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Home My WebLink AboutMP24-016 �yE R .K O cz� �' •y c � VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 10,2024 Phyllis Giglio 22 Tamarack Road Rye Brook,New York 10573 Re: 22 Tamarack Road,Rye Brook,New York 10573 Parcel ID#: 135.67-2-48 As per the Certification letter from Innov8tive Environmental Services Inc dated September 5, 2024, the removal of an underground oil tank and installation of a new above ground oil tank under Mechanical Permit #24-016 issued on 2/16/2024 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�� cu � 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR Q 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.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: _)1- l PERMIT# 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 ❑ L.P. GAS ❑ FUEL TANK / ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER .� �_ ,I �'� � �.��. :�, �' , ` - m. _.. ._ ,s - -- .... ._.._._,,..�,�_ c �;d "�""� m.� -•� I - ---... ._.---- __ �w�� . _ k �'� � � t i � °. t .-,.. ;. f .r t,� __^°�' qn. t o �� e� R l �. Q,C BRCZ), BUILDING DEPARTMENT ❑BUILDING INSPECTOR [y/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 : G. M 4 f C. C. F-- Q . DATE: PERMIT# M 1- Z q O 1 ISSUED:L'��o' Z ECT: -5— is ;� BLOCK: Z LOT: � U I LOCATION: R p J 1 Gn C+ 4 OCCUPANCY: ❑ 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 _ I ❑ Natural Gas ❑ L.P. Gas CA 1 L f (� FUEL TANK r �U y tl W� ^� ��,1 ❑ FIRE SPRINKLER ��7 L ❑ FINAL PLUMBING S P L L 2 3 0 9.3 ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER '.` , ` 5 VV � J L M'M R j1 5. �� ,�'' �• r •t O F. i y, fi I ot — ollo kv J. \ 1. 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' .1r -L` '•gyp .,' � •• .� ` � �{' y( 1 -L'J f ','rid " , f1�:•L �, \,' '^I ' �. ' bra � .r 'I ' -•fir � � �`•�<' r N�► ,�, �, ati. .,:��'�� t i k,��•,� ��' � ••yam 1 ^' y �� ' .wti� •�r••�� ,,,�,.1 V o � O � v N N ` N a w H CA 00 �o--++ Jnj ~ Q N 00 U qa W y a [�] [-� O 7 Lr) ° z „ F a;� V1 LTJ 0 "' � W W "" � Cl 44 A , x F O 00 C1) z z wUv ° DLO �L�l � F.'.I [�] F 0 O v Y a�i V Qw 0 UZ W ca w V A ° � � . CN CA CY z z � o� .� a I r-i U V C a C/� 'Z 1-4 W O O E cL '� a �, N �Tl cV g w z H o q ° b BUIL MENT D E C IE ll V E VIL E OF RYE, OOK 938 KING ET RYE BR ,NY 10573 FEB 12 2024 (914)939 68 FAx(9 39-5801 1 VILLAGE OF RYE BROOK i�wN% •oo ri r. BUILDING DEPARTMENT Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of/Westchester) FOR OFFICE USE ONLY PERMIT#: F EB 16 2024 Approval Date: Permit Fee: $--3 WD !J Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form# U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal, Abandonment, or Installation: $185.00 per Tank. 5. Dig Safely New York# (dial 81 1): 02094-000-630 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, Cl)-/ 11�— 84 , is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes, rules and regulations. Indicate Permit Type: Installation (X)•Removal(34•Abandonment( )/Above Ground (34• Buried in Ground (34 1. Address: 22 Tamarack Rd, Rye Brook SBL: 135.67-2-48 Zone: 2. Property Owner&Address: Phyllis Giglio - 22 Tamarack Rd Rye Brook NY Phone#: 914-924-1711 Cell#: email: pgteacherl(ooptonline.net 3. Contractor&Address: Innov8tive Environmental - 392 Columbus Ave, Valhalla,NY 10595 Phone#: 914-449-6608 Cell#: email: service@innov8enviro.com 4. Applicant: Innov8tive Environmental Phone#: 914-449-6608 Cell#: email: _service ,innov8enviro.com 5. Indicate Fuel Type: Fuel Oil()o• L.P.Gas( )•Gasoline( )•Other( }: 6. Number and Capacity of each Tank: Removal of 550 Gal UST from front and installation of 275 AST in basement 7. Exact Location(s)of each Tank: Removal of 550 Gal UST from front of property and installation of 275 AST in basement t 6/1/2020 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: O"ie FamAy ,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,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this « Sworn to before me this r (Z day of b ,20 2-J4 day of FP—b ,20 L� 7 `'cad' Signattn6of Property 1&ner Signature of Applicant Phyllis Giglio Donnie Feeney t Name o0roperty Owner t Name of Applic-,ut DJ) Notary Public N II 8ts Ot N Notary Pub is NORINE Mr Notary Public,State of New York Notary Public,Sta o New York Lic No.01 ME6130833 Lic,No.01 ME 3 3 ouaitfied in Westchester coon Qualified in Westche r cou commission Expires July 25, Commission Expires July 25, This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 10/30/2023 Y z U (6 Y O E O CO m CN � O � s 0 00 0 00 � > � = N N o : a N v 1 i a1 1 f9 — N ..- --- ------------ N = O > m � QLn N C: LU > E z _ r 00 O — o r s � N M > v r r^ Roth's state-of-the art double-wall tanks are the best you can find, • More for the environment • More for your safety • More quality • More than 4 million installed • -NEW 30-YEAR PRODUCT WARRANTY- Follow the links below for more information, Overview Characteristics Specifications Dimensions for individual tanks Tank Model DWT DWT DWT DWT DWT 400L 620L 1000L 1000LH 1500L Norn.Capacity US gal 110(400) 165(620) 275(1000) 275(1000) 400(1500) (liters) Length inches(cm) 29(74) 29(74) 43(110) 51 (130) 64(163) Width inches(cm) 28(72) 28(72) 28(72) 30(76) 30(77) Height inches(cm) 44(112) 61 (155) 61 (155) 54(137) 68(173) Min.HeightReq'd inches 49(125) 66(168) 66(168) 60(152) 76(193) (CM) Tank Weight lbs.(kg) 106(48) 132(60) 167(76) 208(94) 333(151) Shipping Weight lbs.(kg) 115(52) 143(65, 185(84) 230(104) 358(162, Dimensions for grouped tanks Tank Model DWT 400L DWT 620L DWT 1000L DWT 1000LH DWT 1500L 2Tanks 29x60 29x60 43x60 51x63 64x63 (side by side) (74x152) (74x152) (110x234) (130x160) (163x 160) 3Tanks 29x92 29x92 43x92 51x96 64x96 (side by side) (74 X 234) (74 X 234) (110x234) (130x244) (163x244) 4Tanks 29x 124 29x 124 43x 124 51 X129 NIA (side by side) (74x315) (74x315) (110 X 315) (130 X 329) STanks 29x156 29x156 43x 156 51X162 (side by side) (74 X 397) (74 X 397) (110 X 397) (130x411) NIA 2Tanks NIA NIA 28x90 NIA NIA (end to end) 72 X 22 6y 1 NNCou TIVE ENVIRONMENTAL SERVICES INC . September 5, 2024 New York State Department of Environmental Conservation Spill Prevention and Response 0ohn.odee@dec.nv.sov IBUILDING E ^ E�� nED RE: Phyllis Giglio SEP 19 2124 22 Tamarack Road Rye Brook,NY AGE OF RYE BROOK Spill#2309368 DEPARTMENT Dear Mr. O'Dee, The purpose of this letter is to summarize soil remediation of an Underground Storage Tank (UST), performed by Innov8tive Environmental Services, Inc. (IES) at the above-referenced site, as well as provide all pertinent information required by your office. On February 29, 2024 IES removed (1) 550 Gal 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 March 26, 2024 IES began the remediation process by excavation ex-situ reclamation of impacted soil. The soil remediation performed by IES generated 154.2 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 the House 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 excavation soil 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 392 Columbus Avenue, Valhalla, NY 10595 Tel: (914)449-6608 Email: service@innov8enviro.com Cy 1 N NON, �TIVE ENVIRONMENTAL SERVICES INC . for your review. The work area was then backfilled with 85 yards of%" stone and 22 yards of screened backfill, brought in from Thalle Industries, Elmsford, NY. Ground water was encountered during remediation and IES vacced out 700 gallons of water. Ground Water samples were collected from monitoring wells. The samples were collected into laboratory clean glassware, maintained at 4 degrees Celsius, and delivered to Phoenix Environmental Laboratories located in Manchester CT.The samples were analyzed by EPA methods 8260 and 8270. Laboratory analysis of ground water 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. IES, on behalf of Ms Giglio, requests closure of the New York State DEC spill case number 2309368. 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-24-016). This report has been prepared for the use of the New York State DEC, Ms Giglio, 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 (1) U U N (0 U U U _S4 co U � c U ro U) r-i r- IZ3' 44 o ao ,� O Ln Ln E-A Ln Ln 00 o E' � M r—I N � N O �4 rI rI \ (o 0 0 • o 0 0 Z co N qT �1+ Q N d" 00 -H U N � N N N N U S O �d CD 0 0 �4p U N N O M w ro O ro O N N O —4 Ei N [ \ \ cM >y M M M O O N 114 N (x U) + +� Ua N + I U)* a-) U] N H (f) �4 N O Ua rl N O O r0 z rl N h U E-I ,—I �4 rl C7 �4 rl '� U E i (0 4-4 b U O F4 a fo UM O Ln N �I O 4-) O H r� �4a >-i Co � G4 W b� -S� Z �4 OD H N H r-i U � (0 o 41 O (D U N o 00 H U) �4 O 4- CDQ0 O CO U H � E U O x �4 a� — rl 0 CO N a) U U -P N 4 cd - 4-4 -H N O (0 �-4 U N U U N U a' > a� U N C.7 Clean Earth"* Manifest 4 2 614 3 6 0 GLOBALJOBNUMBER: 11Z8 _ FACILITY APPROVAL NUMBER: Zy30-70,Wz Please Check One: can Earth of Carteret 1 1 Clean Earth of Maryland U Clean Earth of Now Castle L1 Clean Earth of Greater Washington 4 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Roa11 Carteret,NJ 07008 Hegerslrmn,MD 21140 New Castle,DE 19720 Upper Marlboro.MD 2.0772 Ph:732-541-8909 Ph 301-791-6?20 Ph:302-427-6633 Ph 301-5990939 Fl Clean Earth of Philadelphia ❑Clean Earth of North Jersey C)Clean Earth of Southeast Pennsylvania C_]Other -- 3201 S.61st Street 115 Jacobus AvenIIN 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 Ph:215-724-5520 Ph.973.344 4004 Ph:215428-1700 Non-Hazardous Material Manifest (Typeor Print Clearly) GENERATOR'S NAME,&SITE ADDRESS: 6ROSS WLIGHT: ms ❑Yards TARE WEIGHT: -- 46bns ❑Yards T GENERATOR'S PI LONE: _ NET WEIGHT: ens Yards DESC Ilp'[ION_OF MATERIAL/SAMPLE ID AND LO(XfIOh GENERATOR'S CERTIFICATION -Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law,is not a DOT hazardous substance as defined by 49 CFR Part 172 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper conditio fur transportation according to all applicable state and federal regulations. Name: Title: Signa Date and Time: _ TRANSPORAIR ��ii Company: � � t�h � Phone Number: 0 _ Address: L)QkVILL�10. Truck N and License Plate: Driver- 1,� rMlItI I& _ SW Haulers Permit ft: (Type or Print Clearly) (applicable state permit#) 1 hereby gify that the a vcnamed material was picked up at the sit listed ab vc. 1 Driver Signature: t` A Date and'time: _ Vf DESTINATION I he y certify tha he above n9yd material was delivered without incideqt to jhc fiacffilynoted above. Driver Signature: '1 Sf✓1 / "� _ Dale and Time: 7. 1 herebyq y th the above named material has been accepted at th l refer ced faci ity. Authorized Signature: _ Date and Time: FACILITY Mp�Ipjg1 ITFM4 CF NMSOO r Pods CHOICE►HMMG,INC.1-866-W-1515 N U U N rl W W (y �4 (0 U U U s� U) U U Ul rn N 4-I N oo O 00 00 E� M rI N a� E� N N N �-4 Ln Lo N O O O O 1 �-I .H Q • O O O Z (� N � � U) ao d" d'Q Ln -HU N � N N l� (N C7 -S4 O Ud 0 0 a O �4 Oco Ln U m L N N N M U) b O UtS N N N O --A [� � M (Y) M d" N M O O N W N (:4 U) N H U) �4 O U) r I N x O O RS Z H N h N rl h U �4 E-+ �4 r-i �4 rl H L7 �4 •-i U P (0 4-4 � b U O FZ� w (2L4 ro +-) UM O Ln N S4 O + O H �4ro 4 ° � Co w �L S4 Ub O -W > U m -S4 co U N O 00 r-A U) �4 O 4-1 Ln O co U rl O � O � E Y O M r I -I Ud pQ U �C h O rl P O N Z H $-4 >I �4 N N O H CO W N LY «� (d —1 a--) N N U U 4-) N CO Q N �4H -C� Q 4-) �4 -0 � U U U N U W > N U U CleanEarth"o Manitcst# 2 614 3 5 9 GLOBAIAOB NUMBER: _t1+Zg _ FACILITV APPROVAL NUMBER: Zq,!' 