l 39.doc NJ TAR SERVICESCo. The NSTAR Companies W 800 Boylston Street NSTAR Boston,Massachusetts 02199 Boston Edison ComElectric ComGas Cambridge Electric December 27, 1999 Mr. Glenn Harrington, Agent Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Response Action Outcome (RAO) Statement DEP RTN 4-15139 ComElectric Pole Mounted 15 KVA Distribution Transformer Mineral Oil Dielectric Fluid(MODF) Release 69 Newport Lane Osterville, Massachusetts 02655 Dear Mr. Harrington: ComElectric has submitted a Class A-1 RAO Statement to the Massachusetts Department of Environmental Protection (DEP) for a 10 gallon release of Non-PCB mineral oil dielectric fluid at the above referenced location. A copy of the RAO Report is attached for your information. ComElectric's contractor, Clean Harbors, quickly cleaned up the release. As a result, there is no longer a threat to health, safety, public welfare and the environment. No further action is. required. This letter serves as public notification advising you of the availability of the RAO Statement as required by the 310 CMR 40.1403(3)(f), 'Massachusetts Contingency Plan. Please call me at - (617) 369-5571 if you have any questions regarding this submittal of you may contact the DEP at (508) 946-2700. Sincerely, Walter B. Hermenau, P.E., L.S.P. Environmental Engineer Encl. S:\SHARED\ENVIRON\WORD55\Walter\RAO\IRA\BamstableBOH4-15139.doc COMMONWEALTH OF MASSACHUSETTS U" Z W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIRONMENTAL PROTECTION 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 e ARGEO PAUL CELLUCCI BOB DURAND Governor, Secretary JANE SWIFT LAUREN A.LISS Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY CERTIFIED MAIL:RETURN RECEIPT REQUESTED 4 December 7, 1999 00 pd . Commonwealth Electric RE: BARNSTABLE-port Lane� a�4_119_4B 484 Willow Street 69 New Hyannis,Massachusetts 026.01. RTN#4-15139 - • NOTICE OF RESPONSIBILITY ;. . •F'..t-M.G.L:c.21E,,3I.O CMR 40.0000 i,: ATTENTION:Frank Knippenberg,Manager rJ,. - .., ... .... .�(' r a � r _ -..7 � l �.� ., Wiz... �. ra.• � On November 17;:I999 at.9:45 PM the Department,ofEnvironmental Protection-(the "Department") received oral-notification of a release and/or threat-of release of oil and/or;hazardous.material at the above referenced property which requires one or more response actions. A pole-top transformer was damaged and. greater than ten(10)gallons of oil was released following a motor vehicle accident. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E, and the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000, require the performance of response actions to prevent harm to health, safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility,the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. The Department also has reason to believe. that you (as used in this letter, "you" refers to Commonwealth Electric) are a Potentially Responsible Party (a "PRP") with liability under M.G.L. c.21E §5, for response action costs. This.liability is "strict", meaning that it is not based:on fault, but solely on your status as owner, operator, generator,!transporter, disposer or other person,specified in'M,Q L,.-c:2-1E §5, This-liability is also "joint and-sever0'.,meaning,that-you:.may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties:;, The Department encourages parties -with liabilities;under,M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http:/twww.magnet.state.ma.us/dep Z"a Printed on Recycled Paper I � 4 2 costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to.the Department, the following response actions were approved as an Immediate Response Action(IRA): • Excavation and disposal of up to five(5)cubic yards of contaminated soil. • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification includng, but not limited,to, the filing of a written IRA.Plan, IRA Completion..Statement and/or an RAO statement. The MCP requires that a fee of$750.00 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs, and Release Abatement Measures (RAMS) pursuant_to 310 CMR 40.0420 and 310 CMR 40.0443, respectively. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103, attached) be submitted to the Department within.sixty (60) calendar days ofNovember 17, 1999. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at(617)5564145. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40.0300, oi•from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following submittals: (1) a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is November 17,2000 If required by the MCP,a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. 3" If you have any questions relative to this Notice, please contact Michael Moran at the letterhead address or at (508) 946-2855. All future communications regarding this release must reference the following Release Tracking Number:4-15139. Very truly yours, Richard F.Packard Chie f f Emergency Response/Release Notification Section P/MJM/re C #CERTIFIED MAIL Z 350 387 711 RETURN RECEIPT REQUESTED Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21 E. Department's guide to hiring a Licensed Site Professional. . cc: Board.of Health Town Hall,367 Main St: Hyannis,MA 02601 Board of Selectmen Town Hall,367 Main St. Hyannis,MA 02601 Fire Dept 95 High School Road Hyannis,MA 02601 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (500) 790-2300/FAXv(506) 790-2365 OIL/HAZARDOUS MATERIAL RELEASE FORM F.k* 124 - t�ZrT� • d. v ,. .,.�w LOCATION; ADDRESS OF RELEASE: mo. . r - n tt.`z,/ u,.P i4y ptcitr,�..a � �.✓1 DATE OF RELEASE: a i 3 q -4a PRODUCT RELEASED:' 1 -`�" ,L. LD` s-v-5-0e) PPAA ESTIMATED QUANTITY:` 1_�. v Y`_tf - CORRECTIVE ACTION TAKEKI BY IttP SIVLE PARTY; - i-, itl'lL r.,cq , �. •t..vlrL wl.i c....urrt�w•e 1 NOTIFICATIONS: FIRE DEPARTMENT: YES( NO( ) DATE: u I_::2 S-4 TIME; NATIONAL RESPONSE CENTER YES(VI NO( ) '15ATE „Q Tr_ 2 4 5 Q(o18 DEPT, OF ENVIRONMENTAL PROTECTION YES(, ) NO( ) DATE:-' TIME:---, OIL SPILL COORDINATOR: YES( ) NO( ) DATE: TIME; TOWN BOARD OF HEALTH: YES( ,3 NO( ) DATE: .. TiME: TOWN HARBORMASTER; YES( ) NQIr) DATE:-'' ", p ' TIME: OTHER AGENCIES: — 1 COMMENTS; Ali ` , ` ' {I y / •4.1"41✓(( J�i•'\�`r, Y� tt v I /h}� Rw 1�+ ��.+r y (} � 1,,.� �/" , d i- I 1,rt-� I—1�, 4 Ye••i.a,lrr,•�-�i +••w -.r..e•.w� '� ,l -r(mot 1.H, c�(L 1 v ��. 1/ ({ ...�,1•- ✓4 p 1�, +!, 1 + ^.+p...- ,.^vr•�ve�.a..r.. �..._ r a. a -ter— 3+� �r! s ��..-� /rIlr REPORTED BY: r� -- ,�•�,�G�.,r DATE; l WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E:P: PINK COPY-BOARD OF HEALTH C-O-MM FORM *58 t'f 'V DATE:_4/25/_95 PROPERTY ADDRESS:__69L Newnor_t_LanP-------- RECEBVE.D _-- MAY 5 1995 02655 - ------------------------ HEALTH DEPT. OF BARNSTAB)� On the above date, I inspected the septic system at the above address. This system consists of the following: A. 1 -1000 gallon.-,septic tank. D. 2-600 gallon pits. B. 1 -Distribution box. Based on my inspection, I certify the following conditions: . A. This is atitle five septic system.. ( Code 1978 ) B. The. septic system is in-.proper working order at the present time. . SIGNATURE: Name: Company: jp Mays©�2P -Snc. Address:_T3ox 66_ ------- Centervi l le,M _Q2632 Phone: 508-775-3338------- THIS CERTIFICATION DOES.-NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. - Tan ks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-64 22 P 69 luE�.v,o2T SUBSURFACE -SEWAGE DISPOSAL SYSTEM INSPECTION FORM. , Address -of' property Owner's name, . Date of Inspection PART A CHECKLIST Check if the. f6llowing have been done: V Pumping";;:information. was• requested of the owner, occupant, and Board of Health. , f .-None of the system components have been pumped for at least two Weeks and the system has been receiving normal flow rates during that period. . Large volumes of water have not been introduced into the system recently or as part of -this inspection. As built plans have been obtained and examined. Note if they y are not The facility :.or dwelling was inspected for signs of sewage back-up,, The s.i•te; was..inspected for signs of breakout. All sys,t:em components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior the septic tank was ,.:inspected for condition of baffles or tees, of material of construction, dimensions, depth of liquid, depth of sludge., .depth of: scum. The size and ; location of the SAS on the site has been on existing in pproximated b formation or a determined based y y non-intrusive methods. V The facility owner (and occupants, if different from o provided with information on the proper maintenance OfWSSDS.were a t3UD3UItFACE aEW114E DIOp08AL SYSTEM INSPECTION ,FORM PART 8 SYSTEM INFORMATION FLOW CONDITIONS If residential J. 1 number'..of. bedrooms �:a• :;:. number .of, current residents garbage grinder, yes or no' ' .