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HomeMy WebLinkAboutMP22-019 L ,� vJv C. . 19 4t" ClnimaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rve Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher j. Bradbury www.iyebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Michael j. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE April 13,2022 Karen Ferrell 24 Tamarack Road Rye Brook,New York 10573 Re: 24 Tamarack Road, Rye Brook,New York 10573 Parcel ID#: 135.67-2-49 As per the Certification letter from Enviros tar Innovation Corporation dated April 13,2022,the abandonment of an underground oil tank and installation of a new above ground oil tank under Mechanical Permit#22-019 issued on 2/10/2022 has been satisfactorily completed. Sincerely, Michael j. Izzo Building&Fire Inspector /to QyE BRC�k• 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR R-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 : ' f DATE: n Z 0 PERMIT# � � ISSUED: �\r-\Zg.CT: LOCK: LOT: LOCATION: nT OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACC,UPTED ClEJECTED/ REINSPECTION ❑ SITE INSPECTION 'r REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �;_ ❑ NATURAL GAS � A�pr n k N S-VLJ --%gO t N s c qxu n� 1�- 0 L.P. GAS FUEL TANK C�E'G N� - �� ► , Sc Q ❑ FIRE SPRINKLER n LyJ' SC ❑ FINAL PLUMBING ❑ CROSS CONNECTION 1 ❑ FINAL ❑ OTHER I O : a � a w • N o e � � a , � N .. � a � F•, 1- a A we �R Q cd by &•s q.. a ui O © \Lr) ` `O o a ° o Crl O Z a Ln '� Q ✓ wLn 00 �y W 0 w b rn ►'� : C co O W � H z QUA to V = O O .FUz °' v- o i H � � � E'' � I � °i 'A p• °' a � U a 0 04 CA �q N A cow � q O � � W oH •" �v •� REVIcl: 111 D BUIL Df-,?*MENT PLAN FEB 1 0 2022 VILLAGE of RYE UOK DATE I K 938 KING STREET RYE BRQO4,IVY 10573� BUILDING DEPARTMENT (914)939-0668 FAx(914)"939-5801 Fr_W .Uebrook.org AIRMication for Permit to Remove Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ON1_ f EB 1 Cl �'7 Approval Date: Permit Fee:$ 3 / 0 `od,6 Approval Signature: Other: Disapproved: (fees are non-refundable) RE UIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance.(Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form #C 105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal,Abandonme t or Installation: 5. Dig Safely New York#( ): Q 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests&Reports(after work has been completed). 8.Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, (Ki is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed, abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes,rules and regulations. **#*#k**** 1 Indicate Permit Type: Installation (�!}�• Removal( )•Abandonment(err/Above Ground •Buried in Ground l. Address: ' ! 4--- ' SBL: Zo1nne: 2. Property Owner&Address: r W - 11 C`AL Y_�(L Phone#: Cell#• ` \q—_2;u— email: t 3. Contractor{&� Address: OS �� ` COY-� Phone#: `Z�_� ^ Cell#• email: Ono eff QSW 4. Applicant: (' ,�,�h Phone#: `� ►- Cell#: email; "� '1 5. Indicate Fuel Type: Fuel Oil(v✓)•L.P.Gas( ))-Gasoline( )•Other( ): IDS U�m 6. Number and Capacity of each Tank: T �J-�t QA)Q 7. Exact Location(s)of each Tank: Y v tQE12LL t l 6/1/2020 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �q d�ti3G kt ,being duly sworn,deposes and states that he/she is the applicant above named, (punt natnii-ofindivIdual signing as the applicant) and fiu2her states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belies;and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code ofthe Village of Rye Brook and all other applicable laws,ordinances and regulations. zr �rl Sworn to before me this Sworn tq hgfore me this .' day of ( 20 day of 1'62 ANA I MARTINS 5tgnature ofProperty Owner Notary--tic- State of New York S' afore ofApp' ant u NO. OIMA6396946 / f Qu rnm� s westcneer Courty My tortamissioion Expires Aug 25. 2023 nt Name of roperry Owner pplic r Rabin DiNapol , Notary Public Notary Public, State o is Reg. No.01 D163 Qualified in Westchester County Commission Expires July 2,2022 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. a 3/21/19 �--=--J o z i nrL wi L cV O N a) o O 3 +-' O W O Q (D Cu e" M-ei-j c L 0- Z W = O � r � � N O m 0) M 0) N S c � L w 0 w — � W c il O U� i O a-0 0 o LL cu ` O 0— Ln C 0 U- O O O : O LL J -C rm v L Q) Z ' , � co .. n �('� Q Laura Petersen From: Mike Izzo Sent: Tuesday, February 15, 2022 8:52 AM To: Laura Petersen Subject: FW: Updated 24 Tamarack Rd Permit App Attachments: Revised 24 Tamarack Rd permit app.pdf lff l Q4 C t Izzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: info@tankremovalservices.com <info@tankremovalservices.com> Sent: Monday, February 14, 2022 1:16 PM To: Mike Izzo <Mlzzo@ryebrook.org> Subject: FW: Updated 24 Tamarack Rd Permit App We just got the permit in today's mail... thank you! The only thing is it says we are removing the UST when we are abandoning it. Thank you for the quick turn around time. Regards, Robin DiNapoli Envirostar Innovation Corp. 50 Fields Lane Brewster, NY 10509 845-279-9555 From: info@tankremovalservices.com <info@tankremovalservices.com> Sent: Monday, February 14, 2022 10:05 AM To: 'mizzo@ryebrook.org'<mizzo@ryebrook.org> Subject: FW: Updated 24 Tamarack Rd Permit App Michael, can you please let us know if this permit will be issued soon. We haven't heard back from you regarding any issues. Regards, Robin DiNapoli Envirostar Innovation Corp. 50 Fields Lane Brewster, NY 10509 845-279-9555 1 From: info@tankremovalservices.com <info@tankremovalservices.com> Sent:Thursday, February 10, 2022 1:10 PM To: 'mizzo@ryebrook.org' <mizzo@rvebrook.org> Subject: Updated 24 Tamarack Rd Permit App Michael, Please see the revised application for 24 Tamarack Rd. We will install the tank on the right side of the house in a tub tank. Here is the link to the tub details: https://www.oilstoragesolutions.com/tank-tubs Also, we will be abandoning the tank, not removing. Please let us know if you have any questions.Thank you! Regards, Robin DiNapoli Envirostar Innovation Corp. 50 Fields Lane Brewster, NY 10509 845-279-9555 z PBUILDING CCOMCVILL')` OE OF RykkoOK FEB - 4 2022938 KING$iiliET RYE BR©O"K,NY 10573(914)939-Q6$. ?939-5801 LAGE OF RYE BROOKwow: '� ra DEPARTMENT Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1.100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: _ Approval Date: Permit Fee:$ 67 0� Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal,AbandonmellL or Installation: S 185.00 per Tank. 5. Dig Safely New York#(dial 81 1): �o � 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests&Reports(after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. ****************************************************************************************************** Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes,rules and regulations. ********************************** ************************************************** *************** Indicate Permit Type: Installation •Removal(�•Abandonment( )/Above Ground • Buried in Ground 1. Address: SBL: Zone: 2. Property Owner&Address: � Fcoa U. D�A Phone#: Cell #:9t�'A - C�q�emaiI: 3. Contractor&Address: � I�0 I CA A Tkoac"&,r)N\ I Phone#: ���•��-C�el'l#:_ email: 4. Applicant: ,,C Phone#: Cell#: email: 1 fnl NO ^ 5. indicate Fuel Type:Fuel Oil a•L.P.Gas( )•Gasoline( )•Other 6. Number and Capacity of each Tank: C gm O _ _ __ - XTS �J 7. Exact Location(s)of each Tank 6/1/2020 STATE OF NEW YOM COUNTY OF WESTCI-tESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (Pnat name ofmdmUaal s�gnir,�as 8m applicant) and farther states that(s)he is the legal owner of the property to which this application pertains,or that(site is the GP"ty C"�x for the 1 owner and is dui iindicate arcmtxt,coauactor,asets,aaomey.M) y authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belies;and or that any w pa , conducted at the above captioned property will be in conformance with the details as set forth and ork tormed use contained in this application and in arty accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations, 2 ,S� Sworn to before me this J Sworn tg4fore me this day of �0 11 n.' day of i 17 �•' 1 ANA I MARTINS Signature ofProperty Owner N-:a-y�L;aic•State o4 NR•N York Nr,.')IMAISP69s6 $ e ofApp' t , '�C1 f�� ) I� Q:al.�iec n K•es.nes:er co,--r , �f Name of MY Commission Expires Aug 25. 20Z3 roperry Owner kph Ruin DiNapol Notary Public {Votary Public,State o Reg.No.01DI63 is Qualffied in V+/estchester County Commission Expires July 2,2022 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s)ofthe subject property,and the applicant of record in the spaces pro�rided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and Will be returned to the applicant. 2 3/21/19 m � co 0) M i M 0) N A 0 O i C - 1 1 Y 1 1 C wo U m F— Z LU CO 0 J U _0 0- LL N I.L. O Itr--� O r. • L Q. L- 40 cw 4-a N 0 E 0 M co LL r c _0 0 « D o oO) o � o � • aN � � co � r �m� 0 OLO . L ti Y LO N N C RECENE APR 13 2022 VILLAGE OF RYE BROO BUILDING DEPARTME ENV1f:K0STiel f:K 1\\OVATION COA?ORA T 1O\ BBB TTe name YW wet Ior anvlronmetrt�!medal "-�,�+} 50 F,4dt tax 0884FULLTA K 3—stec.NY 10509 866.778.5552 6a5.279.9555 Fsa:EAS2T9-019A wl.wtinknmovJwMcvt.ton, EmHi LI!eCtenivamowlurvuea<om April 13, 2022 Village of Rye Brook Bldg.Dept. 938 King St, Rye Brook,NY 10573 RE: Permit#MP22-019 24 Tamarack Rd. Rye Brook,NY 10573 To Whom It May Concern, On March 17,2022 Envirostar Innovation Corp.went to the property listed above installed(1) 275-gallon AST and attempted to abandon (1)550-gallon UST. The tank is wedged up against a retaining wall for the driveway,and the side walk v,hich has the gas line alongside the tank as well. We cut 2 holes into the tank bottom for sampling. The sample taken closest to the house exceeds guidance. The sample taken closest to the street has nothing The holes were dry, no water or free product. Envirostar returned on April 6,2022 to attempt to partially remove the tank and excavated, loaded and disposed of 1 ton of contaminated soil. While digging,we discovered the main water line runs directly under