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MP22-166
40" annium aW VILLAGE OF RYE BROOK MAYOR 938 Ding Street, Rve Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE December 29,2022 Elly Pateras 37 Greenway Lane Rye Brook,New York 10573 Re: 37 Greenway Lane, Rye Brook,New York 10573 Parcel ID#: 129.84-2-26 As per the Certification letter from Envirostar Innovation Corporation dated December 21,2022,the removal of an underground oil tank and installation of a new underground oil tank under Mechanical Permit#22-166 issued on 11/7/2022 has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to 4 a ■ _ a e i ■ N ` e� Q,a,p i N . # cn to eq per-, � W j"I � �O W a �" a. o �; � ■ Q v � s o--; � i 4 a '�� a4 � 'tJ'b N C O v = � ■ � : H �O � Qj fit O Q 3 S �° A - O G 994 y r� w 7 �J� ca h+�l r"a � Q o z 8 i Ln o cu 9 00 x [�) O ai o A, CIA �o 0 b v V. v 0.0 i Fi vv � a ACA 6 Cc, i 00 L ..e W C4 E"� � C ea �a u �ray &o W Q H� w0 - v . ,U°z F ��� i o o U g � � x M - I� W a O n C BM NG DEk-4qWNT VIL 'E OF RYE OOK I nOCT 2 4 2022 938 KING TREET RYE B[100 ,NY 10573 (914)99'0668 FAX(914)939-5801 VILLAGE OF RYE BROOK waw.ryel?Irpol ;or� 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) FOR OFFICE USE ONLY: PERMIT#: #ec=)Q)—/&//7 Approval Date: N0 7 Permit Fee: $ � /0-f r— 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,Abandonment,or Installation: $185.00 per Tank. 5. Dig Safely New York#(dial 811):JQ l y -2 - CX1 - -L.- 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 iAstall a Atel 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. �*,a*,�****�*•***,��**�***,��**,�*�,���***�:����xxxxxxxxxxKxxxxxxxx�**�**x*•*x*x:,�x�x�,��***�,�,�**,�*�x*,�*��**** Indicate Permit Type: Installation (v/ -Removal(�)•Abandonment( )/Above Ground ( ) • Buried in Ground 1. Address: `sl Ci 3`�n1 :QA Un• SBLJ3 Y,, 1--;)�6Zone: PU6 2. Property Owner& Address: Phone#: Cell#: ��" 2"��-�7email: '� �r.��� i;�• 3. Contractor&Address: Phone#: ?�-s'g-n 3; Cell#: email: I!,�Yl0) l 4. Applicant: Gnlrf aovQ — wu- Phone#: �"'t-;&;Cell#: email: "�'AS ACQ 5. Indicate Fuel Type: Fuel Oil a.L.P.Gas( )•Gasoline( )•Other( ): u V V 1 (S 6. Number and Capacity of each Tank: pLA 7. Exact Location(s)of each Tank: _•? rya 1 6/I/2020 ST,ATE OF NEW YORI{,COUNTY OF WESTCIIESTI R ) as: �C� A d1 L)GQ��t l ,being duly sworn,deposes and states that he/she is the applicant above named, (print name ofindivIdual signing as applicant) pplicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the COrAOr QCJzs7 ( 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 l Lh day of s 1f1blY ,20 2a day of 20 Signature of Property Owner naturc of App' , Print�Narhe ofPr/o�p�ertrtyy Owner Pr' ame of,AppliarA A0A VIO 71/l��tTs's' Notary Public Notary Public 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 sh49�emed null and void and will be retunied to the applicant. 1N DI ~b'ti, Nicole Q' =OFMW s O�hi . Notary Public,�State of N New York Piz ; No.01 0431 535 = alified in New York County Ot i.A: COmmisSion Expires November 7,202# 2 3/21/19 �,yE 6RCZ) Q 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ©ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 3 7 1Ce`x U DATE: PERMIT# �_Q ISSUED`: SECT: BLOCK: LOT: LOCATION: Ohl CSC/��1(�] �'`� '� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING - 1 [IINSULATION �O �,� r.� '0T ❑ NATURAL GAS �'� p. L.P.GAS O v- 1G`ca t W ' FUEL TANK ❑ FIRE SPRINKLER '17ryl ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�uk 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :_ DATE: �Z` ' O ` PERMIT#{ ' `� �� ` 1 V(-)ISSUED: , SECT: ' BLOCK: OT: LOCATION: V �� �"` CCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED I]' REJECTED/REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1- ❑ NATURAL GAS 2 V` 1 y J `-p,S `Ivi`e S I cv ❑ L.P. GAS FUEL TANK---' ❑ FIRE SPRINKLER e 6 �— � � kelp ❑ FINAL PLUMBING —' ❑ CROSS CONNECTION \ ,, ❑ FINAL ❑ OTHER ` - a IE C EE o w F OCT 2 4 2022 3 VILLAGE OF RYE BROOK BUILDING DEPARTMENT k t E-74�jl Cl A Try act-1 00-u tank sizing • - HT-1 047 Tank-Top Sump Manway Extension Flanged Isolation Spool ACT-100-U® Full Coupling Flanged Fitting Protected Steel Half Coupling Manway Outer Tank NPT Fitting Lifting Lugs Interior Tank Steel Lining Inner Tank `' Double-Wall Interstitial =- Monitoring Pipe E Polyester Hold-Down Strap Internal Access Ladder Diameter(Inside) I� Length(Inside) ' Volume Tank Dimensions Gallons Diameter Length ACT 100-U®Features Tank Steel Thickness 240 T-2" 4'-0" • UL-58 and UL-1746 compliant Tank thickness is in accordance with 300 T-2" 5'-0" • Provides 70 mils dielectric UL standards and is based on the 500 4'-0" 5'-5" polyurethane protection Roark formula allowing for 60" of 1,000 4'-0" 10'-9" • Cured films are free of pores overburden. Please contact Highland 1,000 5'-4" 6'-0" • Must pass a 15,000 volt spark test if deeper burial depths are required. 2,000 5'-4" 12'-0" before shipment 2,500 5'-4" 15'-0" Environmentally Friendly 3,000 5'-4" 18'-0" • Strong,flexible and resistant to Unlike polyester/fiberglass composite 4,000 5'-4" 24'-0" impact,abrasion and corrosion tanks which utilize amines, styrenes 4,000 6'-0" 19'-0" • No cathodic protection and other hazardous materials in 4,000 8'-0" 1U-8" monitoring required 5,000 6'-0" 23'-10" production,the ACT-100-U®coating 5,000 8'-0" 13'-4" • STI standard 10-year resin uses none of these materials 6,000 6'-0" 28'-8" limited warranty and is environmentally friendly. 6,000 8'-0" 16'-0" • Extended 30-year limited warranty 8,000 10'-0" 14'-0" is available The polyurethane coating, in its 8,000 8'-0" 21'-4" cured state, is not an environmentally 10,000 10,000 81-0. 