BOSTON 3-0004305 AMERICAN REDCROSS 95-99 BROOKLINE AVE.
aD / BWSC Records Retention Check List Date File Segregated: ______DEPBOX~
Region: 3 RTN: 3-0004305 Notification Date: 1126/1993 SRC QpJ~rcy~ Closing Action: RAORCD A2 Date: 7/3111997
Site Name/Location Aid: AMERICAN REDCROSS Address: 95-99 BROOKLINE AVE, BOSTON-BOSTON
Permanent Record
__V:_Notification Records n circle document(s): @ RLF RLFA0~c.~ ~esponse Action Outcome -- circle type: Class A Class B
___Activity and Use Limitation
___N.o Further Action (NFA) Submittal
___Waiver Completion Statement
___LSP Evaluation Opinion - circle type: NDS NFA
__Notice of Audit Findings (NOFA) ---Levell Level2 ---Level 3
__Audit Follow Up Plan and Post Audit Completion Statement
Vcorrespondence - circle document(s)~ NORA, NON, PAN, ACOP, UAO,
______Other
__Phase I Initial Site Investigation
___Phase II-Comprehensive Site Assessment
- I
I BWSC Records Retention Check List I , Records Storage Center
___Appendices in support of permanent records:
__~Analytical Data - Type: ______
___Boring Logs
---Other
__Phase llI-Comprehensive Remedial Action Alternatives
__Phase IV-Implementation of Selected Remedial Action
__Phase V-Operation, Maintenance and/or Monitoring
__IRA - circle submittal(s): Plan Status Report Completion Report
RAM -- circle submittal(s): Plan Status Report Completion Report
URAM -- circle submittal(s): Plan Status Report Completion Report 'fD J>~~ Bill of Lading (BOL)
__Tier I Permit - circle submittal(s): Application Extension
__Tier Classification - circle submittal(s): Tier Classification Tier II Extension
__Special Project Designation -- Application
Transition Permit
__Waiver Application
_",tJ>/ ~~blic Involvement Records I Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of I Environmental Protection Metro Boston/Northeast Regional Office
I William F. Weld Govemo,
Daniel S. Greenbaum Commissioner I EMERGENCY RESPONSE BRANCH I RELEASE CATEGORIZATION FORM
page 1 of 5 I L GENERAL INFORMATION RELCAT92-8 I 1. DEP "ERB" or "Ca.e" Number _E"'R"'B!!·"'N,.,9,,3.1JO=5"'6'______(indicated in DEP correspondence) Location of R...... (Shown on Figu," I) Pn>porty is:
I PROPERlY/BUSINESS NAME _....!>REES"'EA9<>.R"'C"'H"-!N"'O"'R"'TH.!.!! ______RESIDENTIAL STREET ADDRESS 95-99 BROOKliNE AVE. COMMERCIAL I CIlYffQWN BOSTON, MASSACHUSETfS ZIP 02215 INDUSTRIAL .1L INSTITUTIONAL I 3. Pn>porty Owner (0) NAME BETII ISRAEL HOSPITAL ASSOCIATION I STREET 330 BROOKliNE AVE. If necessary. attach CIlYffQWN BOSTON, MASSACHUSETfS ZIP 02215 names of additional I TEiEPHONE NUMBER -1(6"'1"'7)L7"'3""5-"'3"'58!!7 ______owners to this form. ATI'EN110N: FRANK SUlliVAN
I DeveloplDent Manager NAME BOSTON PROPERTIES, INC. If necessary. attach I STREET 8 ARUNGTON STREET names of additional CIlYffQWN BOSTON, MASSACHUSETfS ZIP 02116 operators to this form I TELEPHONE NUMBER ~6~17~-8~5~9-~26~3~6 ______ATI'EN110N: JOHN CAMERA
I 5. Environmental Consultant (s)/Contraetor(s) [If used]
NAME HALEY & ALDRICH, INC. Is this person/firm currently
I CONTACT PERSON: ~KE~I~TH~J~O~H~N~S~O"'N~ ______investigating this release?
TELEPHONE NUMBER -U(6~17~)~4~9~~~49~1~0~e~xt~.~71~7'______...x. YES NO
I 10 Colllmelft Way • Wobum, Massachusetts 01801 • FAX (617) 935-6393 • T.lephone (617) 935-1160 I I RELEASE CA1EGORIZATION FORM p.2 of 5 I PlEASE PROVIDE CONCISE ANSWERS TO TIlE FOllOWING QUESTIONS. (If additional space is required. use the backside of this form.) II. RELEASE AND SITE SUMMARY
I 6. lodicate oil or HuanIou. Material(.) releaseclldetected: (check all that apply) I ..1L FUELOIL GASOUNE WAS1E OIL _ OTIlER(S): T. Did the reieue occur as the result or an identif'LBbIe spm or discharge'?
YFS ...A. NO IF YFS, ESTIMA1E VOLUME(S) OR QUANTI1Y(IES) RElEASED, AND HOW TIllS ESTIMA1E WAS I MADE: I The volume of the release is unknown 8. Give a c:oncise aecou.nt 01 the release (add.reu wby, how, and wheft 00 the site tbe release OCCUmed/wBS eooounteftd):
I The presence of tbe release was discovered during underground tank excavation and removal performed on 13 January 1993. Visual and olfactory observations made during tank removal and subsequent chemica.) analysis testing results, indicated the presence of soil contamination surrounding the former tank from approximately 4 ft. (top of tank) to approximately 12 ft., (about 2 ft. below the bottom of the tank) the bottom of the excavation. DEP Emergency Resp:::mse was notified verbally of the lank removal and the presence of petroleum I contaminated soil on 13 January 1993. The location of the former tank is shown on Figure 2. I 9. Indicate koowo or IUSpect.N IOUI'Ce of releue: (i.e. tank, drum, pipin&) I The reported release was likely due to tank andlor piping failure or overfilling.
10. If the koowo/suspected IOUIU of the releasdencountercd conta.. lDation is an underground storage tank (UST) ,please provide the following I detalIs:
I Number of UsTs at/f'ormerly at site: One
Age(s), volume(s), and construction (i.e. bare steel. fiberglass, etc.) of UST(s):
Age: Approximately 20 yean. Volume: 5,000 gallons II Construction: Single-wall steel Was release/contamination detected as the result of UST removal? ...lL. YES NO II If yes, was release due/apparently due to UST overfill or UST/piping leakage? Due to the presence of petroleum contaminated soil at 4 ft. below ground surface, the release was apparently due to UST piping leakage/overfilling or from a 0.5 in. diameter hole located at the top of the tank.
/I What was the obseIVCd condition of the UST(s) that were removed? II The tank was generally intact. eJ:ccpt for the presence of a O.S in. diameter hole observed at the top north corner of the tank. I I I RELEASE CATEGORIZATION FORM p. 3 of 5
I IlL RELEASE ASSESSMENT AND CLEANUP
11. Was II"OUDClwater encountered as a nault of tank removal or release IlHeUDIeDt?
I _YES ...x..NO IF YES. INDlCAlE DEPnI BEWW GROUND SURFACE: __ FEET
Groundwater was not encountered during tank excavation and subsequent soil removal; however. a monitoring well (HAI-MW) situated approximately 10 ft. north of the excavation (Figure 2) indicates groundwater depth to be approximately 12 ft. below ground I surface.
If groundwater was NOT encountered. what was the depth of the deepest excavation?
I The depth of the north portion of the excavation was approximately 12 f1. I If groundwater was encountered, was there evidence of petroleum or chemical products "floating" on the water table? ...x.. YES NO IF YES. PlEASE PROVIDE DETAILS (PRODUCT rnICKNESS. DESCRIPTION. ETC):
Prior to tank removal. a small amount of petroleum product (less than 1(2 in. in thickness) was observed in well HAI-MW, situated I approximately 10 ft. north of the tank excavation. However. groundwater or free phase oil product was not observed during tank: removal. I U. Indicate natuft/type/amounl of analysis done at this .ite in ftlponse to release
I NUMBER OF SAMPLES lYPE OF ANALYSIS
EXCAVA1ED SOIL Two 11'H by IR (EPA 9071/418.1). ComlSivity (pH) (#9045). Reactivity (7.3.3.2{7.3.4.1). I Flash point (1010/1020). Paint Filter Test (#9095). PCBs (#8080). and VOCS (EPA 8240)(1). (Photocopies of results are attached).
REMAINING SOIL Six 11'H by IR (EPA 9071/418.1) I Two Petroleum Identification by GCFlD (ASTM 03328) One Volatile Organic Compounds (EPA 8240) (Results are shown in Table I.) I GROUNDWAlER NA Groundwater was not encountered in the excavation.
I ornER NA
(1) Reference: Test Methods for Evaluating Solid Waste. Physical/Chemical Methods. U.S.E.P.A., SW-846, July 1982, 2nd Ed. Revised I December 1987. 13. Provide a coocise summary of aU remedial response actions that have beeD takeD ftlative to the ftlcaseJthreat 01 release (i.e. tank removal, soil exeavatioolremoval installation of monitorin&: wells/test pits, recovery of free-pbase product, installation or absorbent booms. I construdion 01 benns and other containment measures). Cyn Environmental of South Boston. Massachusetts excavated and removed the tank. and removed approximately 80 cu. yds. of I visibly contaminated soil from the excavation. The excavated tank: was transJXlrted off-site and disposed of at a state licensed and approved tank yard. and tbe 80 cu. yds. of contaminated soil has been disposed of off-site. I Photocopies of bills of Iading/waste manifests are attached. I I I RELEASE CATEGORIZATION FORM p. 4 of 5
I IV. CURRENT SITFJRELEASE CONDmONS I 14. Is there still contamination relilaininc at this site as a result of the release? 1L- YES NO
I IF "NO", PROVIDE FUlL EXPlANAll0N/DOCUMENTATION [i.e. sampling results of soil remaining at the site after any cleanup actions. groundwater data, etc.] I I I I
IF "YES", PlEASE PROVIDE FUlL EXPlANATION, TOGEIHER WIlli ESTIMAlE OF lliE AREA, DEPlH, lYPES, AND I CONCENTRATIONS OF REMAINING CONTAMINANTS: In general, petroleum contaminated soils were detected from approximately four feet below ground surface to the bottom of the excavation (approximately 12 It.).
