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HomeMy WebLinkAboutMP22-029 Vr t4.L & t9 A" amdumaW VILLAGE OF RYE BROOK MAYOR 938 Ring Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.r}-ebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan K Epstein Michael J. Izzo Stephanie J.Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLUNCE April 11, 2022 Junjie Xiong& Chuan Gao 34 Lincoln Avenue Rye Brook,New York 10573 Re: 34 Lincoln Avenue, Rye Brook,New York 10573 Parcel ID#: 135.57-1-9.1 As per the Certification letter from New England Environmental Services Inc. dated March 21, 2021, the removal of an underground oil tank under Mechanical Permit #22-029 issued on 2/24/2022 has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to �E BRC�uk cu � 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 t-!� n r,- /i--\� C-) ` ' J-p DATE: 1 `- z- PERMIT# ��� ` ISSUED: I"I-gECT: BLOCK: LOT: LOCATION: V� f \ c' `� ���° OCCUPANCY: 7)y ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION �\,P�tY\` a REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS 0 FUEL TANK ,UCH ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION lJ ❑ FINAL �� ' -2S (1 ` v ❑ OTHER s " b � v ■ �+1 N i rq 14 a Cl� Ca � x a� b w - fs' � • A a a ., as x+ l J 4 ZI O v Cn wr sa H w o1-4 CA ro w o o -;. d • 1-4 z C cd a. Ln W N H l; a °n6c�a O Lnoe � v co � _ O H oo W `� a O -• V Z °' CO c C�% � At,!lo : O F—� z --1 T- ~ A � E .o � • 00 a Ual � � W W C7op r`—i yr w V lam+ z Z E" W �O-+ xo °aati p W o 10, Ln ao v w v O O V p ono H $ wv° a x w i 1 9 o � 0. Z 1-4 a E CE V E BUILD.,.-& ARTMENT VIL • E OF RYE` OOK R1 FEB 24 2022 10 938 KING ET RYE BR6(*,NY 10573 -0668 VILLAGE OF RYE BROOK u lc. r, : BUILDING 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) Q FOR OFFICE USE ONLY: PERMIT#: Approval Date: Permit Fee: $ �- Approval Signature: Other: Disapproved: (bees are non-refundable) *,t**#*tt#t*ttttt*t+t3ttt**tt**t**�tx+rw�,t�r*,t*,t*r►***rtt�r�#that***f t*tf:,t,ttt*,►,t,ttt,r��twt#***try*t**tir**,e*rt,t*x,e REOUIREMENTS 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,Abandonment,or Installation: $185.00 per Tank. 5. Dig Safely New York#(dial 811): Q�13,�—Oo)—�. J-00 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. *aaaaaaaaaaaaa,eaaaaaaaaaaaaaaaaaaaaaaaaaaaa,r*aa�e,ewaa,►,ra,t,taa,t*aaaaaaaaaaaaaaaaaaaaaraaa*aa*ataaaaaaa�r,�a Application dated,_a/=3/2•Z L ,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. ta,tt**a*taaaaa,raaaraat*aaaaaaaaaaaaaaaaa*aa*aaaa*aaa*ta,t,ta,t*+raaaaaaaaaaaaaaaaaaaaaaaaa,raaa#�ataa*a*aaa Indicate Permit Tvve: Installation( )•Removaly •Abandonment( )/Above Ground O•Buried in Ground( ) 1. Address: 3 4 L:,*(01n Ave ncl SBL:/3S,5%—/-9,/ zone: —/a 2. Property Owner&Address:X i o A , 14 p i 1 @ , 3 73 Phone#: ?o — 'Ce1 #: email: +M_X/G"If q A kao . co p^ 3. Contractor&Address: ► p 1 ' y1ti7 S I ie o -4 3,1-3 Phone#: Cell#: IT�Fi�Q d ( �'Q email: 1 eJ 1 C 4. Applicant: Phone#: Cell#: email: 5. Indicate Fuel Type:Fuel Oil •L.P.Gas( )•Gasoline( )•Other 6. Number and Capacity of each Tank: 6- 4,4t. to Q o C H- 7. Exact Location(s)of each Tank: a t 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further 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 belief,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 of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this DI-k day of 20 day of C ,20 ature of Property Owner Si atur ppli an k X I vmU f, -T A,'JI T Print Name of Property caner t Name of Applica I Notary N61iUy ublic, tate of New York Nary Pu ' No. 01 hhE6160063 Noiar, u�lic, State of New York Qualified in Westchester County No. 0l MiE6160C63 Commission Expires January 29,202;5 Q,taVied in Westchester County Co mis io E Aires arlui 2_S,20C- This application must be properly completed in its entirety and must incluae>E to no artze� 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. 