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HomeMy WebLinkAboutMP25-165 QyE DR t�J i� 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 David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 28,2026 Stephen Gaines&Teri Friedman 4 Jacqueline Lane Rye Brook,New York 10573 Re: 4 Jacqueline Lane, Rye Brook,New York 10573 Parcel ID#: 135.35-1-59 As per the Certification letter from Enviroshield dated January 22, 2026, the removal of an underground oil tank under Mechanical Permit#25-165 issued on 12/12/2025 has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BR(��. y� w � w 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook, NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :. 9 SAC I_N-Q.__ �_.�►1� - DATE:_- Z 7 - ZplCe PERMIT# in? Z ISSUED: Z•I L• SECT: 131.3f BLOCK:LOT: S l MP25-165 LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... �ASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I ❑ Natural Gas '�'>o_C.e I Ve L' (1 m0 (�,P�--� - Z 7 — ZdZ L ❑ L.P. Gas Z FUEL TANK ❑ FIRE SPRINKLER q L L Wk, L Conn LP,kclQ ❑ FINAL PLUMBING �S3�� I ,t 1 � • ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QRC��r o lc a � BUILDING DIi:PA1 R 1 KILN 1 ❑BUILDING INSPEC'1'()K e ASSISTANT BUILDING INSPFC-1'01i VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET- RYE BROOK,NY 1051-3 (914) 939-0668 FAx (914)939-5801 www.r . br( okore -- --- - - -- - - - -- -- - - - - INSPECTION REPORT - - - - -- - - - - - - - - - - - - - - ADDRESS: �O�C„C�t� t l .+ -- -- v-V�r VP, - ---- .---- - DATE: PERMIT# M ZS--1-7 q ISSUED: /Z-tr tiI'.('7: .7� LOCATION: _ _�__�-(�j� _ OCCUPANCY: ❑ VIOLATION NOTL'1) THE WoltK IS... AccEPTE1) ❑ IZIAECTL'D/ ItEINSPHCTION ❑ SITE INSPECTION RE(1UIR1?1l ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NO TFS ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ I..P.GAS FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ` '�• -� (' �y�!'"�` t • 5�,IFS J. /�.jv � , -,1.( � ,,yA� A v 31 • • � .:_ice' � � a~ i i°' / ems ^ 7t r- 101 is a IF It i.4 f •i 1 I � jj _ 1 r ok , '���n, r t'i` .�, :. � 6 ��^1•tie-�. y�f.`,� � ' t h�r,tp��,rA,,• 'vim,.. .='ti• �� �••s,r, r �.�• .�},(• 'may.• N .S/n �I •�..i't:rc�k�i��� Div-. ..�� �r t •?iq� ,, ti Fir_.�� '�•�s e� /+/,--. - '>.�'A� �+`-ti _.. Ip. .�. ♦ •tom���` r; All ,'�, r•,ram. „' ''q''S � ��. cY' w P • "` �. N A, �! Ir 17 • y�.�n+ ��w :r�{�'s�•��•.a•1��'�r .,� ... �� � ..9 •eft , ` / ,'i'•,����R.� Y �;. ./!�,.� !'! ����� �; :.a � �1" .,���-- I��'�a a �•r :._ 1 :�II�` 4:r � Y's��`F� 7�.�9 _ lfl't miler✓. , . C. �� _ems ���i�lt.^'.ti '_• DEC 0 2025 BUILDIN,' __V ARTMENT VILLA E OF �il'F,011t3UK 938 KING S�` ET RYE But�ciK,NY 10573 -0668 Application for Permit to Remove or Abandon Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: .-DEC 1 6 2025 PEA.M- 11 #: � - Approval Date: Permit Fee:S Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDENG rNSPECTOR. THE ADMLNISTRATIVE FEE FOR WORK PROGRESSEI)OR COMPLETED WITHOUT A PERMIT IS IZ%OF THE TOTAL COST OF CONSTRUCTION WITH A MLNIMUNI FEE OF$750 Oil REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLI41ACE: 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#U26.31 or NY State Workers Compensation Waivcr) 4. Fee per Tank: Removal or Abandonment S225.00 per Tank. 5.Dig Safcly New York#(dial 811): - Or-r - -1-1 1 6. Inspection by Building Department fo for abandonment. 7. Submit all Manifests&Reports(after work has been completed). 8.Certificate of Compliance will be provided when all requirements are fulfilled. Application dated_DL.t- L iQ.ZDLS ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove or abandon 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 or abandoned in conformance with all applicable Village,County,State&Federal laws,codes, rules and regulations. Indicate Permit LUS: Removal(4°Abandonment( )/Above Ground( )•Buried In Ground W I. Address: �ACRE �� �- ' SBL:1, i�j` Zone: �K -1D 2. Property Owner&Address: :hR Phone#: `�� R3�1 - 1 Cell#: email: 3. Contractor&Address: 2 fah Sioux, 5 p''zD Phone#: 0�-63 3gti ��t`I Cell#: 4. Applicant: ram i'r"' �,tt s52£ tris�o %? '1S Phone#: o'Zb3 3`� Sb"r Cell#: email: � ' t-' t,:w2st+r .L✓W+ 5. Indicate Fuel Type: Fuel Oil(-•L.P.Gas( )•Gasoline( )•Other 6. Number and Capacity of each Tank: 7. Exact Locations)of each Tank: ~' +�' `L 1.S 1. 