17'-0" Flexible Designs regulated material and can be 12,000 10'-0" 20'-6" • Volumes from 240-50,000 gallons disposed of as non-hazardous 12,000 8'-0" 32'-0" • Custom sizes available material, complimenting your 15,000 10'-0" 25'-6" • Multi-product storage compartments environmental programs. 15,000 8'-0" 40'-0" 20,000 10'-0" 34'-0" 20,000 10'-6" 31'-0" 25,000 10'-0" 42'-6" 25,000 10'-6" 38'-9" 30,000 10'4" 51'-2" 30,000 10'-6" 46'-6" 40,000 12'-0" 47'-6" 50,000 12'-0" 59'-6" SHIghlang Tank Manheim,PA Greensboro,NC 1510 StY to Mancelona,Ml re4535 Elizabethtown Road 2700 Patterson Street 1510 Sto stown Road 9517 Lake Street Manheim,PA 17545-9410 Greensboro,NC 27407-2317 Friedens,PA 15541-7402 Mancelona,MI 49659-7968 717.664.0600 336.218.0801 814.443.6800 231.587.8412 Stoystown,PA Watervliet,NY Lebanon,PA Clarkston,MI One Highland Road 958 19th Street 2225 Chestnut Street 4701 White Lake Road Stoystown,PA 15563-0338 Watervliet,NY 12189-1752 Lebanon,PA 17042-2504 Clarkston,MI 48346-2554 814.893.5701 518.273.0801 717.664.0602 248.625.8700 PRouocrAwoeNVAWarcA ©Highland Tank-HT-1047-0712020 Laura Petersen From: Elly Pateras <pateras675@gmail.com> Sent: Friday, October 28, 2022 7:10 PM To: Laura Petersen Subject: Re:Tank Permit Application - 37 Greenway Lane I am told i will have it Thursday! On Tue, Oct 25, 2022 at 9:39 AM Laura Petersen<LPetersen@ryebrook.ore>wrote: Good morning, Please provide the HOA approval letter for the removal and installation of the under-ground storage tank. Thank you Laura Laura (Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Ioetersenervebrook.orq 1 173'/2 Ivy Hill Crescent Rye Brook, NY 10573 914-939-2440 D CC� IEOME November 2, 2022 NOV - 7 2022 EII Pateras VILLAGE OF RYE BROOK y BUILDING DEPARTMENT 37 Greenway Lane Rye Brook, NY 10573 Re: Underground Oil Tank replacement Dear Elly Pateras, The Architecture and Grounds Committee (A&G) has reviewed and approved your application for the above named work. This project requires a permit from The Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G. Work on the project may not begin until you receive written notice of receipt of your permit from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Ashlee Pasquale Property Manager RCEC MWF E N V 1 f�O S T fq fK DEC 2 1 2022 INNOVATION CORPORATION VILLAGE OF RYE BROOK BUILDING DEPARTMENT The name you trust for environmental needs SO Fields lane Phone: 94S-779-9SSS Email: inlo@tankremovalservrces.tom Brev:ster.NV 10" Far: 945-279-01% vww-tankremovalserw oixom December 21.2022 V i I lage of Rye Brook Bldg. Dept. 938 King St. Rye Brook.NY 10573 RE: Permit# MP22-166 37 Greemvav Lane Rye Brook.NY 10573 To Whom It May Concern, On December I. 2022 Envirostar Innovation Corp. removed(1)300-gallon AST oil tank from the rear of the property.at the above-mentioned address. Envirostar cut man way into the top of the tank,and hand cleaned inside tank walls. The tanks were removed from the area and inspected for holes. Holes were found in the tanks. The house was placed on a temp tank. A spill %%as reported to the NYSDEC. by others. Envirostar returned on December 12. 13& 14. 2022 excavated. loaded and disposed of 4.73 tons of contaminated soil. Manifests are enclosed for your records and review.Once all soil was removed. we took(3)exit samples.(1)from the base.(1)three«all composite and(1)from the foundation. The samples are enclosed for your records and review. The post excavation results show some elevated levels due to the site conditions.Given the area, bounded by a grove of trees. multiple houses and patios,we were limited to only using a machine%%ith a 10' digging depth. Tree roots and foundations stopped us from digging any further as well. Excavation was then backfilled and disturbed area restored. The tank %%as cleaned and disposed of. A new 300-gallon UST%%as installed in the existing location. Enclosed please find: I. Soil Sample Results( Pre& Post Excavation ) 2. Soil Disposal Manifest 3. Liquid Disposal Manifest 4. Tank Disposal Receipt 5. DEC Spill Closure Report 6.Copy of Permit 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, Michelle Rezza ' Envirostar Innovation Corp. Cc: Pweruc i MR�i i PHOE VIT Environmental faborutories, Inc. Thursday, December 08, 2022 Attn: Greg DiNapoli EnviroStar Innovation 50 Fields Lane '-_. Brewster NY 10509 C ��` Project ID: PATERAS 37 GREENWAY LANE RYE BROOK NY SDG ID: GCM96288 Sample ID#s: CM96288 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, vr' A� 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 VT Lab Registration #VT11301 NH Lab Registration #213693-A,B 587 East Middle Turnpike,P.O.Box 370,Manchester.CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Page I of 10 �\��o �N ACCOga�yF PHOE VIX Sr, U - Environmental Laboratories, Inc. NY#11301 Y 587 East Middle Tumpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference December 08, 2022 SDG I.D.: GCM96288 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK NY Client Id Lab Id Matrix BASE CM96288 SOIL Page 2 of 10 10 \N ACCOq PH0ENX*,,. ' 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 December 08, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 12/01/22 Location Code: ENVIROS Received by: CID 12/02/22 17:05 Rush Request: Standard Analyzed by: see"By" below P.O.