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HomeMy WebLinkAboutMisc Correspondence 45 Nutmeg Road RemovalTankworks r Replace merit May 9, 2014 RECEIVED Mr. Steve Dalene MAY 12 Z014 Dalene Flooring SOUTH 45 NutmegRoad WINDsoR HEALTH DEPT. S. Windsor, CT 06074 Re: Removal and Disposal of(1) 3000 Gallon Underground Gasoline Tank At: 45 Nutmeg Road, South Windsor, CT 06074 Dear Steve: Thank you for the opportunity to service the removal of the buried gasoline tank at the above referenced address. The soil in the grave showed no signs of contamination and was backfilled. Before backfilling, confirmation soil samples were collected. The results are attached for your review. All samples were within the recommended guidelines with no contamination found. This letter, along with the attached soil sample results, should be stored safely with all legal documents pertaining to this property. Further attached is the CT D.E.E.P Notification for Underground Storage Tanks. Once you have reviewed, please sign where indicated and send to DEEP in the attached addressed envelope. Please feel free to call us if you have any further questions. It has been a pleasure working with you. We hope that you are pleased with our services and that you will recommend us to others. Very truly yours, Rosemary Viola Rainville Owner CC: Town of South Windsor, 1540 Sullivan Avenue, South Windsor, CT 06074 Central Permit Processing Unit,DEEP, Hartford, CT 06106-5127 Attn: UST/SASU(NOV#UST-MC214-0026 1-800-653-3140 Main Office 360 East Center St. Manchester,CT 06040 F � RFc�r�F g y D MA 72PHOUJXi,'7 201 g 6b F88,*6f t6 Tp#4= #L ldBJ`Sl �l9g fi ..le. ^Ft�-rr.� Thursday, May 08, 2014 Attn: Mrs. Rose Rainville Tankworks Removal & Replacement, LLC 360 East Center Street Manchester, CT 06040 Project ID: DALENE 45 NUTMEG RD S.W. Sample ID#s: BG40715 - BG40721 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. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext. 200. Sincerely yours, Phyllis Shiller Laboratory Director NE LAC -#NY11301 NJ Lab Registration #CT-003 CT Lab Registration #PH-0618 NY Lab Registration #11301 MA Lab Registration#MA-CT-007 PA Lab Registration #68-03530 ME Lab Registration#CT-007 RI Lab Registration #63 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 .. 0 VIX ..............------ Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal &Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: 2014-5141 Laboratory Data SDG ID: GBG40715 Phoenix ID: BG40715 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: NORTH RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IWI/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 08,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 1 of 7 Ver 1 PHOENIVI"I'llft J'. . Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal& Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By" below P.O.#: 2014-5141 Laboratory Data SDG ID: GBG40715 Phoenix ID: BG40716 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: SOUTH RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Repo rting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller, Laboratory Director May 08,2014 Reviewed and Released by: Deb Lawrie,Project Manager Page 2 of 7 Ver 1 RHOEVIT"I'M 1-1111. ---............. r.. a Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal &Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By" below P.O.#: 2014-5141 Laboratory Data SDG ID: GBG40715 Phoenix ID: BG40717 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: EAST RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead 0.022 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 08,2014 Reviewed and Released by: Deb Lawrie, Project Manager Page 3 of 7 Ver 1 1,,Pr & 3y, . .Fi , 0ENq? ,,, .....................- Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal& Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#:. 2014-5141 Laboratory Data SDG ID: GBG40715 Phoenix ID: BG40718 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: WEST RU Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllishiller,Laboratory Director May 08,2014 Reviewed and Released by: Deb Lawrie,Project Manager Page 4 of 7 Ver 1 JWOEYITI-,�`��-F -1-1--l-11-111--................. Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: 2014-5141 SDG ID: GBG40715 Laboratory Data Phoenix ID: BG40719 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: BOTTOM 1 RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 08,2014 Reviewed and Released by: Deb Lawrie,Project Manager Page 5 of 7 Ver 1 e 1 €1 BU OEVIA 'J Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal& Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: 2014-5141 SDG ID: GBG40715 Laboratory Data Phoenix ID: BG40720 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: BOTTOM 2 RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. AOL Phyllis hiller,Laboratory Director May 08,2014 Reviewed and Released by:Deb Lawrie, Project Manager Page 6 of 7 Ver 1 Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal &Replacement, LLC May 08, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOIL Collected by: RR 05/02/14 13:19 Location Code: TANKWKS Received by: LK 05/06/14 10:07 Rush Request: 24 Hour Analyzed by: see"By" below P.O.#: 2014-5141 Laboratory Data SDG ID: GBG40715 Phoenix ID: BG40721 Project ID: DALENE 45 NUTMEG RD S.W. Client ID: DISPENSER RL/ Parameter Result PQL Units Date/Time By Reference SPLP Lead <0.010 0.010 mg/L 05/07/14 LK SW6010 SPLP Metals Digestion Completed 05/07/14 IW/W SW846-3005 SPLP Extraction for Metals Completed 05/06/14 W EPA 1312 RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. t AOL Phyllis hiller,Laboratory Director May 08,2014 Reviewed and Released by:Deb Lawrie, Project Manager Page 7 of 7 Ver 1 V PHOWNITIITIY� Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 QA/QC Report May 08, 2014 QA/QC Data SDG I.D.: GBG40715 Rio Rio Sample Dup Dup LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank Result Result RPD % % RPD % % RPD Limits Limits QA/QC Batch 273382,QC Sample No:BG40041 (BG40715,BG40716, BG40717, BG40718,BG40719,BG40720, BG40721) ICP Metals-SPLP Extraction Lead BRL <0.010 <0.010 NC 95.8 96.4 0.6 97.9 100 2.1 75-125 20 If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample } AOL ,LCSD-Laboratory Control Sample DuplicateMS-Matrix Spike Phyllis hiller Labboratory Director MS Dup-Matrix Spike Duplicate May 0 ,2014 NC-No Criteria Intf-Interference Page 1 of 1 Thursday,May 08,2014 Sample Criteria Exceedences Report Page 1 of 1 Criteria: None State: CT GBG40715-TANKWKS RL Analysis SampNo Acode Phoenix Analyte Criteria Result RL Criteria Criteria Units ***No Data to Display*** Phoenix Laboratories does not assume responsibility for the data contained in this report. It is provided as an additional tool to identify requested criteria exceedences. All efforts are made to ensure the accuracy of the data(obtained from appropriate agencies). A lack of exceedence information does not necessarily suggest conformance to the criteria. It is ultimately the site professional's responsibility to determine appropriate compliance. Thursday,May 08,2014 Criteria: Nonee S�mpie Criteria Exceedences Report Page 1 of 1 GBG40715-TANKWKS State: CT SampNo Acode Phoenix Analyte Criteria Result RL RL Analysis Criteria Criteria Units *'*No Data to Display Phoenix Laboratories does not assume responsibility for the data contained in this report. It is provided as an additional tool to identify requested criteria exceedences. All efforts are made to ensure the accuracy of the data(obtained from appropriate agencies). A lack of exceedence information does not necessarily suggest conformance to the criteria. It is ultimately the site professional's responsibility to determine appropriate compliance. a PHOEff* CHAIN OF CUSTODY RECORD Temp Pg of Data Delivery 587 East Middle Turnpike,Manchester,CT 06040 ❑ Fax#: Email:info@phoenixlabs.com Fax(860)645-0823 �p � Environmental Laboratories, Inc. Client Services (860) 645-8726 Customer: �1&rcc9e2le Project: - Project P.O: Address: Report to: Phone#: C•7r Invoice to: Fax#: Ch nt Sample-Infor " n-Identification Sampler' signature ,2/�Y Analysis o oa of Date: Request Matrix Code: ,�c DW=Drinking Water GW=Ground Water SW=Surface Water WW=Waste Water SE=Sediment SL=Sludge S=Soil/Solid W=Wipe O=Other PHOENIX USE ONLY 'Customer Sample Sample Date Time ,OP �c ��c°,�O .°a may` �g��O� aO•r aca0 SAMPLE# Identification Matrix Samp ed Sampled 50` G 5 11� Q�,� Q'r Q G � s Y, Li `7 Q A x elin ished A b : Date: Time: RI CT MA Data Format ❑Direct Exposure 0 RCP Cart ❑MCP Certification ❑ Excel (Residential) ❑GW Protection ❑GW-1 ❑ PDF �P ❑GW ❑SW Protection ❑GW-2 ❑GIS/Key ❑Other ❑GA Mobility ❑ GW-3 El EQuiS Comments,Special Requirements or Regulations: ❑ 5-1 ❑ Other Turnaround: GB Mobility Data Package ❑ 1 Day` ❑Residential DEC ❑ S-2 ❑Tier II Checklist ❑ 2 Days' ❑ I/C DEC ❑ S-3 ❑ Full Data Package" ❑ 3 Days" ❑Other ❑ MWRA eSMART ❑ Phoenix Std Report ❑Standard ❑ Other ❑ Other ❑ Other State where samples were collected: Cam' SURCHARGE APPLIES "SURCHARGE APPLIES e e' REC"77,,7 7D y r� SOUTH VJiN0SOR v i•onnicitt :frr HEALTH DEPT. l Monday, May 05, 2014 S Attn: Mrs. Rose Rainville 01S6 \ Tankworks Removal &Replacement, LLC � • �G 360 East Center Street Manchester, CT 06040 l • Project ID: DALENE-45 NUTMEG RD S.W. k �� Sample ID#s: BG40185 -BG40191 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. 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 a duplicate of the original. If you have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext. 200. Sincerely yours, AUL Phyllis Shiller Laboratory Director NELAC -#NY11301 NJ Lab Registration#CT-003 CT Lab Registration#PH-0618 NY Lab Registration#11301 MA Lab Registration#MA-CT-007 PA Lab Registration#68-03530 ME Lab Registration#CT-007 RI Lab Registration#63 NH Lab Registration#213693-A,B VT Lab Registration#VT11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 1 v Ph rA 9EVI., Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:19 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GBG40185 Phoenix ID: BG40185 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: NORTH RU Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,2,4-Trimethylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,2-Dichlorobenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,3,5-Trimethylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,3-Dichlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,4-Dichlorobenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Benzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Chlorobenzene ND 260 ug/Kg 05/02/14 JLl SW8021/8260 Ethylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Isopropylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 m&p-Xylene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Methyl t-butyl ether(MTBE) ND 260 ug/Kg 05/02/14 Al SW802118260 Naphthalene ND 260 ug/Kg 05/02/14 Al SW8021/8260 n-Butylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 n-Propylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 o-Xylene ND 260 ug/Kg 05/02/14 Al SW8021/8260 p-Isopropyltoluene ND 260 ug/Kg 05/02/14 JLI SW802118260 sec-Butylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Styrene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 tert-Butylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Toluene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Total Xylenes ND 260 ug/Kg 05/02/14 Al SW8021/8260 QA/QC Surrogates % 1,2-dichiorobenzene-d4 99 % 05/02/14 JLI 70-130% Page 1 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40185 Client ID: NORTH RU Parameter Result PQL Units Date/Time By Reference % Bromofluorobenzene 99 % 05/02/14 JLI 70-130% % Dibromofluoromethane 95 % 05/02/14 JLI 70-130% %Toluene-d8 97 % 05/02/14 JLI 70-130% RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 2 of 14 Ver 1 S4 THOENX11,1M ........................................--- Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:20 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: Laborator /y Data SDG ID: GBG40185 Phoenix ID: BG40186 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: SOUTH RU Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trimethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,2-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3,5-Trimethylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3-Dichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,4-Dichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Benzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Chlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Ethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Isopropyibenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 m&p-Xylene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Methyl t-butyl ether(MTBE) ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Naphthalene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 n-Butylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 n-Propylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 o-Xylene ND 250 ug/Kg 05/02/14 Al SW8021/8260 p-Isopropyltoluene ND 250 ug/Kg 05/02/14 Al SW8021/8260 sec-Butylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Styrene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 tert-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Toluene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Total Xylenes ND 250 ug/Kg 05/02/14 Al SW8021/8260 QA/QC Surrogates % 1,2-dichlorobenzene-d4 97 % 05/02/14 JLI 70-130% Page 3 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40186 Client ID: SOUTH RU Parameter Result PQL Units Date/Time By Reference %Bromofluorobenzene 101 % 05/02/14 JLl 70-130% % Dibromofluoromethane 97 % 05/02/14 Al 70-130% %Toluene-d8 97 % 05/02/14 JLI 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. AOL Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 4 of 14 Ver 1 S4 RH ENI ate:°; —�� Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:21 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GBG40185 Phoenix ID: BG40187 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: EAST RU Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,2,4-Trimethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,2-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3,5-Trimethylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,4-Dichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Benzene ND 250 ug/Kg 05/02/14 JLl SW8021/8260 Chlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Ethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Isopropylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 m&p-Xylene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Methyl t-butyl ether(MTBE) ND 250 ug/Kg 05/02/14 Al SW8021/8260 Naphthalene ND 250 ug/Kg 05/02/14 Al SW8021/8260 n-Butylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 n-Propylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 o-Xylene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 p-Isopropyltoluene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 sec-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Styrene ND 250 ug/Kg 05/02/14 Al SW8021/8260 tert-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Toluene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Total Xylenes ND 250 ug/Kg 05/02/14 JLI SW8021/8260 QA/QC Surrogates % 1,2-dichlorobenzene-d4 97 % 05/02/14 Al 70-130% Page 5 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40187 Client ID: EAST RU Parameter Result PQL Units Date/Time By Reference % Bromofluorobenzene 100 % 05/02/14 JLI 70-130% %Dibromofluoromethane 92 % 05/02/14 JLI 70-130% %Toluene-d8 97 % 05/02/14 JLI 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 6 of 14 Ver 1 I OWNIX Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:22 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GBG40185 Phoenix ID: BG40188 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: WEST RU Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,2,4-Trimethylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3,5-Trimethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,3-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,4-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Benzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Chlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Ethylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Isopropylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 m&p-Xylene ND 250 ug/Kg 05/02/14 JLl SW802118260 Methyl t-butyl ether(MTBE) ND 250 ug/Kg 05/02/14 Al SW8021/8260 Naphthalene ND 250 ug/Kg 05/02/14 Al SW8021/8260 n-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 n-Propylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 o-Xylene ND 250 ug/Kg 05/02/14 Al SW8021/8260 p-Isopropyltoluene ND 250 ug/Kg 05/02/14 Al SW8021/8260 sec-Butylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Styrene ND 250 ug/Kg 05/02/14 Al SW8021/8260 tert-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Toluene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Total Xylenes ND 250 ug/Kg 05/02/14 Al SW8021/8260 QA/QC Surrogates % 1,2-dichlorobenzene-d4 97 % 05/02/14 Al 70-130% Page 7 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40188 Client ID: WEST RL/ Parameter Result PQL Units Date/Time By Reference •Bromofluorobenzene 98 % 05/02/14 JLI 70-130% •Dibromofluoromethane 94 % 05/02/14 JLI 70-130% %Toluene-d8 99 % 05/02/14 JLI 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 8 of 14 Ver 1 J1H' 0EN' IT1-;z,.T Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:22 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.o.#: Laboratory Data SDG ID: GBG40185 Phoenix ID: BG40189 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: BOTTOM 1 RL/ Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,2,4-Trimethylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,2-Dichlorobenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,3,5-Trimethylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 1,3-Dichlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 1,4-Dichlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Benzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Chlorobenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Ethylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 Isopropylbenzene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 m&p-Xylene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Methyl t-butyl ether(MTBE) ND 260 ug/Kg 05/02/14 Al SW8021/8260 Naphthalene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 n-Butylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 n-Propylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 o-Xylene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 p-Isopropyltoluene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 sec-Butylbenzene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Styrene ND 260 ug/Kg 05/02/14 JLI SW8021/8260 tert-Butylbenzene ND 260 ug/Kg 05/02/14 JLI SW802118260 Toluene ND 260 ug/Kg 05/02/14 Al SW8021/8260 Total Xylenes ND 260 ug/Kg 05/02/14 JLI SW8021/8260 QA/QC Surroaates % 1,2-dichlorobenzene-d4 97 % 06/02/14 Al 70-130% Page 9 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40189 Client ID: BOTTOM 1 RU Parameter Result PQL Units Date/Time By Reference % Bromofluorobenzene 99 % 05/02/14 JLI 70-130% %Dibromofluoromethane 98 % 05/02/14 JLI 70-130% %Toluene-d8 99 % 05/02/14 JLI 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. .COL Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 10 of 14 Ver 1 SS t H vix, OE Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal&Replacement, LLC May 05, 2014 360 East Center Street Manchester, CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:24 Location Code: TANKWKS Received by: SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#. Laborato Data SDG ID: GBG40185 Phoenix ID: BG40190 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: BOTTOM 2 RL/ Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 1,2,4-Trichlorobenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 1,2,4-Trimethylbenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 1,2-Dichlorobenzene NO 240 ug/Kg 05/02/14 Al SW8021/8260 1,3,5-Trimethylbenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 1,3-Dichlorobenzene NO 240 ug/Kg 05/02/14 Al SW8021/8260 1,4-Dichlorobenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 Benzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 Chlorobenzene NO 240 ug/Kg 05/02/14 Al SW8021/8260 Ethylbenzene NO 240 ug/Kg 05/02/14 Al SW8021/8260 Isopropylbenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 m&p-Xylene NO 240 ug/Kg 05/02/14 Al SW8021/8260 Methyl t-butyl ether(MTBE) NO 240 ug/Kg 05/02/14 Al SW8021/8260 Naphthalene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 n-Butylbenzene NO 240 ug/Kg 05/02/14 JLI SW8021/8260 n-Propylbenzene NO 240 ug/Kg 05/02/14 Al SW8021/8260 o-Xylene NO 240 ug/Kg 05/02/14 Al SW8021/8260 p-Isopropyltoluene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 sec-Butylbenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 Styrene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 tert-Butylbenzene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 Toluene NO 240 ug/Kg 05/02/14 JLl SW8021/8260 Total Xylenes NO 240 ug/Kg 05/02/14 Al SW8021/8260 QA/QC Surrogates % 1,2-dichlorobenzene-d4 97 % 05/02/14 JLl 70-130% Page 11 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40190 Client ID: BOTTOM 2 RU Parameter Result PQL Units Date/Time By Reference %Bromofluorobenzene 99 % 05/02/14 JLI 70-130% %Dibromofiuoromethane 94 % 05/02/14 JLI 70-130% %Toluene-d8 98 % 05/02/14 JLI 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. AOL Phjyllishiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 12 of 14 Ver 1 { Y y.. -tip tS4x�:' ,ffjry hee.. :YAW"tl. VT RHOEI .............. Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 Analysis Report FOR: Attn: Mrs. Rose Rainville Tankworks Removal& Replacement, LLC May 05, 2014 360 East Center Street Manchester,CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: 05/02/14 13:25 Location Code: TANKWKS Received by:- SW 05/02/14 15:43 Rush Request: 24 Hour Analyzed by: see"By"below P.O.#: Laboratory Data SDG ID: GBG40185 Phoenix ID: BG40191 Project ID: DALENE-45 NUTMEG RD S.W. Client ID: DISPENSER RU Parameter Result PQL Units Date/Time By Reference Percent Solid 100 % 05/02/14 1 E160.3 Aromatic Volatiles 1,2,3-Trichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,2,4-Trichlorobenzene ND 250 ug/Kg 05/02/14 JLl SW8021/8260 1,2,4-Trimethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,2-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 1,3,5-Trimethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,3-Dichlorobenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 1,4-Dichlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Benzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Chlorobenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Ethylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Isopropylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 m&p-Xylene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Methyl t-butyl ether(MTBE) ND 250 ug/Kg 05/02/14 JLI SW8021/8260 Naphthalene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 n-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 n-Propylbenzene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 o-Xylene ND 250 ug/Kg 05/02/14 JLI SW8021/8260 p-Isopropyltoluene ND 250 ug/Kg 05/02/14 Al SW8021/8260 sec-Butylbenzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Styrene ND 250 ug/Kg 05/02/14 JLI SW8021/826.0 tert-B utyl benzene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Toluene ND 250 ug/Kg 05/02/14 Al SW8021/8260 Total Xylenes ND 250 ug/Kg 05/02/14 JLI SW8021/8260 QA/QC Surrogates % 1,2-dichlorobenzene-d4 98 % 05/02/14 JLI 70-130% Page 13 of 14 Ver 1 Project ID: DALENE-45 NUTMEG RD S.W. Phoenix I.D.: BG40191 Client ID: DISPENSER RU Parameter Result PQL Units Date/Time By Reference %Bromofluorobenzene 99 % 05/02/14 JLI 70-130% %Dibromofluoromethane 91 % 05/02/14 JLI 70-130% %Toluene-d8 97 % 05/02/14 Al 70-130% RUPQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level Comments: 100%Solid Assumed Volatile Comment: Both LL vials had too much soil to purge properly,the client HL vial was analyzed and reported. All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. AOL Phyllis hiller,Laboratory Director May 05,2014 Reviewed and Released by:Deb Lawrie,Project Manager Page 14 of 14 Ver 1 PHOEVIX4- mm,' MY Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 Tel.(860)645-1102 Fax(860)645-0823 QA/QC Report May 05, 2014 QA/QC Data SDG I.D.: GBG40185 LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank % % RPD % % RPD Limits Limits QA/QC Batch 273414,QC Sample No:BG39544(BG40185(125X), BG40186(111X), BG40187(100X),BG40188(111X), BG40189(111X),BG40190(100X),BG40191 (111X)) Volatiles-Solid 1,2,3-Trichlorobenzene ND 101 109 7.6 45 47 4.3 70-130 30 m 1,2,4-Trichlorobenzene ND 94 102 8.2 47 50 6.2 70-130 30 m 1,2,4-Trimethylbenzene ND 101 111 9.4 102 101 1.0 70-130 30 1,2-Dichlorobenzene ND 96 107 10.8 78 83 6.2 70-130 30 1,3,5-Trimethylbenzene ND 96 105 9.0 108 104 3.8 70-130 30 1,3-Dichlorobenzene ND 94 103 9.1 78 85 8.6 70-130 30 1,4-Dichlorobenzene ND 94 105 11.1 75 80 6.5 70-130 30 Benzene ND 97 104 7.0 85 87 2.3 70-130 30 Chlorobenzene ND 98 107 8.8 85 90 5.7 70-130 30 Ethyibenzene ND 96 103 7.0 90 93 3.3 70-130 30 Isopropylbenzene ND 97 107 9.8 115 112 2.6 70-130 30 m&p-Xylene ND 97 105 7.9 91 94 3.2 70-130 30 Methyl t-butyl ether(MTBE) ND 96 97 1.0 105 96 9.0 70-130 30 Naphthalene ND 108 116 7.1 53 59 10.7 70-130 30 m n-Butylbenzene ND 98 107 8.8 89 91 2.2 70-130 30 n-Propylbenzene ND 104 113 8.3 107 108 0.9 70-130 30 o-Xylene ND 102 109 6.6 92 96 4.3 70-130 30 p-Isopropyltoluene ND 97 107 9.8 101 99 2.0 70-130 30 sec-Butylbenzene ND 93 104 11.2 103 100 3.0 70-130 30 Styrene ND 103 110 6.6 76 84 10.0 70-130 30 tert-Butylbenzene ND 98 108 9.7 112 108 3.6 70-130 30 Toluene ND 97 103 6.0 85 88 3.5 70-'1 30 30 •1,2-dichlorobenzene-d4 96 101 101 0.0 102 103 1.0 70-130 30 %Bromofluorobenzene 101 101 101 0.0 91 94 3.2 70-130 30 %Dibromofluoromethane 99 98 101 3.0 98 101 3.0 70-130 30 •Toluene-d8 100 100 100 0.0 99 98 1.0 70-130 30 Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. m=This parameter is outside laboratory ms/msd specified recovery limits. If there are any questions regarding this data,please call Phoenix Client Services at extension 200. RPD-Relative Percent Difference LCS-Laboratory Control Sample LCSD-Laboratory Control Sample Duplicate MS-Matrix Spike Phyllis hiller, Laboratory Director MS Dup-Matrix Spike Duplicate May 0 ,2014 NC-No Criteria Intf-Interference Page 1 of 1 Monday,May 05,2014 Sample Criteria Exceedences Report Page 1 of 1 Criteria: None State: CT GBG40185-TANKWKS RL Analysis SampNo Acode Phoenix Analyte Criteria Result RL Criteria Criteria Units ***No Data to Display*** Phoenix Laboratories does not assume responsibility for the data contained in this report. It is provided as an additional tool to identify requested criteria exceedences. All efforts are made to ensure the accuracy of the data(obtained from appropriate agencies). A lack of exceedence information does not necessarily suggest conformance to the criteria. It is ultimately the site professional's responsibility to determine appropriate compliance. Cooler. Yes❑ No t Coolant: IPKM ICE 0 No CHAIN OF CUSTODY RECORD Temp Pg of PHOEATX* Contact Options: 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 �Faz: Bnvironmentat' Laboratories, Inc. Email:info@phoenixlabs.com Fax(860)645-0823 Pile: Client Services (860) 645-8726 [}Email: r7 Customer: Project: 1.t Project P.O: Address: Report to: This section MUST be D V4 Invoice to: f completed with No Bottle Quantities. JAW 1 1 ♦ 1 Client Sample-Information-Identification Samplers Analysis Signature Date: Request G� 1r Matrix Code: DW=Drinking Water GW=Ground Water SW=Surface Water WW=Waste Water �p�``T 1° RW=Raw Water SE=Sediment SL=Sludge S=Soil SD=Solid W=Wipe OIL=OII B=Bulk L=Liquid Sig ���a2• Sim Iwo,ti `,ti ry�p0 ryyp0 PHOENIX USE ONLY Customer Sample Sample Date Time JOP � d�rP�J°P •0� SAMPLE# Identification Matrix Sampled Sampled yob' G�. GN, SJ 6%,� Al, QI Q �� L1 O 1 $S L 0l got go S elfin !she b : Date: Time: RI CT MA Data Format ..2.6 Direct Exposure 0 RCP Cart 0 MCP Certification ❑Excel (Residential) ❑GW Protection ❑GW-1 ❑ PDF ^t ❑GW ❑SW Protection ❑GW-2 GIS/Key Other ❑ GW-3 