1030z,___ Please Check One: n Earth of Carteret F]Clean Earth of Maryland 1 Clean Earth of New Castle (�Clean Earth of Greater Washington 4 Mddlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower Flouse 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 U Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania Other 3201 S.61st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Momswlle,PA 19067 Ph:215-724-5520 Ph:973-344-4004 Ph:215428-1700 Non-Hazardous Material Manifest (Type or Print Clearly)_ _ GENERAIOR'S NAME& SITE ADDRGSS: GROSS WEIGHT: jNIIlions LYards hh TARE.WEIGHT: bns ❑Yards - ---- - - -- GENERATOR'S PHONY: NET WEIGHT: ns ❑Yards - DIESCRIWTION OF MX.UEPJALlSAMY1XJ1)AND LOCAL ON _Coniami rate] ,<_2 I 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 stale law,has been fully and accurately described above,classified,packaged and is in proper condition for transportation according to till applicable state and federal regulations, Name: nfe 'Title: Sign re: Bate and Time: TRANSPORTER Company: Inmi ,I,, Phone Number: -<<y Address: l ( UaI Y1Gi l lf� _ Truck li and License Placc: a�a C_ Driver: ti SW Haulers Permit ff: (Type or larial Clearly) (apphcabic%la is perrefitn) I hereb certify that t c above named material was picked up at the site listed bove. Driver Signature: V r� Date and Time: 31L _-- DESTI NATION 1 he y certify tha ie above n �material was delivered without incide a the faci1. y noted above. Driver Signature: >^ _ Date and Time: n la I hcrchy certify at t above icd material has been accepted at the ve re cr need facility. Authorized Signature: Date and Time: 1 FACILITY MnrA IlIM IRMO CE MM5OOI PRWS CHOICE PIMITdm.w-1J14W1-11i6 W W fx Ud U U U U) U Uo U Ul N r- Ln (o 4-4 f-- M Ub I O Ull t` Ei U� N N (n -C� M rl r-i Ei N u �4 Ln Ln N O b \ rl W t` [� O O O • O O o z ro � x Ul IZ3' c1+ O -H U N -P N N UPS CD O '� CD �4O U � Ll N N �' Ln O1� M m b O N \ \ O -H E �4 �4 rl CO 00 fd (Q �4 N N (N O r{ Q) Ol \ \ CM >y M m ('') d" -c-' N >1 m O O N W N H U) �4 N Q) O U) rI N x o o z a) F h U �4 E-1 �4 rl S4 r I -H C7 �4 rl U Ei U O Gnu a Q) � M O Ln N �4 O a O �4 �4 AG co -P �' > W �4 oo N H -H U U<S o Ud -14 CO U N O oo H Un �4 O 44 � o Ln O 0041 ho U -H � Y E U ° x o H o -C� (1) � N No HU) w (NNj2t� C/) +� +-) N rl (f) _ � rI N N U U +� N Q Ud 4-) 4- H N O (0 �4 U O N r1 L a--) �-4 +� • U U U N U a' (0 U C7 CleanEarthe' Mand'est ii 2614357 GLOBAL JOB NUMBER: 10114�7 FACILITY APPROVAL NUMBER: 24/301030Z Please Check One: eon Earth of Carteret [J Crean Earth of Maryland FI Cluan Earth of Now Castle L]Clean Earth of Greater Washington 024Middlesex Avenue 1469 Oak Ridge Place W Pyles lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,ME)21740 New Castle,DE 19720 Upper Marlbrwo, MD 70772 Ph.732.541-6909 Ph:301-791-6220 Ph: 302-427-113633 Ph:301.599.0939 IJ Clean Earth of Philadelphia Cl Clean Earth of North Jersey ❑Clean Earth of Soulheast Pennsylvania U Other 3201 S.61 st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Mo(risvlllo,PA 19067 — -— Ph 215-724-5520 Ph:973.344-4004 Pit:211"28-1700 -- Non-Hazardous Material Manifest T e or Print Clearly) _ GENERATOR'S NAME.&SITE ADDRESS: GROSS WEIGHT: ons ❑Yards Z, TARE WEIGHT: YU�� nu Siians ❑Yards - GENERATOR'S PHONF;: NET WEIGHT: tills Yards DESCRIPTION OF MATERIALISAMPLE ID AND LOCATION GENERATOR'S CER'1'IFICACION -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 condi ' or transportation according to all applicable state and federal regulations. h S. Name: — _� _ 'Title: Signature. Date and Time: _ TRANSPO TE Company: ` Awt Phone Number: Address: CdO 11a Truck N and License Plate: 7 Driver. SW Haulers Permit!#: 1— t7ypc or Print('Iesuly) (applicable pin ) a hcabte state itq I hereby rtify that the pbove named material was picked up at the 'te listed bove. Date and Time: �O Driver Signature: ;D,'v�� '' _ DESTINATION 111791 certify th 1e above na d material was delivered without incid�t t the fa�il'ty noted above. Driver Signature: =-L1�Y'" � _Date and Time: tC7� A I here c if at the above named material has been accepted at the a ve refer ced facility. Authorized Signature: Date and Time: FACILITY hWW 1/tVa ITUM r Ct WM1011!PH45 C110111 FRNTND,WC 144"01-1515 N U U d ro U U U +� U) U ro ro U Ul r-i [- 1-1" 4-4 ao aD rn EO E-1 E �r rn F' M rl cM rl r-I 4-) p N Ln N O O -0 O O fy • O O O z (� N U) N q:3' OD rl U U � N N lfl l- 00 N CJ' O ro 0 0 a O O U O (� N N M w m O c� r-I 61 Ol N N N O N m \ \ (M (n M M O O N 12L4 N 0., U) (1) H �3 U) �-1 N N O ua r I N x o O ro �-D a� h . I C7 �4 rI U E� U O C� a ro UM O Ln N �4 O 4-) O rl �4 �4 N w W Z $-I OD r1 N H -H U • r�r E 4- o � O COH U -H �4 E Y O M r I r-I ro pq U 9C h O rl F, ° O � N No N �H U a cA '' ro r-A 4-) N N Nu U r +-) N �4 ro 4-) 4-4 -H N O ro 14 C ; U N S4 rl Q 4-) �4 U N C.7 (1) U U H W W ro U U U -14 � U) U ro ro U cn o IzIl Qo ro 4-4 rl cn rn (Y) r O Ln Ln H ro ,--i ,� H i ('') rl H (Y) (Y) N �4 N O ro O O O • O O O Ua o 0o N li U C N N N U' ro O ro o o U O o d" Ll N N m (Y) 0 ro OkJo ro lfl \ I-- CD -H �4 �4 �A ('') O O O -1 H N al \ \ ('') >1 U) >Y (Y) O O (N W (N Qi U) +-) (Q a) 75 U) �-4 N N O U) H N o o ro z -H (1) v � � U �4 E-i .—I �4 rl .H C7 �4 U LIA H U O rJ4 W ro N (Y) O Ln �4 O 4-) H .- I ro ,� W Ur zCO w +� o CD �4 oo N H -H U ro O > c7 ro x CO U N o U r-A (n �4 O E 4-4 � o di ro CO U -H � Y O > > •-i x CD z M � � >1 o �4 N N O H U) a4 N fx V) ro : _� r, > N N U U 41 N ro 4 4-I -H N O ro �4 U N U a" (0 > �l U a) C7 CleanEarth"o Manifest tk' I �� GLOBAL JOB NUMBER: 40 1-�Zg7 FACILITY APPROVAL NUMBER: Z�f 3Q7O30� Please Check One: vlean Earth of Carteret r]Clean Earth of Maryland ❑Clean Earth of New Castle U Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell 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.SN-0939 LJ Clean Earth of Philadolphia U Clean Earth of North Jersey LJ Clean Earth of Southeast Pennsylvania F1 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:973-344AO04 Pit:215-428.1700 Non-Hazardous Material Manifest (Type or Print Clearly) 'ENERATOR'S NAME& SITE ADDRI•.SS: GROSS WEIGHT: ns ❑Yards Z2. Ili TARE WEIGIIT: — Q_ - Ol ons ❑Yards G • ERAfOR'S PHONE: Ni WEIGHT: ons ❑Yards DESCRIPTION OF MATERIAL/SAMPLE ID ANJ)LOCATION G 'Nh• ERAI'OR'S CEKFiFxAno..N1 - Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. 1 hereby certify that the above named material does not contain litre 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 or transportation according to all applicable state and federal regulations.condite\a Nan — - - Tille: S Ae- -- Signature: Date and Time: TRANSPORTER Company: _ nyw V$'hv( Phone Nurnkxr: •��-1 't�(pd . Address: 2 � Tnick ti and License Plate: -- Driver: - SW flaulcrs Permit N: (Type or Print Clearly) (applicable state permil#) I he rt' hat the above named material was picked up at the site listed above. [)river Signature: 1. Date and Time: 1)FS7'INATION _ I hereby ce i I above named material was delivered without incident to the facility noted above. ') 'I, Driver Signature: _ Date and Time: 1 hereb} try that th a named material bus been accepted at the above rcf'e ce fac lity. Authorized Signature: %yam > — Datc and Timc: f � ncu rr v 1 /t V I4Jfl tnM.CE WWOO 1 PWS=0I OMW WL 14rC01-IEII N U U N r-I W W a �4 (d U U U �4 U U) CV oo 44 � � H cn r-I N !, E i N to �4 o O CD b O -0 W >I • 000 Z rti N � di oo -rl U N � N N (V 00 c� N CD (d -14 `� O b o o . . . CDO U rn Q N N r' "' `-' (Y) co ro O CDc� o -H �4 �4 r r-i l-- rl (if W �4 Ln o o o �l H rn U) ('') >1 (M o o N a4 N U) U) N H U) �4 N N o U) r I N O O U �4 �4 rl �4 r I rl C7 �4 U U O K� w a ro a� ('') O Ln �4 o a--) N W U r-I 'z '• CO f� '� -P o b� �4 oo H •r i U rd o N > C7 rt cU U N o U H U) �4 0 ? E 4-1 � CDcd co U -,i E Y o > > --A rl (0 W U z o N --A �' ; 41 N N CD H cO w N OG W Zj N � N rl U� N N U U +� N (D '• �4 cd 4 4-4 -H N o cCS �4 i ; V Ll N SA r I X-1 U U U N U �' > � ' U N C7 CleanEafth"o Manifest#2930740 GLOBAL JOB NUMBER: 1Q`� � FACILITV APPROVAL NUMBER: Z9_-SQ7Q Z_ I'leune Check One: *7C an Earth of Carteret (^Clean Earth of Maryland L Clean Earth of New Castle L Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell Lane 6250 Dower House Road Carteret.NJ 07008 Hagerstown,MD 21740 Now Castle.DE 19720 Upper Marlboro.MD 20772 Ph= 732-541-8909 Ph:301-791-6220 Ph:302A27-6633 Ph:301-599-0939 F1 Clean Earth of Philadelphia LJ Clean Earth of North Jersey I J Clean Earth of Southeast Pennsylvania I1 Other 3201 S-61 st Street 115 Jacobus Avenue 7 Steel Road East Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 -- Phi 215-724-5520 Pit:973-344-4004 Ph:215.428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) _ ENF.RATOR'S AMU& SIT'Li ADDRF.SS: GROSS WEIGHT: 2N'.�1S - V �ons ❑Yards T" — TARE WEIGHT: — V2-�Y00 ons LjYards 6ENFRATOR'S PHONE: fit'."I'WEIGHT: ons ❑Yards DESCRIPTION OF MATERIAWSANIPLE ID AND LOCiVIION ©h GENERATOR'S CERTIFICATION - Incomplete and/or unsigned inanifesu;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 Condit' l transportation according to all applicable state and federal regulations. Name: C title: Si4c MQY Signutu : Date and Time: TRANSP R'I 'R Company: Atv_ - e AV Phone Number: 144 'A444 f t�dg Address: 2 ��eril,l3 t/-2_� �Truck u and License Plate: Driver: u� r �� - SW Haulers Permit#: ('I' a br 1'ri I arl 1 (applicable mute permilp) 1 ere ce if ththe above named material was picked up at the site listed above. Driver Signature: _ � Date and'tinte: DES'FINADON I hereby certify hat t vt: ahiaterial was delivered without incident to the facility noted above, j Driver Signature: _ {r / Date and Time: l `C I hereby cc d material has been accepted at the above referenced facility. Authorized Signature: Date and Time: rACII 11 Y �wNsltIrtlrtl ITabel1MMWfF4n CI =IMII 1IL1401iGINJI M CleanEafth 0 2614358 Manifest u GLOBAL JOB NUMBER: �b�1�� — FACILITY APPROVAL NUMBER: 7.gWc)4z-- - Please Check One: [-]Clean Earth of Greater Washington �&CfBtin Earth of Caneret Li Clean Earth of Maryland L Clean Earth of New Castle 8250 Dower House Road 24 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane upper Marlboro.MD 20772 Carteret,NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 ph:301.599-0939 Ph:732.541-89M Ph:301.791-6220 Ph:302.427-6633 El Clean Earth of Other ———— Philadelphia rl Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania L1 —— 3201 S.61 st Street 116 Jacobus Avenue 7 Steel Road East ————— Philadelphia,PA 19153 Kearny,NJ 07032 Morrisville,PA 19067 ——— — — —————— Ph-215-724-5520 Ph:973-344-4W4 Ph:21.9428-1700 Non-Hazardous Material Manifest (Typeor Print Cle arly) — ——— — GL'NLRATOR'S NAME&SITE ADDRESS: GROSS WEIGHT' — Z > it TART:WEIGHT: — ---------- ens— Yards _ — GLNGRATOR'g�� NET WEIGHT: — PHONE. ons -]Yards ------------- DZSCRI _T_1Q 9F MATERIAt,/SAMPLE ID AND LOCATIONLn - - ;- L-- — — ----- - ed and/or rejected. GENERATOR'!5 CERTIFICATION -Incomplete and/or unsigned manifests will cause the load to be delay y livable state 1 hereby certify that the above named material does not contain free liquid as defined by 4U ChR Part 260.10 ur an applicable law,is not a ha7an4ous waste as defined by 40 CFR Pan 261 or any applicable state law,is not a DOT hazardous substance as defined by 49 C1'R Part 1?2 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper condition for tratuportation according to all applicable state and federal regulritions. Name: 0L ' Title: Signa _ Date: and Time: �5 ----- — Company-, L0 Phone Number: Address: 3 Z /'ruck ## and I_.iccase Plate:IMP ——-- --— Driver. S au W I{ lers Permit#: _--- ---- _ - (upplicable stare permit#) ('type or Print Clearly/ I here certify that t above named material was pickod up at the •itc liste alwvc. Driver Signature• Date and Time: DESTINA'I'IC?IV 1 w , rial was delivered itlwut incident t the Iacil' noted above I y certify that above name . ---- Driver Signature �� /� — T)taty nndTime: _ —Wcerltithat �c at the al ve feneed facility. 1here above named material has been accepted Authorized Sig=-ItElite: Datc aridTimc-. FACILITY xr iroc 142" N,.fu men rI W W pG � rd U U ) U U) U (0 Ud U U) r— d' m 4-4 rn O v M (Y-) H M rl N � EH NLn �4 N N 00 O 10 W O o Z • O O O � x cn ;r oo I'o C N N Ol 00 CD N U' Uo .SC O (0 O O a CDO U d" L N N 0 Ln `� (Y) U) m O ro r-A N N �4 Ln O O O >y v U) (`') -C� N >1 (') O O N PL4 N CZi U) v H U) �-I v v O U) rl v o Oro z v h v h rl C7 �4 rl U U O (ro a 4-) v (Y) O Ln �4 O �4 ro 12� > Co v w W U rl Z � O x �4 00 v H -ri U . E (0 O v C7 Ud ,S� CO U v O U rl U) �4 0 4-4 < O d' U� CO U rl 0 U O > rl Ud W �C h O O rl p O S-4 >i v N No Hv v awN a te' v i •' �4 M r1 4J _N W U) �4 CO rl Ud v O CO _ rl rI v v U U v �4 v �4 rl L 4-j �4 IrlU U U N U 12L' UiS > ` N U CleanEarth'"o Manifest # G LOBAL JOB NUMBER: `�7 -- - FACILI'IY APPROVAL NUMBER: . 