HomeMy WebLinkAbout0195 LOTHROP'S LANE - Health i G S (,,-I�r s (�/
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appfiration for UhripwSal Workg Towitrnrtion Famit
O
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System
l' �1. .._�.
�... or Lot No.
o at' n-Addres
Owner Address
------------------ -ul. ..0 I.&L.10.................. ----- Pr... ',r .? 1�.?lr°L
Installer Address
Type of Building Size Lot............................Sq. feet
�. Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
PL4 Other—Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( )
a' Other fixtures .....................
W Design Flow--------------------------------------------gallons per person per day. Total daily flow------------:_..............................gallons.
WSeptic Tank—Liquid capacitv------------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 ( )
Percolation Test Results Performed by.......................................................................... Date.........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
G14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
a -----------------------------------------------------------•------------------------........------..........------------------------.......--------..........
0 Description of Soil----------------------------------------------------------------------------------------------------------------------------------------------------------------.......
x
V .---------------------------------------------------••------------••-----------------------------------------------------------------------•-----•--•-----•-----------------------......--•-------....--
W -------------------------------------------------------------- ---------------------------------- ----------------------------------------------- --------
U Nat re of �epair�r Alterations—Answer when applicable... _VIC..___ ( ._.. -�------------------
- f------�®---------------------------------------------------------------------
•--
Agreement:
The undersigned agrees to install the aforedes ibed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environ e tal Code— he undersigned further agrees not to place the
system in operation until a Certificate of Corntle has been ed by th board of health.
Signed -4 ._.-:_..-: ) S/�"�----
............. ............ ----
Application Approved By ... _.. ..� c$ 1-- --4._- ----
----
Application Disapproved for the following reasons: . -- ................................................................. t............... .
.... ......................................... .............. . ............ ------------------------------------------------------------------- ... .............D...-----------------
are
Permit No. .:/...- I Issued ... �°
Dace
No.. ^`?-..! FE$�-�1'...................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH 3
TOWN OF BARNSTABLE
Appliratiuit for Y hripmial Worloi Tonutrnrtiun 11rrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
........9 " ( sJ. .... ......................... .�1 ' ' .. A r`� -
... _
/) "o,t' 11-Addresss^f'l or LootNo.
.................f^ ._..r =..�!.•G !-.-/.C� �-.^_--------'....'- •--...........-ff` ....._... ..........-----_..............................
Owner t_"�Address
.......................
W
------------------ ?). �._..0 IJ S ------------------ --------------------- t
Installer Address
d Type of Building Size Lot............................Sq. feet
V Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons.- _-.----_--._-_-------.- Showers ( ) — Cafeteria ( )
a' Other 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 ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date...................
,`41 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water....................
Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
P4 ....•----------------------------•...-•-••..........----••-----•.....•-•------•-••••....--•-._...•••.........................................................
0 Description of Soil........................................................................................................................................................................
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UNature of 12epairs or Alterations—Answer when applicable..�.O.V(!7----.r�_)--ls ... . .........................
--•----------------•-•..........-•••••............---------- •-••-•-- •-•-•.... .........-------•--• -•-•-••. ••.......
Agreement.
The undersigned 'agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environme tal Code rT,he undersigned further agrees not to place the
system in operation until a Certificate of Comtvlia'vie has been issued by t 7_,
board of health.
'o
Signed .....�.Lc� .... ....... . . . '--\ -.......... S////...[ .. .-.. m...` ....
Application Approved By .. ... -------------------------------------------. ......................................... L.. te.rr... ....
/n�
Application Disapproved for the following reasons. ........- - .......... ..... .................... -- - - .......
------------------------------------------------ ----- ................
J/ ---- -----
ter^' �Y - !+�/� /�j ...................Date...-.
Permit No. ."/.. -..... Issued -J f�..-...... Y f
/ Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
TErtifi ate of Tomplizinre
THIS IS T9 CERTIFY, That the Individual..Sewage Disposal System constructed ( ) or Repaired ( J_—)
by -
e-.�..�. �---A..........,'�/� ..74y�- _...
h,t:diet ,
at ..........if. F `.......... "�'t'U..r .... - - ...........
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. R-�._... ...., �:... _. .... - i„_.....................- .j dated `
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E"CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......... -----------/..... .` G/......... Inspector .......... --------------------------------
r-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No.,..yfP.....•..K- � FEE......... .............