the tank Tank pieces remain as to not have the retaining wall and gas line /side"alk disturbed.Manifests are enclosed for your records and review. Once all soil was removed, we took(1) exit sample from the base of the excavation. The sample are enclosed for your records and review Excavation was then backfillcd and disturbed area restored. The tank pieces were cleaned and disposed of. Enclosed please find: 1. Soil Sample Results(Pre&Post Excavation) 2. Soil Disposal Manifest 3.Liquid Disposal Manifest 4.Tank Disposal Receipt 5 Copy of Permit 6. DEC Spill Closure The spill has been closed by the DEC,at this time we ask the permit be closed. If you have any questions, please do not hesitate to call 845-279-9555. Thank you, T vl �a�6 Michelle Rezza Envirostar Innovation Corp. Cc: Ferrel! F.nrrronmentell Lilhoratorres. Inc. Tuesday, March 22, 2022 Attn: Greg DiNapoli EnviroStar Innovation 50 Fields Lane e C� Brewster NY 10509 Project ID: FERELL 24 TAMARACK RD., RYE BROOK, NY SDG ID: GCK89644 Sample ID#s: CK89644, CK89665 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, 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 12 A `C �N ACC0,9 i �` /'�' O\t q�C' Ho . c Environmental Laboratories, Inc. } 587 East Middle Tumpike,P.O.Box 370.Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference March 22, 2022 SDG I.D.: GCK89644 Project ID: FERELL 24 TAMARACK RD., RYE BROOK, NY Client Id Lab Id Matrix BASE HOUSE CK89644 SOIL BASE STREET ;CK89665 SOIL Page 2 of 12 / aC N ACCp9O �'.7.�,�� ��� Ate✓ Pho --- �� Environmental Laboratories, Inc_ 587 East Middle Turnpike,P.O.Box 370,Manchester,Cr 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Greg DiNapoli EnviroStar Innovation March 22, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: ANDY 03/17/22 Location Code: ENVIROS Received by: LB 03/18/22 13:25 Rush Request: Standard Analyzed by: see"By"below P.O_#: SDG ID: GCK89644 Laboratory Data Phoenix ID: CK89644 Project ID: FERELL 24 TAMARACK RD., RYE BROOK, NY Client ID: BASE HOUSE RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 85 % 0311822 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/18/22 I/R/Y SW3546 Volatiles-STARS/CP-51 11,2,4-Trimethylbenzene 25000 1200 ug/K9 1000 03/21/22 JLl SW8260C 1,3,5-Trimethylbenzene 11000 1200 ug/Kg 1000 03/21/22 JLI SW8250C Benzene ND 2400 ug/Kg 1000 03/21/22 Al SW8260C Ethylbenzene 2800 2400 ug/Kg 1000 03/21122 JLI SW8260C Isopropylbenzene 1900 1200 ug/Kg 1000 03/21/22 JLI SW82600 m&p-Xylene 13000 2400 ug/Kg 1000 03/21/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 1200 ug/Kg 1000 030/22 JLI SW8260C Naphthalene 15000 1200 ug/Kg 1000 03121/22 JLI SW8260C n-Butylbenzene 3500 1200 ug/Kg 1000 03/21/72 JLI SW8260C n-Propylbenzene 4100 1200 ug/Kg 1000 03121/22 JLI SWB260C o-Xylene 5600 2400 ug/Kg 1000 03/2122 JLI SW8260C p-Isopropyltoluene 3100 1200 ug/Kg 1000 03/21/22 JLI SW8260C sec-Butylbenzene 4000 1200 ug/Kg 1000 03/21rz2 JLI SW8260C tert-Butylbenzene ND 1200 ug/Kg 1000 0321/22 JLI SW8260C Toluene ND 2400 ug/Kg 1000 03/21/22 JLI SW8260C Total Xylenes 18600 2400 ug/Kg 1000 03/2122 JLI SW8260C QA/QC Surrogates 1,2-Dichlorobenzene-b(1000x) 97 % 1000 03/21/22 JLJ 70-130 Bromofluorobenzene(1000x) 98 % 1000 03/21/22 JLI 70-130% %Dibromofluoromethane(1000x) 100 % 1000 03/21/22 JLI 70-130% %Toluene-d8(10004 93 % 1000 0321/22 JLI 70-130% Ver 1 Page 3 o112 Project ID: FERELL 24 TAMARACK RD., RYE BROOK, NY Phoenix I.D.: CK89644 Client ID: BASE HOUSE RU Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene 3400 270 ug/K9 1 03/19/22 WB SW8270D Acenaphthylene ND 270 ug/Kg 1 03/19/22 WB SW8270D Anthracene 1300 270 ug/Kg 1 03/19/22 WB SW8270D Benz(a)a nthracene ND 270 u9/K9 1 03/19/22 WB SW8270D Benzo(a)pyrene ND 270 ug/Kg 1 03/19/22 WS SW8270D Benzo(b)fluoranthene ND 270 ug/Kg 1 03/19122 WB SW8270D Benzo(ghi)perylene ND 270 ug/Kg 1 03/19/22 WB SW62700 Benzo(k)luoranthene ND 270 ug/Kg 1 03/19/22 WB SW82700 Chrysene 380 270 ug/Kg 1 03/19/22 W8 SW8270D Dibenz(a,h)anthracene ND 270 ug/Kg 1 03119122 WB SW82700 Fluoranthene 750 270 ug/Kg 1 03/19/22 WB SW8270D Fluorene 4600 270 ug/Kg 1 03/19/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 270 ug/Kg 1 03/19122 WB SW8270D Naphthalene 12000 2700 ug/Kg 10 0321122 WB SW8270D Phenanthrene 22000 2700 ug/Kg 10 03/21/22 WB SW82700 Pyrene 4400 270 ug/K9 1 03/19/22 WB SW8270D QA/QC Surrogates •2-Fluorobiphenyl 59 % 1 03/19/22 W8 30-130% •Nitrobenzene-d5 129 % 1 03/19/22 WB 30-130% •Terphenyl-d14 84 % 1 0311922 WB 30-130% •2-Fluorobiphenyl(10x) Diluted Out % 10 03/21/22 WB 30-130% %Nitrobenzene-d5(10x) Diluted Out % 10 0321122 W8 30-130% %Terphenyl-d14(10x) Diluted Out % 10 03/2l/22 WB 30-130% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NFLAC LOCI,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 volaGles due to the presence of target and/or non-target compounds. 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 or this report cannot be discussed with anyone other than the client listed above without their written consent. 