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BR. 19 [to i��o wy VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E.Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 7,2025 Michele Toll 203 Ivy Hill Crescent Rye Brook,New York 10573 Re: 203 Ivy Hill Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-10 As per the Documentation from New York State Department of Environmental Conservation Spill Close Out Record dated February 25, 2025, the removal of an underground oil tank under Mechanical Permit#19-020 issued on 2/21/2019 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BRC�j� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 2 0 3 f V / Ill L t DATE: n OZ QD PERMIT# P I`7 ' ISSUED: SECT: BLOCK: LOT: LOCATION: R P cAA N G/t c4 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS u I U ❑ L.P. GAS (] FUEL TANK R / ❑ FIRE SPRINKLER t� / r .� ! C C) 1.�, ❑ FINAL PLUMBING ❑ CROSS CONNECTION .❑ FINAL ❑ OTHER �yE BRC�uk BUILDING DEPARTMENT ❑BUILDING INSPECTOR ["ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: , DATE: PERMIT# N 1 { y _ISSUED: ' ECT: 1. Z�; BLOCK: LOT: `•` � , t 1� t LOCATION: �_..t s.:. � ci OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION `. REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE �t ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPE TION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS V -C ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�v� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - -- - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - -- - -- - - ADDRESS \ \���� l` S DATE: PERMIT# ' van i' t v 20 ISSUED: Z, SECT: BLOCK: LOT: LOCATION: s 0 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION G. SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1,l ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 1- E r� -r } � A NEW YORK Department of STATE OF OPPORTUNITY Environmental Conservation Spill Incidents Database Search Details Spill Record Administrative Information DEC Region: 3 Spill Number: 1812314 Spill Date/Time Spill Date: 03/15/2019 Spill Time: 02-48-00 PM Call Received Date: 03/15/2019 Call Received Time: 02:48.00 PM Location Spill Name: FOLLICK - UST Address: 203 IVY HILL CRESCENT City: RYE BROOK County: Westchester Spill Description Material Spilled Amount Spilled Resource Affected #2 fuel oil UNKNOWN Unknown Cause: Equipment Failure Source: Private Dwelling Waterbody: Record Close Date Spill Closed: 02/25/2025 "Date Spill Closed" means the date the spill case was closed by the case manager in the Department of Environmental Conservation (the Department). The spill case was closed because either; a) the records and data submitted indicate that the necessary cleanup and removal actions have been completed and no further remedial activities are necessary, or b) the case was closed for administrative reasons (e.g., multiple reports of a single spill consolidated into a single spill number). The Department however reserves the right to require additional remedial work in relation to the spill, if in the future it determines that further action is necessary. If you have questions about this reported incident, please contact the Regional Office where the incident occurred. Return To Results Refine This Search UNDERGROUND STORAGE TANK CLOSURE REPORT For Marlene Follick NYSDEC Spill Number. 1812314 SPILL SITE ADDRESS 203 Ivy Hill Crescent Rye Brook, NY10573 Westchester County 914-939-6081 PREPARED BY CASTLTON ENVIRONMENTAL CONTRACTORS, LLC 80 WEST NYACK ROAD PO BOX 609 NANUET, NEW YORK 10954 (845) 624-1312 August 2019 TABLE OF CONTENTS Page 1.0 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2.0 BACKGROUND INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3.0 REMEDIAL ACTIVITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 4.0 POST EXCAVATION SOIL SAMPLING &RESULTS . . . . . . . . . . . 3 5.0 GROUND WATER SAMPLING&RESULTS . . .. . . . . . . . . . . . . . . . 3-4 6.0 MANAGEMENT OF EXCAVATED CONTAMINATED SOIL ....... 4 7.0 CONCLUSION.................................................................. 4-5 APPENDICES APPENDIX 1- Figure 1 —Tank and Soil Sample Location Map Table 1 —Soil Sample Analytical Results Summary Table 2—Groundwater Analytical Results Summary APPENDIX 2-Tank Disposal Receipt Liquid Disposal Receipts Contaminated Soil Disposal Receipts Backfill Receipts APPENDIX 3-Laboratory Report of Post Excavation Soil Samples Groundwater Analytical Results 1.0 INTRODUCTION This Underground Storage Tank (UST) Closure Report is prepared for Marlene Follick and the New York State Department of Environmental Conservation (NYSDEC). The site is located at 203 Ivy Hill Crescent, Rye Brook, NY 10573. The closure report details the remedial activities conducted by Castlton Environmental Contractors, LLC (CEC)of Nanuet,New York. 2.0 BACKGROUND INFORMATION In March 2019, Marlene Follick retained CEC to remove one (1) 330-gallon #2 fuel oil Underground Storage Tank (UST) from the above referenced property. The UST was located in the back of the residence,under the stairs of the deck. On March 1 lth,2019 CEC began removing the stairs to the deck to access the tank. On March 15',2019,after removing the stairs,the crew located the tank, cut it open,vacuumed out the liquid contents and cleaned it with absorbent pads and a squee-gee. Once cleaned, half the tank was removed from the ground—the.other half was supporting the deck. No holes were found along the tank body. However, while utilizing a Photoionization Detector(PID),a localized area of fuel oil impacted soils was observed in the base of the UST grave.CEC reported the discharge and Spill No.1812314 was assigned to the property. After the deck was properly shored up and the rest of the tank removed on April 2nd, 2019, CEC began to remove fuel oil impacted soils on April 8, 2019. 3.0 REMEDIAL ACTIVITIES The following remedial activities were performed at the subject site: Excavation Upon mobilizing to the site,the UST grave was screened with a Photoionization detector(PID)to aid in the detection of the fuel oil impacted soils. Based on elevated field screening results, soil was removed from the base of the UST grave and stockpiled on and under 6 mil polyethylene sheeting to prevent cross contamination with surrounding soils. Subsequent to soil removal,three (3)soil samples were collected from the excavation, (Floor, Footing, 3-Wall Comp). The location of post excavation soil sampling can be found in Appendix 1;as well as a Table summarizing these results; the supporting lab results are presented in Appendix 3. The resulting excavation site following tank and soil removal measured 8'L x 8'W x 8'D. CEC did not encountered bedrock during remedial activities but encountered groundwater at six (6) feet below surface grade in the bottom of the hole. Liquid Waste Disposal Residual tank contents were removed and disposed of by CEC using our NYSDEC licensed vacuum truck. Appendix 2 shows that Castlton's Work Order No. 19964 indicates 55 gallons of 42 fuel, sludge, and water was removed from the UST. All liquid material recovered from the Excavation and UST were transported by CEC to Clean Water of New York, Inc. for disposal, a licensed disposal facility located in Staten Island, NY. The amount of gallons shown on the manifest includes residual waste generated from this site as well as other sites the vacuum truck generated over a period of time. DATE AMOUNT(Gallons) JOB WORK ORDER DISPOSAL FACILITY 3/15/19 55 (UST) 19964 Clean Water of NY Back Ilin The excavation was filled to grade with clean overburden and quarry process provided by Braen Stone Industries located at 589 W Brook Rd,Ringwood,NJ 07456 a licensed quarry. Appendix 2 contains the backfill receipts. Subsurface Characteristics As part of the investigation, the subsurface geology was characterized. Soil encountered during excavation was similar in type and character. The soil beneath consisted mostly of a sandy clay loam. 4.0 POST EXCAVATION SOIL SAMPLING AND RESULTS On April 10'',2019,three(3)post-excavation soil samples were collected from the excavation site (Floor,Footing, 3-Wall Comp). All soil samples were placed into laboratory supplied jars,stored in coolers,and delivered to the laboratory under an appropriate chain-of-custody. The soil samples were analyzed for Volatile Organic Compounds (STARS 8260) and Semi Volatile Compounds (STARS 8270).Analytical services were performed by Phoenix Environmental Laboratories Inc., of Manchester Connecticut; a NYSDEC certified laboratory(NELAC# 11301).The soil samples were interpreted against the NYSDEC Residential Soil Clean-up Criteria. The soil sample Floor yielded one detection,but well below CP-51 Standards. The soil sample Footing yielded nine(9) detections but none exceeding CP-51 Standards and the soil sample 3-Wall-Comp yielded Non- Detect for all constituents tested for. Figure 1 in Appendix 1 visually depicts the soil sampling locations associated with the current investigation as well as a table summarizing the results and the laboratory report of the post excavation soil samples is provided in Appendix 3. 