�is�rus urku �nnutr i.� ��lermit
Permission is hereby granted- `'e-..................... ---------------- ---------------------------------•-•---------------•-••---.............
to Construct ( ) or Repair (A) an Individual Sewage Di osal System
atNo.--•-f ��� l�� j�t`'���"'' �,� � -------- ----------- tee-----------------------........................................................
st /
as shown on the application for Disposal Works Construction Permit '.�.�_�------.'_. Dated_.��..�.�-;/.�r_r�
•--•-..••--•�`.... 1�1 % ? � ----•--•-•----------••-•--
�j/ .......
� Board of Health
C.- L� (/
DATE--------- 1 ------. -------------------------------------------
FORM 36508 H0813S&WARREN.INC.,PUBLISHERS
'l J/
i TOWN OF BARNSTABLE
LOCATION ��5 �,,, („ SEWAGE # Q` -21/6
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME PHONE NO. . �;t� 'w'T-20ty
SEPTIC TANK CAPACITY 15,00 nlAkv l
LEACHING FACILITYAtype) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER L, 4?-7-&A
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: -✓�-'l '`�'
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF, MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works Timstrudion ramit
Application is hereby made for a Permit to Construct (*) or Repair ( ) an Individual Sewage Disposal
System at: / 1�II
__�1r__¢l garV ii' 1414,x-------- -------------------------•----------•--------------------._.............---------.........._...._.
^�oca' n-Address n I or Lot No. I-}
-----•----------------------------------------------- ...
��°J�-a��-Y,WY?�i�t `Q� rO�'"'°���--------..._..----
((�� Q Owner (� /A-d/dres
LJ_ .lJ. ......_ .............................•----------........... � Q_%7 "'..... ..UU 1 _ _..... ---------------------
� Installer Addr s
d Type of Building Size L t............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (04 )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
04 Other 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 ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.--................. Depth to ground water...................-,...
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groundrwater........................
a -••---------•••--------------•-------••---•----------------•-•-•--•--•--•-------------------•-----•-..................---------------------------------------
0 Description of Soil........................................................................................................................................................................
x
U -----------------------------------
-----------------
-----------------------------
-----------------------------------------------------------------------
-------- ------ --•---------------------------
W` ---------------- -------------------------------------------------------------------------- ---- -------------- ---- ------
Naturer
U �Qf epair orAlterations— nswer when applicab e7'fn ._La �� 4 ---t' -------------------------------/--------------------------------------------•-----.......---------
Wgreement:
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 Complian e has been. issued by the board of health.
.Signed.--- - -5 .. ---------------------------------------- ..� qq-
ce
Application Approved By ------ ----- ------ -------- �
�e
Application Disapproved for the following reasons- ---- ..............................................................................------------------------ --------------------
------------------- ------ ----------------------------------------
n......
Permit No. f .................................... Issued --------
�� ..��.....7 10...........I?ace......
Noll-
� Fims............._............._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
v�111T&4`1 ApPliration for Disposal Works Tonstrudion rrrntit
Application is hereby made for a Permit to Construct (-Y.-) or Repair ( ) an Individual Sewage Disposal
iSystem at: rns � �......... -•......................•-- -- ---• ---- -••---------_..._ ..._................./0Ta .......
r•• ----
\\ Loca�on-Address / ( or L No
.......................................... 7¢tltS{�b�o:._..........__....
Owner Addres
n �Y O �D
Installer Addre
,,. Siz,!Ldt_____...•............... ..S feet
Type of Building ;f �q., e
V Dwelling No. of Bedrooms.............................................Ex anion.Attic Garbage Grinder"
Other—'Type of Building No. of persons................'=....._._ Showers — Cafeteria
P4 Other fixtures -------------------------------• -
W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Li uid capacity............gallons Len --------------- 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to,ground water-___--_______•_-__---__.
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... .Depth to ground water........................
a -------------------------------------
•-------------------------------------------------------------
------------------•--------------•------------------------
0 Description of Soil.............................................................................................................•-----......--•---------------------------....------......
x
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W ---•••-•---•-------•-•-•-----•--•----•------•••-•••----•-•----------••--•-------•-•--•------••••---•-•-••---------•--- ..........................................
UNature of pairs or Alterations—Answer when applicab a-1+z --l ��m�_g5,? ft'�_ �,_. ! �___R_CAW
� .Q_ �� sue`"' �� -- ------------------------- - _ .
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 Compliance has been issued by the board of health.
-7
� dSigne --. �.. . ; .�. ce
.f..n{q_
�'
----
.