I Chemical testing of in-place soil samples indicates that some amount of contaminated soil remains at the bottom of the former tank location and adjacent to the building.
The petroleum detected in sample Sl obtained from the bottom of the excavation directly adjacent to the building was characterized as No.4 I andlor No.6 fuel oil. I Refer to Figure 3 for sample locations and chemical testing results. I I I I I I I I RELEASE CATEGORIZATION FORM p. 5 of 5
I v. ADDmONAL ASSESSMENT AND CLEANUP NEEDS
u. Baaed upon the aaeumcnl or the ft~ and IUbsequcnt to any clcaa.up done, do you believe there is any Deed to perform additiooal I ioveltiaatiou or re.. edialldeaoup action? I ..1L YES NO NOT SURE Please explain:
It is proposed to drill three additional test borings and install monitoring wells beyond the limits of the tank excavation and in the former I tank location to assess the impact of the release on the groundwater. To further characterize soils in-place beyond the limits of the tank excavation, amlinuous soil samples will be taken in the borings drilled beyond tbe limits of the excavation. I
16. Are there any known (i) private water IUpply wells within 500 feet of the site; (ii) any public water supply wells or surface rescrvoirs within I one-baH ..iIe of the aite; (iii) any schools nearby; and/or (iv) any other leositive environmental receptors nearby? ..1L NO _ YES (DESCRIBE): I The Research North property is located in an industrial/OOmmercial urban setting and there are no known private water supply wells within SOO feet of the site nor any pUblic water supply wells or surface reservoin within one-half mile of the site. I The property and surrounding area is zoned retail and industrial. The USGS Topographic Map of Boston South, MA Quadrangle, dated 1987. indicates the Milmore School is situated approximately 800 ft. southeast of the site. However. ac:oording to the Boston School Department, the Milmore School was closed in 1981 and is not currently an I active school. 17. Complete the following checldist of OOcumeotatioo submitted with this form: I X (Figure 1) Site Location X (Figure 2) Site sketch (indicate the location of the release, locations of any known or suspected sources, test pits. borings, monitoring and I recovery wells, sampling locations. stockpiles, and any other relevant site features); X (Table n Laboratory and/Or screening data oorresponding to sample locations; I X (Figure 3) Test pit, boring and monitoring well logs, if relevant; -1L. Photocopies of all bills of ladingtwasle manifests for the off-site removal of materials oontaminated with oil/hazardous materials. I ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• If this form is completed by a private party and/or a professional environmental consultant on behalf of a private party. please sign below: I tbe information~th~ form ~. to the best 0 my knowledge, true, accurate and complete.
Signature: I Signature: ~~~~~~~~~~~~:;=.7==.~------Ie: owner/operator/private party) envi nmental conSUltant) I PrintNwme:~=f~~~=-__~~~~~~~~~'~JI~ ______Print Name: ...Jk£~-'LJnt~~E'o....!.·~0!.10.LDtbJ.~~~.cN,,--_ Date: 2{ lil12 Date: _---.!O~.I_IM.Z.,!,l.'_II'--qL.Z; ______I SDMOO4D:I0982RC.wpf I ------
TABLE I SUMMARY OF SOIL aUALIlY DATA RESEARCH NORTH PROJECT 99 BROOKLINE AVENUE BOSTON. MASSACHUSETTS
SAMPLE DESIGNATION COMPOSITE SA & 55 S1 COMPOSITE 52 & 53 54 56 S7 56" SAMPLING DATE 1/14/93 1/14/93 1/14/93 1/14/93 1/14/93 1/14/93 1/14/93 SAMPLE DEPTH (FlJ 9 6 3 4-5 12 12 12
VOe. (ug/kg) NO
TPH (mg/I) 3.0100 7.0100 NO 630 _.000 NO 1.800
PET 10. No.4 and/or 8 NO Fuel 011 (2.400 moll)
NOTES AND ABBREVIATIONS: 1. NO: Compound not detected above reporting limit 2. -: Compound or test not anatyzed for. 3. *: 58 is a duplicate sample of sa. 4. Thls table includes onty thotSe compounds detected during the indicated sampling dates. 5. The laboratory data sheela for the analyses are included In Appendix 6. The analyses were conducted by Camp, Dresser & McKee,lnc. of Cambridge, Massachusetts. 7. Refer to Figure 3 for sample location.
SDMOO4D/BB0227 I
I I I I I I I I I I DEP LDCATIONS TO BE INVESTIGATED 6 COMMERCIAL PROPERTY LEGEND: 7 PROPERTY I B FENWAY MOTOR SALES DEP CONFIRMED SITES 9 TEXACO SERVICE STATION 10 HOSPITAL LAUNDRY ASSOCIATION I 1 SEARS ROEBUCK CO. 2 MOBIL STATION 3 MERCHANTS TIRE I 4 DEVELOPMENT PROPERTY 1. LOCATIONS OF DEPICTED DEP SITES ARE 5 SUNOCO STATION APPROXIMATE.
SITe COORDINATES: 42"'20'48"'N 71-05'54"W no, H a ley & A I d ric h, Inc. I ~ "-":;;;r.n. c...w... C-"""aJ -.G d PROJECT LOCUS z~ ~ I III ..J~L- ______U.S.G.S. QUADRANGLE: BOSTONSount,MA ~ ______APPROX. SCALE 1:25,000 SEPi Em 1892~ I FIGURE 1 I II ~ I , / ~ .. rr I '- I I #69 I (PARKING LOT) J.£WIl:. APPROXIMATE LOCATION OF FORMER 5000 GALLON - I SCALE IN FEET APPROXIMATE LOCATION I OF TRASH COMPACTOR OVERLAND STREET /WlII. Geotechnical Engineers & Environmental ConIUItantS UNDERGROUND STORAGE TANK REMOVAL I RESEARCH NORTH PROJECT 99 BROOKLINE AVENUE ., 77777777:'777/ 7777771777777777777777777 7777777 J 77 7 7:,:: BOSTON, MASSACHUSETTS 7;-;-;;7 7 7~ SITE AN) SUBSURFACE I EXPLORATION LOCATION PLAN SCI\LE; AI ..awN FHRUrMY 1 ..3 I MAICI"P ::ACE AGtH2...... -. ~ .-. r- - ...-- ~ ------> ------189669 • •m E){I~TlAJ6t [!!;VII-PIA/&- m• .. A 0• VE.N-r PIPe., ~IMATE t-OCA770;./ OF m r_.~ __ ~-~ ANt> RE.7VP:N LINE."i>! . ,, ' -zon .~, AP~/MAn::. L.lM/~ OP" E.XCAI/A"oN ~ ~£-MW -¥AI-MW r . ~-~ . l;A Lmllll' /lllill.;. _112 _ DESIGNATION AND APPROXIMATE LOCATION OF SOIL SAMPLE. 1. FIGURE IS NOT TO SCALE. ~Oll SAMPLE DEPTH ~~ TOTAL PETROLEUM HYDROCARBON CONCENTRATION (I R METHOD I. 2. SAMPLING LOCATIONS AND INDICATED DEPTHS AND MEASUREMENTS ~ DETECTED IN SOIL SAMPLE. ARE APPROXIMATE • \INDICATES SOil SAMPLE LOCATION ..LbHA/-M,.J APPROXIMATE LOCATION AND DESIGNATION OF HONITORING WEll ~ INSTALLED BY CARR-DEE CORP OF MEDFORD. MASSACHUSETTS ON 19 Gootochnlccl Englnoarl 11 Envlronmomol Conlluitantl AUGUST 1992. UNqe"GROUND STORAGE TANK REMOVAL UC'A RESeAACH NORTH PROJECT APPROXIMATE LOCATION AND ORIENTATION OF SUBSURFACE PROFILE 90 ElitoOKLINE AVENUE IbA SHOWN ON FIGURE •. BOSTON,MASSACHUSETTS TANK EXCAVATION AND SOIL SAMPLE <> INDICATES CHEMICAL ANALYSIS RESULT. FOR COMPOSITE SA"PLE LOCATION PLAN SA & 55. NOT TO SCALE FEBRUARY 1003 ",0 INDICATES CHEMICAL ANAlVSIS RESULT FOR COMPOSITE SAMPLE a.Sl, FIGURE 3 It II II II II II If Il Disposal Manifest, Bill of Lading and II other Documentation . It I: I: I I I I I t I , ...... ------COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS WASTE - . One Winter Street Boston, Massachusetts 02108 I ,.::z I Company Name 9. Designated Facility Name and Site Add,... I CYN DfL CDRPORATlON ,.., II) II) o 1771 WASHINGTON STREET ~ -< V I LIJ 0 .. 0 •. I., ~ G b. E N I E ..., R c. A T a t R •• I iii u I 0 " 15. Special Handling Instructions end Additionellnformation I 24 HOUR EMERGENCY SPILL RESPONSE 617-344-0265 Q. ' .. .proper shipping name and are • packed, marked, and labeled. and ar. in all respects in proper condition for transpon by highway according 10 Ipplic.ble international and national government regulations.. If I am alargl Quantity generator, I cenify thltl h ...... program In pllee to reduee the voIuma and toxicity of Wlste lIe... erated to IhI! d.;ree I have dlttermmed to be economically practicable and that I have selected the practicable method of treatment. or disposal currently Iva&J.able to me which minimizes the present and tuture ,tIN.IIO hutNln he.lth and the envirOn' I tQ " ment: OR, ill am I small Quantity generator, I w.ste management method th.t is .....iI.ble me and th.t I '" can Ifford. I~ c I" Printed/Typed NIJ~ I 19. Discrepancy Indication Spaca ,I 20. Facility Owner or Operator: Cartification of recaipt of hazardous materials covered by this 81 notad in Item 19. Form 4ppro~ed OM8 No 9-30-92 EPA Form 8700-22 (Rev. 9-88) Previous editions are obsolete. t COPY>3: FACILITY MAILS TO GENERATOR • Cf""~MONWEALTH OF MASSACHUSETTS DEPAFI!.~ENT OF ENVIRONMENTAL PROTEC .ON DIVISION OF HAZARDOUS WASTE One Winter Street Boston, Massachusetts 02108 I I 9. Designated Facility Name and Srt. Address I C"IN GIL U d DI JUION f"I XI o XI, rrn WAStMGION 5 iREEI "'C _.I: ______' • -< V IT" I::> ". us DOT Description (Including Proper Shipping Name, HaZllrd Class, and ID NumIMHl .. ::> ICD G\ :.J b. ,., G Z E ,., N ~ E ,. IIII CD R c. -I A o T ~ 0 ,.:z I R d. 1-4.... "'"-I I o iii u ,.,"" "'"-I I 1-4 'C Z " , 5. Special Handling Instructions and Additional Information ,. -I 1-4 I o 'c, 16. CERTIFICATION: I heteby I Z III proper shiOplng name and are classified, Picked. marked, Ind labeled. and are In all reSPeCts in PfOPM condition for transport by highway according to applicable ,nternatlOna'end national government regulations. ,."'"