2r, 1P hiller,Laboratory Director March 22,2022 Reviewed and Released by:Rashmi Makol,Project Manager Ver 1 Page 4 or 12 1 �" � `tt nCCO PHOEA -5 J�+f 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: Greg DiNapoli EnviroStar Innovation March 22, 2022 50 Flelds Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: ANDY 03/17/22 Location Code: ENVIROS Received by: SW 03/18/22 13:25 Rush Request: Standard Analyzed by: see"By"below Laboratory Data SDG ID: GCK89644 Phoenix ID: CK89665 Project ID: FERRELL-24 TAMARACK RD RYE BROOK NY Client ID: BASE STREET RLJ Parameter Result PQL Units Dilution DatefTime By Reference Percent Solid 86 % 03/18/22 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/18/22 I/R/Y SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene 1.7 0.98 ug/Kg 1 03/20/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 0.98 ug/Kg 1 03/20/22 JLl SW8260C Benzene NO 2.0 ug/K9 1 03/20122 JLI SW8260C Ethylbenzene NO 2.0 ug/Kg 1 03/20/22 JLl SW8260C Isopropylbenzene NO 0.98 ug/Kg 1 03/20122 JLl SW8260C m&p-Xylene NO 2.0 ug/Kg 1 03/20/22 JLl SW8260C Methyl t-Butyl Ether(MTBE) NO 0.98 ug/K9 1 03/20/22 Al SW8260C Naphthalene NO 0.98 ug/Kg 1 03120/22 JLI SW8260C n-Butylbenzene NO 0.98 ug/Kg 1 03/20/22 JLl SW8260C n-Propylbenzene ND 0.98 u9/K9 1 03/20/22 JLl SW8260C o-Xylene NO 2.0 ug/Kg 1 03/20/22 JLl SW8260C p-Isopropyltoluene ND 0.98 ug/Kg 1 03/20/22 JU SW8260C sec-Butylbenzene ND 0.98 ug/Kg 1 03/20/22 JLl SW8260C tert-Butylbenzene NO 0.98 ug/Kg 1 03/20/22 Al SW8260C Toluene NO 2.0 ug/Kg 1 03/20M JLl SW8260C Total Xylenes NO 2.0 ug/Kg 1 03/20122 JLl SW8260C QA/QC Surrogates % 1,2-Dtchlorobenzene-d4 96 % 1 03/20/22 JLl 70-130% %Bromofluorobenzene 97 % 1 03/20/22 JLI 70-130% %Dibromofluoromethane 102 % 1 03/20/22 JLI 70 130% %Toluene-d8 95 % 1 03/20/22 Al 70-130% Ver 1 Page 5 of 12 Project ID: FERRELL-24 TAMARACK RD RYE BROOK NY Phoenix I.D,: CK89665 Client ID: BASE STREET RU Parameter Result PQL Units Dilution DatelTime By Reference Sei nivolatiles-STARSIM51 Acenaphthene ND 270 ug/Kg 1 03/19/22 WB SW8270D Acenaphthylene NO 270 ug/Kg 1 03/19122 WB SW8270D Anthracene ND 270 ug/Kg 1 03/19/22 WB SW8270D Benz(a)anthracene NO 270 ug/Kg 1 03/19/22 WB SW8270D Benzo(a)pyrene ND 270 ug/Kg 1 03/19/22 VVB SW8270D Benzo(b)fluoranthene NO 270 ug/Kg 1 03/19122 WB SW8270D Benzo(ghi)perylene NO 270 ug/Kg 1 03/19/22 WB SW82700 Benzo(k)fluoranthene ND 270 ug/K9 1 03/19/22 WB SW82700 Chrysene NO 270 ug/Kg 1 03/19/22 WS SW8270D Dibenz(a,h)anthracene NO 270 ug/Kg 1 03/19/22 WB SW8270D Fluoranthene NO 270 ug/Kg 1 03/19/22 WB SW8270D Fluorene NO 270 ug/K9 1 03/19/22 WS SW8270D lndeno(1,2,3-cd)pyrene NO 270 ug/Kg 1 03/19122 WB SW8270D Naphthalene NO 270 ug/Kg 1 03/19122 WB SW8270D Phenanthrene NO 270 ug/Kg 1 03/19/22 W8 SW82700 Pyrens NO 270 ug/Kg 1 03/19/22 WB SW8270D 0A1QC Surrogates 2-Fluoroblphenyl 68 % 1 03/19/22 WS 30-130% Nitrobenzene-d5 63 % 1 03/19/22 WB 30-130% Terphenyl-d14 83 % 1 03/19M WB 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: 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 thm report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller, Laboratory Director March 22,2022 Reviewed and Released by: Rashmi Makol,Project Manager Ver 1 Page 6 of 12 ^'=cG90 P,Oml-' .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 QA/QC Report March 22, 2022 QA/QC Data SDG I.D.: GCK89644 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limas Limits QA/QC Batch 616403(ug/kg),QC Sample No:CK89437(CK89644,CK89665) Semivolatiles - Soil Acenaphthene NO 230 80 72 10.5 74 83 11-5 30-130 30 Acenaphthylene NO 130 72 64 11.8 67 75 11.3 40-140 30 Anthracene NO 230 84 74 12.7 77 85 9.9 40-140 30 Benz(a)anthracene NO 230 78 69 12.2 72 79 9.3 40-140 30 Benzo(a)pyrene NO 130 74 65 12.9 68 75 9.8 40-140 30 Benzo(b)fluoranthene NO 160 79 68 15.0 70 77 9.5 40.140 30 Benzo(ghi)perylene NO 230 79 70 12.1 73 81 10.4 40-140 30 Benzo(k)fluoranthene ND 230 73 67 8.6 70 76 8.2 4o-14o 30 Chrysene ND 230 81 72 11.8 75 82 8.9 40-140 30 Dibenz(a,h)a nth race ne ND 130 81 72 11.8 74 83 11.5 40-140 30 Ftuoranthene ND 230 85 75 12.5 79 86 8-5 40-140 30 Fluorene ND 230 83 74 11.5 77 85 99 40-140 30 Indeno(1,2,3-cd)pyrene ND 230 86 76 12.3 78 89 13.2 40-140 30 Naphthalene NO 230 74 65 12.9 70 79 12.1 40-140 3o Phenanthrene ND 130 82 73 11.6 75 83 10.1 40-140 30 Pyrene NO 230 86 76 12.3 80 87 8.4 30-130 30 %2-Fluorobiphenyl 70 % 79 70 12.1 74 83 11.5 30-130 30 %Nrtrobenzene-d5 71 % 81 70 14.6 76 85 11.2 30-130 30 %Terphenyl-d 14 70 % 81 71 13.2 75 81 7.7 30-130 30 QA/QC Batch 616563(ug/kg),QC Sample No:CK89944(CK89665) Volatiles- Soil (Low Level 1.2.4-Trimethylbenzene NO 1.0 101 103 2.0 88 91 3.4 70-130 30 1,3,5-Trimethylbenzene NO 10 103 103 0.0 94 96 2.1 70 130 30 Benzene ND 1.0 102 103 1.0 98 100 2.0 70-130 30 Ethylbenzene NO 1.0 106 105 0.9 100 101 1.0 70-130 30 Isopropylbenzene ND 1.0 107 108 0.9 100 101 1.0 70-130 30 m&p-Xylene NO 2.0 102 102 0.0 96 96 0.