413 c" i-l'r- S�'ab- off' ' 61 i/2025 1� T �- C N VQ l a , ENVIROSHIELD 71W Clean. Preserve, Protect. January 22, 2026 Mr. Dominic Falcone Service Manager Westmore Fuel 86 North Water Street Greenwich, CT 06830 JAN 2 7 2026 Subject: Tank Removal,lanuagy 12, 2026 Gaines Residence 4 Jacqueline Lane Rve Brook,New York Dear Mr. Falcone: On January 12, 2026, Enviroshield completed the removal of one underground 550-gallon fuel oil tank located at the subject property. The former location of the tank and progression of the tank removal process is shown in Site Photographs enclosed with this letter. Prior to the removal of the tank, all remaining liquid, sludge sediment and rinse water were pumped and cleaned from the tank for disposal by Enviroshield, a State of New York licensed waste transporter at Safety-Kleen Systems, Inc., 120 Forbes Avenue, New Haven, Connecticut. Attached is a copy of the waste transport bill of lading. The top of the tank was exposed using an excavator and enough soil was removed from the excavation to pull the tank from the ground. The tank was thoroughly inspected for rust, cracks, holes, or other physical characteristics,which could have been cause for a fuel release. No evidence of a fuel release was observed. Soil samples obtained from the tank grave were screened using the Photo Ionization Detector (PID); the results of the field screening indicated no evidence of a fuel release. A soil sample was collected from the bottom of the excavation, in the area presumed to be most impacted, and submitted to a Complete Environmental Testing (CE'l), a State of New York certified environmental laboratory for analysis by STARS 8260 and 8270. Consistent with New York State — Department of Environmental Conservation (NYS-DEC) requirements, these are the required analyses for oil tank removal in New York State. As indicated in the attached Complete Environmental Testing (CET) report #26A0286, the reported results for the sample tested are below the laboratory detection limit for all the constituents tested; no petroleum was detected within the sample. O 250 Moffitt St,Stratford.CT o6615 0 (203)380-5644 info@enviroshieLd.com 0 wvwv.enviroshield.corr ENVIROSHIELD - - "� Clean. Preserve. Protect, Page 2of2 January 22, 2026 Gaines Residence 4 Jacqueline Lane Rye Brook, New York The tank was transported, cleaned, and disposed of at P.C. Metals, Inc., 270 Central Avenue, Bridgeport, Connecticut in a manner consistent with industry standards and in compliance with all Local, State and Federal Codes and Regulations. Attached is tank disposal ticket. The tank grave was backfilled and brought to grade. Based on visual observations, PID field screening and laboratory analysis, Enviroshield found no indication of the tank system's failure. If you have any questions concerning this work, please do not hesitate to contact me at your earliest convenience at (203) 380-5644. Sincerely, Enviroshield Leonard Bochicchio Senior Project Manager Enclosures cc: Village of Rye Brook Building Department via email adivitto exycbrook.orrg Permit#MP 25-174 0 250 Moffitt St,Stratford,CT o6615 0 (203)380-5644 ® infooa enviroshield.com ;+D vwvw.enviroshield.con AMM� Y ENVIROSHIELD C[ean. Preserve. Protect. Site Photographs — • - 1 of ResidenceGaines Jacqueline Rye Brook, • Location of 550-gaUon underground storage tank (UST). i _ t f�• -� • �Y yam'!. i'�\� -f,_ , ::��'''♦ ¢ V .fir 250 Moffitt • • CT ••• 0 • :• •. . 