02— Please Check One: an mth of Carteret ❑Clean Earth of Maryland L Clean Earth of New Castle L]Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MO 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 11 Clean Earth of North Jersey C1 Cloan Earth of Southeast Pennsylvania ❑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:973-344-4004 Ph:216-428-1700 — Non-Hazardous Material Manifest T e or Print Clearl ) — - NL•RAI'OR'S AMLi&SITE ADDRESS: GROSS WEIGHT: WS ns ❑Yards Qrn TARE WEIGHT: ns LjYards GEN RATUR'S PH NE: _ NET WEIGHT: ons L]Yards DESCRIPTION OF MATERIAL SAN PLE ID AND LOCATION GENERATOR'S CF.RTIFICX1'12 -Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. I hereby certify that the above named material dues 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 1X)T hazardous substance as defined by 49 CFR Part 172 or any applicable state law,has been frilly and accurately described above,classified,packaged and is in proper condititd transportation according to all applicable state and federal regulations. Na 'Title: fw _ Signat _ Date and Time: T ANSP RT .R Company: nnQwAj�k. nV h'l'pi L. Phone Number: I.Ida ok— Address: 112Z _C — Truck a and License Plate: Driver: SW Haulers Penni(#: _ o rnit'f karly) (applicable stale permit#) h ref! c rl fY1 that the above named material was picked up at the site listed above. Driver Signature: 1 Date and'Timc: _ DESTINATION _ I hereby c rtify v"amcd material was delivered without incident to the fac fityzgotcd b Date and Time: v . Driver Signature: _ ____ — -- I here cc e above named material has been accepted at the above jreferenced facility. Authorized Signature: _ !n Date and Tinte: 4_ I ACILI TY ITlMo ce mw f ms trioiot niiinlw,me.raeawr-rse bAMI ItllSr7r v U U RS U U v U ,S U) U b � U U) N ;:1' 00 4-4 �O Ol l0 O (N N E-' M r I cM rl .-I a-) O O N CD O '� W H H r-A Z • O O o Va � � v � � -rA U v � N N N 00 OO M N U' O r0 CD CD a CDO U 0 r- L1 N (N `� cM U) rd O 00 \ \ lfl M M O �4 �4 f0 CQ $-4 I'D O O O Ol \ \ M >y v U) (M d' d" d" C� N �r cM O O N C14 (N U) +) + U) � � •-) U) v H �l (1) S4 v v O U) rl v k4 O 0 (.0 Z rl v v r-I �-j U �4 EA �4 —1 �4 -rA CD �4 rA '0 U E-4 cd LW b U O LL, a v � M O Ln �4 o 4-) �4Co ro v G4 ,-� W U r—I Z O r ZT � +� �4 00 v H -I U o v > C7 (0 (0 U v 0 U -r-I U) �4 O E 4- O m co U -H � O U o z m v z � N N O H U) a N chi) cd r—I 4-) _N E � rI r- -H v a) _ U U +� v 2 Q (o 4 4-4 •,1 v O rd �4 C ; U v �I rI L � : U U U N U a > N U v C7 CleanEarffe Manifest GLOBALJOB NUMBER: 13t-12S-7 FACILITY APPROVAL NUMBER: Zy3Q7n 302— Please Check One: lea24n Earth of Carteret ❑Clean Earth of Maryland [�Clean Earth of New Castle ❑Clean Earth of Greater Washington M iddlesexx Avenue 1489 Oak Ridge Place 94 J Caldwell Lane 8250 Gower 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 L7 Clean Earth of North Jersey U Clean Earth of Southeast Pennsylvania ❑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:973-344-4004 Ph:215-428-1700 Non-Hazardous Material Manifest (Typeor Print Clearly] EE ITE ADDRESS: GROSS WFIGIIT: ---------- ------- NiTens ❑Yards Y'Q '1'ARF.WEIGHT: ns /Yards GE ERATOR'S PHONE: NET WEIGHT: I)ISI`dms ❑Yards DESCRIPTION OF MATERIALlSAMPLE ID AND LOCATION GEN RMOR'S.C-EKIMI<CMION -Incomplete and/or unsigned manifizstc will cause the load to be delayed and/or rejected. I herby certify that the above named material does not contain fired 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 co nd' or transportation according to all applicable state and federal regulations. Name: 1 _ Title: Signatur • Date and Time: TRANSP R .R Company: ] G hU 1/( l Phone Number: qLy'`'( 1•t, Qd ! Address: 2 lu ,.. L4,1 f Aaruck#and License Plate; Driver: SW Ilaulers Permit N: (Type or pl3ot 'f y (applicable state permit#) I h : the above named material was picked up at the site listed above. Driver Signature: 1/ Date and Time: 7 DESTINATION , I hereby certify hat! ve �uncd m�ttterial was delivered without incident to the facility not above. q Driver Signature: + Date and Time: 1-� Z- I hcrcb certi at the above named material has been accepted at the above relcrenced facility. Authorized Signature: Date and Time: 12 ] FACiLifY u.rw antra road.a al I r r+sas rants mMttM1,NA t4a40t-rw N U U '� U (d U U U s� 4-J U) U cd � �4 U U) 4-4 O OD r-I O Ln Ln E-i rti M r-I N E N Ln �4 H H N O O O • O O O Z cLS N N OD -H U N a-) N N Q CD l� N N U' (0 44 � O ro O O O O U ri Ll N N 19 O M U) (d O b �4 O N N O r-I [� l \ \ M >y C/) M M (M d" N >y M O O N 114 (N U) � U1 N a I Ua 4-) Ua N H U) �4 N N O U) r I N x O O z -H a� a� h U �4 �4 -i �-I rl -H U' �4 U E+ rd 4-4 '� b U O FG 44 a ro v M s~ � O Ln (N �4 O +-) O +� �' W �4 oo r I N H --1 U fd o Co U N O OC H U) S4 O 44 � O lfl O 00 U O -H � V �-I >1 — � N N O H to a N Off, v i rd r-I 4J N N +� -� N N U U r4 4-) N U r Q N �4 +) �4 TI +r • U U U N C7 Clean Earth'* Manifest# 2614360 GLOBAL.JOB NUMBER: 100 FACILITY APPROVAL NUMBER: Zg3b70WZ Please Check One: Tcan Earth of Carteret F1 Clean Earth of Maryland ❑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:732-541-8909 Ph-301-791-6220 Ph:302.427-6633 Ph-301-599.0939 F1 Clean Earth of Philadelphia ❑Clean Earth of North Jersey Ll Clean Earth of Southeast Pennsylvania U 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:215428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) GENERATOR'S NAME.&SITE ADDRESS: GROSS WEIGHT: ns []Yards P-2- �,<_J-1__ TARE WEIGHT: _ ons ❑Yards GENERATOR'S PIIUNF I NET WEIGHT: _ Tons Yards DESCRI 'll OF MATERIALISAMPLE ID AND LOCNfIQN m 1 V SENERATOR'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 conditi for transportation according to all applicable state and federal regulations. Name: ` + title: ► Signa Date and Time: p Zq_ TR NS RT 'It ('ompvly: (n��e. ��U I Phone Number: Address: �� }Gl Tntck H and License Plate: Driver: ll l SW Haulers Pennit It: _ (Type or Print clearly) (applicable stale Pennitq) I hereby rtify that the a ve amed material was picked up at the sit listed a ve, 7a _ Driver Signature: 1 _ Date and Time: ��_ VES11n ATION - I he certify th�he above n d material was delivered without incid t to he facilitynote above, Driver Signature: 1 "� "—_ _ Date and Time: �?lc�_d 7, I hereby 'fy Ih the above named material has been accepted at the ve r f re facility. Authorized Signature: - Date and"Time: FACILITY MMMIM7 HIM-1;FAM14U 1PNU'fi EMU PKININfi,INC.14WWAS15 41 N U U rl W W fx (d U U U � � � U � �4 U U) m [— N 4-4 N oo d' ro O 00 QO H Ln un rn r M -C" H (Y) H CV CV N �n Ln Ln CD (� 0 0 000 Z (T5 � x N � � u) ao IZZr I;T •� U N C N N l— 00 N U (d O rn g N N ao N m Ua (d O (d N N N O —i H N dl \ \ ('') >y co M (Y) (n d" N >1 m O O N 12L4 N fY U) N H ::I U) �4 N O U) rl O o F-D v � h U �4 H rl ',4 r{ rl C7 �4 U H (� 4-I U O rJ4 a +) a� O Ln (N �4 O + O H �4 PGro Co E N N W U —i z ►, G4 rl 0) N rd o > co U N o 00 r-i U) �4 O -4 < o L-n O CO U --i U � 4 : U O X h mot' rl O > rl H N S4 U) —1 (d N O U) rl N N U U co (d 4J L" -H N O (tf �4 U Q - : U U co U N U 0.i (d > �s C a� U N C7 CleanEarth"o Manifest# 2614359 GLOBAL JOB NUMBER: FACILITY APPROVAL NUMBER: 7,q z, Please Check One: n Earth of Carteret F 1 Clean Earth of Maryland n Clean Earth of Now Castle (1 Clean Earth of Greater Washington 4 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane 6250 Dower House Road Carteret,NJ 07008 Hagerstown,MO 21740 New Castle,DE 19720 Upper Marlboro,MD 20772 Ph:732.541-8909 Ph:301-791-6220 Ph:302-427-6633 Ph 301-59"939 L1 Clean Earth of Philadelphia ❑Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania F 1 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:973-344-4004 Ph:215-428-1700 Non-Hazardous Material Manifest or Print Clearly)_ _ _ GENERATOR'S NAME&SITE ADDRESS: GROSS WEIGHT: ell ns Yards TARE WEIGHT: ens Yards GENERATOR'S 111ION - NET WEIGHT: ris ❑Yards DESCRIPTION OF MAIERIALISAMPLE I1)k D LOCATION CorlAAmi noae8 <�pi l GENERATOR'S CERTIFICATION -Incomplete and/or unsigned manifests will cause the load to be delayed and/or rejected. hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law,is not a DOT hazardous substance as defined by 49 CFR Part 172 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper condition for transportation according to all applicable state and federal regulations, Name: -t1r Title: Sign re: Date and Time: TRANSPORTER Company: Phone Numbcr: - Address: Truck H and License Plate: Driver: w fj SW Haulers Permit H: _ ('1'ypr or Print Clearly) (applicable%bald perniko) I hcrcb certify thabtc above named material was picked up at the site listed bovc, Driver Signature: Y 11 Date and Time: _ DESTINATION I hereyy cerlify tha le above 11 l 1 material was delivered without mcid t7 the facil' y noted above. Driver Signature: " . ' Date and Time: I hereby certify at t above ed material has been accepted at the• ve rc c nccd facility. Authorized Signature: - Dale and Time: -- FACILITY INn101A.72 III if.f.f M0S00 I MYS fN01ff MNTW,,1W 140"01-156 .N N U U N W W �4 rd U U U s� U) U U U) N [— L 4-1 M ao b O [� [� E 1 -H N N dl (Y) M r—I r—I a--) E� L � N n �4 L.n Ln rd 0 0 � • 000 � x v U) � r- CD 4 U + N � N CV N -0 m � � O (> ,;:" Ln 0O M 0 m O r� N \ \ M M O -r �4 �4 I 00 00 1� r-I �4 N N N O —q N Ol \ \ M >y N U) (M M M d' N >1 M O O N W (N Qx U) 41 U) 4—) 4-1 U) U H Ua S-I N N O U) rl N A4 O O ro z -r• N h N h U �4 P �4 r—I �4 rl rI (� �4 H U E-H 4-1 c� U O 44 a r� a� M C- O �n (N �4 O d-) O 4-4 �4 00 rl N H -rl U rd o > C7 .Y Co U N o 00 -r- CO �-4 O E 4-4 4 O U-) O CO U -H O : U �4N cC�t CD H U) w cN�l Uri > W N Uaco w 0 co N N U U -W N m 4-4 -H v O (0 S 4 L ' U Q PL4 CO U N 0 CleanEarth 's Manifest# 2 614 357 GLOBAL JOB NUMBER: 1011 ZV7 FACILITY APPROVAL NUMBER: Zy3Q7Q Please Check Dpie: ,glean Earth of Carteret LJ Clean Earth of Maryland F1 Clean Earth of Now Castle ❑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:301-599.0939 LJ Clean Earth of Philadelphia ❑Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania U Other— 32D1 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 (Type-or Print Clearly) GENERATOR'S NAME&SITE ADDRESS: GROSS WEIGHT: ens ❑Yards TARE WEIGHT: t_ pYp01L N Cii—o' ns ❑Yards - -- — GENERATOR'S PHONE: NET WEIGHT: ns _Yards DIE RIPTION OF MATERIALISAMPLI:ID AND LUCA rI0N GENERATOR'S CERTIFICAfICllY -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 stale 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 condi ' or transportation according to all applicable state and federal regulations. Name: t �h Title: S -- � Signature. Date and Time: TRANSPU I-E �^ r, Q Company:��w__' vc G rIU�YU Phone Number. ^'f -/ Address: f 9 J' AC L�rlat�l� Truck!t and License Plate: Driver. (j}'�_ _ � / �- SW Haulers Pcnnit#: (Type or Print 0carly) (applicable state pemtit#) I,A,heereby rtify that the ve named malerial was picked up at the s to lisstted bove. Driver Signature: C1 Date and'Time: O-��4— — DESTINATION I h �ycerntifythheabove n u d material was delivered without incident t the l�il'ty noted above. Driver Signature: j �Lll ''� _ Date and Time: a` 17,14 1 here/ c il' tat the above named material has been acceptaf at the a vc ed 1150,fee netlity. Authorized Signature: Date and Time: - �--1 FACILITY 41""Vwn Ii F+tr p WNI'1U0(YNOS CIIWCL►ANINf N(: Jibd014416 N U U W W fZ (d u U U Cl) U U U) rl C— d" 4-4 00 00 rn O N H rt rl M rl r I a H N �4 d+ c1+ C\j CD (CS 0 0 • 000 '� Z � x N � � U) N IZZ31 oo -H U N 4-) N N N C7 fd - O (d CD CD '� o �4 O U O l7 N N 61 (') U) (o O (d rl dl Ol r-1 (ti �4 N N N O rl H N O1 \ \ (') >y Cf) M M (Y) mot' (N >1 M O O N W N GY U) a U) Q) 4-) U] 4-1 U) N H U) �4 N N O U) rl N h U i 4 H �4 rl �4 H rl C7 �4 U H (d 44 zj (CS U O rJ4 a ro +-) a� M O N �4 O O H � �4 �4S+ ` Co (1) a) w U � z a--) w �4 oo r I N H -H U • +r CD 41 Co u N o 00 -H U) �-4 O � o Ln O 000 U -H � 4-4 E Y EU O z H H �-I N �4 N N CDH CO C14 N Qx E (n �• �4 b r--i -P E _N +J N s a U] N rl r N N U U +� N N H .