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Home My WebLink AboutMP24-009 QyE D C c�G4.°y°Ji (� L� l l�ub Vv`Lf VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.ryebrookn}.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 14,2024 The Revocable Trust of Elyse Echtman&Daniel Berger Elyse Echtman&Daniel Berger,Co-Trustees 69 Rock Ridge Drive Rye Brook,New York 10573 Re: 69 Rock Ridge Drive,Rye Brook,New York 10573 Parcel ID#: 135.36-1-1 As per the Certification letter from Innov8tive Environmental Services Inc. dated July 15, 2024, the removal of an underground oil tank under Mechanical Permit #24-009 issued on 1/18/2024 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BR G cu � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— I — DATE' v C PERMIT# M i 2 ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS 1. Vl/I ❑ FUEL GAS L-o S ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC��, l7 c >> �O 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR }'ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 1 E 1 y C DATE: PERMIT# ISSUED:/ -4*- .` SECT: 3* BLOCK: / LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS •pR V✓� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER P L iv, rl 5 r Z 0 C/ ❑ FINAL PLUMBING L ❑ CROSS CONNECTION M T o f L J L ❑ FINAL / ✓ fC� i' 0— C Zx </ ❑ OTHER v i �, d u s �o QyE BRC�� cu � • ,9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR D-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 : I v g- DATE: /- 26 - 2 Q 2- T PERMIT# I'� ` 2 9 - 0Q -1 ISSUED: "M 2 SECT: BLOCK: LOT: LOCATION: �� 1 OCCUPANCY: i J ❑ Violation Noted THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION `- ❑ Natural Gas �. 1J ��t/ 2c,�� T ❑ L.P. Gas B /U FUEL TANK .� v ❑ FIRE SPRINKLER �� ,.� �. �" SO L �3 i J (� rr)1 a L� ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL / nN /1} L �. J6 U ❑ OTHER c- to v � Ci C' we peo el /�vP �77� / (, \� S lA) r 1 ��P U , �_� �%. S U/t ✓� �� 1 2c 64c ( v,►)1p c' { ~•� ••�,�� •1� r,t�x� � 'F� - ,�;', •� ',,.,yr� . . tea . 4 �; 7.�C i d ,a • , t 1- � M1�c1 �� I', I'r `' �Y� +�-•� .�-.��.Ar�`t I'V '! v-y r4 • A :v f ��jj+. _DVt , i4 - r� C�� ..,�r ,Aa�•h• ��.Ma�, � ^ �,.�-' `��-��,,,' �� a.. • '� `' �';l,'. F�" � , �`�` t •' ` fit.';� r A�'r '^'� �: - � "�:'�;� �a"�•. >4 .�.. r' ;'fix\ � } •;1t"w ..� `�� `' yl'C�' k� t tt�yt ¢ � '^ � l 1a1�,i 1.�" T''. rr•�Y -ir•r ,. ` - 4 ^-�? ?i rim.. •� t S11� \' r �5•0 4 4r'i , �_ '3 s -`� j� ta..�� to f : •�n'.� ` c r. :"i .�Y� I,-' ! _ •y+svt i.�•-t� .t,. tS�A�v 3•'r .,�� l` y- -.Tttr Ag1 .J }. ' 1 , ` y .:.;* :j,• tY��rD t'.'�3' F T .lr. , t �. ,y=w• cc��y�.. o- z4v •�, I � `�- r?k;. ,ti �� vat•, -� kf Av y• '•��• ,.`.• \ +t� ` • , �.-. 1` r.'�♦ � �.�a��l it M, + L'� x•_ � 1. -� .^�" \,.rY•.� rW��.�.. �� _ yip. . �'�` ��tr�+ti•.��•I W,s• •p�• ` .r'r'f,' !:.':. , N��I�`. r_ •�-�.. tit} }i_\ - } _ , . �. � ._ - � �` ��. •\ - \ - Mika,a f AT f v ir•• , 3 �ct�• , I � Y .• 'Y, r •jr �^ •�` i �. TT'r - ��\ a 1 9i'- -ram`^_i... `. y / r ••-� a rt,. � 4r 'yt .. Tom; r y ^',`, y.�w� c��'+r •. A ` f��f�` », v r•"� � L r � . J\, h �. o O f+7 N O N ` eq 00 00 F' vat cn a O a rn W ., W a, .• � w � W W u� a. _ �, W 1 VO O CA U y c W 0A _ e 40 N W 4A A4 p o v O z Ho w GG U r-t q o 'a z o o LA W cn W � � z � � � a, � �T ' 0 a 'z o p W o0 C/) Z G4 A,' z O A U m V H W W W p o W U Z .Q) a o Z ( h C!] w � oQ V j� to PLO oo cn N 14 E ' , cn y ►� arn `' 0 V ao a a v �U. zz , " Evo , W Q cwn py O H ° '� Cc: - W W o $ g o N � a „ x 0 c V oHa� � -U E� _ cis W O O z U d' o o bh Hc ° � V p V O o 4j OF, �I as a a a w _ BUIL MENT VIL E OF RY OOK 1N 6 938 KING ET RYE NY 105 U BR y A 2924 914 9 39-5801 o r VILLAGE OF RYE BROOK 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) C FOR OFFICE USE ONLY: PERMIT#: aA) Approval Date: 15�� Permit Fee: $ 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: $l 85.00 per Tank. 5. Dig Safely New York# (dial 811): 01114-000-577 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 pen-nit to remove,abandon,and/or install a Fuel Tank as herein described The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County, State& Federal laws, codes,rules and regulations. Indicate Permit Tvue: Installation O•Removal�•Abandonment( )/Above Ground O • Buried in Ground 1. Address: 69 Rock Ridge Dr SBL: 135.36-1-1 Zone: /e-lo 2. Property Owner&Address: Daniel Berger Phone#: 914-565-0665 Cell#: email. danielmbergerl7@gmail.com 3. Contractor&Address: Innov8tive Environmental 392 Columbus Avenue Valhalla, NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 4. Applicant: Innov8tive Environmental Phone#: 914449-6608 Cell#: email: service@innov8enviro.com 5. Indicate Fuel Type: Fuel Oil W.L.P.Gas{ )•Gasoline( )•Other( }: 6. Number and Capacity of each Tank: (1) 550 Gal UST T Exact Location(s)of each Tank: Removal from the front of the property 1 6!1/2020 dotloop signature verification:dtlp.us/ZpGk-jNHP-DThm STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Donnie Feeney ,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 contractor for the legal owner and is duly authorized to make and file this application.(indicate architect,contractor,agera.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 1 Sworn to before me this day of January ,2024 �A of January 202�, Q Gh//] 01/18/2411:13 AM FST OPJB-HTD8 .5MNJ•2EPR Signature of Property Owner Sighature of Applicant Daniel Berger Donnie Feeney nt Name of-Prop wner I Name of Applica --- OA) ku Notatx Pt I� Yo �l NORtNS Mgry, Publ c ,Y c,State of New NOtery Public,State of Now York No OIME6130833 Lic.No.01MEf1130833 f)uautm in wostct*ster Coun Qualified In Westchester COu aommigctwrt Expires Juty 25.20 Cornmiseion t xplres July 25.207,51 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject propertN, and the applicant of record in the spaces provided. Any application not properly completed in its entirety anti/or not properly signed shall be deemed null and void and will be returned to the applicant. x 6/t/2020 o � � z � � o o a� _ � v • • � i O U 00 O o ` lD 0 3 O cu v i ' 1 U > >r 4CCJ � I C � C v u1 O > Ql yl > O > E z 000 O � N - 4 ,, 1 NN4DN TIVE ENVIRONMENTAL SERVICES INC . July 15, 2024 New York State Department of Environmental Conservation Spill Prevention and Response D iohn.odee@dec.ny.gov J� AUG 14 2024 1 ID RE: Daniel Berger VILLAGE OF RYE BROOK 69 Rock Ridge Dr BUILDING DEPARTMENT Rye Brook,NY Spill#2308612 Dear Mr. O'Dee, The purpose of this letter is to summarize soil remediation of an underground storage tank, performed by Innov8tive Environmental Services, Inc. (IES) at the above-referenced site, as well as provide all pertinent information required by your office. On January 26, 2024 IES removed (1) 550 Gal Underground Storage Tank (UST) from the front of the property. The 550 gallon UST was used to store#2 fuel oil. The tank was cut and cleaned in accordance to New York State Department of Environmental Conservation (NYSDEC) Regulations 613.9 (B). During the removal activities, IES found holes in the UST.The holes allowed fuel oil into the subsurface,thereby impacting the ground underneath the tank. On February 27, 2024 IES began the remediation process by excavation ex-situ reclamation of impacted soil. The soil remediation performed by IES generated 468.77 tons of fuel oil contaminated soil. Petroleum contaminated soils removed during the remedial action were properly disposed of at Clean Earth of Carteret, New Jersey located at 24 Middlesex Avenue, Carteret, NJ 07008. A copy of the weight tickets are included for your records. Following the remedial action, IES collected samples from the four side walls, labeled North Wall, South Wall, East Wall, West Wall Under Foundation as well as, a Bottom sample. The soil samples were collected from areas of the tank grave that exhibited the highest PID readings. The soil samples were collected into laboratory clean glassware, maintained at 4 degrees Celsius, and delivered to Phoenix Environmental Laboratories located in Manchester CT. The soil samples were analyzed by EPA methods 8260 and 8270. Laboratory analysis of the West Wall Under Foundation had an element in exceedance of DEC guidelines, however IES did not continue excavating in that direction as to not undermine the foundation of the home. 392 Columbus Avenue, Valhalla, NY 10595 Tel: (914) 449-6608 Email: service@innov8enviro.com (o �, INN OV.0 TIVE ENVIRONMENTAL SERVICES INC . Laboratory analysis for the remaining samples showed concentrations of target analysis to be non-detect or below the New York State DEC guidance values (CP-51). Copies of the laboratory analysis are included for your review. The work area was then backfilled with 222 yards of W and 104 yards of screened backfill, brought in from Thalle Industries, Elmsford, NY. Throughout remediation water was vacced out of the excavation. IES performed 8 vac events totaling 19, 065 gallons of liquid. A post remedial liquid analysis was performed. The ground water sample was collected into laboratory clean glassware, maintained at 4 degrees Celsius, and delivered to Phoenix Environmental Laboratories located in Manchester CT. The ground water sample was analyzed by EPA methods 8260 and 8270. Laboratory analysis showed concentrations of target analysis to be non-detect or below the New York State DEC guidance values (TOGS-1-1-1). A copy of the laboratory analysis is included for your review. IES, on behalf of Mr. & Mrs. Berger, requests closure of the New York State DEC spill case number 2308612. The request for closure is based on the remediation performed laboratory data presented. Furthermore, IES is requesting closure of all open permits associated with this address(permit MP 24-009). This report has been prepared for the use of the New York State DEC, Mr. & Mrs. Berger, and the Rye Brook Building Department. Reasonable due diligence was exercised by the staff of IES Inc. and conducting the research and investigation