� laundry connected to system, Uo ,seasonal .use, yes o.r no . yes or no If nonresidential, calculated flow: Water 'met•er`. readings, available: `� '� AT" }C�{� Last date: of;:.:Occupancy . . GENERA •. . L I N F 0 RMATION , Pum i P; n9 eco ids and p2 •�Ce • fZ nformat on-,_ System -pumped as part of inspection, I ifyes,- volume P on, yes or no I pumped. Rea�sson 'for. pumping: '�(5TE At coo CC25 G T e .of Oyystem "Sept, '":tank/dis,tribution box/soil _ .Singl:e cesspool, absorption system Overflow• cesspool• is Privy''''. Shared'' system ' records, .if . anyjes or, no) (if yes, attach previous inspection Other (explain') '. Approximate. age of all* components. Date installed, if k ' •informatipp,nn i sown. Source o r �lwC 196� } p . Ian ►r.� f-c3 199Z '►`�a Sewage odor's detected" when arrivin g at the site, yes or no 'J ' li � Izs/95 9 .SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued D SEPTIC TANK• 00 (Locate on'`si;te plan) depth below.. grade I material of construction: concret metal FRP other(explain) dimensions X; 71". sludge';:depth; . dista.nce .from top . of sludge to bottom of outlet tee or baffle scum .:thickness distance from top;' of scum to top of. 'outlet tee or baffle distance from bottom of scum to bottom of outlet t ba fle �VAP�v ,q � �c s Go T ►zc�c-s o� Comments:. r3t� e Z, (recommendation for pumping, condition of inlet and outle es, depth of liquid level in relation to outlet invert, structural integrity, evidence of .leakage,' recommendations for repairs, etc. ) DISTRIBUTION (locate on site:::plan) �- �C�Ti-mac flepth of liquid level above outlet invert Comments (note if level and distribution is equal, evidence of solids carryover, ' evidence of leakage into or out of box, recommendation for repairs, etc. ) traA . PUMP CHAMBER .(locate, on site plan) . pumps, i.n working order, yes or no Comments (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) SUBSURFACE SEWAGE DiBPOSAL SYSTEM INSPECTION' FORM PART B SYSTEM INFORMATION continued SOIL •ABSORPTION SYSTEM (SAS) : 1�p�-T-c' (.locate on site plan, if possible; excavation not required, but ma be approximated by non-intrusive methods) y If not .determined to be f. present, explain. , i � t leaching pits and number leaching chambers, and number (roo 6ALco N5j leaching galleries and number leaching trenches; . number, length leaching fields, number, dimensions ` overflow cesspool, ' number f comments: f1, (note :condition of soil, signs of hydraulic failure, level of ondin connd b ion of vegetation, recommendations for maintenance or repairs etc., ( n site plan) : :CESSPOOLS. Locate .o r..... .. ....... . .. � y ; number and configuration depth-top, of liquid to inlet 'invert depth of solids layer . -depth of 'scum layer dimensions of ,cesspool materials ,of r indicati0 of groundwater inflow �( sspool must be pumped as part' ,of' inspection) F :Comments. (note condition of soil, signs of hydraulic fa condition of vegetation, recommendations for maintenanceeororepPond airs,letc. PRIVY: . g (locate on site plan) materials of: construction dimensions depth , of solids" Comments; (note condition condition of .of soil, signs of hydraulic failure, ' level of .po din r vegetation, recommendations' "for maintenance or repai set ,-�c. ) 4. II , Pont Z:AA y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM /i PART B SYSTEM INFORMATION continued SKETC . Of..SEWAGE DISPOSAL SYSTEM: indlude tibs•''to at least two permanent references landmarks or benchmarks locate all wells within • I . i,41 DEPTW.T0' GROUNDWATER. 12 ' depth to" groundwater method of d 'ete ina AK _ gym_ t}on or approximation: • .��� _. . : . . : � � l`1�:,�t Poe,t(_� 05 r5— t C..c.0 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIONlZY!9S FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y N or ND determination in all instances. If "not determined Describe whys not) „Bac�.up of : sewagq intorfacility? bischarge ;or-ponding of effluent to the surface o surface waters? f the ground or Static 1i u ' q id level in the distribution ,box above outlet invert? = Liquid depth in cesspool <6" flow? p below invert or available volume< 1 2 day �.. R,e wired u ` q Pumping 4 times or more in the last year? �- number of .times pumped 1� Septic tank is metal? cracked? a infiltr c ation?: substantialexfiltration? tankufailure imminent?al L • Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? , .,. .within. 