� Q N '� N E >+ O ar U U U N C7 N U U (d U U N U U) U cd � � U U) o 1;3+ Q0 4-4 M 61 M O Ln Ln H M rl rl Ln �4 N O O '� W 0 0 -H > • o 0 0 Z Z3) x N �^ W 0 00 cN rl U N � � � 00 Ln N M Ul m O l0 \ \ M M O rl I �4 rl rl rl [� rl (0 �4 M O O O rl E I (ll Ol \ \ M >1U) M -C� N >1 M O O N a (N 1:4 U) 4-) U) N H W A N N O UU) H N ` O O ro Z -H N h N rl h U �4 E-A S-I rl H H b 4-a m U O [T4 a a� M o �n �4 o a--) W U rl 'z �4 00 N H -H U • +r CDN > L7 (0 -Y, co E 4-4 � CD co U coo -� E U O z 1-4 H�4 E N CN o H CO 'Cl N O U) '• �4U) rl RS w O co -.-I ri N N _U U +� N 6 2 cd +� 4-I -H N O Ud �4 i E V Q N rl Q +� � '� � '• U U U N U co a FC 10 No a) U a) U i CleanEarth"o Manifest#2939741 GLOBAL JOB NUMBER: 10 n Z07 FACILITY APPROVAL NUMBER: 070302- Please Check One: Clean Earth of Carteret ❑Clean Earth of Maryland ❑Clean Earth of New Castle ❑Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell lane 6250 Dower House Road Carteret.NJ 07008 Hagerstown,MD 21740 New Castle,DE 19720 Upper Marlboro,MD 20772 Ph:732-541-8W9 Ph:301-791-6220 Ph.302-427-6633 Ph:301-599-0939 Lj Clean Earth of Philadelphia Lj Clean Earth of North Jersey U Clean Earth of Southeast Pennsylvania 17 other 3201 S 61s1 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 (Type or Print Clearly) ENERATOR'S NAME& STI'I':.ADDWI.SS: (TRUSS WE161IT: vk� � � kmns ❑Yards 2.2. TARE W[;IGIIT: Q 1�JJ-ons ❑Yards (iE IiRATOR'S PRONE: NET WEIGHT: Tons ❑Yards _ DESCRIPTION OF NIXFERIAUS-ANIPLE It)AND IMCATION tr�s� G 'Nr• ERA'1'OR'S CERT1.HCA' ON - Incuntplete and/or 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 applic:ablc state law,is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law,is not a TOT hazardous substance as defined by 49(TR Part 172 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper Condit' or transportation according to all applicable state and federal regulations, Nan Title: AL Signature: _ Date and Time: TRANSPORTER - Company:_V)yu vt N ut Phone Number: ��•�"t� '�p�pQ� Address: `� �� b Tnick #and License Plate: _ Driver: o SW haulers Pcrntil Jf: (Type or Print Clearly) (applicable state pennilir) I he rt' hat the above named material was picked up at the site listed above. Driver Signature: _ ti Date and Time: d;%J'fNAATI V H I hereby ce i &nbove named material was deliverLd without incident to the facility noted above,Driver Signature: _ Date and Time: 1 herch ►ry thrlt th named material hits been accepted at the above ref• u 11 lity. Authorized Signature: �! -- — Date and Time: �- FACILITY irMea nnan nIM.CE NIM00 J�tplara IaMnM.brie I�MtNI•NN rl W W fx �4 U s� cn U � U U N IZZ7, ao 4-4 Ln In oo C- (n H .. .. M rl N N 4-) O O N O \ rl W O • O O O z (d cn dv ao klo -HU v � N N N 00 M N U b - O ro o o o �4 O U >~ al Q N N [- In rl M w m O fd lfl rl rl l� r- fd (� �4 Lr) O O O rl H v Ol \ \ M >1U) M M O O N a4 N (Y U) v H �:j U) �4 av v OU) v o o z v h v U �4 H �4 �4 C7 �4 H cd 4-4 U O rJ4 a +-) v � M O Ln �4 o a--) v > o $4 v GU W U ri z 4-) O rl b) - S4 oo v H -H U o v C7 RS CD U v o U -H CO �4 O 4-4 � CD d' CC) U -H � E Y U O �rl v z MF:� >~ > H v E �4 a) N CDH CO a4 N PY E . r-1 -P v W v rl ua N �4 to rl (0 v O C0 _ -H -H a) a) U U 4J a) (� ' �A +� 4-4 -H v O (0 �4 U CleanEafth"o Manifest#` GWBAL JOB NUMBER: �1-M� FACII.ITYAPPROVALNUMB>h t: Z�13Q7QW2_ Please Cheek One: _ nan Earth of Carteret ❑Clean Earth of Maryland L Clean Earth of New Castle ❑Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell Lane 6250 Dower House Road Carteret.NJ 07D06 Hagerstown,MD 21740 Now Castle.DE 19720 Upper Marlboro.MD 20772 Ph 732-541-6909 Ph:301-791-6220 Ph-302-427-6633 Ph:301-599-0939 [1 Clean Earth of Philadelphia ❑Clean Earth of North Jersey C7 Clean Earth of Southeast Pennsylvania n 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:973-344-4004 Ph:215.428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) F.NF.RATOR'S>LANIE & SITE ADDRESS: I GROSS WEIGHT: A111\1 I 11Q ( ons ❑Yards _._ - -- `LTARE WEIGHT: ens (JYards (_&'NFRATOR'S PHONE.: _ NET WEIGHT: ens ❑Yards DESCRIPTION OF NIATERIALJSANIPLE ID AND LO CATION © Y - kA 50( -- - - GENERATOR'S CEKFIFICS1110N - 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 its 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 Condit transportatio n according to all applicable state and federal regulations. Name: Title: Signutu ; Date and Time: TRANSP Company: enV_ _ Phone Number:Address: YYI,I'J lf21ATruck N and License Plate: - Driver: SW Haulers Pennit M (Typrrnr I'd Iart I -- (applicable stale permit#) I ere/ cei if !h Othe above named material was picked up at the site listed above. Driver Signature: ] I' t'v Date and Time. 1- YY t DESTINADON _-- I I hereby certify hat t lwc ah atonal was delivered without incident to the facility noted above. ) Driver Signature: y< '( Date and Time: I hereby cei '1y,thar[I a eramcd material has been accepted at the above rclero[n/cfed facility. Authorized Signature: -_ <- 7 Date and Tinto: fAGAIIIY �wrd n nfr?2 naN Ce 1101101 I Pori MU Nd hMMhM CleanEarth"o 2614358 Manifest 4 GLOBAL JOB NUMBER: I�1'IZ�� — FACILITY APPROVAL NUMBER: ZgWO302,_- Please Check one; r�Clean Earth of Greater Washington 41 t_nn Earth of Carteret Lj Clean Earth of Maryland U Clean Earth of New Castle 6250 Dower House Road 24 Middlesex Avenue 1469 Oak Ridge Place 94 Pyles Lane Upper Marihoro,MD 2077! Carteret,NJ 07006 Hagerstown,MD 21740 New Castle,DE 19720 Ph:30t-599-0939 Ph.732.541-8909 Ph:301.791-6220 Ph:302.427-6633 LJ Clean Earth of Philadelphia ❑Clean Earth of North Jersey I�'Clean Earth of Southeast Pennsylvania F1 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:973-344-4004 Ph:215-428-1700 Non-Hazardous Material Manifest (Type or Print Clearly) _ — —---- —— — GhNFRATOR'S NAME&SITE:ADDRESS: *6ROSS WEIGHT: i h s ❑Yards IE WEIGHT: -_-- - - --- it _ ons- [�an1s ------ -- -- GE;NERATOR'S PEIONF. NE WEIGHT*. ons-[ Yards, ----- OF. -D I !DF MATERIAUSAMP EE IV AND LOCAZ N _ GENERATOR'_S ERTIFICATION -Incomplete and/or unsigned Inanifcsts will cause tile load d Part be do al ycd and/or rejected. I hereby certi 1y thm the above named material does not contain )Tee liquid as defined by 40 CI�R Part 2(i(1.10 or any applicable state law,is not a haxanbus waste as defined by 40 CFR Part 261 or any applicable stale law,is not a WT hazardous substance as defined by 49 CFR Part 112 or any applicable state law,has been fully and accurately described above,classified,packaged and is in proper condition for transportation according to all applicable state and federal regulations. s - Name: , Title: —� Signa _ Date and Time: TRA....NSPOK :F,-u - - — -- ., . -q, Company I,- , � 1'honc Number: I --- Addrem: _ t Z.- L i I Truck i# and License Plate: - ----- Driver: SW Haulers Permit#: _---(applicable statcpcnnitu) (Type nr Print(7carly) I here celiify that t •atwvc named flu+feria/ wa picked up at the tc lisle above. Driver 5igttalu><-e_ �N �� -_Daterind Tin,c: --- DESTINATICU 1V I t jjy��certify that •above name n nal was delivered K'ithout incident t the 1'acil' noted above. - Drivcr Signahrre: 7 � ��?/� - Date nndTime: �� L` 1 hcreb certi that the above named matena I has been ;i=etfit�at the a� ve rJ�rer need�fa-ct-lily. Aulhorizcd Sig><zzrtra - - pate andTimc: --- — _ l'AGII.ITY IiFMr LE NMGUD7 SGMfIIGt M1Nr IN&1W-Itfib 41 Q) U U N rI W W fx �4 (0 U U U (0 (0 U U) I— d" ('') 4-4 rn Lnro O (M (Y') E-+ rl r I r I QO O H I M rI N 4-) H N �4 N N (0 0 O 0 • o 0 0 Z rt � x N � � (n IZII oo %lo -AU N C N N dl CC) CD -A U' (o O (0 O O a O O U d' L1 N CV(Y) U) rt O (d �4 I-() O O O r A H Ol >y C!� (M d' I;T d' N >1 (M O O N a4 (N U) U) 4-) (1) N H U) �4 N O U) r I N x o O (0 z Q) h U S4 H �4 rl �4 r I r I CD �4 U H U O f� a ro a� O Ln �4 o a-) U �' CDW Z ,cB S 4 oo N H rl U (d O Co U N o U -H U) S4 O E � o (o COU -H � � 44 O > > -H --I (o pQ ` U a� Z m FC � H � O 4 N N CDH U) a N s r N a) U U 4J a) Q rd 4J 4-� -H N O m �-I i s U co U (V U W (d > �J FC N U N 0 CleanEarth"* Mtanifcsc#293U743 GLOBAL JOB NUMBER: '�7 FACILITY APPROVAL NUMBER: _Z130]n362_- Please Check One: an of Carteret L]Clean Earth of Maryland J Clean Earth of New Castle Ll Clean Earth of Greater Washington 24 Middlesex Avenue 1469 Oak Ridge Place 94 J Caldwell 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 C1 Clean Earth of Philadelphia F1 Clean Earth of North Jersey [ ]Clean Earth of Southeast Pennsylvania [J Other 3201 S.6151 Street 115 Jacobus Avenue 7 Stool Road East Philadelphia,PA 19153 Kearny.NJ 07032 Morrisville.PA 19067 Ph:215-724.5520 Ph:973-344-4004 Ph:215-128-1700 — - —-- Non-Hazardous Material Manifest (Type or Print Clearly} _ - MN L•RATOR'S AME&SITE ADDRESS: GROSS WEIGHT: t S t d ' ns Li Yards TARE WEIGHT: ns Yards GEN •RAI'OR'S PH NL; NET WEIGHT: ens uYards DESCRIPTION OF MXU RIALlSAMPLE ID AND LOCATION _ (Da GEN. RF ATUK'S CERTIFIC,K lQN -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 conditi transportation according to all applicable state and federal regulations. Nat 1 Title: Signat _ _ Datc and Time: TR NSP It QQ �/,Q Company: Ij0 `i�._ ►lUI Wl Phone Number: �Iy'�7 -/_' Address: 2 Truck ti and License Plate: Driver: ,C D SW Haulers Permit#: nnt'f.`arty) (applicable state permit#) h red c rl fy`that the above named material was picked up at the site listed above. Driver Signature: _ Date and Time: DESTINATION I hereby rlify v amed material was delivered without incident to the facfl'ty otcd ab . Date and Time: L') r g-7 Driver Signature: —_ — --- I here cc to above named material has been accepted at the above referenced facility. authorized Signature: Date and Time: L4 FACIurY 111M.f.E MMSAO f MO'S PIOICr PRIR f IR6,INC.1449401 16RS NW*NiI WWI N U U rd U U U U) U ro U U) N vy 00 (4-4 O N N E{ ro CY) MC\j rl E+ Ln O O N CD � o � w 000 N v� U) ao klo -H U C N N N 00 M N 0 ro .1 � O ro o o CD � O U l� L1 N N cM c (n U) ro O co rl N N l� rl a1 �4 �10 O O O rl EA N Ol \ \ M >, v Cl) M M O O N W N (24 U) 75 +� +� U) Ua U) N H U) S4 N N O U) rl N x o o r0 z a� v h rl C7 �4 rl O U H ro 4-4 U O C*4 a a� (y) G r` O Ln �4 (D �4 ': 6 4J CD yam L �4 00 ro o Co U N o U •H U) �-A O E 4-i X4 CD I o r. h U o -H � Y U N z M CD 0 � H >r O O rd 4J + N W N N rl U) N 'd �4 U) r-I (d Q) O U) _ --I N NFU N U U 4J (D �4 rd x - 4-4 •H N O (0 �4 U N U W rd � ` N C7 CleanEafth"o Manifest#' GLOBAL.IOB NUMBER: nt-12S-7 FACILITY APPROVAL NUMBER: 2q3_07()302_ Please Check One: j L- an Earth of Carteret n Clean Earth of Maryland F1 Clean Earth of New Castle El Clean Earth of Greater Washington 24 Mrddk!sex Avenue 1469 Oak Ridge Ptace 94 J Caldwell 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 LI Clean Earth of Philadelphia L Clean Earth of North Jersey ❑Clean Earth of Southeast Pennsylvania ❑Other 3201 S.61 st Street 115 Jacobus Avenue 7 Stool Road East Philadelphia,PA 19153 Kearny.NJ 07032 Morrisville,PA 19067 Ph:215-724-5520 Ph:973-3444004 Ph:215-428-1700 —._--_ Non-Hazardous Material Manifest (Type or Print Clearly) NERAI'OR'S ANIE&SITE ADDRL;SS: CIROSS WFIGI-IT: _ kiTons LYards K,1 TARF W'FIGHT: ns L)Yards GE ERATOR'S PHONIi: _ NI'.'I'WF.IGIIT: [Aims ❑Yards DESCRIPTION OF NIA.TERIAUSAMPLE ID AND L(W:ATIUN - i GE1Yl[iRA(4R'S.CE1Zf1F1GA'h14I Incomplete andor unsigned manif:sts will cause the load to be delayed and/or rejected. I hereby certify that the above named material dues 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 Parl 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 cond' or transportation according to all applicable state and federal regulations. Name: Q Title: Signalerr2l_ (631b�l -- Date and'I'irnc; TRANSPJam' Company: Emu, Vt 1 I'honc Number: � � Address: � �(,�, �a��"m'ruck #and License Plate: Driver: _ ,mot c e '� SW I laulers Permit#; (Type or P"m y �— lappheahte state permit#) I h 1y r the above named material was picked up at the site listed above. 