necessary for the development of this report. The conclusions provided by IES in this report are based solely on the information reported in this document. Results of future subsurface investigations may result in a modification of the conclusion stated above. The conclusions presented herein are based upon the current regulatory climate in and may require a revision if future regulatory changes occur. This investigation and preparation of this report has been conducted in accordance with generally accepted practices. No other warranty, expressed or implied, is made. If you have any questions regarding this report, please contact Donald Feeney at 914-589-6299 or donnie@innov8enviro.com. Sincerely, Donald Feeney Project Manager Innov8tive Environmental Services Inc. 392 Columbus Avenue, Valhalla, NY 10595 Tel: (914)449-6608 Email: service@innov8enviro.com 4J N U U (d U U U) O � U (Y') [- Q04-4 N co r� U O rn rn H Ln oo r- o (Y) rl N +� H m �-I CDN N � Q � � \ W O O �4 • O O O Z U) l0 mot' N �4 rl N L N N l0 0 rH x [— (y) o U �4 v+ 00 oo O m N N O -rl a, cy) (') O O N Q Q lfl (x U) N H U) �4 N O U) rl x O O (o Z N h a) rl �-j rl (� �4 rl 7:1 U 7O (� U O (J4 a r{ 4J a� (Y) O Ln +� O �4 CD � G4 W 2 ' (B (0 O 4J (v E E 4- CDO co U � U O4 12 O CD r -rl N O W � a) z H �4 a -P 4J N �4 �4 CO �4 U) O co rl N N U U -P N M CO �4 rd 4J 4-I rl O �4 U C� N �4 rl Ll -P j U U N U W ro > � co N U N U CleanEarth* Manifest# 2675064 GLOBAL JOB NUMBER: _ _ FACILITY APPROVAL NUMBER: Please Check One: Clean Earth of Carteret ❑Clean Earth of Maryland 4 Middlesex Avenue 1469 Oak Ridge Place an Earth of New Casllo Carteret,NJ 07008 Pyles Lane Ll Clean Earth of Creator Washington Hagerstown,MD 21740 New Castle,DE 19720 6250 Dower Houses Road Ph:732-541$909 Ph:301-791-6220 Upper Marlboro.MD 20772 Ph:302-427-6633 Ph 301-599-0939 ❑Clean Earth of Philadelphia 1-1 Clean Earth of North Jersey Ll Clean Earth of Southeast Pennsylvania L'Othor- 3201 S.61st Street 115 Jacobus Avenue Philadelphia,PA 19153 Kearny,NJ 07032 7 Steel Road East — — — Ph:215-724-5520 Ph:973-3444004 Morrisville.PA 19067 — Ph:215428-1700 or Print Clearly) — Non-Hazardous Material Manifest T GENERATOR'S AME&SITE ADDRESS.- GROSS WEIGHT: - - — Tons ❑Yards _ — TARE WEIGHT: _ —— _ Tons a Yards — — — — GE ERAI'UR'S PHONE: NET WEIGHT: — ns ❑Yards D RI�I'IOIV.UF,MAURIAUSAMPL"I AND L 'ATIONT� r — _ �ELqE Is CE FI AT ON -Incomplete and/or unsigned manifest,%will cause the load to be delayed and/or rejected. 1 hereby certify that tits 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 Pan 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 ill proper condition or transport 'on accordi g to all applicable state and federal regulations. Name: ` Title: Signature: q,�y Date and Time: MAP�T� — —— Company: Address: hone Number: —CtH-, —44 Driver: i ruck tt and License Plate: ype Print _lenrly) n ? / SW Haulers Permit#: f w ( pl ��1 hereby c ify, that the ve n led material was picked up at the Mile listed a veblc score pennira) Driver Signature: � �+� F — _ Date and Time: — FDrivcr �TION — — — he y certify that •above na m rial was delivered without incident to the facili noted above. Signature; (, _ Date and Time: I hereby certify t rve Wanted material has been accepted at the ve relc cod facility. Authorized Signature: _ Date and Time: _ — awwvun FACILITY FrFM.CE WM500 1 PHD'S CW)X*PRIIIT1N0,MC.14N6-001-IM U U U U N U t}i (I) U 4-4 O 00 , 1 U O '�I' H M ri N 4-) dl �-I O \ W �A N • O O O t3) Z lfl d' N �4 rl � N N CD (� �--I C1a x O b O O F-1 M O U 00 L N N ao N r--I -S4 O fCS (n \ \ r- M IZ3' O r-{ U �-I (Y) co O N O CQ N N O -rl a, 0) N N d" (d �4 al >i cn O O N L L L0 (2� U) �, U) N +-) � a--) (n x O O ro r� � �, � �-, U �4 �4 H rl 0 �4 U Ei rt 4-4 (d U O F, a +-) a� o Ln (N �4 I O +) O � � W '� z (a �-I 00 •rl � H �I •rl . � (d O E Co E 4� � O N O 0�0 U � U OA Q cn •r{ N O W -C" z H �4 N ` �4 Q N CD U) Q Q0 f2; N - N U) rtS N O -rl N N U U 4J Q) Ca ': 5 (� -P 4� rl N O M � �. : U 0 Q r� V�4 �� (d a U) cva U C7 Clean Earth"* Manifest # 2 614 3 2 5 GLOBALJOBNUMBER: c� Igo — FACILITVAPPROVALNUMBER: Z4367613J_ Please Check One: an a of Carteret ❑Clean Earth of Maryland J Clean Earth of New Castle U Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 Upper Marlboro,MD 20772 Ph:732-541-8909 Ph:301-791-6220 Ph:302-427-6633 Ph.301-599-M9 ❑Clean Earth of Philadelphia ❑Clean Earth of North Jersey U Clean Earth of Southeast Pennsylvania ❑Other 3201 S.61st Street 115 Jacobus Avenue 7 Stool Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19D61 Ph:215-724-5520 Ph:973-344-4004 Ph:215-428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) _ NFRAT NAME&SITE ADDRESS: ROSS WElGII'f: its ❑Yards TARE WL:IGII'I': - --- ons ❑Yards ftfGENERATOR'S PHONE: NET WFIGI IT: ons ❑Yards DESCRIPTION OF MATERIAL/SAMPLE ID AND LOCATION Gh:Vh:R:�7'OI;'S CFIt77F1(;AT1oN -Incomplete an(Vor unsigned manifests will cause the load to be delayed and/or rejected. 1 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 con I r transportation according to all applicable state and federal regulations. Name: Y\\ Title: S4 �• Sig re: Date and Time: TRANSPOR R _ ------ __ . Company: Phone Number: / Address: "Truck#and License Plate: Driver: ,� t-- SW Ilaulers Permit#: (Type or Print Clearly) (applicable slate permttlY) 1 hereb ertify that tocAbove 'named raterial was picked tip at the site listed Above, Driver Signature: �yf �/ Date and Time: DESTINATION 1 h ibycpertinly that lc ab/ow�ejnarty*r�tal was delivered without incid t to ie facilit noted above. Driver Signature: ��Z — -- Date and'l'irne: — I hereby certify th med-material has been accepted at the a rellerepced facility. Authorized Signature: Date and Time: FACILITY Non am*Qwk"W 1 PRO'S C)N11Cr PAWTINC,INC.t-BBLJ01 1515 N U U I W W �A ro U U N U U) ro a U U) 4-4 �o co r U O M (� (Y) 4-J N N 0) Q C)00 CC) RS 0 0 �4 000 ��' 2 (15 u) N d" d" d" N �4 H N � N N N I-- Ln a U (0 o O c� m O coo Q r— c� � o rl U � rd N O W �4 m N N O -H U) (Y) N N V (0 �4 0) 'y m o O l9 cn + U) cn a--) U) x o O ro U �4 H �4 -H C7 �4 rl U E-A ro 4-4 U O 44 a a� m P- O Lr) N �4 �4 O +-) O +- 4-4N W Z (� �4 00 rl N H I (d O 'J N (x E CO E E 4- CD N O co U � U ' � O m rl N O W Z H �4 U] O �-4 �4 N CDH co Ll �O (x - ro �l .. .. .. .. N W 'Z� �4 co - RS N O cis rl N Q) U U Co 4-) 4-1 ri O U r L1 N Sa rl Q V U U CV U a > U C7 CleanEarth"o Manifest# 2614326 GLOBAI,JOB NUMBER: FACILITY APPROVAL NUMBER: M 7D131 PlE=Llesex e Check One: arth of Carteret F1 Clean Earth of Maryland [IClean Earth of New Castle ;j Clean karth of Greater Washington Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret.NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 Upper Marlboro, MD 20772 Ph:732-541-8909 Ph:301-791-6220 Ph:302-427.6633 Ph.301-599-0939 ❑Clean Earth of Philadelphia ❑Clean Earth of North Jersey Ll Clean Earth of Southeast Pennsytvania Ll Other 3201 S.61st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 Ph:215-724-5520 Ph:973-344.4004 Ph:215-428-1700 Non-Hazardous Material Manifest or Print Clearly) _ 'ENERA 'S NAME&SITE ADDRESS: GROSS WEIGHT: UI1S ❑Yards TARE WEIGHT: - - --- �ns ❑Yards GENL A'I'OR'S PHONE: NET WEIGHT: Tons ❑Yards DESCRIPTION OF MATERIAL/SAMPLE WAND LOCATION 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,classifiLd,packaged and is in proper cond1MyTkr transportation according to all applicable state and federal regulations. � - Name: 1 Title: T Sign tre: _ Date and]inle: THAIYL' - - Company: G�fo t V, eWtIl1ruck Phone Number:Address: Z #and License Plate:' l Driver: n SW Haulers Permit ff: (7fx or Print Clcar y) (applicable Ntatc permit#) 1 hereb ertify that th ve}lamed material was picked up at the site listed above. Date and Time: Driver Signature: Q?4 DESTINATION — h e y certify th to above n. i material was delivered without incident to he facili noted above. Driver Signature: _ t� 2 Date and Time: I her erti y that the a we named material has been accepted at the ab ve refer- ecd facility. Authorized Signature: — Date and Tillie: FACILITY N„p�Ilr,,yl III w.Cf YM4001 Fflas cmxf PNINTMIO,m I se&sot IbIb U U U U a) U � � U U) co [— r--1 4-4 rn Oo r--1 U O H M M �r [— r— (Y) �--I r I a--) E--i LnLn Ln Ln � Q C \ W 000 �, z 4-) N N 61 [ N rl (1) C� O (0 CD CDa M W O U rn Ln -;z3l rLC)-I Q \ \ � M M CDr-I U �O M O W �4 O (N N O --I G1 r— \ \ M U) M N (N Ol >1 M O O CV L1 QQ0 I U) �1 U) a--' �I � � a-) U) a) H �:l U) �4 a) O U) r I (D .H U �4 rl U E� 4-a rd U O 44 a a) � M O N �4 �4 O +-) O a) x N [4 a) W + Z (0 � �4 00 I a) H I r I ro o a) rx CO 4-4 � CDO oho U --i U � E O s~ a) O z H � N CD co H �1 lfl �L 4 .. .. .. N W "d �4 cn r Q) O r I a) a) U (0 4-4 -r1 a) O �4 U Fj 2 a) -H , Q 4J � � � � u � m w G a) cn a) 10 co U N U > O F C7 CleanEarffo Manifest# 2 6 7 617 0 GLOBAL JOB NUMBER: � FACILITY APPROVAL NUMBER: 29 30-7013� Please Check One: �4loan Eerth of Canerot n Clean Earth of Maryland ❑Clean Earth of Now Castle [1 Clean Earth of Greater Washington 2',4 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 Upper Marlboro,MD 20772 Ph:732-541-8909 Ph:301-791-6220 Ph:302.-427-6633 Ph:301-599-0939 ❑Clean Earth of Philadelphia n Clean Earth of North Jersey F1 Clean Earth of Southeast Pennsylvania ❑Other — 3201 S.61st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 — Ph-215-724-5520 Ph:973-3444004 Ph:215428.1700 Non-Hazardous Material Manifest (Type or Print Clears GENERATOR'S ME& SITE.ADDRESS: GROSS WEIGHT: IYA, r 'Pons ❑Yards - 1 ' TARE WEIGHT: t V Tons ❑Yanls G FRATOR'S PHONE',: NET W111611T: Tons ❑Yards DESCRIPTION OF MATERIALJSAMPLE ID AND LOCATION o I GENERATOR'S Ct_KFIFICA'I'ION - incomplete andr'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 transportat' accordin t all applicable state and federal regulations. . Name: Title: Signature: 1 �� Date and Timc: TRANSPORTER Company: 06V I'hune NutttberAddress:) �r�, � ��`� . �!