0 infocmenviroshieAcomc.: www.enviroshield.coi N. .' ENVIROSHIELD Clean. Preserve. Protect. Site Photographs —Page 2 of 4 Gaines Residence 4 Jacqueline Lane Rye Brook, New York .ti W. y 1, PYY pia� �AT' al. %; ;�* r Excavation to expose UST. D 250 Moffitt St,Stratford,CT o6615 (203)380-5644 0 infoCa enviroshie(d.com ® w wv.enviroshield.cor ENVIROSHIELD "W Clean. Preserve. Protect. Site Photographs —Page 3 of 4 Gaines Residence 4 Jacqueline Lane Rye Brook, New York T t '• Y - , r 550-gallon UST removed from ground. D 250 Moffitt St.Stratford,CT o6615 0 (203)38o-5644 Q infooaenviroshield.com ® vewvwv.enviroshield.cor II Ry R AMMIj • , F1'W- CLean. Preserve. Protect. Site Photographs — • of Gaines Residence Jacqueline Rye Brook, • •. yr^� � •r`:p�%/• ^ _ U Tr Foitner location of 550-gallon UST. Backfilled to grade pending restoration. • t y' I ` _ r y nt' nt• I1oENVIROSHIELD . 1-W Clean. Preserve, Protect. BILL OF LADING DESCRIPTION: Chec ,applicable waste ID 1 (NA1993) Fuel oil /diesel /waste oil _ (UN1203) Gasoline — (UN1223) Kerosene Off-Specification commercial chemical product fuel (applicable in CT only) _ Waste, NON-RCRA, Liquid, N.O.S. (Oil/Water mix) Non-Haz, None (applicable in NY State) Water only (no fuel waste). Date: l' Id, d{D Total Quantity: 103 gallons Generator Name: TCi/�'46!�5� Site Address: 7 1 4C Z_ City: T1 State: Zip: Telephone: 2� �e 51,)1�74 Vo W.O m Generator/Agent for Signature: Transporter: Enviroshield; 250 Moffitt Street, Stratford, CT 06615; 203-380-5644 Connecticut: CT-HW-495; New York: CT-095; Westchester County NY: WC-27310-H14' Connecticut H.I.C. 0703100 Driver Signature: Destination/Facility: Tradebe Treatment and Recycling of Bridgeport, 50 Cross Street, Bridgeport, CT 06610 —L,-Irafety-Kleen Systems, Inc., 120 Forbes Avenue, New Haven, CT 06512 Tradebe Treatment and Recycling Northeast, 136 Gracey Avenue,Meriden, CT 06451 Approval Code: (SEE BACK FOR HAZARD/SAFETY/RESPONSE DETAILS) 0 250 Moffitt St.Stratford.CT o6615 0(203)380-5644 0 info(-a-)enviroshield.com w ww.enviroshield.corr 80 Lupes Drive Tel:(203)377-9984 Stratford,CT 06615 Fax:(203)377-9952 *9T e-mail:cetl@cetlabs.com COMRIII INYIBONMIN1A11IS11NC,INE Client: Mr.Richard Louis Enviroshield,Inc. P.O.Box 1296 Stratford,CT 06615 Analytical Report CET# 26AO286 Report Date:January 16,2026 Project:Gaines,4 Jacqueline Ln, Rye Brook,NY PO Number: 31529 Connecticut Laboratory Certificate:PH 0116 law.. New York NELAPAccreditation: 11982 Massachusetts Laboratory Certificate:M-CT903 Pennsylvania Laboratory Certificate:68-02927 Rhode Island Laboratory Certificate: 199 Page 1 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY SAMPLE SUMMARY The sample(s)were received at 3.0°C. This report contains analytical data associated with following samples only. Sample ID Laboratory ID Matrix Collection Date/Time Receipt Date Tank Grave 26AO286-01 Soil 1/12/2026 12:00 01/14/2026 Analyte: Percent Solids ISM 2540 GI Analyst:AKC Matrix: Soil Datc(iimc Laboratory 1D Client Sample 1D Result RL Units Dilution Batch Prepared Analyzed Notes 26AO286-01 Tank Gravc 85 1.0 % I BA61431 01/14/2026 01/15/2026 08:50 Complete Environmental Testing,Inc. 80 Lupes Drive,Stratford.CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cctiabs.com Page 2 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY Client Sample ID Tank Grave Lab ID: 26AO286-01 Semivolatile Organics Analyst: MJH Method: EPA 8270E Matrix:Soil Result RL Daterrime Analytc (ug/kg dry) (ug/kg dry) Dilution Prep Method Batch Prepared Analyzed Notes Naphthalene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Acenaphthylcne ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Acenaphthene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Fluorene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Plienanlhrcnc ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Anthracene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Fluoranthene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Pyrene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Bcnzo[a]anthraccnc ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Chrysene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Benzo[b]fluoranthene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Benzo[k]fluoranthene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Benzo[a]pyrene ND 