7 Driver Signature: �'�.I 'f� _ _ � Date and'I•ime: l DESI'INAIION I hereby certify hat I ve i arned't 11 aterial was delivered without incident to the facility noted above. Driver Signature: Date and Time: I hereb certi it the above named material has been accepted at the abov'rcferenced facility, Authorized Signature: Date and Tin1e: FACILITY A~MUM rrut.a YOe00/MM CNMC!M. 1�1% 1-il/ �Aw, PHOEVIX-�- Environmental Laboratories. Inc. Friday, April 05, 2024 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 22 TAMARACK RD, RYE BROOK SDG ID: GCQ42515 Sample ID#s: CQ42515 - CQ42519 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. This report is incomplete unless all pages indicated in the pagination at the bottom of the page are included. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you are the client above and have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. Sincerely yours, UL Phyllis hiller Laboratory Director NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 MA Lab Registration #M-CT007 RI Lab Registration #63 ME Lab Registration #CT-007 VT Lab Registration #VT11301 NH Lab Registration #213693-A,B 587 East Middle Turnpike,P.O. Box 370,Manchester, CT 06040 Telephone(860)645-1102 Page 1 of 18 �N ACCOApA PHOEVIX�'-'d � 4 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 April 05, 2024 SDG I.D.: GCQ42515 Project ID: 22 TAMARACK RD, RYE BROOK Client Id Lab Id Matrix WEST WALL UNDER HSE CQ42515 SOIL EAST WALL CQ42516 SOIL NORTH WALL CQ42517 SOIL SOUTH WALL CQ42518 SOIL BOTTOM CQ42519 SOIL Page 2 o/18 PHOEVIT�'IlbiRJ �� %NA q � CCQ � "a, e Environmental Laboratories, Inc. Q' Wa lt� 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 April 05, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/02/24 11:00 Location Code: INNOVAT Received by: CID 04/03/24 17:45 Rush Request: 5 Day Analyzed by: see"By' below P.O.#: Laboratory Data SDG ID: GCQ42515 Phoenix ID: CQ42515 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: WEST WALL UNDER HSE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 83 % 04/03/24 AC1 SW846-%Solid Soil Extraction for SVOA PAH Completed 04/04/24 AUH/A SW3546 Volatiles-STARS/CP-51 1,2,4-Trimethylbenzene 1800 38 ug/Kg 50 04/04/24 JLI SW8260D 1,3,5-Trimethylbenzene 630 38 ug/Kg 50 04/04/24 JLI SW8260D Benzene ND 60 ug/Kg 50 04/04/24 JLI SW8260D Ethylbenzene 230 76 ug/Kg 50 04/04/24 JLI SW8260D Isopropylbenzene 130 38 ug/Kg 50 04/04/24 JLI SW8260D m&p-Xylene 690 76 ug/Kg 50 04/04/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 38 ug/Kg 50 04/04/24 JLI SW8260D Naphthalene 210 38 ug/Kg 50 04/04/24 JLI SW8260D n-Butylbenzene 440 38 ug/Kg 50 04/04/24 JLI SW8260D n-Propylbenzene 370 38 ug/Kg 50 04/04/24 JLI SW8260D o-Xylene 250 76 ug/Kg 50 04/04/24 JLI SW8260D p-Isopropyltoluene 190 38 ug/Kg 50 04/04/24 Al SW8260D sec-Butyl benzene 300 38 ug/Kg 50 04/04/24 Al SW8260D tert-Butylbenzene ND 38 ug/Kg 50 04/04/24 Al SW8260D Toluene ND 76 ug/Kg 50 04/04/24 JLI SW8260D Total Xylenes 940 76 ug/Kg 50 04/04/24 JLI SW8260D QA/QC Surrogates % 1,2-Dichlorobenzene-d4(50x) 100 % 50 04/04/24 Al 70-130% %Bromofluorobenzene (50x) 104 % 50 04/04/24 JLI 70-130% %Dibromofluoromethane(50x) 90 % 50 04/04/24 Al 70-130% %Toluene-d8(50x) 97 % 50 04/04/24 JLI 70-130% Ver 1 Page 3 o/18 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CQ42515 Client ID: WEST WALL UNDER HSE RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semivolatiles-STARS/CP-51 Acenaphthene ND 280 ug/Kg 1 04/05/24 MR SW8270E Acenaphthylene ND 280 ug/Kg 1 04/05/24 MR SW8270E Anthracene ND 280 ug/Kg 1 04/05/24 MR SW8270E Benz(a)anthracene ND 280 ug/Kg 1 04/05/24 MR SW8270E Benzo(a)pyrene ND 280 ug/Kg 1 04/05/24 MR SW8270E Benzo(b)fluoranthene ND 280 ug/Kg 1 04/05/24 MR SW8270E Benzo(ghi)perylene ND 280 ug/Kg 1 04/05/24 MR SW8270E Benzo(k)fuoranthene ND 280 ug/Kg 1 04/05/24 MR SW8270E Chrysene ND 280 ug/Kg 1 04/05/24 MR SW8270E Dibenz(a,h)anth race ne ND 280 ug/Kg 1 04/05/24 MR SW8270E Fluoranthene ND 280 ug/Kg 1 04/05/24 MR SW8270E Fluorene ND 280 ug/Kg 1 04/05/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 280 ug/Kg 1 04/05/24 MR SW8270E Naphthalene ND 280 ug/Kg 1 04/05/24 MR SW8270E Phenanthrene ND 280 ug/Kg 1 04/05/24 MR SW8270E Pyrene ND 280 ug/Kg 1 04/05/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 63 % 1 04/05/24 MR 30-130% %Nitrobenzene-d5 68 % 1 04/05/24 MR 30-130% %Terphenyl-d14 64 % 1 04/05/24 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: 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 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 April 05,2024 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 4 of 18 PHOEVIT .) f_y J . Environmental Laboratories, Inc. Q 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 April 05, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/02/24 11:00 Location Code: INNOVAT Received by: CID 04/03/24 17:45 Rush Request: 5 Day Analyzed by: see"By" below P.O.#. Laboratory Data SDG ID: GCQ42515 Phoenix ID: CQ42516 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: EAST WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 92 % 04/03/24 AC1 SW846%Solid Soil Extraction for SVOA PAH Completed 04/04/24 H/A SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Benzene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Ethylbenzene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Isopropylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D m&p-Xylene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Naphthalene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D n-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D n-Propylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D o-Xylene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D p-Isopropyltoluene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D sec-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D tert-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Toluene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Total Xylenes ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D QA/QC Surrogates % 1,2-Dichlorobenzene-d4 97 % 1 04/04/24 JLI 70-130% •Bromofluorobenzene 99 % 1 04/04/24 Al 70-130% •Dibromofluoromethane 95 % 1 04/04/24 Al 70-130% %Toluene-d8 104 % 1 04/04/24 JLI 70-130% Ver 1 Page 5 of 18 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CQ42516 Client ID: EAST WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivo lati les-STARS/C P-51 Acenaphthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Acenaphthylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benz(a)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(a)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(b)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(ghi)perylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(k)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Chrysene ND 250 ug/Kg 1 04/05/24 MR SW8270E Dibenz(a,h)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluorene ND 250 ug/Kg 1 04/05/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Naphthalene ND 250 ug/Kg 1 04/05/24 MR SW8270E Phenanthrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 76 % 1 04/05/24 MR 30-130% % Nitrobenzene-d5 75 % 1 04/05/24 MR 30-130% %Terphenyl-d14 70 % 1 04/05/24 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: 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 April 05,2024 Reviewed and Released by:Anil Makol, Project Manager Vert Page 6 of 18 �C N ACC0,90 PHOEVIT�- % U 4 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 April 05, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/02/24 11:00 Location Code: INNOVAT Received by: CID 04/03/24 17:45 Rush Request: 5 Day Analyzed by: see"By' below P.Q.#. Laboratory Data SDG ID: GCQ42515 Phoenix ID: CQ42517 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: NORTH WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 92 % 04/03/24 AC1 SW846-%Solid Soil Extraction for SVOA PAH Completed 04/04/24 H/A SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.71 ug/Kg 1 04/04/24 Al SW8260D Benzene ND 1.4 ug/Kg 1 04/04/24 Al SW8260D Ethylbenzene ND 1.4 ug/Kg 1 04/04/24 JLI SW8260D Isopropylbenzene ND 0.71 ug/Kg 1 04/04/24 Al SW8260D m&p-Xylene ND 1.4 ug/Kg 1 04/04/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D Naphthalene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D n-Butylbenzene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D n-Propylbenzene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D o-Xylene ND 1.4 ug/Kg 1 04/04/24 JLI SW8260D p-Isopropyltoluene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D sec-Butylbenzene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D tert-Butylbenzene ND 0.71 ug/Kg 1 04/04/24 JLI SW8260D Toluene ND 1.4 ug/Kg 1 04/04/24 JLI SW8260D Total Xylenes ND 1.4 ug/Kg 1 04/04/24 JLI SW8260D QA/QC Surrogates • 1,2-Dichlorobenzene-d4 99 % 1 04/04/24 JLI 70-130% •Bromofluorobenzene 101 % 1 04/04/24 JLI 70-130% %Dibromofluoromethane 97 % 1 04/04/24 JLI 70-130% %Toluene-d8 104 % 1 04/04/24 JLI 70-130% Ver 1 Page 7 of 18 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CQ42517 Client ID: NORTH WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference SemivolatilesSTARS/CP-51 Acenaphthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Acenaphthylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benz(a)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(a)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(b)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(ghi)perylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(k)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Chrysene ND 250 ug/Kg 1 04/05/24 MR SW8270E Dibenz(a,h)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluorene ND 250 ug/Kg 1 04/05/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Naphthalene ND 250 ug/Kg 1 04/05/24 MR SW8270E Phenanthrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 77 % 1 04/05/24 MR 30-130% %Nitrobenzene-d5 71 % 1 04/05/24 MR 30-130% %Terphenyl-d14 70 % 1 04/05/24 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 April 05,2024 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 8 of 18 \� �Q �N ACCOgv4 PHOENIX��. o�N ti e U 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 April 05, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/02/24 11:00 Location Code: INNOVAT Received by: CP 04/03/24 17:45 Rush Request: 5 Day Analyzed by: see"By' below P.Q.#. Laboratory Data SDG ID: GCQ42515 Phoenix ID: CQ42518 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: SOUTH WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 90 % 04/03/24 AC1 SW846-%Solid Soil Extraction for SVOA PAH Completed 04/04/24 H/A SW3546 Volatiles-STARS/CP-51 1,2,4-Trimethylbenzene ND 0.59 ug/Kg 1 04/04/24 Al SW8260D 1,3,5-Trimethylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Benzene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Ethylbenzene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Isopropylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D m&p-Xylene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Naphthalene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D n-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 Al SW8260D n-Propylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D o-Xylene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D p-Isopropyltoluene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D sec-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D tert-Butylbenzene ND 0.59 ug/Kg 1 04/04/24 JLI SW8260D Toluene ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D Total Xylenes ND 1.2 ug/Kg 1 04/04/24 JLI SW8260D QA/QC Surrogates % 1,2-Dichlorobenzene-d4 99 % 1 04/04/24 JLI 70-130% %Bromofluorobenzene 100 % 1 04/04/24 JLI 70-130% %Dibromofluoromethane 93 % 1 04/04/24 JLI 70-130% %Toluene-d8 103 % 1 04/04/24 JLI 70-130% Ver 1 Page 9 o/18 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CQ42518 Client ID: SOUTH WALL RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivo lati les-STARS/C P-51 Acenaphthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Acenaphthylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benz(a)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(a)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(b)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(ghi)perylene ND 250 ug/Kg 1 04/05/24 MR SW8270E Benzo(k)fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Chrysene ND 250 ug/Kg 1 04/05/24 MR SW8270E Dibenz(a,h)anthracene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluoranthene ND 250 ug/Kg 1 04/05/24 MR SW8270E Fluorene ND 250 ug/Kg 1 04/05/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Naphthalene ND 250 ug/Kg 1 04/05/24 MR SW8270E Phenanthrene ND 250 ug/Kg 1 04/05/24 MR SW8270E Pyrene ND 250 ug/Kg 1 04/05/24 MR SW8270E QA/QC Surrogates •2-Fluorobiphenyl 75 % 1 04/05/24 MR 30-130% •Nitrobenzene-d5 72 % 1 04/05/24 MR 30-130% •Terphenyl-d14 66 % 1 04/05/24 MR 30-130% RL/PQL=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: 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 April 05,2024 Reviewed and Released by:Anil Makol,Project Manager Ver 1 Page 10 of 18 O N ACCOAO PHOEVIX 4y C, ,. . o 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 April 05, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: SOIL Collected by: 04/02/24 11:00 Location Code: INNOVAT Received by: CID 04/03/24 17:45 Rush Request: 5 Day Analyzed by: see"By" below P.O.