-I If I am a large qual'ltitv generator.' cenify that I haw. program in pl.ce to reduce the volume and loxicitv of waste generated to the degree I have determined 10 be economically practicable -I and that I ha..,. selected the prlctlcable method of treatment, storage. or dlsPOSII currentlv available to me which minimizes the present and future thre.t to human health and the _iron ,., I bIe " ment; OR, If lam a small QuantIty generator, I hlJ\le made a good faith effort to minImize my waste generation and select the best w.ste m.nagement method that is av.... to me.nd th.tl I'" can afford. 0 I" PrintedITyped Nllme I 19. Discrepancy Indication Spaca I 20. Facility Owner or Operator: Ce"lfication of receipt of hazardous materials covered by this manifest except as noted in Item' 9. I Prinredflyped N.mtI =~t'" AODtO,·e'..' ave 11.00 2G50-~039 Exp,re$ 9-3G ~2 EPA Form '8700-22 (Rev 9-88) PreviOUS editions are obsolete t COPY>6: GENERATOR MAILS TO DESTINATION STATE • Ol/~7/kl~ Utf;<;)1 Y"O.Lj "U .. ",~I,J_ r-~-~~'~'-~~.~"~'-~'~'~-=.~-~'-='~-~'~~~~.~.=-~~-~ .. ~-~.~.~~~~!./~·,/ __ ~~'/~.~~0~vJ·'~·~/~/,- I I I I I JIPo!IDIAL DESCIIll"rIC* (TO'mL l'IIOJ'iC'l'ED QUAI!I'l'nT): CO!I'.rAVI!Q'!'BP &CII.: IDC> ~ DEIQIl:&: • &IlIIar_~ p.dll , abaartMmt _ I wt(tcma) valle.. ~) .-. val(cu ltd-) IIp8IIC!y dr1 _ oiii8r I_Uy) - I tz au HoU 16 au • ( I =:t. =t B1t:amDau .adac'ta C, Y I I' DR -"'- l ... reg1.oll): ------'-' =,----- I (xt applioahle) DBP ""!Ii.,.,). !lAl3' ~ RlGIS'!ltA!r%CB ______I QtJU'J:l'l'r SHURD: wt (tems) vol (CD JIIII) nu\II.ER KE:GISTlIM.'ICIII LEPT &rrl! Kl ______=---- I Gn'FPA:ltDl OR RECZIVIl(G FAl:n.rn ~ &I~' ______ DlID. ______I '.I:IU\&SNItI!Iik'1I IIl:GII&TIllIII: RlCBIVDIG n= ~lVE'lI------Sl:GRMmUS , ______DiIII'!!: ____ lIIIR.. 'rDm. _ I DBl'ARIJIBft or au' A_pi at 1'PUZP4flC. I I FALSIFI=ca OR KIsm:J!IIESEIlr&!rIOII OF AllY OF 'DIE IJIFOlIl R:I'AL I I -- _._-----_. - - .. _---- I I Cun ~ eva I fQVIROnmfnfRl SIRVICfS I I FAX COllER SHEET I DATE: 7~ t2rh--- _ e:Y I COMPANY NlIKE: -.!,'-!;rt)L.---:~~'/l~ ______ I FRmh 4L (2 -:7 fkfA, , I NUMBER OF PAGES, INCLUDING COVER: NOTES: I ~ / I I I --"'------. ---_._------_.. _----- IF THERE WAS ANY PROBLEM RECEIVING THIS FAX, PLEAse CONTACT us AT 1-800-242-5818 (IN MASS.) OR (617) 344-0265. 617 464 6382 JAN 29 '93 11:12 • 01/28/93 11:11 I P.02 r R.I. Analytical I ~ .. &Man"",",aI Ser.ices CBRTIPIC1!B or ~Y818 I CYN Environmental services ~TB RECBIVED: 01/20/~3 Attn: Kendra VanValkenburgh DaT... PORTED: 01/27/93 I 900 E. First street P.O. #1 South Boston, HA 02127 x.vDICB II F13l7 I I' IlJU'LB I»E8Cl1.IPT:rOl'S Two (2) soil slllI1ples from Boston properties, Job '5124 I SUbject samples have been analyzed ~ our laboratory with the I attached results. I References: Teat Methods for Evaluatina Solid Waste. Physical1 I Chemical Metbods, U.S. SPA, SW-B46, July 1982, , __ cond edition. Revised Deoember 1987 TCLP Procedure, Federal Reqister, Vol. 55, No. 126, I friday, June 29, 19~O. I If you have any questions regarding this work, or if we may ~ of further assistance, please contact us. I Approved By: '. \ I ~jiI/~t'.£~- ael S. Rost! , Laboratory Manaqar cyn:s! J IU Analylicallabota~ Inc. _...... ,.' ..... - .... ,.--.. ~- " ...._--- I JAN 28 • 93 11 : 11 617 464 6382 PAGE. 001 - 01/28/93 11:12 I 3AH-27-93 W~D 17:41 RZAL I I CBRTI1IClTB or AKlLY818 CYN Environmental Services I DATI ~.CIIVBD; 01{20/93 INVOICE I: F131? O1TI a.POaTZD: 01/27/93 I ROLL on ROLL oJ'r I #1 12 Characteristic of Corroaivity. pH 8.4 SU ?4 SU I' Characteristic of Reactivity: Cyanide Caneration <0.20 IIIq/kq <0.20 IlIg/kg I Sulfide Generation <0.50 " 2 .. 66 " Characteristic of Ignitlbl1ity I Flash Point (c/c) Total Petroleum Hydrocarbons 1,640 -'1rk'l. Paint Filter Test Solids; Solids; No I free liquids tree liquids Polychlorinated 8iphenyls I (Method 18080): ~oclor 1.0Uj <0.1 tog/kg. <0.1 mg/kg· Aroc::lor 122l. <0.1 • ·r JAN 28 '93 11:11 617 464 6382 PAGE.Iil02 - 01/28/93 11:12 U617 464 638Z I P.0S ~ I t CERTIFlCATB or ~YSI8 cyn Env1rolllQental services Data ••calva4, 01/20/93 I Data .epor~a41 01/27/93 Invoice '1 F1317 I Volatile organla campoun48 ••tbolS '824.0 I ehlOromethan" br_tUn" villy1 ch101'1d" diChlorodifla0%Gm8thana I cbloroath"'8 aathylena Chloride trichlorofluo~tbana 1,1-dichlazoatbr1ena I 1,1-dichloraathana ~&ft.-1,2-dLchloroethylana chloroform 1,2-d1cbl~oethan. 1,1,1~Lchlaroathana I carbon tatrachlorid. bromodichloromethana 1,2-dichloropr~ne c18-1,3-dicblorop~lana I trichloroethylene tran.-l,3-4Lchlor~Prlen. 1,1,2~lchloroethana dibrCGOCbloromat~. I brallOtoni t.t~.ch1oroethylan. 1, 1,2, 2-tetrachlor08thano chlorobenzane I 2-chloroethyl vinyl eth"r dichlor~n&an •• ben... ne tolllene I ethylbe.. aane .,.l"nea i !.b:l.t of Deteetloa. 0.2 rt&9/k9 I I ]l.I. DmLY'1'ICAL UBORA'1'ORlU, nrc. I I I JAN 28 '93 11:12 617 464 6382 PF\GE.004 01/28/93 11:13 !f617 '6' 6382 C~N u!~ !~~- 01.12l'.193 11:1i1i1 517 4&4 53S2 01/IT'$S 08:8T tte1? 484 838% CYN OIL INC_ ------.. _. .- -- . ----- I I « w, ••,.... aatLI ro In',,,, 1iDIIIIIA •• atl t: .... - • ~ bamIa I wat-l ""'-I"" JIIIo) ""'-("" JIIIo) ~J dri _ otii8r (~) -- I --_.·"D- n au - ... au --.. 011 ~'QCUJ) - osatrMM!J1W ~ IIIIIBIIDDJdl:I!A. r I .".. ·t ti __ II 7 La" A! Wi "!!YP'lre .atn.t. ,... IU.sgIlI:aa," ClZD72· I an fir ~1..!....lIccj "ng _l_~1~"1_:llI< __-t _,... 80_ I i mn·. a=:..uu. { t DAS' ______I ~I ~,. --~------(U qp'iMh'.) DD nvi I ~-~------I.D!! _ II!! ______I- lim' ---- "'&iiD!"""''PP,-1IO';;- :0 DIZI-- - I ...... ~ .• 0""""- ~. ------BICIIIVDG ncn;rr,. :"'~':';_;;:U;;:I9J:;;.~.~.~t;.;.~..... ;;;;-:.-_-_-_-_-_-_~~-_-_~- _____ DaD. ____ ~ ~z _ I 11==___ r. ai· "tUii4 ••IIImICZ'IIl'·. ~__ CI'* __f.. _ I aa __• __ I IICI:LDI,..- CPUOI ~ \III "'..... " ...."7!TO!I ~ Dr aF 'DI?I WIIE"""A' a. DIU lIIlIIt 1/1' IoIIDDII lJ7 & ~ ~ I M.O-%'_ 21C MIl no aIR JO.OU6 UD 3D.007 lIJID IS ~ ~ ~ ~ CIIl vgn_ dDL!l'Ia. I JAN 28 '93 11:13 617 464 6382 PAGE_005 'C'~:-Cj_""," DAILY WORK SHEET . , yn " STOUGHTON 617·_" P.O. NO. IN STATE 600-242-5818 T & M OUT STATE _-6365 ~!!!..:=::::--::----::--nr-- SPRINGAELO 413-543-8200 (60NTRACP (?, s 'f.. 1)'$ U RHOOE ISlAND 401-467·5190 DEPART FROM SHOP 7 ~ '3U a oM. ARRIVED BACK AT SHOP . ..' 'ORARRIVEDAT2NDJOB ___ JOBLOCATION'fS -' 99 B@>d,~~ Ave. Bom", M ""' m EQUIPMENT NAME TITLE· .... "" Db"AT REG. OT DT OTY. TYPE FLEET • HRS. RATE at> I ~\Jc.tv> 1 nJlk. 1\9 '8 I L . Hc;... o.C' , -1'\J f ~ .., t:. ~ . f . Vo.c· '53 . V-~ 9'{"2, '6) I "3 IY-l. ,~, \4e~i'o~~S I 110. C. S(} v-Cf 'i'h... ,I Ie, 'Mo.reo::\ ED ~~ ~ "/7... I Lei /0., . Mo-kil - Lj I • I -. - _."--.-. I MATERIAL I. , . OTY. DESCRIPTION I ;:;. il.1ve,1!. "ill·IT., • I I blSPPSAL C. -I N ~ st<:> 0 ..~ "b tJ IJ LlOUID 'KeO o,d.l"" , VI(Q',;) ll(j t::.O. MANIFEST NO. AI'II ,-,f u.J; I\G J ~\O ZOO 0" L" ~d- ~.o. V~'I00: , .. I, MANIFEST NO. ;f\ G- II it-X>o",- JOB DESCRIPTION OTHER V511'1 TRANSPORTATION ------~ SUBCONTRACTOR JOB COMPLETED :J YES I"·'''' CUSTOMER 4,:~j REPRESENTATIVE .' ~.. - ./' CYN ENVIRONMENT:L ,U ~ REPRESENT1TIV~ _-''<:J;:;':''C;;'1~''--L~~~I,j-~ __--,&.?--?J"L; __ _ DATE L I d"i 'L - --_._------_ ..... --- .... _...... ML.. I CMi\iJ-l.. \ C ;:, I t1AI~H I Carrier No. ______~ Shil':>;"r. Order Copy Oate ______,- (Name of Carrier) TO: FROM: .-, . - / (, ) 0 .~ J - '\ Ccnsignee '- ~ ...... c~ ~ ; Shipper i"eSTe,,,- }. ';7 U'-::C /111 f.. I Street .n" ; ""i /J ,o_ 8 tt:) 9"" \ 1.,)",';.;.0 ,s;;.t..·c.,L'-" I ti -_. ----- I , ------•, --_. :--- I I I , i ----t-- j------_._--_. -_. I REM!T • C.O.D. FEE TOTAL CG.G TC .--J I PREPAID C $ $ -----_.-t.:J~.;;~ ~:: s ._- - .__ COD Amt $ I COLLECT C CHARGES . "''0' -~,~ c:a~-~;""::Jer.~ Ofl value shippers are I Sublect t;:; S~t'o~, ~ of tne C:lnd'tlons ,f ttllS snlpmen~ IS to be ---' - :-." FREIGHT CHARGES '~- .. - ._.- ;~ , w', -, me .g;~'" d~'''~ '''_, Id'''''",d " "" ~o"g'~ •.",", ""'";~ '0 - -;------..,. I ,- ( I ' .... - ' I r I I I t I t JOHN D. CAMERA, JR. t VICE PRESIDENT-CONSTRUCTION January 21, 1993 I Mr. Keith Johnson r Haley & Aldrich 58 Charles Street I Cambridge, MA 02141 Re: 011 Tank Removal t 99 Brookline Avenue I Dear Keith: Attached are originals of forms left by CYN Environmental at the job site: t 1. Bill of Lading t 2. Daily Work Sheet 3. Three copies of Hazardous Waste Manifests (Mass. DEP form), one I for 800 gals., one for 200 gals. Is there something we need to do with the DEP forms? ~ Very truly yours, I John D. Camera, Jr. '-<.;--", t JDC367/et I Enclosures f BOSTON PROPERTIES. B ARLINGTON STREET. BOSTON, MASSACHUSETTS 02116-3495 • TEL. 16171 859-2600 f BOSTON, MA • NEW YORK, NY • WASHINGTON, DC J 02/11/93 13:48 U617 464 6382 CYN OIL INC. 1i!i002 t • . RECi'IVED BOSTCN FIREDEPARTH I C.B2 S.40 t!,G.l.. D~ SAFF. NIJHR'EP~ ..l'~pa.3?~..f - /_ I Start Date ¢e;f?':B In accordance wich the provisions of Chapter 148, C,L. as provided in section 38A and Sec. 16.05 (b) Qf the BOSton Fire Prevention Code I This permit is gran t Na~e:~~2;~~~-b~~~~~=-~-r~==~~~---Fu Corporation I yard"_-L43~~~~.!../__ State clearly type of II inert gas used in. steel storage tank steel tank: ____~~~~~r=~--~------J fDIDf ZSO:3S - I .e· Fee paid $~:.LI.I.~~ 1\ ThIs section to be filled OUt an~ signed after an on Site inspection I by the Boston Fi re Department Permit , ______2 L 9 S _ 502 OIR :3.03 (IO) I Any eVidence of soil contamination? yes v'" no ______If yes not1fy~,E.Q.E •. \ I In s pe C ted by :J~~"""'r:....A1_d.ftfe.:!f2;z....,b.~..k.""~'. / ~ 1,::?-f7 ,., £.~~' '. .. . """,:/'. r AApplication must be filed at least 24 hrs. prior to tank removal, no~ including weekends and holidays. Contractor must call day of f removal with appoximatc time. IP.,iiiiis'T-;2ALL"UIOR TO 0930. HOURS .";', I FEB 11 '93 13:48 617 464 6382 PAGE. 002 •I 02/11/93 13:48 '!f617 464 6382 CYN OIL INC. ~003 .. ," ...... - '...... ' ..... -.:. - .. _. '- . ' • . -.. . '; ~-:J7.... · DIMENSIONS Tank Removed From Wf dth Length --q:.j:--~t?.d1&h!-~L'Y..e1¥-': Tank 1 ----- X ____ _ (no. street) ------Tank 2 ----- X ____ _ ------3_4~ . (City or town) ------Tank 3 ----- X ____ _ Tank 4 ----- X ____ _ Fire Department '1~ ~ Permit # _____ ~_~p__ _ Tank 5 ----- X ____ _ (if applfc;biej------(feet) (feet) ..I0RM F.P. 291 rrewa 9/881 IC7.IERI FEB 11 '93 13:48 617 464 6382 PAliE.OO3 COMMONWEALTH OF MASSACHUSETIS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 WILUAM F. WELD TRUDYCOXE Governor Secretary ARGEO PAUL CELLUCCI DAVID B. srRUHS Lt. Govemor Commissioner BETH ISRAEL HOSPITAL ASSO. 330 BROOKLINE AVE. BOSTON, M 02215- Attn: FRANK SULLIVAN July 9, 1997 RE: Deadline For an Evaluation of a Location to Be Investigated 3-0004305 AMERICAN REDCROSS 95-99 BROOKLINE AVE. BOSTON Dear FRANK SULLIVAN: Our information indicates that you have a connection to the above referenced location. The Department of Environmental Protection (DEP) listed this location, after January 15, 1991, as a Location to be Investigated with releases of oil and/or hazardous material. The Massachusetts Contingency Plan (the "MCP") and Chapter 21 E of the Massachusetts General Laws contain specific requirements that must be met by those potentially responsible for Locations to be Investigated. Your connection with this location may make you a potentially responsible party. A potentially responsible party may be a landowner, facility owner or operator, generator or transporter of oil or hazardous material, or one who caused a release. The MCP requires potentially responsible parties connected with a Location to be Investigated to evaluate it to determine whether a reportable release of oil and/or hazardous material has occurred and whether further response 15 actions are required . If you take appropriate action before August 2,1997, you can minimize your cleanup costs and maintain compliance with the MCP. In addition, the location may not be published on the annual site list and may not be subject to DEP enforcement action. PLEASE BE ADVISED that a Licensed Site Professional (LSP) Evaluation Opinion for this location or alternative documentation must be submitted by August 2, 1997. The LSP Evaluation Opinion must provide one of the following: 1) there has not been a reportable release and no response actions are necessary; OR 2) a reportable release has occurred but previous response actions sufficiently cleaned up the release; OR 3) a reportable release has occurred and additional response actions are necessary (the location must also be assessed and classified by August 2, 1997 if the LSP makes this determination). 15 The specific requirements that must be met for Locations to Be Investigated can be found in the MCP at 310 CMR 40.0610. DEP on the World Wide Web: http://www.magnet.state.ma.usldep o Printed on Recycled Paper - • ' . • , Page 2 LICENSED SITE PROFESSIONAL (LSP): You must employ an LSP to file an LSP Evaluation Opinion. LSPs are environmental professionals licensed by the Commonwealth of Massachusetts to issue Opinions in connection with waste site cleanups. For a list of LSP names, contact the LSP Board of Registration at (617) 556-1091. ALTERNATIVES TO FILING AN LSP OPINION If you filed a cleanup action report with DEP prior to October 1, 1993 clearly recommending that no further actions are necessary at this location, you may submit a certified statement (as per 310 CMR 40.0009) affirming that recommendation. If the cleanup will be adequately regulated by a hazardous or solid waste permit or approval as provided for in 310 CMR 40.0110, you may provide a notice to the Department by writing to the Deputy Regional Director for the Bureau of Waste Site Cleanup claiming that the site is Adequately Regulated. If you believe filing an LSP Evaluation Opinion or performance of further response actions is beyond your financial, legal or technical ability, you must notify DEP of your inability to file by following the procedures of 310 CMR 40.0172. The Department may require you to submit adequate documentation to support your claim. Call the MCP Helpline at the numbers listed below for more information regarding financial inability. COMPLIANCE FEES If you file an Opinion or affirm a no further action recommendation by August 2, 1997, DEP will not assess an Annual Compliance Fee for the first year. If you fail to do so, the location will be classified as a Tier IB Disposal Site and placed on DEP' s annual list of priority, Tier I Disposal Sites for failure to meet deadlines. You may also be subject to enforcement actions. Such classification and listing will make the site subject to the assessment of Annual Compliance Fees of up to $2,600 per year so long as the site remains a Tier IB site. The Department connected you to this location using information from the Department's files and/or a limited investigation of ownership. Attachment A more fully describes the categories of people considered potentially responsible. If you believe you never had or no longer have a connection to this location which makes you potentially responsible for cleanup, please send a written explanation and any appropriate documentation to the appropiate enclosed regional address along with any information you have regarding any person or company currently connected with this location. If you have other questions, please call the MCP Helpline at (617) 338-2255 from the 617 area code and outside Massachusetts or to (800) 462-0444 from the 413 and 508 area codes. Very truly yours, ~~e.~~ .... James C. Colman, Assistant Commissioner Bureau of Waste Site Cleanup Attachment: Responsible Parties Under MGL Chapter 21 E • Page ,3 • Attachment A: Responsible Parties Under MGL Chapter 21 E Under Massachusetts General Law (MGL) Chapter 21 E people responsible for seeing that cleanups of oil and/or hazardous materials occur include a current owner or operator of a site. and any person who owned or operated a site at the time of disposal or storage of hazardous material. They also include any person who transported, disposed, stored or treated hazardous material to or at a site from which there is or has been a release/threat of release of such material, or any person who otherwise caused or is legally responsible for a release/threat of release of oil or hazardous material at a site. This liability is "strict", meaning it is not based'on'fault, but solely on status as an owner, operator, generator, transporter or disposer. It is also joint and several, meaning that a responsible party may be liable for all response action costs incurred at the site, regardless of the existence of any other liable parties. Please consult Section 5(a) of MGL Chapter 21 E for the complete information regarding your potential liability . If you are a responsible party and fail to initiate actions required by MGL Chapter 21 E and the Massachusetts Contingency Plan (MCP), you may be subject to administrative penalties for failing to conduct response actions in a timely manner. In addition, the Department is authorized by MGL Chapter 21 E to have the work performea by