120 1 EPA 3545A BA61517 01/15/2026 01/151202622:22 Indcno[1,2,3-cd]pyrenc ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Dibenz[a,h]anthracene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Bettzo[g,h,i]perylene ND 120 1 EPA 3545A BA61517 01/15/2026 01/15/2026 22:22 Surrogate:Nitrobenzene-d5 77.4% 30-130 BA61517 01/15/2026 011151202612:11 Surrogate:1-Fluorobiphenyl 84.8% 30-130 BA61517 01/15/2026 011151202622:22 Surrogate:Terphenyl-dM 87.8% 30-130 BA61517 01/15/2026 0111512026 22:21 Volatile Organics Analyst: FTR Method: EPA 8260D Matrix: Soil Result RL Date/'Time Analytc (ug/kg dry) (ug/kg dry) Dilution Prep Method Batch Prepared Analyzed Notes Methyl-t-Butyl Ether(MTBE•:) ND 4.9 1.66 EPA5035A-L BA61524 01/15/2026 01/15/2026 12:12 Benzene ND 4.9 1.66 EPA5035A-L BA61524 01/15/2026 01/15/2026 12:12 Toluene ND 4.9 1.66 EPA5035A-L BA61524 01/15/2026 01/15/2026 12:12 Elhylbcmcnc ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 m-pXylcnes ND 9.7 1,66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 o-Xylcne ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 Isopropylbenzene ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 n-Propylbenzene ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 1,3,5-Tritrtethylbenzcne ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/152026 12:12 tert-Butylbcnzene ND 4.9 1.66 EPA5035A-L BA61524 01/15/2026 01/15/2026 12:12 1,2,4-Trimethylbenrene ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/152026 12:12 Complete Fnvironmental Testing,Inc. 80 Lupes Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cellabs.com Page 3 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY Client Sample ID Tank Grave Lab ID: 26AO286-01 Volatile Organics Analyst: FTR Method: EPA 8260D Matrix: Soil Result RL Date/rime Analyte (ug/kg dry) (ug/kg dry) Dilution Prep Method Batch Prepared Analyzed Notes sec-Butylbenzene ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 4-Isopropyltolucnc ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 n-Butylbenzenc ND 4.9 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 Naphthalene ND 9.7 1.66 EPA 5035A-L BA61524 01/15/2026 01/15/2026 12:12 Surrogate:1,2-Dichloroethane-d4 99.1% 70-130 BA61524 01/15/2026 011151202612:12 Surrogate:Toluene-d8 101% 70-130 BA61524 01/15/2026 0111512026 12:12 Surrogate:4-BromoJluorohenzene 102% 70-130 BA61524 01/15/2026 011151202612:12 Complete Environmental Testing,Inc. 80 Lupcs Dnve,Stratford,CT 066)5•Tel:203-377-9984•Fax:203-377-9952•www.cetlabs.com Page 4 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY QUALITY CONTROL SECTION Batch BA61517-EPA 8270E Result RL Spike Source %Rcc RPD Analyte (ug/kg) (ug/kg) Level Result %Rec Limits RPD Limit Notes Blank(BA61517-BLKI) Prepared: 1/15/2026 Analyzed: 1/15/2026 Naphthalene ND 100 Acenaphthylene ND 100 Accnaphthcnc ND 100 Fluorene ND 100 Phenanthrene ND l00 Anthraccnc ND 100 Fluoranthene ND 100 Pyrenc ND 100 Benzo[ajanthracenc ND 100 Chrysene ND 100 Benzo(b]fluoranthene ND I00 Bcnzo[k]fluoranthcnc ND 100 Benzo[a]pyrene ND 100 Indeno[1,2,3-cd]pyrene ND 100 Dibcnz[a,h]anthraccnc ND 100 Benzo(g,h,i]perylene ND 100 Surrogate:Nitrobenzene-d5 60.4 30-130 Surrogate:2-F/uorobiphenvl 65.3 30-130 Surrogate:Terpheitvl-d/4 70.3 30-130 LCS(BA61517-BSI) Prepared: 1/15/2026 Analyzed: 1/15/2026 Naphthalene 3070 100 4,000.000 76.6 40-140 Acenaphthylene 3570 100 4,000.000 89.1 40-140 Accnaphthcnc 3430 100 4,000.000 85.8 40-140 Fluorene 3480 100 4,000.000 87.1 40-140 Phenanthrene 3390 l00 4,000.000 84.9 40-140 Anthraccne 3460 100 4,000.000 86.5 40-140 Fluoranthene 3400 100 4,000.000 85.0 40-140 Pyrene 3390 100 4,000.000 84.7 40-140 Benzo[alanthracenc 3300 100 4,000.000 82.4 40-140 Chrysene 3490 100 4,000.000 87.2 40- 140 Bettzo[blfluoranthene 3420 100 4,000.000 85.4 40-140 Benzo[klfluoranthcne 3450 100 4,000.000 86.3 40-140 Benzo[alpyrene 3570 100 4,000.000 89.4 40-140 Indeno[1,2,3-cdjpyrene 3380 100 4,000.000 84.5 40-140 Dibenz[a,h]anthracene 3410 100 4.000.000 85.2 40-140 Benzo[g,h,ilperylene 3410 l00 4,000.000 