2 8/12/2021 s 4�2U1 MM.iW omu".:)zap E aQp,f, deWpaimun pua6a� APEll 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT r . NEW ENGLAND ENVIRONMENTAL SERVICES, INC. 420 S Riverside Ave #305 Croton NY 10520 (855) 245-9990 March 21, 2021 John O'Dee - NYS DEC Environmental Engineering Technician 3 Region 3 - Div of Env Remediation Spill Prevention, Response and Remediation 21 South Putt Corners Road New Paltz, NY 12561 Re: Gao 34 Lincoln Ave Rye Brook, NY 10573 Spill #2110118 We removed a 550 gal. UST at the above address. There was visible contamination once the tank was removed, and a soil sample was taken. The soil sample was sent to Phoenix Env. Labs in Manchester, CT, where the results also confirmed there was contamination. We then removed 60.43 tons of contaminated soil. The soil was brought to Soil Safe in New Jersey. We then sent STARS/CP51 - 8260 / 8270 exit samples to Phoenix Env. Labs in Manchester, CT, where the results showed ND, or under the NYS CP51 acceptable levels. The site was then back filled and returned to rough grade. Copies of all analytical data are attached. Thank you for your time, i%�j Jeff Haig NEES President � M 11 PHOEVIX Fit virorttnenta! Laboratories. Inc. Thursday, March 17, 2022 Attn: Jeff Haig New England Environmental Services, Inc 420 S Riverside Ave #305 Croton NY 10520 Project ID: GAO SDG ID: GCK86936 Sample ID#s: CK86936 - CK86940 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 1 of 18 ��O �N ACCOq�4 PHOEWX��-vj �0* 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 March 17, 2022 SDG I.D.: GCK86936 Project ID: GAO Client Id Lab Id Matrix NORTH CK86936 SOIL SOUTH CK86937 SOIL EAST CK86938 SOIL WEST CK86939 SOIL BASE CK86940 SOIL Page 2 o/18 e o� PHOEUXLS, -, Environmental Laboratories, Inc. 587 East Middle Tumpike,P.O.Box 370, Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Jeff Haig New England Environmental Services, Inc March 17, 2022 420 S Riverside Ave#305 Croton NY 10520 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/11/22 10:00 Location Code: NEESINC Received by: CID 03/15/22 16:15 Rush Request: Standard Analyzed by: see "By" below P.O.#. Laboratory Data SDG ID: GCK86936 Phoenix ID: CK86936 Project ID: GAO Client ID: NORTH RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 77 % 03/15/22 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/15/22 R/B/E SW3546 Volatiles- STARSICP-51 1,2,4-Trimethylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C Benzene ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C Ethylbenzene ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C Isopropylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C m&p-Xylene ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C Naphthalene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C n-Butylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C n-Propylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C o-Xylene ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C p-Isopropyltoluene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C sec-Butyl benzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C tert-Butylbenzene ND 3.5 ug/Kg 1 03/16/22 JLI SW8260C Toluene ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C Total Xylenes ND 7.0 ug/Kg 1 03/16/22 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 98 % 1 03/16/22 JLI 70-130% %Bromofluorobenzene 96 % 1 03/16/22 JLI 70-130% %Dibromofluoromethane 93 % 1 03/16/22 JLI 70-130% %Toluene-d8 95 % 1 03/16/22 JLI 70-130% Ver 1 Page 3 of 18 Project ID: GAO Phoenix I.D.: CK86936 Client ID: NORTH RU Parameter Result PQL Units Dilution Date/Time By Reference SemivolatilesSTARS/CP-51 Acenaphthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Acenaphthylene ND 300 ug/Kg 1 03/16/22 WB SW8270D Anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benz(a)anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(a)pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(b)fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(ghi)perylene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(k)fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Chrysene ND 300 ug/Kg 1 03/16/22 WB SW8270D Dibenz(a,h)anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Fluorene ND 300 ug/Kg 1 03/16/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Naphthalene ND 300 ug/Kg 1 03/16/22 WB SW8270D Phenanthrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D QA/QC Surrogates •2-Fluorobiphenyl 83 % 1 03/16/22 WB 30-130% • Nitrobenzene-d5 78 % 1 03/16/22 WB 30-130% •Terphenyl-d14 80 % 1 03/16/22 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 this report cannot be discussed with anyone other than the client listed above without their written consent. (//, A�L Phyllis hiller, Laboratory Director March 17,2022 Reviewed and Released by: Rashmi Makol, Project Manager Ver 1 Page 4 of 18 PHO�IX � � ,l AC Co�F_,oq 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: Jeff Haig New England Environmental Services, Inc March 17, 2022 420 S Riverside Ave#305 Croton NY 10520 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/11/22 10:00 Location Code: NEESINC Received by: CP 03/15/22 16:15 Rush Request: Standard Analyzed by: see "By" below P.O.