Loading...
HomeMy WebLinkAboutApplication - 2005 SALEM STREET 4/5/2012 TOWN Or NORTH ANDOVER o of Office of COMMUNITY DEVELOPMENT AND SERVICES 19EALTH DEPARTMENT :ti►� ,�,,:; : 1600 OSGOOD STRELT1 BUILDING 20;SU>11%f 2-36 ° NORTH ANDO'V'ER,MASSACHUSETTS 01845 Susan Y.Sawyer,R11,H$/RS 978,688,9540—Pltone Public Health Director 978;688.8476-FAX Ile 1�aidept(a�totvriofitort)ta:icl,QVer,cam ww<v,totiinofiiortftattdover;com '4JE/ell and/or Pump AjWjimion _ (Please print) DATE, LOCATION# ;Dt'ifl'We i or install a putttp:. ��e�� Licensed Well Co.uftacfor Name and Company Name:_" -; ))94 y Contact Pllotte tirnbets: Address: Contact Phone Nombers: 664- WELLS(to be completed at tl me of pump test) t7 .,rypc of well: use: J om rr /� I)fnmetcref.ivcll: _ Size ofCasing:___ / � E Depth of hedrorII; Drpth of casbtG into bedroek: 17 4� 5011 been tested? Yes No( ) Date of test; Depth of welt:. 2�� / _ _ R'ater•benring rorlc: 22_0-221 '• 2'q 5"Z'Ja � Depthofwater:—� De€ivcrs:_ ��.) GPnrfor:. /�GLIt?e5 Q�x_717 (Iio�v long) Arnwilowlt; fectafterintmping: I ho rsah CrR41 I Dateo.CComplelion:_���• - nature of}Yell Co 'tor PUMPS(To be tilled in before installation) Name&size of Pati:p:AX '7 y 8 2 p ' TYPe'__jr �!,b_k Sizo of'Fan€c. c ,5 pr� Pump delivers;_ f GPM Plea used in weH: V' Cast Ire"` Gfl€vanized Plastic Sleeve used to protect pipe? Yes No jypoof veil seal/:,—Aw� t Late: guture of ItStA ter �. -� 17atc wter analysis r @itarf submitted to rrenIth Department: Pluwbing IIVir€ag Hnspeclor Health epartmel eprosoutntivc C:1Documetits antl.Sett1►IgsllldelleoltlMy DoctinteiltslCOMM) RCrAL FERMIS1Permifll'ermiApplicationMe11 Application,doc: i I 9�l ashobaAnalyfical, ll( Tel:978-39 1-4428 Fax:978-391-11643 ubwumhec 127880 3 1/\1A illow Road,Ayer MA 01432 XVeb li:/Av '\v.Nasliol)aAii�tlylic�ti.coiii t J,;e 1his number with all con Skillings and Sons, Inc. ReportDate: 4/26/2012 Certificate oLAqA1Vsis / 22135-Haseltine. George, 2005 Salem Stmet, N. Andover, MA 01845 Parameter Method Result MCL MRL Date oyAmalysiw Analyst ' 4tWellhead Sampled: wY9120/c2:30:0oFM by John8vve Total co|ifonn Bacteria,/1moM/ MF-mM9222e o umueont O 4/28/20121:00:00 PM M-Nm1118 Arsenic,Total,MG/L aM311ma 0.01 U.m 0.001 4/23m012 M-x*111e Calcium.MS/L EPA 200,7 28.9 Not Spec 1 4/23/20 12 M4uA111e c^ppe .MG/1 EPA 2003 ND 13 o/x 4/23/2012 M-MA1118 |mn.MovL EPA 200.7 0.29 0.3 0D1 4/23o012 M-MA1118 Lreu.MG/L SMo11na wn 0.015 0,001 4o3/2012 M4MA1110 Magnmuum.Mc*| EPA 200.7 5,8 Not Spec 1 4/2312012 M'wm1118 ManOmooae.Mm/L EPA 200.7 0.035 0.05 ooOo 4/23/2012 M-Mx111e pmams|um.Ms/L. EPA unn7 No Not Spec 1 4/2312012 M'MA1118 Sodium, n/� spx2nor 1o�a See 1 wo�2o12 M'MA|11e � . � /um,Unity.MmvL aM 2320o 117 Not Spec 1 */20/2012 m'*m1118 � Ammonia,MG/L oM4ao0-NH3-o ND Not Spec 01 4/20/2012 M-M 1118 Ch|nhde.McvL EPA 300,0 2.3 250 1 4/20m012 M-MA 111O . Chlorine,Free Residual,MsvL oM4sueCL'G No Nvtopoc 0.02 4m0/2012 M'MA1118 Color Apparent,cU aMo1ouB 5 15 1 4/20/2012 M-M«1110 Cvnuumivity.UMHoS/oM SM 251 O oMo Not Spec 1 4/20/2012 