El EQuIS ❑ ❑GA Mobility Comments,Special Requirements or Regulations: El ❑Other ` , Turnaround: ElGB Mobility Data Package n Q ` / � \j Qa �J I t�1� C C 0� ❑ 1 Day' ❑Residential DEC ❑ S-2 ❑Tier II Checklist Wilk 66',T Q r Q��y ❑ 2 Days- ❑I/C DEC ❑ S-3 ❑Full Data Package` (� t J / ❑I 3 Days' ❑Other ❑MWRA eSMART ❑ Phoenix Std Report Gqu- Le ad . If mtq f I,� c i�eA-�- y Standard ❑ Other ❑ Other _ ❑ Other �� 'SURCHARGE APPLIES State where samples were collected: `' -SURCHARGE APPLIES Connecticut Department of Energy & Environmental Protection Bureau of Materials Management & Compliance Assurance Emergency Response & Spill Prevention Division Notification for Underground cR��SEOY3 Storage Tanks eF 4 - fa' �r- Please complete this form, in accordance with the instructions (DEEP-UST-INST-001)to ensure the proper handling of your r notification. Print or type unless otherwise noted. r Submit one notification form per site. 5 , Part I: Notification and Fee Type _ Check the appropriate box(es) identifying the notification type. 1. LOCATION of UST(s) Name of site: DALENE FLOORING Street Address or Location Description: 45 NUTMEG RD City/Town: SOUTH WINDSOR State: CT Zip Code: 06074 2. Site ID Number: a36b8403-Ob5a-4277-9622-40d9813a32b3 € o Wee =-No 3 Tl�snotif�catOt�ry �s for exempt� �Tanks. � Total= choose i, u, ui or iv Fee tanks ($0) excluding(b) Fee (a) (b) (c) ";(a x c) ❑ i) first time site notification [rew] $100.00/ (Complete entire application) tank 1101111111 ❑ ii) annual notification F11M with NO $100.00/ modifications tank (Complete Parts I and VII only) ❑ iii) annual notification with $100.00/ modifications, (specify modifications under iv tank below) IMI (Complete Parts I and VII and modifications only) ❑ iv) a to an existing notification; check any of the following to specify. (Complete Parts I and VII only) ❑ adding new UST system (Part IV) $100.00/ tank DEEP-UST-NOT-001 1 of 12 Rev.01/02/14 Part 1: Notification and Fee Type (continued) M W"M "I M M 7 i 711"W WR q`�J No:bf-F 77 *No:of exempt' Tanks Tdtdl 3. (modtfications colfitirizue,d). Fee tanks ($0) excluding (b) Fee (a) (b) (C) (a x c) El adding an orphan UST system (newly $100.00/ discovered) (Part IV) tank o SIM F1 update/correction to Part H: $0 owner/operator info/financial responsibility ❑ transfer of ownership (Part 11) $0 ❑ update/correction to Part III: record info $0 ❑ update/correction to Part IV: UST system $0 info Permanent Closure of an UST system $0 0 (Part V) o"B 0 e d MW n .odnt as�separate" J Fee k *For municipalities, the 50% discount applies. The notification will not be processed without the fee. The fee shall be non-refundable and shall be paid by check or money order to the Department of Energy and Environmental Protection. Part II: Owner/Operator Information • *If an Owner/Operator is a corporation,limited liability company, limited partnership, limited liability partnership, or a statutory trust, it must be registered with the Secretary of State. If applicable, the applicant's name shall be stated exactly as it is registered with the Secretary of State. Please note, for those entities registered with the Secretary of State, the registered name will be the name used by DEEP.This information can be accessed at the Secretary of State's database (CONCORD). (www.concord-sots.ct.clov/CONCORD/index.osp • If an Owner/Operator is an individual,provide the legal name(include suffix)in the following format First Name;Middle Initial;Last Name;Suffix(Jr, Sr., /1, ///, etc.). 1. UST Owner Name: This affiliate is the registrant(check if true): F1 Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. *E-mail: *By providing this e-mail address you are agreeing to receive official correspondence from the department, at this electronic address,concerning the subject application. Please remember to check your security settings to be sure you can receive e-mails from"ct.gov"addresses.Also, please notify the department if your e-mail address changes. DEEP-UST-NOT-001 2 of 12 Rev.01/02/14 Part II: Owner/Operator Information a) Business Type (check one): ❑ individual' ❑ federal agency ❑ state agency ❑ municipality ❑ **tribal ❑ *business entity(*If a business entity complete i through ii): i) provide Secretary of the State business ID#: This information can be accessed at the Secretary of State's database (CONCORD). (www.concord-sots.ct.gov/CONCORD/index.osp) ii) ❑ Check here if your business is NOT registered with the Secretary of State's office. **Notification or fee is NOT required for UST systems located on tribal lands. 2. UST Operator, if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. *E-mail: a) Business Type (check one): ❑ individual ❑ federal agency ❑ state agency ❑ municipality ❑ **tribal ❑ *business entity(*If a business entity complete i through ii): i) provide Secretary of the State business ID#: This information can be accessed at the Secretary of State's database (CONCORD). (www.concord-sots.ct.aov/CONCORD/index.osp) ii) ❑ Check here if your business is NOT registered with the Secretary of State's office. **Notification or fee is NOT required for UST systems located on tribal lands. ❑ Check if any co-owners/operators. If so, attach additional sheet(s)with the required information as requested above. 3. Billing contact, if different than UST owner or operator Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. E-mail: 4. Primary contact, if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. *E-mail: By providing this e-mail address you are agreeing to receive official correspondence from the department, at this electronic address, concerning the subject application. Please remember to check your security settings to be sure you can receive a-mails from"ct.gov"addresses.Also, please notify the department if your e-mail address changes. DEEP-UST-NOT-001 3 of 12 Rev.01/02/14 Part II: Owner/Operator Information (continued) 5. Property Owner, if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. E-mail: 6. Class A Operator: must be the individual who was trained. Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: E-mail: Company Name, if applicable: Approved Training Course: Training Date: ❑ initial or biennial training OR ❑ retraining ordered for non-compliance Certification Expiration Date: Class A Operator's Signature: 7. Class B Operator: must be the individual who was trained. Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: E-mail: Company Name, if applicable: Approved Training Course: Training Date: ❑ initial or biennial training OR ❑ retraining ordered for non-compliance Certification Expiration Date: Class B Operator's Signature: DEEP-UST-NOT-001 4 of 12 Rev.01/02/14 Part II: Owner/Operator Information (continued) 8. Financial Mechanism(s): Complete the table below identifying the financial assurance mechanism(s) used to demonstrate financial responsibility as specified in the Federal Register. Use the list of surety types below. If an 'other method' is chosen, please specify the method in the table. A Self Insurance E. Guarantee I. Trust Fund B. Commercial Insurance F. Surety Bond J. *State Fund C. Risk Retention Group G. Letter of Credit K. Other Method (specify in D. Local Government H. Bond Rating Test table below) Financial Test *Pursuant to section 262 of Public Act 12-1 of the June 12'h Special Session, the state fund (UST Petroleum Clean-Up Program)will cease to serve as a financial responsibility mechanism on: • October 1, 2012, for those who own or operate USTs on more than five separate sites; and • October 1, 2013 for municipalities and for those who own or operate USTs on five or less separate sites. 1c,,,:> (insert letter df Co vecage; from ilist Coverage, above or specify) Owners/Operators shall complete the attached "Certification of Financial Responsibility Form" and maintain such completed form at the facility where the storage tank system(s) are located. THIS FORM DOES NOT NEED TO BE SUBMITTED but must be updated to reflect any changes. Part III: Record Information Off-Site Storage of Records at a Centralized Location Does the owner/operator of more than 10 facilities with UST systems request to store certain records at a centralized location? ❑ Yes ❑ No If yes, provide the central location address below. Name of Location: Address: City/Town: State: Zip Code: Such records must be immediately available for inspection by the commissioner or the commissioner's designee at any such central location. Please refer to section 22a-449 q CGS; for storage of underground storage tank system records that may be kept at a centralized location or that must be kept on site. DEEP-UST-NOT-001 5 of 12 - Rev.01/02/14 Part IV; Underground Storage Tank Information Complete for all tanks and piping at the subject location. Begin by labeling tanks(including compartments, if applicable). Label tanks as required by the instructions. . If you have more than 5 tanks in one location, reproduce this section and complete for additional tanks.You must read the instructions(DEEP-UST-INST-001)in order to properly complete this Part. b e i s uc rin f`Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: } ❑ ❑ ❑ ❑ ❑ -MR.- El have to(carne e the�columns abelec�foreompartme►�tss .:> 1 bus o� ank � torre �i► U ` El e o ❑ ❑ O ❑ ❑ - ' ❑ O O ❑ ❑ o s rMS Asphalt Goateed or Bae'Steel ❑ ❑ ❑ ❑ El Coailana�odc �Protected Ste?�ST[P3)_ ❑ El El El El �" �'CorrijotxieSteel cldiglas Wit) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El El El o i 77,77- WO _ e t_aia ly Line d Interior with.Epoxy Coating ❑ ❑ ❑ ❑ ❑ Excavation;Liner ❑ ❑ El ❑ ❑ Double Walled ❑ ❑ ❑ ❑ ❑ SnglesUUalletl ❑ ❑ El ❑ ❑ ,f k Tank-,MAnufeI 3C eck boi amk has eiireen reps red; O O ❑ ❑ ❑ CoinlilYe the fo%lowing for each compartment or tank. 6. Emergency Generator Use ❑ ❑ ❑ ❑ ❑ 7. Estimated Total Capacity(gallons) Farm Use ❑ ❑ ❑ ❑ ❑ DEEP-UST-NOT-001 6 of 12 Rev.01/02/14 Part IV: Underground Storage Tank Information (continued) - Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: a, ❑ ❑ ❑ ❑ ❑ 8 (o, ass s i he case of cl `tecl.cornpgrtments/tanks).. . c"eck one'per cdmpartment/tank Gasoline ❑ ❑ ❑ ❑ ❑ Diesel ❑ ❑ ❑ ❑ ❑ Kerosene`(for-resale) ❑ ❑ ❑ ❑ ❑ Kerosene�(on site.consumption) ❑ ❑ ❑ ❑ ❑ eating Oil(on site consurptiori), El El El ❑ Heating Oil(for resale)- ' ❑ ❑ ❑ ❑ ❑ Used OA. El El ❑ El El Biodiesel; ❑ ❑ ❑ ❑ ❑ E85, ❑ ❑ ❑ ❑ ❑ E � ❑ ❑ ❑ ❑ ❑ If Other please specify here ElaarZaSubstarfce ❑ ❑ ❑ El P k y ~O�ERCf A, name r3 9rGASNumber 9t Primary Release Detection che e per compartment/tank Annual£Precision Tightness Testing ❑ ❑ ❑ ❑ ❑ Tank Tightness Test with Inventory,Control ❑ ❑ ❑ ❑ ❑ ContinU6b8(Eledttbnic)Interstitial Monitoring ❑ ❑ ❑ ❑ ❑ ATG--CSLD—Continuous with"Inventory El El ❑ El ❑ Reconciliation/Control ATG-Static with Inventory Reconciliation/Control ❑ ❑ ❑ ❑ ❑ Monthly GroundwaterNapor Monitoring ❑ ❑ ❑ ❑ ❑ Manual Tank Gauging ❑ ❑ ❑ ❑ ❑ Monthly Visual Interstitial Monitoring ❑ ❑ ❑ ❑ ❑ No release detection required ❑ ❑ ❑ ❑ ❑ If OtherMethod, please specify here DEEP-UST-NOT-001 7 or 12 Rev.01/02/14 Part IV; Underground Storage Tank Information (continued) n � Tank No.: Tank No.. Tank No.: Tank No.: Tank No.: 3 2, n ❑ ❑ ❑ ❑ ❑ ��� - e< <e n ❑ D ❑ ❑ ❑ =`Piping Cbh -r bti ` 1+0. Piping Installakion`Date 11. Piping Matenal check-oneper compartmentftank Bare Steel ❑ ❑ ❑ ❑ ❑ Galvanized Steel ❑ ❑ ❑ D ❑ Epoxy Coated Steel ❑ ❑ ❑ ❑ ❑ Flexible Plastic i ❑ ❑ ❑ ❑ ❑ No,Piping associateduit Tank orAboveGround,Only ❑ ❑ ❑ ❑ ❑ Fiberglass Re nforced Plastic ❑ ❑ ❑ D ❑ S� Rigid Plastic.