85.3 40-140 Surrogate:Nitrobenzene-d5 84.9 30-130 Surrogate:2-Fhmrobiphenvl 83.3 30.130 Surrogate:Terphea.0414 85.2 30-130 LCS Dup(BA61517-BSDI) Prepared: 1/15/2026 Analyzed: 1/15/2026 Naphthalene 2920 100 4,000.000 72.9 40-140 4.93 30 Acenaphthylene 3510 100 4,000.000 87.6 40-140 1.69 30 Accnaphthcnc 3310 100 4,000.000 82.8 40-140 3.62 30 Fluorene 3430 100 4,000.000 85.7 40-140 1.65 30 Phenanthrene 3400 100 4.000.000 84.9 40- 140 0.0621 30 Anthraccne 3490 100 4,000.000 87.1 40- 140 0.681 30 Fluoranthene 3500 100 4,000.000 87.6 40-140 2.99 30 Complete Environmental Testing,inc. 80 Lupes Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cetlabs.com Page 5 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY Result RL Spike Source %Rec RPD Analyte (ug/kg) (ug/kg) Level Result %Rec Limits RPD Limit Notes LCS Dup(BA61517-BSD1)-Continued Prepared: 1/1 512026 Analyzed:1/15/2026 Pyrene 3460 100 4.000.000 86.6 40-140 2.20 30 Benzo[a]anthracene 3360 100 4,000.000 84.0 40-140 1.90 30 Chrysene 3500 100 4,000.000 87.5 40-140 0.328 30 Benzo[b]fluoranthene 3440 100 4,000.000 86.1 40-140 0.846 30 Benzo[k]fluoranthene 3500 100 4,000.000 87.6 40-140 1.49 30 Benzo[a]pyrene 3620 100 4,000.000 90.4 40-140 1.15 30 Indeno[1,2,3-cdlpyrene 3390 100 4,000.000 84.9 40-140 0.418 30 Dibenz[a,h]anthracene 3410 100 4,000.000 85.2 40-140 0.0863 30 Benzo[g,h,i]perylene 3430 t00 4,000.000 85.8 40-140 0.612 30 Surrogate:Nitroben:ene-d5 81.7 30-130 Surrogate:2-Fluoroblpherrvl 80.6 30-130 Surrogate:Terphen.0414 870 30-130 Complete Environmental Testing,Inc. 80 Lupes Drive,Stratford,CT 06615•TO:203-377-9984•Fax:203-377-9952•www.cetlabs.com Page 6 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY Batch BA61524-EPA 8260D Result RL Spike Source %Rec RPD Analyte (ug/kg) (ug/kg) Level Result %Rcc Limits RPD Limit Notes Blank(BA61524-BLKI) Prepared:1/15/2026 Analyzed:1/15/2026 Methyl-t-Butyl Ether(MTBE) ND 2.5 Benzene ND 2.5 Toluene ND 2.5 Ethylbenzcne ND 2.5 m+p Xylenes ND 5.0 o-Xylcne ND 2.5 lsopropylbenzcnc ND 2.5 n-Propylbenzene ND 2.5 1,3,5-Trimethylbcnzene ND 2.5 tort-Butylbenzene ND 2.5 1,2,4-Trimcthylbenzcne ND 2.5 sec-Butylbenzene ND 2.5 4-Isopropyltoluene ND 2.5 n-Butylbenzene ND 2.5 Naphthalene ND 5.0 Surrogate:1.2-Dichloroethare-d4 96.9 70-130 Surrogate:Toluene-d8 10/ 70-130 Surrogate:4-Bromajhroroben_ene 102 70-130 LCS(BA61524-BS 1) Prepared: 1/1 512 02 6 Analyzed:1/15/2026 Methyl-t-Butyl Ether(MTBE) 47.6 2.5 50.000 95.2 70-130 Benzene 43.7 2.5 50.000 87.3 70-130 Toluene 45.2 2.5 50.000 90.4 70-130 Ethylbenzene 43.1 2.5 50.000 86.3 70-130 m-p Xylenes 87.2 5.0 100.000 87.2 70-130 o-Xylenc 44.2 2.5 50.000 88.4 70-130 Isopropylbenzene 45.8 2.5 50.000 91.6 70-130 n-Propylbenzenc 44.4 2.5 50.000 88.8 70-130 1,3,5-Trimethylbenzene 43.4 2.5 50.000 86.7 70-130 tert-Butyl benzene 45.4 2.5 50.000 90.7 70-130 1,2,4-Trimethylbenzene 44.5 2.5 50.000 88.9 70-130 scc-Butylbcnzcnc 44.7 2.5 50.000 89.5 70-130 4-1sopropyltoluene 44.4 2.5 50.000 88.8 70-130 n-Butylbenzene 44.5 2.5 50.000 89.0 70-130 Naphthalene 44.9 5.0 50.000 89.8 70-130 Surrogate 1.2-Dichloroethane-d4 103 70-130 Surrogate:Tahe~48 99.2 70-130 Surrogate:4-Bromo/Iuorobencene 101 70-130 LCS Dup(BA61524-BSDI) Prepared: 1/15/2026 Analyzed: 1/15/2026 Mcthyl-t-Butyl Ether(MTBE) 51.0 2.5 50.000 102 70-130 6.80 20 Benzene 46.5 2.5 50.000 93.0 70-130 6.30 20 Toluene 48.9 2.5 50.000 97.8 70-130 7.87 20 Ethylbenzene 46.8 2.5 50.000 93.6 70-130 8.16 20 m+p Xylenes 94.4 5.0 100.000 94.4 70-130 7.97 20 o-Xylene 48.6 2.5 50.000 97.2 70-130 9.40 20 Isopropylbenzenc 49.6 2.5 50.000 99.2 70-130 7.99 20 n-Propylbenzene 47.3 2.5 50.0()0 94.5 70-130 6.31 20 1,3,5-Trimethylbenzenc 46.5 2.5 50.000 93.0 70-130 6.95 20 icrt-Butylbcnzcnc 47.7 2.5 50.000 95.3 70-130 4.92 20 1,2,4-Trimethylbenzene 48.3 2.5 50.000 96.6 70-130 8.22 20 sec-Butylbenzene 48.5 2.5 50.000 97.1 70-130 8.13 20 Complete Environmental Testing,Inc. 80 Lupes Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cctiabs.com Page 7 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY Result RL Spike Source %Rec RPD Analyte (ug/kg) (ug/kg) Level Result %Rec Limits RPD Limit Notes LCS Dup(BA61524-BSD1)-Continued Prepared: 1/15/2026 Analyzed:1/15/2026 4-Isopropyltoluene 47.7 2.5 50.000 95.4 70-130 7.14 20 n-Butylbenzene 47.7 2.5 50.000 95.4 70-130 6.94 20 Naphthalene 48.9 5.0 50.000 97.7 70-130 8.51 20 Surrogate:1.2-Dichloraethane-d4 102 70-130 Surrogate:Toluene-d8 l01 70-130 Surrogate:4-Bromalluorohewene 102 70-1J0 Complete Environmental Testing,Inc. 80 Lupes Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cetiabs.com r Page 8 of 12 CET#:26AO286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY All questions related to this report should be directed to David Ditta,Timothy Fusco,or Jeffrey Smith at 203-377-9984. Sincerely, This technical report was reviewed by Jeffrey Smith .01 David Ditta Project Manager Laboratory Director This report shall not be reproduced except in full,without the written approval of the laboratory Report Comments: Sample Result Flags: E-The result is estimated,above the calibration range. H-The surrogate recovery is above the control limits. L-The surrogate recovery is below the control limits. B-The compound was detected in the laboratory blank. P-The Relative Percent Difference(RPD)of dual column analyses exceeds 40%. D-The Relative Percent Difference(RPD)falls outside of control limits. +- The Surrogate was diluted out. *Cl-The Continuing Calibration did not meet method specifications and was biased low for this analyte. Increased uncertainty is associated with the reported value which is likely to be biased low. *C2-The Continuing Calibration did not meet method specifications and was biased high for this analyte. Increased uncertainty is associated with the reported value which is likely to be biased high. *Fl-The Laboratory Control Sample recovery is outside of control limits. Reported value for this analyte is likely to be biased on the low side. *F2-The Laboratory Control Sample recovery is outside of control limits. Reported value for this analyte is likely to be biased on the high side. *[-Analyte exceeds method limits from second source standard in Initial Calibration Verification(ICV). No directional bias. All results met standard operating procedures unless indicated by a data qualifier next to a sample result,or a narration in the QC report. For Percent Solids,if any of the following prep methods(3050B,3540C,3545A,3550C,5035 and 9013A)were used for samples pertaining to this report,the percent solids procedure is within that prep method. Complete Environmental Testing is only responsible for the certified testing and is not directly responsible for the integrity of the sample before laboratory receipt. ND is None Detected at or above the specified reporting limit Reporting Limit(RL)is the limit of detection for an analyte after any adjustment made for dilution or percent moisture. All analyses were performed in house unless a Reference Laboratory is listed. Samples will be disposed of 30 days after the report date. Complete Environmental Testing,Inc. 80 Lupes Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cctlabs.com Page 9 of 12 CET#:26A0286 Project:Gaines,4 Jacqueline Ln,Rye Brook,NY T 80 Lupes Drive Tel:(203)377-9984 Stratford,CT06615 COMM INVIRONNINIAI INING,IN, Fax:(203)377-9952 email:cetl(a)cetlabs.com Quality Control Definitions and Abbreviations Internal Standard(IS) An Analyte added to each sample or sample extract. An internal standard is used to monitor retention time,calculate relative response,and quantify analytes of interest. Surrogate Recovery The%recovery for non-target organic compounds that are spiked into all samples. Used to determine method performance. Continuing Calibration An analytical standard analyzed with each set of samples to verify initial calibration of the system. Batch Samples that are analyzed together with the same method,sequence and lot of reagents within the same time period. ND Not detected at or above the specified reporting limit. RL RL is the limit of detection for an