#. Laboratory Data SDG ID: GCK86936 Phoenix ID: CK86937 Project ID: GAO Client ID: SOUTH RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 69 % 03/15/22 K SW846-%Solid Soil Extraction for SVGA PAH Completed 03/15/22 R/B/E SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C Benzene ND 12 ug/Kg 1 03/16/22 JLI SW8260C Ethylbenzene ND 12 ug/Kg 1 03/16/22 JLI SW8260C Isopropylbenzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C m&p-Xylene ND 12 ug/Kg 1 03/16/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C Naphthalene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C n-Butylbenzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C n-Propylbenzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C o-Xylene ND 12 ug/Kg 1 03/16/22 JLI SW8260C p-Isopropyltoluene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C sec-Butyl benzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C tert-Butyl benzene ND 5.8 ug/Kg 1 03/16/22 JLI SW8260C Toluene ND 12 ug/Kg 1 03/16/22 JLI SW8260C Total Xylenes ND 12 ug/Kg 1 03/16/22 JLI SW8260C QA/QC Surrogates • 1,2-Dichlorobenzene-d4 96 % 1 03/16/22 JLI 70-130% •Bromofluorobenzene 102 % 1 03/16/22 JLI 70-130% •Dibromofluoromethane 98 % 1 03/16/22 JLI 70-130% •Toluene-d8 94 % 1 03/16/22 JLI 70-130% Ver 1 Page 5 of 18 Project ID: GAO Phoenix I.D.: CK86937 Client ID: SOUTH RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene ND 330 ug/Kg 1 03/16/22 WB SW8270D Acenaphthylene ND 330 ug/Kg 1 03/16/22 WB SW8270D Anthracene ND 330 ug/Kg 1 03/16/22 WB SW8270D Benz(a)anthracene ND 330 ug/Kg 1 03/16/22 WB SW8270D Benzo(a)pyrene ND 330 ug/Kg 1 03/16/22 WB SW8270D Benzo(b)fluoranthene ND 330 ug/Kg 1 03/16/22 WB SW8270D Benzo(ghi)perylene ND 330 ug/Kg 1 03/16/22 WB SW8270D Benzo(k)fluoranthene ND 330 ug/Kg 1 03/16/22 WB SW8270D Chrysene ND 330 ug/Kg 1 03/16/22 WB SW8270D Dibenz(a,h)anthracene ND 330 ug/Kg 1 03/16/22 WB SW8270D Fluoranthene ND 330 ug/Kg 1 03/16/22 WB SW8270D Fluorene ND 330 ug/Kg 1 03/16/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 330 ug/Kg 1 03/16/22 WB SW8270D Naphthalene ND 330 ug/Kg 1 03/16/22 WB SW8270D Phenanthrene ND 330 ug/Kg 1 03/16/22 WB SW8270D Pyrene ND 330 ug/Kg 1 03/16/22 WB SW8270D QA/QC Surrogates •2-Fluorobiphenyl 74 % 1 03/16/22 WB 30-130% • Nitrobenzene-d5 70 % 1 03/16/22 WB 30-130% •Terphenyl-d14 73 % 1 03/16/22 WB 30-130% 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: 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. 12 . A�L Phyllis hiller, Laboratory Director March 17,2022 Reviewed and Released by: Rashmi Makol, Project Manager Ver 1 Page 6 of 18 \��C \N A C C Q H 0Ay PHOEIVIXV'f,�ei U Environmental Laboratories, Inc. Q 1 587 East Middle Turnpike, P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Jeff Haig New England Environmental Services, Inc March 17, 2022 420 S Riverside Ave#305 Croton NY 10520 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/11/22 10:00 Location Code: NEESINC Received by: CID 03/15/22 16:15 Rush Request: Standard Analyzed by: see "By" below P.O.#. Laboratory Data SDG ID: GCK86936 Phoenix ID: CK86938 Project ID: GAO Client ID: EAST RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 60 % 03/15/22 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/15/22 R/B/E SW3546 Volatiles- STARS/CP-51 1,2,4-Tri methyl benzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C Benzene ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C Ethylbenzene ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C Isopropyl benzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C m&p-Xylene ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C Naphthalene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C n-Butylbenzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C n-Propylbenzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C o-Xylene ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C p-Isopropyltoluene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C