#. Laboratory Data SDG ID: GCM96288 Phoenix ID: CM96288 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK NY Client ID: BASE RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 80 % 12/02/22 al SW846-%Solid Soil Extraction for SVOA PAH Completed 12/05/22 H/F SW3546 Volatiles-STARS/Il 1,2,4-Trimethylbenzene 9600 56 ug/Kg 50 12/07/22 Al SW8260C 1,3,5-Trimethylbenzene 2800 56 ug/Kg 50 12/07/22 JLI SW8260C Benzene NO 110 ug/Kg 50 12/07/22 JLI SW8260C Ethylbenzene 830 110 ug/Kg 50 12/07/22 JLI SW8260C Isopropylbenzene 540 56 ug/Kg 50 12/07/22 JLI SW8260C m&p-Xylene 3100 110 ug/Kg 50 12/07/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) NO 56 ug/Kg 50 12/07/22 JLI SW8260C Naphthalene 3500 56 ug/Kg 5o 12/07/22 JLI SW8260C n-Butylbenzene 1900 56 ug/Kg 50 12/07/22 JLI SW8260C n-Propylbenzene 1400 56 ug/Kg 50 12/07/22 JLI SW8260C o-Xylene 1300 110 ug/Kg 50 12/07/22 JLI SW8260C p-Isopropyltoluene 890 56 ug/Kg 50 12/07/22 JLI SW8260C sec-Butylbenzene 1300 56 ug/Kg 50 12/07/22 JLI SW8260C tert-Butylbenzene ND 56 ug/Kg 50 12/07/22 JLl SW8260C Toluene 330 110 uglKg 5o 12/07/22 JL1 SW8260C Total Xylenes 4400 110 ug/Kg 50 12/07/22 JLI SW8260C QAJQC Surrogates 1,2-Dichlorobenzene-d4(50x) 100 % 50 12/07/22 Al 70- 130% Bromofluorobenzene (50x) 102 % 50 12/07/22 JLI 70- 130% %Dibromofluoromethane(50x) 90 % 50 12/07/22 JLI 70-130% %To4uene-d8(50x) 94 % 50 12/07/22 JLI 70-130% Ver 1 Page 3 of 10 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK NY Phoenix I.D.: CM96288 Client ID: BASE RU Parameter Result POL Units Dilution Date/Time By Reference Semivolatiles-STARSICP-51 Acenaphthene ND 29D ug/Kg 1 12/06/22 WB SW8270D Acenaphthylene ND 290 ug/Kg 1 12/06/22 WS SW8270D Anthracene ND 290 ug/Kg 1 12/06/22 WB SW8270D Benz(a)anthracene ND 290 ug/Kg 1 12/06/22 WB SW8270D Benzo(a)pyrene ND 290 ug/Kg 1 12/06/22 WB SW8270D Benzo(b)fluoranthene ND 290 ug/Kg 1 12/06/22 WB SW8270D Benzo(ghi)perylene ND 290 ug/Kg 1 12/06/22 WB SW8270D Senzo(k)fluoranthene ND 290 ug/Kg 1 12/06/22 WS SW82700 Chrysene ND 290 ug/Kg 1 12/06/22 WB SW8270D Dibenz(a,h)anthracene ND 290 ug/Kg 1 12/06/22 WB SW8270D Fluoranthene ND 290 ug/Kg 1 12/06/22 WS SW8270D Fluorene 1300 29D ug/Kg 1 12/06/22 WB SW8270D Indeno(1,2,3-cd)pyrene ND 290 ug/Kg 1 12/06/22 WB SW8270D Naphthalene 2300 290 ug/Kg 1 12/06/22 WB SW8270D Phenanthrene 2600 290 ug/Kg 1 12/06/22 WB SW8270D Pyrene 640 290 ug/Kg 1 12/06/22 WB SW8270D QAlQC Surrogates •2-Fluorobiphenyl 82 % 1 12/06/22 WB 30-130 •Nitrobenzene-d5 105 % 1 12/06/22 WB 30-130 •Terphenyl-d14 84 % 1 12/06/22 WB 30-130% RUPQL=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: Volatile Comment: Elevated reporting limits for volatiles 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 of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller, Laboratory Director December 08,2022 Reviewed and Released by:Anil Makol, Project Manager Ver 1 Page 4 of 10 0p ACCO'q PHOMi7-%, Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370. Manchester, CT 06045 NY#11301 z QA/QC Report Tel. (860)645-1102 Fax(860)645-0823 December 08, 2022 QA/QC Data SDG I.D.: GCM96288 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 654584(ug/kg),QC Sample No:CM96235(CM96288) Polynuclear Aromatic HC - Soil Acenaphthene NO 230 86 78 9.8 65 67 3.0 30-130 30 Acenaphthylene NO 230 79 73 7.9 59 61 3.3 40-140 30 Anthracene NO 230 88 84 4.7 74 72 2.7 40-140 30 Benz(a)anthracene NO 230 89 83 7.0 75 71 5.5 40-140 30 Benzo(a)pyrene NO 230 108 102 5.7 91 87 4.5 40.140 30 Benzo(b)fluoranthene NO 230 95 87 8.8 81 75 7.7 40-140 30 Benzo(ghi)perylene NO 230 92 88 4.4 79 73 7.9 40-140 30 Benzo(k)fluoranthene NO 230 92 87 5.6 80 75 6.5 40.140 30 Chrysene ND 230 97 91 6.4 81 77 5.1 40-140 30 Dibenz(a,h)anthracene NO 230 95 90 5.4 81 75 7.7 40-140 30 Fluoranthene NO 230 85 79 7.3 70 66 5.9 40-140 3a Fluorene NO 230 91 84 8.0 72 71 1.4 40-140 30 Indeno(1,2,3-cd)pyrene NO 230 102 96 6.1 85 79 7.3 40-140 30 Naphthalene NO 230 81 73 10.4 55 64 15.1 40-140 30 Phenanthrene NO 230 87 82 5.9 74 70 5.6 40-140 30 Pyrene NO 230 82 77 6.3 70 65 7.4 30-130 30 •2-Fluorobiphenyl 71 % 80 73 9.2 56 62 10.2 30-130 30 %Nitrobenzene-d5 75 % 80 73 9.2 52 62 17.5 30-130 30 %Terphenyl-dl4 68 % 79 74 6.5 66 62 6.3 30-130 30 QA/QC Batch 655196H(ug/kg), QC Sample No:CM97672 50X(CM96288(50X)) Volatiles - Soil (High Level) 1,2,4-Trimethybenzene NO 250 118 118 0.0 101 116 13.8 70-130 30 1,3,5-Thmethybenzene NO 250 119 120 0.8 102 118 14.5 70-130 30 Benzene NO 250 106 105 0.9 94 107 12.9 70-130 30 Ethylbenzene NO 250 118 119 0.8 105 120 13.3 70-130 30 lsopropylbenzene NO 250 119 118 0.8 103 120 15.2 70-130 30 m&p-Xyiene NO 250 114 116 1.7 101 116 13.8 70-130 30 Methyl t-butyl ether(MTBE) NO 250 97 94 3.1 82 93 12.6 70-130 30 Naphthalene NO 250 121 119 1.7 102 121 17.0 70-130 30 n-Butylbenzene NO 250 124 126 1.6 105 123 15.8 70-130 30 n-Propytbenzene NO 250 119 121 1.7 105 121 14.2 70-130 30 o-Xylene NO 250 111 112 0.9 98 113 14.2 70-130 30 p-Isopropyltoluene NO 250 123 125 1.6 107 124 14.7 70-130 30 sec-Butylbenzene NO 250 120 121 0.8 106 121 13.2 70-130 30 tert-Butylbenzene NO 250 120 122 1.7 106 121 13.2 70-130 30 Toluene NO 250 106 107 0.9 95 108 12.8 70-130 30 %1,2-dichlorobenzene-d4 99 % 101 100 1.0 99 99 0.0 70-130 30 %Bromotluorobenzene 94 % 98 99 1.0 98 97 1.0 70-130 30 %Dibromofluoromethane 95 % 97 97 0.0 94 95 1.1 70-130 30 %Toluene-d8 96 % 97 96 1.0 97 96 1.0 70.130 30 Page 5 of 10 QA/QC Data SDG I.D.: GCM96288 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: Additlonal 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 Tdchlorofluoromethane-HL. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample AOL LCSD-Laboratory Control Sample Duplicate �., MS-Matrix Spike MS Dup-Matrix Spike Duplicate Phylli hiller, Laboratory Director Dece ber 08, 2022 NC-No Criteria Intf-Interference Page 6 of 10 ƒC \ ]� |$ 3 /ƒ �f ±I o +$ As k\ 2\ \ Sa xt /\ � k ƒ § [b _ \\ ) k 39 O 21 � CL i) � k § ■ ;7 ■ W @ � r e � . CL § | f U §) @ i/_ § 3 � ( � f9 J\) # ECL( �£ 2 k22 i \] ( \ !\� k E i @2) cq 0 P �- C ) hƒ \ \ \} 0 k § r k 3 2- § zzo 0 op ?