analyte after any adjustment made for dilution or percent moisture. Dilution Multiplier added to detection levels(MDL)and/or sample results due to interferences and/or high concentration of target compounds. Duplicate Result from the duplicate analysis of a sample. Result Amount of analyte found in a sample. Spike Level Amount of analytc added to a sample Matrix Spike Result Amount of analyte found including amount that was spiked. Matrix Spike Dup Amount of analyte found in duplicate spikes including amount that was spike. Matrix Spike%Recovery %Recovery of spiked amount in sample. Matrix Spike Dup%Recovery %Recovery of spiked duplicate amount in sample. RPD Relative percent difference. Blank Method Blank that has been taken through all steps of the analysis. LCS%Recovery Laboratory Control Sample percent recovery. The amount of analyte recovered from a fortified sample. Recovery Limits A range within which specified measurements results must fall to be compliant. CC Calibration Verification Flags: H- Recovery is above the control limits L- Recovery is below the control limits B- Compound detected in the Blank P- RPD of dual column results exceeds 40% #- Sample result too high for accurate spike recovery. Job Connecticut Laboratory Certification PHOI 16 New York NELAP Accreditation 11982 Massachussets Laboratory Certification M-CT903 Rhode Island Certification 199 Pennsylvania NELAP Accreditation 68-02927 Complete Environmental Testing,Inc. 80 Lupcs Drive,Stratford,CT 06615•Tel:203-377-9984•Fax:203-377-9952•www.cctlabs.com Page 10 of 12 CERTIFICATIONS Certified Analyses included In this Report Analyte Certifications EPA 81HD in Soil Mcthyl-t-Butyl Ethcr(MTBE) CT,NY,PA Benzene CT,NYPA Toluene CT,NYPA Ethylbcnzenc CT,NY,PA m+p Xylencs CT,NY,PA o-Xylcnc CT,NY,PA Isopropylbenzene CT,NY,PA n-Propylbenzene CT,NY,PA 1,3,5-Trimethylbcnzcne CT,NYPA ten-Burylbenzene CT,NYPA 1,2,4-Trimcthylbcnzcnc C l',NY,PA sec-Burylbenzene CT,NY,PA 4-Isopropyltolucnc CT,NYPA n-Butlbcnzene CT,NYPA Naphthalene CT,NY,PA EPA 8110E in Soil Naphthalene CT,NYPA Accnaphthylcnc CT,NY,PA Acenaphthenc CT,NYPA Fluorcnc CT,NY,PA Phenanthrene CT,NYPA Anthracenc CT,NY,PA Fluoranthene CT,NY,PA Pyrene CT,NY,PA Benzo[a]anthraccnc CT,NYPA Chrysene CT,NYPA Benzo[b]tluoranthenc CT,NY,PA Benzo[k]Iluoranthene CT,NY,PA Benzo[a]pyrenc C3',NYPA Indcno[1,2,3-cd]pyrcne CT,NYPA Dibenz[a,h]anthracene CT,NY,PA Bcnzo[g,h,i]perylcnc CT,NY,PA SM 2540 G in Soil Percent Solids CT Complete Environmental Testing operates under the following certifications and accreditations' Code Description Number Expires CT Connecticut Public Health PI10116 09/30/2026 NY New York Certification(NELAQ 11982 (M/01/2026 PA Pennsylvania DEP 68-02927 05/31/2026 Page 11 of 12 R 31ON 1N00:10 N 1V101 — I O m N mN Q a N LL � ' g ° c ❑ ja E c ¢ u_ cQ t O cf— N � o ❑ ° O -0 � — o ° r vi CL ¢ v (D ci cn U U z del a r V v7 W pp p Z ❑Jam Qel laps j PRY = V POA)O'SS!o pp } U Rol1 I u E ❑ m Q scuWw S i d U in q m LL m m e O SMiMsL,iga,cv,a,d I � :Eu-: mCFD�' E E In t... SWY4 9 V808 ( I ❑ vai n°, w U Hd131.0 m y p v F uo saPYKP;*i i ui F W /� o V SeP*qsQd in m LL �d U. C U o a O Mdd/SVNd OLZ8 ; p F Z 09N auexoip VL I U ° m Q 0 a Z8 �/j c ° o a = CD sua H 09 =U sa4 La mO o CD Wi-dJO aNMOA 09N Z a -j U cc c PAS ar Z 3 U �+ tea 1xaN a C H � •Ae0 awes W F U n a 32 m a`o m 1 x i o 3 u o 8 L N < co U Ai3o3i�m35m O c a w m m m a II n O O G = v a E E 0 w � _ E '3 rnrn ° °U E d U w W �a w d ® o a � �nQn _m U L m ¢ ¢h w r Z CD CDco co 2:2O 1 0 \ Up El to Z 3 m NN® ) m m y 3 mxUjm Z > "' u' W ~ T U �� L 0 > m 5 5 Q - d mm tn ' S m � W NwNw G a H 7 m a l Y $ ui C a s ¢ C U) o-0 m C O �? m n— n o W Y 'E (a Q L Z C1 = U = ✓� a m LO `7 ? m o C 7 m a d iC. �_N Ln (ti °° ` = d G 4 A E mto �� I m o o W a. �'• m y m C �l..l m a N _ > w ° ui � ccZ f V m / oCD Z w O o a o C m H ~ o c J ro (n u W Z > Z Z a u to mm J - _ E $ ' m to a c°n ¢ ¢ ¢ V 0 i s a Q ENVIROSHIELD - 1W Clean. Preserve. Protect, O o + 5510 SCALE PURCHASE TICKET P.C. Metals, Inc. 270 Central Avenue Bridgeport, CT 06607 203-367-9328 Ticket: 621313 Weigh In: 01/13/2026 15:26 Customer: 1034 Weigh Out: 01/13/2026 15:30 ENVIRO SHIELD Bridgeport, CT RED FLAT BED Commodity Gross Tare Net Price TOTAL$ UNP TANK 14180 12140 2040 /GT __.._ ....................... Buyer: 0 1 hereby certify that I have the right to possess and sell this scrap. This is a Bill of Sale to the above described scrap. I hereby acknowledge payment in full. Customer Signature Please do not lose this ticket. Ticket required for payment. 