sec-Butylbenzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C tert-Butylbenzene ND 2.9 ug/Kg 1 03/16/22 JLI SW8260C Toluene ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C Total Xylenes ND 5.9 ug/Kg 1 03/16/22 JLI SW8260C QA/QC Surrogates • 1,2-Dichlorobenzene-d4 96 % 1 03/16/22 JLI 70-130% • Bromofluorobenzene 98 % 1 03/16/22 JLI 70-130% •Dibromofluoromethane 97 % 1 03/16/22 JLI 70-130% •Toluene-d8 94 % 1 03/16/22 JLI 70-130% Ver 1 Page 7 of 18 Project ID: GAO Phoenix I.D.: CK86938 Client ID: EAST RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene ND 390 ug/Kg 1 03/16/22 WB SW8270D Acenaphthylene ND 390 ug/Kg 1 03/16/22 WB SW8270D Anthracene ND 390 ug/Kg 1 03/16/22 WB SW8270D Benz(a)anthracene ND 390 ug/Kg 1 03/16/22 WB SW8270D Benzo(a)pyrene 500 390 ug/Kg 1 03/16/22 WB SW8270D Benzo(b)fluoranthene 490 390 ug/Kg 1 03/16/22 WB SW8270D Benzo(ghi)perylene ND 390 ug/Kg 1 03/16/22 WB SW8270D Benzo(k)fluoranthene 450 390 ug/Kg 1 03/16/22 WB SW8270D Chrysene 410 390 ug/Kg 1 03/16/22 WB SW8270D Dibenz(a,h)anthracene ND 390 ug/Kg 1 03/16/22 WB SW8270D Fluoranthene 410 390 ug/Kg 1 03/16/22 WB SW8270D Fluorene ND 390 ug/Kg 1 03/16/22 WB SW8270D Indeno(1,2,3-cd)pyrene 400 390 ug/Kg 1 03/16/22 WB SW8270D Naphthalene ND 390 ug/Kg 1 03/16/22 WB SW8270D Phenanthrene ND 390 ug/Kg 1 03/16/22 WB SW8270D Pyrene ND 390 ug/Kg 1 03/16/22 WB SW8270D QA/QC Surrogates %2-Fluorobiphenyl 79 % 1 03/16/22 WB 30-130% %Nitrobenzene-d5 76 % 1 03/16/22 WB 30-130% %Terphenyl-d14 78 % 1 03/16/22 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 this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller, Laboratory Director March 17, 2022 Reviewed and Released by: Rashmi Makol, Project Manager Ver1 Page 8 of 18 � � O �N ACCaq� PHOBVIX ..Eli U � Environmental Laboratories, Inc. a 587 East Middle Tumpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Jeff Haig New England Environmental Services, Inc March 17, 2022 420 S Riverside Ave#305 Croton NY 10520 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/11/22 10:00 Location Code: NEESINC Received by: CID 03/15/22 16:15 Rush Request: Standard Analyzed by: see "By" below P.O.#: Laboratory Data SDG ID: GCK86936 Phoenix ID: CK86939 Project ID: GAO Client ID: WEST RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 81 % 03/15/22 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/15/22 R/B/E SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C Benzene ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C Ethylbenzene ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C Isopropylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C m&p-Xylene ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C Naphthalene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C n-Butylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C n-Propylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C o-Xylene ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C p-Isopropyltoluene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C sec-Butyl benzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C tert-Butylbenzene ND 3.1 ug/Kg 1 03/17/22 JLI SW8260C Toluene ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C Total Xylenes ND 6.3 ug/Kg 1 03/17/22 JLI SW8260C QA/QC Surrogates • 1,2-Dichlorobenzene-d4 95 % 1 03/17/22 JLI 70-130% •Bromofluorobenzene 98 % 1 03/17/22 JLI 70-130% • Dibromofluoromethane 102 % 1 03/17/22 JLI 70-130% •Toluene-d8 96 % 1 03/17/22 JLI 70-130% Ver 1 Page 9 of 18 Project ID: GAO Phoenix I.D.: CK86939 Client ID: WEST RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARSXP-51 Acenaphthene ND 280 ug/Kg 1 03/16/22 WB SW8270D Acenaphthylene ND 280 ug/Kg 1 03/16/22 WB SW8270D Anthracene ND 280 ug/Kg 1 03/16/22 WB SW8270D Benz(a)anthracene ND 280 ug/Kg 1 03/16/22 WB SW8270D Benzo(a)pyrene ND 280 ug/Kg 1 03/16/22 WB SW8270D Benzo(b)fluoranthene ND 280 ug/Kg 1 03/16/22 WB SW8270D Benzo(ghi)perylene ND 280 ug/Kg 1 03/16/22 WB SW8270D Benzo(k)fluoranthene ND 280 ug/Kg 1 03/16/22 WB SW8270D Chrysene ND 280 ug/Kg 1 03/16/22 WB SW8270D Dibenz(a,h)anthracene ND 280 ug/Kg 1 03/16/22 WB SW8270D Fluoranthene ND 280 ug/Kg 1 03/16/22 WB SW8270D Fluorene ND 280 ug/Kg 1 03/16/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 280 ug/Kg 1 03/16/22 WB SW8270D Naphthalene ND 280 ug/Kg 1 03/16/22 WB SW8270D Phenanthrene ND 280 ug/Kg 1 03/16/22 WB SW8270D Pyrene