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HomeMy WebLinkAboutMP21-137 y� DR j'P w V OC l� 39 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbun w-ww.Wbrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 18,2021 Frank Morabito &Anne Morabito 102 Brush Hollow Close Rye Brook, New York 10573 Re: 102 Brush Hollow Close, Rye Brook,New York 10573 Parcel ID#: 129.84-2-91 As per the Certification letter from Innov8tive Environmental Services Inc. dated November 17,2021, the removal of an in-ground oil tank and installation of a new in-ground oil tank under Mechanical Permit#21-137 issued on 9/27/2021 has been satisfactorily completed. Sincerely, Michael J. Izzo Building& Fire Inspector /tg E BR�� 1982 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-._ I V o\ (S{ DATE' PERMIT (�` ��� � 1 " 4' #��f^l� ISSUED: ECT: `BLOCK: LOT:__ �iu� LOCATION: o " tip, OCCUPANCY: t O ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING D FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS L.P.GAS ❑ FUEL TANK © FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER Bk to � BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 1' U CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 ` (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- - - -- - - - - - - - - - - ADDRESS : , `t1 � DATE: { � PERMIT# �1 y `- ISSUED: SECT: LOCK: LOT: f LOCATION: t OCCUPANCY: L ❑ VIOLATION NOTED THE WORK IS... D ACCEPTED Q ARE]ECTED/ REINSPECTION ❑ SITE INSPECTION 1 1A REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS CJ� 1+ j�Q 1 CS� \E'-,q.1Ca v)z- So 1 1r FUEL TANK r' U FIRE SPRINKLER "V ❑ FINAL PLUMBING ❑ CROSS CONNECTION '[ ❑ FINAL y ❑ OTHER UC.rfr ll� I � O C) 0 z 2 °o Inm` o ry ai 011 in 0 1 U G o 00 O li •�• • ` 00 _ 't > ° (n a� 0 0 N Q u C i I V) Q3 f�/^J U V 1 n� f9 C w N 3 C 91 Ln O Ln j 00 c rk LU } j E z 1N`3Ml ]ddK JNlalkn8 0 AOMA9 3A�l Ja 39b'IIII m j IZOZ Z d35 � � EOI • �4NLyye > �to HIPhlood link count on our products. trust in our people. - r storage tanks t I I I I ,emu•. ;,` - ..� �" f r HT-1 047 PRODUCT DETAILS ACT-1 00-11-18 polyurethane coating ACT 100-U Features rank Isolation with Nylon technology meets or surpasses all current • UL-58 and UL-1746 compliant ULstandards.The ACT-100-Ua is as • Must pass a 15,000 volt Bushings - No Cathodic rugged as the STI-Pe tank but does not spark test before shipment protection Required require cathodic protection with anodes • No cathodic protection or monitoring. monitoring required • Available in single or double-wall Performance tests prove that the 70 mil • STIa standard 10-year thick ACT-100-U®coating is far superior limited warranty A 70 mil(min)coating to Fiberglass Reinforced Polyester FRP • 30- ear limited warranty is available is applied to the steel r9 Y ) Y tY grit-.blasted tank surface coatings and much more resistant to incidental damage. UL-Listed Steel Primary Tank 10 gauge to.375" XT=IW=U thick 814.893.5701 1 highlandtank.com act-1 00-u tank sizing • - HT-1 047 Tank-Top Sump Manway Extension Flanged Isolation Spool ACT-1 r 04' Full Coupling Flanged Fitting Protected Steel Halt Coupling Manway Outer Tank Interior NPT Fitting Lifting Lugs NNW Tank em Steel Lining Inner Tank Double-Wall Interstitial Monitoing Pipe / Polyester Hold-Down Strap Compartment. Internal Access Ladder Diameter(inside) Length(Inside) volume Tank dimensions Gallons diameter Length ACT 100-U"Features Tank Steel Thickness 240 T-2" _ 4'-0" • UL-58 and UL-1746 compliant Tank thickness is in accordance with 300 3'-2" 5'-0" • Provides 70 mils dielectric UL standards and is based on the 500 4'-0" 5'-5" polyurethane protection Roark formula allowing for 60" of 1,000 4'-0" 10'-9" overburden. Please contact Highland 1, 00 5-4" 6-0 • Cured films are free of pores 1,500 5'-4" 9'-0" • Must pass a 15,000 volt spark test if deeper burial depths are required. 2,000 5'-4" 12'-0" before shipment 2,500 5'-4" 15'-0" Environmentally Friendly 3,000 5'-4" 18'-0" • Strong,flexible and resistant to Unlike polyester/fiberglass composite 4,000 5'-4" 24'-0' impact,abrasion and corrosion 4,000 6'-0" 19'-0" tanks which utilize amines, styrenes 4,000 8'-0" 1D'-8" • No cathodic protection and other hazardous materials in monitoring required production,the ACT-1 00-UO coating 5,000 6'-0" _23'-10" 5,000 8'-0" 13'-4" • 5TI standard 10-year resin uses none of these materials 6,000 6'-0" 28'-8" limited warranty and is environmentally friendly. 6,000 8'-0" 16'-0" • Extended 30-year limited warranty 8,000 1 U-0°' 14'-0" is available The polyurethane coating, in its 8,000 8'-0' 21'-4" 10 cured state, is not an environmentally 000 10,000 81-0'-0. 17'-0" 26'-8" Flexible Designs regulated material and can be 12000 10'-0" 20'-6" • Volumes from 240-50,000 gallons disposed of as non-hazardous 12,000 8'-0" 32'-0" • Custom sizes available material, complimenting your 15,000 10'-0" 25'-6" environmental programs. 15,000 8'-0" 40'-0" • Multi-product storage compartments 20,000 10'-0" 34'-O" 20,000 10'-6" 31'-0" 25,000 10'-0" 42'-6" 25,000 10`-6" 38'-9" 30,000 10'-0" 51'-2" 30,000 10'-6" 46-6" 40,000 12'-0" 47'-6" 50,000 12'-0" 59'-6" SH101800 Manheim,PA Greensboro,NC Friedens,PA Mancelona,MI Tank 4535 Elizabethtown Road 2700 Patterson Street 1510 Stoystown Road 9517 Lake Street Manheim,PA 17545-9410 Greensboro,NG 27407-2317 Friedens,PA 15541-7402 Mancelona,MI 49669-7968 717.664.0600 336.218.0801 814.443.6800 231.687.8412 Stoystown,PA Watervliet,NY Lebanon,PA Clarkston,MI One Highland Road 958 19th Street 2225 Chestnut Street 4701 White Lake Road Stoystown,PA 15563-0338 Watervliet,NY 12189-1752 Lebanon,PA 17042-2504 Clarkston,MI 48346.2554 814.893.5701 518.273.0801 717-664.0602 240.625.8700 rtrouatY MADE MAArERrcA ©Highland Tank-HT-1047-0712020 17 2021 jD ' N N � �'� ' RINOV VIL OF RYE BROOK BUILDING DEPARTMENT ENVIRONMENTAL SERVICES INC . November 17, 2021 Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 RE: Anne Morabito 102 Brush Hollow Close Rye Brook, New York 10573 Permit: MP 21-137 To Whom It May Concern, This letter is regarding the work performed at 102 Brush Hollow Close, Rye Brook, New York in accordance with permit#MP 21-137. Innov8tive Environmental Services (IES) was contracted by Anne Morabito to remove (1) 275 Gal Underground Storage Tank(UST)from the rear of the property and install (1) 300 Gal UST in the same location. IES began the install and removal process November 5, 2021. IES pumped 24 gallons of waste oil and sludge out of the underground tank. A liquid waste manifest is attached for your viewing.The underground storage tank was then cut and cleaned in accordance with DEC regulations. The tank was found to be free of any breaches or contaminants, and the subsurface soil was not impacted by any petroleum. A copy of the soil analysis is attached for your review. An inspection was performed by the Village of Rye Brook building inspector, where it was determined that the scope of work was completed in accordance with the current regulations. The tank was then removed from the premises and recycled at Brookfield Resource Management, Elmsford, NY. A scrap tank ticket is attached for your viewing. At this time, IES is requesting closure of permit#MP 21-137. Please advise if any additional information is required. Thank you, . f Donnie Feeney Innov8tive Environmental Services Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla NY 10595 service(�720nov8enviro.com 1 (914) 449-6608 www.innov8enviro.com PHOEVIT��'�Z;4� Environmental Laboratories. Inc. Wednesday, November 10, 2021 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 102 BRUSH HOLLOW CLOSE RYE BROOK SDG ID: GCJ73341 Sample ID#s: CJ73341 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 COG 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�JL 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 10 0 Accp ���0 �Q4y PHOVJX�`F_t u it '110Environmental Laboratories, Inc. NY#11301 587 East Middle Turnpike,P.O.sox 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference November 10, 2021 SDG I.D.: GCJ73341 Project ID: 102 BRUSH HOLLOW CLOSE RYE BROOK Client ld Lab Id Matrix BOTTOM fCJ73341 SOIL Page 2 of 10 PHOEVIT�0- c o q C A0 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: Donnie Feenex Innovative Environmental Services November 10, 2021 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 11/05/21 11:00 Location Code: INNOVAT Received by: CID 11/08/21 15:29 Rush Request: Standard Analyzed by: see "By"below P.O.* Laboratory Data SDG ID: GCJ73341 Phoenix ID: CJ73341 Project ID: 102 BRUSH HOLLOW CLOSE RYE BROOK Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 84 % 11/08/21 Q SW846-%Solid Soil Extraction for SVGA PAH Completed 11/08/21 I/L SW3546 Volatiles- STARS/CP-51 1,2,4-Tdmethylbenzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C 1,3,5-Trimethylbenzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C Benzene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C Ethylbenzene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C Isopropylbenzene NO 0.62 ug1Kg 1 11/09/21 JLI SW8260C m&p-Xylene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 0,62 ug/Kg 1 11/09/21 JLI SW8260C Naphthalene ND 0.62 ug/Kg 1 11/09121 JLI SW8260C n-Butylbenzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C n-Propylbenzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C o-Xylene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C p-Isopropyltoluene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C sec-Butyl benzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C tert-Butylbenzene ND 0.62 ug/Kg 1 11/09/21 JLI SW8260C Toluene ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C Total Xylenes ND 1.2 ug/Kg 1 11/09/21 JLI SW8260C QAJQC Surrogates • 1,2-Dichlorobenzene-d4 99 % 1 11109121 JLI 70-130% • Bromefluorobenzene 96 % 1 11/09/21 .JLr 70-130% 1/6 Dibromofluoromethane 98 % 1 11/09/21 JLr 70-130% %Q Toluene-d8 100 % 1 11/09121 JLr 70-130% Ver 1 Page 3 of 10 Project ID: 102 BRUSH HOLLOW CLOSE RYE BROOK Phoenix I.D.: CJ73341 Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution DatefTime By Reference Semivolatlles-STARSX P-51 Acenaphthene ND 280 ug/Kg 1 11/09/21 WB SW8270D Acenaphthylene ND 280 ug/Kg 1 11109/21 WB SW8270D Anthracene ND 280 ug/Kg 1 11/09/21 WB SW8270D Benz(a)anthracene ND 280 ug/Kg 1 11109/21 WB SW8270D Benzo(a)pyrene ND 280 ug/Kg 1 11/09/21 WS SW8270D Benzo(b)fluoranthene ND 280 ug/Kg 1 11/09/21 WB SW8270D Benzo(ghi)perylene ND 280 ug/Kg 1 11109/21 WB SW8270D Benzo(k)fluoranthene ND 280 ug1Kg 1 11/09/21 WB SWB270D Chrysene ND 280 ug/Kg 1 11/09/21 WB SW8270D Dibenz(a,h)anthracene ND 280 ug]Kg 1 11/09121 WB SW8270D Fluoranthene ND 280 ug]Kg 1 11/09/21 WB SW8270D Fluorene ND 280 ug/Kg 1 11/09/21 WB SW8270D lndeno(1,2,3-cd)pyrene ND 280 ug/Kg 1 11/09/21 WB SW827CD Naphthalene ND 280 4Kg 1 11/09/21 WB SW8270D Phenanthrene N❑ 280 ug1Kg 1 11/09/21 WB SW8270D Pyrene ND 280 ug/Kg 1 11/09/21 WB SW8270D g&QC Surrogates •2-Fluorobiphenyl 85 % 1 11109/21 WB 30-130% • Nitrobenzene-d5 85 % 1 11/09/21 WB 30-130% •Terphenyl-d14 71 % 1 11/09121 WB 30-130 RL/PQL=Reporting/Practical Quantitation Level (Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RLJPQL BRL=Below Reporting Level L=Biased Low QAIQC 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: 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 November 10,2021 Reviewed and Released by: Rashmi Makol, Project Manager Vert Page 4 of 10 0!)0 5 Oki OC NE -OL TO OOL OOL 0-0 001 OOL % 66 Sp-auanloj% OC DE L-OL L'Z 96 96 0,L 86 66 % 86 9ue4l9woaongowougra OC DEL OL 8'Z SOL SOL 0'0 LOL LOL % 96 auazuagojonpwojg% OE DEL Ot O'L LOL OOL O'L 00L LOL % 66 Vp-auazuagoj0143ip-Z'L% OE OE L OL O'L 86 L6 L'S 60L COL 0'L ❑N auenlol OC OE L OL SAV 98 06 L'£ OILL 90L 0'L ON auamag1A4ne-lial OE OE L OL 6'OZ 06 EL 6'0 ZL L LLL 0'L (IN auazuaglAang-oas OC 0CL OL 0'0 68 68 0'0 OLL OLL 0'L (IN auanloilAdoidosl-d OC OE L OL 0'[ 96 96 8'Z LO L VO L O'Z (IN aualAX-o o£ OE OL L'L 06 L6 6'0 OLL 60L O L ON auazuaglAdoJd-u OC OF-OL V'Z Ze 79 9'Z 9L L 8L L 0'L C]N auazuaglALng-u OC OEL-OL L`L 96 176 9"9 OLL COL O'S ON aua�e4i4deN 0£ OEL-OL 0.0 66 66 S'L 90L 86 0 L (IN (391W)jagla I,SLnq-i IA4lay4 Ot DEL-OL O-L 86 L6 C� LLL 8OL 0'Z (IN au.yAX-dqw OE DEL-OL Z'Z 69 L6 8'Z 60L 90L 0'L (IN auazuaglAdadosl DE O£L-OL 0'0 L6 L6 L Z LLL SOL O'L CIN auazuaglA4Lg Ot OS OL O'E £OL OOL 9'9 OLL VOL O'l (IN auezueg OE DEL OL L'L L6 Z6 91 OLL 8OL 0'L (IN au9zu9glA4lawul-S'E4L OE DEL Ot TO 69 68 6'0 90L LOL 0'L C]N auazuaglAylawul-t,'Z'L IanaI MO-J IIOS - SOI!IeIOT\ (Lti£ELM)99LZLfO :ON aldweS Z)t) /6n18ZL009 goleg OO1d0 OE DEL OE b'6 L6 001, l'L L6 06 % L8 7Lp-IAu04-ial% OE O£L 0£ 8'L 08 VL ['OL C8 SL % ZL 9p-auazuag04N% DE DEL-D£ V.L 69 OL L'L EL 99 % 6L IAuagd!goion!j-Z% OE OEL-OE 0'6 VL 08 E"L 9L SL OEZ (IN auaiAd OE OVL-Dv 9'E C8 98 0'L 68 CS OEZ ON auaj4lueuagd OE 01?L-017 V'L LL ZL O'L VL 69 OEZ (IN aualeL4gdeN DC OVL-Ov 6'1? 66 VOL 0'6 9OL 96 OCZ aN auajAd(po-E'Z'L)ouspul OE 01,1-01? VZ 178 Z8 E-L 98 6L OEZ (IN auajonl� OC 0vL-Ot, 6'9 178 06 S-£ L8 178 OEZ (IN aua4luej0nl2 O£ OVL-Ov Z'Z 176 Z6 9-S L6 98 OEZ QN aua0ea4lue(4'e)zuaq!Q OE 04L-D4 9'E 178 LS 9'LL L6 L8 OEZ QN auasAj40 OE 04L-Ov E-L. 8L 6L 91 Z8 9L OEZ QN auagiuejon4(�)ozuag OC OVL-Dv 67 ZOL SOL 6'8 90L L6 OEZ QN aua9AJad(!46)ozuag OC OVL-Ov 8'17 L8 S8 17"0L L6 Z8 OEZ (IN aua4Luejonl(q)ozuag OE O*L-0a 9'C Z8 98 8-OL 89 6L OCZ C]N auajAd(e)ozuag of OVL-Ov V"Z V8 98 9"1L L6 L8 OEZ (IN aua0ejgjue(e)zuag OC Dvl-Ov 9'E C8 98 O'L 68 E8 OCZ dN auaoeJL4uy OE OVL-Ov 6-£ 9L SL 0'6 L8 VL OCZ QN aualA4i4deuaoy Ot OE L-OE V,Z SS £8 Z'8 68 Z8 OEZ (IN auaglgdeuaoy HOS - OH 5iiewoay aeajonu lOd (LKUM)ZLECUO:ON aldweS 00 '(6M/5n)CE8669 40leg 00/V0 S;!w!l Silwll C3d8 % % Oda % °% 78 MUE!Iq Jalawejed Qda 398 SW Q5W SW SOl dSOI Sol GIs LV££Lf DJ :'0'1 DOS ejeQ DO/Vo IZOZ 'OL aagwanON EZ80-SV9(098)xed ZOL L-SV9(098) 191 lioded OC)/VC) WELL#AN gt709O 13'aals04aueW 'OLE x09'0-d 'a�!duin1 alpp4W lse3 L99 s 'oul `saEaoleaogeg JeJUGWUOJlnu7] XZ 9OHd 0 f t QAIQC Data SDG l.D.: GCJ73341 % Bik LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: Additional 6260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%°,25-160%for Chloroethane-HL and Trichlorofkuoromethane-HL. 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 l//! MS-Matrix Spike Phyllis hiller, Laboratory Director MS Dup-Matrix Spike Duplicate Nove ber 10, 2021 NC- No Criteria Intf- Interference Page6off0 § � f E5 Ea k cce \ƒ )j )7 § ® ) g § f Ef \ CD a0 \ § ? § [) &\ Of \ \ � )\ CL \\ � a £ \\ ® 3 9 $ z \\ x \L) W Cos § su � \) ccCL /< E e ) ( to � f 3= 6 / /\ ® nE \km 327 \ 0 < [«( 0 §]{ ƒ Zn 3/{ \ �\ \ } - { ( a) f qm § ; ] ° 6, } § z « \ § \\ ) / j p ) \ \ LO \\ ) / � \ { £ |\ 1�0 �%A ACC4goq PHOEVIX v U ^� Environmental Laboratories, Inc. a NY#11301 x 887 East Middle Turnpike,P.O.$ox 370,Manchester,CT 0604 r Tel.(860)646-1102 Fax(860)846-0823 Analysis Comments November 10, 2021 SDG I.D.: GC,J73341 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA14C Report: None. Page 8 of 10 tty ACC® PHOE U n Environmental Laboratories,Inc. a IVY# 3oi 587 East Middle Turnpike,P.O.Box 370,Manchester,Cr 06045 Tel.(860)645-1102 Fax(860)645-0823 NY Temperature Narration November 10,2021 SDG I.D.: GCJ73341 The samples in this delivery group were received at 1 A°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 9 of 10 O E e N J a to U �° C t y�•r R��l J'�b6�, ci a � a CL a O 0, 0 0 �/y' uUi4E� FSE VyU IL U. ' V M c CCrTi r~i U '�C y Ex Ej M z° EU E hU m W U Q ZI❑ ❑ ❑ ❑ El Q r L cbp B y57 X ° ❑ C? 000 0 i5&5 a d �' � a •- N P1 VV < � � z Ea .2 E a $ a a E d 0 o V CY w CL Z 2 0 ❑ ❑ ❑ ❑ 'z z tu S 3 a° th oN a a❑ ❑ ❑ ❑ m VO ;y r o� o � a i C7 m O U g 41 molFY � � i� '' m 7 Z A o E � � oW 0 a a p� ■ p 2. cc 0 Phoenix Environmental Laboratories, Inc. 587 East Middle Turnpike P.O.Box 370 Lab Sample Id CJ73341 Manchester,CT06040 Collection Date 11/05/2021 {860)645-1102 Client Id BOTTOM Matrix SOIL SDG:GCJ73341 NY Project:102 BRUSH HOLLOW CLOSE RYE BROOK CAS Units CP-51 Soil-Gas/Fuel Oil Result RL Miscellaneous/Inorganics Percent Solid PHNX-PCTSOLID % 84 Semivolatiles-STARS/CP-51-SW8270D Acenaphthene 83-32-9 ug/Kg 20000 <280 280 Acenaphthylene 208-96-8 ug/Kg 100000 <280 280 Anthracene 120-12-7 ug/Kg 100000 <280 280 Benz(a)anthracene 56-55-3 ug/Kg 1000 <280 280 Benzo(a)pyrene 50-32-8 ug/Kg 1000 <280 280 Benzo(b)fluoranthene 205-99-2 ug/Kg 1000 <280 290 Benzo(ghi)peryiene 191-24-2 ug/Kg 100000 <280 280 Benzo(k}fluoranthene 207-D8-9 ug/Kg 800 <280 280 Chrysene 218-01-9 ug/Kg 1000 <280 280 Dibenz(a,h)anthracene 53-70-3 ug/Kg 330 <280 280 Fluoranthene 206-44-C ug/Kg 100000 <280 280 Fluorene 86-73-7 ug/Kg 30000 <280 280 Indeno(1,2,3-cd)pyrene 193-39-5 ug/Kg Soo <280 280 Naphthalene 91-20-3 ug/Kg 12000 <280 280 Phenanthrene 85-01-8 ug/Kg 100000 <280 280 Pyrene 129-00-0 ug/Kg 100000 <280 280 Volatiles-STARS/CP-51-SW9260C 1,2,4-Trim ethyl benzene 95-63-6 ug/Kg 3600 <0.62 0.62 1,3,S-Trimethylbenzene 108-67-8 ug/Kg 8400 <0.62 0.62 Benzene 71-43-2 Lg/Kg 60 <1.2 1.2 Ethylbenzene 100-41-4 ug/Kg 1000 <1.2 1.2 isopropylbenzene 98-82-8 ug/Kg 2300 <0.62 0.62 m&p-Xylene 179601-23-1 ug/Kg <1.2 1.2 Methyl t-Butyl Ether(MTBE) 1634-04-4 ug/Kg 930 <0.62 0.62 n-Butylbenzene 104-51-8 ug/Kg 12000 <0.62 0,62 n-Propylbenzene 103-65-1 ug/Kg 3900 <0.62 0.62 Naphthalene 91-20-3 ug/Kg 12000 <0.62 0.62 o-Xylene 95-47-6 ug/Kg <1.2 1.2 p-Isopropyltoluene 99-87-6 ug/Kg 10000 <0.62 0.62 sec-Butylbenzene 135-98-8 ug/Kg 11000 <0.62 0.62 tert-Butylbenzene 98-05-6 ug/Kg 5900 <0.62 0.62 Toluene 108-98-3 ug/Kg 700 <1.2 1.2 Total Xylenes 1330-20-7 ug/Kg 260 <1.2 1.2 Result Detected RI,Exceeds Criteria Result Exceeds Criteria NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 piton)typewriter) NON-HAZARDOUS 1.Generator's US EPA ID No. Marifes! z.Page Document tvo. 1 of 1 WASTE. MANIFEST 3.Gifnerator'a Name and Mailing Address 1L7Z Yv�H 11a CessL 4.Generators Phone 5.Transporter 1 Company Name i I US EPA IC Number A Stale Transporters ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 B Transporters Ph❑❑e 914 4 4 9-6 6 0 8 7.Transporter 2 Company Name 8. US EPA 10 Number C.Slate Trensporter's IQ Q 7ransporter2 Phone 9,Designated Facility Name and Site Address 10. US EPA ID Number E.State Facility's M Water Works N Y D 9 8 6 9 0 8 0 8 5 77 Stewart Ave F.Facility's Phone Newburgh, NY 845-561-4111 11 WASTEDESCRIPTICN 12. Containers 13. 14. Total Unit No. Type Quantity Wt.Nol_ a. Non RCRA, Nor. DOT liquid (Oily Wager) 1 T T Gallon G b E N E R c. A T O W R d. H G►y G Additional Descriptions'or Materials Listed Above H Handling Codes for Wastes Listed Above 3.0 O 0 15.Special handling Instructions and Additional Information Approval O z 16.GENERATOR'S CERTIFICATION:I hereby certify Mat the contents of this shipment are fully and accurately described and are it al respects in proper condition for transport.The materials described on this manliest are not subject to Ilederal hazardous waste regulations. Dale Printedrfyped Name Month Dam Year Donald Feeney - AS Agent for ---- - T 17.Transporter 1 Acknrnd nt edgerne ❑f Receipt of Materials T Date N Printedrryped Name Signature Month bay Year S Sean Penelle P 0 18.Transporter 2 Acknowledgement of Receipt of Materials Dace ER Prinled/T Name Signature Month Day Year 19.Discrepancy India on Space - F A C 1 20.Facility owner or operator,Cartification of receipt of the waste materials covered by this manifest.except as noted in item 19. L 1 Qate T Printed/Typed Name Signature Month Day Year Y dejI9AngaM,,:)�looga3p� uo�J� �,,y400,e ufol. pfaJM�Q19� 1no en�faa49 l uoll�i.uo i Ai a41 uo PUP s1noif'bUi�u Ju!13PIU00 f- 1u811n, Ijd 6Z0$ -- A��d l��o� 00'9&$ 1 b'Aunov 'pled(lgs1 $L'GB :)Z3 UseoZ�;poifl'M luawAed Telol la>t�fl 1:018101-L io'oN 94,996 - ��aosss -. !IV'Loj aaPd arwc ogg£1 oZl'9L ON ---- s �p� asolS slfue 1 WbL6:Z£;L ZJB/1.C-1np 4eMgl W'b 1Z0 Lb:OZ.L tZOvelkl:ul AN Q auefQ:jole-iad0 - ZbOgyL 1:1a>lol1 9650 t AN I jagtu 1N❑! v VHlbh W��g ZE L aW1� 1V-LN3WNO6fAN�8A n ®o 76 z/9/tt:a�g,0 ZOB69:1aulo#sn f tL t 9O 3 L t.adta�a� OgIg a E�aj�t AN 'PioJ31�r qu ulaBauaw aOJ 0js JUOLULl OOt I�fa!Oje LN3WAVIcj Q� 1 e iL cli Li LO m U 45 r E UJ W LO 4-40 4? ++ j o jotectloll Z U] Z F w t r% c s G LJ all i � w eo LU s /j C LL •� tc ' 1'»~ Cu w N r 00 z � z a Ci y y L co A j o v� I .. l � U - . 1..._ IF 1 0 DATE(MMIDOIYYYY) AC©RV CERTIFICATE OF LIABILITY INSURANCE 02)1212021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 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 have ADDITIONAL INSURED provisions or 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 Evita Dermanis NAME: Mt Pleasant Capacity Agency LLC ?�CONN (914)205-7682 AAC No: (914)205-7682 P 0,Box 1589 EMAIL Evita.Dermanis@mtpcap.00m ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# Pearl River NY 10965 INSURERA: Century Surety Company INSURED INSURER B: Progressive Casualty Insurance 24260 Innovative Environmental Services Inc. INSURERC: 392 Coiumbus Ave INSURER D: INSURER E: Valhalla NY 10595 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21 21 2661 7 5 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY Err POLICY LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM1001YYYv MMIDDJYYYV X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE DAMAGE TO RENTED I"OCCUR PREMISES Eacccurrance $ 16D,OD0 MED EXP(Any one person) $ 5,000 A CCP946922 02/14/2021 02-/14/2022 PERSONAL&ADV INJURY $ 1,000,000 M,07HER: LAGGREGATELIMITAPPLIESPER, GENERAL AGGREGATE $ 3.000,000 PET LOC PRODUCTS-COMWOPAGG $ 3,000,000POLICY 1-1 S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) 5 B OWNED x SCHEDULED 01666398-1 01/15/2021 01/15/2022 BODILY INJURY(Per accident) S AUTOSONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident Uninsured Motorist s 1,000,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ H EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE ❑ NIA EL EACH ACCIDENT 5 OFFICERIMEMBER EXCLUDED? (Mandatory in i E.L.DISEASE-EA EMPLOYEE 5 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.D[SEASE-POLICY LIMIT $ Pollution Liability A CCP949922 0211412021 02/14/2022 Each,Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 93B King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 17- NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS,NY 10601-4411 nySIf.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) n n n n n n 824703808 INNOV8TIVE ENVIRONMENTAL SERVICES INC Q 392 COLUMBUS AVENUE VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INNOV8TIVE ENVIRONMENTAL VILLAGE OF RYE BROOK SERVICES INC 938 KING STREET 392 COLUMBUS AVENUE RYE BROOK NY 10573 VALHALLA NY 10595 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2455 047-7 441760 10/02/2020 TO 10/02/2021 9/30/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2455 047-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERTICERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DONALD FEENEY VICE PRESIDENT FRANK MORACO INNOV8TIVE ENVIRONMENTAL SERVICES 20F2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY, NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 949737100 U-26.3 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Thursday, October 14, 2021 1:13 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 10/14/2021 13:11 To: VIL RYE BROOK PRIMARY Transmitted: 10/14/2021 13:12 00001 Ticket: 10141-001-511-00 Type: Regular Previous Ticket: 09221-002-682-00 State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 102 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 10/19/2021 Depth of excavation: Site dimensions: Start Date and Time: 10/19/2021 07:00 Must Start By: 11/02/2021 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: ADDRESS -------- --------------------------------------------------------------------- Members:ALTICE USA BELL-VALHALLA/ WSCHSTR : CON-ED SUEZ WTR WESTCHESTER : TEN GAS-HDS VLY VIL RYE BROOK 1 Laura Petersen From: Dig Safely New York Exactix <tickets@ exactix.digsafelynewyork.co m> Sent: Wednesday, September 22, 2021 5:25 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 09/22/2021 17:23 To: VIL RYE BROOK PRIMARY Transmitted: 09/22/2021 17:25 00003 Ticket: 09221-002-682-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 102 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 09/27/2021 Depth of excavation: Site dimensions: Start Date and Time: 09/27/2021 07:00 Must Start By: 10/12/2021 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/WSCHSTR CON-ED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK 1 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.coma Sent: Wednesday, October 27, 2021 11:11 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. {DSNY} ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 10/27/2021 11:09 To: VIL RYE BROOK PRIMARY Transmitted: 10/27/2021 11:10 00028 Ticket: 10271-001-102-00 Type: Regular Previous Ticket: 10141-001-511-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 102 To: Name: BRUSH HOLLOW CLOS Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: BRUSH HOLLOW LN Means of Excavation: EXCAVATOR Blasting: N Site :marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 11/01/2021 Depth of excavation: Site dimensions: Start Date and Time: 11/01/2021 07:00 Must Start By: 11/16/2021 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addr1: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: DONNIE FEENEY Alt Phone: 914-449-6608 Email: service@innovSenviro.com Working for: HOMEOWNER Comments: Lookup Type: ADDRESS ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/W SCHSTR : CON-ED SUEZ WTR WESTCHESTER : TEN GAS-HDS VLY VIL RYE BROOK 1