0 250 Moffitt St,Stratford,CT 06615 0(203)380-5644 0 info�la enviroshield.com 0 www.enviroshield.corr A DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12r9r2025 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 RSC Insurance Brokerage, Inc. PHONE FAX - P O Box 818035 1" r Q.F'4u:617-330-5700 WC.Not: _ Cleveland OH 44181 !DoResS: opssuppon@risk-strategies.com INSURER(S)AFFORDING COVERAGE NAIC X INSURER A:Nautilus Insurance Company__ _ _ 17370 INSURED NOVOLLC-01 INSURER B:Great Divide Insurance Company 25224 Novoli, LLC DBA: Enviroshield I 250 Moffitt St INSURER C: Stratford CT 06615-7132 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1615942502 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 TYPE OF INSURANCE A OL UBR POLICY NUMBER 4MLIDY/YYYYFFF NMJ ICD(EXP LIMITS I PLY LTR A X COMMERCIAL GENERAL LIABILITY ECP2047633 1'7 I 7/24/2025 7/24/2026 EACH OCCURRENCE $1.000.000 1_7�7 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES JEa occurrence) $100,000 X Pollution ME EXP(Any one person) $5.000 X Professional• PERSONAL&ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 EXPOLICY❑PRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000.000 JECT 07HER 'Clams Made Cov $ B AUTOMOBILE LIABILITY EIAP2047626-10 7124/2025 7/24/2026 COMBINED SINGLE LIMIT $1,000,000 iEa acciden III L_ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident b A UMBRELLA LIAO X OCCUR FFX2047634-10 7/24/2025 7/24/2026 EACH OCCURRENCE $1.000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000 DIED RETENTIONS $ B WORKERS COMPENSATION WCA2047627-10 7/24/2025 7/24/2026 X AND EMPLOYERS'LIABILITY I PTgTUTE i-_ ER ANYPROPRIETOR/PARTNERlEXECUTIVE YIN NIA E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1.000.000 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mare 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. Building Department 938 King Street Rye Brook NY 10573 AU THORIZEJZ8EvgESFtJT9IlYE._ United States i >—tom'--•!( ,•-, .. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use Street address only) lb.Business Telephone Number of Insured (203)380-5644 Novoli,LLC DBA: Enviroshield 250 Moffitt St lc.NYS Unemployment Insurance Employer Stratford CT 06615-7132 Registration Number of Insured Work Location of Insured(Only required ifcoverage is specifically id.Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 334944860 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Great Divide Insurance Company 3b.Policy Number of entity listed in box"la" Village of Rye Brook WCA2047627-10 Building Department 938 King Street 3c. Policy effective period Rye Brook,NY 10573 7/24/25 to 7/24/26 3d. The Proprietor,Partners or Executive Officers are ■ included. (Only check box if all partners/ofliicers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance Carrier will also notify the above certificate holder within 10 dovs iF a policv is canceled due to nonpayment of premiums or within 30 days iF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid fur one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,i certify that i am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Vincent M.Falcigno (Print name of authorized representative or licensed agent of inswance currier) Approved by: /emu. teT _e 12/9125 (SlHnalL110 �.— (Date) Title: Commercial&Environmental Insurance Seecialist Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Onh insurance carriers and their licensed agents are awhori_ed to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-07) www.web.state.ny.LIS