ND 280 ug/Kg 1 03/16/22 WB SW8270D QA/QC Surrogates •2-Fluorobiphenyl 78 % 1 03/16/22 WB 30-130% •Nitrobenzene-d5 72 % 1 03/16/22 WB 30-130% %Terphenyl-d14 76 % 1 03/16/22 WB 30-130% RL/PQL=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 this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller, Laboratory Director March 17,2022 Reviewed and Released by: Rashmi Makol, Project Manager Ver 1 Page 10 of 18 � C PHOEVIXiS_ � °904 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: Jeff Haig New England Environmental Services, Inc March 17, 2022 420 S Riverside Ave#305 Croton NY 10520 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/11/22 10:00 Location Code: NEESINC Received by: CID 03/15/22 16:15 Rush Request: Standard Analyzed by: see "By" below P.Q.#. Laboratory Data SDG ID: GCK86936 Phoenix ID: CK86940 Project ID: GAO Client ID: BASE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 77 % 03/15/22 K SW846-%Solid Soil Extraction for SVOA PAH Completed 03/15/22 R/B/E SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C 1,3,5-Trimethylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C Benzene ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C Ethylbenzene ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C Isopropylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C m&p-Xylene ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C Naphthalene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C n-Butylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C n-Propylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C o-Xylene ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C p-Isopropyltoluene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C sec-Butyl benzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C tent-Butylbenzene ND 3.4 ug/Kg 1 03/17/22 JLI SW8260C Toluene ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C Total Xylenes ND 6.8 ug/Kg 1 03/17/22 JLI SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 95 % 1 03/17/22 JLI 70-130% % Bromofluorobenzene 99 % 1 03/17/22 JLI 70-130% % Dibromofluoromethane 101 % 1 03/17/22 JLI 70-130% %Toluene-d8 96 % 1 03/17/22 JLI 70-130% Ver 1 Page 11 of18 Project ID: GAO Phoenix I.D.: CK86940 Client ID: BASE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARSXP-51 Acenaphthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Acenaphthylene ND 300 ug/Kg 1 03/16/22 WB SW8270D Anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benz(a)anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(a)pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(b)fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(ghi)perylene ND 300 ug/Kg 1 03/16/22 WB SW8270D Benzo(k)fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Chrysene ND 300 ug/Kg 1 03/16/22 WB SW8270D Dibenz(a,h)anthracene ND 300 ug/Kg 1 03/16/22 WB SW8270D Fluoranthene ND 300 ug/Kg 1 03/16/22 WB SW8270D Fluorene ND 300 ug/Kg 1 03/16/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Naphthalene ND 300 ug/Kg 1 03/16/22 WB SW8270D Phenanthrene ND 300 ug/Kg 1 03/16/22 WB SW8270D Pyrene ND 300 ug/Kg 1 03/16/22 WB SW8270D QA/QC Surrogates %2-Fluorobiphenyl 76 % 1 03/16/22 WB 30-130% % Nitrobenzene-d5 68 % 1 03/16/22 WB 30-130% %Terphenyl-d14 74 % 1 03/16/22 WB 30-130% 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: 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 UL Phyllis hiller, Laboratory Director March 17, 2022 Reviewed and Released by: Rashmi Makol, Project Manager Ver 1 Page 12 of 18 8l to El abed of 0£L-OL 0,0 ZOL ZOL % 96 gp-auan!ol% of OCL-OL Z'9 46 OOL % 96 aueylawojon0owwq!d% OE oEl OL 0 l 86 L6 % 66 auazuagaongowojg% of OEL OL 0'0 LOL l04 % 86 4p-9uazuagojo!4o!p-Z'l% OE OCL OL l'6 COL 46 0"4 (IN ouen!ol of 0EL OL £'8 OOL Z6 0,L (IN auazuagjAjng-lJal OE OEL OL E'L 66 Z6 0'L (IN auazuagjAing-oas of OEL OL £'L 66 Z6 0,L (IN ouan!ollAdadosl-d OE OE OL E'L OM £6 0'Z (IN auelAX-o OE OE OL Z'8 WL E6 0,L (IN auezuaglAdad-u OE OCL OL Z'6 ZOL E6 O'l (IN auazuaq!Alne-u OE OCL OL O,E LOl 86 O'S (IN aua!eylgdeN OE OEL OL l'Z 96 E6 O'l (IN (3g1W)ja41a!Llnq-1!Aglan OE OCL OL b'L 86 L6 07 (IN aua!AX-dgw of OCL OL Z8 LOL E6 0'L (IN auazuagjAdados! 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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. QA/QC Batch 616127(ug/kg), QC Sample No:CK88429(CK86939, CK86940) Volatiles - Soil (Low Level) 1,2,4-Trimethylbenzene ND 1.0 101 98 3.0 82 79 3.7 70-130 30 1,3,5-Trimethylbenzene ND 1.0 102 99 3.0 86 83 3.6 70-130 30 Benzene ND 1.0 101 100 1.0 97 96 1.0 70-130 30 Ethylbenzene ND 1.0 100 100 0.0 93 90 3.3 70-130 30 I sop ropylbenzene ND 1.0 105 103 1.9 92 90 2.2 70-130 30 m&p-Xylene ND 2.0 98 98 0.0 90 87 3.4 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 89 90 1.1 91 92 1.1 70-130 30 Naphthalene ND 5.0 102 100 2.0 68 66 3.0 70-130 30 m n-Butylbenzene ND 1.0 110 105 4.7 81 79 2.5 70-130 30 n-Propylbenzene ND 1.0 107 102 4.8 89 88 1.1 70-130 30 o-Xylene ND 2.0 99 100 1.0 91 88 3.4 70-130 30 p-Isopropyltoluene ND 1.0 106 102 3.8 84 81 3.6 70-130 30 sec-Butylbenzene ND 1.0 104 102 1.9 86 85 1.2 70-130 30 tert-Butylbenzene ND 1.0 104 102 1.9 89 87 2.3 70-130 30 Toluene ND 1.0 102 100 2.0 95 94 1.1 70-130 30 °r°1,2-dichlorobenzene-d4 96 % 102 100 2.0 100 101 1.0 70-130 30 °r°Bromofluorobenzene 99 % 99 100 1.0 100 99 1.0 70-130 30 °r°Dibromofluoromethane 103 % 101 101 0.0 102 101 1.0 70-130 30 °r°Toluene-d8 95 % 102 101 1.0 101 100 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%,25-160%for Chloroethane-HL and Trichlorofluoromethane-HL. m=This parameter is outside laboratory MS/MSD 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 okft-,- MSLCSD-Laboratory Control Sample Duplicate 71-Matrix Spike borat MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director NC- No Criteria March 17, 2022 Intf- Interference Page 14 of 18 0 N y �N a C Q N'V N J y O Q) — f0 U Q E N m U m C.N O a) U X � m U N N J U O � � U N C a) m �E E `o o C U Q) F) O 7 N O >. O Ncu /L C InAi/+. O N �✓ � U A/ 0 N LL c C N C O ^, m C W N N V � O C V N Z O N2 N G> W n E W Nw () Z - c X co W M ac C" o a� U x 4) U o :t C9 o L x L) V X U m fII W L Q /� T N .U. N c U U c co c O1 .2 m n G o a_ mn E a E o O UQ) O m L �'C aJ Vl C On C'� o a n C Eni o R o� m m x m c c E� E a) O N Lm y L d � U O o '= O O U N T -0 U N a) cp (n m C n O O L OL. N ` CO } Q O c0 N m Z Z o o N ` L N m a) m J a) C m a O 0 x O N N d O C U N U E Z o U:2 L m L m 0 N a E n /� \��C N N A C C Q H0gy PHOEYIX , U � V Environmental Laboratories, Inc. NY# 11301 1 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments March 17, 2022 SDG I.D.: GCK86936 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 16 of 18 a\�� `N ACCpAOIf PHOENIX . 1 �� Environmental Laboratories, Inc. ` NY#11301 587 East Middle Turnpike,P.OXox 370,Manchester,CT 06045 TeL(860)645-1102 Fax(860)645-0823 NY Temperature Narration March 17,2022 SDG I.D.: GCK86936 The samples in this delivery group were received at 1.7°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 17 of 18 4/6/22,9:21 AM Spill Incidents Database Search NEW YORK Department of STATE OF OPPORTUNITY Environmental Conservation Spill Incidents Database Search Details Spill Record Administrative Information DEC Region: 3 Spill Number: 2110118 Spill Date/Time Spill Date: 03/03/2022 Spill Time: 11:30:00 AM Call Received Date: 03/03/2022 Call Received Time: 12:02:00 PM Location Spill Name: GAO - UST Address: 34 LINCOLN AVE 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: 04/05/2022 "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. Refine This Search https://www.dec.ny.gov/cfmx/extapps/derexternal/spills/details.cfm?pageid=2 1/1 ❑Z s 96 ll�lm7 0 OLIDD o M �, U a d m Qr �° J s7 b ) Sd H cv tr N A 0 ❑ `7 p v p7 r- ! n n (� — — <❑ ❑ ❑ w _z 1 r o U Q v � c c a a. �° � ° o m ; w g � ❑ ❑ ❑ ❑❑U❑❑ s o a s x0 to, Q d V YD ib ❑ ❑ ❑ ❑ ❑ ❑ n O E o N > o a Z ate _= a � m � M m 4 as *� < Q 4-- a = 72a a m E ss it oo SO $ w p E 1� 5 P a e•, u� a ►- o o U ` m QQ g m i w p 76 u .cc 2 c U $ u E To p 8� �,� � _ o t'' — ee � O a $$ M W Q G f 0 LO 3 3 72 O to = a ?� o a o w � o �- " 0 9 M o Q z v V o r Z U) w m ff TS Q W Or X-' Li y a c L V Q E� o m v _ E �+Y7 di Aim p Log Number SOIL SAFE, INC. NON-HAZARDOUS MATERIAL MANIFEST GENERATOR Generator Name y{V Y►W" &rator Site/Location * .-r ;� nn Y� Address qL0 5 -D i.y"'S�1 .�� _ Address 1 C4_10 t LA — /tF�-i L 16_LC o brm Phone No. Phone No. GF�".GSG 4 . 31 RIMS-t Description of MlatBrial Approval I Non-Re tV PF$'06MLL: T rq _13 e 96 sfi Et Number L ( Contaminated Soil 1~4E:T 33 „ 35 sh ci I_t �t�l� �� NET y��J Non DOT/RCRA Regulated L_GG 03f' 1/20fe-22 TONNAGE 12 0 37PM I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous aste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, class�fied a ackaged, a is in proper condition for transportation according to applicable regulations. Generator Authori ed Age At Name ignature Shipment Date �..t ANSPORTER Transporter Name �" t + Driver Name(Print) 1Ii4 r V tCt r,iU Address (� �, n _i\J'— Vehicle License No./State/EPA No. Truck Number . I hereby certify that the above named material was I hereby certify that the above named material was picked up at the generator site listed above. delivered without incident to the destination listed below. 3�-tI 1 3r t� Driver Signature s Shipment Date ver Signatt re Delivery Date DESTINATION Site Name Sop Safe,Inc. - Brklgeport Phone No. 1-8564167.8030 Address _ 378 Route 130 Logan Township, NJ 08085 No left turn on Rt. 130 North into the facility. Business hours are: Monday through Friday 7 AM to 5 PM. 5 PM to 10 PM By Appointment only. Saturday by appoint- ment only. I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. Name of Authorized Agent Signature Receipt Date White-recoft Green-racllily Yellow-Generalor Pink-Broker Goldenrod-Contregor Blue-Trucking Co_ Log Number SOIL SAFE, INC. NON-HAZARDOUS MATERIAL MANIFEST G NERATOR Generator Name Generator Site/Location f2 Q rJ� Address / dress s Phone No. Phone No. :D Is % Description of Mgerial Approval ��c ., `1 2 c_ Num Non-Reuit 1� -ri.... - L.r Contammat Soil s:+E 1* 08 �!_l W&t E Uo p Non DOT/RCRA Regulated 0 1=r TONNAGE -5 a �I R • t Y_ _• I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined ZbyCFR Part 261 or any applicable state law, has been properly described, cla red a packaged, anproper condition for transportation accor ing to applicabl regulations �-. I YZ Generator Authorized Agent f4aryfe Signature I Ship*nt'Qbte TRANSPORTER Transporter Name Driver Name(Print) Address Vehicle License No. /State wo Truck Number C�v I hereby certify that the above named material was i here c fy that the ove named material was picked u at gene or site listed above. deliv re w ut incident to th destination listed below. Driver ature Ship en ate Driver 5ignatur e ' y Date DESTINATION Site Name Soil Safe,Inc. - Bridgeport Phone No. 1-856-467-8030 Address 378 Route 130 Logan Township, NJ 08085 No left turn on Rt. 130 North into the facility. Business hours are:Monday through Friday 7 AM to 5 PM. 5 PM to 10 PM By Appointment only. Saturday by appoint- ment only. I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. n Name of Authorized Agent Signature Receipt Date EGC Environmental Services, Inc B o P.O. Box 624 North Branford, CT 06471 (203) 395-5418 1voice 0: 54 5 Z:9 Date. rCustomer: — - Bill To: Name: fJr/. - Name: Address: 7I N ;Address: CityiState: tl.t.•l,t. F r N.r.�or M1 City/State: Telephone: Telephone:_ lContact: Contact: Customer tD M Purebase Order If Matltliq M �Driser Qq• l nits Description Unit Pr Total Gallons !Paste Oil CR02 t Gallons Waste Fuel Oil Tank Bottoms CR02 Gallons Waste Water CRO4 PH lGallons Waste Antiti+eere'Water CRO4 F Ctallom% Fucl oil.Connhusdbie tiquid.UN 1993 Gallons RQ Ga,;Aine.Benicne 3KN 12Q3 -- Gallons Waste Water Soluble C R03 Sediment Charge 'rank Cleaning Tank Pump Out Waste liastrhne lank bottoms&Water CRO4 HOIJts ' Trucking l Q-4000 Dw%sil Chlorinated Solvent Test Is)Results PPM — Baseline Testing Oune:Yes or No(Records on file) Oil Filter Removal !'arts Washer Service l'ust..mrr rertihes and reprewnts that the naterials prusided to FGC En•inwttnental briery. ---, Inc.her rundrr here not hsra mired,sombtned,or othertsi�e blended in am yttaalhi with aas Suhtottl material%containing pubchlo►inated hiphemI%M gLf'Irlunnaird wds•rnts uraa%either material defined a%r llarardous Nyste under applicable lane,including bW not Ilmited to A('FR Part Fuel Sur Cllat�e 261. l eistomcr agrees to indrmnif-. and kohl EI:(-Fu%irun,nental yen ices.Inc..harmless for am damacar.costs.anorae%'s frm etc.arkink out of or in ra,.May nlased to a breach of the Tas abase%arranh It,Ike customer. LB-1 Due (u c;tter Signature 11n•n Name Date PAYMENT RECEIPT Brookfield Resource f,Aanagement 00 Lamont Street E-neford W 10523 IP • 4-592-5250 - - -- -= Date:3,1112022 Receipt. � - - Time- 2 19 39 PM 10510 Weigh in:3/1112022 2:08:1 i P%1 `�t.Q•�. �_e vVeigh Out:3111!2022 2-19-37 PM s.erIY Goss Tare Net Price TOTAL S 94u -1 340 2 23001CW 29. Ticket Total: 2 ` � -if Tickets.! EZCash Paid: S30.00 %sy►.errt Method:EZ'ash Round Amt: S0.12 Total Paid: AA $30.CM4 F Ur C Vr r eM pricing, hours dr ld Currte(1 If4wrriation chuck us out ,4n trot web �ru�,k fieidicr ap,con Joy BruOkfi6ld Scrap or, F''.tfuok 14webuyscrap • [----DA-'MM1DD/YYYY) AC�R[ CERTIFICATE OF LIABILITY INSURANCE �_ •'t 0 2-22-2022 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 endorsements. PRODUCER CONTACT Richard Insley Y Free From Risk LLC PH ONF 914-500-9508 FAX No): 844-217-1700 57 North St Suite 205 ADDRESS: richard@freefromnsklic.com Danbury CT 06810 INSURERS AFFORDING COVERAGE NAIC I INSURERA: Westchester Surplus Lines Insurance Company INSURED INSURER 8: Progressive Commercial New England EnviToninental Services Inc INSURERC: 420 S Riverside Ave 4305 INSURER D. Croton NY 10520 INSURER 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 WffH 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 TYPE OF INSURANCE ADDL SUBR P Y NUMBER POLICY EFF POLICY EXP LDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITYIN%n EACH OCCURRENCE $ 1.000,000 GE TO REN TEL) CLAIMS-MADE a OCCUR PREMISES JEa occunenx S 50,000 MFD FXP(Any one person) $ 10,000 A X G4684354A 005 12/05/2021 12/05/2022 PERSONAL 8 ADV INJURY $ 1.000,000 RLOCGEN'L AGGREGATE LIMB APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY RC- � PRODUCTS-COMP/OPAGG $ 2.000.000 OTHER Pollution Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBI14ED SINGLE LIMIT $ 1,000.000 Ea acri t ANY AUTO 08317028-3 10/30/2021 10/30/2022 RODIi Y INJURY(Per person) $ B OWNED SCHEDULED AUTOS ONLY OS BODILY INJURY(Per acdden:) $ I� AUT XHIRED V NOfV•OWf�D PROPERTY DAMAGF $ AUTOS ONLY /� AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEC I I RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'IJABll YIN JIY TA TE 0K AN-PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT OFFICEWMEMBER EXCLUDED? N/A (Mandatory in NH) EA-DISEASE-EA EMPLOYE $ It yes describe under DESCRIPTION OF OPERATIONS below F.L.DISEASE-POI ICY IMIT $ A Professional Liability X G4684354A 005 12/05/2021 12/05/2022 Each Claim 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS,'VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK NY 10573 Certificate holder is also listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK NY 10573 AUTHORIZED REPRESENTATIVE 9� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.13 04-22-2020 NYSIF New Yock State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^^ 472242944 NEW ENGLAND ENVIRONMENTAL SERVICES , INC Q , 420 S RIVERSIDE AVENUE#305 CROTON NY 10520 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NEW ENGLAND ENVIRONMENTAL SERVICES VILLAGE OF RYE BROOK INC 938 KING STREET 420 S RIVERSIDE AVENUE#305 RYE BROOK NY 10573 CROTON NY 10520 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2348 994-1 111527 11/28/2021 TO 11/28/2022 2/22/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2348994-1, 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:/IWWW.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 JEFF HAIG VICE PRESIDENT JAMIE HAIG NEW ENGLAND ENVIROMENTAL SERVICES 1 2OF 2 THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 545896993 U-26.3 Laura Petersen From: Dig Safely New York Exactix <tickets@exactix.digsafelynewyork.com> Sent: Wednesday, February 23, 2022 8:12 PM To: Mike Izzo Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for: VIL RYE BROOK Taken: 02/23/2022 20:11 To: VIL RYE BROOK PRIMARY Transmitted: 02/23/2022 20:12 00001 Ticket: 02232-001-234-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 34 To: Name: LINCOLN AVE Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: TALCOTT RD & CRAWFORD ST 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: 03/02/2022 Depth of excavation: 15 FEET Site dimensions: Length 10 FEET Width 10 FEET Start Date and Time: 03/02/2022 07:00 Must Start By: 03/16/2022 ------------------------------------------------------------------------------ Contact Name: JEFF HAIG Company: NEW ENGLAND ENVIRONMENTAL SERVICES INC Addr1: 72 N STATE RD Addr2: ST#220 City: BRIARCLIFF MANOR State: NY Zip: 10510 Phone: 855-245-9990 Fax: Email:jeff@newenglandinc.com Field Contact: JEFF HAIG Alt Phone: 855-245-9990 Email:jeff@newenglandinc.com Working for: GAO ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER TWN-VIL HARRISON VIL RYE BROOK WESTCHESTER CTY SWR WESTCHESTER JOINT WTR 1