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 105 109 3.7 101 104 2.9 70-130 30 Naphthalene ND 5.0 107 114 6.3 76 83 8.8 70-130 30 n-Burylbenzene ND 1.0 108 108 0.0 89 93 4.4 70-130 30 n-Propylbenzene ND 1.0 106 108 1.9 98 99 1.0 70-130 30 o-Xylene NO 2.0 104 105 1.0 97 100 3.0 70-130 30 p-Isopropyholuene ND 1 0 106 107 0.9 94 97 3.1 70-130 30 sec-Butylbenzene ND 1.0 106 106 0.0 95 97 2.1 70-130 30 tert-Butylbenzene ND 1.0 107 108 0.9 99 101 2.0 70-130 30 Toluene ND 1.0 104 105 1.0 99 102 3.0 70-130 30 %1.2-dichlorobenzene-o[4 96 % 102 102 0.0 100 100 0.0 70-130 30 %Bromofluorobenzene 100 % 100 100 0.0 100 99 1.0 70-130 30 %Dibromofluommethane 103 % 99 98 1.0 98 98 0.0 70-130 30 %Toluene-d8 95 % 100 101 1.0 100 102 2.0 70-130 30 Page 7 of 12 11!�9 Oded aoua pejul-,q01 ZZOZ'ZZ gojeW eualuO ON-ON aleo!ldna a1l!dS xuLeyy-dnd SW jol0aalq IUo3ejogel 'iall!y SI11A4d a !d . 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NY#11301 567 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)6454823 Analysis Comments March 22, 2022 SDG I.D.: GCK89644 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or O-A/QC Report: None. Page 10 of 12 IAN K ACCp PHOEVIT'k4--M V ^ Environmental Laboratories, Inc. a NY# 1 30i 587 East Middle Turnpike,P.O.Box 370,Manchester,CI'06045 Tel.(860)645-1102 Fax(860)645-0823 NY Temperature Narration March 22,2022 SDG I.D.: GCK89644 The samples in this delivery group were received at 2.6°C. (Note acceptance crrtena for relevant matnces is above freemv up to 6Q Page 1 i of 12 m m 15 O N �c g o ao ob 4 J � LLa = wr �> L � wa Cwzzz AY coA Q, _ G t m S J 3t ©� a7� a LL- '� To Z Lyn Q iy� rr~IInnG rr'' El VJ L 9 m � V m y� 0 g Z U U' UEll 3 O " U � tln �o o a W o 9", ea m U s Z u m tr,4 m o '4UU❑ ❑ �sT � „ a G 1p° 0 cLL C �� OOSc ma m N i �a3 N ME t H _ 2 C]oOQo to 0 W- Q orz Ua. m C i s s� } wW s x x Z c � N N 9 N N sm O °xi C E C1Q d ' 111((, c 44 m L pJ W O Q O CS Z a a °' o a m pX pm m m m C CS —` LL c v.. C G ` p VJ) m I Oto W w m U Ix m Q z x{ a4 E E By10F.NIX '. Aft Environmental Laboratories. Inc. Friday, April 08, 2022 Attn: Greg DiNapoli EnviroStar Innovation 50 Fields Lane Brewster NY 10509 Project ID: FERRELL 24 TAMARACK RD RYE BROOK NY SDG ID: GCL03160 Sample ID#s: CL03160 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, 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 i of 10 �t4 ACCOq PJ U Environmental Laboratories, Inc. iil�-'b 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference April 08, 2022 SDG I.D.: GCL03160 Project ID: FERRELL 24 TAMARACK RD RYE BROOK NY Client Id Lab Id Matrix BASE ^iCL03160 ISOIL Page 2 of 10 ACC .9 P)J ( " �- U Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(850)645 1102 Fax(860)645-0823 Analysis Report FOR: Attn:Greg DiNapoli EnviroStar Innovation April 08, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: JARED 04/06/22 Location Code: ENVIROS Received by: B 04/07/22 14:05 Rush Request: Standard Analyzed by: see"By" below P,O.#. SDG ID: GCL03160 Laboratory Data Phoenix ID: CL03160 Project ID: FERRELL 24 TAMARACK RD RYE BROOK NY Client ID: BASE RL/ Parameter Result PQL Units Dilution DatefTime By Reference Percent Solid 86 % 04/07/22 H SW846-%Solid Soil Extraction for SVOA PAH Completed 04/07/22 UL SW3546 Volatiles-STARSICP-51 1,2,4-Trimethylbenzene 1100 59 ug1Kg 50 04/08/22 JLI SW8260C 1,3,5-Tnmethylbenzene 390 59 ug/Kg 50 04/08/22 JLI SW8260C Benzene NO 120 ug1Kg 50 04/08/22 JLI SW8260C Ethylbenzene NO 120 ug1Kg 50 04/08122 Al SW8260C Isopropylbenzene 60 59 u911<9 50 04/08/22 JLI SW8260C m&p-Xylene 170 120 ug/Kg 50 04/08/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) NO 59 ug/Kg 5o 04/08/22 Al SW8260C Naphthalene 1000 59 uglKg 50 04/08122 JLI SW8260C n-Butylbenzene 320 59 uglKg 50 04/08/22 Al SW8260C n-Propylbenzene 160 59 ug/Kg 50 04/08/22 Al SW8260C o-Xylene ND 120 ug/Kg 50 04/08122 Al SW8260C p-Isopropyltoluene 150 59 ug/Kg 50 04108/22 Al SW8260C sec-Butylbenzene 210 59 ug/Kg 50 04/08/22 Al SW8260C tert-Butylbenzene ND 59 ug1Kg 50 04/08/22 Al SW8260C Toluene ND 120 ug/Kg 50 04108f22 Al SVV8260C Total Xylenes 170 120 ug/Kg 50 04108/22 Al SW8260C QA/QC Surroqates %1,2-Dichlorobenzene-d4(50x) 98 % 50 04108/22 JLl 70-130% %Bromofluorobenzene(50x) 98 % 50 04108/22 JLI 70-130% %Dibromofluoromethane(50x) 81 % 50 04/08122 JLI 70-130% %Toluene-dB(50x) 97 % 50 04/08/22 Al 70-130% Ver 1 Page 3 o110 0110 p 85ed LJaA JaSeueW Z30foud'lolleW 1w4sea :Aq pasealaa pue pamainab ZZOZ'80(udV uoloem(]Ajo;ejoge-1'381114 s111A4d C/ luesum uallpm jla4l lno4llm anoge palsll luallo 341 ue4l J8410 euoAue 4llm passmsip aq louueo Nodal sigl;o slualum a41 '00Z'lx8 le sa3IMSS lu9110 xlu804d 10eluOO 01 81ell994 lou op aseald'Bullsal si41 Bulwaouo0 suollsanb Aue aney pue enoge luel10 ayi aue no.