5.0 GROUNDWATER SAMPLING& RESULTS During soil removal,groundwater was encountered in the excavation at a depth of approximately 6' below surface grade (BSG). Due to this, a temporary 4" PVC monitoring well, MW-1, was installed in the excavation during backfilling operations. On 4/29/19 using a Teflon bailer a groundwater sample was collected from temporary monitoring well and sent under the appropriate chain of custody to Phoenix Environmental Laboratories Inc., a NYSDEC certified laboratory (NELAC# 11301).Here the water sample was analyzed for Volatile Organic compounds(STARS 8260) and Semi Volatile Organic compounds (STARS 8270). These results were interpreted against the NYSDEC Residential Groundwater Clean-up Criteria. The results for the groundwater sample yielded eighteen(18) detections with six(6)exceedances. The detections are summarized in Appendix 1-Table 2. The laboratory report of the groundwater analytical results can be found in Appendix 3. 6.0 MANAGEMENT OF EXCAVATED CONTAMINATED SOIL A composite soil sample was collected from the stockpiled soils and analyzed for waste class parameters.Upon approval 4.15 tons of#2 fuel oil impacted soils were transported from the subject property and disposed of at Clean Earth of Carteret, Inc. a licensed petroleum contaminated soil disposal facility, located at 24 Middlesex Avenue, Carteret, NJ 07008. The soil disposal receipts can be found in Appendix 2. 7.0 CONCLUSIONS Our investigation revealed that the removed 330-gallon UST,did not contain any holes in the tank upon inspection by CEC.The tank was cleaned,removed and properly disposed of at Teplitz Scrap Industries of Nanuet,New York. Fuel oil impacted soils were observed within the base of the UST excavation during the field activities. The contaminated soils were removed, stockpiled,and upon approval 4.15 tons of#2 fuel oil impacted soils were transported from the subject property and disposed of at Clean Earth of Carteret. On April 10t', 2019,three(3)post-excavation soil samples were collected from the excavation site (Floor, Footing, 3-Wall Comp). All soil samples were placed into laboratory supplied jars, stored in coolers, and delivered to the laboratory under an appropriate chain-of-custody. The soil samples were analyzed for Volatile Organic Compounds (STARS 8260)and Semi Volatile Compounds(STARS 8270).Analytical services were performed by Phoenix Environmental Laboratories Inc., of Manchester Connecticut; a NYSDEC certified laboratory(NELAC# 11301). The soil samples were interpreted against the NYSDEC Residential Soil Clean-up Criteria. The soil sample Floor yielded one detection but well below CP-51 Standards. The soil samples Footing yielded nine (9) detections but none exceeding CP-51 Standards and the soil sample 3 Wall Comp yielded Non-Detect for all constituents tested for. Figure 1 in Appendix 1 visually depicts the soil sampling locations associated with the current investigation as well as a table summarizing the results and the laboratory report of the post excavation soil samples is provided in Appendix 3. Bedrock was not encountered during remedial activities. During soil removal, groundwater was encountered in the excavation at a depth of approximately 6' below surface grade (BSG). Due to this, a temporary 4" PVC monitoring well, MW-I, was installed in the excavation during backfilling operations. On 4/29/19 using a Teflon bailer a groundwater sample was collected from temporary monitoring well and sent under the appropriate chain of custody to Phoenix Environmental Laboratories Inc., a NYSDEC certified laboratory (NELAC# 11301).Here the water sample was analyzed for Volatile Organic compounds(STARS 8260) and Semi Volatile Organic compounds (STARS 8270). These results were interpreted against the NYSDEC Residential Groundwater Clcan-up Criteria. The results for the groundwater sample yielded eighteen (18)detections with six (6) exceedances. The detections are summarized in Appendix 1-Table 2. The laboratory report of the groundwater analytical results can be found in Appendix 3. The excavation was filled to grade with clean overburden and quarry process provided by Braen Stone Industries located at 589 W. Brook Rd., Ringwood, NJ 07456 a licensed quarry. Appendix 2 contains the backfill receipts. Considering field observations and the laboratory test results previously discussed, Castlton Environmental Contractors recommends that no further remedial action is necessary for this site and therefore request the state to close case No. 1812314. APPENDIX 1 Figure 1: Tank and Soil Sample Location Map Table 1 — Soil Sample Analytical Results Summary Table 2 — Groundwater Analytical Results Summary L-l' z a 0 E Ln0 co z � z oho w v 0 O ! p UUZ :gu LL m . 0 . a OaGwaaoz � O E O � � zzo `n V� • .. � � � LPL � w � 3 Z 0 � � a 0 ' �n *0 to d Lu .. w U Table 1 -Soil Cleanup Levels for Fuel Oil Contaminated Soil Follick SAMPLE COLLECTION DATE NYSDEC Floor Footing 3 Wall Comp LABORATORY ID NO. CC93200 CC93201 CC93202 SAMPLE COLLECTION DATE SOIL 4/10/2019 4/10/2019 4/10/2019 DEPTH LEVELS MATRIX Soils Soils Soils UNITS ppm I ppm ppm ppm Acenaphthene 20 NO NO NO Acenaphthylene 100 NO ND Anthracene 100 NO NO Benz(a)Anthracene 1.0 NO ND Dibenzo(a,h)Anthracene 0.33 NO NO D Benzene 0.06 NO NO D n-Butylbenzene 12.0 NO N sec-Butyl benzene 11.0 NO 0.0042 Tert-Butylbenzene 5.9 NO NO Chrysene 1.0 NO NO Ethylbenzene 1.0 NO U.0013 ND Fluoranthene 100 NO NO Benzo(b)Fluoranthene 1.0 NO NO INU 8enzo(k)Fluoranthene 0.8 NLJ NO NO Fluorene 30.0 NIJ NO Isopropylbenzene 2.3 NO NU -WT- p-Isopropyltoluene 10.0 U.UU67 NO Naphthalene 12.0 n-Propylbenzene 3.9 Benzo(g,h J)Perylene 100 NO NO U Phenanthrene 100 Pyrene 100 Benzo(a)Pyrene 1.0 NO NO 1 17T- Indeno(1,2,3-cd)Pyrene 0.5 NO NO NO 1,2,4-Trim ethyl benzene 3.6 1,3,5-Trim ethyl benzene 8.4 NO Toluene 0.7 Xylene(Mixed) 0.26 NO J=Estimated concentration ND=Non Detect NL=No standard listed ppm=parts per million NA=Not analyzed 0 Exceeds Quality Standards 0 Detected, but below the Quality Standards TABLE 2 GROUNDWATER SAMPLE ANALYTICAL RESULTS VOC AND BN ANALYTICAL RESULTS Follick CASTLTON SAMPLE NO. NYDEC GW-1 MW-1 LABORATORY ID NO. CC91215 CD03796 SAMPLE COLLECTION DATE GROUNDWATER 4/8/2019 4/29/2019 LAB RECEIPT DATE QUALITY DEPTH STANDARDS MATRIX Groundwater Groundwater UNITS ppb ppb ppb Volatile Organics(VOC's) Benzene 1 ND n-Butylbenzene 5 tert-Butylbenzene 5 ND sec-Butylbenzene 5 ND 4.2 Ethylbenzene 5 Isopropylbenzene 5 1. p-Isopropyltoluene 5 ND 4.1 Methyl t-Butyl Ether 10 N D Naphthalene 10 Z 0 1 K n-Propylbenzene 5 610 3.9 Toluene 5 Total Xylenes 5 ND 1,2,4-Trim ethyl benzene 5 g 1,3,5-Trimethylbenzene 5 B o-Xylene 5 mp-Xylene 5 1300 Semivolatiles(BN's) 2-Methylnapthalene 50 ND Acenaphthene 20 ND Acenaphthylene 50 i. 1.3 Anthracene 50 .41.5 Benzo(a)anthracene 0.002 u.2� Benzo(a)pyrene 0.002 o- ND Benzo(b)fluoranthene 0.002 Benzo(g,h,i)perylene 5 ND Benzo(k)fluoran then e 0.002 t Chrysene 0.002 0.25 Dibenzo(a,h)anthracene 50 ND Fluoranthene 50 Fluorene 50 Indeno(1,2,3-cd)pyrene 0.002 ND Phenanthrene 50 Pyrene 50 2.1 Notes: J=Estimated concentration NL=No standard listed NA=Not analyzed ND=Non detected ppb=parts per billion 0 Exceeds Quality Standards 0 Detected, but below the Quality Standards APPENDIX 2 Tank Disposal Receipt Liquid Disposal Receipt Contaminated Soil Disposal Receipts Backfill Receipts SCALE PURCHASE TICKET Teplitz Metal Processing 108 West Nyack Road Nanuet, NY 10954 845-623-0040 DMV#7104668 Ticket: 312723 Weigh In: 05/21/2019 14 43 Customer: 1030 Weigh Out: 05/21/2019 14:52 Castlton Environmental Services 80 West Nyack Road Nanuet, NY 10954 Dump Trk AD Commodity Gross Tare Net Price TOTAL$ Unp.Tanks 22980 21200 1780 /GT ----------- - -- -- SCALE PURCHASE TICKET Teplitz Metal Processing 108 West Nyack Road Nanuet, NY 10954 845-623-0040 DMV#7104668 Buyer: 9 1 hereby certify that I have the right to possess and sell this scrap. This is a Bill of Sale to the above described scrap. I hereby acknowledge payment in full. This is to certify that I deliverd the above material for the named supplier. This will also certify that I,on behalf of the above named supplier, am familiar with Teplitz's list of unacceptablelprohibited materials, and that the above load does not contain any unacceptable/prohibited materials, including any Class I (chlorofluorocarbons) or Class 2(hydrochloroflourocarbons) refrigerants(Freon),which under the federal Clean Air Act must be reclaimed not vented. Customer Signature Please do not lose this ticket. LAr— To Reorder. 1-800-225-6380 or www.nebs.com ^ /a PRODUCT 6558 • CASTLTON ENVIRONMENTAL 008 WORK (ORDER CONTRACTORS, LLC P.O. Box 609 19964 NANUET, NY 10954 1-800-25-TANKS DATE OF ORDER FAX (845) 624-1325 CUSTOMER'S ORDER NO. PHONE MECHANIC HELPER STARTING DATE �A. / BILL TO J f/� )/ ORDER TAKEN BY ADDRESS /s/ //!\ I DAY WORK CITY /��•l ��! /JJ ❑ CONTRACT AV—I /fr ,Ly ❑ EXTRA JOB NAME AND LOCATION ��/ /�• 1 JOB PHONE II 1 DESCRIPTION OF WORK: lac � ...o �.5. l o; TOTAL MATERIALS TOTAL LABOR 1.50,6_per month interest will be applied to accounts over 30 days due. All collection fees including attorneys, collection TAX agencies, and court fees will be the responsibi' of the client GAT=rOMPf FTED i WOR ORDERED Y TOTAL AMOUNT $ ❑No one home ❑ Total amount due ❑ Total billing to Signature ,L for above work:or be mailed after completion I hereby acknowledge the satisfactory completion of work of the above described work. 0&0", Clean Water of New York, Inc. J�3249 Richmond Terrace WnLcr 0303 Phone: Staten Island, 4600 ,F x:1718-981-5213 RECEIPT Job Number Date Time Job Type JOB0166897 3I15l19 2:37 pm Truck Job Generator Transporter CASTLTON ENVIRONMENTAL CONTRACTORS,LLC 80 West Nyack Road CASTLTON ENVIRONMENTAL CONTRACTORS,LL Nanuet,NY 10954 P.O.Box 609 80 West Nyack Road (845)624-1312 Nanuet,NY 10954 EPA Permit# NJR000001180 EPA Permit#: NJR000001180 Customer NYS DEC Permit#: NJ-636 CASTLTON ENVIRONMENTAL CONTRACTORS,LLC Transport/Vessel: VAC#3 P.O.Box 609 80 West Nyack Road Nanuet,NY 10954 #of Tanks: 1 PO#: Job# Total Capacity: 3,200 Profile Sheet: Yes Approval Code:219-001 U of M: Gallons Received 3,015 Gallons Of Oily Water For Proper Treatment and Disposal. Products& Category Code Description Quantity UoM Test Results 7 D N018 Oily Water 3,015 Gallons Compartment % Water % Oil % Solid Halogens (ppm) Flash Point(oF) 1 - 80.00 20.00 0.00 100 >= 110 Other Tests Peformed:No Did this load or any portion of this load orginate at a utility? No —/S- ��—o Red nature an ate Generator's Representative Signature and Date 3/15/2019 2:39 pm Page 1 of 1 N0N4jAZAAD0US`", 1.Generator ID Number' c=.•. =:; 2.Page t of 3.EmergencyResppnse Phone f WaftTracking Number WASTE MANIFEST [� _42z2TT -C? 5.-GeneraiVs Name and Mailing Address Generators Site Address(if different than m-Ang address) Generator's Phone: 6.Transporter 1 Company me U.S.EPA ID Number / V 7. ransporter 2 Compan'y Name U.S. AID Number B. i aced Foal ty Na a rtt3n4ddress (f U.S.EPA ID Number cti .e r �7 z- 5'S /Z�h,,.,v/1 sr✓rc..�. �� e� 5 �( .ley /U3G Fads s Phone: 9.Waste Shipping Name and DesG•iption 1D.Con.Wnem 11.Total 12.UrR No. Type Quantity wm0l. 2 361 3. cial yandling gns is ilk al InlorrpatiyrL�/� �, /G r K �` �,--e;t ab,zl�z �t—5 14.GENERATOR'SIOFFEROR'S CERTIFICATION:a hereby declare that the contents of this coruignment are fully and accurate'Ydescribed above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects In proper condition for transport according to applicable international and national governmental regula Eons Gen erator'&"eror's PrirrtedlTyped Name Signature Month Day Year � 15.finlemaliDnal5hipments ❑Import to U.S. ❑Exprt from U.S.. Port of entry/exit: Transporter Signature gore s only): Date leaving U.S.: r¢ 16.Transporter Acknowledgment of Receipt of Materials OTransporter 1 Printed/Typed NN Signature Month Day Year Transporter 2 P inted/Typed Name Signature Month Day Year 0 t- 17.Discrepancy 17s.Discrepancy indication Space ❑Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number. 17b.Alto late Facility(or Generator) U.S.EPA ID Number a &L Facility's Phone: 17G Signature of Alternate Facility(or Generator) Month Da � y Year N W G I S.Designated Facility Owner cr Operator Certification of receipt of materials covered by the manifest except as noted in nem 17e<<< — Printedrryped Name Sgnawre - Month Day Year 169-BLS-C 6 104 (Rev.9/09) TRANSPORT R#1 Are'S No } _e In i QFA EARTH INTERNAL le Manifest# r- CLeANE;ARTH GLOBAL JOB NUMBER: q� ✓�J FACILITY APPROVAL NUMBER: l 30 70 Please Check One. 1<Clean Earth of Carteret ElClean Earth of Maryland ElClean Earth of New Castle ❑Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 Upper Marlboro,MD 20772 Ph:732-541-8909 Ph:301-791-6220 Ph:302-427-6633 Ph:301-599-0939 0 Clean Earth of Philadelphia ❑Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania ❑Other 3201 S.61st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 Ph:215-724-5520 Ph:973-344-4004 Ph:215.428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) GENERATOR'S NAME&SITE ADDRESS: GROSS WEIGHT: ons ❑Yards 2-03._✓ c°$ TARE WEIGHT: ons ❑Yards GENERATOR'S PHONE: W WEIGHT: 1 Tons ❑Yards DESCRIPTI N OF MATERIAL/SAMPLE ID AND LOCATION Q SD GENERATOR'S CERTIFICATION.—Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. I hereby certify that the.above named material does not contain free liquid as defried by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law,is not a DOT hazardous substance as defined by 49 CFR Part 172 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper condition for transporlmion according to all applicable state and federal regulations. Name: "-� Title: Signature: -— Date and Time: TRANSPORTER Company: /W4 Phone Number: $�5�2 131 Address: di, 2 J, Ah i Truck#and License Plate: 1 Driver: v L ;,� , SW Haulers Permit OT636 (Type or Print Clearly) (applicable state permit it) I here certi)�.-tliq the above ed material was picked up at the site listed above. Driver Signature: }� / l Date and Time: DESTINATION I hereby certify that the above named material was delivered without incident to the facility oted above. Driver Signature: Date and Time: I hereWceWthaie above6VRKd material has been accepted at the above refe ct ac lify/ Authorized Signature: Date and Time: CLEAN EARTH INTERNAL f BR EN STfjjj1jR OlspatCh.973 595-613U fax:9;3•,20-6456 ww.bnenstarw.cam NAledan Quarry Y Asphalt Plants R111po a Quarry frankln Quarry Sparta Quarry 400-402 Central Avenue 884 Wcslbumk Road ?80 Co k Hill Rnad Halydov,NJ 0508 Ringwwd,NJ 074% Rankim,N;07415 La ayetta,NJ 07848 Ticket # STONE INDUSTRIES INC. 668545 1 i Date: 03/15/19 Tom; AR913G Time: 07:13 JAS19 DELIVERY Customer: C9012 C9012-2 Castiton Environmental Attn Tami NANUET YARD W. NYACK RD. ' I P.O. : 80 WEST NYACK RD i t NANUET, NY BILL 973-332-4972 Product: 329 1 1/2 QUARRY PROCESS JMF: (Daily) Loads: 2 Amount: 49.69 Tn 45.08 Mg Gross: 39.54 TN 79080 lb 35.87 Mg Unit Price: Tare: 14.86 TN 29720 lb 13.48 Mg Sub Total: Net: 24.68 TN 49360 lb 22.39 Mg Hauling: Tax: Total: Credit Car Ref #: 3269 ANTHONY 845-624-1312 1 Received By: Signing above confirms I have read rules on back Weighmaster: JOE CRUZ APPENDIX 3 Laboratory Report of Post Excavation Soil Sampling Laboratory Report of Post Excavation Groundwater Sampling PHOML'It) Environmental Laboratories, Inc. Monday, April 15, 2019 Attn: Mr. Bill Jacobsen Castlton Environmental Contractors P.O. Box 609 Nanuet, NY 10954 Project ID: FOLLICK SDG ID: GCC93200 Sample ID#s: CC93200 - CC93202 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, OA UL Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration#63 ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 1 of 15 pu �Nj AiN ACCOq� o o+y U � U Environmental Laboratories, Inc. ` NY#11301 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 SDG Comments April 15, 2019 SDG I.D.: GCC93200 CC93200-Client provided soil jar for volatile analysis. Phoenix prepared sample per method 5035. CC93201 -Client provided soil jar for volatile analysis. Phoenix prepared sample per method 5035. CC93202-Client provided soil jar for volatile analysis. Phoenix prepared sample per method 5035. Page 2 of 15 iN %,Ak ACCp +', PH0EAYXi,-%. - e Environmental Laboratories, Inc. ` NY#11301 587 East Middle Tumpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)64&0823 Sample Id Cross Reference April 15, 2019 SDG I.D.: GCC93200 Project ID: FOLLICK Client Id Lab ld Matrix FLOOR CC93200 SOIL FOOTING CC93201 SOIL 3 WALL COMP CC93202 SOIL Q . Page 3 of 15 PHOENIXt �, .� N AvC0Fo i Environmental Laboratories, Inc. U � 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors April 15, 2019 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/10/19 14:00 Location Code: CASTLTON Received by: B 04/11/19 15:02 Rush Request: Standard Analyzed by: see"By"below P.o.#: Laboratory Data SDG ID: GCC93200 Phoenix ID: CC93200 Project ID: FOLLICK Client ID: FLOOR RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 89 % 04/11/19 ML SW846-%Solid Soil Extraction SVOA PAH Completed 04/11/19 JJ/LV SW3545A Volatiles- STARS/CP-51 1,2,4-Tdmethylbenzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C 1,3,5-Trim ethyl benzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C Benzene ND L 1.1 ug/Kg 1 04/12/19 JLI SW8260C Ethylbenzene ND L 1.1 uglKg 1 04/12/19 JLI SW8260C Isopropyl benzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C m&p-Xylene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND L 1.1 ug/Kg 1 04/12/19 Al SW8260C Naphthalene 11 L 2.3 ug/Kg 1 04/12/19 Al SW8260C n-Butylbenzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C n-Propylbenzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C o-Xylene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C p-Isopropyltoluene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C sec-Butyl benzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C tert-Butylbenzene ND L 2.3 ug/Kg 1 04/12/19 JLI SW8260C Toluene ND L 1.1 ug/Kg 1 04/12/19 JLI SW8260C Total Xylenes ND 2.3 ug/Kg 1 04/12/19 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 99 % 1 04/12/19 JLI 70- 130% %Bromofluorobenzene 98 % 1 04/12/19 JLI 70-130% %Dibromofluoromethane 97 % 1 04/12/19 JLI 70-130% %Toluene-d8 98 % 1 04/12/19 JLI 70-130% Sem ivolati les-STARS/C P-51 Acenaphthene ND 250 ug/Kg 1 04/12/19 AW SW8270D Ver 1 Page 4 of 15 Project ID: FOLLICK Phoenix I.D.: CC93200 Client ID: FLOOR RU Parameter Result PQL Units Dilution Date/Time By Reference Acenaphthylene ND 250 ug/Kg 1 04/12/19 AW SW8270D Anthracene ND 250 ug/Kg 1 04/12/19 AW SW8270D Benz(a)anthracene ND 250 ug/Kg 1 04/12/19 AW SW8270D Benzo(a)pyrene ND 250 ug/Kg 1 04/12/19 AW SW8270D Benzo(b)fluoranthene ND 250 ug/Kg 1 04/12/19 AW SW8270D Benzo(ghi)perylene ND 250 ug/Kg 1 04/12/19 AW SW8270D Benzo(k)fuoranthene ND 250 ug/Kg 1 04/12/19 AW SW8270D Chrysene ND 250 ug/Kg 1 04/12/19 AW SW8270D Dibenz(a,h)anthracene ND 250 ug/Kg 1 04/12/19 AW SW8270D Fluoranthene ND 250 ug/Kg 1 04/12/19 AW SW8270D Fluorene ND 250 ug/Kg 1 04/12/19 AW SW8270D Indeno(1,2,3-cd)pyrene ND 250 ug/Kg 1 04/12/19 AW SW8270D Naphthalene ND 250 ug/Kg 1 04/12/19 AW SW8270D Phenanthrene ND 250 ug/Kg 1 04/12/19 AW SW8270D Pyrene ND 250 ug/Kg 1 04/12/19 AW SW8270D QAlQC Surrogates %2-Fluorobiphenyl 62 % 1 04/12/19 AW 30-130% %Nitrobenzene-d5 72 % 1 04/12/19 AW 30-130% %Terphenyl-d14 61 % 1 04/12/19 AW 30-130% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ,Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: This sample was not collected in accordance with EPA method 5035.NELAC requires the laboratory to qualify the volatile soil data as biased low. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller,Laboratory Director April 15,2019 Reviewed and Released by: Rashmi Makol, Project Manager Ver 1 Page 5 of 15 N ACc 0 Pi t 9 U Environmental Laboratories, Inc. a 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors April 15, 2019 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/10/19 14:15 Location Code: CASTLTON Received by: B 04/11/19 15:02 Rush Request: Standard Analyzed by: see"By"below P.O.#: SDG ID: GCC93200 Laborator�Data Phoenix ID: CC93201 Project ID: FOLLICK Client ID: FOOTING RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 81 % 04/11/19 ML SW846-%Solid Soil Extraction SVOA PAH Completed 04/11/19 JJ/LV SW3545A Volatiles- STARS/CP-51 1,2,4-Tri methyl benzene 310 L 150 ug/Kg 50 04/12/19 Al SW8260C 1,3,5-Tri methyl benzene 4.3 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Benzene ND L 1.3 ug/Kg 1 04/12/19 JLI SW8260C Ethylbenzene 1.3 L 1.3 ug/Kg 1 04/12/19 Al SW8260C isopropylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C m&p-Xylene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND L 1.3 ug/Kg 1 04/12/19 JLI SW8260C Naphthalene 1100 L 150 ug/Kg 50 04/12/19 JLI SW8260C n-Butylbenzene 4.9 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C n-Propylbenzene 4.1 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C o-Xylene 2.6 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C p-Isopropyltoluene 6.7 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Sec-Butyl benzene 4.2 L 2.5 ug/Kg 1 04/12/19 JLI SW8260C tert-Butylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Toluene ND L 1.3 ug/Kg 1 04/12/19 Al SW8260C Total Xylenes 2.6 2.5 ug/Kg 1 04/12/19 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 98 % 1 04/12/19 JLI 70- 130% %Bromofluorobenzene 100 % 1 04/12/19 JLI 70- 130 % Dibromofluoromethane 99 % 1 04/12/19 JLI 70-130% %Toluene-d8 98 % 1 04/12/19 JLI 70-130% % 1,2-Dichlorobenzene-d4(50x) 102 % 50 04/12/19 Al 70-130% Bromofluorobenzene(50x) 102 % 50 04/12/19 Al 70-130% % Dibromofluoromethane(50x) 90 % 50 04/12/19 Al 70- 130% Ver 1 Page 6 of 15 Project ID: FOLLICK Phoenix I.D.: CC93201 Client ID: FOOTING RL/ Parameter Result PQL Units Dilution Date/Time By Reference %Toluene-d8(50x) 101 % 50 04/12/19 JLI 70-130% Semivolatiles-STARS/CP-51 Acenaphthene ND 280 ug/Kg 1 04/12/19 AW SW8270D Acenaphthylene ND 280 ug/Kg 1 04/12/19 AW SW8270D Anthracene ND 280 ug/Kg 1 04/12/19 AW SW8270D Benz(a)anthracene ND 280 ug/Kg 1 04/12/19 AW SW8270D Benzo(a)pyrene ND 280 ug/Kg 1 04/12/19 AW SW8270D Benzo(b)fluoranthene ND 280 ug/Kg 1 04/12/19 AW SW8270D Benzo(ghi)perylene ND 280 ug/Kg 1 04/12/19 AW SW8270D Benzo(k)fluoranthene ND 280 ug/Kg 1 04/12/19 AW SW8270D Chrysene ND 280 ug/Kg 1 04/12/19 AW SW8270D Dibenz(a,h)anthracene ND 280 ug/Kg 1 04/12/19 AW SW8270D Fluoranthene ND 280 ug/Kg 1 04/12/19 AW SW8270D Fluorene ND 280 ug/Kg 1 04/12/19 AW SW8270D Indeno(1,2,3-cd)pyrene ND 280 ug/Kg 1 04/12/19 AW SW8270D Naphthalene 820 280 ug/Kg 1 04/12/19 AW SW8270D Phenanthrene ND 280 ug/Kg 1 04/12/19 AW SW8270D Pyrene ND 280 ug/Kg 1 04/12/19 AW SW8270D QAlQC Surrogates %2-Fluorobiphenyl 53 % 1 04/12/19 AW 30-130 %Nitrobenzene-d5 54 % 1 04/12/19 AW 30-130% %Terphenyl-d14 48 % 1 04/12/19 AW 30-130% RL/PQL=Repo rting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RL/PQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: This sample was not collected in accordance with EPA method 5035.NELAC requires the laboratory to qualify the volatile soil data as biased low. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. A .V AUL Phyllis hiller,Laboratory Director April 5,2019 Reviewed and Released by: Rashmi Makol,Project Manager Ver 1 Page 7 of 15 �10 `M ACCG u4. PH0EAYX*i,__ _ ' Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 -NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors April 15, 2019 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/10/19 14:30 Location Code: CASTLTON Received by: B 04/11/19 15:02 Rush Request: Standard Analyzed by: see"By"below P.o.#: Laboratory Data SDG ID: GCC93200 Phoenix ID: CC93202 Project ID: FOLLICK Client ID: 3 WALL COMP RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 80 % 04/11/19 ML SW846-%Solid Soil Extraction SVOA PAH Completed 04/11/19 JJ/LV SW3545A Volatiles- STARS/CP-51 1,2,4-Thmethylbenzene ND L 2.5 ug/Kg 1 04/12/19 Al SW8260C 1,3,5-Trimethylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Benzene ND L 1.2 ug/Kg 1 04/12/19 JLI SW8260C Ethylbenzene ND L 1.2 ug/Kg 1 04/12/19 JLI SW8260C Isopropylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C m&p-Xylene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND L 1.2 ug/Kg 1 04/12/19 JLI SW8260C Naphthalene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C n-Butylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C n-Propylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C o-Xylene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C p-Isopropyltoluene ND L 2.5 ug/Kg 1 04/12/19 Al SW8260C sec-Butyl benzene ND L 2.5 ug/Kg 1 04/12/19 Al SW8260C tert-Butylbenzene ND L 2.5 ug/Kg 1 04/12/19 JLI SW8260C Toluene ND L 1.2 ug/Kg 1 04/12/19 JLI SW8260C Total Xylenes ND 2.5 ug/Kg 1 04/12/19 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 98 % 1 04/12/19 Al 70-130% %Bromofluorobenzene 98 % 1 04/12/19 Al 70- 130% • Dibromofluoromethane 96 % 1 04/12/19 JLI 70-130% •Toluene-d8 98 % 1 04/12/19 JLI 70-130% Semivolatiles-STARS/CP-51 Acenaphthene ND 290 ug/Kg 1 04/12/19 AW SW8270D Ver 1 Page 8 of 15 Project ID: FOLLICK Phoenix I,D,: CC93202 Client ID: 3 WALL COMP RL/ Parameter Result PQL Units Dilution Date/Time By Reference Acenaphthylene ND 290 ug/Kg 1 04/12/19 AW SW8270D Anthracene ND 290 ug/Kg 1 04/12/19 AW SW8270D Benz(a)anthracene ND 290 ug/Kg 1 04/12/19 AW SW8270D Benzo(a)pyrene ND 290 ug/Kg 1 04/12/19 AW SW8270D Benzo(b)fluoranthene ND 290 ug/Kg 1 04/12/19 AW SW8270D Benzo(ghi)perylene ND 290 ug/Kg 1 04/12/19 AW SW8270D Benzo(k)fluoranthene ND 290 ug/Kg 1 04/12/19 AW SW8270D Chrysene ND 290 ug/Kg 1 04/12/19 AW SW8270D Dibenz(a,h)anthracene ND 290 ug/Kg 1 04/12/19 AW SW8270D Fluoranthene ND 290 ug/Kg 1 04/12/19 AW SW8270D Fluorene ND 290 ug/Kg 1 04/12/19 AW SW8270D Indeno(1,2,3-cd)pyrene ND 290 ug/Kg 1 04/12/19 AW SW82700 Naphthalene ND 290 ug/Kg 1 04/12/19 AW SW8270D Phenanthrene ND 290 ug/Kg 1 04/12/19 AW SW8270D Pyrene ND 290 ug/Kg 1 04/12/19 AW SW8270D QA/QC Surrogates %2-Fluorobiphenyl 61 % 1 04/12/19 AW 30-130 %Nitrobenzene-d5 59 % 1 04/12/19 AW 30-130 %Terphenyl-dl4 57 % 1 04/12/19 AW 30-130% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: This sample was not collected in accordance with EPA method 5035.NELAC requires the laboratory to qualify the volatile soil data as biased low. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller,Laboratory Director April 15,2019 Reviewed and Released by: Rashmi Makol,Project Manager Ver 1 Page 9 of 15 �µ ACCO PIIOEVIX�-._ �� o.��° 9°�y° U Environmental Laboratories, Inc. x 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 QA/QC Report April 15, 2019 QA/QC Data SDG I.D.: GCC93200 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 474416(ug/kg),QC Sample No:CC93211 (CC93200,CC93201,CC93202) Polynuclear Aromatic HC - Sail Acenaphthene ND 230 52 62 17.5 65 49 28.1 30-130 30 Acenaphthylene ND 230 52 63 19.1 65 48 30.1 30-130 30 Anthracene ND 230 56 66 16.4 67 50 29.1 30-130 30 Benz(a)anthracene ND 230 53 65 20.3 71 50 34.7 30-130 30 r Benzo(a)pyrene ND 230 53 65 20.3 67 48 33.0 30-130 30 r Benzo(b)fluoranthene ND 230 54 66 20.0 71 50 34.7 30-130 30 Benzo(ghi)perylene ND 230 47 59 22.6 57 46 21.4 30-130 30 Benzo(k)fluoranthene ND 230 54 67 21.5 60 49 20.2 30-130 30 Chrysene ND 230 54 65 18.5 67 50 29.1 30-130 30 Dibenz(a,h)anthracene ND 230 53 65 20.3 63 50 23.0 30-130 30 Fluoranthene ND 230 52 64 20.7 70 48 37.3 30-130 30 r Fluorene ND 230 55 65 16.7 66 49 29.6 30-130 30 Indeno(1,2,3-cd)pyrene ND 230 52 64 20.7 65 49 28.1 30-130 30 Naphthalene ND 230 50 59 16.5 68 47 36.5 30-130 30 Phenanthrene ND 230 54 65 18.5 70 50 33.3 30-130 30 Pyrene ND 230 53 65 20.3 72 48 40.0 30-130 30 r %2-Fluorobiphenyl 64 % 47 60 24.3 64 46 32.7 30-130 30 r %Nitrobenzene-d5 68 % 48 67 33.0 93 48 63.8 30-130 30 r %Terphenyl-d14 63 % 45 57 23.5 57 42 30.3 30-130 30 QA/QC Batch 474563(ug/kg),QC Sample No:CC91963(CC93201 (50X)) Volatiles - Soil 1,2,4-Trimethylbenzene ND 1.0 97 94 3.1 98 98 0.0 70-130 30 Naphthalene ND 5.0 104 101 2.9 97 98 1.0 70-130 30 %1,2-dichlorobenzene-d4 101 % 102 101 1.0 103 99 4.0 70-130 30 %Bromofluorobenzene 96 % 101 101 0.0 104 104 0.0 70.130 30 %Dibromofluoromethane 102 % 98 100 2.0 92 101 9.3 70-130 30 %Toluene-d8 102 % 102 103 1.0 105 104 1.0 70-130 30 Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. QA/QC Batch 474551 (ug/kg),QC Sample No:CC93202(CC93202) Volatiles - Soil 1,2,4-Trimethylbenzene ND 1.0 99 97 2.0 105 103 1.9 70-130 30 1,3,5-Trimethylbenzene ND 1.0 99 97 2.0 105 104 1.0 70-130 30 Benzene ND 1.0 97 96 1.0 101 101 0.0 70-130 30 Ethylbenzene ND 1.0 98 96 2.1 104 104 0.0 70-130 30 Isopropylbenzene ND 1.0 98 96 2.1 105 103 1.9 70-130 30 m&p-Xylene ND 2.0 98 97 1.0 104 104 0.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 102 100 2.0 99 101 2.0 70-130 30 Naphthalene ND 5.0 97 96 1.0 98 102 4.0 70-130 30 n-Butylbenzene ND 1.0 100 99 1.0 108 106 1.9 70-130 30 Pepe 10 of 15 QA/QC Data SDG I.D.: GCC93200 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits n-Propylbenzene ND 1.0 98 97 1.0 105 104 1.0 70-130 30 o-Xylene ND 2.0 99 98 1.0 105 105 0.0 70-130 30 p-Isopropykoluene ND 1.0 99 98 1.0 107 106 0.9 70-130 30 sec-Butyl benzene ND 1.0 104 102 1.9 111 110 0.9 70-130 30 tert-Butylbenzene ND 1.0 98 97 1.0 105 105 0.0 70-130 30 Toluene ND 1.0 96 96 0.0 102 102 0.0 70-130 30 %1,2-dichlorobenzene-d4 99 % 100 101 1.0 99 99 0.0 70-130 30 %Bromofluorobenzene 98 % 102 101 1.0 100 100 0.0 70-130 30 %Dibromofluoromethane 96 % 99 99 0.0 96 97 1.0 70-130 30 %Toluene-d8 99 % 100 100 0.0 100 100 0.0 70-130 30 Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. QA CC Batch 474767(ug/kg),QC Sample No:CC93717(CC93200,CC93201) Volatiles - Soil 1.2,4-Trimethylbenzene ND 1.0 100 100 0.0 92 89 3.3 70-130 30 1,3,5-Trimethylbenzene ND 1.0 100 101 1.0 92 89 3.3 70-130 30 Benzene ND 1.0 100 99 1.0 91 89 2.2 70-130 30 Ethylbenzene ND 1.0 100 100 0.0 93 89 4.4 70-130 30 Isopropylbenzene ND 1.0 1 D1 101 0.0 92 89 3.3 70-130 30 m&p-Xylene ND 2.0 101 101 0.0 93 90 3.3 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 101 99 2.0 95 96 1.0 70-130 30 Naphthalene ND 5.0 98 97 1.0 96 98 2.1 70-130 30 n-Butylbenzene ND 1.0 100 102 2.0 92 88 4.4 70-130 30 n-Propylbenzene ND 1.1) 100 101 1.0 92 88 4.4 70-130 30 o-Xylene ND 2.0 102 102 0.0 94 92 2.2 70-130 30 p-Isopropyltoluene ND 1.0 100 102 2.0 92 89 3.3 70-130 30 sec-Butyl benzene ND 1.0 104 106 1.9 96 93 3.2 70-130 30 tert-Butylbenzene ND 1.0 100 101 1.0 93 89 4.4 70-130 30 Toluene ND 1.0 99 99 0.0 91 89 2.2 70-130 30 %1,2-dichlorobenzene-d4 101 % 100 101 1.0 100 100 0.0 70-130 30 %B romofl uoro benzene 98 % 101 101 0.0 101 101 0.0 70-130 30 %Dibromofluoromethane 97 % 101 100 1.0 101 101 0.0 70-130 30 %Toluene-d8 98 % 100 99 1.0 99 99 0.0 70-130 30 Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. r=This parameter is outside laboratory RPD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample o LCSD-Laboratory Control Sample Duplicate Jt MS-Matrix Spike APhyllis hiller, Laboratory Director OL MS Dup-Matrix Spike Duplicate April 1 ,2019 NC-No Criteria Intf-Interference Page 11 of 15 Monday,April CF151S P9 Criteria: NY::CP5 Sample Criteria Exceedances Report State: NV GCC93200-CASTLTON SampNo Acode PhoenixAnalyte Criteria RL Analysis Result RL Criteria Criteria Units No Data to Display"' Phoenix Laboratories does not assume responsibility for the data contained in this exceedance report. it is provided as an additional tool to identify requested criteria exceedences. Al efforts are made to ensure the accuracy of the data(obtained from appropriate agencies). A lack of exceedence information does not necessarily suggest conformance to the criteria. It is ultimately the site Professional's responsibility to determine appropriate cornplance. Page 12 of 15 PHOEVIXA*'--- *i Environmental Laboratories, Inc. ` NY#11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments April 15, 2019 SDG I.D.: GCC93200 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 13 of 15 PHEVX*,,, -. o\��t) 1N ACCOg0'�Po C.0 fL U �+ Environmental Laboratories,Inc. ` NY#11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 TeL(860)645-1102 Fax(860)645-0823 NY Temperature Narration April 15,2019 SDG I.D.: GCC93200 The samples in this delivery group were received at 2.7°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 14 of 15 1+ ♦ �'r f �'�, � w d � a f� � S Li a h 4d ��'S `fie �4 ❑❑❑�❑❑ ❑ ❑❑� a a ,a c� ID CA ' CL o _ c a.LU "- Ell 01 fl u $ C Ix z Eg � o ❑ ❑ E m s La o � O oLL ,� S U o $ U IL .. is a c d� � ca � LUw m a $ j 3 pA-11 V E U1 u O W $ z o L3 p •• v e cJ cQ U PHOMLtA� r Environmental Laboratories, Inc, Tuesday, April 16, 2019 Attn: Mr. Bill Jacobsen Castlton Environmental Contractors P.O. Box 609 Nanuet, NY 10954 Project ID: FOLLICK SDG ID: GCC91215 Sample ID#s: CC91215 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. Enclosed are revised Analysis Report pages. Please replace and discard the original pages. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, UL Phyllis hiller Laboratory Director 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 1 of 14 NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration#63 ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 2 of 14 %N ►,ccoq Environmental Laboratories, Inc. 587 East Middle Turnpike,P.o.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 SDG Comments April 16, 2019 SDG I.D.: GCC91215 Version 2: Amber bottle was received, PAHs are reported. Page 3 of 14 O �p ACCpgO PHOENIX .714.-M/t`� U Environmental Laboratories, Inc. NY#11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference April 16, 2019 SDG I.D.: GCC91215 Project ID: FOLLICK Client Id_ Lab Id Matrix 1.GW-1 CC91215 GROUND WATER Pap 4of14 µ ACC09 PHOEAM-Am,V'i11�0 oqy Q° Environmental Laboratories, Inc. fit. i 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors April 16, 2019 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: GROUND WATER Collected by: 04/08/19 15:00 Location Code: CASTLTON Received by: CP 04/09/19 14:36 Rush Request: Standard Analyzed by: see"By" below P.O.#: Laboratory Data SDG ID: GCC91215 Phoenix ID: CC91215 Project ID: FOLLICK Client ID: GW-1 RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semi-Volatile Extraction Completed 04/10/19 P/DIAK SW3520C Volatiles-Stars/CP-51 1,2,4-Trimethylbenzene 4700 100 ug/L 100 04/10/19 MH SW8260C 1,3,5-Trim ethyl benzene 880 100 ug/L 100 04/10/19 MH SW8260C Benzene ND 50 ug/L 100 04/10/19 MH SW8260C Ethylbenzene 540 100 ug/L 100 04/10/19 MH SW8260C Isopropylbenzene 230 100 ug/L 100 04/10/19 MH SW8260C m&p-Xylene 1300 200 ug/L 100 04/10/19 MH SW8260C Methyl t-butyl ether(MTBE) ND 100 ug/L 100 04/10/19 MH SW8260C Naphthalene 2600 100 ug/L 100 04/10/19 MH SW8260C n-Butylbenzene 590 100 ug/L 100 04/10/19 MH SW8260C n-Propylbenzene 610 100 ug/L 100 04/10/19 MH SW8260C o-Xylene 630 200 ug/L 100 04/10/19 MH SW8260C p-Isopropyltoluene 330 100 ug/L 100 04/10/19 MH SW8260C sec-Butylbenzene 460 100 ug/L 100 04/10/19 MH SW8260C tert-Butylbenzene ND 50 ug/L 100 04/10/19 MH SW8260C Toluene 100 100 ug/L 100 04/10/19 MH SW8260C Total Xylenes 1930 200 ug/L 100 04/10/19 MH SW8260C QA/QC Surrogates % 1,2-dichlorobenzene-d4(100x) 104 % 100 04/10/19 MH 70-130% % Bromofluorobenzene(100x) 107 % 100 04/10/19 MH 70-130% %Dibromofluoromethane(100x) 104 % 100 04/10/19 MH 70-130% %Toluene-d8(100x) 105 % 100 04/10/19 MH 70-130% Semivolatiles by SIM, PAH 2-Methyl naphthalene 340 0.63 ug/L 5 04/12/19 WB SW8270D(SIM) Acenaphthene 5.1 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Ver 2 Page 5 of 14 Project ID: FOLLICK Phoenix I.D.: CC91215 Client ID: GW-1 RU Parameter Result PQL Units Dilution Date/Time By Reference Acenaphthylene 1.3 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Anthracene 2.4 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Benz(a)anthracene 0.22 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Benzo(a)pyrene 0.06 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Benzo(b)fluoranthene 0.11 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Benzo(ghi)perylene ND 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Benzo(k)fluoranthene 0.11 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Chrysene 0.36 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Dibenz(a,h)anth race ne ND 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Fluoranthene 1.1 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Fluorene 8.7 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) Indeno(1,2,3-cd)pyrene 0.08 0.03 ug/L 1 04/11/19 WB SW8270D(SIM) Naphthalene 190 0.63 ug/L 5 04/12/19 WB SW8270D(SIM) Phenanthrene 39 0.44 ug/L 5 04/12/19 WB SW8270D(SIM) Pyrene 2.1 0.63 ug/L 1 04/11/19 WB SW8270D(SIM) QA/QC Surrogates %2-Fluorobiphenyl 41 % 1 04/11/19 WB 30-130% % Nitrobenzene-d5 92 % 1 04/11/19 WB 30-130% %Terphenyl-d14 48 % 1 04/11/19 WB 30-130% %2-Fluorobiphenyl(5x) 110 % 5 04/12/19 WB 30-130% % Nitrobenzene-d5(5x) 146 % 5 04/12/19 WB 30-130% 3 %Terphenyl-d14(5x) 73 % 5 04/12/19 WB 30-130% 3=This parameter exceeds laboratory specified limits. RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: Volatile Comment: Elevated reporting limits for volatiles due to dilution for sample matrix. The sample was analzyed as an oil/water mixture. Volatile Comment: To achieve client's objectives,where the lowest calibration standard or LOD justifies lowering the RUPQL,the RL/PQL of some compounds have been lowered to meet criteria. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller,Laboratory Director April 16,2019 Reviewed and Released by: Bobbi Aloisa,Vice President Ver 2 Page 6 of 14 6G 10�a6ed 0£ O L OL 0'L VOL cot 0'L ON auezueglAin8-vai OF Oct OL 9'E ELL 60 L 0 L ON auezuagjfang-oas OF O£L OL ST 90L ZOL 0'L ON auenlogAdoJdosl-d OF OCL OL 6T SOL Lot 01 ON auelAX-o OF O£L OL 6'Z 90L Lot 0'L ON auezuaglldOJd-u OF O£L OL 6'2: 90L EOL 0'L ON auazu9gjA4n8-u OF OEL OL S'L L6 06 0'L ON aue1egjgdeN OF O£L OL O'Z 66 L6 0'L ON (381n)Ja4ja jAjnq-j IftaVy OF M OL O,Z OOL 96 0"L ON aua1AX-dgw OF Oct OL 8'E 90L ZOL 0'L ON auazuagl/Ldadosl OF OEL OL O'0 LOL LOL 0'L ON 9uazuaglA413 OF Oct OL 0'0 LOL LOL OL'0 ON auezues OF OE L-OL 0'L Lot OO L O'L ON au9zuaglA4j9w!Jl-S'£'L O£ M-OL 0'Z ZOL OO L O'L ON auazuagjAgjawul-b'Z'L jajeM punojE) - sallielOA ((XOOL)9LZL600)880L600:ON aldweS OC) '(l/6n)69L7Lb Pleb 00/VtD saleBoJJns !o o (%0£L-0£s1!os Jo;'%O L L-S L :saldwes snoanbe Jo;abueJ aouejdaooe P `d) /°0 L jseal le s!/UaAOoaJ se 6uo1 se eualuo aoueldaooe jo ap!sino aq ueo spunodwoo jo%OZ:e1Ja1u3 OLZ8 leuolu.ppy -aleo!idnp 9N!ds xujew pue aN!ds xulew a JO pealsul paumpad aJam ejeo!ldnO Sol pue SO-1 y :juawuuo0 Oz aL-oe 8'SL OL Z8 % 98 4Lp-IAuagdJa1% OZ OEL-OE 9'L 179 £9 % S9 Sp-auezuagOJuN% Oz OE L-OE b'L ZL £L % LL lAuagd!goJonl j-Z% Oz OEL-Oc 9'E Z8 98 09*0 ON auaiAd Oz o£L-Oc L'Z bL 9L 09'0 ON auaJ4lueua4d 0z O£t-OE TO 89 89 OS'0 ON auale4i4deN ' oz OEL-oE TES ZS 06 Z0'0 ON auajAd(po-£'Z'L)ouapul Oz 0EL-0£ b Z L8 £8 OTO ON auejon13 Oz 0£l-OF 9 E Z8 98 09"0 ON auagjueJon14 0z OEL-0£ E'89 LS E6 0L'O ON aueamgjue(4'e)zuaq!O Oz OCL-0£ V'£Z 179 L8 Z0'0 ON auasAJ40 OZ O£L-oE L'" ES £8 ZO'O ON auagjueJo%(�)ozua8 Oz OEL-OE 8'ZS 9b 6L OS'O ON aualJSJad(!46)ozua8 OZ OEL-0E S'S£ 86 E8 ZO 0 ON aua jueJon 4 ll(q)ozuag ' OZ Oct-o£ O,OV OS SL ZO'0 ON auaJRd(e)ozua8 OZ Oct-OF L'L L L9 08 ZO'0 ON aua0eJ4jue(e)zua8 OZ OEt-oE L'£ 09 E8 OTO ON auaoeJ4juy Oz 0£L-OE £'L 4L SL OTO ON au9jAgjgdeuaoy OZ 0£L-OE 8'E LL 08 OTO ON au94jgdeu9oy Oz OEL-0£ Z'Z 88 06 09'0 ON au91egjgdeull4jan-Z aajeM punojE) - HVd WIS Aq salgelonlwag (92L600) L9VZ600;ON eldweS 00 '(-1/6n) L8ZbLb Pleb 00NO silw!l s1 w!l Oda % % Odic % % li! Nuele J919weJed Odic 008 Sn OSn Sn Sol (]Sol Sol 119 % 92L6000 :'a•iOOS Me(] 30/vO 6[OZ '9L JOV EZ80-SY9(098)xed ZOLL-SV9(098) 'lal jjodaH OC)/`d() L08 L 6#AN 917090 10'Ja1sa43uen 'OLE xo8'p•d 'as!dwnl aipp!n ise3 L89 oul 'salao}ejogej jeju9uau0a1nu3 �y ° = XA90Hd odo30 %4\ QA/QC Data SDG I.D.: GCC91215 pro Rio Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Toluene ND 1.0 99 101 2.0 70-130 30 %1,2-dichlorobenzene-d4 102 % 101 103 2.0 70-130 30 %Bromofluorobenzene 100 % 104 104 0.0 70-130 30 %Dibromofluoromethane 98 % 102 106 3.8 70-130 30 %Toluene-d8 105 % 105 104 1.0 70-130 30 Comment: A LCS and LCS Duplicate were performed instead of a matrix spike and matrix spike duplicate. Additional 8260 criteria.10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. r=This parameter is outside laboratory RPD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample 9, 2019 LCSD-Laboratory Control Sample Duplicate ���^ — MS-Matrix SpikeMS Dup-Matrix Spike Duplicate Phylli , Laboratory Director NC-No Criteria April 1 Intf-Interference Page 6 of 14 Q N N N J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J O) CZ) > > 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 > > > 7 7 7 3 7 7 7 7 7 7 y O1 a J N N N N N N N N N N N O N N m Lo 0 0 0 O O O O Lo 0 t0 � Lo (o (o (n to to O to Lo r (0 (n to (o CD c:, 00 O C, C) O O O O O O O O O N U r C) O r C) r 0 Q (p cc N .0 N N N N N N N N N N N C y CLo N V Ln V) V) N Le) to (n Lo p Ln (A r (n U.) (n (o p LnO O O O O O Lo O CD O O O O p ~• U r O O r 0 0 0 0 O O O O r 0 y@ U"C X N m U 'C N d y N N O O O O N O 0 0 0 0 0 0 0 0 0 0 CMO O (MO O O O O (MQ Cl) Co Cl) O (MD O U O r r r r r r r r r '- r r r r O O O O O O O O O O O O O O O @ N C d @FF U C �O !�O j O O O O yy r p O O O O O O O O O O O O ON O OO rr MO N0 m OD MD rr N p r CM M O O Nm Q) (O (O ZvOm co M M M Zw O v N m N NU') MnO 'IT N N NU coOO UO r z p M p r O C) 0 0 r 0 0 0 0 r O 'O N O pm 7 O N G o A N N N N N N @ co iw�,� -_a 'O 72 '2 'O 'O C N W @ m @ @ @ @ N N N N N y N N .O U m @ @ m @ @ @ m C O) C C G C C C C C @ @ N (� U) U) :a m m R m :° �o V) c o to u7 in @ C d U) N 0 0 .0 w U) V) Cn (n V) Cn U) U) _d N N @ m _@ m m m @ o @ @ @ @ m @ � J o � c 'o o' o' o o m m m m •c f9 � c Qaa � a o oa 7 v � .w a a � o c c c c - - c - - .c - = c > c r_ c Q > > 0 c - - c -c '- o m UU Q (jCjCjUODUUUUUUUUUUUU UUUUUU a a _ _ _ _ a a a a a a a a a a a a a 0 0 0 0 0 0 0 c� € v V � � � � � c� c� � c� � c� � � c� c� � c� c� � c� � c� c� � aaaaaa No N - N N N N N N C7 0 0 0 0 C7 _ C X C N C C C C C N rA N N N N N N O Wrnrnrnrnrn2 � m m a� m � c 10,m 04 O N 0 0 0 0 0 0 0 7 7 7 7 7 7 7 0 n 7 7 7 7 0 0 0 0 0 0 0 o a �m w m m 7 7m m a M. > y y a 0 a 0 a a a 0 0 a 0 0 a > > 0 > > 00 y a 0 a a a a a v U @ °' E (v @ m @ m m - m - m � a� °) °) d :? � c) "E � � .E � � .E -£ � d d m m 9� m m cox' o m a) o 0 0 0 o m m m m m m m m m@ m m m m ` > 3 cn >> > >> 3 � 's 3 3 (o co (n 0) (nn U) cn U) >Q 3 3 3 a)`o n }n >n }n ten 2r } r } } r r } > } 'QOa ¢ o00 QQQQQOo0000maa ¢ ¢ ¢ 0o00o0oo00oa ¢ ¢ Q a �CL r } r > r C:N E (-) ZzzzzZZzzzzzZzzzzzzzzzzzzzzzzzzzzzzz c y � m 0.2 m p C � m m n_ yy m E c C ° EO OU N CC C C L C C @ 0) .L.. 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O CD O CD O O O O O ) O 0 CD O O O O O OOO OOOOOO O r d a r c0 00 00 00 co 00 000 00 00 co 00 OD 00 O0 00 00 00 OD 00 00 00 00 0o 00 OD CC) 00 00 c0 00 00 00 00Z Z a en (fo vj 00r» en en v> (n cocouA u9 ss ca G- O) En to of c» (n v) 69 6 9 fn to V) en v. a9 us rn fA di 69 v) of eA tf! o a o N a T O LO U') LO LO LO l0 Lo (O W) l0 (o LO (o )n LO (0 Lnl0 U) to )O to Lo to Lo to LO LO 4) (0 10 V) (0 Ul) (O to J d CO z N N N_ N_ N N N_ N N _N N_ N N_ N N N N N N N N _N N N_ N _N N_ N_ N_ _N _N N_ _N N_ N_ N X O O_ _ _ _ y y () E m 0) m m m m m O m m m m O O O) O) m 0) m m O m m Q) m O) m 0) m 0) O) O) m m m m~ (n 00UUUUUUUUUUUUUUUUUUUUUUUU QU U U U U U U U U U U U E Q. PHOEATX o �N accoAa o f Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 ¢ NY#11301 s Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments April 16, 2019 SDG I.D.: GCC91215 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 10 of 14 PHO,UI NA��a� Environmental Laboratories, Inc. ' 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)6454823 NY Temperature Narration April 16, 2019 SDG I.D.: GCC91215 The samples in this delivery group were received at I.M. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 11 of 14 i m l LL up IUIRBWz Z 2 n g � V d U. W C9 U H ❑ ❑ i U 5 �qq c co Z r E m � O C LL C O NCq LnU. O 76 0 0 Q CDm .° _g, s �" s aM Z uj o m 70 G C O w Q � c� az Ln Monica Pellerin From: Monica Pellerin Sent: Tuesday,April 09,2019 4:37 PM To: 'bjacobsenC@castiton.com' Subject: Project: Follick Importance: High Good afternoon. Our courier picked up your samples,with regards to the above referenced project. Unfortunately,we did not receive the Amber bottle to run STARS8270. If you have any questions,please feel free to contact me. Sincerely, Monica Pellerin Client Service Representative/ Sample Receiving Custodian Phoenix Environmental Labs 587 Middle Turnpike East Manchester,CT 860-645-1102 Fax:860-645-0823 1 Rage 13 of 1 � g QIS O a c i3 $ c t_n m N •$ c LL N W a w - o a Qa �'� � �'� ❑❑❑❑❑❑ ❑ ❑❑[ a U Wig ir re m pp W w U m z 3 0 m m 2 E U 15 W in c� N Doti G � � � � 000� oL_ J N ' $ ❑❑❑N❑❑ =� MO00 E m I mm m U U V 0. 8 O Z E o a� � Q J� QQ m > -'' 2 V a �U a Q� e�S' j J i CL a ti c 3 G E-� o $ �- v U 1 :3 c to m Or c 7 E o r Z! Q O C Ow co Z 2 l � C i c r 0 0 OE O CD to 3mp L� O E P�m w Oq MO L N Y J 7 3mI COcr0 * �F �,• �, o �J 4 U Q EQ, 4$ N EE \/k� Page 14 of 14 Xti ��tr�ironnie��ta!Laboratories. Inc. Monday, May 06, 2019 Attn: Mr. Bill Jacobsen Castlton Environmental Contractors P.O. Box 609 Nanuet, NY 10954 Project ID: FOLLICK SDG ID: GCD03796 Sample ID#s: CD03796 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, A UL Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration#11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration #63 ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnplke,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page 1 of 11 0 `N A C C p AD PHOEVIX-i-,'P., WFIR51� U k Environmental Laboratories, Inc. d 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 SDG Comments May 06, 2019 SDG I.D.: GCD03796 SIM Analysis: The lowest possible reporting limit under SIM conditions is 0.02 ug/L. The NY TOGS GA criteria for some PAHs is 0.002 ug/L. This level can not be achieved. Page 2 of 11 PHOEATIXi',�-%- �\��0 NN ACCO, U 4 U Environmental Laboratories, Inc. ¢ NY# 1130 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample id Cross Reference May 06, 2019 SDG I.D.: GCD03796 Project ID: FOLLICK Client Id Lab Id Matrix _ MW-1 CD03796 GROUND WATER Page 3 of 11 1 Z�,?; O \N ACCpgO TTV PJ 19,U1 Ai�'M U � Environmental Laboratories, Inc. i 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mr. Bill Jacobsen Castlton Environmental Contractors May 06, 2019 P.O. Box 609 Nanuet, NY 10954 Sample Information Custody Information Date Time Matrix: GROUND WATER Collected by: 04/29/19 13:00 Location Code: CASTLTON Received by: LB 04/30/19 14:10 Rush Request: Standard Analyzed by: see "By'below P.O.#: SDG ID: GCD03796 Laborator�r Data Phoenix ID: CD03796 Project ID: FOLLICK Client ID: MW-1 RU Parameter Result PQL Units Dilution Date/Time By Reference Semi-Volatile Extraction Completed 04/30/19 S/D SW3520C Volatiles- Stars/CP-51 1,2,4-Trimethylbenzene 28 1.0 ug/L 1 04/30/19 HM SW8260C 1,3,5-Trimethylbenzene 2.4 1.0 ug/L 1 04/30/19 HM SW8260C Benzene ND 0.70 ug/L 1 04/30/19 HM SW8260C Ethylbenzene 1.0 1.0 ug/L 1 04/30/19 HM SW8260C Isopropylbenzene 1.5 1.0 ug/L 1 04/30/19 HM SW8260C m&p-Xylene ND 2.0 ug/L 1 04/30/19 HM SW8260C Methyl t-butyl ether(MTBE) ND 1.0 ug/L 1 04/30/19 HM SW8260C Naphthalene 15 1.0 ug/L 1 04/30/19 HM SW8260C n-Butylbenzene 6.0 1.0 ug/L 1 04/30/19 HM SW8260C n-Propylbenzene 3.9 1.0 ug/L 1 04/30/19 HM SW8260C o-Xylene ND 2.0 ug/L 1 04/30/19 HM SW8260C p-Isopropyltoluene 4.1 1.0 ug/L 1 04/30/19 HM SW8260C sec-Butylbenzene 4.2 1.0 ug/L 1 04/30/19 HM SW8260C tert-Butylbenzene ND 1.0 ug/L 1 04/30/19 HM SW8260C Toluene ND 1.0 ug/L 1 04/30/19 HM SW8260C Total Xylenes ND 2.0 ug/L 1 04/30/19 HM SW8260C QA/QC Surrogates % 1,2-dichlorobenzene-d4 103 % 1 04/30/19 HM 70-130% •Bromofluorobenzene 106 % 1 04/30/19 HM 70-130% • Dibromofluoromethane 98 % 1 04/30/19 HM 70-130% %Toluene-d8 104 % 1 04/30/19 HM 70-130% Semivolatiles by SIM, PAH 2-Methyinaphthalene 18 0.10 ug/L 1 05/02/19 WB SW8270D(SIM) Acenaphthene 4.8 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Ver 1 Page 4 of 11 Project ID: FOLLICK Phoenix I.D.: CD03796 Client ID: MW-1 RL/ Parameter Result PQL Units Dilution Date/Time By Reference Acenaphthylene 1.3 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Anthracene 1.5 0.10 ug/L 1 05/02/19 WB SW8270D(SIM) Benz(a)anthracene 0.13 0.02 ug/L 1 05/02/19 WS SW8270D(SIM) Benzo(a)pyrene ND 0.02 ug/L 1 05/02/19 WB SW8270D(SIM) Benzo(b)fluoranthene 0.05 0.02 ug/L 1 05/02/19 WB SW8270D(SIM) Benzo(ghi)perylene ND 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Benzo(k)fluoranthene ND 0.02 ug/L 1 05/02/19 WB SW8270D(SIM) Chrysene 0.25 0.02 ug/L 1 05/02/19 WB SW8270D(SIM) Dibenz(a,h)anthracene ND 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Fluoranthene 0.79 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Fluorene 9.0 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Indeno(1,2,3-cd)pyrene ND 0.02 ug/L 1 05/02/19 WB SW8270D(SIM) Naphthalene 3.7 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) Phenanthrene 10 0.07 ug/L 1 05/02/19 WB SW8270D(SIM) Pyrene 3.2 0.51 ug/L 1 05/02/19 WB SW8270D(SIM) QA/QC Surrogates %2-Fluorobiphenyl 51 % 1 05/02/19 WB 30-130% % Nitrobenzene-d5 64 % 1 05/02/19 WB 30-130% %Terphenyl-d14 20 % 1 05/02/19 WB 30-130% 3 3=This parameter exceeds laboratory specified limits. RL/PQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RL/PQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates: Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: Semi-Volatile Comment: Poor surrogate recovery was observed for one acid and/or one base surrogate. The other surrogates associated with this sample were within QA/QC criteria. No significant bias suspected. Semi-Volatile Comment: To achieve client's objectives,where the lowest calibration standard or LOD justifies lowering the RL/PQL, the RL/PQL of some compounds have been lowered to meet criteria. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. AOL Phyllis hiller, Laboratory Director May 0 , 2019 Reviewed and Released by: Bobbi Aloisa,Vice President Ver 1 Page 5 of 1 V %M ACC09 PHOEAYX,,`�'IO`� Environmental Laboratories, Inc- z 587 East Middle Turnpike, P.O.Box 370,Manchester,CT 06045 NY# 11301 QA/QC Report Tel. (860)645-1102 Fax(860)645-0823 May 06, 2019 QA/QC Data SDG I.D.: GCD03796 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 476968(ug/L),QC Sample No: CD03980(CD03796) Semivolatiles by SIM PAH - Ground Water 2-Methylnaphthalene ND 0.50 79 81 2.5 30.130 20 Acenaphthene ND 0.50 87 87 0.0 30-130 20 Acenaphthylene ND 0.30 87 89 2.3 30-130 20 Anthracene ND 0.50 96 97 1.0 30-130 20 Benz(a)anthracene ND 0.02 88 91 3.4 30-130 20 Benzo(a)pyrene ND 0.02 99 99 0.0 30-130 20 Benzo(b)fluoranthene ND 0.02 101 103 2.0 30-130 20 Benzo(ghi)perylene ND 0.48 92 91 1.1 30-130 20 Benzo(k)fluoranthene ND 0.02 105 102 2.9 30-130 20 Chrysene ND 0.02 96 95 1.0 30-130 20 Dibenz(a,h)anthracene ND 0.10 115 116 0.9 30-130 20 Fluoranthene ND 0.50 94 98 4.2 30-130 20 Fluorene ND 0.50 94 95 1.1 30-130 20 Indeno(1,2,3-cd)pyre ne ND 0.02 104 108 3.8 30-130 20 Naphthalene ND 0.50 69 65 6.0 30-130 20 Phenanthrene ND 0.06 86 89 3.4 30-130 20 Pyrene ND 0.50 97 101 4.0 30-130 20 %2-Fluorobiphenyl 67 % 80 79 1.3 30-130 20 %Nitrobenzene-d5 62 % 87 92 5.6 30-130 20 %Terphenyl-d14 90 % 86 89 3.4 30-130 20 Comment: A LCS and LCS Duplicate were performed instead of a matrix spike and matrix spike duplicate. Additional 8270 criteria:20%of compounds can be outside of acceptance criteria as long as recovery is at least 10%.(Acid surrogates acceptance range for aqueous samples:15-110%,for soils 30-130%) QA/QC Batch 477089(ug/L), QC Sample No:CD04079(CD03796) Volatiles - Ground Water 1,2,4-Trimethylbenzene ND 1.0 100 105 4.9 70-130 30 1,3,5-Trimethylbenzene ND 1.0 107 108 0.9 70-130 30 Benzene ND 0.70 102 104 1.9 70-130 30 Ethylbenzene ND 1.0 103 105 1.9 70-130 30 Isopropylbenzene ND 1.0 106 106 0.0 70-130 30 m&p-Xylene ND 1.0 103 104 1.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 97 98 1.0 70-130 30 Naphthalene ND 1.0 138 143 3.6 70-130 30 n-Butylbenzene ND 1.0 111 116 4.4 70-130 30 n-Propylbenzene ND 1.0 106 108 1.9 70-130 30 o-Xylene ND 1.0 103 102 1.0 70-130 30 p-Isopropyftoluene ND 1.0 109 112 2.7 70-130 30 sec-Butylbenzene ND 1.0 114 117 2.6 70-130 30 tert-Butylbenzene ND 1.0 107 110 2.8 70-130 30 Page 6 of 11 QA/QC Data SDG I.D.: GCD03796 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limns Toluene ND 1.0 103 103 0.0 70-130 30 %1,2-dichlorobenzene-d4 103 % 99 102 3.0 70-130 30 %Bromofluorobenzene 98 % 104 102 1.9 70-130 30 %Dibromofluoromethane 97 % 101 100 1.0 70-130 30 %Toluene-d8 102 % 102 102 0.0 70-130 30 Comment: A LCS and LCS Duplicate were performed instead of a matrix spike and matrix spike duplicate. Additional 8260 criteria: 10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. 1=This parameter is outside laboratory LCS/LCSD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD- Relative Percent Difference LCS-Laboratory Control Sample LCSD-Laboratory Control Sample Duplicate MS- Matrix Spike MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director NC-No Criteria May 0 , 2019 Intf- Interference Page 7 of 11 0) CO 0 A C 0) tm O) O) m tm a) 0) a) a) of a) a) O) m cy) m C > 7 D 7 7 0 7 7 7 7 D 7 = 7 = 7 LD 2 Q N C t N N N N N N N N N N N O J `y O O O O O O O o o o o 0 0 T .-- 0 0 0 0 0 0 0 0 0 0 0 d d U o 0 0 0 0 0 0 0 0 0 o Q m E d c'C N N N N N N N N N N N =O N O 0 O O O O O O o 0 0 0 a) LO O O O O O O O O O O O -0 �j o 0 0 0 0 0 0 0 0 0 0 T O'C X a) N'C m U J O O O O O N N N N N N N N N N N U _O a. o 0 0 0 0 00 0 0 0 0 o O O O O 0 O O O O O m y U A C m m O' d O C m o �2 0 t) D O n `o m N O N cc N o Z Z o Z Z Z o O 00) rn O_T /� 'c y` N G N cn I 0 N N to N N N fn a a a a -2 -2 m c = c c c c c c N m :° m m m m cc cn m incnincncnU) yr m C� Z m 3 a`) m 5 m d o 3 c •m m m c m m m m m m m m m m 'C 'C ~ c U U U n 0 n > > > V U U U U a m C�/� C� C9 C7 C9 C9 C9 C9 C� 0 0 /� U _ W M, ICDd m d 22� 0 c •d E 1° m m >m E E E E E E m ? a` m aa)) i t U 4) O > > m !n fn N y m m m M m m D O (� to cn g g g g cn cn m cn cn m m m m F F 0 0 0 F F F 0 0 0 0 0 Qw M = N � ZZZZZZZZZZZZZZZZ cc U) 02 co'c a o c mom_ r CL a m E a a o E o c 0 m e c y c c °� aD C _ m c 0 m a> >, >, 0 m a) 0 E- c :A:- a o, r c a 5 0 5, m U c c c c C C C C 7 cv A c �'m oCL c L) c m O N L O :F. 00 M M 0 0 r O O E a T Q ar a� a) aci E c'i "i X m m m .0 .: m m Y c a ^ m a7 N Y C) O n a n C [ C C r 0 a) C 11 C C d L m m m 0 a) 0 0 L 'O d Z Z Z C �-- m m co m U c c m m U m cca, O C U O y (n !n !n m m m m m N m m !n m m (n N c) 0 o 4) 0 0 o 0 0 0 0 0 0 0 0 V1 m C N Ur O NO 0 0 p p O O_ O O CD C) O O_ O_ O O .0 N a L cD U CO oD o ap CO a0 a0 a0 ap W 69 W O mt ap V) O o T } Q uae» v q tor» � asenv� v, e» e» vaE» rnrn mai T Z Z o 3 y m N_ m a `� ' i0 O cD cD cD cD cD cD cD cD cc cD cD cD cD cD cD O c _ O T 4) Z 0) 0) 0) 0) M Q1 D) 0) 0) 0) 0) 0) 0) m 0) x O'N M ._ n r, r- r- r` r• r- r` r- r• r- rn rn � c "'O E M m M Cl) M M M M M M M M m M M M coa) O U E O O CD O O O 0 0 0 C) 0 0 0 0 0 0-0 m C) UUUUC) uO 0CC)U) U UU U 00 U U 0 a E a PHOEA U Q 1N ACCogO v � Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 ¢ NY# 11301 s Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments May 06, 2019 SDG I.D.: GCD03796 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 9 of 11 PHOEA7X*.-, ,' '4'' A�O iH ACCOgO� U Environmental Laboratories,Inc. C 587 East Middle Turnpike,P.O.Boz 370,Manchester,CT 06045 < NY#11301 Tel.(860)645-1102 Fax(860)U54823 NY Temperature Narration May 06,2019 SDG I.D.: GCD03796 The samples in this delivery group were received at 1.6°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 10 of 11 Z a i Lij �= y o w lR(D 1111 W2 2 r a O m U. t M)�El 0 00 L M Z El 9 V of 2P ❑ Cl ❑ O CO LL co X T1EMENDE] r 0 $ U U LL. a c C9 p o .. Z 2 � � $ 67 . _ Q Eat 'o4) > a E Z � w ID $ Q oo J Ti ° 5 e N > oo J k z p 1 a z in APPENDIX 4 Pictures e e A 9 "a r t `air"`1AA+I,i,{ �` �^•r" 'r } t �' l •n ,�/'.�, - 'Y. 'r k ^`1..fAij";u�>`My"' . taw ' ' �!`..�'T^� yE+tpvv�".. 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THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME' Insurance Solutions&Services - -- 619 Amboy Avenue lnc°,"N ,�;732-738-6080 �� FAX 732-738-6081 Edison,NJ 08837 E-MAIL — Frank G.Jacobs ADDRESS: PRoDLitIN CASTL-1 INSURER(S)AFFORDING COVERAGE NAIC N INSURED Castlton Environmental -w - - suRERA:Great Divide Insurance Company_. 25224 Contractors, LLC INSURER0: 48 Bi-State Plaza Old Tappan, NJ 07675 INSURERC: INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR L�SUBR P POIJCYEXv ( . _ ...._._._._ TYPE OF INSURANCE POLICY NUMBER MM/DD/MIYY)I tMMfD0/YYYYI LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,00 - A X COMMERCIAL GENERAL LIABILITY iGLP01549028 05l0112018 05/01/2019 DAMAC1F TO RfNTMPREMISES(Ea i 300,00 __ _ CIAIMS-MADE X OCCUR MED EXP(Any one person) $ 20,00 _ _ _ PERSONAL&ADV INJURY $ 1,000,00 ..................................__.........._ GENERAL AGGREGATE S 2,000,0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0 X POLICY P MROT f I LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANYAUTO ........................................ BODILY INJURY(Per person) $ ALL OWNED AUTOS ............._._.,.-.._.._____- BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTYDAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- I IOTH- AND EMPLOYERS'LIABILITY Y/N 30ITY..LGAAlB1.__._._...F. ANY PROPRIETORIPARTNER/EXECUTIVE EL,EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? a NIA IMandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes describe under —" DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION CAST684 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured 845-624-1312 Castlton Environmental Contractors LLC 48 Bi-State Plaza lc.NYS Unemployment Insurance Employer Old Tappan,NJ 07675 Registration Number of Insured 4700419 ld.Federal Employer Identification Number of Insured Work Location of Insured(Only required ifeoverage is specifically or Social Security Number limited to certain locations in New York State, i.e., a Wrap-Up 90-0154807 Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Great Divide Insurance Company 3b.Policy Number of entity listed in box"la" Village of Rye Brook WCA1549026 938 King Street 3c. Policy effective period Rye Brook, NY 10573 5/1/2018 to 5/1/2019 3d. The Proprietor,Partners or Executive Officers are ® included. (Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "Y' insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IFa policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Insurance Solutions&Services,Inc. (Print name of authorized representative or licensed agent of insurance carrier) Approved by: d� 10/8/2018 (Signature) (Date) Title: Frank G.Jacobs,President Telephone Number of authorized representative or licensed agent of insurance carver: (732)738-6080 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. Tara Gerardi From: Mike Izzo Sent: Friday, February 22, 2019 1:33 PM To: Tara Gerardi Subject: FW: Message from Dig Safely New York,Inc. (DSNY) From: sadasupport@ufpo.org Sent: Friday, February 22, 2019 1:32:53 PM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 02/22/2019 13:31 To: VIL RYE BROOK PRIMARY Transmitted: 02/22/2019 13:32 00003 Ticket: 02229-129-043-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK /V Addr: From: 203 To: Name: IVY HILL CRES Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: LOCATE ENTIRE PROPERTY, FRONT, SIDES, AND REAR NearSt: ARBOR DR Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: SOIL REMEDIATION Duration: Depth of excavation: Site dimensions: Start Date and Time: 02/27/2019 07:00 Must Start By: 03/13/2019 ------------------------------------------------------------------------------ Contact Name: GREG SPADACCINI Company: CASTLTON ENVIRONMENTAL CONTRACTORS Addr 1: PO BOX 609 Addr2 City: NANUET State: NY Zip: 10954 Phone: 973-207-0931 Fax: 845-624-1325 Email: JJACOBSEN@CASTLTON.COM Field Contact: GREG Alt Phone: 973-207-0931 Working for: ARLENE FOLLICK ------------------------------------------------------------------------------ 1 Comments: DEPTH OF EXCAVATION AND LENGTH/WIDTH OF SITE UNKNOWN CALLER IS REQUESTING ALL UTILITIES PLEASE RE-MARK (CALLER TICKET) 01029-225-054 CALLER IS REQUESTING ALL UTILITIES PLEASE REMARK (CALLER TICKET) 01189-071-018 CALLER IS REQUESTING ALL UTILITIES PLEASE REMARK(CALLER TICKET) 02049-154-018 Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA CON-ED SUEZ WTR WESTCHESTER BELL-VALHALLA/WSCHSTR VIL RYE BROOK WESTCHESTER COUNTY/ SEW WESTCHESTER JOINT WTR z