§ mC z \ \ }{ ° ° ECL Z )k$ ( G ! � E � A C C Q qQ�� PHOEA r� Environmental Laboratories, Inc. 587 East Middle Tumpike,P.O.Box 370,Manchester,CT t16045 < IVY#1 301 z Tel.(860)645-1102 Fax(B80)645-0823 Analysis Comments December 08, 2022 SDG I.D.: GCM96288 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA1QC Report: None. Page 6 of 10 PHOEWX*, � ',AACCOgp� �o Environmental Laboratories, Inc. u 587 East Middle Turnpike,P.O.Box 370,:Manchester,CT 06045 � NY#11301 z Tel.(860)645-1102 Fax(860)645-0823 NY Temperature Narration December 08, 2022 SDG I.D.: GCM96288 The samples in this delivery group were received at 2.5°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 9 of 10 f c6 di q CV N � . ` Sys5 lL a C L(J 2 Z 2 Z N U� � 4 � �,�,,, �, o❑oo❑000 000 00 z "y S a O N L)I co gCc U Q¢ W t !� Q' CO ;MU❑❑ ❑ 0 0 Eca N u� Z � V) y' c 0 �t Q _ ZLJ All t PHOEVIX Farirnrimenta! 1(iboratories. Mr. Monday, December 19, 2022 Attn: Greg DiNapoli EnviroStar Innovation 50 Fields Lane Brewster NY 10509 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY SDG ID: GCN03525 Sample ID#s: CN03525 - CN03527 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 VT Lab Registration #VT11301 NH Lab Registration #213693-A,B ~� 587 East Middle Turnpike,P.O Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 Pane'.)f �N Acco9oy�� PHOM Environmental Laboratories, Inc. U 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 K NY#11301 Z Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference December 19, 2022 SDG I.D.: GCN03525 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Client Id Lab Id Matrix BASE _ CN03525 SOIL 3 WALL COMPOSITE CN03526 SOIL FOUNDATION CN03527 SOIL Page 2 o/15 PHOENIX 'NAcc°R ` r U � 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 December 19, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 12/12/22 Location Code: ENVIROS Received by: CID 12/13/22 15:43 Rush Request: Standard Analyzed by: see "By"below P,O.#: Laboratory Data SDG ID: GCN03525 Phoenix ID: CN03525 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Client ID: BASE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 82 % 12/13/22 Q SW846-%Solid Soil Extraction for SVOA PAH Completed 12/13/22 H SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene 5400 52 ug/Kg 50 12/15/22 JLI SW8260C 1,3,5-Trim ethyl benzene 590 52 ug/Kg 50 12/15/22 JLI SW8260C Benzene NO 100 ug/Kg 50 12/15/22 JLI SW8260C Ethylbenzene 700 100 ug/Kg 50 12/15122 JLI SW8260C Isopropylbenzene 390 52 ug/Kg 50 12115Q2 JLI SW8260C m&p-Xylene 1200 100 ug/Kg 50 12115/22 JLI SW8260C Methyl t-Butyl Ether(MTBE) ND 52 ug/Kg 50 12/15/22 JLI SW8260C Naphthalene 22DO 52 ug/Kg 50 12/15/22 JLI SW8260C n-Butylbenzene 10DO 52 ug/Kg 50 12/15/22 JLI SW8260C n-Propylbenzene 820 52 ug/Kg 50 12J'5/22 JLI SW8260C o-Xylene 270 100 ug/Kg 50 12/15/22 JLI SW8260C p-Isopropyltoluene 580 52 ug/Kg 50 12/15/22 JLI SW8260C sec-Butyl benzene 800 52 ug/Kg 50 12/15/22 JLI SW8260C tort-Butylbenzene ND 52 ug/Kg 50 12/15/22 JLI SW8260C Toluene ND 100 ug/Kg 50 12/15/22 JLI SW8260C Total Xyienes 1470 100 ug1Kg 50 12115/22 JLI SW8260C QA/QC Surrogates •1,2-Dichlorobenzene-d4(50x) 99 % 50 12/15/22 JLI 70-130 •Bromofluorobenzene(50x) 112 % 50 12115/22 Al 70-130% •Dibromofluoromethene(50x) 85 % 5o 12/15/22 JLI 70- 130% •Toluene-d8(50x) 91 % 50 12/15/22 JLl 70-130% Ver 1 Page 3 of 15 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Phoenix I.D.: CN03525 Client ID: BASE RL/ Parameter Result PQL Units Dilution Date/Time By Reference SemivoiatilesSTARS/CP-51 Acenaphthene ND 280 ug/Kg 1 12/14122 WB SW8270D Acenaphthylene NO 280 ug/Kg 1 12/14/22 WB SW82700 Anthracene NO 280 ug/Kg 1 12114/22 WB SW8270D Benz(a)anth race ne NO 280 ug/Kg 1 12/14/22 WS SW8270D Benzo(a)pyrene NO 280 ug/Kg 1 12/14/22 WB SW8270D Benzo(b)fluoranthene NO 280 ug/Kg 1 12/14/22 WB SW8270D Benzo(ghi)perylene NO 280 ug/Kg 1 12/14/22 WB SW8270D Benzo(k)fiuoranthene NO 280 ug/Kg 1 12/14/22 WB SW8270D Chrysene NO 280 ug/Kg 1 12114/22 WB SW8270D Dibenz(a,h)anthracene ND 280 ug/Kg 1 12/14/22 WB SW8270D Fluoranthene NO 280 ug/Kg 1 12/14/22 WB SW8270D Fluorene 390 280 ug/Kg 1 12/14/22 WB SW8270D Indeno(1,2,3-cd)pyrene NO 280 ug/Kg 1 12/14/22 WS SW8270D Naphthalene 580 280 ug/Kg 1 12/14/22 WB SW8270D Phenanthrene 860 280 ug/Kg 1 12/14/22 WS SW82700 Pyrene NO 280 ug/Kg 1 12/14/22 WB SW827CD QAJQC Surrogates %2-Fluorobiphenyl 72 % 1 12/14/22 WB 30-130% %Nitrobenzene-d5 72 % 1 12/14/22 WB 30-130% %Terphenyl-d14 91 % 1 12/14/22 WB 30-130% RLIPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RL/PQL BRL=Below Reporting Level L=Biased Low QAIQC Surrogates: Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: Volatile Comment: Elevated reporting limits for volatiles 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 of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hitter, Laboratory Director December 19,2022 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 4 of 15 PHO � .��a ,� ACCp9O,y >,., �o e 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 December 19, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 12/12/22 Location Code: ENVIROS Received by: CP 12/13/22 15:43 Rush Request: Standard Analyzed by: see "By" below P.O.#. Laboratory Data SDG ID: GCN03525 Phoenix ID: CN03526 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Client ID: 3 WALL COMPOSITE RU Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 80 % 12/13/22 Q SW846-%Solid Soil Extraction for SVGA PAH Completed 12/13/22 H SW3546 Volatiles-STARS/CP-51 1,2,4-Trimethylbenzene NO 0.64 ug/Kg 1 12/14/22 JLl SW8260C 1,3,5-Tdmethylbenzene 1.1 0.64 ug/Kg 1 12/14/22 JLl SW8260C Benzene NO 1.3 ug/Kg 1 12/14/22 JLl SW8260C Ethylbenzene NO 1.3 ug/Kg 1 12/14/22 JLI SW8260C Isopropylbenzene NO 0.64 ug/Kg 1 12/14/22 JL1 SW8260C m&p-Xylene NO 1.3 ug/Kg 1 12/14/22 JLl SW8260C Methyl t-Butyl Ether(MTBE) NO 0.64 ug/Kg 1 12/14/22 JLl SW8260C Naphthalene NO 0.64 ug/Kg 1 12/14/22 JLl SW8260C n-Butylbenzene NO 0.64 ug/Kg 1 12/14/22 JLI SW8260C n-Propylbenzene NO 0.64 ug/Kg 1 12/14/22 Al SW8260C o-Xylene NO 1.3 ug/Kg 1 12/14/22 Al SW8260C p-Isopropyltoluene NO 0.64 ug/Kg 1 12/14/22 Al SW8260C sec-Butylbenzene ND 0.64 ug/Kg 1 12/14/22 JLl SW8260C tert-Butylbenzene NO 0.64 ug/Kg 1 12/14/22 JLl SW8260C Toluene NO 1.3 ug/Kg 1 12/14/22 JLl SW8260C Total Xylenes NO 1.3 ug/Kg 1 12/14/22 JLl SW8260C QA/QC Surrogates % 1,2-Dichlorobenzene-d4 97 % 1 12/14/22 JLl 70-13C% •Bromofluorobenzene 103 % 1 12/14/22 JLl 70-130% %Dibromofluoromethane 102 % 1 12/14/22 JLl 70-130% %Toluene-d8 99 % 1 12/14/22 JLl 70-130 Ver 1 Page 5 of 15 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Phoenix I.D.: CN03526 Client ID: 3 WALL COMPOSITE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene NO 290 ug/Kg 1 12/14/22 WB SW82700 Acenaphthylene NO 290 ug/Kg 1 12/14122 WB SW8270D Anthracene NO 290 ug/Kg 1 12J14/22 WB SW82700 Benz(a)anthracene NO 290 ug/Kg 1 12/14/22 WB SW8270D Benzo(a)pyrene NO 290 ugiKg 1 12114/22 WB SW8270D Benzo(b)fluoranthens NO 290 ug/Kg 1 12/14/22 WB SW8270D Benzo(ghi)perylene NO 290 ug/Kg 1 12/14/22 WB SW8270D Benzo(k)fluoranthene NO 290 ugiKg 1 12/14/22 WB SW8270D Chrysene NO 290 ugrKg 1 12/14/22 WB SW8270D Dibenz(a,h)anthracene NO 290 ug/Kg 1 12/14/22 WB SW8270D Fluoranthene NO 290 ug/Kg 1 12/14/22 WB SW8270D Fluorene NO 290 ug/Kg 1 12/14/22 WS SW8270D Indeno(1,2,3-cd)pyrene NO 290 ugiKg 1 12/14/22 WB SW8270D Naphthalene NO 290 ug/Kg 1 12114/22 WB SW8270D Phenanthrene NO 290 ug/Kg 1 12/14/22 1NB SW8270D Pyrene NO 290 ugiKg 1 12/14/22 WB SW8270D QA/QC Surrogates %2-Fluorobiphenyl 76 % t 12/14/22 WS 30- 130% %Nitrobenzene-d5 81 % 1 12/14/22 WS 30- 130% %Terphenyi-04 92 % 1 12/14/22 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: Al 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 conceming 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. P AOL hyllis hiller,Laboratory Director December 19,2022 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Pape 6 of 15 pHo a �� A000,9 U � Environmental Laboratories, Inc. 587 East Middle Turnpike, P.O.Bcx 370, Manchester,CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Greg DiNapoli EnviroStar Innovation December 19, 2022 50 Fields Lane Brewster NY 10509 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 12/12/22 Location Code: ENVIROS Received by: CP 12/13/22 15:43 Rush Request: Standard Analyzed by: see"By"below P,O.#: SDG ID: GCN03525 Laboratory Data Phoenix ID: CN03527 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Client ID: FOUNDATION RL/ Parameter Result POL Units Dilution Date/Time By Reference Percent Solid 87 % 12/13/22 Q SW846-%Solid Soil Extraction for SVOA PAH Completed 12/13/22 H SW3546 Volatiles-STARS/CP-51 1,2,4-Trimethylbenzene 18000 500 ug/Kg 500 12/14/22 JLI SW8260C 1,3,5-Trimethylbenzene 2100 500 ug/Kg 500 12/14/22 Al SW8260C Benzene ND 100 ug/Kg 50 12/14/22 JLl SW8260C Ethylbenzene 2300 100 ug/Kg 50 12/14122 JLl SW8260C Isopropylbenzene 1100 5o ug/Kg 50 12/14/22 JLI SW8260C m8p-Xylene 4500 100 ug/Kg 50 12/14/22 JLl SW8260C Methyl t-Butyl Ether(MTBE) ND 50 ug/Kg 50 12/14/22 JLl SW8260C Naphthalene 9500 500 ug/Kg 500 12/14/22 JLl SW8260C n-Butylbenzene 2800 500 ug/Kg 500 12/14/22 JLI SW8260C n-Propylbenzene 2700 500 ug/Kg 500 12/14/22 JLI SW8250C o-Xylene 550 00 ug/Kg 50 12/14/22 JLl SW8260C p-Isopropyltoluene 1500 50 ug/Kg 50 12/14/22 JLI SW8260C sec-Butylbenzene 2100 500 ug/Kg 5c0 12/14/22 JLl SW8260C tert-Butylbenzene 52 50 ug/Kg 50 12/14/22 Al SW8260C Toluene 140 100 ug/Kg 50 12/14/22 JLl SW8260C Total Xylenes 5050 100 ug/Kg 50 12/14/22 JLl SW8260C QA/W Surrogates % 1,2-Dichlorobenzene-d4(50x) 99 % 50 12/14/22 JLI 70-130% •Bromofluorobenzene(50x) 118 % 50 12/14/22 JLl 70-130% •Dibromofluoromethane(50x) 96 % 50 12/14/22 JLl 70-130% •Toluene-d8(50x) 93 % 50 12A4/22 JLl 70-130% 1,2-Dichlorobenzene-d4 (500x) 98 % 500 12/14/22 JLl 70-130% %Bromofluorobenzene(500x) 104 % 500 12/14/22 Al 70-130% Ver 1 Page 7 of 16 Project ID: PATERAS 37 GREENWAY LANE RYE BROOK, NY Phoenix 1.D.: CN03527 Client ID: FOUNDATION RU Parameter Result PQL Units Dilution DateMme By Reference %Dlbromofluoromethane(500x) 94 % 500 12/14/22 JLI 70-130% Toluene-d8(500x) 97 % 500 12/14/22 JLI 70-130% Semivolatiies-STARSXP-51 Acenaphthene 1100 260 ug/Kg 1 12/14/22 WB SW82700 Acenaphthylene NO 260 ug/Kg 1 12/14/22 WB SW8270D Anthracene 290 260 ug/Kg 1 12/14/22 WS SW8270D Benz(a)anthracene NO 260 ug/Kg 1 12/14/22 WB SW8270D Benzo(a)pyrene NO 260 ug/Kg 1 12/14/22 WB SW8270D Benzo(b)fluoranthene NO 260 ug/Kg 1 12/14/22 WS SW8270D Benzo(ghi)perylene NO 260 ug/Kg 1 12/14/22 WB SW8270D Benzo(k)fluoranthene NO 260 ug/Kg 1 12/14/22 WB SW8270D Chrysene NO 260 ug/Kg 1 12/14/22 WB SW8270D Dibenz(a,h)anthracene NO 260 ug/Kg 1 12/14/22 WB SW8270D Fluoranthene NO 260 ug/Kg 1 12/14/22 WB SW8270D Fluorene 1900 260 ug/Kg 1 12/14/22 WS SW82700 Indeno(1,2,3-cd)pyrene NO 260 ug/Kg 1 12/14/22 WB SW8270D Naphthalene 4200 260 ug/Kg 1 12/14/22 WB SW8270D Phenanthrene 4100 260 ug/Kg 1 12114/22 WB SW82700 Pyrene 790 260 ug/Kg 1 12/14/22 WB SW8270D QAIQC Surrogates 2-Fluorobiphenyl 75 % 1 12/14/22 WB 30-130% Nitrobenzene-d5 83 % 1 12/14/22 WB 30-130 %Terphenyl-d14 87 % 1 12/14/22 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: Volatile Comment: Elevated reporting limits for volatiles 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 of this report cannot be discussed with anyone other than the client listed above without their written consent. Phyllis hiller, Laboratory Director December 19, 2022 Reviewed and Released by: Anil Makol, Project Manager Ver 1 Page 8 of 15 PHO `� 1� ACCpRA ��r 7ti y,? W� F e � Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester, CT 06045 NY#11301 Tel.