#. Laboratory Data SDG ID: GCQ42515 Phoenix ID: CQ42519 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 89 % 04/03/24 AC1 SW846-%Solid Soil Extraction for SVOA PAH Completed 04/04/24 H/A SW3546 Volatiles- STARS/CP-51 1,2,4-Trimethylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D 1,3,5-Trimethylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D Benzene ND 1.3 ug/Kg 1 04/04/24 JLI SW8260D Ethylbenzene ND 1.3 ug/Kg 1 04/04/24 Al SW8260D Isopropylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D m&p-Xylene ND 1.3 ug/Kg 1 04/04/24 JLI SW8260D Methyl t-Butyl Ether(MTBE) ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D Naphthalene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D n-Butylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D n-Propylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D o-Xylene ND 1.3 ug/Kg 1 04/04/24 JLI SW8260D p-Isopropyltoluene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D sec-Butylbenzene ND 0.66 ug/Kg 1 04/04/24 JLI SW8260D tert-Butylbenzene ND 0.66 ug/Kg 1 04/04/24 Al SW8260D Toluene ND 1.3 ug/Kg 1 04/04/24 JLI SW8260D Total Xylenes ND 1.3 ug/Kg 1 04/04/24 JLI SW8260D QA/QC Surrogates • 1,2-Dichlorobenzene-d4 99 % 1 04/04/24 JLI 70-130% •Bromofluorobenzene 99 % 1 04/04/24 JLI 70-130% %Dibromofluoromethane 92 % 1 04/04/24 JLI 70-130% %Toluene-d8 102 % 1 04/04/24 JLI 70-130% Ver 1 Page 11 of 18 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CQ42519 Client ID: BOTTOM RL/ Parameter Result PQL Units Dilution Date/Time By Reference Sem ivo lati les-STARS/C P-51 Acenaphthene ND 260 ug/Kg 1 04/05/24 MR SW8270E Acenaphthylene ND 260 ug/Kg 1 04/05/24 MR SW8270E Anthracene ND 260 ug/Kg 1 04/05/24 MR SW8270E Benz(a)anthracene ND 260 ug/Kg 1 04/05/24 MR SW8270E Benzo(a)pyrene ND 260 ug/Kg 1 04/05/24 MR SW8270E Benzo(b)fluoranthene ND 260 ug/Kg 1 04/05/24 MR SW8270E Benzo(ghi)perylene ND 260 ug/Kg 1 04/05/24 MR SW8270E Benzo(k)fuoranthene ND 260 ug/Kg 1 04/05/24 MR SW8270E Chrysene ND 260 ug/Kg 1 04/05/24 MR SW8270E Dibenz(a,h)anthracene ND 260 ug/Kg 1 04/05/24 MR SW8270E Fluoranthene ND 260 ug/Kg 1 04/05/24 MR SW8270E Fluorene ND 260 ug/Kg 1 04/05/24 MR SW8270E Indeno(1,2,3-cd)pyrene ND 260 ug/Kg 1 04/05/24 MR SW8270E Naphthalene ND 260 ug/Kg 1 04/05/24 MR SW8270E Phenanthrene ND 260 ug/Kg 1 04/05/24 MR SW8270E Pyrene ND 260 ug/Kg 1 04/05/24 MR SW8270E QA/QC Surrogates %2-Fluorobiphenyl 76 % 1 04/05/24 MR 30-130% %Nitrobenzene-d5 71 % 1 04/05/24 MR 30-130% %Terphenyl-d14 68 % 1 04/05/24 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. AOL Phyllis hiller,Laboratory Director April 06,2024 Reviewed and Released by:Anil Makol, Project Manager Ver 1 Page 12 of 18 �N ACCOq PHOENIXrJi ��° °�� U ' Environmental Laboratories, Inc. 587 East Middle Turnpike, P.O.Box 370,Manchester,CT 06045 NY#11301 QA/QC Report Tel.(860)645-1102 April 05, 2024 QA/QC Data SDG I.D.: GCQ42515 pro pro Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 725365(ug/kg),QC Sample No:CQ40489(CQ42515,CQ42516,CQ42517,CQ42518,CQ42519) Polynuclear Aromatic HC - Soil Acenaphthene ND 230 76 72 5.4 77 76 1.3 30-130 30 Acenaphthylene ND 230 65 62 4.7 67 64 4.6 40-140 30 Anthracene ND 230 81 77 5.1 82 79 3.7 40-140 30 Benz(a)anthracene ND 230 76 72 5.4 78 74 5.3 40-140 30 Benzo(a)pyrene ND 230 78 73 6.6 80 75 6.5 40-140 30 Benzo(b)fluoranthene ND 230 71 65 8.8 73 69 5.6 40-140 30 Benzo(ghi)perylene ND 230 78 77 1.3 85 80 6.1 40-140 30 Benzo(k)fluoranthene ND 230 76 72 5.4 79 75 5.2 40-140 30 Chrysene ND 230 78 74 5.3 80 76 5.1 40-140 30 Dibenz(a,h)anthracene ND 230 77 78 1.3 84 79 6.1 40-140 30 Fluoranthene ND 230 68 63 7.6 70 66 5.9 40-140 30 Fluorene ND 230 85 80 6.1 87 81 7.1 40-140 30 Indeno(1,2,3-cd)pyrene ND 230 78 76 2.6 84 79 6.1 40-140 30 Naphthalene ND 230 70 68 2.9 72 69 4.3 40-140 30 Phenanthrene ND 230 82 76 7.6 82 79 3.7 40-140 30 Pyrene ND 230 67 63 6.2 70 65 7.4 30-130 30 %2-Fluorobiphenyl 68 % 72 71 1.4 77 73 5.3 30-130 30 %Nitrobenzene-d5 64 % 65 62 4.7 71 68 4.3 30-130 30 %Terphenyl-d14 60 % 62 57 8.4 64 62 3.2 30-130 30 QA/QC Batch 725431 (ug/kg),QC Sample No:C042092(CQ42516,CQ42517,CQ42518,CQ42519) Volatiles - Soil (Low Level) 1,2,4-Tdmethylbenzene ND 1.0 112 106 5.5 91 93 2.2 70-130 30 1,3,5-Trimethylbenzene ND 1.0 113 109 3.6 92 94 2.2 70-130 30 Benzene ND 1.0 110 108 1.8 94 93 1.1 70-130 30 Ethylbenzene ND 1.0 113 110 2.7 94 95 1.1 70-130 30 Isopropylbenzene ND 1.0 117 112 4.4 94 94 0.0 70-130 30 m&p-Xylene ND 2.0 112 109 2.7 93 95 2.1 70-130 30 Methyl t-butyl ether(MTBE) ND 1.0 97 102 5.0 61 71 15.2 70-130 30 m Naphthalene ND 5.0 101 106 4.8 88 89 1.1 70-130 30 n-Butylbenzene ND 1.0 115 107 7.2 90 93 3.3 70-130 30 n-Propylbenzene ND 1.0 116 110 5.3 93 94 1.1 70-130 30 o-Xylene ND 2.0 109 109 0.0 95 96 1.0 70-130 30 p-Isopropyltoluene ND 1.0 115 107 7.2 91 92 1.1 70-130 30 sec-Butylbenzene ND 1.0 117 110 6.2 92 94 2.2 70-130 30 tert-Butylbenzene ND 1.0 115 111 3.5 94 93 1.1 70-130 30 Toluene ND 1.0 111 108 2.7 86 93 7.8 70-130 30 %1,2-dichlorobenzene-d4 98 % 100 100 0.0 99 100 1.0 70-130 30 %Bromofluorobenzene 100 % 100 100 0.0 100 99 1.0 70-130 30 %Dibromofluoromethane 95 % 93 95 2.1 95 94 1.1 70-130 30 %Toluene-d8 103 % 100 99 1.0 99 99 0.0 70-130 30 Page 13 of 18 QA/QC Data SDG I.D.: GCQ42515 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 Tdchlorofluoromethane-HL. QA/QC Batch 725405H(ug/kg),QC Sample No:CQ42325 50X(CQ42515(50X)) Volatiles - Soil (High Level) 1,2,4-Trimethylbenzene ND 250 111 108 2.7 107 107 0.0 70-130 30 1,3,5-Trimethylbenzene ND 250 112 111 0.9 109 109 0.0 70-130 30 Benzene ND 250 99 98 1.0 99 99 0.0 70-130 30 Ethylbenzene ND 250 114 113 0.9 111 112 0.9 70-130 30 Isopropylbenzene ND 250 110 109 0.9 109 108 0.9 70-130 30 m&p-Xylene ND 250 115 115 0.0 111 112 0.9 70-130 30 Methyl t-butyl ether(MTBE) ND 250 100 96 4.1 98 97 1.0 70-130 30 Naphthalene ND 250 109 106 2.8 107 106 0.9 70-130 30 n-Butylbenzene ND 250 112 110 1.8 107 107 0.0 70-130 30 n-Propylbenzene ND 250 111 109 1.8 107 107 0.0 70-130 30 o-Xylene ND 250 116 114 1.7 112 112 0.0 70-130 30 p-Isopropyltoluene ND 250 114 113 0.9 111 110 0.9 70-130 30 sec-Butylbenzene ND 250 111 109 1.8 109 107 1.9 70-130 30 tert-Butylbenzene ND 250 112 110 1.8 110 109 0.9 70-130 30 Toluene ND 250 105 104 1.0 103 103 0.0 70-130 30 •1,2-dichlorobenzene-d4 100 % 101 100 1.0 100 101 1.0 70-130 30 •Bromofluorobenzene 99 % 106 106 0.0 104 106 1.9 70-130 30 •Dibromofluoromethane 90 % 98 92 6.3 96 94 2.1 70-130 30 %Toluene-d8 96 % 98 98 0.0 98 98 0.0 70-130 30 Comment: Additional 8260 criteria: 10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%,25-160%for Chloroethane-HL and Trichlorofluoromethane-HL. m=This parameter is outside laboratory MS/MSD specified recovery limits. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample LCSD-Laboratory Control Sample Duplicate AOLw/i MS-Matrix Spike MS Dup-Matrix Spike Duplicate Phyllis hiller, Laboratory Director April 2024 NC-No Criteria Intf-Interference Page 14 of 18 Cl- w (j) a (� �\ 0 � k §j ] 2 )\ d ~ §/ kk ° \ D /§ § 0 ) ¥ k} ± ° 0M k/ o - § CL$ k ® 2 I � \ {\ @ > 4 :2 § o k16 $ LL z ® � K x cc) {{ § [ o § � k7 CD / E » o \� §/ @ , / �« CL \ - � � 6 ( � E � @ / % §2 § 0 ) &] - »� /k.2 2c "If (] 2 ~ moo / k $ Smm ` x (�/ I / co < @tea m \ 0 00 \ CU2C k/ / \ \ j .0 (D\ < / ) 2 [ {] � L) CL E k k*k » $ o cLK & � ��O �N ACC09pA PHOEVJXk'�c U � U - Environmental Laboratories, Inc. a NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments April 05, 2024 SDG I.D.: GCQ42515 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: VOA Narration CHEM31 04/03/24-2: CQ42516,CQ42517,CQ42518,CQ42519 The following Initial Calibration compounds did not meet recommended response factors:Ethylbenzene 0.335(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 0.338(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 16 of 18 O\��O N A C C Q q0�� PHOENIX. ,. 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 April 05,2024 SDG I.D.: GCQ42515 The samples in this delivery group were received at 1.7°C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 17 of 18 Fzoa/l A08 M-13d FIF aL� p O 0 v N z z *. o � v 0 W w C ' O ill l f ,y ii ii o n y ( C� o .N E ` S'S'� � 'rc'�20�)d m a Q- u g g > 7'j i "bl2 OSti QI ❑ ❑ ❑ ❑ ❑ ° ~ °� ll� )d .o . b u Ino �m m O t5 OmmO `O OrcL am' y O , Uai t)ui SU)m E mvi a IL CD � m ��F-L)y .j ,mna El El El El El El �" b0 0 6 7�'bS m o c m m m ° )� OD m g U m m mCL U ElQ 0 Z E U E u° 0co m W m > C,4 g El El El El El � U)IL U- O c cc O cc G C � N o ✓�� A Nmv ,n � u�a :°� � „ z z z m ECD v 4L7 LL 9Z fir—ur -_ w a a� U m CL w C � m Q d z zQ O -- - o ¢� 1 n a � z ❑ ❑ ❑ ❑ N v C M 0 Z W m N — m n 0 o J o p Z � O F _J U) m 0 N W d m K m 16 a _1 € o x LL to cl d ? o El El ❑ Elm 3 I I D m _1 11 O lV E m o U) m to E om o I� Y = 5 r _ 0 O U)co � c O a a o � � o c� 3 i ami o J yn Em s c = E E O m J y� pp � m O ( -Eg 3� � Z { d O E rn m WLU D » O `� .� $c 3J i f x W N N m � 0 0:m =n U) SO 04 U � o O m ^ V O Z ? ? 3 3 — C v Z j m r O r) m m w w w D D v v N d c a o <s o m s v v° < N o .Om. 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Inc. Tuesday, August 27, 2024 Attn: Donnie Feeney Innov8tive Environmental Services 392 Columbus Ave Valhalla NY 10595 Project ID: 22 TAMARACK RD, RYE BROOK SDG ID: GCR47217 Sample ID#s: CR47217 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. 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 Page 1 of 11 10� �N ACCp H v OE Cj 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 August 27, 2024 SDG I.D.: GCR47217 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 ��► a ncco,q PHOENIXy ° tiC V ? Environmental Laboratories, Inc. rvY# ��so� 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference August 27, 2024 SDG I.D.: GCR47217 Project ID: 22 TAMARACK RD, RYE BROOK Client Id _ Lab Id Matrix GROUNDWATER CR47217 GROUND WATER Page 3 of 11 r �N ACCpq� PHOEVIT - 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 August 27, 2024 392 Columbus Ave Valhalla NY 10595 Sample Information Custody Information Date Time Matrix: GROUND WATER Collected by: 08/21/24 10:30 Location Code: INNOVAT Received by: CP 08/22/24 17:25 Rush Request: 5 Day Analyzed by: see"By"below P.Q.