M'MA111e Fmnr|uo.Ma/L EPA 300.0 0.4 * O] 4/202012 M-MA1110 Hardness,Total,Mo»L oMra4OB 95 Not Spec 2 */23/2012 M-MA111e Nitrate ouw.MG/L EPA 300.0 No 10 0.05 4/20/2012 M-MxII11e Nitrite anN.MG/| EPA 300o ND 1 0o1 41202012 M-MA111e Odor,TON aMz15OB n o O 4/20/2012 oLK pH, pHxTzsC aM4,00-H'a 7.e 6.5-e.5 NA 4/20/2012 M-MA1118 NE� NEm 4�U�o12 D�K eodimo�.poomoO ------'—' --- suUate.McxL EPA 300,0 8.1 250 1 4/20/202 M-MA111e Total Dissolved Solids,MovL oM 2540o 150 eno 1 4124/2012 M'M«1118 rurbidity. NTU EPA 180.1 1] Not Spec 0.1 4/20/2012 M-Mm111e MoL=Moxmmmo"ntaminan Love (EPA UmiV.MRL~Minimum Reporting Level Sodium Guidelines-Mass 20,EPA 250. #~Result Exceeds Limit mGuideline 1� /Z wo=None Detected(«MRV. ^~Background Bacteria Noted // ` W��'w Massachusetts Certified David L Knowlton Page of Laboratory#Mx111n Laboratory Director -Pinalyfical, LLC Tel:978-391-4428 Fax:978-391-4643 LabNumber: 137811 31xWixowmad,xyerwm01*32 website: Use th is number with all correspondence Client: GoorgeHmaebne RepqrtDate: 7/2C2013 6OGi|nreastRoad Londonderry, NHD3O53 � Certificate of Anal sis / � 2OO5 Salem Street, North Andover MA Punammer Method Room\t MCL MRL Date ofAnalysis Analyst - KitohenSinh Gamp��6127mV138:/o:00A&Yby Lab Staff Total Co|ifonn Bacteria,/1U0m| sNz.SUB.sM8uz3 Absent Absent Absent 6/27/2013 10:00:00 xM M'MA1118 Arsenic,Total,MGvL GM 3113B 0o03 OM 0.001 8/28/2013 M-MA1118 | Ca|dum.MG/l EPA 200.7 20.5 Not Spec 1 7/2/2013 M-MA1118 � Coppvr,��/L EPA No 13 OO1 n��o1� �-�A1110 . � � � � |mn.M@l EPA 200.7 0.07 0.3 0.01 7/2o013 M-Mm1118 Load.MG& 8M 3113B No 0.015 0l01 8/28/2013 M-MA1110 magnemium.MG/L EPA 200.7 5.7 Not Spec 1 7/2/2013 M'MA1118 manganese.MGK EPA 200.7 0.039 0.05 0.005 7/2/2013 M1NA1118 rumaoium.mG/L EPA 200.7 No Not Spec 1 7/2/2013 M'MA111O 8udivm.MG/L EPA 200.7 8.2 See Note 1 7/2o013 M-MA1118 mka|inity.MGvL SM232OB 105 Not Spec 1 6/27/2013 M-MA1118 Ammunia.MGxL GMx5OO-NHJ'D NO Not Spec 0.1 6/2712013 M-MA1110 CMorido.M{VL EPA 300.0 2.2 250 1 6/27/2013 M-Mx1118 Chlorine,Free Residual,MG/L SM40U0'CL-G ND Not Spec uuo 6/27/2013 M'MA1118 Color Apparent,CU 8M 2120B 0 15 1 0/2712013 M'MA1110 ConduoUvity, UMHOG/CM SM 2510u 251 Not Spec 1 6127/2013 M'Mx1118 � � nvvxda.MEvL EPA 300.0 02 4 0.1 6o7/2013 M-MA1118 nurdnaaa rom|.MG/L Sw2n4VB 95 Not Spec 2 7/212013 M-MA1118 | Nitrate auN.MExL EPA 300.0 ND 10 0.05 e27/2013 M-MA1118 / Nitrite aaN.MEVL EPA 300.0 No 1 0.01 6m7u013 M-NA1118 Odor,TON SMo150o 0 3 U 6/27/2018 oLK � pH,PHxT25C GM4oU0H-B 7.4 6.5-8.5 NA 6/27/2013 M'MA1118 � Gedimem.poe/neg -------- NFG --- NBS 6/27/2013 oLn 8u|faw.M{aL EPA 300.0 11�8 zno 1 6/27/2013 M-Mx1110 Total Dissolved Solids,M8/L Gm2o4oC 1*2 soV 1 7/212013 M'MA1118 TurhiVity.NTU EPA 180.1 076 Not Spec 01 8/27/2013 W-wA1110 MCL=Maximvrn Contaminant Level(EPA Umit).MRL=Minimum Reporting Level Sodium Guidelines-Mass 20,EPA 250, #=Result Exceeds Limit orGuideline No=None Detected<°MRU. ^=Background Bacteria Noted Massachusetts Certified David L Knowlton � Laboratory#MA1118 Laboratory Director Page »f1 � �