� Truck#and License Plate: Driver: !' SVv` I touters Permit#: ('Type or Print t'Icarly) (applicable state permit+!) I hereby pliify that the ove named material was picked up at the s' a listed above. Driver Signature: fV Date and Time: DESTINATION I 11cAby certify that4ic above na mat ial was delivered without incidcn tot a fac}'lit note above, Driver Signature: 'Z Date and Tinte: �!'� I hereby certify that li ' 've named material has been accepled at the abo y ferenlllced facility. Authorized Signature: - Date and Time: 1 q FACILITY WMW uM2 IT914 BE WM f Malt a=M MUNK W.14M40-60 a) U U cd U U a) U � � a U U) r- �' M 4 I rn N U o O O [� rl M M d" QQ M N N (Y) Q CD (� \ W ro 4-) N (N M OC) V ri a) 0L .x `� O ro O O a M W O 00 Ln N ONO Q \ � M M C) r-I U O4 rn O O o -� UI) M M cM d" (0 �4 61 >i M O O N LO (1a U) + 4-1 U) + �I � A U) +-) U) a) H U) �4 a) N O U H a) x o O (0 (a) U H UtS 44 co U O FJ4 a ro a� � M O Ln �4 �4 O x 4-) w o �- �4 00 �4 rl c� O a) a) C4 E Co 4-I CD co U --Q U O (M > rl a) O f�Q UU �C h , 'LS O rl fx O a) F:� $-4 a) �4 N CDH U) l9cn (0 GY � .. .. .. .. N �4 U) Ud a) O co co FZ: rl a) a) U U a) �-4 4-4 -,1 a) O $-4 'i a) rI � Q 4J V U a a) U) a) c� a� U N U > U C7 CleanEarth"o Manifest# 2614328 GLOBAL JOB NUMBER: �J FACILITY APPROVAL NUMBER: ZM7131- Please Check One: Clean Earth of Carteret ❑Clean Earth of Maryland El Clean Earth of New Castle ❑Clean Earth of Greater Washington 4 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MD 21740 New Castle.DE 19720 Upper Marlboro.MD 20772 Ph:732-641-8909 Ph:301.791-6220 Ph:302-427-6633 Ph 301-b99-0939 ❑Clean Earth of Philadelphia ❑Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania F_,Other ----- 3201 S.61 st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 Ph:215.724-5520 Ph:973-344-4W4 Ph:215-428-1700 _ Non-Hazardous Material Manifest (Type or Print Clearly) ERA AME&SITE ADDRESS: GROSS WEIGHT: Q )ns ❑Yards _. -e .- _ . ARE WEIGHT: y�p ons -]Yards 4 GENERATOR'S PIJUNL•: NF.T WEIGHT: -- - _ZTons -❑Yards DESCRIPTION OF MATERIAUSAMPLE ID AND LOCATION rG CF.NERATOR'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 cundi ' or transportation according to all applicable state and federal regulations. Name: Title: Sign lure: _ Date and Time: TRANSP RT _ Company: �j ruI AlAy APhunc Number: + ap Address: Ll Truck N and License Plate: _ Driver: r h�Cfq)1,7 SW Haulers Permit#: (Type or Print C'Icar (applicable state perrnitlt) I here certify that t abo named material was picked up at the si a list d above. Driver Signature: ( � _._. --_ Dale and'Time: - DESTINATION I h4hc c rtify that ;;�W* terial was delivered without incidsat t the f cility noted above. Driver Signature: Date and Time: r• hat the above named material has been accepted at the ve fer nc dfacility. Authorized Signature: Date and Time: FACILITY MaNIfSf77 IIIM+(:I WMSUU i YIRYS CIMICL YwNIIW,,,INC.1411&8U1 1$15 NON-HAZARDOUS WASTE MANIFEST Please print or type (Forth designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1.Generator's US EPA ID No. Manifest 2.Page WASTE MANIFEST t Document No. 946 3.Generator's Name and Mailing Address �ANt El "j�tRGLIP2- 4.Generator's Phone c 5.Transporter 1 Company Name 6. US EPA ID Number A.Slate Transpodees ID lnnov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 g Transporter 1 Phone 914-449-6608 7.Transporter 2 Company Name 8. US EPA ID Number C.State Transporter's 10 0.Transporter 2 Phone 9.Designated Facility Name and Site Address 10, US EPA ID Number E.Stale Facility's ID ��Nj,�L1� S y"'ter L F.Facility's Phone 1 R 1 t,�1U 1S 1. 1v '00 D _ 11.WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No. Typo Quantity WtNol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon � b 3000 E N E R c. A T O W R d. F- N jG.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above O 1wQii 15.Special Handling Instructions and Additional Information Z Approval Q1 5 U�_ O Z AWMA 16.GENERATOR'S CERTIFICATION:I hereby cattily that the contents of this shipment are rutty and accurately described and are In all respects In proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. Date PrintoWTyped Name Sign Month Day Year EL C12-14 TR 17.Transporter 1 Acknowlwlgement of Receipt of Materials Dale NPrinled/Typed Name Sign atur Month Day Year O 18.Transporter 2 Adknowledgement of Receipt of Malenals Date EPrinted/Typed Name Signature Month Day Year R F 19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator;Certification of receipt of the waste materials covered by this manifest.except as noted in item 19. L Date T Pnntcdaypod Name Slgnawre Month Day Year Y , r . 0 Q NON-HAZARDOUS WASTE MANIFEST Please punt or type (Form designed for use on elite(12 pitch)rypownter) NONHAZARDOUS 1.Generator's US EPA ID No Manifest ■ 2.Pago WASTE MANIFEST DocumontNo 947 t 3.Generator's Name and Mailing Address 3%1,1�LL 61 4Z012_1� �21 � 4.Generators PhonenYl 5.Transporter 1 Company Nefne 6. US EPA 10 Number A.State Transporter's ID Innov8tive Environmental Services IN Y R 0 0 0 2 3 9 2 1 0 11.TransporterI Phone 914-449-6608 7.Transporter 2 Company Name 8. US EPA ID Number C.Slate Transporter's ID D.Transporter Phone 9.Designated Facility Name and Site Ac1dress 10 US EPA ID Number E.State Facility's ID cLtA� f7U�R1T��f.' o Ny`' 3?—CA� ez kc 1\MoNO I G1V`�I� i�cz- F Facility's Phone �ff C-_ o&L W\ N)V cooto _,�' 11.WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No, Type Ouanlity Witt. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T �GC' U Gallon G b. E N E R d. A T O W R d. N co G.Additional Descnplions for Materials Listed Above H.Handling Codes for Wastes Listed Above Cn O 0 AQ 7 15.Special Handling Instmcflons and Additional Information = Approval Z - O Z 16.GENERATOR'S CERTIFICATION:I hereby certify that the crontonts of his shipment are fully and accurately described and are in all respects in proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. Date Pnrtedrrypcd Name Sign u Month Day Year m _ 12-Li T 17.Transporter 1 Acknowledgement of Receipt of Materials Date R A Pnnlecirryped Name Sign Month Day Year s L 4� t P p 18.Transporter 2 Acknowledgement of Receipt of Materials Data ER Printedrr d Name Signature YPeMonth Day Year R F 19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator;CeMcation of receipt of the waste materials covered by this mangiest.except as noted in Item 19. L Date T Pdrwdrryp-dNam- stynew Monfn Day Year Y e„C NON-HAZARDOUS WASTE MANIFEST •e print or type (Form designed for use on elite(12 pitch)typowritof) 1.Generator's US EPA ID No. Manifest ooa,me^t No (•} 6 r1 H n 2 Page NON-HAZARDOUS WASTE MANIFEST 3.Generator's Name anOR k�r_ g G 9 iz-oGK P-1\b(Se D 4.Generator's Phone i 5.Transporter 1 Company Name 6. US EPA ID Number A.State Transporter's ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 g.Trensportc,,Phw. 914-449-6608 7 Transporter 2 Company Name B. US EPA ID Number C.State Transporter's 10 0.Transporter 2 Phone 9.Designated Facility Name an le Address 10. US EPA ID Number E.State Facility's ID F.Facility's Phone 12. Containers 13. 14. 11.WASTE DESCRIPTION Total Unit No. Typo Quantity WUvol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon G b. E N E R C. A T O R d. W H N aG.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above 0 1S.Special Handling instructions and Additional Information i� Approval ) 2 (5'— 0 1 ?� Z O Z AVA 16.GENERATOR'S CERTIFICATION:I hereby comfy that the contents of this shipment are fully and accurately described and are in all respects in proper condition for transport.Tho materials described on this mandost are not subject to federal hazardous waste regulations. Date Pnntetlfiyped`Name yignal e _ -- Munrh oay Y. V L L 17�, T 17.Transporter 1 Acknowledgement of Receipt of Materials Data yped Name Signature L ,5:S Month Day Year g r / — U&D P PO 18.Transporter 2 Acknowledgement of Receipt of Materials Date R T Printedirryped Name Signature Month Day Year E R IF19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator.Certification of receipt of the waste materials covered by this manifest.except as noted in item 19. 1 1 — Date T Prin N Signaler Month Oe Ys Y L 6`lC•�. C NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1.Generator's US EPA ID No. Manifest p 2.Page t WASTE MANIFEST Document No. 940, 0, 3.Generator's Name and MailingQ�Address 6 9 R o j?I�c 4.Generatcrs Phone 5.Transporter 1 Company Name 6. US EPA ID Number A.State Transporters ID Innov8tive Environmental Services iN Y R 0 0 0 2 3 9 2 1 0 g Transponert Phone 914-449-6608 7.Transporter 2 Company Name 8. US EPA 10 Number C.State Transporter's ID D.Transporter 2 Phone 9.Designated Facility Name and Site Address 10. US EPA ID Number E.Stale Facility's ID e—Le NM Vr E",T t-R o E v ,Y, 3 2."\� Jz lct\M,oN l G 14-fci F.Facility's Phone r� J tv vo 11.WASTE DESCRIPTION JF12. Containers 13. 14. Total Unit No. Type Quantity WfNol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon G b. E N E R A T O W R d. H ,� G.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above VI 0 O r0y LL 15.Special Handling Instructions and Additional Information ZApproval �- O Z 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are fully and accurately described and are in all respects in proper condition for transport.The materials described on th,s manifest are not subject to federal hazardous waste regulations. Date Pnntedrfyped name 31gealure Montn Day Year l - =V $ �' TR 17.Transporter 1 Acknowledgement of Receipt of Materials Date N Pnnl yped Name 10Signature Month Day Year S p L l�2(L L - la.Transposer 2 Acknowledgement of Receipt of Materials Date TPrinted?yped Name Signature Month Day Year E R F 19.Discrepancy Indicalion Space A C 1 20.Facility Owner or Operator,Certification of receipt of the waste materials covered by this manifest,except as notod in item 19. L I Date T a� Sign.11i Merim Day YOU, Y NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elito(12 pitch)typewriter) Manifest NON-HAZARDOUS 1.Generator's US EPA Ip No. Document No. 950 2.Page WASTE MANIFEST t 3.Generator's Name and ailing Address v 4.Generalors Phone 5.Transporter 1 Company Name 6. US EPA ID Number A.State Transporters ID Innov8tive Environmental Services IN Y R 0 0 0 2 3 9 2 1 0 B.Transporter I Phone 914-449-6608 7.Transporter 2 Company Name 8, US EPA ID Number C.State Transporter's ID D.Transporter 2 Phone 9.Designated Facility Name rid Site Address r 10 US EPA ID Number E.State Facility's ID (, 'LL- '?'