(860)645-1102 Fax(860)645-0823 QA/QC Report December 19, 2022 QA/QC Data SDG I.D.: GCN03525 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 655933(ug/kg), QC Sample No: CN03368 (CN03525, CN03526, CN03527) Polvnuclear Aromatic HC - Soil Acenaphthen• ND 230 71 57 21.9 48 47 2.1 3o-no 3D Acenaphthylene NO 230 72 58 21.5 48 48 0.0 40-140 30 Anthracene NO 230 79 68 15.0 56 55 1.8 40-140 30 Benz(a)anthracene NO 230 76 67 12.6 57 57 0.0 40-140 30 Benzo(a)pyrene NO 230 79 71 10.7 61 62 1.6 40-140 30 Benzo(b)fluoranthene NO 230 71 64 10.4 58 61 5.0 40.140 30 Benzo(ghi)perylene ND 230 79 70 12.1 57 54 5.4 40-140 30 Senzo(k)fluoranthene NO 230 75 66 12.8 51 52 1.9 40-140 30 Chrysene NO 230 77 68 12.4 57 59 3.4 40-140 30 Dibenz(a,h)a nth race ne ND 230 77 68 12.4 50 48 4.1 40-140 30 Fluoranthene NO 230 83 73 12.8 71 70 1.4 40-140 30 Huorene NO 230 79 67 16.4 55 54 1.8 40-140 30 Indeno(1,2,3-cd)pyrene NO 230 85 75 12.5 63 61 3.2 40-140 30 Naphthalene NO 230 67 49 31.0 44 45 2.2 40-140 30 Phenanthrene NO 230 74 64 14.5 60 60 0.0 40-140 30 Pyrene NO 230 82 72 13.0 68 67 1.5 30.13D 30 %2-Fluorobiphenyl 62 % 69 56 20.8 43 44 2.3 30-130 30 %Nitrobenzene-d5 61 % 73 54 29.9 43 44 2.3 30.130 30 %TerphenyW14 93 % 80 73 9.2 54 54 0.0 30-130 30 QA/QC Batch 656467H (ug/kg),QC Sample No:CN03106 50X(CN03527 (500X)) Volatiles - Soil (High Level) 1,2,4-Trimethylbenzene NO 250 121 119 1.7 102 117 13.7 70-130 30 1,3,5-Thmethylbenzene NO 250 119 119 0.0 101 116 13.8 70.130 30 Naphthalene NO 250 132 128 3.1 113 136 18.5 70-130 30 n-Butylbenzene NO 250 134 133 0.7 112 130 14.9 70-130 30 i n-Propylbenzene NO 250 122 121 0.8 102 117 13.7 70-130 30 sec-Butylbenzene NO 250 123 122 0.8 102 118 14.5 70-130 30 % 1,2-dichlorobenzene-d4 96 % 103 102 1.0 102 104 1.9 70-130 30 %Bromofluorobenzene 102 % 102 102 0.0 103 104 1.0 70-130 30 %Dibromofluoromethane 94 % 95 97 2.1 98 98 0.0 70-130 30 %Toluene-d8 100 % 102 102 0.0 103 101 2.0 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. QA/QC Batch 656101 (ug/kg), QC Sample No:CN03545(CN03526) Volatiles - Soil (Low Level) 1,2,4-Trimethyl1benzene NO 1.0 102 100 2.0 70-130 30 1,3,5-Thmethylbenzene NO 1.0 102 101 1.0 70-130 30 Benzene NO 1.0 103 102 1.0 70.130 30 Ethylbenzene NO 1.0 103 103 0.0 70-130 30 Page 9 of 15 QA/QC Data SDG I.D.: GCN03525 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits isopropylbenzene NO 1.0 106 104 1.9 70-130 30 m&p-Xylene NO 2.0 102 100 2.0 70-13D 30 Methyl t-butyl ether(MTBE) NO 1.0 105 104 1.0 70-130 30 Naphthalene NO 5.0 105 108 2.8 70-130 30 n-Butylbenzene NO 1.0 104 105 1.0 70.130 3o n-Propylbenzene NO 1.0 102 103 1.0 70-130 30 o-Xylene NO 2.0 103 102 1.0 70-130 30 p-Isopropyftoluene NO 1.0 104 103 1.0 70-130 30 sec-Butylbenzene NO 1.0 104 103 1.0 70-130 30 tert-Butylbenzene NO 1.0 105 105 0.0 70.130 30 Toluene NO 1.0 104 101 2.9 70-130 30 %1,2-dichlorobenzone-4 97 % 102 103 1.0 70-130 30 %Bromofluorobenzene 102 % 100 100 0.0 70-130 30 %Dibromofluoromethane 98 % 97 98 1.0 70-130 30 %Toluene-d8 98 % 101 101 0.0 70-130 30 Comment: The Low Level MSlMSD are not reported for this batch. Additional 8260 criteria: 10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 4D-160%,25-160%for Chloroethane-HL and Trichlorofluoromethane-HL. QA/QC Batch 656101 H(ug/kg),QC Sample No: CN03545 SOX(CN03527 (50X)) Volatiles-Soil (High Level). Benzene NO 250 116 114 1.7 118 117 0,9 70-130 30 Ethylbenzene NO 250 119 115 3.4 123 123 0.0 70-130 30 Isoprapylbenzene NO 250 121 116 4.2 117 119 1.7 70-130 30 m&p-Xylene NO 25D 118 114 3.4 123 123 0.0 70-130 30 Methyl t-butyl ether(MTBE) NO 250 119 115 3.4 123 123 0.0 70-130 30 o-Xyiene NO 250 119 115 3.4 119 119 0.0 70-130 30 p-Isopropyftoluene NO 250 126 120 4.9 129 131 1.5 70.130 30 m tert-Butylbenzene NO 25D 124 117 5.8 119 120 0.8 70-130 30 Toluene NO 250 119 115 3.4 119 118 0.8 70-130 30 • 1,2-dichlorobenzene-d4 95 % 102 101 1.0 101 101 0.0 70-130 30 %Bromofluorobenzene 101 % 100 101 1.0 106 105 0.9 70-130 30 %Dibromofluoromethane 95 % 97 96 1.0 98 98 0.0 70-130 30 %Toluene-d8 99 % 102 102 0.0 102 102 0.0 70-130 30 Comment: Additional 8260 criteria: 10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%,25-160%for Chloroethane-HL and Trichloroftuoromethane-HL. QA/QC Batch 656461H(ug/kg),QC Sample No:CN04268 50X(CN03525(SOX)) Volatiles - Soil (High Level) 1,2,4-THmethylbenzene NO 250 112 112 0.0 95 110 13.6 70-130 30 1,3,5-Trimethylbenzene ND 250 113 112 0.9 99 112 12.3 70-130 30 Benzene NO 250 103 104 1.0 91 102 11.4 70-130 30 Ethylbenzene NO 250 108 109 0.9 92 108 16.0 70-130 30 Isopropylbenzene NO 250 118 117 0.9 100 113 12.2 70-130 30 m&p-Xylene ND 250 105 108 2.8 93 105 12.1 70-130 30 Methyl t-butyl ether(MTBE) ND 250 93 97 4.2 83 96 14.5 70-130 30 Naphthalene NO 250 113 115 1.8 96 113 16.3 70-130 30 n-Butylbenzene NO 250 123 123 0.0 107 123 13.9 70-130 30 n-Propylbenzene NO 250 116 116 0.0 102 115 12.0 70.130 30 o-Xylene NO 250 106 106 0.0 93 105 12.1 70-130 30 p-Isopropyttoluene NO 250 118 118 0.0 103 118 13.6 70-130 30 Page 10 of 15 QA/QQ Data SDG I.D.: GCN03525 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits sec-Butylbenzene ND 250 115 115 o.0 100 114 13.1 70-130 30 tert-Butylbenzene ND 250 113 113 0.0 98 111 12.4 70-130 30 Toluene ND 250 107 1o9 1.9 93 105 12.1 70-130 30 % 1,2-dichlorobenzene-d4 95 % 100 100 0.0 101 100 1.0 70-130 30 %Bromofluorobenzene 96 % 94 96 2.1 96 97 1.0 70.130 30 %Dibromoflucromethane 92 % 92 92 0.0 94 97 3.1 70-130 30 %Toluene-d8 93 % 100 101 1.0 102 100 2.0 70-130 30 Comment: Additional 8260 criteria: 10%of LCS/LCSD compounds can be outside of acceptance cnterla as long as'ecovery is 40-160%.25-160%for Chloroethane-HL and Tnchlorofluoromethane-HL. I=This parameter is outside laboratory LCS/LCSD specked recovery limits. m-This parameter Is outside laboratory MS/MSD specified recovery limits. r=This parameter is outside laboratory RPD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample gberl9,2022 LCSD-Laboratory Control Sample DuplicateMS- Matrix SpikeMS Dup-Matrix Spike Duplicate Phyll , Laboratory Director NC- No Criteria Dece Intf-Interference Page 11 of 15 )} `I � \) 2 ' }: x. k0 § [/ _ f§ � \\ � /} � 7f Muj § @ u @@ 7\ $ CL § W� W § \{ 2 r [ 2 � )\ V §) _■ /\ � ` 7 2 u � � & ( § 2 2 22/ / $o ) § S ƒ\} t I) g \ §\/ ƒ 2{) a 7 \2 q °f .0 \ / ) \ z PHO ,��� �w Acc°Ro,� ,.l..: r�F e e 4 U Environmental Laboratories, Inc. T 2 587 East Middle Turnpike,P.O.Box 370,Manchester, CT 06045 NY#11301 Tel. (860)645-1102 Fax(860)645-0823 Analysis Comments December 19, 2022 SDG I.D.: GCN03525 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 13 o115 A C C O Rp1�F PHOM Environmental Laboratories, Inc. NY#11301 587 East Middle Turnpike,P.O.Rox 370,Manchester.CT 06045 Tel.(860)6,45-1102 Fax(860)645-0823 NY Temperature Narration December 19,2022 SDG I.D.: G4CN03525 The samples in this delivery group were received at 2.6°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 14 of 15 � $ 8 Lis thY r w III. Lu 2 Z S a s . CL � m V❑❑❑ ❑ Po o po V U8 m U UCL W �� � or _v LP 0 > o ~ Cf� o c ° N x a� � `° ti O❑�0 o s a O �. 21 V d o S ti } w Q �S x x x c-J M N N QCN g CL E CO cn CO 3 v,s v Q SDI QD W U y U lu ti Page 15 of 1 R`t 1 i l 1 R 4 1 1 , t F !i l }{ I 1 r CLEAN EARTH INTERNAL GENERATOR'S CERTIFICATION - Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law. is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law. is not a DOT hazardous substance as defined by 49 CFR Part 172 or any applicable state law.has been fully and accurately described above.classified.packaged and is in proper condition for transportation according to all applicable state and Icderal regulations. Name: a Title: Signature: + Date and Time: TRANSPORTER Company:' Phone Number: Address: Truck#and License Plate: Driver: t -� SW Haulers Permit#: (Type or Print Clearl%) (applicable state permit#) 1 hereby certify that the above named material was picked up at the site listed above. Driver Signature: "" Date and Time: DESTINATION I hereby certify that Ute above named material was delivered without incident to th)'facibty noted above. Driver Signature: Date and Time: I hereby cdrt' that the above named material leas been accepted at the above referenced facility. Authorized Signature: l Date and Time: ' tr�r�usm TRANSPORTER NON41AZARDOUS I I Gt3rleratol 2 Page 1 of 3 Emergency Respa*a Phone 4.Waste Tracking Number WASTE MANIFEST — X j 5 GeneraWs Name and Mailing Address Ge".rator's Site Address(d different than mating address) I+ Generator s Phone: 6 Transporter I Company Name U S.EPA ID Number 7 Transporter 2 Compary Name US EPA IC Number 6 Designated Facility Nam and See Address U S EPA III Number J4 L'c f�� Tom/ C•� C-t PvY r S'O ,ems S s s F ��1't �' G /c L jQCC �% � 10.Containers I 1 Total 12 Unit 9 Waste Shnppirg Name and Description No Type Quantity i Wt.Nol cc 116C ; W Z 2 W C7 3 I d — - i 13 Spertal Hadkng Inslnurftort5 and AdW oral IDtonnatlrxi 14.GENERATOR'SlOFFEROR'S CERTIFICATION:I hereht de-iaw mat e,e ronlwils-it this consgrmenl arm fully anu amiraleJy,desrnbed above by the proper shipping names arrl are classified. yed. marked and labeleOplacarded,and are r1 all respects in proper condition for transport according to applicable eaemation0l and national gaveyenernal r . Gennerof slDflerors PmnedrTyppd flame Sgret Month Day Year I•c r, AAA) Y_ �c.a,l,. �S i� C�/�i 1 tL ( —— —[ { I 15 International Shipments ❑Import to LI 5 ❑ Z pa Fapon t S Port of wthy/e1dt: Transmief Sw.ture(for exports only) -- -—— _Date leaving U S 16 Transporter AdNowledgrnan of Receipt of Malenais — w 2 Tra her 1 PrnntertTyped Na / Sigrnal, Month Day Year CO Transporter 2 PrintecTyped Name tore MedA Day Year H �I t7 Dlscreparioy, 17a Dls xeparxy Indication Space ❑Ouanlity ❑Type ❑Residue ❑Partial Rewalion ❑Full Relecuon _ Manifest Reference Number T 17b Asenate Facility,(ut Generate) —-- US EPA ID Numbw CJ V LL Facility s Phme W17c.Slgnamre of AMernate Facile en for G Vorl — - -- _ Month Day — Yea' i rA W C 18 Designated Fa;;r,ty Owner JI 1oct31or Certification of rereivi of mateiwI2 rovered by the mandest exLepl as noted In IMI 173 Pnnted/iypeuName — -- Siottature Muntt, Dav y-ai -- ---- - — — i - --- —I 169-BLS-C 6 10497(Rev.9/09) COPY 1. BASS a SON, INC. 9-11 Carleton Avenue Mount Vernon, NY 10550 Phone (914) 667-1442 • Fax (914) 667-9647 bI assandson 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 DESTRKTION. SIGNATURE �� J. Bass & Son, Inc. DATE: `� t Il I, 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. W"j SIGNATURE �' J. Bass & Son, Inc. DATE: ,1 _ L I I � 12121122, 11 13 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: 2207362 Spill Date/Time Spill Date: 12/01/2022 Spill Time: 01:00.00 PM Call Received Date: 12/01/2022 Call Received Time: 01:14:00 PM Location Spill Name: ARBORS CONDO - UST Address: 37 GREENWAY LANE 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: 12/20/2022 "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/rwww.dec.ny.gov/cfmx/extappsiderexternal/spills/details.cfm?pageid=2 1 1 'ry •-� n C C L a,rt o CL zold J2 � F. z cc ' C N M Q to Ln tn L r o of _ °a 3 E ° O I L _ 1 y eq 1 aG ,nPLO 00 oo w Z 1 O p i- o Z F � 0 2 \ F 1 W I vl " ; CM > 14 z O . 