50 feet of. a surface water? wit2 ,n 100 feet of: a surface water supply or water supply? . PP Y tributary to a surface wit,r hin .a Zone .I of a publ is well? ^w.ithin 50 feet of a bordering vegetated wetland or 'salt marsh ' ; (cesspools and privies only, not the SAS) ? within: 50 feet of' "a private water supply well? , N_ less than. 100 feet . supply. well with nobacceptable waterreater than q feet uality alit from a private water has been analyzed to be acceptable, attach copy analys�s. If the well for coliform bacteria, volatile Q;ganic compoundsf ammoniatnitrogenaSi� and nitrate nitrogen. J � KEY NUMBER <3631 > [SAME <GREENLEAF, SHARYN R > B-C 1 B-C 2 B-C 3 B-C 4 STREET 69 NEWPORT LANE , CITY OSTERVILLE ST MA ZIP 02655-1447 REF 1 REF 2 PHONE ( ) . , - REF 3 W REF 4 METER -NO. < . 3347>'. DATE READING CONS STREET <NEWPORT LN NO. 69>' + 12/31/94 229 40 CITY OST 0 L69 - ST LOC 06/30/94 189 52 PHONE ( ) - 12/31/93 137. 43 06/30/93 94 50 ROUTE NUMBER 14 , 12/31/92 44 44 SERVICE-. DATE 05/06/69 07/02/92 0 0 METER DATE 07/02/92 07/02/92 533 0 CAPACITY 7 06/30/92 533 0 STYLE T1.0 SIZE 1 RATE SCHEDULE KEY PIT PLASTIC NOTE LS OF BACK DOOR ADDITIONAL CONS 0 ALTERNATE MIN 0 +Coco 2 2 o &',� 'Z3G GeV Z71A6?P 24 1 6 � _, 1)o TOWN OF BARNSTABLE O �� LOCATION SEWAGE VILLAGE sr/�p�.G�iL.� � ASSESSOR'S MAP LOT 061 INSTALLER'S NAME PHONE NO.]&O (.CAW �' �1(�AN0 y " :,SEPTIC TANK CAPACITY LEACHING FACILITYAtype) (sue) d0l� NO. OF BEDROOMS-PRIVATE WELL OR PUBLIC WATER_1'1C.. BUILDER OR OWNER -JO HA,) DATE PERMIT ISSUED: Jol r DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ` 1 ,lsty lid , o '`, r:�;. .',;.4,,..'�. ,�:`; � • �:J.'.. �'�� nw ': ' ��..qq' j ��1��± .. C ti+Tr, ,�c''� . t I �� .. � r �, i i _ � .. ✓. .. � ,. ,. i , .. ... � � � ' �� � � � � .�� � � \ � �� // � � i �. � �dZ �� �� ;,; O .- • .,:;:. Y e .v w Po R f �.,� o s�-. • �. ,,, �.r � 7 - .. �•.iI t Y('4�•.I h r i I T Jf�LII� f""f I.. , I��� .. .• •d, 'Y' �•''l k .. ',II 1 �'�i;:S . �. _ ` _ .,. � � r _ ",My:....... i., ..,,. • ,. _ _ _ � r t-.�u • . `I`-, .. �, .. t .. .. ' � t era 1 'BAXTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street •Osterville, Massachusetts 02655 Tel. (508) 428-9131 FAX(508) 428-3750 C M C. P.L.S. - President RIHA BA RD A. BARTER, P.L.S.-Vice President PETER SULLIVAN, P.E. -Vice President-Engineering RICHA SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART D CERTIFICATION Inspector: Peter Sullivan PE Location : 69 Newport Lane, Osterville Date : April 25,1995 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was.performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems. I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. truly y zn eter Sullivan PE Baxter& Nye Inc. to- Distribution: a` PARR Original to system owner suule Buyer go.29733 Board of Heath t MEMBERS OF �. CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS 6 199" ' 661 No..q'a.: ��..... Fis...��©... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilan for 11iip.aiial Works TonuIrnrttun ramit r pplication is hereby made for a Permit to Construct ( ) or Repair ((�' an Individual Sewage Disposal m at* _ ..,����....v�o, ............. SST .✓.I ..-----.......--------•-------------.....------------------..........----------- /� �ti�n/-Aess or Lot No. • L!.. ::::7" E ................. .......... .. ............. Owner Installer Address Type of Building Size Lot.................... .....Sq. feet U aDwelling—No. of Bedrooms...... .......------------------------_-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building :........................... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------------------------------------------------------------------------------------••------------ w . Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------/---------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (--r— Dosing tank ( ) �_4 Percolation Test Results Performed by......................................................................... Date........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit...........--....... Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ ODescription of Soil........................................................................................................................................................................ x c., w UNature of Repairs or Alterations—Answer when applicable................................................................................................ -------------------------------------------------------------------------------------------------------•----•------------------------------------------------------------------..........