(it -sluawwoo aldwes 941 ui palou aswjeglo ssalun slseq 146iam!up a uo pallodai aue sa6pnls pue spllos`silos IIV -spunodwoo la6uel-uou jo/pue le6jel;o eouasaud 941 of onp salllelOA 10;sl!wll 6ulpodw palen913 :IuawwoO SWel0A :sluawwo0 -spunodwoo,paloajap-1ou a/e Uoda1 aql ul palsll(%)sllnsa/ e1e6o»nS '/oua�Lla slsAleue aunwalap of qel aLll Aq pappe(%a 4ym papanaid)spunodwoo aie sale6wunS:saleBo.unS OtD/Vb Mol paselg=l lana-1 6u4jodaa mola9=lag l0dna le pal0alaa I0N_QN (uolleiliuenp io l!wll'DOl OVl3N of lualeAlnb3)lanai uogemueno leogoeJd/6ullJod98=lC)d/l8 %0£L-0£ VON ZZ/90/170 L % S8 bLp-IAua4djal% %0£L 0£ VON ZZ/80/vo L % 99 sp-auezuagoA!N% %0£L-0£ VON ZZ/80I00 L % ZL jAuegdlgouo%-Z% sa;e a1nS OO/Vi9 QOLZBMS VON M901K L 6w6n OLZ OLD auajfd OOLZBMS VON ZZ/801ho L 6w6n OLZ 009Z auaJylueuagd OOLZBMS VON ZZ/SOlbO L 6N16n OLZ OOZL auale414deN OOLzems VON ZZ/90140 L 6w6n OLZ ON 9uauld(p0-E'Z'L)0uapul OOLZ8MS VON ZZ180/vo L 6w6n OLZ OW L aualonj, OOLZBMS VON ZZ/90100 L 6w6n OLZ ON aua41ueuonl-I QOLZBMs VON ZZ/80/v0 L 6w6n OLZ ON euaoejLpue(y'e)zuaglQ QOLZBMS VON ZZ/90/00 L 6wOn OR ON auastiy0 OOLZ8MS VON ZZJ901170 L 6N/6n OLZ ON auaylueuonll(j)ozuaq QOLZ8MS VON ZZ/80/v0 L 6w6n OLZ ON au9ltiad(!46)ozu9g OOLZBMS VON ZZ/8011?o L 6w6n OLZ ON 9ue4lueiong(q)ozu98 OOLZBMS VON ZZ/801vo L 6w6n OLZ ON euejAd(e)ozu98 OOLZ9MS VON ZZ/901b0 L 6w6n OLZ ON aua3euylue(e)2ua8 QOLZBMS VON ZZ/80M L 6w6n OLZ 00£ 2ua3eJL4UV dOLZBMS VON ZZ/90/40 L 6w6n OLZ OBZ auall(yl4deuaoV Q0LZ8MS VON ZZ/80/60 L 6w6n OLZ 09S euagl4deue3V 6S-d3/SbVIS-Sal!}0l0nlwag aouauap8 Ae awlLalea uoljnlla s)lun 10d llnsa�l ualaweued na �sVa �olluall0 MEMO 'a'I xivaoyd AN N00218 3),b (18 NOV IVINVl 17Z 1138�133 :GI 109fOid �',,��,,// ON ACCoq 3 sic ' PHOMf - Environmental Laboratories, Inc. _ 587 East Middle Tumpike,P.O.Box 370,Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 QA/QC Report April 08, 2022 QA/QC Data SDG I.D.: GCL03160 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL 1/0 % RPD % 96 RPD Limas Limits QA/QC Batch 619252(ug/kg),QC Sample No:CL03192(CL03160) Polynuclear Aromatic HC-Soil Acenaphthene NO 231) 75 76 1.3 75 77 2.6 30-130 30 Acenaphthylene NO 230 67 66 1.5 68 67 1.5 40-140 30 Anthracene NO 230 75 78 3.9 74 77 4-0 40-140 30 Benz(a)anthracene NO 230 72 75 4.1 71 72 1.4 40-140 30 Benzo(a)pyrene NO 230 70 72 2.8 68 69 1.5 40-140 30 Senzo(b)fluoranthene ND 230 74 79 6.5 72 73 1.4 40-140 30 Benzo(gtu)perylene NO 230 73 76 4.0 69 72 4.3 40-140 30 Benzo(k)fluoranthene NO 230 72 73 1.4 69 71 2.9 40-140 30 Chrysene NO 230 79 80 1.3 75 77 2.6 40.140 30 Dlbenz(a.h)anthracene NO 230 76 79 3.9 73 76 4.0 40-140 30 Fluoranthene NO 230 77 80 3.9 76 79 39 40-140 30 Fluorene NO 230 78 78 0.0 78 78 0.0 40-140 30 Indeno(1,2,3-cd)pyrene NO 230 79 82 3.7 75 77 2.6 40-140 30 Naphthalene NO 230 64 67 4.6 68 67 1.5 40-140 30 Phenanthrene NO 230 75 7B 3.9 76 77 1.3 40-140 30 Pyrene NO 230 77 80 3.8 77 79 2.6 30-130 30 %2-Fluorobiphenyl 76 % 74 76 2.7 76 77 1.3 30-130 30 %Nitrobenzene-d5 67 % 60 63 4.9 64 53 1.6 30-130 30 %Terphen"14 82 % 84 90 6.9 83 84 1.2 30-130 30 QA/QC Batch 619380H(ug/kg),QC Sample No:CL03371 50X(CL03160(50X)) Volatiles- Soil (High Level) 1.2.4-Trimethylbenzene NO 250 121 119 1.7 118 115 2.6 70-130 30 1,35-Trimethylbenzene NO 250 123 121 1.6 120 116 3.4 70.130 30 Benzene ND 250 115 112 2.6 112 110 1.8 70-130 30 Ethylbenzene NO 250 124 122 1.6 122 117 4.2 70-130 30 Isopropylbenzene NO 250 124 123 0.8 121 118 2.5 70.130 30 m8p-Xylene NO 250 123 122 0.8 120 116 3.4 70-130 30 Methyl t-butyl ether(MTBE) NO 250 97 91 6.4 97 94 3.1 70-130 30 Naphthalene NO 250 117 113 3.5 111 105 5.6 70-130 30 n-Butylbenzene NO 250 132 130 1.5 127 120 5.7 70.130 30 1 n-Propylbenzene NO 250 126 123 2.4 121 117 3.4 70-130 30 o-Xylene NO 250 121 118 2.5 116 113 2.6 70.130 30 p-Isopropyltoluene NO 250 128 126 1.6 124 118 5.0 70-130 30 sec-Butylbenzene NO 250 127 125 1.6 124 119 4.1 70-130 30 tert-Butylbenzene NO 250 124 122 1.6 121 118 2.5 70-130 30 Toluene NO 250 112 111 0.9 110 107 2.8 70-130 30 %1,2-d icNo robe n zene-d4 98 % 97 98 1.0 98 98 0.0 70.130 30 %Bromofluorobenzene 93 °.d. 96 97 1.a 96 96 0.0 7o-i3o 3o %Dibromofluoromethane 81 % 87 84 3.5 84 84 0.0 70-130 30 %Toluene-d8 96 % 96 98 2.1 97 98 1.0 70-130 30 Page 5 of 10 QA/QC Data SDG I.D.: GCL03160 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment Additional 8260 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 Trichlorofluoromethane•HL I=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 April 2022 Intf-Interference Page 6 of 10 ® \ /� t2 \ƒ �2 Icc ! }/ � 2k ) xb .a� /k ±§ 7 S, £ f & � i � k § ■ Ef m \ � 0 )2 > �) � w W \\ 0 0 ` c ( § & )0 V :E � 2 � � 72 k�( \ � \ /kCD k w _ (�k k �)I a 2z) tf£ ) §/ ENk 'o e 0 < 5 �Q@ z g §� / } ) z 2 )) m ° E Z |kk LL G ! Ea & NN ACCOq L � Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O_Box 370,Manchester,CT 060" NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments April 08, 2022 SDG I.D.: GCL03160 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 8 of 10 ,N ACCp90 qf"C' P)IOENff Q Environmental Laboratories,Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester.(7r 06045 < NY#11301 Tel.(860)645-1102 Fax(860)645-0823 NY Temperature Narration April 08, 2022 SDG I.D.: GCL03160 The samples in this delivery group xvcre received at 2.1°C. 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TN-•-orPnnt ffeMiy)" (apptirable aCat?ep�P,� II hrrcby ccr ft t1w the above named matenal was nicked up at the site listed above. r.r� _ = �-�..x- Driver Sigsatuiie -: '- — y,� .--�" _ Date and Time -— ,-- - c � 1,hereby certify that the above named material was delivered widmutincidentWlhe facilitynoted above Date.and Time: :.. l 1'herebl Qently at the-above namedmatertaLhas been accepted at-the'above retereneed'facility. ,. tgnatttre. _ Date and Time AAW 9 o-$-t8-69t A - 0 �11f auyAAN 9UJUNPaoAIu4 .. e[t usll ul�11ou se ldaoza FsaW�a41+�0 PalaAoo Reualeul{o l+baaal{o uopea�rya;7�ale�adp��"U tifl?o�Pal�!sat7'8l ?c'*�e. `z"''rk"a -t-T�r_'....'-+rim -� .x-• -ate.' _ _ '' ' tr' 77.7-s RMI. s �A dip rRAl�l - _ - ��J-4)��elBwelNlo�0Ev8tS�L!-. q: - _ old S,A U.4 Q C j_ N DI tld3 s n { J.p)AYlpu�l amwev-%I ` uouoelea IMd El U00ft IcWd❑ anp!seu❑ odA, 4gue ❑ °0 •o.dguoAopN�a�!a'Bct �A �0 WM e+0r�s ewepvedRtNewt,dZ. z V JWA m0 - Y �� { �,.- _ w a auRPl Pa 11Pa>UM.t jwa 1 M—mn to ld—u to toau,BP "-Amd-j-91 .s n awa :(Nuo a lo}ejrqeLqS)qVoasurjj 7laM uod 5'R+ 4U0 SAp7bAul n 4-1 w--tlWS IuH Si P MA m0 1Y L ralrueu6 g 1. {� Pa*MLPalmd VWUWJo a ift - -; ---, pue leu0gewa•,u atgeyldde 0!fwp,os�e vori!�alq u0glpuoa lad0id w sy�adsa,Aa ul�P�'PaN�,aidfPala4e!aR Pam bBQa+�Bd-11� 3 ale l ue'awal l{ > /fd E D�1dn1 a�111dllN1�{SI1�1 Sfip ll0d arp>E111 P �al�t=N�t1VMIJ11117'1` JQ1l3 MsHQ11��.r}'�1 - - uca-4N 1euo9!PAV p- mj16U9WeN 120a t 77 =-_:�;���ti-=�fir:,. .e •;r - Al Yµ� y V _ a_ iW1FYM L -10 gal 'ON_ osap . >Nf13t P1'tt y� •p� uogdupueaWeNbuddn{5a1�M'8 AWN alVd3TA. ,�� � UMV 02MRWdithl',-4PW&sao sa4ualN QI Vd3'Sfl a Plfime&nj Z MV016 eli-L S€ I&OODUM F 'dam NIDU)AMM VVISOMMa w otdda s n ar,MN wmWo3 L JWOd ,e l 43 - (Ssarpp Buff-v"wa;m SMM ans 5a majouagesalpl�y iP s :s :_ t ONH-NON lagWnN 6ugoPJ1 MseM l auoW asuodsau/oua&-u3-E 10 1 a8ed-3 XMW DI r a J'1 S�OHtlZV ' _ s: !. sass Be SON, INC. 9-11 Carleton Avenue Mount Vernon, NY 10550 Phone (914) 667-1442 • Fax (914) 667-9647 ibassandson(a)aol.com CERTIFICATE OF DESTRUCTION Customer: ENVIROSTAR Location: 50 Fields Lane Brewster, NY 10509 Type: Date: DISPOSITION TRANSPORTER COMPANY NAME AND ADDRESS: J. BASS & SON, INC. 9-11 CARLETON AVENUE MOUNT VERNON, NY 10550 I, THE UNDERSIGNED, CERTIFY THAT THE MATERIAL DESCRIBED ABOVE WILL ONLY BE DELIVERED TO A FACILITY FOR DEST TION. i �Z/. SIGNATURE LJ. Bass&Son, Inc. DATE: q,'rb 1, THE UNDERSIGNED, CERTIFY THAT THE MATERIAL WILL BE PROCESSED FOR REMELTING ONLY. THIS MATERIAL WIL NOT BE SOLD AS USABLE IN ANY SHAPE, FORM OR MANNER. SIGNATURE U J. Bass&Son, Inc. DATE. `! -Vaa 78 �f N cc gNew CL b. Ln Z Z3 Im 6c tn 03 0 'Ja so o �o omw cc A ;Tq o C% W U c- E co ce NO UO '. .45-1 eta 00 CIA lz z P 08 P. 0 C? z x 0 01 U vs z ow w > -;0- 0 Z �w 'Tr Z 0 n At v �;w 7,- -E CQ N 4 P w on g 4 -< ce , Li 2 -8 L) 0 w w a n r-.R r- k 41-0 s: �I C Qr w 0 "o 0 4/13/22,11:48 AM Spill Incidents Database Search NEW YORK Department of STATE TUN" Environmental Conservation Spill Incidents Database Search Details Spill Record Administrative information DEC Region: 3 Spill Number: 2110512 Spill Date/Time Spill Date: 03/17/2022 Spill Time: 11:00:00 AM Call Received Date: 03/17/2022 Call Received Time: 11:17:00 AM Location Spill Name: FARRELL - UST Address: 24 TAMARACK RD City: RYE BROOK County: Westchester Spill Description Material Spilled Amount Spilled Resource Affected #2 fuel oil UNKNOWN Soil Cause: Equipment Failure Source: Private Dwelling Waterbody: Record Close Date Spill Closed; 04/12/2022 "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. I Refine This Search https://www.dec.ny.gov/cfmx/extapps/derexternaUspills/details.cfm?pageid=2 1/1 /T ro /Y. t �i"w 2rir e[°"slt. 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IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy()es)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 endorsements. PRODUCER CONTti NAMEAC Allan TWIttty _ The Allan Twltty Insurance Agency,LLC WPHONE,o Ed): (845)278-6160_ _Lq c o: (846)278-6537 E-Mal. P.O.Box 419 INSURER(S)AFFORDING COVERAGE NAIC N Patterson NY 12563 INSURER A: Westchester Surplus Lines Insurance Com n _.v�.Y- - INSURED INSURER B: Libert Mutual Insurance Co Envirostar Innovation Corp INSURER C 50 Fields Lane INSURER D: _INSURER E _ Brewster NY 1 C509 I INSURER F: COVERAGES CERTIFICATE NUM6ER: 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. TYPE OF INSURANCE POUCY NUMBER POLIO EXP LIMBS INSR fSl SUBR POLICY EFF LTR 'MMIDDA`YYVI X COMMERCIAL GENERAL LIABILITY i i EACH OCCURRENCE S 1,000,000 DAbtACr�Yb RENTE6`___ _.I CLAIMS-MADE a OCCUR 1 I PREMI$ESLEa i 50,000 )(; Professional Liability ! I MED ExP IAny one person) $ 10,000 A X Pollution Liability G46854408 005 12/29/2021 12//29/2022 PERSONAL&ADV INJURY t 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2.000,000 (G _.... J JEc� `X ! ------ ----' X POLICY I LOC PRODUCTS-COMP/OP AGG s 2,000,000 OTHER. _ ---i_7ZcEessionel!Pollutian 1 $ $1,OOD,000 AUTOMOBILE LIABILITY 1 "'�N LIMITS 1,000,OUO -RBNEOtj _-- --'-------- ANY AUTO BODILY INJURY(Per person) f OWNED SCHEDULED I �---....._...... B I X OWNED ONLY AUTOS BAS 58 50 0414 01/04/2021 03/05/2022 BODILY IPLIURY(Per accident). s AUTOI XX�HIRED NON-OWNED I Woaeif y WMAQE ^!'