#. Laboratory Data SDG ID: GCR47217 Phoenix ID: CR47217 Project ID: 22 TAMARACK RD, RYE BROOK Client ID: GROUNDWATER RL/ Parameter Result PQL Units Dilution Date/Time By Reference Semi-Volatile Extraction Completed 08/23/24 ztKUMo SW3520C Volatiles- Stars/CP-51 1,2,4-Trimethylbenzene ND 1.0 ug/L 1 08/23/24 HM SW8260D 1,3,5-Tri methyl benzene ND 1.0 ug/L 1 08/23/24 HM SW8260D Benzene ND 0.70 ug/L 1 08/23/24 HM SW8260D Ethylbenzene ND 1.0 ug/L 1 08/23/24 HM SW8260D Isopropylbenzene ND 1.0 ug/L 1 08/23/24 HM SW8260D m&p-Xylene ND 2.0 ug/L 1 08/23/24 HM SW8260D Methyl t-butyl ether(MTBE) ND 1.0 ug/L 1 08/23/24 HM SW8260D Naphthalene 1.5 1.0 ug/L 1 08/23/24 HM SW8260D n-Butylbenzene ND 1.0 ug/L 1 08/23/24 HM SW8260D n-Propylbenzene ND 1.0 ug/L 1 08/23/24 HM SW8260D o-Xylene ND 2.0 ug/L 1 08/23/24 HM SW8260D p-Isopropyltoluene ND 1.0 ug/L 1 08/23/24 HM SW8260D sec-Butyl benzene ND 1.0 ug/L 1 08/23/24 HM SW8260D tert-Butyl benzene ND 1.0 ug/L 1 08/23/24 HM SW8260D Toluene ND 1.0 ug/L 1 08/23/24 HM SW8260D Total Xylenes ND 2.0 ug/L 1 08/23/24 HM SW8260D QA/QC Surrogates % 1,2-dichlorobenzene-d4 100 % 1 08/23/24 HM 70-130% %Bromofluorobenzene 97 % 1 08/23/24 HM 70-130% %Dibromofluoromethane 100 % 1 08/23/24 HM 70-130% %Toluene-d8 95 % 1 08/23/24 HM 70-130% Semivolatiles by SIM, PAH 2-Methylnaphthalene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Ver 1 Page 4 of 11 Project ID: 22 TAMARACK RD, RYE BROOK Phoenix I.D.: CR47217 Client ID: GROUNDWATER RL/ Parameter Result PQL Units Dilution Date/Time By Reference Acenaphthene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Acenaphthylene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Anthracene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Benz(a)anthracene 0.03 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Benzo(a)pyrene ND 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Benzo(b)fluoranthene ND 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Benzo(ghi)perylene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Benzo(k)fluoranthene ND 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Chrysene 0.05 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Dibenz(a,h)anthracene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Fluoranthene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Fluorene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Indeno(1,2,3-cd)pyre ne ND 0.02 ug/L 1 08/26/24 MR SW8270E(SIM) Naphthalene ND 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Phenanthrene 1.1 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) Pyrene 0.95 0.47 ug/L 1 08/26/24 MR SW8270E(SIM) QA/QC Surrogates %2-Fluorobiphenyl 67 % 1 08/26/24 MR 30-130% % Nitrobenzene-d5 69 % 1 08/26/24 MR 30-130% %Terphenyl-d14 49 % 1 08/26/24 MR 30-130% RL/PQL=Reporting/Practical Quantitation Level(Equivalent to NELAC LOQ, Limit of Quantitation) ND=Not Detected at RUPQL BRL=Below Reporting Level L=Biased Low QA/QC Surrogates:Surrogates are compounds(preceeded with a%)added by the lab to determine analysis efficiency. Surrogate results(%)listed in the report are not"detected"compounds. Comments: 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 August 27,2024 Reviewed and Released by:Anil Makol, Project Manager Ver 1 Page 5 of 1 f \��p �N ACC 0 9p42c PHOWATIXA,,A� �� Environmental Laboratories, Inc. _ 587 East Middle Turnpike, P.O.Box 370,Manchester,CT 06045 NY# 11301 Tel.(860)645-1102 QA/QC Report August 27, 2024 QA/QC Data SDG I.D.: GCR47217 o� o� Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits QA/QC Batch 746183(ug/L),QC Sample No:CR45816(CR47217) Semivolatiles by SIM PAH - Ground Water 2-Methylnaphthalene ND 0.50 74 77 4.0 30-130 20 Acenaphthene ND 0.50 84 86 2.4 30-130 20 Acenaphthylene ND 0.10 60 63 4.9 30-130 20 Anthracene ND 0.10 75 78 3.9 30-130 20 Benz(a)anthracene ND 0.02 106 114 7.3 30-130 20 Benzo(a)pyrene ND 0.02 109 118 7.9 30-130 20 Benzo(b)fluoranthene ND 0.02 91 101 10.4 30-130 20 Benzo(ghi)perylene ND 0.02 104 116 10.9 30-130 20 Benzo(k)fluoranthene ND 0.02 95 109 13.7 30-130 20 Chrysene ND 0.02 92 102 10.3 30-130 20 Dibenz(a,h)anthracene ND 0.02 96 107 10.8 30-130 20 Fluoranthene ND 0.50 72 76 5.4 30-130 20 Fluorene ND 0.10 70 72 2.8 30-130 20 Indeno(1,2,3-cd)pyrene ND 0.02 98 107 8.8 30-130 20 Naphthalene ND 0.50 75 74 1.3 30-130 20 Phenanthrene ND 0.06 83 88 5.8 30-130 20 Pyrene ND 0.07 70 73 4.2 30-130 20 %2-Fluorobiphenyl 80 % 69 71 2.9 30-130 20 %Nitrobenzene-d5 87 % 87 86 1.2 30-130 20 %Terphenyl-d 14 80 % 76 78 2.6 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 746339(ug/L),QC Sample No:CR47216(CR47217) Volatiles - Ground Water 1,2,4-Trimethylbenzene ND 1.0 99 100 1.0 70-130 20 1,3,5-Trimethylbenzene ND 1.0 96 98 2.1 70-130 20 Benzene ND 0.70 94 98 4.2 70-130 20 Ethylbenzene ND 1.0 96 101 5.1 70-130 20 Isopropylbenzene ND 1.0 95 97 2.1 70-130 20 m&p-Xylene ND 1.0 97 100 3.0 70-130 20 Methyl t-butyl ether(MTBE) ND 1.0 85 93 9.0 70-130 20 Naphthalene ND 1.0 104 105 1.0 70-130 20 n-Butylbenzene ND 1.0 99 101 2.0 70-130 20 n-Propylbenzene ND 1.0 97 98 1.0 70-130 20 o-Xylene ND 1.0 96 99 3.1 70-130 20 p-Isopropyltoluene ND 1.0 98 100 2.0 70-130 20 sec-Butylbenzene ND 1.0 96 98 2.1 70-130 20 tert-Butylbenzene ND 1.0 97 99 2.0 70-130 20 Page 6 of 11 QA/QC Data SDG I.D.: GCR47217 Rio Rio Blk LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank RL % % RPD % % RPD Limits Limits Toluene ND 1.0 96 101 5.1 70-130 20 %1,2-dichlorobenzene-d4 97 % 100 100 0.0 70-130 20 %Bromofluorobenzene 97 % 100 100 0.0 70-130 20 %Dibromofluoromethane 101 % 98 102 4.0 70-130 20 %Toluene-d8 96 % 100 101 1.0 70-130 20 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 Trichlorofluoromethane-HL. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD - Relative Percent Difference LCS - Laboratory Control Sample LCSD Laboratory Control Sample Duplicate MS - Matrix Spike MS Dup Matrix Spike Duplicate NC - No Criteria Phyllis hiller, Laboratory Director Intf - Interference Augus 27, 2024 (ISO) - Isotope Dilution Page 7 of 11 0 m m N Q> _ CL C C D N Q N_N J U a) N �U Qca m � U al C•N N N y a7 U x d a) a3 U N N J U o O U CCDa) m E �o 0 'C U :3 ()v N 0 a) O 0)) 7 N O T O^ � N CL C N w� O to Y! 0 U ifVi � N W C y C O N C V 100 j O p 2 'Co G� Z O E Z N O C X r ra) W -r- ac C4 CD U Cl) •L U Y U a) a7 N Ya U U c c co (a c 0.2 as - ai m a� -cons m n_ jc C a o E U O N � c0 (D C'c O N (a a d d c N O m Q c0 a) x y c cm E o E 0 d m 0 O T O C U V N 2 T O p N � 0 U N N f6 N W C N U O N 94:- N a d a) rn Z Z $ " a N N Q d aci c cc a) Z X O y -O '= (n a O C O N m U E Z 09 d m o ►'- U) a E a N ACCOq�q PHOENIX�� del f� U �ddu _ 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 August 27, 2024 SDG I.D.: GCR47217 The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or QA/QC Report: None. Page 9 of 11 �N ACC0,9 PHOENIX .I!,,��'. 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 August 27, 2024 SDG I.D.: GCR47217 The samples in this delivery group were received at 2.1'C. (Note acceptance criteria for relevant matrices is above freezing up to 6°C) Page 10 of 11 £ZOZ/t ned LW13d dz A A Eo h q � ` ' Ja ti 2 ti0 ° Qa a a a o O O a ► rls !! mil.��a U U- -- t q' �yr °sy � El El El ❑ El ^ t a, CL c U) 70 0ac o o (1) moo 0� a� L N vv E m °OH aU �cM MU MC (n rzl❑ ❑ ❑ ❑ �❑ ❑ ❑QD - � 7� m c m 3 �U O co .` C' m co d ❑ O O 0 O N U Q' U C U U U a M CO N Q m o E E r � J w z W y co coz� El El El ❑ ❑ 2 'n LL c o b U U u A t 0 m E � � S � � � S0 rcm A c F. ° ,^^ o00000 _y2 w N O 0 v1 C N M CO J Q R z z V o c �a.� ❑❑❑❑ ❑ ❑ ❑ CO a> LL o [? O o = °' P n DPP r a NC wo 74 w"o O m c O_ O 7Eo > }� U) d zQ t LL, O a (L � zv aw ❑ ❑ ❑ ❑ c N c a r � � LLI N o E E o JCL Z ~ u') m O co E , s W d o € y Y m N U. =° x o - m m o a w a C7 o O ❑ ❑ ❑ ❑ c 3: 11v 0 a ax m P+ a o U)2 3 Yv n C c C m_ ° a u o t.o m U_ W tll m a n^ m m o o m `o jo Q ° `m E E m M 3 m ci m Gw z $ Op m c, CD a O E 10 Y II Nw L u a� O a m o c 3 J a » r pp >< a m o n U Q ac cO�m LU ZN c E y W me "33a = S f: OKm U ew Page Phoenix Environmental Laboratories, Inc. 587 East Middle Turnpike P.O.Box 370 Lab Sample Id CR47217 Manchester,CT 06040 Collection Date 08/21/2024 (860)645-1102 Client Id GROUNDWATER Matrix GROUND WATER SDG:GCR47217 NY Project:22 TAMARACK RD,RYE BROOK CAS Units CP-51 Soil-Gas/Fuel Oil Result RL Semivolatiles by SIM,PAH-SW8270E(SIM) 2-Methylnaphthalene 91-57-6 ug/L <0.47 0.47 Acenaphthene 83-32-9 ug/L <0.47 0.47 Acenaphthylene 208-96-8 ug/L <0.47 0.47 Anthracene 120-12-7 ug/L <0.47 0.47 Benz(a)anthracene 56-55-3 ug/L 0.03 0.02 Benzo(a)pyrene 50-32-8 ug/L <0.02 0.02 Benzo(b)fluoranthene 205-99-2 ug/L <0.02 0.02 Benzo(ghi)perylene 191-24-2 ug/L <0.47 0.47 Benzo(k)fluoranthene 207-08-9 ug/L <0.02 0.02 Chrysene 218-01-9 ug/L 0.05 0.02 Dibenz(a,h)anthracene 53-70-3 ug/L <0.47 0.47 Fluoranthene 206-44-0 ug/L <0.47 0.47 Fluorene 86-73-7 ug/L <0.47 0.47 Indeno(1,2,3-cd)pyrene 193-39-5 ug/L <0.02 0.02 Naphthalene 91-20-3 ug/L <0.47 0.47 Phenanthrene 85-01-8 ug/L 1.1 0.47 Pyrene 129-00-0 ug/L 0.95 0.47 Volatiles-Stars/CP-51-SW8260D 1,2,4-Trimethylbenzene 95-63-6 ug/L <1.0 1 1,3,5-Trimethylbenzene 108-67-8 ug/L <1.0 1 Benzene 71-43-2 ug/L <0.70 0.7 Ethylbenzene 100-41-4 ug/L <1.0 1 Isopropylbenzene 98-82-8 ug/L <1.0 1 m&p-Xylene 179601-23-1 ug/L <2.0 2 Methyl t-butyl ether(MTBE) 1634-04-4 ug/L <1.0 1 n-Butylbenzene 104-51-8 ug/L <1.0 1 n-Propylbenzene 103-65-1 ug/L <1.0 1 Naphthalene 91-20-3 ug/L 1.5 1 o-Xylene 95-47-6 ug/L <2.0 2 p-Isopropyltoluene 99-87-6 ug/L <1.0 1 sec-Butylbenzene 135-98-8 ug/L <1.0 1 tert-Butylbenzene 98-06-6 ug/L <1.0 1 Toluene 108-88-3 ug/L <1.0 1 Total Xylenes 1330-20-7 ug/L <2.0 2 Result Detected RL Exceeds Criteria Result Exceeds Criteria No. 2267 ARE lU EN Is rrrory•MEML•RrCYCUNo �� 914.939.1357 COPPER COPPER BRASS LEAD ALUM SS BATT STEEL CAST LT IRON MAX TARE NET 69 Traverse Ave.,Portchester, NY 10573 NON-HAZARDOUS WASTE MANIFEST Please pnnt or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS 1 Generator's US EPA ID No Manifest 2 Page WASTE MANIFEST I Document No 1 of 1 3.Generators Name and Mailing Address r/ TI r •� I O {22` 1QV N.owac k`t�� 4.Generators Phone ' �t rb~zw c 5.Transporter 1 Company Name 6 US EPA ID Number A.State Transporters ID Innov8tive Environmental Services N Y R 0 0 0 2 3 9 2 1 0 B.Transporter t Phone 914-4 4 9-6 6 0 8 7.Transporter 2 Company Name 8 US EPA ID Number C.State Transporters ID D.Transporter 2 Phone 9.Designated Facility Name and Site Address 10 US EPA ID Number E.State Facility's ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F.Facility's Phone Staten Island, NY 718-981-4600 11.WASTE DESCRIPTION 12 Containers 13. 14 Total Unit No. Type Quantity WLNoI. 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 N jG.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above Cn M O Na X 15.Special Handling Instructions and Additional Information Z Approval O Z 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are ful y and accurately described and are in all respects in proper condition for transport.The materials described on this manifest are not subject to and hazardous waste regulations. Date Printed/Typed Name igna a Month Day Year Donald Feeney - As Agent for T 17.Transporter 1 Acknowledgement of Receipt of Materials Date R A PrintedfTyped Name Signature N Month Day Year s P O 18 Transporter 2 Acknowledgement of Receipt of Materials R Printed/Typed Name Date E Signature Month Day Year R 19.Discrepancy Indication Space IF 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 I Date Y T Prinled/Typed Name Signature Month Day Year NON-HAZARDOUS WASTE MANIFEST Please print or type (Form designed for use on elite(12 pitch)typewriter) NON-HAZARDOUS Generators US EPA IDNo Manifest 2.Page WASTE MANIFEST I Document No 1 of 1 3 Generator s Name and Mailing Addrw, ZZTAx1a,Irc,C.k 4 Generator's Phone 'a V 5 Transporter 1 Company Name JS EPA ID Number A.State Transporter's 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.Stale Transporter's ID D.Transporter 2 Phone p Designated Facility Name and Site Addres, 1,! US EPA ID Number E.Stale Facility's ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace E Facility's Phone Staten Island, NY 718-981-4600 11.WASTE DESCRIPTION 12. Containers 13. 14 Total Unit No Type Quantity Wt(Vol a Non RCRA, Non DOT liquid (Oily Water) 1 T T {q9 Gallon G b. E N E R A T O W R , H (A QG.