------......--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co p 'ance ha ee Vjhe boar�of health. p� Signed .........:fi r [-- 4--- ----------- -- . ` t e ApplicationApproved BY ... ...... ----------------_................................................ ---- Date Application Disapproved for the following reasons: .. ------- ---------------------- ------ -------------------------....................................... ----------------------------- ---- ------------------------------------------------------------------------------------------------------------------------------------------------------------- Date V Permit No. ---------1..-s�-- -.- -.Y............................. Issued ----------------------.......................... _. — -- ------ ----------- Dace _�_— 661 No.-�• ..... Fu$...z:??.1-... THE COMMONWEALTH OF MASSACHUSETTS BOARD IOF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tnnstrurtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at• c .....� .. ?�, a �...%.. '� ....--.-•••-•.............. ......................................... ..--- Q�Looccjrtiooi Addd��e¢ss}� fir/ or Lot No. ....._ v..... '�^�fu.-,y-e'�•`'t¢ �1 -----••_-_--------- ......-•.•-v - Owner Addr s Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................--------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—T e a yp of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ----------------•-------------------------------------•---------------------•---•------ ---------.....------------------.....--------•...........-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------/!____.__.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( %.,,) Dosing tank ( ) i Percolation Test Results ` Performed by................................ Date Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•-----•-•-................ --------------------- ----•---------...._. 0 Description of Soil----------- ---------------------------------•-----....---•---------------•----------------------------------•--------------•------•.................................. W c., x --------------------------------------------------------------------------------------------......................................... •-----------••--------------------•-----•--•--------------•-•-•-- , U Nature of Repairs or Alterations—Answer when applicable..____......................:.................................................................. ••-------------------------•------------------------------•---•-----------------------------.......----•-------------------------------------------................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system"in operation until a Certificate of Comp 'ance has ee issu the boar of health. Sl ned : ...... . z 7.g ....F------- ---- - - - -- ------ �rle-- ------ Application Approved By ........... - ------- �- lot" Application Disapproved for the ollowin reasons .................................................................................. ............................................................................................................ ------ ..............................---------- q Dace Permit No--------------1- '....&y- Issued - D ate - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CITPr#ifiente of C omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( by � �- ..................... - Installer 1 at ....has been installed in acc rdance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ............ L PP p ��.- ;l ...-.-.. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r IDATE.................................. Inspector -..-t-`. . ... - ll h--------- T I G -.E VG°- t/ - \ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.... TOWN OF BARNSTABLE ��....��� FEE...` ?......... Disposal Works T.Pnnstrnrtion firrmit Permission is hereby granted--•----------� : ------------------------------------------------------------------------------------------------ to Construct ( ) or Repair ( }�.an Individual Sewage Disposal System L7 �. v Street as shown on the application for Disposal Works Construction Permit No..;� .Dated............................... _. ....................................... DATE.............. . �. oard of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS -