Certificate of Analysis

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1 Certificate of Analysis To: WhiteWater, Inc. Date Reported: November 23, B Worcester Rd Charlton, MA Date Received: November 9, 2016 PWS: Town of Eastham DEP Sample Type DEP Location Code Case No. Submitted samples from: DEP Sample Location C1109-W28Partial Finish NRHS Finish Water 100 Cable Road Finish District G Finish Water 2740 Nauset Road SUBJECT: METHOD: Nitrate, Nitrite, Inorganic Containments, Synthetic Organic Containments, Volatile Organic Compounds, Gross Alpha, Radium Standard Methods for the Examination of Water and Wastewater, 20 th Edition, 1998, APHA, AWWA-WPCF. Nitrate: SM 4500-NO3-E Nitrite: SM 4500-NO2-B Arsenic, Cadmium, Selenium: SM 3113B Barium, Beryllium, Chromium, Nickel: SM 3120B Cyanide: SM 4500-CN-E Fluoride: SM 4500-F-C Mercury: SM 3112B Manual of Methods for Chemical Analysis of Water and Water Wastes, EPA-600/ (Revised 1983), USEPA/EMSL Antimony, Thallium: Sodium: Methods for the Determination of Organic Compounds in Finished Drinking Water and Raw Source Water, USEPA/EMSL. Synthetic Organic Compounds: Methods 504.1, 505, 515.3, 525.2, and 531.2* Submitted samples from: DEP Sample Type DEP Location Code RS 001 Kitchen Sink DEP Sample Location SUBJECT: METHOD: Volatile Organic Compounds Methods for the Determination of Organic Compounds in Finished Drinking Water and Raw Source Water, USEPA/EMSL. Volatile Organic Compounds: Method NEW ENGLAND TESTING LABORATORY, INC. 59 Greenhill St., West Warwick, RI (401) Total # of Pages: 18

2 *Analysis Subcontracted to Microbac Laboratories New England Testing Laboratory is certified in the Commonwealth of Massachusetts (Lab ID M-RI010) for all tests performed on the premises. This report shall not be reproduced, except in full, without written approval of the laboratory. New England Testing certifies that the test results contained within this report meet all method and certification requirements except as detailed in the Case Narrative section of this report. Page 2 of 18

3 Massachusetts Department of Environmental Protection - Drinking Water Program Inorganic Contaminant Report IOC I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Nrhs Finish Water Cable Road Routine or Special Sample Original, Resubmitted or Confirmation Report Sample Information *Please note all samples are considered representative of finished water if there is no treatment applied (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list the sources that were on-line during sample collection). Date Collected 11/9/2016 Roy Maher If Resubmitted Report, list below: Collected By (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Contaminant Result (mg/l) MCL (mg/l) (mg/l) Lab Method Date Analyzed Analysis Lab MA Cert # Analysis Lab Name Lab Sample ID# ANTIMONY ND EPA /11/2016 M-RI010 New England Testing Lab C1109-W28A ARSENIC ND SM 3113B 11/15/2016 M-RI010 New England Testing Lab C1109-W28A BARIUM SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28A BERYLLIUM ND SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28A CADMIUM ND SM 3113B 11/10/2016 M-RI010 New England Testing Lab C1109-W28A CHROMIUM ND SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28A CYANIDE ND SM 4500CN-E 11/15/2016 M-RI010 New England Testing Lab C1109-W28A FLUORIDE 1 ND SM 4500F-C 11/14/2016 M-RI010 New England Testing Lab C1109-W28A MERCURY 2 ND SM 3112B 11/10/2016 M-RI010 New England Testing Lab C1109-W28A NICKEL * SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28A SELENIUM ND SM 3113B 11/11/2016 M-RI010 New England Testing Lab C1109-W28A SODIUM * 0.5 EPA /11/2016 M-RI010 New England Testing Lab C1109-W28A THALLIUM ND EPA /11/2016 M-RI010 New England Testing Lab C1109-W28A 1 Fluoride also has a secondary MCL of 2.0 mg/l. Community water systems which exceed this limit must provide public notice pursuant to 310 CMR Please note that if method is used for mercury, only method revision 3.0 will be accepted by MA DEP. *No current MCL, however DEP Office of Research and Standards has established a guideline (ORSG) limit for this contaminant. Was this Sample composited by the Lab? Yes LAB SAMPLE NOTES COMPOSITE SAMPLE NOTES List the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources per sample. I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 3 of 18

4 Massachusetts Department of Environmental Protection - Drinking Water Program Inorganic Contaminant Report IOC I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name District G Finish Water Nauset Routine or Special Sample Original, Resubmitted or Confirmation Report Sample Information *Please note all samples are considered representative of finished water if there is no treatment applied (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list the sources that were on-line during sample collection). Date Collected 11/9/2016 Roy Maher If Resubmitted Report, list below: Collected By (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Contaminant Result (mg/l) MCL (mg/l) (mg/l) Lab Method Date Analyzed Analysis Lab MA Cert # Analysis Lab Name Lab Sample ID# ANTIMONY ND EPA /11/2016 M-RI010 New England Testing Lab C1109-W28B ARSENIC ND SM 3113B 11/15/2016 M-RI010 New England Testing Lab C1109-W28B BARIUM ND SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28B BERYLLIUM ND SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28B CADMIUM ND SM 3113B 11/10/2016 M-RI010 New England Testing Lab C1109-W28B CHROMIUM ND SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28B CYANIDE ND SM 4500CN-E 11/15/2016 M-RI010 New England Testing Lab C1109-W28B FLUORIDE 1 ND SM 4500F-C 11/14/2016 M-RI010 New England Testing Lab C1109-W28B MERCURY 2 ND SM 3112B 11/10/2016 M-RI010 New England Testing Lab C1109-W28B NICKEL ND 0.1* SM 3120B 11/11/2016 M-RI010 New England Testing Lab C1109-W28B SELENIUM ND SM 3113B 11/11/2016 M-RI010 New England Testing Lab C1109-W28B SODIUM * 0.5 EPA /11/2016 M-RI010 New England Testing Lab C1109-W28B THALLIUM ND EPA /11/2016 M-RI010 New England Testing Lab C1109-W28B 1 Fluoride also has a secondary MCL of 2.0 mg/l. Community water systems which exceed this limit must provide public notice pursuant to 310 CMR Please note that if method is used for mercury, only method revision 3.0 will be accepted by MA DEP. *No current MCL, however DEP Office of Research and Standards has established a guideline (ORSG) limit for this contaminant. Was this Sample composited by the Lab? Yes LAB SAMPLE NOTES COMPOSITE SAMPLE NOTES List the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources per sample. I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 4 of 18

5 Massachusetts Department of Environmental Protection - Drinking Water Program Nitrate Report N I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Sample Information Sample Acidified? Date Collected Collected By A Nrhs Finish Water Cable Road B District G Finish Water Nauset C D Routine or Special Sample Original, Resubmitted or Confirmation Report (F)inished Yes 11/9/2016 Roy Maher (F)inished Yes 11/9/2016 Roy Maher (F)inished (F)inished Yes Yes If Resubmitted Report, list below: A RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction B RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction C RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction D RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction A B C D SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list the sources that were on-line during sample collection). II. ANALYTICAL LABORATORY INFORMATION: (1) Reason for Resubmission (2) Collection Date of Original Sample Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Analysis Lab MA Cert. #: Analysis Lab Name: NITRATE Result (mg/l) MCL (mg/l) (mg/l) Lab Method Date Analyzed Lab Sample ID# A NO3-E 11/10/2016 C1109-W28A B NO3-E 11/10/2016 C1109-W28B C 10 D 10 Finished water results equal to or exceeding ½ of the MCL (5 mg/l) triggers quarterly monitoring. Finished water results exceeding the MCL of 10 mg/l requires confirmation sampling within 24 hours. Notify MassDEP of any MCL exceedances. A B C D LAB SAMPLE NOTES I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 5 of 18

6 Massachusetts Department of Environmental Protection - Drinking Water Program Nitrite Report Ni I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Sample Information Date Collected Collected By A Nrhs Finish Water Cable Road B District G Finish Water Nauset C D Routine or Special Sample Original, Resubmitted or Confirmation Report (F)inished 11/9/2016 Roy Maher (F)inished (F)inished (F)inished If Resubmitted Report, list below: A RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction B RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction C RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction D RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction A B C D SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list the sources that were on-line during sample collection). II. ANALYTICAL LABORATORY INFORMATION: 11/9/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Analysis Lab MA Cert. # Analysis Lab Name: NITRITE Result (mg/l) MCL (mg/l) (mg/l) Lab Method Date Analyzed Lab Sample ID# A ND NO2-B 11/10/2016 C1109-W28A B ND NO2-B 11/10/2016 C1109-W28B C 1 D 1 Finished water results equal to or exceeding ½ of the MCL (0.5 mg/l) triggers quarterly monitoring. Finished water results exceeding the MCL of 1 mg/l requires confirmation sampling within 24 hours. Notify MassDEP of any MCL exceedances. A B C D LAB SAMPLE NOTES I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 6 of 18