its contractors. You also may be liable for up to three times the DEP's costs for conducting response actions at a property should DEP intervene. By taking such actions yourself, you can avoid liability for response action costs incurred by the Department and its contractors in performing these actions, and any sanctions which may be imposed for failure to perform response actions under the MCP. Penalties and the response costs of DEP are considered a debt to the Commonwealth. Such debts may be recovered by attaching any monies that are owed to you by the Commonwealth J~x refunds, etc.) or by placing liens on real property owned by you in Massachusetts. L COMMONWEALTH OF MASSACHUSETTS EXECUTNE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 WILUAM F. WELD TRUDYCOXE Governor Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Lt. Covemor Commissioner AMERICAN REDCROSS OF MASS BAY 95-99 BROOKLINE AVE. BOSTON, MA Attn: ANDREW BAKER July 9, 1997 RE: Deadline For an Evaluation of a Location to Be Investigated 3-0004305 AMERICAN REDCROSS 95-99 BROOKLINE AVE. BOSTON Dear ANDREW BAK.ER: Our information indicates that you have a connection to the above referenced location. The Department of Environmental Protection (DEP) listed this location, after January 15, 1991, as a Location to be Investigated with releases of oil andlor hazardous material. The Massachusetts Contingency Plan (the "MCP") and Chapter 21 E of the Massachusetts General Laws contain specific requirements that must be met by those potentially responsible for Locations to be Investigated. Your connection with this location may make you a potentially responsible party. A potentially responsible party may be a landowner, facility owner or operator, generator or transporter of oil or hazardous material, or one who caused a release. The MCP requires potentially responsible parties connected with a Location to be Investigated to evaluate it to determine whether a reportable release of oil andlor hazardous material has occurred and whether further response 14 actions are required . If you take appropriate action before August 2, 1997, you can minimize your cleanup costs and maintain compliance with the MCP. In addition, the location may not be published on the annual site list and may not be subject to DEP enforcement action. PLEASE BE ADVISED that a Licensed Site Professional (LSP) Evaluation Opinion for this location or alternative documentation must be submitted by August 2, 1997. The LSP Evaluation Opinion must provide one of the following: 1) there has not been a reportable release and no response actions are necessary; OR 2) a reportable release has occurred but previous response actions sufficiently cleaned up the release; OR 3) a reportable release has occurred and additional response actions are necessary (the location must also be assessed and classified by August 2, 1997 if the LSP makes this determination). 14 The specific requirements that must be met for Locations to Be Investigated can be found in the MCP at 310 CMR 40.0610. DEP on the World Wide Web: http://www.magnetstate.ma.usldep o Printed on Recyded Paper - · . Page 2 LICENSED SITE PROFESSIONAL (LSP): You must employ an LSP to file an LSP Evaluation Opinion. LSPs are environmental professionals licensed by the Commonwealth of Massachusetts to issue Opinions in connection with waste site cleanups. For a list of LSP names, contact the LSP Board of Registration at (617) 556-1091. ALTERNATIVES TO FILING AN LSP OPINION If you filed a cleanup action report with DEP prior to October 1, 1993 clearly recommending that no further actions are necessary at this location, you may submit a certified statement (as per 310 CMR 40.0009) affirming that recommendation. If the cleanup will be adequately regulated by a hazardous or solid waste permit or approval as provided for in 310 CMR 40.0110, you may provide a notice to the Department by writing to the Deputy Regional Director for the Bureau of Waste Site Cleanup claiming that the site is Adequately Regulated. If you believe filing an LSP Evaluation Opinion or performance of further response actions is beyond your financial, legal or technical ability, you must notify DEP of your inability to file by following the procedures of 310 CMR 40.0172. The Department may require you to submit adequate documentation to support your claim. Call the MCP Helpline at the numbers listed below for more information regarding financial inability. COMPLIANCE FEES If you file an Opinion or affirm a no further action recommendation by August 2, 1997, DEP will not assess an Annual Compliance Fee for the first year. If you fail to do so, the location will be classified as a Tier 18 Disposal Site and placed on DEP' s annual list of priority, Tier I Disposal Sites for failure to meet deadlines. You may also be subject to enforcement actions. Such classification and listing will make the site subject to the assessment of Annual Compliance Fees of up to $2,600 per year so long as the site remains a Tier 18 site. The Department connected you to this location using information from the Department's files and/or a limited investigation of ownerShip. Attachment A more fully describes the categories of people considered potentially responsible. If you believe you never had or no longer have a connection to this location which makes you potentially responsible for cleanup, please send a written explanation and any appropriate documentation to the appropiate enclosed regional address along with any information you have regarding any person or company currently connected with this location. If you have other questions, please call the MCP Helpline at (617) 338-2255 from the 617 area code and outside Massachusetts or to (800) 462-0444 from the 413 and 508 area codes. Very truly yours, ~~e. eA. ... ""- James C. Colman, Assistant Commissioner Bureau of Waste Site Cleanup Attachment: Responsible Parties Under MGL Chapter 21E .' .- - ... Page.'} . Attachment A: Responsible Parties Under MGL Chapter 21 E Under Massachusetts General Law (MGL) Chapter 21E people responsible for seeing that cleanups of oil and/or hazardous materials occur include a current owner or operator of a site, and any person who owned or operated a site at the time of disposal or storage ()f hazardous material. They also include any person who transported, disposed, stored or treated hazardous material to or at a site from which there is or has been a release/threat of release of such material, or any person who otherwise caused or is legally responsible for a release/threat of release of oil or hazardous material at a site. This liability is "strict", meaning it is not based on· fault, but solely on status as an owner, operator, generator, transporter or disposer. It is also joint and several, meaning that a responsible party may be liable for all response action costs incurred at the site, regardless of the existence of any other liable parties. Please consult Section 5(a) of MGL Chapter 21 E for the complete information regarding your potential liability. If you are a responsible party and fail to initiate actions required by MGL Chapter 21 E and the Massachusetts Contingency Plan (MCP), you may be subject to administrative penalties for failing to conduct response actions in a timely manner. In addition, the Department is authorized by MGL Chapter 21 E to have the work performed oy its contractors. You also may' be liable for up to three times the DEP's costs for conducting response actions at a property should DEP intervene. By taking such actions yourself, you can avoid liability for response action costs incurred by the Department and its contractors in performing these actions, and any sanctions which may be imposed for failure to perform response actions under the MCP. Penalties and the response costs of DEP are considered a debt to the Commonwealth. Such debts may be recovered by attaching any monies that are owed to you by the Commonwealth (tax refunds, etc.) or by plaCing liens on real property owned by you in Massachusetts...... '. ' ,. Comt-.-. ~~~~i Executive Office of Environmental Affairs • Department of . Environmental Protection Metro Boston/Northeast Regional Office William F; Weld Ga.oemor Daniel S. Greenbaum Commissioner SITE MANAGEMENT BRANCH RELEASE CATEGORIZATION FORM page 1 of 5 I. GENERAL INFORMATION RELCAT 92·8 L DEP "ERB" or "Case" Number 3-4305 (indicated in DE? correspondence) 2 • Location of Release property is: PROPERTY/BUSINESS NAME 95-99 Brookline Avenue RESIDENTIAL STREET ADDRESS 95-99 Brookline Avenue x COMMERCIAL CITY/TOWN Boston. Massachusetts ZIP _~0=-2=-2::.;15~ __ INDUSTRIAL 3. property Owner (s) (until November 3, 1992; See Attachment A ) NAME American Red Cross of Massachusetts Bay STREET 61 Medford Street If necessary, attach CITY/TOWN Somerville, Massachusetts ZIP 02143 names of additional TELEPHONE NUMBER 6~17~-~6~2~3~-~0~0~3~3 ______owners to this form. 4. property Operator(s) (until November 3, 1992; See Attachment A ) NAME American Red Cross of Massachusetts Bay If necessary, attach STREET 61 Medford Street names of additional CITY/TOWN Somerville, Massachusetts ZIP _",02",1",4",3 ___ operators to this form TELPHONE NUMBER 617-623-0033 5. Environmental Consultant(s)/contractor(s) [If used] NAME __~H~a~l~e~y~&~A~l~d~r~i~c=h ______Is this person/firm currently. CONTACT PERSON: Deborah Gevalt, V.P. Investigating this release? TELEPHONE NUMBER 494-1606 YES X NO 10 Commerce Way • Woburn, Massachusetts 01801 • FAX (617) 935-6393 • Telephone (617) 935-2160 ' .'' .. KI:LEASE CATEGORIZAT'ION FORM p. 5 of 5 " • • V. ADDITIONAL ASSESSMENT AND CLEANUP NEEDS 15. Based upon the assessment of the release, and any cleanup done, do you believe there is any need to perform additional investigations or remedial/cleanup action? YES X NO NOT SURE Please explain: The Haley & Aldrich Report reported "background" concentrations of xylene characteristic of urban fill, and concluded that the presence of these compounds at the property is likely due to the industrial/commercial nature of the area. Filling stations have historically been situated near the property, and numerous sites that have been ~~viewed by DEP are located near the property. 16. Are there any known private water supply wells within 500 feet of the site, or any public water supply wells or surface reservoirs within one-half mile of the site? X NO YES (DESCRIBE): 17. Complete the following checklist of documentation submitted with this fo~m: Note: Haley & Aldrich ___ Locus plan and site sketch (indicate the location of the release, locations of any known or suspected sources, test pits, borings, Report previously monitoring and recovery wells, sampling locations, stockpiles, and any submitted to DEP. other relevant site features); Laboratory and/or screening data corresponding to sample locations; Test pit, boring and monitoring well logs, if relevant; N/A Photocopies of all bills of lading/waste manifests for the off-site removal of materials contaminated with oil/hazardous materials. ****************************************************************************************** If this form is completed by a private party and/or a professional environmental consultant on behalf of a private party, please sign below: I hereby certify that the information furnished in and with this form is, to the best of my knowledge, true, accurate and complete. Signature: signature: (professional environmental consultant) Print Name: Patricia H. Deyton print Name: Date: Date: . .' • • • • Attachment A to Release Categorization Form DEP Case No. 3-4305 (2) Property Owner and (3) Property Operator: On November 3, 1992, 95-99 Brookline Avenue, Boston, Massachusetts was sold to: Beth Israel Hospital Association 330 Brookline Avenue Boston, Massachusetts 02215 Tel: 617/735-4675 Eugene Wallace, Vice President 9808.dl 11110/93 8:55 am • MASSACHUSETTS DEPOIL & HAZARDOUS MATERIAL INCIDENT REPORT (circle or ~fill in att that apply) .. N.,; Response Date:~,-!.!:..-, <'i 3 Closed: <9 No SA #: -- ER #: cOOlG Initial Office,.., F~ce Initial Field Follow-up Field 21E Notification AIEnded City/Town: /5u~'" V '~> Spill Name: Address: LV'? /3 "f..<.;r.t.!<.L/,..; L /J...-L Reported: __I __I __Time: ---- All/PM Half Town: Zip Code: Occurred: __I---' __ Time: ---- AIl/PII OUllr I: ( 1 .. (Name) Check if [ 1 (Affi l iatlon) (Phone) PRIMARY SPILL INfORMATION Petroletll 1 Hazardous 1 Both 1 Neither 1 Unknown Material: Amount Reported: Gallons Druoos CU Yds Lbs Virgin 1 Waste Non-PCB I PCB IlPI 1 Ur«nown ~ Amount Actual: Vapors Sheen None Unknown , Envi romental Impact: SOIL AIR GROONIlWATER SURFACE WATER ZONE 2 WATER SUPPLY STORM DRAIN SCIHlOL RESIDENCE OTHER~ Spi II Source: U.. S .. T .. A .. S. T. TRANSFORJER VEHICLE FUEL TANK PIPE/HOSE/LlNE BOAT DR~S VEHICLE TANKER TRUCK UNKIKMI OTHER: Release Type: SPILL FIRE OVERFILL TANK RElllVAL TEST FAILURE VEHICLE ACCIDENT RUPllJRE LEAK ~ING THREAT ONLY UNKIKMI OTHER: I Description: R.WI~"1 Of' ~t1L1 l!\Ib ICI\-;'i: '> E. L f vAT!. "b. TPI-! /,;"1./ S(JL !",l (vi' 1 <..l ~~: 7'IOu /-'1"-:) 1.,L1' 7;< OF I~r-ti; ,,oP~.t...c I "v '.J€." /"'1-0 -I IU F~>V\ £~ ~ ~ vAT, j)/;"/ ~{ ,-:.~>€. A I~o s:.Hd "s. A '-TtJ/ , ReferraL Within OEP: SA IIW lIS SU AQC Io'PC W IW ENF/SF staff: State Contractor: Used: 1 Not Used FederaL L.U.S.T. El igibLe: No Yes Category: ___ , Further DEP : Yes No I Needed: , PRP INfORMATION COIll'any: . Name: Address: Town: State: Zip: .. 'Business Phone:( )--- Home Phone: ( ___) ___ - NOR Issued: Verbal Field Office Date,: __I __I ___ Responsibility Accepted: Yes No PRP Contractor: Contact: Phone: ( __1 __ - iance Issues: OTHER AGENCIES INVOLVED IN OR NOTIFIED OF INCIDENT , Agency: Oate: ___1 ___1 Time: ---- AIl/PM First Contact By: DEP OTHER AGENCY Phone: ( 1 - Contact: Agency: Date: 1 1 Time: ---- AIl/PM first By: DEP OTHER AGENCY Phone: ( ) - DEP Staff Notified: I ER Lead: viI Report By: I <'N-. NtA. £: /V-~ <:- Si >:id 10·0/_' copy D,strlbUtlOn: Wh1te/.eg'~nal Ott,ce Yell Ott'ce Pin"' Gol, ",onal ottlce ~ , .: ~ J 7 t: E ~.. Jii! • CQmplete items 1 and/or 2 for additional services. I also wish to receive the M • Complete it(i'ns 3, and 48 & b. following services (for an extra I ;et~~~;J~U~.~~~ ::~.• ddress on the reverse of this fClrm so that we can f ••I: =.. Att*h this form to the front of the mailpiece. or on tile back If •sPice 1. 0 Address ••'s Addr.ss IiIi) $Is nbt permit. ~ .. Write "Aeturn Re<:eipt Requested" on the mailpiece b,Iow the erUct& Ii • The Return Receipt will show to whom the article was dllivered enclt~. d,,,ol g~~~----~~~~~~~ to: I Beth Israel Hospital c/o John Camera ~ Boston Properties 8 Arlington St. Boston, MA 02116 5. UNITED STATES POSTAL SERVICE. II II I Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 Print your name, address and ZIP Code here • COMMONWEALTH OF MASSACHUSE115 DEPARTMENT OF ENVIRONMENTAL PROTEOION NORTHEAST REGIONAL OmCE COMMERCE WAY P·J1 47 557 450 Receipt for Certified Mail ~ No Insurance Coverage Provided lHTl::DST.r~s Do not use for International Mail POST.oJ.SEIMC[ - (See '"' Postage $ Certified Fee , , Restflcted Delivery Fee '" ~ ..,c, $ Postmark or Dale E :; "- ;jc:PC (bLf/#z en Q. STICK POSTAGE STAMPS TO ARTICI.~ TO COVER FIRST CLASS POSTAGE. CERTIFIED r.1Ah. FEE. Arm CHARGES FOR ANY SELECTl:D OPTIONAL SERVICES {SBB trontl. 1. I' you want this receijlt pustmarkild. stick the gllmme~ stub to the right of the return ajdre~s leaving the receipt at!ached and presellt the article at a POSI office servicl' window or hand it to I yOllr rurRI carrier (no {lxtra chargel. ~ 2. (f you do not Viant this fP,ceipt postmarked, stick the gummpd stub to :he rigtlt ~f the return a(ld,ets of tne artlci:. d<.te. detath And retam the recei~l, and ma,il the ,miele. '" ~ 3. If ye,l! w"nt a fet;'ffl rece;pt, vJflte the certified mail 11Ulnber and your :ldlT1'! lind aodress on a c retUf!l recl!lpt card, Form 3811. an~ attach It to thl' front of the article by means of till' gummed -,~ ends II ~paCI! pernits. Oth£rwis~. affix :0 back of article. Endorse Irent 01 article RETURN RECEIPT o REQUESTED ailjacent to the number. o 00 4. If ~Illl wanl deliverl II!s-trirted to th~ addressee, or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY en the fron1 of the articl~. E a 5. Enter Il!lls for tile ~ervices ;I!Quested in the app;opnatl! spates on Ihl! front of this recaipt. II ~ 6. Say!' Ih,s receipt and present il if you make inquiry. U,S. GPO, 1991 -3C2·916 Commonwealth• of Massachusetts • ~~~~~ Executive Office of Environmental Affairs I Department of ~ Environmental Protection D E P Metro Boston/Northeast Regional Office William F. Weld Governor Daniel S. Greenbaum Commissioner January 26, 1993 Beth Israel Hospital RE: BOSTON c/o John Camera 95-99 Brookline Ave. Boston Properties ERB-N93-0056 8 Arlington street Boston, MA 021 NOTICE OF RESPONSIBILITYI RELEASE CATEGORIZATION PURSUANT TO M.G.L. c21E AND 310 CMR 40.000 Dear Sir: The Bureau of Waste Site Cleanup has been verbally notified of a release/threat of release of oil/hazardous material at the above referenced location. This letter is being forwarded to your