� v h *c• 1 J C@ ,� F.Facility's Phone C - M ry e I I ` bO o 11.WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No. Typo Quantity Wuvol. a. Non RCRA, Non DOT liquid (Oily Water) 36000 T T Gellert G It. E N E R e. A T O R d. W I— G.Additional Doscripbons for Materials Listed Above H.Handling Coons fcr Wastes Listed Above O in LAQ�L 15.Special Handling Instructions and Additional Information Q Approval ( �� Z O Z 16.GENERATOR'S CERTIFICATION:I hereby rerliy,that the armtents of this shipment are fully and accurately described and are in all inspects in proper eondrton for transport.The materials described on Ih4s manilesl are not sub,ecl to federal hazardous waste regulations Date Prinled/Typod Name 'n ( C l I N r r f Signatum Month Day Year T 17.Transporter 1 Acknowledgement of Receipt of Materials R / Date A Printedrryped Name Signature Month Day Year l �� P 0 18.Transporter 2 Acknowledgement of Receipt of Materials Date R PrintediT Name Signature E YPed g Month Day Year R F 19.Discrepancy Indication Space A C 1 20.Facility Owner or Operator;Certification of receipt of the waste materials covered by this manifest.except as noted in item 19. L 1F Date Y /J Signature Month Day Ye �� - NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1.Generators US EPA ID No Manifest w 2.Page WASTE MANIFEST Document No (� t 3.Gonerator's Name andl Mail. Address J eV 4.Generators Phone 4� Y G'o 1 5.Transporter 1 Company NaME! 6. US EPA 10 Number A.Stale Transporters 10 lnnov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 TransponerlPhone 914-449-6608 7.Transporter 2 Company Name 8 US EPA ID Number C.Slate Transporters ID 0.Transporter 2 Phore 9.Designated Facility Name d Site dress I 1 o. US EPA ID Number E.State Facility's ID G l L' Gyv� w r;1'c-a 7 /�rI� } , 1 C V` W+� 1�V y J' ' ( Aiioio /t"'J / 9N F.Facility's Phone r Q, C� 14) 11.WASTE DESCRIPTION 12, Containers 13, 14. Total Unit No. Typo Quantity Wtivol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T �Cj�/"1 Gallon G b V E N E R c- A T O W R d. H N G.Additional Descriptions for Matenals Listed Above H.Handling Codes for Wastes Listed Above 3.1 ttiV - 15.Spodal Handling Instructions and Additional Information Z Approval j O z 16.GENERATOR'S CERTIFICATION:I hereby certify that the oontents of this shipment are fully and accurately doscdbed and are In all respects in proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. Dale P ntedrryPee Nana ��: signature Month Day Year T 17.Transporter I Acknowledgement f Receipt of Materials R Date rA Pnnted/Typed Name Signature In !y year 0 18.Transporter 2 Acknowk-Jgemenl of Receipt of Materials..J Date T Printod/Typod Name Signature Month Day Year R 19.Discrepancy Indication Space F A C ( 20.Facility Owner or Operator;Certification of receipt of the waste materiels covered by this manifest.except as noted in item 19. L I Oato T Printed/typed Name Signatvr Month Day Year Y NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1.Generator's US EPA ID No. Manifest 955 2 Page WASTE MANIFEST Document No. t 3.Generator's Name and Mailing Address 4.Generator's Phone 5 Transporter 1 Company Name 6. US EPA ID Number A.State Transponors ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 B TransponerlPhono 914-449-6608 7.Transporter 2 Company Name 8. US EPA ID Number C.State Transporter's ID 0.Transporter 2 Phone 9.De gnaled Facility Nab a qe Address ^ (� I `, 10. US EPA ID Number E.State Facility's 10 1G �77 r f v�Y ['�Ur �( � V n�l, ' �� /. F.Facility's Phone 11.WASTE DESCRIPTION f! 1 lJ/ 12, Containers 13. 14. Total Unit No, Type Quantity Wt./Vol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T Gallon G b. E N E R C. A T O R d. W G.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above O ID 15.Special Handling Instructions and Additional Information Z Approval O z 16.GENERATOR'S CERTIFICATION:I hereby cendy that trio contents of this shipment are full/and accurately described and are In all respects in proper condition for transport.The materials described on this manifest are not subiz to federal hazardous waste rogulaIton. P lodrrypod Name Dalo Signature Mr'rn17 y TR 17.Transporter 1 Acknowledgement of Receipt of Materials Data N tedrTyped Name 7 Signature I` nth Y GR 18.Transporter 2 Acknowlodyemonl or eceipt of Materials Oslo T Printedrryped Name Signature Month Day Year E R 19.Olscropancy Indication Space F A C 1 20.Facility Owner or Operator,Certification of recelpt of the waste materials covered by this manifest,except as noted in Item 1 L 1F Date T P Inled/Typed Nemo / Signature Month Day Year Y 2 �s Ple NON-HAZARDOUS WASTE MANIFEST print tN ase (Form designed for use on elileitch 12 NON-HAZARDOUS ( p pewriter) 1.Generator-&US EPA fD No WASTE MANIFEST Manifest 974 2.Page Document No. 3.Generators Name and Mailing Address t 4.Generator's Phone 5.Transporter 1 COMparry Name r Innov8tive Environmental Services 5. US EPA ID Number N Y R 0 0 0 2 3 g 1 1 0 A.State Trenspodefs ID 7.Transporter 2 Company Name S.Transporter 1 Phone 914-4 4 9-6 6 0 8 6. US EPA ID Number C.State Transporter's ID 9.Designated Faatty Name and Site Address D.Transporter 2 Phone 10 US EPA ID Number E.State Facility's ID F.Facility' Phone 11.WASTE DESCRIPTION 12. Containers 13. 14 Total nit Unit a. - No. Type Quantity Wt.Nol. Non RCRA, Non DOT liquid (Oily Water) G b. 1 T T Gallon E N E R c• A T O W R d. F� U) G.Additional Descnpoons for Materials Listed Above H.Handling Codes for Wastes Listed Above y O C OC 15.Special Handling instructions and Additional Information .Z Z Approval O Z IFMMMVA 19 .RENERATOR'd CERTIFICATION.I heist: cent P M prapar=;tlon for tr y N that the contents of this ehl msnt are Cully and accurawy described arW are in all respects anaport.The materials described on this manifest are not subject to federal hazardous weals regulations. Rlnted TVved N&mo Signature Date Month Day Year TR 17.Transporter 1 Acknowled emen!of Rec eipt ceipt of Materials 7 A Printedrryped Name Date N Signature P month Day Year R1a.Transporter 2 Acknowledgement or Receipt of Materials T Printedrryped fYrt10 Date E Signature R Month Day Year F 19.Discrepancy Indication Space A C L 20.Facility Owner or Operator;CwtiScatlon of receipt of the waste materiala Covered by this manifest,except as noted In item 19. I T PrtntedrTyped Name vats Y Slgnattre Month Day Year PHOENIX , �, Environmental Laboratories. Inc. Friday, March 22, 2024 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 69 ROCK RIDGE DR, RYE BROOK SDG ID: GCQ31869 Sample ID#s: CQ31869 - CQ31873 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, -�kQ/) 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 Page 1 of 19 'td ACCOA11, PHOENIX , e Environmental Laboratories, Inc. NY# 1 iWa 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 1301 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference March 22, 2024 SDG I.D.: GCQ31869 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client Id Lab Id Matrix BOTTOM CQ31869 SOIL N. WALL CQ31870 SOIL S. WALL CQ31871 SOIL E. WALL CQ31872 SOIL W. WALL UNDER FOUND. CQ31873 SOIL Page 2 of 19 N ACC09 PHOEVIX 092 e Environmental Laboratories, Inc. Q 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Donnie Feeney Innov8tive Environmental Services March 22, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/19/24 12:00 Location Code: INNOVAT Received by: SR1 03/20/24 18:04 Rush Request: 5 Day Analyzed by: see"By" below P.Q.#: Laboratory Data SDG ID: GCQ31869 Phoenix ID: CQ31869 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 70 % 03/20/24 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 03/21/24 NC1/PREFSW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.76 ug/Kg 1 03/21/24 Al SW8260D Benzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Ethylbenzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Isopropylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D m&p-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D Naphthalene ND 0.76 ug/Kg 1 03/21/24 Al SW8260D n-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D n-Propylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D o-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D p-Isopropyltoluene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D sec-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D tert-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D Toluene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Total Xylenes ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D QA/QC Surrogates • 1,2-Dichlorobenzene-d4 102 % 1 03/21/24 JLI 70-130% •Bromofluorobenzene 102 % 1 03/21/24 JLI 70-130% •Dibromofluoromethane 103 % 1 03/21/24 Al 70-130% •Toluene-d8 102 % 1 03/21/24 JLI 70-130% Ver 1 Page 3 of 19 Project ID: 69 ROCK RIDGE DR, RYE BROOK Phoenix I.D.: CQ31869 Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivolati les-STARSXP-51 Acenaphthene ND 320 ug/Kg 1 03/21/24 MR SW8270E Acenaphthylene ND 320 ug/Kg 1 03/21/24 MR SW8270E Anthracene ND 320 ug/Kg 1 03/21/24 MR SW8270E Benz(a)anthracene ND 320 ug/Kg 1 03/21/24 MR SW8270E Benzo(a)pyrene ND 320 ug/Kg 1 03/21/24 MR SW8270E Benzo(b)fluoranthene ND 320 ug/Kg 1 03/21/24 MR SW8270E Benzo(ghi)perylene ND 320 ug/Kg 1 03/21/24 MR SW8270E Benzo(k)fluoranthene ND 320 ug/Kg 1 03/21/24 MR SW8270E Chrysene ND 320 ug/Kg 1 03/21/24 MR SW8270E Dibenz(a,h)anthracene ND 320 ug/Kg 1 03/21/24 MR SW8270E Fluoranthene ND 320 ug/Kg 1 03/21/24 MR SW8270E Fluorene ND 320 ug/Kg 1 03/21/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 320 ug/Kg 1 03/21/24 MR SW8270E Naphthalene ND 320 ug/Kg 1 03/21/24 MR SW8270E Phenanthrene ND 320 ug/Kg 1 03/21/24 MR SW8270E Pyrene ND 320 ug/Kg 1 03/21/24 MR SW8270E QA/QC Surrogates •2-Fluorobiphenyl 74 % 1 03/21/24 MR 30-130% •Nitrobenzene-d5 89 % 1 03/21/24 MR 30-130% %Terphenyl-d14 81 % 1 03/21/24 MR 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. Phyllis hiller, Laboratory Director March 22,2024 Reviewed and Released by: Phyllis Shiller,Laboratory Director Ver 1 Page 4 of 19 �N ACCOgO4 PHOENIX U ff 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: Donnie Feeney Innov8tive Environmental Services March 22, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/19/24 12:00 Location Code: INNOVAT Received by: SR1 03/20/24 18:04 Rush Request: 5 Day Analyzed by: see"By" below P.O.