� AUTOS ONLY X AUTOS ONLY — f f_.. X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000.000 A EXCESS UIAs G72514774-002 �_1=9120211 12/29/2022 AGGREGATE 1,000,0100 DEC, E.NTIQN S WORKERS COMPENSATION j O i AND EMPLOYERS'LIABILITY y/►� (._A116TE ANY PROPRIETORIPARTNER/CXECUTIVE (^�I i R.I.EACH ACCIDENT f OFF'ICER/MEMBER EXCLUDED? a NIA I t ......... (Mandatory In NH) �E L DISEASE•EA EMPLOYEES If es describe uncer ', ti DESCRY TION OF OPERATIONS below E L DISEASE•POLICY LIMIT S Inland Marine Scheduled Equip $250,748 B BM0 58 48 44 33 01/01/2022 01101=3 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES(ACORD 101,AddNlonal Remarks Schedule,may be attached if more apace Is req:Ared) Evidence of Insurance ERTIFiCATE HOLDER _. CANCELLATION I 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 Building Dept. AUTHORIZED REPRESENTATIVE 938 King Street I Rye Brook NY 10573 0--)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 \\ NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY.10TH FLOOR,WHITE PLAINS,NY 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE No, A A A^A^ 823325897 ALLAN TWITTY INSURANCE AGENCY PO BOX 419 PATTERSON NY 12563 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ENVIROSTA.R INNOVATION CORP. VILLAGE OF RYE BROOK 50 FIELDS LANE BUILDING DEPT. BREWSTER NY 10509 938 KING STREET" RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2549 055-8 747351 06/29/2021 TO 06/29/2022 8/4/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2549 055-8, 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.COMICERT/CERTVAL.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 GREGORY DINAPOLI ENVIROSTAR INNOVATION CORP(1 OF 1) 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 DIRECTOP.,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 690620147 U-26.3 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Wednesday, February 2, 2022 9:34 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 02/02/2022 09:33 To: VIL RYE BROOK PRIMARY Transmitted: 02/02/2022 09:34 00002 Ticket: 02022-000-375-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 24 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT YARD NearSt: COLLEGE AVE & RIDGE BLVD Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 02/14/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 02/14/2022 07:00 Must Start By: 03/01/2022 ------------------------------------------------------------------------------ Contact Name: ROBIN DINAPOLI Company: ENVIROSTAR CORP Addrl: 50 FIELDS LN Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-279-9555 Fax: Email: info@tankremovalservices.com Field Contact: ROBIN DINAPOLI Alt Phone: 845-279-9555 Email: info@tankremovalservices.com Working for: FERRELL ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Monday, February 21, 2022 2:10 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 02/21/2022 14:08 To: VIL RYE BROOK PRIMARY Transmitted: 02/21/2022 14:09 00001 Ticket: 02212-000-527-00 Type: Regular Previous Ticket: 02022-000-375-01 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 24 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT YARD NearSt: COLLEGE AVE & RIDGE BLVD Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 03/01/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 03/01/2022 07:00 Must Start By: 03/15/2022 ------------------------------------------------------------------------------ Contact Name: ROBIN DINAPOLI Company: ENVIROSTAR CORP Addrl: 50 FIELDS LN Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-279-9555 Fax: Email: info@tankremovalservices.com Field Contact: ROBIN DINAPOLI Alt Phone: 845-279-9555 Email: info@tankremovalservices.com Working for: FERRELL ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Thursday, March 3, 2022 9:52 AM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 03/03/2022 09:50 To: VIL RYE BROOK PRIMARY Transmitted: 03/03/2022 09:51 00001 Ticket: 03032-000-395-00 Type: Regular Previous Ticket: 02212-000-527-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 24 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: FRONT YARD NearSt: COLLEGE AVE & RIDGE BLVD Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 03/10/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 03/10/2022 07:00 Must Start By: 03/24/2022 ------------------------------------------------------------------------------ Contact Name: ROBIN DINAPOLI Company: ENVIROSTAR CORP Addrl: 50 FIELDS LN Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-279-9555 Fax: Email: info@tankremovalservices.com Field Contact: ROBIN DINAPOLI Alt Phone: 845-279-9555 Email: info@tankremovalservices.com Working for: FERRELL ------------------------------------------------------------------------------ Comments: Lookup Type: MANUAL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1