0-4 Q � E— I� 00 JM1 M W Z oc W. 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Q d!� :. o� ��. DATE(Mi' DDIYYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCEF `...� 03/02/2022 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 endorsement(s). PRODUCER CONTANAME: Dominica Twitty _ The Allan Twitty Insurance Agency. LLC PHONE , (845)278-6160 AAic No): (845)278-6537 P.O. BOX 419 om atw G tY MAIL ADDRESS: dinica it Insurance.Com INSURE S AFFORDING COVERAGE NAIC N Patterson NY 12563 INSURERA: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER 6: Citadel Life&Health Insurance Company 71897 Envirostar Innovation Corp INSURERC: Ohio Casualty Insurance Company 24074 50 Fields Lane INSURERD: INSURER E: Brewster NY 10509 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1 TYPE OF INSURANCE ADDL-SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIYYYY) fMMIDDNYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ 1,000,000 -DAMAGE TO RENTED CLAIMS-MADE LJ OCCUR PREMISES Ea occurrence E 50,000 X Professional Liability MED EXP(Any one Person) $ 10,000 A X Pollution Liability G46854408 005 12/29/2021 12/29/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JECT ❑X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Professional/Pollution 1 $ $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS 73APBOO5253 03/05/2022 03/05/2023 BODILY INJURY(Per accident) $ X HIRED Ix NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Parecddent $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE G72514774 0012 12/29/2021 12/29/2022 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Inland Marine Scheduled Equip $250,748 C 7 BMO 58 48 44 33 01/01/2022 01/01/2023 DESCRIPTION OF OPERATIONS I LOCATIONS?VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept- AUTHORIZED REPRESENTATIVE 938 King Street Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 17--O%'**\- N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE """""" 823325897 vi- PATTERSONALLAN TWITTY INSURANCE AGENCYPO BOX 419 NY 12563 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ENVIROSTAR 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 W 2549 055-8 899305 06/29/2022 TO 06/29/2023 05/13/2022 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.COM/CERT/ 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 ENV►ROSTAR 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 //'*'� 4 DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 224786617 111111111 MI IN 1111111000miulli Y00001000010429 Do Monello 341128I Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-25440558f U-263, 11 [00000000000104234128][0001-=25490558][XNW][15888-02][CerLNoP-MT 1][01-Ml] Laura Petersen From: Mike Izzo Sent: Tuesday, December 6, 2022 9:25 AM To: Laura Petersen; Steven Fews;Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, December 6, 2022 9:25:20 AM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 12/06/2022 09:24 To: VIL RYE BROOK PRIMARY Transmitted: 12/06/2022 09:25 00003 Ticket: 12062-000-469-00 Type: Regular Previous Ticket: 11082-000-422-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 37 To: Name: GREENWAY LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY NearSt: BRUSH HOLLOW CLOS & BRUSH HOLLOW LN 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: 12/12/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 12/12/2022 07:00 Must Start By: 12/27/2022 ------------------------------------------------------------------------------ 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 i of Working for: PATERAS ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR 2 Laura Petersen From: Mike Izzo Sent: Tuesday, November 8, 2022 8:59 AM To: Laura Petersen; Steven Fews; Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, November 8, 2022 8:59:18 AM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 11/08/2022 08:58 To: VIL RYE BROOK PRIMARY Transmitted: 11/08/2022 08:59 00001 Ticket: 11082-000-422-00 Type: Regular Previous Ticket: 10112-001-726-00 ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 37 To: Name: GREENWAY LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY NearSt: BRUSH HOLLOW CLOS & BRUSH HOLLOW LN 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: 11/14/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 11/14/2022 07:00 Must Start By: 11/29/2022 ------------------------------------------------------------------------------ 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 1 Working for: PATERAS ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/ WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR 2 Laura Petersen From: Mike Izzo Sent: Tuesday, October 11, 2022 1:52 PM To: Laura Petersen; Steven Fews;Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Tuesday, October 11, 2022 1:51:37 PM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 10/11/2022 13:50 To: VIL RYE BROOK PRIMARY Transmitted: 10/11/2022 13:51 00006 Ticket: 10112-001-726-00 Type Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 37 To: Name: GREENWAY LN Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: REAR OF PROPERTY NearSt: BRUSH HOLLOW CLOS & BRUSH HOLLOW LN 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: 10/25/2022 Depth of excavation: 15 FEET Site dimensions: Length 15 FEET Width 15 FEET Start Date and Time: 10/25/2022 07:00 Must Start By: 11/08/2022 ------------------------------------------------------------------------------ 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 1 Working for: PATERAS ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA BELL-VALHALLA/WSCHSTR CONED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR 2