attention to acknowledge receipt of such notification, and to (1) request additional information in order to assess the need for further remedial response actions, and (2) notify you of your potential responsibilities under Massachusetts General Law chapter 21E, and 310 CMR 40.000 (the Massachusetts Contingency Plan) . Release Categorization: At this time, the Department is attempting to determine whether the situation reported in the verbal notification constitutes one of the following: a Confirmed Disposal site, a Location to be Investigated; or a spill/Leak. These distinctions are important, because they dictate the regulatory status of the release, and consequently, the statutory process under which future response actions must be taken. The Bureau of Waste Site Cleanup "Guidance on Differentiating Disposal sites from Spills" policy (#WSC-I00-89) provides the following general definitions for categorizing releases: 10 Commerce Way • Woburn, Massachusetts 01801 • FAX (617) 935-6393 • Telephone (617) 935-2160 • • Beth Israel Hospital Page 2 Disposal site Disposal sites are those places or areas where the Department has determined that uncontrolled, non-localized oil or hazardous material is present. Location to be Investigated (LTBI) LTBIs are those places or areas for which the Department has insufficient evidence to confirm the existence of an uncontrolled release of oil/hazardous materials, but based on information available, are reasonably likely to be disposal sites. A Location to be Investigated requires further investigation to provide the Department with sufficient information to determine whether it is a disposal site. spill/Leak spill/leak releases are localized releases that can be quickly remediated by initial remedial response actions so that no significant or otherwise unacceptable risk of harm to health, safety, public welfare or the environment exists or is likely to exist at any time in the future. For spill/leak situations, no further assessment is required beyond confirmatory testing of the effectiveness of the initial remedial response action. Regulatory Implications of Release Category: Response actions taken to mitigate Spills/Leaks, Disposal Sites, and Locations to be Investigated are subject to the Massachusetts General Law chapter 21E, the Massachusetts oil and Hazardous Material Release Prevention and Response Act. The investigation and mitigation of Disposal sites and LTBIs are governed by regulations outlined in the Subpart E of the Massachusetts Contingency Plan (MCPJ 310 CMR 40.000. Subpart E sets forth a long-term, phased assessment and remediation process that is subject to the oversight and approval of the Bureau of waste site Cleanup's site Management Branch. situations that meet the definition of Spills/leaks are not subject to the Subpart E process. The Department may, however, require approval of response actions taken at these releases, including confirmatory testing to document the effectiveness of the response action . .. • • Beth Israel Hospital Page 3 Information Requirements: Pursuant to the Department's authority to perform information-gathering activities and investigate, sample and inspect records, conditions, equipment, practices or property under MGL chapter 21E sections 1,4 and 8, YOU ARE DIRECTED TO COMPLETE THE ATTACHED "Release categorization Form" and SUBMIT THE FORM, ALONG WITH SUPPORTING DATA/DOCUMENTATION TO THE DEPARTMENT, WITHIN NINETY (90) DAYS OF THE DATE OF THIS LETTER. This information, along with the verbal notification and any other applicable DEP records, will be evaluated by the Department to determine whether the release is a Spill/Leak or falls under the Subpart E of the MCP regulations as a Disposal site or LTBI. Please, be advised that sampling and analysis of both soils and groundwater is required to make proper determination of the status of your site. An itemized description of the "Release Categorization Form" information requirements is presented below: (t) Emergency Response Branch spill number (referenced in the subject heading of this letter); (2) Location of the release (property name and address); (3) Name(s), address(es) and telephone numbers of property owner(s) ; (4) Name(s), address (es) and telephone numbers of site operator(s) ; (5) Name(s), address(es) and telephone number(s) of any and all consultants responding to the incident or conducting follow-up testing or site investigations; (6) a description of the type of material(s) released; (7) an estimate, to the best of your knowledge, of the quantity of oil/hazardous material released, and an explanation of how this estimate was made; (8) a concise account of why, how, and where such release/threat of release occurred; (9) a description of any known or likely release sources such as, leaking pipes, fittings, tanks, upgradient releases, etc.; -. • • Beth Israel Hospital Page 4 (10) if the source is, or is suspected to be related to an underground storage tank or tanks, provide a brief description of the number, size, age and contents of the existing and removed tanks; (11) an estimate of the vertical and horizontal extent of the contamination and the environmental media affected (i.e. soil, groundwater, surface water or air); what is the depth to the groundwater table; was any evidence of petroleum or chemical products observed on the water table? provide an estimate of the product thickness and describe how the observation was made; (12) a description of the methods of sampling and screening; number, locations, and types of samples taken; and laboratory analyses conducted. Specifically, the Department in its "site Investigation Protocol Document", Policy #401-91 requires the following analyses for both soil and groundwater: (i) EPA method 8240 for gasoline/solvent releases; (ii) EPA methods 8020, and 418.1 or std. method 503 B&E for fuel oil releases; (iii) EPA methods 8240, 8080 and 418.1 or std. method 503 B&E, and Total RCRA metals for waste oil releases; and (iv) EPA methods 8080, and 418.1 or std. method 503 B&E for transformer oil releases; (13) a concise description of all remedial response actions that have been taken relative to such release/threat of release; (14) describe (post-cleanup) levels of contamination left in place at the site; (15) explain any further response actions needed at this site, based on the assessment of the release. (16) identify all sensitive public health & safety/environmental hazards posed by this release. (17) submit this form along with supporting documentation as outlined in the next paragraph. The supporting documentation which must be submitted with the form is listed below: (i) site sketch, indicating: the location of the release, locations of any known or suspected sources (tanks, contaminated fill, etc.); test pits, borings, monitoring and recovery wells locations; location of stockpiles; and any other relevant site features; .~ ... • • Beth Israel Hospital Page 5 (ii) laboratory and field screening data corresponding to sample locations; (iii) test pit, boring and monitoring well logs, if relevant; (iv) photocopies of all bills of lading/waste manifests for the oil/hazardous material release; If you should fail to adequately reply (i.e. submit the "Release Classification Form" and supporting documentation to the Department within the specified time frame), or if the submittal is determined to be incomplete, the location may be placed on the DEP's List of Locations to be Investigated (LTBI). If this action is taken, at a minimum, a Preliminary Assessment (310 CMR 40.541), subject to the review and approval of the site Management Branch, must be completed within a year of the listing. All assessment and initial remedial response actions taken at the release location should conform with applicable DEP regulations, policies and guidelines. The Department's "Policy for the Investigation, Assessment, and Remediation of Petroleum Releases" (#WSC-401-91) provides guidance and criteria related to releases of petroleum products. All further communications regarding this matter must be directed in writing to the Spill Response Group of the Emergency Response Branch at the letterhead address. Please reference the DEP Case Number N93-0056, designated in the subject heading. tr. U.lY~~S' _ <0:' . '/ b.a1-()~ G~Anthony.' Guarciariello Chief, Emergency Response Branch ARG/CB/ae cc: Boston BOH Boston Fire Department Keith Johnson, Haley & Aldrich, 58 Charles st., Cambridge, MA 02139 Attachment: Release categorization Form MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF• WASTE SITE CLEANUP • METROPOLITAN BOSTON/NORTHEAST REGIONAL OFFICE REQUEST TO TRANSPORT PE'l'ROLEUN CON'l'AlUNATED SOIL BY BILL OF LADING This cover sheet should accompany all requests and submittals to DEP/NERO concerning the movement of petroleum contaminated soils, as governed by DSP Policy #WSC-400-89, "Management procedures tor Excavated soils Contaminated with virgin Petroleum Oils". The purpose of this cover sheet is to ensure that proposals are complete and accurate. Guidance on soil characterization and management is provided on the reverse side. u I. A/J./rl1 I r CITY/TOWN: (I I.rUff If Known: - -, ADDRESS: tJ{'-fJqb{[h/)!MJl /he- DEP Spill i 1../-9-3 - OOS-G'] -. ~ ;Jff,1t;n ·'1J~A~M DEP Case i - , . ., .. contact person for this submi {tal: . - -~ -.J , ' Name it/u 1/1/11 {l, C/I ~AI phone Number ( gOO) 2,/2- Sif/'~ Indicate what is contained in this submittal: ~A complete Bill of Lading with original signatures g'Brief site History/Description Information UY'Analytical Data: ~rom a DEP Certified Laboratory _ Voc headspace data 0 If proposing landfilling, justification of why treatment/recycling is not feasible 0 A stamped, self-addressed envelope for return mailing of Bill of Lading 0 Other: statements and Certification Were soil samples obtained in a manner that accurately and adequately characterize contaminant levels in the stockpile/soil mass under [9"'YES evaluation, as specified in DEP Policy iWSC-400-89, and in conform- ance with standard and accepted industry practices and procedures? o NO Based upon site history information, the analytical data obtained, and an evaluation of all other pertinent and available information, DYES is there any evidence or reason to believe that this soil is contaminated with anything other than virgin petroleum oils? ~O I certify, pursuant to 310 CMR ,40.011, that I have personally examined this submittal and am familiar with the information contained in this document and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment. printed Name {! £" 70/1./ SiZYaL~L £'-"M Affiliation ~ &/W.lf'Oi!!#lP/1J1t. J'G"J!' VI t' ,c' ~ 7 JFlN-27-93 WED 17:. RIFIL P.02 , • R.I. Analytical Special;'t, in EnvironnJental Service, CERTIFICATE OF ANALYSIS CYN Environmental Services DATE RECEIVED: 01/20/93 Attn: Kendra VanValkenburgh DATE REPORTED: 01/27/93 900 E. First street P.o. I: south Boston, MA 02127 INVOICE Iz F1ll7 SAK~LB bESCRIPTION: Two (2) soil samples from Boston properties, Job 15124 subject samples have been analyzed by our laboratory with the attached results. References: Test Methods for Evaluating Solid Waste. Physical! chemical Methods. U.S. EPA, SW-846, July 1982, second edition. Revised December 1987 TCLP Procedure, Federal Register, Vol. 55, No. 126, Friday, June 29, 1990. If you have any questions regarding this work, or if we may be of further assistance, please contact us. Approved By: , \ ?/M#'i~(~J&zL--. c ael S. Rose Laboratory Manager cyn:st RJ Analytical Laboratories, Inc. n .". •• '" ., .... , ...... lAo'''''' ...... _ ...,rr-..... ,...... " _ ...... _ .... JAN-27-93 WED 17:1a RIAL P.03 , • i' CERTIFICATE OF ANALYSIS CYN Environmental Services DATE RECEIVED: 01/20/93 INVOICE #1 F1317 D1TB REPORTED: 01/27/93 PARAMETER ROLL OF!' ROLL OF!' #1 #2 Characteristic of Corrosivity: pH 8.4 SU 7.4 SU Characteristic of Reactivity: Cyanioe Generation <0.20 mg/kg <0.20 mg/kg Sulfioe Generation <0.50 " 2.66 II Characteristic of Ignitibility Flash Point (c/c) >200 0 F >200"F Total Petroleum Hydrocarbons 1,640 mg/kg* 4,660 mg/kg. Paint Filter Test Solids; Solids; No free liquids free liquids Polychlorinated Biphenyls (Method 18080): Aroclor 1016 <0.1 mg/kg. <0.1 mg/kg· Aroclor 1221 <0.1 " <0.1 " Aroclor 1232 <0.1 " <0.1 " Aroclor 1242 <0.1 " <0.1 .. Aroclor 1248 <0.1 " <0.1 " Aroolor 1254 <0.1 " <0.1 " Aroclor 1260 <0.1 " <0.1 " * Calculated on a dry weight basis. RI ANALYTICAL LABORATORIES, INC. page 2 JRN-27-93 WED 17:it RIRL • P.04 CERTIFICATE OF ANALYSIS CYN Environmental Services DATE RECEIVED: 01/20/93 INVOICE I: F1317 DATI REPORTED: 01/27/93 PARAMETER ROLL OFP ROLL OFF II 12 Toxioity Charaoteristic Leae~ln9 Procedure: Metals: Arsenic <0.005 mg/l <0.005 mg/l Barium 0.37 " 0.32 " Cadllliuln 0.02 " 0.01 " chromium <0.03 ., <0.03 " Lead 0.18 " <0.04 " Mercury <0.0005 II <0.0005 " Selenium <0.005 " <0.005 " Silver <0.02 " <0.02 " Volatile Organic compounds: Method 18240 Ethylbenzene 0.3 rng/kg R.I. ANALYTICAL LABORATORIES, INC. page 3 JAN-27-93 WED 17 = .. RIAL • P.05 CERTIFICATB OF ANALYSIS cyn Environmental Services Date Received: 01/20/93 Date Reported: 01/27/93 Invoice #1------F1317 Volatile Organic compounds Method #82.&0 ehlol"omethane bromomethane vinyl chloride dichlorodifluoromethane ehloroethane methylene chloride tl"ichlorofluoromethane 1,1-dichloroethylene l,l-diehlol"oethane trans-l,2-dichloroethylene chloroform 1,2-dichloroethaoe l,l,l-trichloroethane carbon tetrachlol"ide bromodichloromethane 1,2-dichloropropane cis-l,3-dichloropropylene trichloroethylene trans-l,3-dichloropropylene 1,1,2-trichloroethane dibromochloromethane bromoform tetrachloroethylene 1, 1,2, 2-tetrachloroethane chlorobenzene 2-chloroethyl vinyl ether dichlorobenzenes benzene toluene ethylben2ene xylenes Limit of Detection: 0.2 mg/kg R.I. ANALYTICAL LABORATORIES, INC. 6382 CY!\ OIL 1:>(,. fJl002 BILL OF LADING = OF LADIBQ .,______ R Afl irYii IT 1 ,q, ~SPORTA'rIO!i' ACCIDENT? __ Y ~ B MATERIAL DESc:RIPTlO!l ('llJTAL P= QUANTIn): COII'l:AMIHMED sau.: \Q() "B C01 Tn'B OF COImlMIBATIOIi' ANALYSES A!l'rACBED? _ qasol1.ne X ~2 oil _ #4 011 _ '6 oil _ otJi...-(specHyJ_ VOlati18s:~__ K 'l'Pa;);:? Y _ B DESrlNATION FACILIn NAME/ADDRESS, f :rrimoWlt Bi~ P= 1101 ~pike Street Stoughton. M1L 02072 CONTACT/TEL. t:~ J!j~ ai7 I "14/1-£10 !1TI'Z OF FACILln:~ R&cycli"9 _L&ndfill_I""1.n...... t= ( / I'J I'V'l ~ll>" )W) 581213531 PDMrr t, 810-020 Jl.. (A. ~'S SIGlIMIlRlh L<./ - DATE: 1/t-7 /9? (Above items muBt be fampla~ prior to DEP author~~on) l { AlJTBI)RIZAXrON' DEP SIG cjig inatin'1 region): Y X -.I. !l1l.~ nATE: '2-/ 'itt" f .3 =, I ( muCK/!I!RACl'OR REGISTllATl:O!I ______QUAN'l.'I'l'Y SHIPPED: wt (tons) vol (en yee) XRAILER REGIST~IO!I TO'!'J\L PROJECTED !lA'I'E _____ LEFT SITE l':r ______SIttPPEO TO DATE GJniEBATOR OR REaIVIIIG FACilITY ~li:IITA'l'IVES =s LOAD (sst1.... te<:I) 5I~: lW'IAINING TO BE Sl!IppE!) mAliSPOR'!'ER'S SIGIIATtJl\E: ______DATE: ______ RECEIVINtl FACILITY REPm!!Il!1I'l:MIVE'S SIGRA'l'llRB , ______DAXll: ____ ARa. TIME: GEIIEJW!DR IS _lBLB ¥tilt 1iB1'0000Ilf(; ~ POBM lfI'JlIIlI' 5 DAYS TO. DBPARIJIKJI'r 01! EIIYDIOIiIIIiIm PlUJl'.BC'l'IC5 BWSC/_cr ~ IlRAB'CII 0IIl! WDITEl\ STR88'r, 5'l.'II FLOOR 8011mB, HA 02108 AIm FALSIFlCAXI"'" OR I'lISREPREIlEIl'U!!'IOIl OF AllY OF TIlE INFORMATION ON =S BUL OF LADING IS A VIClLlI:rl:OIl OF M.G.L. 21C AND 310 QUI 30.006 AND 30.007 AND IS SUBJECT TO APPROPRIAXE S'lATU'l'ORY OR REGIlLATORY PERAJ,~. - MASSACHUSETTS DEP & HAZARDOUS MATERIAL • e or fill in all that ~esponse Date:~/~/~ Closed: Yes SA #: ER #: N- 93 - OOS(~ rni8ice Follow-l4l Office Initial Field Follow-l4l Field 21E Notification Amended CityITown: at) ".J spi II Name: ______Address: 2,)- 99 i3l?OQ/C £-INC AuG Reported:--2.LI--i..l1~T ;me:~:~ AMI€} Half Occurred:~/-.:=....I_i...3....._Time:--_: ___ AM/PM NOTI PRIMARY SPILL INFORMATION pe~ I Hazardous I Both I Neither I Unknown Mater;al: :0,;(0.-1 Amount Reported: Q.~' t Gal tons Druns Cu Yds Lbs G I "'aste Non-PCB I PC8, ____JIJPII I UnKnown Amount Actual: ______Vapors Sheen None Unknown Environmental Impact: G AIR GR:ClJND~ATER SURFACE ~TER ZONE 2 WATER SUPPLY STORM DRAIN SCH(X)l RESIDENCE OTHER: Spill Source: ~ A.S.T. TRANSFORMER VEHICLE FUEl TANK PIPE/HOSE/LINE BOAT DRI..J1S VEHICLE TANKER TRUCK UNICIriIOJN OTHER: ______Release Type: SPILL FIRE OVERFIll ~AL TEST FAILURE VEHICLE ACCIDENT RUPTURE LEAK DlI4PING UNKNCNN OTHE.:-,,.---______COG {\~_r USI o " S+c"'~ .. j."N, Qr;' .JkJ-i'A C! e~ o,,,Ld GTfrf a ",jd TJ.:l/-I .. Referral 'Within_DEP: SA HU US SU AQe upe w IW ENF/SF Stall: ______ State Contractor: used:-:::-______I Not Used Federal l.U.S.T. Eligible: No Yes Category: ___ Further DEP No PRP INFORMATION C_any: , NCR Issued: Verbat Field Office Date: ___I ___I___ Responsibility Accepted: Yes No PRP Cont rae tor: "hW;,?"':qZl''''L.''e-'-'.,..'-_~'_·LA.cI"J'-!J( ,u'fc:,,,b"-- __-ccont ae t : &e: II 1-;;£' {CJ ,"/ OTHER AGENCIES INVOLVED IN OR NOTIFIED OF INCIDE~T Agency: ______Date: ___I __-'I ____ Time: __ __ AM/PM First Contact By: DEP OTHER AGENCY Phone: ( Contact: JJency: ------Oate: ___I ___I ___Time: ____ AM/PM -