Application Approved BY
Application Disapproved for the following reasons- -------- ------------------------------------------------------------------------------------------------------------------- --
------------------------------------------------------- -------------------- -------------- ....---- .-- ----...........----.....-------------------------- -------- ----------------- ........................................
n �,,/ Dace
Permit No. �/i�5-<--------------------------------------- Issued -----.._... -'--ro----------------------
.............✓------ Dare
G�(rcd THE COMMONWEALTH OF M SSACHUSE17S
r' BOARD OF HEALTH
TOWN OF BARNSTABLE
&r#ifirutt of C ampliattre
THM IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( qL ) or Repaired ( )
by----------IAI- 9`--- �-...--.... ......................................................-----------------------------------------------------------------------------------------................... ------
/'} ) Insmller
has been installed in accordance with the provisions of TITLE 5 of The State nvironmental/Code as described in
the application for Disposal Works,Construction Permit No. ..fO_n _-a�./9/1.. L dated`... .........................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS T UED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------• -------- .----------
II ------------------------------- Inspector ------------....-----•�- ;r.
-�-'---�.1.'�� ------..
.....................
G II�QrrI Z� THE COMMONWEALTH OF MASSACHUSETTS
/r hal BOARD OF HEALTH
�� TOWN OF BARNSTABLE
No.....:.... ........ .. FEE...Zoo....—
Disposal Works Tons#r ion "permit
Permissionis hereby granted..............................................................................................................................................
to Construct (__)4)—or Repair_( ) an Individual Sewage Disposal System
atNo... _ . -• ... -- _1•-•-•-•• -• --------------------•-•...........-•-- •••-••-••-•-••--•--•-•••......•-•-.-_..._
_ .. / Street
as shown on the application for Disposal/Works Construction Permit �'
�No.gd.'z2 it Dated.... .............
Board of Health
DATE._ -----------------------•-
FORM 36508 HOBBS h WARREN,INC.,PUBLISHERS
TQWN QF BARNSTABBLrE
LOCATION L/d ft etc SEWAGE #
VILLAGE ( moo Zaj-,,KJ55,4 ASSESSOR'S MAP 6z LOT`
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
� f
LEACHING FACILITY:(type) r) -G (size) f
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER �( C� G`
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �/
♦T
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3'
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t
No. - ---� BOARD OF HEALTH Fee---------------------
TOWN[ OF BARNSTABLE
application-ArlDeYr Con!5tructionVrrmit
Application is hereby ma a fora permit to C nstruct ( ), Alter ( ), or Repair ( )an individual Well at:
¢ a -r''��a'a ---------------------------------------------------------------------------------
Location — Address / !_Assessor and Parcel
5�----
-- .g .--------- ----------
--------------------- ----- -
Owner Address
— —� — —--— —----—----—------------------ ---— -- —— —-----------------
Insta er — Driller Address
Type of Building
Dwelling-----------------------------------------------------------------
Other - Type of Building ------------- No. of Persons--------------------------------------------------
Type of Well---------—------ ------ - -------------------
------------------------------------ Capacity------------------------- --- ---
Purpose of Well------------------------- -------------
Agreement: f
The undersigned agrees to instal the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed--------------------------------------------------------------------------------- -------------- - - - -
date
ApplicationApproved By- - ----------------------------------------------------------------- ate-=---------------d -----------------
ate
Application Disapproved for the following reasons------------------------------------------------__---------------------------—----------------------------
date
d ssue — -- - -- - -- ----------------------- --- -
Permit No. I
---------------------------------------------- -
date
BOARD OF HEALTH '\
TOWN OF BARNSTABLE
(f,rrtif irate ®f Compriancr
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
bY----—----------------------------------------------------— ---------- ------------------------------------------------------------------- ------------------------------
Installer
at------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. ---------------------Dated---------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE -- --- - — -- -- - - -- Inspector-------------------------------------------------------------------- —
BOARD OF HEALTH
TOWN OF BARNSTABLE
VrIl CongtructionPrrmit
No. ---------------------- Fee-------------------
Permissionis hereby granted-------------------------------------------------------------------------------------------------------------------------------------------
to Construct ( ), Alter ( ), or Repair ( ) an Individual'Well at:
No. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Street
as shown on the application for a Well Construction Permit
No. ---------------------------------------- — Dated---— -- - — - -- -- - -- —---------—
Board of Health
DATE - - - -—------------------------------------------------
Ott?Ti1?titttTti?t?TttT?STTitT'iTTittitTTTt'Ti'iriT?i??t'iTMft,??TnTf{+{{?{{{{{{{{{{{{r{{:?nt?ff,J,nitrrT??iTTTt?IT"t,t?!???TMTUM11t{ft???111"IT?'?M M1????t?tTl??tt?????T???a?T?tt?t?t['iT1Tt[t?i(iTTIT?{itT11"TTTTtTTM 11 I t11���
EN`IIROTECH LABORATORIES --
F: 449 Route 130 Sandwich, MA 02563 • (508) 888-6460
F =
CLIENT: Thomas B. O'Hara LOCATION: . Lot 29 Lothrops Ln.
In. Barnstable Jared Inc. Box 470 W. Barnstable, MA ADDRESS.:� -
z: W. Barnstable, MA 02668In
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COLLECTED BY: Desmond Well SAMPLE DATE: 7/9/90 TiME: 10 AM
DATE RECEIVED: 7/9/90 SAMPLE ID: 29
JOB #: WELL DEPTH:
In
RESULTS OF ANALYSIS: =
_ Parameter Units Recommended limit Result
F:
Coliform bacteria/100 ml (MF Method) 0 -
In PH pH units 6.0-8.5
Conductance umhos/cm 500
Sodium mg/L 20.0 -
Nitrate-N mg/L 10.0
Iron mg/L: _ 0.3
In: Manganese L 0.05
- mg'
c:
Hardness me/L as CaCO 500
3
BE Sulfate mg/L 250
Potassium mg/L 20.0
F _
Alkalinity mg/L 200
F- Chloride mg/L - 250
Turbidity NTU 5.0
F --
s
Ir
Color APC units 15.0
EE
Background bacteria
F> Trace to low levels of chloroform are occasionally detected in ground
water in coastline areas, Concentrations detected in samp e do not suggest
COMMENT: a spill or an accidental release of hazardous materials.
EPA Method 601/602 UG/ml (See Attached Sheet)
YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS T TED.
i` UX
DATE C�
riiliiiiliii"ili alli,11 111111llil,a ll11iitil,'iilliallwaii1111ii11i11111IUiliiii11:c1ulii:iiiiliiiiiciiiiilluiiiiiIiilii:iiaiiiiiiliil::a:iiii:iiiilP 'iiiWiii1wilii1wiiiilii lililll11,iU111iiiiii Will 1iultialiil��
13ROU1113WATER
ANALYTICAL EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
P O
Field ID: # 29 Lab ID: 019114
Project: Barnstable Jared Inc QC Batch: VGA-571
Client: Envirotech Sampled: 07-09-90
Cont/Prsv: 40ml VOA Vial/Cool Received: 07-10-90
Matrix: Aqueous a Analyzed: 07-16-90
PARAMETER CONCENTRATION DETECTION LIMIT
(u9/L) (ug/L)
Dichlorodifluoromethane BDL 5
Chloromethane BDL 1
Vinyl Chloride BDL 1
Bromomethane BDL 5
Chloroethane BDL 1
Trichlorofluoromethane BDL 1
1,1-Dichloroethene BDL 1
Methylene Chloride BDL 1
trans-1,2-Dichloroethene BDL 1 '
Methyl tertiary Butyl Ether * BDL 10 Ji
1,1-Dichloroethane BDL 1
cis-1,2-Dichloroethene * BDL 1
Chloroform 1 1
1,1,1-Trichloroethane BDL 1
Carbon Tetrachloride BDL 1
Benzene BDL 1
1,2-Dichloroethane BDL 1 ,
Trichloroethene BDL 1
1,2-Dichloropropane BDL 1
Bromodichloromethane BDL 1
2-Chloroethylvinyl Ether BDL 1
trans-1,3-Dichloropropene BDL 1
Toluene trace 1
cis-1,3-Dichloropropene BDL 1
1,1,2-Trichloroethane BDL 1
Tetrachloroethene BDL 1
Dibromochloromethane BDL 1
Chlorobenzene BDL 1
Ethylbenzene BDL 1
m+p-Xylene * BDL 1
o-Xylene * BDL 1
Bromoform BDL 1
1, 1,2,2-Tetrachloroethane BDL 1
1,3-Dichlorobenzene BDL 1
1,4-Dichlorobenzene BDL 1
1,2-Dichlorobenzene BDL 1
QC, SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS
Bromochloromethane 30 30 100 % 83 - 117 %
Fluorobenzene 30 30 100 % 87 - 113 %
BDL = Below Detection Limit. Non-target compound. "Trace" indicates probable presence below listed
detection limit. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable
Aromatics, 40 C.F.R. 136, Appendix A (1986).