#: Laboratory Data SDG ID: GCQ31869 Phoenix ID: CQ31870 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client ID: N. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 88 % 03/20/24 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 03/21/24 >Cl/PREFSW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D Benzene ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D Ethylbenzene ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D Isopropylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D m&p-Xylene ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D Naphthalene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D n-Butylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D n-Propylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D o-Xylene ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D p-Isopropyltoluene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D sec-Butylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D tert-Butylbenzene ND 0.64 ug/Kg 1 03/21/24 JLI SW8260D Toluene ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D Total Xylenes ND 1.3 ug/Kg 1 03/21/24 JLI SW8260D QA/QC Surrogates • 1,2-Dichlorobenzene-d4 94 % 1 03/21/24 JLI 70-130% •Bromofluorobenzene 98 % 1 03/21/24 JLI 70-130% •Dibromofluoromethane 106 % 1 03/21/24 JLI 70-130% •Toluene-d8 94 % 1 03/21/24 JLI 70-130% Vert Page 5 of 19 Project ID: 69 ROCK RIDGE DR, RYE BROOK Phoenix I.D.: CQ31870 Client ID: N. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARSXP-51 Acenaphthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Acenaphthylene ND 260 ug/Kg 1 03/21/24 MR SW8270E Anthracene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benz(a)anthracene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(a)pyrene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(b)fluoranthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(ghi)perylene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(b)fluoranthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Chrysene ND 260 ug/Kg 1 03/21/24 MR SW8270E Dibenz(a,h)anthracene ND 260 ug/Kg 1 03/21/24 MR SW8270E Fluoranthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Fluorene ND 260 ug/Kg 1 03/21/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 260 ug/Kg 1 03/21/24 MR SW8270E Naphthalene ND 260 ug/Kg 1 03/21/24 MR SW8270E Phenanthrene ND 260 ug/Kg 1 03/21/24 MR SW8270E Pyrene ND 260 ug/Kg 1 03/21/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 75 % 1 03/21/24 MR 30-130% •Nitrobenzene-d5 95 % 1 03/21/24 MR 30-130% •Terphenyl-d14 83 % 1 03/21/24 MR 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: To achieve client's objectives,where the lowest calibration standard or LOD justifies lowering the RUPQL,the RUPQL of some compounds have been lowered to meet criteria. 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 22,2024 Reviewed and Released by:Phyllis Shiller,Laboratory Director Ver 1 Page 6 of 19 N A C C p 9,0 PHOENIX o e 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: Donnie Feeney Innov8tive Environmental Services March 22, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/19/24 12:00 Location Code: INNOVAT Received by: SR1 03/20/24 18:04 Rush Request: 5 Day Analyzed by: see"By' below P.Q.#: Laboratory Data SDG ID: GCQ31869 Phoenix ID: CQ31871 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client ID: S. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 88 % 03/20/24 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 03/21/24 aCVPREFSW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D Benzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Ethylbenzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Isopropylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D m&p-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D Naphthalene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D n-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D n-Propylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D o-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D p-Isopropyltoluene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D sec-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D tert-Butylbenzene ND 0.76 ug/Kg 1 03/21/24 JLI SW8260D Toluene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Total Xylenes ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D QA/QC Surrogates • 1,2-Dichlorobenzene-d4 103 % 1 03/21/24 JLI 70-130% •Bromofluorobenzene 102 % 1 03/21/24 JLI 70-130% •Dibromofluoromethane 101 % 1 03/21/24 JLI 70-130% •Toluene-d8 103 % 1 03/21/24 JLI 70-130% Ver 1 Page 7 of 19 Project ID: 69 ROCK RIDGE DR, RYE BROOK Phoenix I.D.: CQ31871 Client ID: S. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivo lati les-STARS/C P-51 Acenaphthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Acenaphthylene ND 260 ug/Kg 1 03/21/24 MR SW8270E Anthracene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benz(a)anthracene 490 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(a)pyrene 450 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(b)fluoranthene 490 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(ghi)perylene ND 260 ug/Kg 1 03/21/24 MR SW8270E Benzo(k)fluoranthene ND 260 ug/Kg 1 03/21/24 MR SW8270E Chrysene 430 260 ug/Kg 1 03/21/24 MR SW8270E Dibenz(a,h)anthracene ND 260 ug/Kg 1 03/21/24 MR SW8270E Fluoranthene 1100 260 ug/Kg 1 03/21/24 MR SW8270E Fluorene ND 260 ug/Kg 1 03/21/24 MR SW8270E Indeno(1,2,3-cd)pyrene 270 260 ug/Kg 1 03/21/24 MR SW8270E Naphthalene ND 260 ug/Kg 1 03/21/24 MR SW8270E Phenanthrene 690 260 ug/Kg 1 03/21/24 MR SW8270E Pyrene 1000 260 ug/Kg 1 03/21/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 78 % 1 03/21/24 MR 30-130% %Nitrobenzene-d5 94 % 1 03/21/24 MR 30-130% %Terphenyl-d14 83 % 1 03/21/24 MR 30-130% RUPQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOCI, 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: To achieve client's objectives,where the lowest calibration standard or LOD justifies lowering the RL/PQL,the RUPQL of some compounds have been lowered to meet criteria. 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 22,2024 Reviewed and Released by: Phyllis Shiller,Laboratory Director Ver 1 Page 8 of 19 `\I Awl, N ACC 0,9 PHOE WXQ e � Environmental Laboratories, Inc. <r' 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Donnie Feeney Innov8tive Environmental Services March 22, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/19/24 12:00 Location Code: INNOVAT Received by: SR1 03/20/24 18:04 Rush Request: 5 Day Analyzed by: see"By" below P.O.#: Laboratory Data SDG ID: GCQ31869 Phoenix ID: CQ31872 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client ID: E. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 86 % 03/20/24 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 03/21/24 >C1/PREFSW3546 Volatiles-STARS/CP-51 1,2,4-Trimethylbenzene 49 46 ug/Kg 50 03/21/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D Benzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Ethylbenzene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Isopropylbenzene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D m&p-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D Naphthalene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D n-Butylbenzene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D n-Propylbenzene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D o-Xylene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D p-Isopropyltoluene ND 0.77 ug/Kg 1 03/21/24 Al SW8260D sec-Butylbenzene ND 0.77 ug/Kg 1 03/21/24 JLI SW8260D tert-Butylbenzene ND 0.77 ug/Kg 1 03/21/24 Al SW8260D Toluene ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D Total Xylenes ND 1.5 ug/Kg 1 03/21/24 JLI SW8260D QA/QC Surro-gates • 1,2-Dichlorobenzene-d4 100 % 1 03/21/24 JLI 70-130% •Bromofluorobenzene 97 % 1 03/21/24 JLI 70-130% •Dibromofluoromethane 97 % 1 03/21/24 JLI 70-130% •Toluene-d8 99 % 1 03/21/24 JLI 70-130% •1,2-Dichlorobenzene-d4(50x) 100 % 50 03/21/24 JLI 70-130% •Bromofluorobenzene(50x) 100 % 50 03/21/24 JLI 70-130% Ver 1 Page 9 of 19 Project ID: 69 ROCK RIDGE DR, RYE BROOK Phoenix I.D.: CQ31872 Client ID: E. WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference %Dibromofluoromethane(50x) 93 % 50 03/21/24 JLI 70-130% %Toluene-d8(50x) 98 % 50 03/21/24 JLI 70-130% Sem ivolati les-STARS/C P-51 Acenaphthene ND 270 ug/Kg 1 03/21/24 MR SW8270E Acenaphthylene ND 270 ug/Kg 1 03/21/24 MR SW8270E Anthracene ND 270 ug/Kg 1 03/21/24 MR SW8270E Benz(a)anthracene 350 270 ug/Kg 1 03/21/24 MR SW8270E Benzo(a)pyrene 340 270 ug/Kg 1 03/21/24 MR SW8270E Benzo(b)fluoranthene 340 270 ug/Kg 1 03/21/24 MR SW8270E Benzo(ghi)perylene ND 270 ug/Kg 1 03/21/24 MR SW8270E Benzo(k)fluoranthene ND 270 ug/Kg 1 03/21/24 MR SW8270E Chrysene 330 270 ug/Kg 1 03/21/24 MR SW8270E Dibenz(a,h)anthracene ND 270 ug/Kg 1 03/21/24 MR SW8270E Fluoranthene 790 270 ug/Kg 1 03/21/24 MR SW8270E Fluorene ND 270 ug/Kg 1 03/21/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 270 ug/Kg 1 03/21/24 MR SW8270E Naphthalene ND 270 ug/Kg 1 03/21/24 MR SW8270E Phenanthrene 790 270 ug/Kg 1 03/21/24 MR SW8270E Pyrene 860 270 ug/Kg 1 03/21/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 78 % 1 03/21/24 MR 30-130% %Nitrobenzene-d5 97 % 1 03/21/24 MR 30-130% %Terphenyl-d14 85 % 1 03/21/24 MR 30-130% RL/PQL=Reporting/Practical Qua ntitation 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. Phyllis hiller,Laboratory Director March 22,2024 Reviewed and Released by:Phyllis Shiller,Laboratory Director Ver 1 Page 10 of 19 �N ACC0,0, PHOEVIX�,'�!