- ❑ ❑ ❑ ❑ ❑ � x � p r pb'K AFRO* ❑ ❑ ❑ El 12.. ng econ a onta�n went eck all that apply Coritainmerif Sumps at'Dispensers ❑ ❑ ❑ ❑ ❑ Containment Sumps at Tanks ❑ ❑ ❑ ❑ ❑ 13: Pipe Fitting--'checkone percompartment/tank Metallic Fitting lsolated from Soil and Water ❑ ❑ ❑ ❑ ❑ Metallic:Fitfing Cathodically,Protected ❑ ❑ ❑ D ❑ 14. Construction TypeA,ping check all that apply Cathodically Protected ❑ ❑ ❑ ❑ D Double Walled ❑ ❑ ❑ D ❑ Metallic Piping Isolated'form Soil and Water ❑ ❑ ❑ D ❑ Single Walled ❑ ❑ ❑ ❑ ❑ Unknown ❑ ❑ ❑ ❑ ❑ 15. Piping Type check one per compartment/tank Pressure ❑ ❑ ❑ ❑ ❑ "U.S."Suction(valve at tank) ❑ ❑ ❑ ❑ ❑ Gravity Feed Only ❑ ❑ ❑ ❑ ❑ "Safe Suction(no valve at tank) ❑ ❑ ❑ ❑ ❑ lf"Other,please specify)here Check box if piping has euet been repaired ❑ ❑ ❑ D ❑ DEEP-UST-NOT-001 8 of 12 Rev.01/02/14 Part IV; Underground Storage Tank Information (continued) : . Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: ri to ❑ ❑ ❑ ❑ ❑ t 6 R a eaS a coon -i g eck o percori partmen e Annual Preis�on�LEneTghtn�e �Tesfing ❑ ❑ ❑ ❑ ❑ Prec�s'OLme Ti`htss7�tin Every 3years El ❑ ❑ ❑ El 0 ❑ ❑ ❑ El El El ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ r 4 l ct �Attt® [ e weak DetectorsL1 EJ Ej ❑ a: Au f e ;eat Detectors ❑ ❑ ❑ ❑ ❑ 1�8 r � �e t o�e�ron� chec Alt�at app"ly pud�ble Atarin ❑ ❑ ❑ ❑ ❑ BaI1"rioat'Device ❑ ❑ ❑ ❑ ❑ Flapper:Deuice ❑ ❑ ❑ ❑ ❑ None ❑ ❑ ❑ ❑ ❑ S.pill'�P�evention"Devide;lnstalled El ❑ ❑ El Part V: Permanent Tank Closure Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: 8ed081b7 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ i 04/1986 4r�Y )x 05/2014 �g g ound ® ❑ ® ❑ ❑ ❑ ❑ ❑ El ❑ El EJ El El El {D'sir[bo etf e= rial here DEEP-UST-NOT-001 9 of 12 Rev.01/02/14 Part V:,, Permanent Tank Closure (continued) Tank No.: Tank No.: Tank No.: Tank No.: Tank No.. ❑ ❑ ❑ ❑ ❑ a 04/30/201 'gin` r 4 ® ❑ ❑ ❑ ❑ Tankworks Removal&Replacement 360 East Center St. Manchester, CT 06040 860-646-3348 ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ C�1 ena the h p x z 'GXPlVI _C ❑ ❑ ❑ ❑ ❑ El ResrDEC El ❑ ❑ ❑ ❑ *If any boxes were check0b above;include a.table summarizing the data and highlighting the exceedances (See R.C.S.A,Sections 22a- 133k=1 throu-`h 3 for definitions). *Groundwater Samples had Constituents of Concern above the following RSR Criteria: —check all that apply GWPC ❑ ❑ ❑ ❑ ❑ SWPC ❑ ❑ ❑ ❑ ❑ Res GWVC ❑ ❑ ❑ ❑ ❑ I/C GWVC ❑ ❑ ❑ ❑ ❑ *if any boxes were checked above, include a table summarizing the data and highlighting the exceedances (See R.C.S.A.Sections'22a- 133k-1 through 3 for definitions). Remedial Actions Recommended by;Environmental Consultant/Contractor ❑ ❑ ❑ ❑ ❑ If box is checked,a closure report must be submitted to the LUST Coordination Program for evaluation. Remedial Actions Completed If box is checked,a closure report must be submitted to the ❑ ❑ ❑ ❑ ❑ LUST Coordination'Program for evaluation. DEEP-UST-NOT-001 10 of 12 Rev.01/02/14 Part VIA Certification of Installation Complete within 30 days of installing an UST or adding an UST system to an existing notification. If you have more than 5 tanks in one location, reproduce this part and complete for additional tanks. Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: _e, rank Part'o i,o © room "d tarik�,: ❑ ❑ ❑ ❑ ❑ t nyi a« ❑ ❑ ❑ ❑ ❑ �b r ❑ ❑ ❑ ❑ ❑ El El 1:1 El El ❑ ❑ ❑ ❑ ❑ - 4 Provide signature of UST Installer to certify proper installation of subject UST System. Company Name: License Type: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Name of UST Installer: Title: E-mail: Phone: ext.: Signature of UST Installer Date DEEP-UST-NOT-001 11 of 12 Rev.01/02/14 Part VII: Owner/Operator Certification The ov#ner/operator and the individual(s) responsible for actually preparing the notification must sign this part. A ynotification will be considered incomplete unless all required signatures are provided. "I have personally examined and am familiar with the information submitted in this document and all attachments thereto, and I certify that based on reasonable investigation, including my inquiry of the individuals responsible for obtaining the information, the submitted information is true, accurate and complete to the best of my knowledge and belief. I understand that a false statement in the submitted information may be punishable as a criminal offense, in accordance with section 22a-6 of the General Statutes, pursuant to section 53a-157b of the General Statutes, and in accordance with any other applicable statute. I certify that I have completed a Certification of Financial Responsibility Form and such completed form is maintained on-site. I also certify that this underground storage tank notification is on complete and accurate forms as prescribed by the commissioner without alteration of the text." Signature o O Date Dalene Hardwood Flooring,Inc. Owner Steve Dalene Name of Owner/Operator(print or type) Title(if applicable) gnature o Preparer(if different than abo Date Joanne Tedford, Tankworks Coordinator Name of Preparer(print or type) Title (if applicable) ❑ Check here if additional signatures are required. If so, please reproduce this sheet and attach signed copies to this sheet. Note: Please submit a completed Underground Storage Tank Notification and all Supporting Documents to: CENTRAL PERMIT PROCESSING UNIT DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION 79 ELM STREET HARTFORD, CT 06106-5127 A copy of all completed Notification Forms must be maintained on site and the most recent completed form must also be forwarded to the local fire marshal. If you have any questions, please contact the UST Program at 860-424-3374 or by e-mail (DEEP.USTFeec@-ct.gov) DEEP-UST-NOT-001 12 of 12 Rev.01/02/14