7 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 1 of 2 I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# Nrhs Finish Water Cable Road Routine or Special Sample DEP Location Name Sample Information Date Collected Collected By Original, Resubmitted or Confirmation Report (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line during sample collection). If Resubmitted Report, list below: 11/9/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) Y/N Analytical Methods (List All) Date Extracted Date Analyzed Analysis Lab MA Cert# Analysis Lab Name Lab Sample ID# /14/ /14/2016 M-RI010 New England Testing Lab C1109-W28A /14/ /14/2016 M-RI010 New England Testing Lab C1109-W28A /11/ /12/2016 M-RI010 New England Testing Lab C1109-W28A /21/ /22/2016 M-RI010 New England Testing Lab C1109-W28A /17/2016 M-CT008 Microbac Laboratories E611D63-1 Was this Sample composited by the Lab? COMPOSITE SAMPLE NOTES - Please list the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources. LAB SAMPLE NOTES - Information on matrix spike/method blank sample information is on file at our office. CAS # SOC Regulated Contaminants Result MCL Analytical Method CARBOFURAN < OXAMYL (VYDATE) < ,4-D < ,4,5-TP (SILVEX) < DALAPON < DINOSEB < PICLORAM < PENTACHLOROPHENOL < ALACHLOR < ATRAZINE < ENDRIN < HEPTACHLOR < HEPTACHLOR EPOXIDE < LINDANE < METHOXYCHLOR < HEXACHLOROBENZENE < HEXACHLOROCYCLOPENTADIENE < SIMAZINE < BENZO(A)PYRENE < DI(2-ETHYLHEXYL)ADIPATE < DI(2-ETHYLHEXYL)PHTHALATE < Page 7 of 18

8 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 2 of 2 CAS # SOC Regulated Contaminants Result MCL Analytical Method CHLORDANE < TOXAPHENE < PCB AROCLOR 1016 < PCB AROCLOR 1221 < PCB AROCLOR 1232 < PCB AROCLOR 1242 < PCB AROCLOR 1248 < PCB AROCLOR 1254 < PCB AROCLOR 1260 < PCBS (DECACHLOROBIPHENYL) 0.5 Monitoring requirements for DBCP and EDB have been waived statewide for SURFACE WATER SOURCES ONLY. All groundwater sources must monitor for these two contaminants DIBROMOCHLOROPROPANE (DBCP) < ETHYLENEDIBROMIDE (EDB) < Monitoring requirements for the following four contaminants have been waived statewide for both groundwater and surface water sources, however monitoring and reporting for Diquat is required for surface waters that have applied Diquat DIQUAT ENDOTHALL GLYPHOSATE ,3,7,8-TCDD (DIOXIN) 3.0x10-5 CAS# SOC Unregulated Contaminants Result ORSG Analytical Method ALDICARB <0.50 3* ALDICARB SULFONE <0.80 2* ALDICARB SULFOXIDE <0.50 4* CARBARYL < HYDROXYCARBOFURAN < METHOMYL < DICAMBA < ALDRIN < BUTACHLOR < DIELDRIN < METOLACHLOR < METRIBUZIN < * PROPACHLOR < * No MCL, however the DEP Office of Research and Standards has established a guideline (ORSG) limit for this contaminant. Method Surrogate Name % Recovery (70 130%) ,4 DCAA ,3 DM-2-NB Triphenylphos perylene-d Bromo-3,5-dime 90 I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 8 of 18

9 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 1 of 2 I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# District G Finish Water Nauset Routine or Special Sample DEP Location Name Sample Information Date Collected Collected By Original, Resubmitted or Confirmation Report (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line during sample collection). If Resubmitted Report, list below: 11/9/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) Y/N Analytical Methods (List All) Date Extracted Date Analyzed Analysis Lab MA Cert# Analysis Lab Name Lab Sample ID# /14/ /14/2016 M-RI010 New England Testing Lab C1109-W28B /14/ /14/2016 M-RI010 New England Testing Lab C1109-W28B /11/ /12/2016 M-RI010 New England Testing Lab C1109-W28B /21/ /22/2016 M-RI010 New England Testing Lab C1109-W28B /17/2016 M-CT008 Microbac Laboratories E611D63-2 Was this Sample composited by the Lab? COMPOSITE SAMPLE NOTES - Please list the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources. LAB SAMPLE NOTES - Information on matrix spike/method blank sample information is on file at our office. CAS # SOC Regulated Contaminants Result MCL Analytical Method CARBOFURAN < OXAMYL (VYDATE) < ,4-D < ,4,5-TP (SILVEX) < DALAPON < DINOSEB < PICLORAM < PENTACHLOROPHENOL < ALACHLOR < ATRAZINE < ENDRIN < HEPTACHLOR < HEPTACHLOR EPOXIDE < LINDANE < METHOXYCHLOR < HEXACHLOROBENZENE < HEXACHLOROCYCLOPENTADIENE < SIMAZINE < BENZO(A)PYRENE < DI(2-ETHYLHEXYL)ADIPATE < DI(2-ETHYLHEXYL)PHTHALATE < Page 9 of 18

10 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 2 of 2 CAS # SOC Regulated Contaminants Result MCL Analytical Method CHLORDANE < TOXAPHENE < PCB AROCLOR 1016 < PCB AROCLOR 1221 < PCB AROCLOR 1232 < PCB AROCLOR 1242 < PCB AROCLOR 1248 < PCB AROCLOR 1254 < PCB AROCLOR 1260 < PCBS (DECACHLOROBIPHENYL) 0.5 Monitoring requirements for DBCP and EDB have been waived statewide for SURFACE WATER SOURCES ONLY. All groundwater sources must monitor for these two contaminants DIBROMOCHLOROPROPANE (DBCP) < ETHYLENEDIBROMIDE (EDB) < Monitoring requirements for the following four contaminants have been waived statewide for both groundwater and surface water sources, however monitoring and reporting for Diquat is required for surface waters that have applied Diquat DIQUAT ENDOTHALL GLYPHOSATE ,3,7,8-TCDD (DIOXIN) 3.0x10-5 CAS# SOC Unregulated Contaminants Result ORSG Analytical Method ALDICARB <0.50 3* ALDICARB SULFONE <0.80 2* ALDICARB SULFOXIDE <0.50 4* CARBARYL < HYDROXYCARBOFURAN < METHOMYL < DICAMBA < ALDRIN < BUTACHLOR < DIELDRIN < METOLACHLOR < METRIBUZIN < * PROPACHLOR < * No MCL, however the DEP Office of Research and Standards has established a guideline (ORSG) limit for this contaminant. Method Surrogate Name % Recovery (70 130%) ,4 DCAA ,3 DM-2-NB Triphenylphos perylene-d Bromo-3,5-dime 106 I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 11/23/2016 WQTS Data Entered Page 10 of 18

11 Massachusetts Department of Environmental Protection - Drinking Water Program VOC Volatile Organic Contaminant Report Page 1 of 2 I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Nrhs Finish Water Cable Road Routine or Special Sample Original, Resubmitted or Confirmation Report Sample Information (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES Such as, if a Manifold/Multiple sample, list the source(s) that were on-line during sample collection. Sample Acidified? If Resubmitted Report, list below: Date Collected Collected By Yes 11/9/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Analysis Lab MA Cert. #: Analysis Lab Name: Lab Method Date Extracted (551.1 only) Date Analyzed Lab Sample ID# /16/2016 C1109-W28A Was this Sample composited by the Lab? Yes: No: LAB SAMPLE NOTES - Include information as to whether sample was diluted or additional contaminants detected. COMPOSITE SAMPLE NOTES - Please list the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources. CAS# REGULATED VOC CONTAMINANT Results MCL BENZENE N.D CARBON TETRACHLORIDE N.D ,1-DICHLOROETHYLENE N.D ,2-DICHLOROETHANE N.D PARA-DICHLOROBENZENE N.D TRICHLOROETHYLENE (TCE) N.D ,1,1-TRICHLOROETHANE N.D VINYL CHLORIDE N.D MONOCHLOROBENZENE N.D O-DICHLOROBENZENE N.D TRANS-1,2-DICHLOROETHYLENE N.D CIS-1,2-DICHLOROETHYLENE N.D ,2-DICHLOROPROPANE N.D ETHYLBENZENE N.D STYRENE N.D TETRACHLOROETHYLENE (PCE) N.D TOLUENE N.D XYLENES (TOTAL) N.D DICHLOROMETHANE N.D ,2,4-TRICHLOROBENZENE N.D ,1,2-TRICHLOROETHANE N.D Page 11 of 18

12 Massachusetts Department of Environmental Protection - Drinking Water Program VOC Volatile Organic Contaminant Report Page 2 of 2 PWS ID#: Lab Sample ID#: C1109-W28A CAS# UNREGULATED VOC CONTAMINANTS Results CHLOROFORM* BROMODICHLOROMETHANE N.D CHLORODIBROMOMETHANE BROMOFORM M-DICHLOROBENZENE N.D DIBROMOMETHANE N.D ,1-DICHLOROPROPENE N.D ,1-DICHLOROETHANE* N.D ,1,2,2-TETRACHLOROETHANE N.D ,3-DICHLOROPROPANE N.D CHLOROMETHANE N.D BROMOMETHANE* N.D ,2,3-TRICHLOROPROPANE N.D ,1,1,2-TETRACHLOROETHANE N.D CHLOROETHANE N.D ,2-DICHLOROPROPANE N.D O-CHLOROTOLUENE N.D P-CHLOROTOLUENE N.D BROMOBENZENE N.D ,3-DICHLOROPROPENE* N.D ,2,4-TRIMETHYLBENZENE N.D ,2,3-TRICHLOROBENZENE N.D N-PROPYLBENZENE N.D N-BUTYLBENZENE N.D NAPTHALENE* N.D HEXACHLOROBUTADIENE N.D ,3,5-TRIMETHYLBENZENE N.D P-ISOPROPYLTOLUENE N.D ISOPROPYLBENZENE N.D TERT-BUTYLBENZENE N.D SEC-BUTYLBENZENE N.D FLUOROTRICHLOROMETHANE N.D DICHLORODIFLUOROMETHANE* N.D BROMOCHLOROMETHANE N.D. 0.5 METHYL TERTIARY BUTYL ETHER (MTBE) #* N.D CAS# ADDITIONAL UNREGULATED and/or NON-TARGET VOC CONTAMINANTS (Report if analyzed or otherwise detected) Results TETRAHYDROFURAN (THF)* N.D TERT-BUTYL ALCOHLOL (TBA)* N.D TERT-AMYL METHYL ETHER (TAME)* N.D ETHYL TERTIARY BUTYL ETHER (ETBE) N.D DI-ISOPROPYL ETHER (DIPE) N.D ACETONE* N.D FREON 113* METHYL ETHYL KETONE (MEK)* N.D METHYL-ISOBUTYL KETONE (MIBK)* N.D. 5.0 Check this box if attaching lab report to show additional VOC results/contaminants tested. # Required * DEP ORSG limit established. Surrogate Name % Recovery (70 130%) 1,2-Dichlorobenzene-d Bromofluorobenzene 102 I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. Date: 11/23/2016 DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments WQTS Data Entered Page 12 of 18

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19 Certificate of Analysis To: WhiteWater, Inc. Date Reported: January 16, B Worcester Rd Charlton, MA Date Received: December 13, 2016 PWS: Town of Eastham DEP Sample Type DEP Location Code Case No. Submitted samples from: DEP Sample Location C1213-W12 RS 001 Library 190 Samoset Road RS 003 Storage Tank 2770 Nauset Road PT NRHS Finish Water 100 Cable Road PT District G Finish Water 2740 Nauset Road RW 01G NRHS Well 100 Cable Road RW 02G District G Well 2740 Nauset Road SUBJECT: METHOD: Total Coliform Bacteria Standard Methods for the Examination of Water and Wastewater, 20 th Edition, 1998, APHA, AWWA-WPCF. Total Coliform: SM 9223B DEP Sample Type DEP Location Code Submitted samples from: DEP Sample Location PT NRHS Finish Water 100 Cable Road PT District G Finish Water 2740 Nauset Road SUBJECT: METHOD: Secondary Containments, Gross Alpha* Standard Methods for the Examination of Water and Wastewater, 20 th Edition, 1998, APHA, AWWA-WPCF. Iron, Manganese, Calcium, Magnesium, Potassium, Aluminum, Copper, Zinc: SM 3120B Alkalinity: SM 2320B Hardness: SM 2340C Turbidity: SM 2130B Chloride: SM 4500Cl-B Color: SM 2120E Odor: SM 2150B ph: SM 4500H+-B Silver: SM 3113B Sulfate: SM 4500SO4-E TDS: SM 2540C Standard Methods for the Examination of Water and Wastewater, 20 th Edition, 1998, APHA, AWWA-WPCF. Gross Alpha: SM 7110B *Analysis Subcontracted to Eurofins Eaton Analytical NEW ENGLAND TESTING LABORATORY, INC. 59 Greenhill St., West Warwick, RI (401) Total # of Pages: 13

20 New England Testing Laboratory is certified in the Commonwealth of Massachusetts (Lab ID M-RI010) for all tests performed on the premises. This report shall not be reproduced, except in full, without written approval of the laboratory. New England Testing certifies that the test results contained within this report meet all method and certification requirements except as detailed in the Case Narrative section of this report. Page 2 of 13

21 Massachusetts Department of Environmental Protection - Drinking Water Program BACTERIOLOGICAL REPORT I. PWS INFORMATION: Refer to your DEP Coliform Sampling Plan to help complete the PWS Information and DEP Approved Sample Site Information sections below. PWS ID #: PWS Name: TOWN OF EASTHAM City/Town: EASTHAM Class: COM NTNC TNC II. ANALYTICAL INFORMATION: Refer to your MassDEP state lab certificate for proper Lab MA Cert.# and certified methods. Primary Lab MA Cert.#: M-RI010 Primary Lab Name: New England Testing Laboratory Subcontracted? (Y/N): N Analysis Lab MA Cert.#: Analysis Lab: Original Report Resubmitted Report Confirmation Report (1) Reason for Resubmission: Resample Reanalysis Report Correction (2) Collection Date of Original Sample: TC Method E.Coli Method Fecal Coliform HPC Method SM 9223 Lab Sample Notes: DEP APPROVED SAMPLE SITE INFORMATION 1 COLLECTION ANALYSIS TOTAL E.COLI or CHLORINE HPC DEP DEP COLIFORM FECAL RESULT 2 RESULT 2 Sample Location DEP Approved SAMPLE LOCATION 1 RESULT 4,5 RESULT 4,5 mg/l # cfu/ml DATE TIME DATE TIME Type 1,3 Code # 1 COLLECTED BY B LAB SAMPLE ID # RS 001 Library Samoset Road A /13/ :39 12/13/ :30 Roy Maher C1213-W12A RS 003 Storage Tank Nauset Road A /13/ :00 12/13/ :30 Roy Maher C1213-W12B PT NRHS Finish Water Cable Rd A /13/ :28 12/13/ :30 Roy Maher C1213-W12C PT District G Finish Water N.R. A /13/ :38 12/13/ :30 Roy Maher C1213-W12D RW 01G NRHS Well Cable Road A - 12/13/ :17 12/13/ :30 Roy Maher C1213-W12E RW 02G District G Well Nauset Road A - 12/13/ :20 12/13/ :30 Roy Maher C1213-W12F 1 DEP Sample Type, Location Code#, and DEP Approved Sample Site Location must correspond to the sample information on your DEP Total Coliform Sampling Plan 2 SWTR systems: HPC samples shall be taken at the same distribution sites and at the same time as total coliform, whenever chlorine residual is not detected at the sample site. 3 Sample Type: RS-Routine Distribution Sample, RO-Original Site Repeat, UR-Upstream Repeat, DR-Downstream Repeat, AR-Additional Repeat, RW-Raw Water, PT-Plant Tap, SS-Special Sample 4 Report as #/100 ml, P (present),a (absent), or Too Numerous To Count: TNTC-I (invalid) or TNTC-P (present). 5 Collect appropriate number of repeat samples within 24 hours of laboratory notification for coliform-positive or invalid samples. Notify DEP of any routine or repeat E.Coli or fecal positive results by the end of the business day. I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. DEP Review Status: Accepted Disapproved Review Comments: Laboratory Authorized Signature and Date: 12/19/2016 Page 3 of 13

22 Massachusetts Department of Environmental Protection - Drinking Water Program Radionuclide Report R I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Nrhs Finish Water Cable Road Routine or Special Sample Original, Resubmitted or Confirmation Report Sample Information (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line line during sample collection). Date Collected If Resubmitted Report, list below: Collected By 12/13/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) Y Was this sample composited by the Lab? COMPOSITE SAMPLE NOTES List the composited source by DEP Source Code (XXXXXXX-XXX) and dates collected, up to four consecutive quarterly samples per single entry point. LAB SAMPLE NOTES Contaminant RESULT Std Dev (+/-) MCL Lab Method Date Analyzed Lab Sample ID# Analysis Lab MA Cert# Analysis Lab Name GROSS ALPHA (pci/l) SM 7110C 12/29/ M-IN035 EEA URANIUM activity (pci/l) Report Uranium result and in (pci/l) as analyzed, otherwise use formula to calculate [Uranium x 0.67 = Uranium pci/l]. Check this box if result is calculated ADJUSTED GROSS ALPHA (pci/l) The MCL for Adjusted Gross Alpha (Gross Alpha minus Uranium) is 15 pci/l. A gross alpha measurement may be substituted for the uranium analysis, if the gross alpha result is equal to or less than 15 pci/l. If gross alpha exceeds 15 pci/l, uranium must also be measured. URANIUM mass () 30 Report Uranium result and in () as analyzed, otherwise use formula to calculate [Uranium pci/l / 0.67 = Uranium ]. Check this box if result is calculated RADIUM-226 (pci/l) RADIUM-228 (pci/l) COMBINED RADIUM (pci/l) The MCL for Combined Radium (Radium-226 plus Radium-228) is 5 pci/l. A gross alpha measurement may be substituted for the radium-226 analysis, if the gross alpha result is equal to or less than 5 pci/l. If gross alpha exceeds 5 pci/l, radium-226 must also be measured. GROSS BETA (pci/l) * *The MCL for gross beta is 4 mrem/year. If gross beta exceeds 50 pci/l, analysis of the sample for Photon Activity shall be performed to identify the major radioactive constituents. Gross Beta testing is optional, unless specifically required by DEP. RADON (pci/l) ** **Radon testing is optional, unless specifically required by DEP. The MA guideline for Radon is 10,000 pci/l. The EPA has proposed a radon MCL of pci/l. I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 1/13/2017 WQTS Data Entered Page 4 of 13

23 Massachusetts Department of Environmental Protection - Drinking Water Program Radionuclide Report R I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name District G Finish Water Nauset Routine or Special Sample Original, Resubmitted or Confirmation Report Sample Information (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line line during sample collection). Date Collected If Resubmitted Report, list below: Collected By 12/13/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) Y Was this sample composited by the Lab? COMPOSITE SAMPLE NOTES List the composited source by DEP Source Code (XXXXXXX-XXX) and dates collected, up to four consecutive quarterly samples per single entry point. LAB SAMPLE NOTES Contaminant RESULT Std Dev (+/-) MCL Lab Method Date Analyzed Lab Sample ID# Analysis Lab MA Cert# Analysis Lab Name GROSS ALPHA (pci/l) SM 7110C 12/29/ M-IN035 EEA URANIUM activity (pci/l) Report Uranium result and in (pci/l) as analyzed, otherwise use formula to calculate [Uranium x 0.67 = Uranium pci/l]. Check this box if result is calculated ADJUSTED GROSS ALPHA (pci/l) The MCL for Adjusted Gross Alpha (Gross Alpha minus Uranium) is 15 pci/l. A gross alpha measurement may be substituted for the uranium analysis, if the gross alpha result is equal to or less than 15 pci/l. If gross alpha exceeds 15 pci/l, uranium must also be measured. URANIUM mass () 30 Report Uranium result and in () as analyzed, otherwise use formula to calculate [Uranium pci/l / 0.67 = Uranium ]. Check this box if result is calculated RADIUM-226 (pci/l) RADIUM-228 (pci/l) COMBINED RADIUM (pci/l) The MCL for Combined Radium (Radium-226 plus Radium-228) is 5 pci/l. A gross alpha measurement may be substituted for the radium-226 analysis, if the gross alpha result is equal to or less than 5 pci/l. If gross alpha exceeds 5 pci/l, radium-226 must also be measured. GROSS BETA (pci/l) * *The MCL for gross beta is 4 mrem/year. If gross beta exceeds 50 pci/l, analysis of the sample for Photon Activity shall be performed to identify the major radioactive constituents. Gross Beta testing is optional, unless specifically required by DEP. RADON (pci/l) ** **Radon testing is optional, unless specifically required by DEP. The MA guideline for Radon is 10,000 pci/l. The EPA has proposed a radon MCL of pci/l. I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 1/13/2017 WQTS Data Entered Page 5 of 13

24 Massachusetts Department of Environmental Protection - Drinking Water Program Secondary Contaminant Report Sec I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# DEP Location Name Sample Information Date Collected Collected By A Nrhs Finish Water Cable Road B District G Finish Water Nauset Routine or Special Sample Original, Resubmitted or Confirmation Report (F)inished (F)inished If Resubmitted Report, list below: A RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction B RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction A B SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line during sample collection). II. ANALYTICAL LABORATORY INFORMATION: 12/13/2016 Roy Maher 12/13/2016 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) N Analysis Lab MA Cert. #: Analysis Lab Name: Compound A Results B SMCL (mg/l) Lab Method Date Analyzed Lab Sample ID# IRON (mg/l) 0.14 ND SM 3120B 12/14/2016 C1213-W12 MANGANESE (mg/l) ND 0.05* SM 3120B 12/14/2016 C1213-W12 ALKALINITY (mg/l as CaCO3) 27 ND None 2 SM 2320B 12/15/2016 C1213-W12 CALCIUM (mg/l) None 0.05 SM 3120B 12/14/2016 C1213-W12 MAGNESIUM (mg/l) None 0.05 SM 3120B 12/14/2016 C1213-W12 HARDNESS (mg/l as CaCO3) None 0.33 SM 2340C 12/14/2016 C1213-W12 POTASSIUM (mg/l) None 0.5 SM 3120B 12/14/2016 C1213-W12 TURBIDITY (NTU) None 0.1 SM 2130B 12/13/2016 C1213-W12 ALUMINUM (mg/l) ND ND SM 3120B 12/14/2016 C1213-W12 CHLORIDE (mg/l) SM 4500Cl-B 12/15/2016 C1213-W12 COLOR (C.U.) <5 <5 15 NA SM 2120B 12/13/2016 C1213-W12 COPPER (mg/l) SM 3120B 12/14/2016 C1213-W12 ODOR (T.O.N) NA SM 2150B 12/13/2016 C1213-W12 ph NA SM 4500H+B 12/13/2016 C1213-W12 SILVER (mg/l) ND ND SM 3113B 12/15/2016 C1213-W12 SULFATE (mg/l) SM 4500SO4-D 12/15/2016 C1213-W12 TDS (mg/l) SM 2540C 12/14/2016 C1213-W12 ZINC (mg/l) ND ND SM 3120B 12/14/2016 C1213-W12 * EPA has established a lifetime Health Advisory (HA) for manganese at 0.3 mg/l and an acute HA at 1.0 mg/l. A B LAB SAMPLE NOTES I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: Date: 12/19/2016 If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments WQTS Data Entered Page 6 of 13

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32 Certificate of Analysis To: WhiteWater, Inc. Date Reported: March 3, B Worcester Rd Charlton, MA Date Received: February 27, 2017 PWS: Town of Eastham Case No. Submitted samples from: DEP Sample Type DEP Location Code D0227-W12 DEP Sample Location Finish NRHS Well Finish District G Well SUBJECT: METHOD: Synthetic Organic Compounds Methods for the Determination of Organic Compounds in Finished Drinking Water and Raw Source Water, USEPA/EMSL. Synthetic Organic Compounds: Methods New England Testing Laboratory is certified in the Commonwealth of Massachusetts (Lab ID M-RI010) for all tests performed on the premises. This report shall not be reproduced, except in full, without written approval of the laboratory. New England Testing certifies that the test results contained within this report meet all method and certification requirements except as detailed in the Case Narrative section of this report. NEW ENGLAND TESTING LABORATORY, INC. 59 Greenhill St., West Warwick, RI (401) Total # of Pages: 6

33 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 1 of 2 I. PWS INFORMATION: Please refer to your DEP Water Quality Sampling Schedule (WQSS) to help complete this form PWS ID #: City / Town: EASTHAM PWS Name: Town Of Eastham PWS Class: COM NTNC TNC DEP LOCATION (LOC) ID# Nrhs Well Routine or Special Sample DEP Location Name Sample Information Date Collected Collected By Original, Resubmitted or Confirmation Report (F)inished RS SS Original Resubmitted Confirmation Resample Reanalysis Report Correction SAMPLE NOTES (Such as, if a Manifold/Multiple sample, list any sources that were on-line during sample collection). If Resubmitted Report, list below: 2/27/2017 Roy Maher (1) Reason for Resubmission (2) Collection Date of Original Sample II. ANALYTICAL LABORATORY INFORMATION: Primary Lab MA Cert. #: M-RI010 Primary Lab Name: New England Testing Lab Subcontracted? (Y/N) Y/N Analytical Methods (List All) Date Extracted Date Analyzed Analysis Lab MA Cert# Analysis Lab Name Lab Sample ID# /1/2017 3/1/2017 M-RI010 New England Testing Lab D0227-W12A Was this Sample composited by the Lab? COMPOSITE SAMPLE NOTES - Please list the composited sources by DEP Source Code (XXXXXXX-XXX), up to five individual sources. LAB SAMPLE NOTES - Information on matrix spike/method blank sample information is on file at our office. CAS # SOC Regulated Contaminants Result CARBOFURAN 40 MCL OXAMYL (VYDATE) ,4-D ,4,5-TP (SILVEX) DALAPON DINOSEB PICLORAM PENTACHLOROPHENOL ALACHLOR ATRAZINE ENDRIN HEPTACHLOR HEPTACHLOR EPOXIDE LINDANE METHOXYCHLOR HEXACHLOROBENZENE HEXACHLOROCYCLOPENTADIENE SIMAZINE BENZO(A)PYRENE DI(2-ETHYLHEXYL)ADIPATE DI(2-ETHYLHEXYL)PHTHALATE 6 Analytical Method Page 2 of 6

34 Massachusetts Department of Environmental Protection - Drinking Water Program SOC Synthetic Organic Contaminant Report Page 2 of 2 CAS # SOC Regulated Contaminants Result CHLORDANE TOXAPHENE PCB AROCLOR PCB AROCLOR PCB AROCLOR PCB AROCLOR PCB AROCLOR PCB AROCLOR PCB AROCLOR PCBS (DECACHLOROBIPHENYL) 0.5 MCL Monitoring requirements for DBCP and EDB have been waived statewide for SURFACE WATER SOURCES ONLY. All groundwater sources must monitor for these two contaminants. Analytical Method DIBROMOCHLOROPROPANE (DBCP) < ETHYLENEDIBROMIDE (EDB) < Monitoring requirements for the following four contaminants have been waived statewide for both groundwater and surface water sources, however monitoring and reporting for Diquat is required for surface waters that have applied Diquat DIQUAT ENDOTHALL GLYPHOSATE ,3,7,8-TCDD (DIOXIN) 3.0x10-5 CAS# SOC Unregulated Contaminants Result ALDICARB 3* ALDICARB SULFONE 2* ALDICARB SULFOXIDE 4* CARBARYL HYDROXYCARBOFURAN METHOMYL DICAMBA ALDRIN BUTACHLOR DIELDRIN METOLACHLOR --- ORSG METRIBUZIN 100* PROPACHLOR --- Analytical Method * No MCL, however the DEP Office of Research and Standards has established a guideline (ORSG) limit for this contaminant. Method Surrogate Name % Recovery (70 130%) I certify under penalties of law that I am the person authorized to fill out this form and the information contained herein is true, accurate and complete to the best extent of my knowledge. Primary Lab Director Signature: If not submitting these results electronically, mail TWO copies of this report to your DEP Regional Office no later than 10 days after the end of the month in which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP REVIEW STATUS (Initial & Date) Accepted Disapproved Review Comments Date: 3/3/2017 WQTS Data Entered Page 3 of 6

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