_o 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: Donnie Feeney Innov8tive Environmental Services March 22, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 03/19/24 12:00 Location Code: INNOVAT Received by: SR1 03/20/24 18:04 Rush Request: 5 Day Analyzed by: see"By" below P.Q.#: Laboratory Data SDG ID: GCQ31869 Phoenix ID: CQ31873 Project ID: 69 ROCK RIDGE DR, RYE BROOK Client ID: W. WALL UNDER FOUND. RL/ Parameter Result PQL Units Dilution DatefTime By Reference Percent Solid 82 % 03/20/24 CV SW846-%Solid Soil Extraction for SVOA PAH Completed 03/21/24 %CVPREFSW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene 3800 140 ug/Kg 200 03/21/24 JLI SW8260D 1,3,5-Tri meth ylbenzene 700 140 ug/Kg 200 03/21/24 JLI SW8260D Benzene ND 60 ug/Kg 200 03/21/24 JLI SW8260D Ethylbenzene 700 290 ug/Kg 200 03/21/24 JLI SW8260D Isopropylbenzene 630 140 ug/Kg 200 03/21/24 JLI SW8260D m&p-Xylene 200 150 ug/Kg 200 03/21/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 140 ug/Kg 200 03/21/24 JLI SW8260D Naphthalene 12000 140 ug/Kg 200 03/21/24 JLI SW8260D n-Butylbenzene 1500 140 ug/Kg 200 03/21/24 JLI SW8260D n-Propylbenzene 1600 140 ug/Kg 200 03/21/24 JLI SW8260D o-Xylene ND 150 ug/Kg 200 03/21/24 JLI SW8260D p-Isopropyltoluene 290 140 ug/Kg 200 03/21/24 JLI SW8260D sec-Butylbenzene 1000 140 ug/Kg 200 03/21/24 JLI SW8260D tert-Butylbenzene ND 140 ug/Kg 200 03/21/24 JLI SW8260D Toluene ND 290 ug/Kg 200 03/21/24 JLI SW8260D Total Xylenes 200 150 ug/Kg 200 03/21/24 JLI SW8260D QA/QC Surrogates % 1,2-Dichlorobenzene-d4(200x) 102 % 200 03/21/24 JLI 70-130% %Bromofluorobenzene(200x) 105 % 200 03/21/24 JLI 70-130% %Dibromofluoromethane(200x) 93 % 200 03/21/24 JLI 70-130% %Toluene-d8(200x) 103 % 200 03/21/24 JLI 70-130% Ver 1 Page 11 of 19 Project ID: 69 ROCK RIDGE DR, RYE BROOK Phoenix I.D.: CQ31873 Client ID: W. WALL UNDER FOUND. RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene 1400 280 ug/Kg 1 03/22/24 MR SW8270E Acenaphthylene 410 280 ug/Kg 1 03/22/24 MR SW8270E Anthracene 690 280 ug/Kg 1 03/22/24 MR SW8270E Benz(a)anthracene ND 280 ug/Kg 1 03/22/24 MR SW8270E Benzo(a)pyrene ND 280 ug/Kg 1 03/22/24 MR SW8270E Benzo(b)fluoranthene ND 280 ug/Kg 1 03/22/24 MR SW8270E Benzo(ghi)perylene ND 280 ug/Kg 1 03/22/24 MR SW8270E Benzo(k)fluoranthene ND 280 ug/Kg 1 03/22/24 MR SW8270E Chrysene ND 280 ug/Kg 1 03/22/24 MR SW8270E Dibenz(a,h)anth race ne ND 280 ug/Kg 1 03/22/24 MR SW8270E Fluoranthene ND 280 ug/Kg 1 03/22/24 MR SW8270E Fluorene 2600 280 ug/Kg 1 03/22/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 280 ug/Kg 1 03/22/24 MR SW8270E Naphthalene 7700 280 ug/Kg 1 03/22/24 MR SW8270E Phenanthrene 7300 280 ug/Kg 1 03/22/24 MR SW8270E Pyrene 950 280 ug/Kg 1 03/22/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 56 % 1 03/22/24 MR 30-130% %Nitrobenzene-d5 115 % 1 03/22/24 MR 30-130% %Terphenyl-d14 69 % 1 03/22/24 MR 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. Volatile Comment: To achieve client's objectives,where the lowest calibration standard or LOD justifies lowering the RUPQL,the RUPQL of some compounds have been lowered to meet criteria. 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 22,2024 Reviewed and Released by:Phyllis Shiller,Laboratory Director Ver 1 Page 12 of 19 fil 10 El abed OE OCL-OL 0'l L6 86 L Z 96 86 % 00 L Sp-euanlol% o£ 0£L-OL L'Z 96 176 L'Z 86 96 % C6 9ue43awojon8owaq!Q% Os OCL OL O'L COL VO L 0,L COL ZO L % LO L 9uazu9gojon8owag% OE OCL OL O'Z OO L ZO L 0,L L O L ZO L % Lot yp-9u9zu9gao14o!p-Z'L% OC OCL-OL ST LOL COL 8,Z SOL 80L OSZ 4N auanlol OC OCL-OL S"Z ZZL 6LL L'L 6LL LZL OSZ 4N 9uazuaglA1n9-Ua1 OC OCL-OL V17 CZL ?LL S'Z 6LL ZZL OSZ 4N 9uazuaglAln8-oas OE OCL-OL 0'17 9ZL LZL 9'L LZL CZL OSZ (IN auenlollAdaadosl-d OC OCL-OL VC LZL LLL Cl 6LL LZL 09Z (IN auajAX-o OE OCL OL 9'Z SLL SLL S'Z LLL OZL OSZ 4N auezuaglAdad-u OC Ost OL 6 E OCL SZL 8'0 9ZL LZL 09Z (IN auazuaglAln8-u OE ML OL 17'8 VZL VLL L'V 9ZL ZCL OSZ 4N aualegjgdeN OC Mt OL V'S SLL 60L 6'0 ELL till 09Z (IN (381W)ja43alAlnq-11A43aW OC OCL OL 9'Z LLL VLL 6'0 9LL LLL 09Z 4N oualAX-dgw OE OCL OL Z'V ZZL LLL C,E 8lL ZZL OSZ (IN auazuagjAdadosl OC OEL OL 8'L C L L LLL 6'0 Z L L E L L OSZ (IN auazuaglAg13 Os OEL OL L'V 80L COL 6'0 8OL 60L OSZ (IN auezua8 OC OCL-OL £'£ ZZL SLL L'L OZL ZZL OSZ 4N 9u9zuaglA4lawul-S'E'L OE OEt-OL C'C CZL 6LL S'Z OZL CZL 09Z 4N 9uazu9glA4l9wul-V'Z'L Jana-1 ON) HOS - SayleIo^ ((XOOZ)EL8LC00)XOS S98LE00:ON aldweS D0'(6>I/6n) HZ8V£ZL Pleb 00M0 OE OEt-OE 9-SL E8 LL V"CZ 89 98 % 8L VLp-jAu94dj9l% OE Oct-OE L'S L8 LL VOL SL E8 % 98 Sp-auezuegwi!N% of OEt-OE 0'0 C9 C9 C'CL E9 ZL % OL jAu94d!gojonlj-Z% OE Oct-OE O'L 6LL LLL L'VZ 81 OO L OCZ (IN auaJAd 0E On-OV 9'9 88 176 S'ZL SL 98 OCZ 4N 9u9J41ueu94d OC 017L-017 t'C 99 V9 V,SL 09 OL OCZ 4N auelegl4deN OE OK-OV Z'8 68 Z8 8'6 L8 96 OCZ (IN aua1Ad(po-E'Z'L)ouapul 0£ 017L-017 6'9 06 V8 8'SL 9L 68 OCZ (IN auajonlj of 017L-07 L'8 SLL 90L S'LZ 6L 86 OCZ (IN aue4luejonlj OE 04L-04 9-L Z8 9L L'OL 08 68 OCZ 4N 9uaoej43ue(4'e)zu9q!Q of OVL-Oil Z'L 98 98 ZI L 9L 98 OCZ (IN auaslj40 OC 017L-017 L17 88 178 17'6 L8 68 OCZ (IN 9ua4luejon0(N)ozu99 OC 071-017 6'8 Z8 SL O'ZL 8L 88 OCZ ON 9u9lti9d(146)ozu9g OE 017L-0b L'L 06 L6 E'6 Z8 06 OCZ (IN 9u94luejon8(q)ozu99 of 001-0v Z'Z V6 Z6 L'6 88 L6 OCZ 4N 9u9jAd(e)ozua9 of 017L-017 C'Z 88 98 8'LL 08 06 OCZ (IN 9u9oej43ue(e)zua9 OE 07L-017 L'V 88 V8 Z,8L SL 06 OCZ (IN aua0ej43uy OC 017L-017 0'L VL 69 V9L C9 VL OCZ ON au9lA414deuaoy of OEt-OE L'V tiL LL Z'9L 89 08 OCZ 4N 9u9414deu9oy HOS - OH o!lewoay jeajonu lod (ELMOD'ZL8 03'LL8 LE00'OL8 LEO0'698 LEO3) LO170E00:ON aldweS D0'(6)1/6n)ESZEZL yole8 O0/t/0 sl!wll sl!wll Odd % % Odd % % la NUeIg JE)19weJed Odd 398 SW MY SW Sol GSol Sol M8 698LCOOD :'4'I JaS eject DID/yo VZOZ 'zz yaaeW ZOLL-9V9(098)'lal liodad :DC)/VC) WELL#AN SV090 10'J9lsa43uew 'OLE XO8'0'd 'aM!dwnl alpp!W 1se3 L8S out `saiao}ejoge-j leluauaualnu3 6,000v "I XIAIL70HJ WIWO QA/QC Data SDG I.D.: GCQ31869 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%,25-160%for Chloroethane-HL and Trichlorofluoromethane-HL. QA/QC Batch 723461 (ug/kg),QC Sample No:CQ31870(CQ31870) Volatiles - Soil (Low Level) 1,2,4-Trimethylbenzene ND 1.0 100 104 3.9 102 101 1.0 70-130 30 1,3,5-Trimethylbenzene ND 1.0 99 104 4.9 104 102 1.9 70-130 30 Benzene ND 1.0 101 105 3.9 103 100 3.0 70-130 30 Ethylbenzene ND 1.0 99 103 4.0 100 103 3.0 70-130 30 Isopropylbenzene ND 1.0 101 107 5.8 109 108 0.9 70-130 30 m&p-Xylene ND 2.0 97 101 4.0 97 98 1.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 94 98 4.2 96 93 3.2 70-130 30 Naphthalene ND 5.0 99 104 4.9 80 79 1.3 70-130 30 n-Butylbenzene ND 1.0 101 108 6.7 97 96 1.0 70-130 30 n-Propylbenzene ND 1.0 104 105 1.0 105 105 0.0 70-130 30 o-Xylene ND 2.0 99 103 4.0 97 101 4.0 70-130 30 p-Isopropyltoluene ND 1.0 99 105 5.9 100 100 0.0 70-130 30 sec-Butylbenzene ND 1.0 100 106 5.8 100 101 1.0 70-130 30 tert-Butylbenzene ND 1.0 103 107 3.8 105 107 1.9 70-130 30 Toluene ND 1.0 102 107 4.8 104 103 1.0 70-130 30 %1,2-dichlorobenzene-d4 95 % 101 103 2.0 99 99 0.0 70-130 30 •Bromofluorobenzene 98 % 100 97 3.0 94 98 4.2 70-130 30 •Dibromofluoromethane 110 % 99 98 1.0 103 99 4.0 70-130 30 •Toluene-d8 94 % 101 102 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. QA/QC Batch 723252(ug/kg),QC Sample No:CQ31871 (CQ31869,CQ31871) Volatiles - Soil (Low Level) 1,2,4-Trimethylbenzene ND 1.0 111 109 1.8 95 95 0.0 70-130 30 1,3,5-Trimethylbenzene ND 1.0 113 111 1.8 99 98 1.0 70-130 30 Benzene ND 1.0 107 108 0.9 102 99 3.0 70-130 30 Ethylbenzene ND 1.0 107 106 0.9 98 97 1.0 70-130 30 Isopropylbenzene ND 1.0 117 113 3.5 104 102 1.9 70-130 30 m&p-Xylene ND 2.0 109 107 1.9 98 99 1.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 107 111 3.7 106 107 0.9 70-130 30 Naphthalene ND 5.0 112 111 0.9 66 70 5.9 70-130 30 m n-Butylbenzene ND 1.0 112 107 4.6 92 92 0.0 70-130 30 n-Propylbenzene ND 1.0 109 108 0.9 98 97 1.0 70-130 30 o-Xylene ND 2.0 113 111 1.8 102 101 1.0 70-130 30 p-Isopropyltoluene ND 1.0 113 110 2.7 97 97 0.0 70-130 30 sec-Butylbenzene ND 1.0 114 112 1.8 99 98 1.0 70-130 30 tert-Butylbenzene ND 1.0 115 115 0.0 103 100 3.0 70-130 30 Toluene ND 1.0 108 109 0.9 99 97 2.0 70-130 30 %1,2-dichlorobenzene-d4 102 % 100 99 1.0 100 98 2.0 70-130 30 •Bromofluorobenzene 101 % 105 103 1.9 102 104 1.9 70-130 30 •Dibromofluoromethane 99 % 99 95 4.1 96 95 1.0 70-130 30 •Toluene-d8 102 % 101 101 0.0 100 99 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. Page 14 of 19 QA/QC Data SDG I.D.: GCQ31869 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 723303(ug/kg), QC Sample No:CQ31872(CQ31872) Volatiles - Soil (Low Level) 1,3,5-Trimethylbenzene ND 1.0 106 100 5.8 101 100 1.0 70-130 30 Benzene ND 1.0 105 101 3.9 98 99 1.0 70-130 30 Ethylbenzene ND 1.0 107 101 5.8 99 100 1.0 70-130 30 Isopropylbenzene ND 1.0 108 101 6.7 102 101 1.0 70-130 30 m&p-Xylene ND 2.0 106 100 5.8 98 99 1.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 100 99 1.0 91 95 4.3 70-130 30 Naphthalene ND 5.0 109 102 6.6 78 86 9.8 70-130 30 n-Butylbenzene ND 1.0 103 96 7.0 98 96 2.1 70-130 30 n-Propylbenzene ND 1.0 107 99 7.8 102 101 1.0 70-130 30 o-Xylene ND 2.0 107 102 4.8 100 100 0.0 70-130 30 p-Isopropyltoluene ND 1.0 106 99 6.8 101 99 2.0 70-130 30 sec-Butylbenzene ND 1.0 106 100 5.8 102 100 2.0 70-130 30 tert-Butylbenzene ND 1.0 107 101 5.8 102 101 1.0 70-130 30 Toluene ND 1.0 104 102 1.9 98 98 0.0 70-130 30 •1,2-dichlorobenzene-d4 99 % 99 99 0.0 98 99 1.0 70-130 30 •Bromofluorobenzene 98 % 99 99 0.0 98 98 0.0 70-130 30 •Dibromofluoromethane 100 % 99 100 1.0 98 99 1.0 70-130 30 •Toluene-d8 98 % 99 102 3.0 100 101 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. I=This parameter is outside laboratory LCS/LCSD specified recovery limits. 