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above W D O Q Q15.Special Handling Instructions and Additional Information Z Approval 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 this manifest are not subject to federal hazardous waste regulations. Date PfintedfTyped Name Month a Year Donald Feeney - As Agent for Z T 17.Transporter 1 Acknowledgement of Receipt of Materials Dale R A Pdnted7Typed Name Month Day Year N S P 0 18.Transporter 2 Acknowledgement of Receipt of Materials Date R Printed/Typed Name Signatur, Month Day Year E R 19.Discrepancy Indication Space F A C 1 20.Facility Owner or Operator,Certification of receipt of the waste materials covered by this manifest except as noted in atom t'i L 1I Date T Panted/Typed Name Signature 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 2.Page WASTE MANIFEST I Document No 1 of 1 3 Generators Name and Mailing Address Ph�ll�s 30 7 KAa C 4.Generators Phone rOt71` 5.Transporter 1 Company Name iiiJJJ 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 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 and Site Address 10 US EPA ID Number E.State Facility's ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F Facility's Phone Staten Island, NY 718-981-4600 11.WASTE DESCRIPTION 12. Containers 13 14 Total Unit No Type Quantity Wt.Nol. a Non RCRA, Non DOT liquid (Oily Water) lOV 1 T T Gallon G b E N E R A T 0 W R d I- 0 ' G Additional Descriptions for Materals Listed Above H.Handling Codes for Wastes Listed Above C0 D O 15 Special Handling Instructions and Additional Information Z Approval 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 this manifest are not subject to federal hazardous waste regulations. Date PrinledfTyped Name Signa a —Month Day Year Donald Feeney - As Agent for /�Z T 17,Transporter 1 Acknowledgement of Receipt of Materials Date R A Printedfryped Name Signature N Month Day Year s P O 18 Transporter 2 Acknowledgement of Receipt of Materials Date RT Printedrryped Name Signature E Month Day Year R 19.Discrepancy Indication Space F 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 1 F Date T Printedfryped Name Signature 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 2 Page WASTE MANIFEST Document No 1 of 1 3.Generator's Name and Mailing Address /'\L, I Yr' II C J l' �i0 22-jaw,��'acK 4.Generator's Phone 5.Transporter 1 Company Name 6 US EPA ID Number A.State Transporter's ID Innov8tive Environmental Services iN Y R 0 0 0 2 3 9 2 1 0 g Transporter lPhone 914-449-6608 7 Transporter 2 Company Name 8 US EPA ID Number C.State TransloWer's ID D.Transporter 2 Phone 9.Designated Facility Name and Site Address 10 US EPA'D Number E.Stale Facility's ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F Facility's Phone Staten Island, NY 1 718-981-4600 11.WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No. Type Quantity Wt.Nol. a. Non RCRA, Non DOT liquid (Oily Water) 1 T T � O� Gallon G b E N E R A T O W R d H Cn G.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above Cn M O G IX 15.Special Handling Instructions and Additional Information Z Approval 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 this manifest are not subject to federal hazardous waste regulations. Date PrintedtTyped Name -� azure Month Day Year Donald Feeney - As Agent for I 2y T 17 Transporter i Acknowledgement of Receipt of Materials Date R A Printed/Typed Name Signature Month Day Year N s F, 0 18.Transporter 2 Acknowledgement of Receipt of Materials Date R Printed/Typed Name Signature Month Day Year E 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 1I Date T PrtnledtTyped Name Signature Month Day Year Y NON-HAZARDOUS WASTE MANIFEST iPlease print or type (Form designed for use on elite If 2 pitch)typewriter) NON-HAZARDOUS 1 Generator's US EPA ID No Manifest 2.Page WASTE MANIFEST Document No 1 of 1 3 Generator's Name and Mailing Address 4 Generators Phone ��n)u)L 5.Transporter 1 Company Name 6 US EPA ID Number A.Slate Transporters ID Innov8tive Environmental Services IN Y R 0 0 0 2 3 9 2 1 0 B Transporterl Phone 914-449-6608 7 Transporter 2 Company Name 8 US EPA ID Number C.State Transporters 10 D.Transporter 2 Phone 9.Designated Facility Name and Site Address 10 US EPA ID Number E.State Facility's ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F Facility Phone Staten Island, NY 718-981-4600 11 WASTE DESCRIPTION 12 Containers 13. 14. Total Unit No Type Quantity WI.NOI a. Non RCRA, Non DOT liquid (Oily Water) 1 T T (�//'�z_ Gallon G b E N E R c A T O W R d H N QG.Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above N M O N0 Q a 15 Special Handling Instructions and Additional Information Z Approval O Z NAWAVIA" WAIF 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are lulls and accurately described and are in all respects in proper condition for transport.The materials described on this manifest are not subject to fecleral hazardous waste regulations. Date Printed/Typed Name I Si azure Mon Day Year Donald Feeney - As Agent for 2, T 17 Transporter 1 Acknowledgement of Receipt of Materials Date R A, PnntedlTyped Name Signature Month Day Year N s 0 18 Transporter 2 Acknowledgement of Receipt of Materials Date R Pnnted,Typed Name Signature Month Day Year E R 19 Discrepancy Indication Space F 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 1I Date T Prinledi7yped Name Signature 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 2.Page WASTE MANIFEST Document No 1 of 1 3 Generators Name and Mailing Address 4.Generator's 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 13 Transporter 1 Phone 914-449-6608 7 Transporter 2 Company Name 8 US EPA ID Number C.Slate Transporters 10 D Transporter Phone 9 Designated Facility Name and Site Address 10 US EPA ID Number E Stale Facility ID Clean Water of NY N Y 0 0 0 0 9 6 8 5 4 5 3249 Richmond Terrace F Facility's Phone Staten Island, NY 1 718-981-4600 11 WASTE DESCRIPTION 12. Containers 13. 14. Total Unit No. Type Quantity WLNol Non RCRA, Non DOT liquid (Oily Water) 1 T T 1�6 Gallon G b E N E R c A T O W R d H G.Additional Descriptions for Materials Listed Above H Handling Codes for Wastes Listed Above O Q a 15.Special Handling Instructions and Additional Information Z Approval 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 corldgion for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. Date Printed/Typed Name nature Month Day Year Donald Feeney - AS Agent for �( Z T 17.Transporter 1 Acknowledgement of Receipt of Materials Date R q Printed/Typed Name Signature Month Day Year N S P O 18 Transporter 2 Acknowledgement of Receipt of Materials Date TPrinted/Typed Name Signature Month Day Year E 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 I Date T PrintedirTyped Name Signature month Day Year Y b"` �ur�• I � R '.��' .� O fir. 'fie � a� oon cd ytj \4 U cc C w ' ell LU cn •.r O e • •,V W U W `••) . LU Z) � W ° 02 kectionG° .. . \ x Q W Z J� �o co n O Z J ram' O R" w N > o �'�eaQ `� _ ✓ \ 00 � Z ' C� ( do :� = Lr �. .-•:v 'v 00 cz —cm con h M 1 n� '�''�1��,.,..r :C `�6b� _��. r' �t� ' <.� \��r�t�Sty.:- �g� .y� \w •O Per-':-. -L j' � f+ffi,�,.- / r ACORO® CERTIFICATE OF LIABILITY INSURANCE FDATE IMM/DD/YYYY) `� 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 Dermanis P.O. Box 1689 PHONE 914-205-7682 ac No:914205-7682 Pearl River NY 10965 X—D6"RL Ess: Evita.Dermanis mt ca .com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:CentU SuretyCompany 36951 INSURED INNOENVI Innov8tive Environmental Services Inc. INSURERS:Progressive Casuafty Insurance Company 24260 392 Columbus Ave INSURERC: Valhalla NY 10595 INSURERD: 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. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP M LIMITS A X COMMERCIAL GENERAL LIABILITY CCP1108511 2/14/2023 2/14/2024 EACH OCCURRENCE $1,000,000 CLAIMS MADE �OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY❑JPERCOT- LOC PRODUCTS-COMP/OP AGG E 3,000,000 OTHER: i B AUTOMOBILE LIABILITY 016663983 1/15/2023 1/15/2024 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO Ea accident OWNED X SCHEDULED BODILY INJURY(Per person) III --- AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LU1B HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER CI LITE EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANYPROP RI ETOR/PARTNE R/EXECUTIV E OFFICER/MEMBEREXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ Ii yes,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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook. NY 10573 AUTHORIZED REPRESENTATIVE Ci /(/Ct�oer. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE %.PW^^^^^ 824703808 MT PLEASANT CAPACITY AGENCY 9 , 1 BLUE HILL PLAZA STE 1689 ; PEARL RIVER NY 10965 "All., SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INNOV8TIVF_ 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DONALD FEENEY VICE PRESIDENT FRANK MORACO INNOV8TIVE ENVIRONMENTAL SERVICES 20F2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 522201643 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Wednesday, February 14, 2024 7:01 AM To: Steven Fews Subject: Message from UDig NY ****LATE**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 02/14/2024 07:00 To: VIL RYE BROOK PRIMARY Transmitted: 02/14/2024 07:00 00002 Ticket: 02094-000-630-01 Type: Late Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: COLLEGE AVE 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: 02/14/2024 Depth of excavation: Site dimensions: Start Date and Time: 02/14/2024 07:00 Must Start By: 02/29/2024 ------------------------------------------------------------------------------ Contact Name: SARAH MASSA Company: INNOV8TIVE ENVIRONMENTAL SERVICES Addrl: 392 COLUMBUS AVE Addr2: City: VALHALLA State: NY Zip: 10595 Phone: 914-449-6608 Fax: Email: service@innov8enviro.com Field Contact: 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 PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1 Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday, February 9, 2024 12:32 PM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 02/09/2024 12:32 To: VIL RYE BROOK PRIMARY Transmitted: 02/09/2024 12:32 00001 Ticket: 02094-000-630-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: COLLEGE AVE 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: 02/14/2024 Depth of excavation: Site dimensions: Start Date and Time: 02/14/2024 07:00 Must Start By: 02/29/2024 ------------------------------------------------------------------------------ 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 PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR i Laura Petersen From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Friday, March 8, 2024 11:29 AM To: Steven Fews Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 03/08/2024 11:28 To: VIL RYE BROOK PRIMARY Transmitted: 03/08/2024 11:28 00001 Ticket: 03084-001-042-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 22 To: Name: TAMARACK RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: ENTIRE PROPERTY NearSt: COLLEGE AVE & NEUTON AVE Means of Excavation: HAND AUGER Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: U Work Type: SOIL BORINGS Estimated Work Complete Date: 03/13/2024 Depth of excavation: 12 FEET Site dimensions: Length 100 FEET Width 100 FEET Start Date and Time: 03/13/2024 07:00 Must Start By: 03/27/2024 ------------------------------------------------------------------------------ Contact Name: ZACH SPOERING Company: H2M ARCHITECTS & ENGINEERS, MELVILLE Addr1: 538 BROAD HOLLOW ROAD Addr2: City: MELVILLE State: NY Zip: 11747 Phone: 631-756-8000 Fax: Email: zspoering@h2m.com Field Contact: ZACH SPOERING Alt Phone: 631-756-8000 Email: zspoering@h2m.com Working for: ALLSTATE INSURANCE ------------------------------------------------------------------------------ Comments: SOIL BORINGS IN VICINITY OF REMOVED UNDERGROUND STORAGE TANK Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED = SUEZ WTR WESTCHESTER VIL PORT CHESTER VIL RYE BROOK WESTCHESTER CTY SWR 1