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 LCSD-Laboratory Control Sample Duplicate MS-Matrix Spike MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director NC-No Criteria March 22, 2024 Intf-Interference Page 15 of 19 0 >we Y c 2 c> >' d a> Q `m'n rt m O« p T d d CD O O N U ce) Q E a U O C H O = O N U x m m 1p U N N J O 0.2 2 y N U fn C N (O 7 Q N O �_ O 7 O C N GO N N M 0 7 y O co L O T 0 AQ. O N , C N y C O m C () N 00 Q 0 'CD 10 O C 'G 0 LL o N G� Z n E Z � wo O r W co a CL 2v .L a c y U 4) V — x U �� U' o O •L W CD U U 4) co N � U Q c n E U } U U Z c c a 0) N c m U f6 0 C -O O � N 8— CL E C O O U -0 c0 N N C a T CO� O O L d QN N f0 E x F a) c E E v E o d f0 w'O O � C U O N N O U (D N N O O N a 'aN a) a U O o o� N co N } } Q EA f0 N N L Z Z 0 7 N U .0 N= (O O Cl) 0) C N f6 O r X.2 0 nC O ow E o9w Cu O �i in U a E n 4� !, �N ACCOA PHOEVIX -�ff, e 4 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 Analysis Comments March 22, 2024 SDG I.D.: GCQ31869 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: VOA Narration CHEM31 03/20/24-2: CQ31869,CQ31871 The following Initial Calibration compounds did not meet recommended response factors:Ethylbenzene 0.312(0.4) The following Initial Calibration compounds did not meet minimum response factors:None. The following Continuing Calibration compounds did not meet recommended response factors:Ethylbenzene 0.329(0.4) The following Continuing Calibration compounds did not meet minimum response factors:None. Up to eight compounds can be outside of ICAL%RSD criteria and up to sixteen compounds can be outside of CCAL%Dev criteria if less than 40%. CHEM3103/21/24-1: CQ31873 The following Initial Calibration compounds did not meet recommended response factors:Ethylbenzene 0.312(0.4) The following Initial Calibration compounds did not meet minimum response factors: None. The following Continuing Calibration compounds did not meet recommended response factors:Ethylbenzene 0.308(0.4) The following Continuing Calibration compounds did not meet minimum response factors:None. Up to eight compounds can be outside of ICAL%RSD criteria and up to sixteen compounds can be outside of CCAL%Dev criteria if less than 40%. Page 17 of 19 �N ACCOgJA PHOENIX 1\ Q V Environmental Laboratories, Inc. NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 NY Temperature Narration March 22,2024 SDG I.D.: GCQ31869 The samples in this delivery group were received at 1.4°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 18 of 19 £lOZIL nay M-13d 1.Z- --0 1 o ` �• •D r J m U U a m O l J/ O.�y LE ii o a g ~ U V a m - .00c) p W o O m Os y� i 07i 0 Ti a m � c .m l �% OcOc Oc 0, 0 C 60 Z, L w `1,11 ,s � �3i 0 in m m tUi� ai E rV u5i a S¢`G � NNNNUE W) EIM 0, �)O ❑ ❑ ❑ ❑ ❑ ❑ Cl) �,� � t� o 1 t m � )� � _ o 0 � m o0 r ❑ U � E'i c Ti `cT U Q O p m o n y a o V U w z E U E q C7 m LLJ W L r V 7 C m E A! n v w Y W O � O W � O N 0 0 0 O a. cr w m z Z 'E El 1:1110 U' ° V! � Lad Z d � � ° # "� E O w a Y � V U W V� H = a Y N .(D O ~ N N w E C O )O ? %? 4r T m r� V m d X E c! W cr �`�� o }. 9 a10 z V ¢cr r w z za O c � m ❑ ❑ ❑ ❑ w c c 13 co O E CL CV� O n Z 'n J � W � � cr z N �� E Mo w o x m c a€ C 0 3 o vEm ( w I a c9 c W O ❑ ❑ ❑ ❑ ° W E.� E sr CW fn o e W cn e ti n II ° N a�i m T $ m 'o O w � g o 6 w o E 7 V 11 E 7 m mW f ti W CL J 25 Z t5 m 7 .� U Q E� O m r�(1 n inU) fOKm O l�� 9 $� U #� PHOENIX :, Environmental Lahoratories. 111c. Monday, June 24, 2024 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 69 ROCK RIDGE DR., RYE BROOK SDG ID: GCR00818 Sample ID#s: CR00818 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, 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 Page 1 of 11 Aw I �N ACCpq� PHOENIT7.-.'' P r J U Environmental Laboratories, Inc. NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 SDG Comments June 24, 2024 SDG I.D.: GCR00818 SIM Analysis: The lowest possible reporting limit under SIM conditions is 0.02 ug/L. The NY TOGS GA criteria for some PAHs is 0.002 ug/L.This level cannot be achieved. Page 2 of 11 c ON ACC0,9 PHOENIX �cr 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 June 24, 2024 SDG I.D.: GCR00818 Project ID: 69 ROCK RIDGE DR., RYE BROOK Client Id Lab Id Matrix GROUNDWATER CR00818 GROUND WATER Page 3 o/11 /�\ Al � 0 N ACC 0,90q� PHOE VIXR��, F 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: Donnie Feeney Innov8tive Environmental Services June 24, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: GROUND WATER Collected by: 06/19/24 10:00 Location Code: INNOVAT Received by: LB 06/20/24 18:40 Rush Request: 5 Day Analyzed by: see"By" below P.O.#: Laboratory Data SDG ID: GCR00818 Phoenix ID: CR00818 Project ID: 69 ROCK RIDGE DR., RYE BROOK Client ID: GROUNDWATER RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semi-Volatile Extraction Completed 06/21/24 Z/MQ SW3520C Volatiles-Stars/CP-51 1,2,4-Trimethylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D 1,3,5-Trimethylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D Benzene ND 0.70 ug/L 1 06/22/24 HM SW8260D Ethylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D Isopropylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D m&p-Xylene ND 2.0 ug/L 1 06/22/24 HM SW8260D Methyl t-butyl ether(MTBE) ND 1.0 ug/L 1 06/22/24 HM SW8260D Naphthalene 4.5 1.0 ug/L 1 06/22/24 HM SW8260D n-Butylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D n-Propylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D o-Xylene ND 2.0 ug/L 1 06/22/24 HM SW8260D p-Isopropyltoluene ND 1.0 ug/L 1 06/22/24 HM SW8260D sec-Butylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D tert-Butylbenzene ND 1.0 ug/L 1 06/22/24 HM SW8260D Toluene ND 1.0 ug/L 1 06/22/24 HM SW8260D Total Xylenes ND 2.0 ug/L 1 06/22/24 HM SW8260D QA/QC Surrogates • 1,2-dichlorobenzene-d4 99 % 1 06/22/24 HM 70-130% •Bromofluorobenzene 99 % 1 06/22/24 HM 70-130% %Dibromofluoromethane 90 % 1 06/22/24 HM 70-130% %Toluene-d8 101 % 1 06/22/24 HM 70-130% Semivolatiles by SIM, PAH 2-Methylnaphthalene 0.70 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Ver 1 Page 4 of 11 Project ID: 69 ROCK RIDGE DR., RYE BROOK Phoenix I.D.: CR00818 Client ID: GROUNDWATER R L/ Parameter Result PQL Units Dilution DatelTime By Reference Acenaphthene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Acenaphthylene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Anthracene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Benz(a)anthracene 0.06 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Benzo(a)pyrene 0.08 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Benzo(b)fluoranthene 0.06 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Benzo(ghi)perylene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Benzo(b)fluoranthene 0.06 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Chrysene 0.06 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Dibenz(a,h)anthracene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Fluoranthene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Fluorene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Indeno(1,2,3-cd)pyrene 0.06 0.02 ug/L 1 06/24/24 KCA SW8270E(SIM) Naphthalene 1.2 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Phenanthrene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) Pyrene ND 0.47 ug/L 1 06/24/24 KCA SW8270E(SIM) QA/QC Surrogates •2-Fluorobiphenyl 69 % 1 06/24/24 KCA 30-130% •Nitrobenzene-d5 81 % 1 06/24/24 KCA 30-130% •Terphenyl-d14 65 % 1 06/24/24 KCA 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: 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 June 24,2024 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 5 of 11 i L ,td ACC090 PHOENIX U � U Environmental Laboratories, Inc. jj� 587 East Middle Turnpike, P.O.Box 370, Manchester,CT 06045 NY# 11301 QA/QC Report Tel.(860)645-1102 June 24, 2024 QA/QC Data SDG I.D.: GCR00818 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 737062(ug/L),QC Sample No:CQ97253(CR00818) Semivolatiles by SIM, PAH - Ground Water 2-Methylnaphthalene ND 0.50 69 65 6.0 30-130 20 Acenaphthene ND 0.50 79 72 9.3 30-130 20 Acenaphthylene ND 0.10 74 67 9.9 30-130 20 Anthracene ND 0.10 84 76 10.0 30-130 20 Benz(a)anthracene ND 0.02 100 87 13.9 30-130 20 Benzo(a)pyrene ND 0.02 112 96 15.4 30-130 20 Benzo(b)fluoranthene ND 0.02 101 88 13.8 30-130 20 Benzo(ghi)perylene ND 0.02 89 78 13.2 30-130 20 Benzo(k)fluoranthene ND 0.02 95 84 12.3 30-130 20 Chrysene ND 0.02 85 75 12.5 30-130 20 Dibenz(a,h)anthracene ND 0.02 106 92 14.1 30-130 20 Fluoranthene ND 0.50 93 83 11.4 30-130 20 Fluorene ND 0.10 86 78 9.8 30-130 20 Indeno(1,2,3-cd)pyrene ND 0.02 112 94 17.5 30-130 20 Naphthalene ND 0.50 62 62 0.0 30-130 20 Phenanthrene ND 0.06 76 68 11.1 30-130 20 Pyrene ND 0.07 90 81 10.5 30-130 20 %2-Fluorobiphenyl 63 % 75 69 8.3 30-130 20 %Nitrobenzene-d5 68 % 77 77 0.0 30-130 20 %Terphenyl-d14 73 % 86 75 13.7 30-130 20 Comment: A LCS and LCS Duplicate were performed instead of a matrix spike and matrix spike duplicate. Additional 8270 criteria:20%of compounds can be outside of acceptance criteria as long as recovery is at least 10%.(Acid surrogates acceptance range for aqueous samples: 15-110%,for soils 30-130%) QA/QC Batch 737203(ug/L),QC Sample No:CRO1406(CR00818) Volatiles - Ground Water 1,2,4-Trimethylbenzene ND 1.0 107 108 0.9 70-130 30 1,3,5-Trimethylbenzene ND 1.0 108 108 0.0 70-130 30 Benzene ND 0.70 100 102 2.0 70-130 30 Ethylbenzene ND 1.0 103 102 1.0 70-130 30 Isopropylbenzene ND 1.0 105 105 0.0 70-130 30 m&p-Xylene ND 1.0 101 102 1.0 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 106 109 2.8 70-130 30 Naphthalene ND 1.0 105 104 1.0 70-130 30 n-Butylbenzene ND 1.0 112 112 0.0 70-130 30 n-Propylbenzene ND 1.0 105 105 0.0 70-130 30 o-Xylene ND 1.0 102 103 1.0 70-130 30 p-Isopropyltoluene ND 1.0 109 109 0.0 70-130 30 sec-Butylbenzene ND 1.0 107 109 1.9 70-130 30 tert-Butylbenzene ND 1.0 106 105 0.9 70-130 30 Page 6 of 11 QA/QC Data SDG I.D.: GCR00818 Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Toluene ND 1.0 100 102 2.0 70-130 30 •1,2-dichlorobenzene-d4 99 % 98 101 3.0 70-130 30 %Bromofluorobenzene 98 % 103 100 3.0 70-130 30 •Dibromofluoromethane 93 % 95 89 6.5 70-130 30 •Toluene-d8 100 % 102 103 1.0 70-130 30 Comment: A LCS and LCS Duplicate were performed instead of a matrix spike and matrix spike duplicate. Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%,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 yr MS-Matrix Spike MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director NC-No Criteria June 4, 2024 Intf-Interference Page 7 of 11 0 m N J J J J J J R c O) m m 0) 0) 0 0) 0) 0) 0) m C D7 7 7 7 7 7 7 7 7 7 7 a) Q f0 N 0 L (O O N N N N N N N N N N N tt=_T J O O O O O O O O O O O O O O U O O O O O O O O O O O Q E N 7 a) U O C N N N N N N N N N N N N a)= `y 0 0 00 0 a a a 0 0 0 '0 O O O O O O O O O O O a) o0o0000000o �c x a� d N U N 4) r J N N N N N N N N N N N U O O O O O O O O O O O O0 o 0 0 0 0 0 0 0 0 0 0 N c a) fa 7 E a� �o tq 0 0 0 0 0 O O O O O O N O O O O O O O O O O O O tm 7 y N L O T C fa m a om f0 f0 fa m f0 f0 C In Cn Cn (n u) 05 N N C m m m m m m m ns m m w a>a ca > z O O O O o 0 U V U V V n E d z (D (D6656 ¢ aaaa n v — — — — — — c� cDc� cDcD = � W N N N N N N a C N N Q) N N N 'iu 0M CC MM O N > .. 1 > > > U Ua) •Q� V E E E E E E . . . . . � m . (ODo (� g g g g g cn cn cn N cn axi m 000CDC70U 00090 N Q Q Q Q Q Q O O O O O w a M < < F E } } } } } } } } } } } U ZZZZZZZZZZZ cC CU rn Co U N 2- 6 U '0 O N L a.a " f° E a) a) EO U N C C N C C N i0 c- .LO.. « C a L f C Q) Q) N C Clx � r � 8 � � � @2 Mm o O L M O O L O-'n Q N O Q N = = C'. 0 N C C N M a) x Z C Y (6 f6 :2a C f0 C 'E 0a) c0 0 N to 0 0 C C C C N C C C N a) QJ a � c) mmmm mmm f0 -0 O T O ua) cc N Cn cn (n Cn (n w w w (n Cn (n U C) a) 0 0 0 0 a 0 0 0 0 0 0 N MC C N 0 _O O_ O C) _O O_ C L d NU 00 a0 a0 w wm w w w w N a) } } Q fA fA fA fA fA fA tn9 to 6a to to i0 N C Z Z 0 7 N L N= 7 J a) N f0 a) ap O O 00 ao fA fp fb f0 aO (0 CO (p O M 2 (n Z a0 aD t; a0 a0 00 CO 00 00 fA CO C N O. 0 0 C) 0 0 0 0 0 a 0 0 O N O O U E O O O O O O O O O O O O'w 2 u> C) C) 0C)C)O UU aE `on. �th O \N ACC09pPHOENIX .�\ ^_ Environmental Laboratories, Inc. -6 NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments June 24, 2024 SDG I.D.: GCR00818 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 9 o(11 ,('OgJa PHOLYVIX*, -,, 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 NY Temperature Narration June 24,2024 SDG I.D.: GCROO818 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 10 of 11 CM ASH M-13d ALz -�. 4 � m cl E E m u �r J _ 2- pco N 0- ei . , Vl 5 l ` �i E Val LL U • lJ / ll � U � n .9 - O .� y li rl�y�o• c E C i'ft $ g d /. v�,a - tlj .o _ 0 o °y �� ybo �0 3 o m co0 ' U a os cD �noco o omo.( � c �Ci, to U m U U c U E U-' m pr m E / �"6j v�4,g' O '� U) °'ccni y vui m",� E U) CL ❑ o-��J� , ❑❑ ❑ ❑ ❑ ❑ ❑ 7�B o m m d CO � o m `c Cl) 6> c U (�')c ID O 00 `� m U c c ❑ 0 4 r o n o m m � g N U � 2i c Ti c� c j C l0 N 0 o m o Em E o � z U m C7 m El El El El El N - Q d V r � Qm EIt) i S S S' m �� u v t ~ 8 � 0000 0 � a L > (o V `m c� ,y z z El El° d o a v p # A w Q d'C OI U U ~ N , �P/'fl ~ N w Y N .� n a m V m d a O cy Ow z zQ O Q oU Q� a z ' • El El ❑ ❑ z Z n m 0 CD w _ mn$ o P.- O E Z E 00 0 ~ `9 E is x r w m € y m a U. p N Qm o(E a w a C9 0 ❑ ❑ ❑ ❑ c 3 u a° n x m � ie c m o n C 0— 0 U U) o a J u� E : cS u m cn `o aJi S J m � .Qp � m o E E L° E ;2 C) 7 w 0 0� v = m �+ v � E N w J w Q O.Nm c3J a w 7 W y j Q 7 c 1 / m Z y C y c� U E� 3 3o If = E 5 Lo� IQ w c # i PAYMENT RECEIPT Brookfield Resource Management 100 Lamont Street Elmsford, NY 10523 914-592-5250 Receipt:1870489 Date:2/27/2024 "11s:omer:69802 Titne:2 22 06 PM --:kT-,VE tvravtFZC7t�ivlt-.f�ttaL 392 COLUMBUS AVE VALHALLA, NY 10595 ID Number Ticket:1928158 Weigh In:2/27/2024 2:13 37 PM Operator:Romy C Weigh Out:2/27/2024 2:22 04 PM White Ford Utility Van 92468 Commodity Gross Tare Net Price TOTAL$ TanKs 10.580 10,320 260 2.2300/CW 5 80 -------------------------------------------------------------- Ticket Total: 5.80 No.of Tickets:1 EZCash Paid: $6 00 Payment Method:EZCash Round Amt: $0 20 Total Paid: $6. For current pricing,hours ane. contact information check us out _ on the web @brookfieldecrap.com Join Brookfield Scrap on Facebook Lwebuyscrap 8/14/24,8:11 AM Spill Incidents Database Search NEW YORK Department of STATF OF OPPORTUNITY Environmental Conservation Spill Incidents Database Search Details Spill Record Administrative Information DEC Region: 3 Spill Number: 2308612 Spill Date/Time Spill Date: 01/26/2024 Spill Time: 02:32:00 PM Call Received Date: 01/26/2024 Call Received Time: 02.52:00 PM Location Spill Name: BERGER - UST Address: 69 ROCK RIDGE DRIVE City: RYE BROOK County: Westchester Spill Description Material Spilled Amount Spilled Resource Affected #2 fuel oil UNKNOWN Soil , Groundwater Cause: Equipment Failure Source: Private Dwelling Waterbody: Record Close Date Spill Closed: 08/13/2024 "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://extapps.dec.ny.gov/cfmx/extapps/derexternaI/spills/detaiIs.cfm?pageid=2 1/1 \ � -'-:•1t �,A1;�!3F �a ?�.• . �.; ,��^ � +'�%' ti :�r�jA ekyy� �� A�4,•I�nSXAu4.J''r�A� ��llll' �(((��•••/ . + % Ys1K.0�- � e �,��y�y ,o� -. rtN "al t�1�BAN�'f.•.�T• �/tr�jA::` _' F.i,.V Mdi y, ..�` !'�a, '!k'.•Q�4i`Yi i:,V �tAyvt 'Wc l ' o N�Q� •• t' Q \�� v + �,1, v +=leee/e ,'.�++,e/� — 1 e� Q�� tQe`•01�',�� v ,� 1��j1�S�'3�Y�� r e�4 ��-� �y �► ' / c too, / k..-'�Y�' mod`\�1� y � .� � �i�(,-•: /\/ CD > LO `I M C C p C a a� O ll U tn a c� C� y W441 Gn LU <cw , ZIP '�.g a W y cco» �•. J W CD .0 o�ection :+.�<c > _ > o t in J a S ; / Ljj 00 G Q(�osJ)>J 00 r. of •�i o r% U z cn s r y y \' _- / 1 A A i�9 p�f�,� A-. gi3� ^ "�h� •• '7;1 A q jt - .A C 1 .A w�t� '1W.- :�,� lr ..�lY++iV�l�'{• � t'!'Sr`Tt3 •:}� �I dli� .lF�ftk � `'^" 'V�y�". ` Ac" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) � 1 2/8/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mt Pleasant Capacity NAME: EVita DermaniSPHONE FAX P.O. Box 1689 •914-205-7682 A/c No):914-205-7682 Pearl River NY 10965 nD RESS: Evita.Dermanis@mtpcap.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Century Surety Company 36951 INSURED INNOFNVI INSURERS:Progressive Casualty Insurance Company 24260 Innov8tive Environmental Services Inc. 392 Columbus Ave INSURERC: Valhalla NY 10595 INSURER0: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:16166041 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. 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INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER 2L (MMIDONYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CCP1108511 2/14/2023 2/14/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE I—XI OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $3,000,000 JECT OTHER: $ 8 AUTOMOBILE LIABILITY 016663983 1/15/2023 1/15/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE R/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ K Iyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability CCP1108511 2/14/2023 2/14/2024 Each Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ft�wo* 1^^ ^^^ 824703808 MT PLEASANT CAPACITY AGENCY 1 BLUE HILL PLAZA STE 1689 PEARL RIVER NY 10965 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INNOV8TIVE ENVIRONMENTAL VILLAGE OF RYE BROOK SERVICES INC 938 KING STREET 392 COLUMBUS AVENUE RYE BROOK NY 10573 VALHALLA NY 10595 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2455 047-7 772976 10/02/2023 TO 10/02/2024 10/2/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2455 047-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. 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NEW YORK STATE SUR NCE FUND T 4/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 522201643 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday,January 11, 2024 12:09 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 01/11/2024 12:09 To: VIL RYE BROOK PRIMARY Transmitted: 01/11/2024 12:09 00004 Ticket: 01114-000-577-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 69 To: Name: ROCK RIDGE DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: ACKER DR Means of Excavation: EXCAVATOR Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: OIL TANK REMOVAL Estimated Work Complete Date: 01/17/2024 Depth of excavation: Site dimensions: Start Date and Time: 01/17/2024 07:00 Must Start By: 01/31/2024 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOVBTIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: NORINE MEYER Alt Phone: 914-449-6608 Email: service@innov8enviro.com Working for: HOMEOWNER ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Monday, February 5, 2024 10:03 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 02/05/2024 10:02 To: VIL RYE BROOK PRIMARY Transmitted: 02/05/2024 10:03 00001 Ticket: 02054-000-568-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 69 To: Name: ROCK RIDGE DR Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: ACKER DR & JACQUELINE LN Means of Excavation: GEO PROBE Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: SOIL BORINGS Estimated Work Complete Date: 02/12/2024 Depth of excavation: 20 FEET Site dimensions: Length 130 FEET Width 100 FEET Start Date and Time: 02/12/2024 07:00 Must Start By: 02/27/2024 ------------------------------------------------------------------------------ Contact Name: DANIEL BELLUCCI Company: CORE DOWN DRILLING Addrl: PO BOX 763 Addr2: City: BREWSTER State: NY Zip: 10509 Phone: 845-803-4347 Fax: Email: cddutility@gmail.com Field Contact: DANIEL BELLUCCI Alt Phone: 845-803-4347 Email: cddutility@gmail.com Working for: SMIT ENVIRONMENTAL ------------------------------------------------------------------------------ Comments: SOIL BORINGS AT RESIDENCE. MARK ENTIRE PRIVATE PROPERTY. Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR i