NEPA ENVIRONMENTAL REVIEW REPORT · Remodeling, and Painting (RRP) Rule as well as Occupational...

NEPA ENVIRONMENTAL REVIEW

REPORT

Community Development Block Grant – Disaster Recovery

Owner Occupied Rehabilitation and Rebuilding Program

Site ID No. 1526

108 Longdean Road

Fairfield, Connecticut

April 2016

Ref. No. 104318/37/R01

Prepared for:

Merritt Construction Services, Inc.

1177 High Ridge Road Fairfield, CT 06905

Prepared by:

385 Church Street, Suite 201, Guilford, Connecticut 06437 • Phone 203.458.7200 Fax: 203.458.7201

i

TABLE OF CONTENTS

1.0 - INTRODUCTION ................................................................................................................... 1

1.1 - Proposed Site Modifications and Work Zone .................................................................... 1

2.0 - PRELIMINARY INSPECTION AND RESOURCE REVIEW .............................................. 2

2.1 - Preliminary Site Inspection ............................................................................................... 2

2.2 - Preliminary Checklist Review ........................................................................................... 2

2.2.1 - Flood Management/Coastal Zone Management Issues (Items 2, 4, 14A and 14E) ......................................................................................................................... 2

2.2.2 - Inland Wetlands (Items 3 and 14D) .......................................................................... 3

2.2.3 - Lead-Based Paint (Item 13C) ................................................................................... 3

2.2.4 - Asbestos-Containing Materials (Item 13D) .............................................................. 3

2.3 - Additional Items (Not Included in Statutory Checklist) .................................................... 3

3.0 - HAZARDOUS MATERIALS EVALUATIONS ..................................................................... 4

3.1 - Work Zone Lead Inspection and Lead Hazard Risk Assessment ...................................... 4

3.1.1 - XRF Lead Testing in Work Zone.............................................................................. 4

3.1.2 - Lead Hazard Risk Assessment ................................................................................. 5

3.1.2.1 - Site Information and Visual Assessment ......................................................... 5

3.1.2.2 - XRF Testing (Deteriorated Paint Areas) .......................................................... 6

3.1.2.3 - Dust Sampling ................................................................................................. 7

3.1.2.4 - Soil Sampling .................................................................................................. 7

3.1.2.5 - Lead Hazard Control Options ......................................................................... 7

3.2 - Asbestos Sampling ............................................................................................................ 8

3.3 - Airborne Radon Sampling ................................................................................................. 9

3.4 - PCB Sampling ................................................................................................................... 9

3.5 - Mold Inspection............................................................................................................... 10

4.0 - CONTRACTOR BID ITEMS ............................................................................................... 11

4.1 - Lead Abatement ............................................................................................................... 11

5.0 - CONCLUSIONS AND RECOMMENDATIONS ................................................................ 13

6.0 - LIMITATIONS ...................................................................................................................... 14

7.0 - SIGNATURES OF REPORT AUTHORS ............................................................................. 16

TABLE OF CONTENTS (continued)

ii

FIGURES

Figure 1 Site Location Map Figure 2 Site Diagram

APPENDICES

Appendix A Public Resource Maps

Appendix B Photographs

Appendix C Lead Risk Assessment and Inspection Forms

Appendix D Roster of Suspect Asbestos Containing Materials

Appendix E Laboratory Analytical Data

NEPA Environmental Review Triton Environmental, Inc.

#1526 108 Longdean Road, Fairfield, CT Page 1 of 16

1.0 - INTRODUCTION

Triton Environmental, Inc. (Triton) has prepared this National Environmental Policy Act

(NEPA) evaluation for the property located at 108 Longdean in Fairfield, Connecticut (the site)

on behalf of Merritt Construction Services, Inc. (Merritt). The location of the site is depicted on

Figure 1. The NEPA review has been prepared as a required component of the Community

Development Block Grant – Disaster Recovery (CDBG-DR) program for properties impacted by

Superstorm Sandy. The CDBG-DR program, run by the U.S. Department of Housing and Urban

Development (HUD), provides funding to address repairs to certain impacted Connecticut

properties. In order to receive funding from HUD, an environmental review is required.

The project is considered “categorically excluded” from NEPA. However, the project is

still subject to additional statutory requirements. As such, Triton has completed the Statutory

Checklist for state and federal laws, regulations, and Executive Orders (other than NEPA) in

accordance with 24 CFR 58.5 and 58.6. In addition, Triton has completed specific testing at the

site, as described in detail in this report.

1.1 - Proposed Site Modifications and Work Zone

The single level home includes a formerly finished basement that was reportedly

flooded during the storm. The proposed work plan for the site includes filling in of the

basement, installing breakaway flood doors, and construction of a room to house mechanicals

above the FEMA flood elevation. As such, the work zone as described by Merritt consists of

the interior of the basement of the dwelling and the exterior of the structure where the

addition will be constructed.



2.0 - PRELIMINARY INSPECTION AND RESOURCE REVIEW

2.1 - Preliminary Site Inspection

As a preliminary step in the NEPA evaluation, Triton completed an initial inspection

of the site, focused on the work zone described in Section 1.1. The inspection was completed

on October 14, 2015 by Mr. Brian Sirowich of Triton.

During the inspection, the following items were noted within the work zone that

required further evaluation:

• Suspect asbestos-containing materials;

• Potential lead-based paint;

• Potential polychlorinated biphenyls (PCBs); and

• Potential mold.

Photographs of the work zone area are included as Appendix B.

2.2 - Preliminary Checklist Review

Following the initial site inspection, a preliminary statutory checklist review was

completed in order to determine which items in the checklist did not apply to the site, and

which items required additional evaluation and/or on-site surveys. As a component of the

preliminary checklist review, Triton reviewed readily available resource maps, as well as

online environmental databases. Copies of the maps reviewed are provided in Appendix A.

Based on the site inspection and the review of applicable public resource materials,

each of the items identified on the Statutory Checklist have been assigned a code of “Not

Applicable to This Project,” with the exception of the items identified below:

2.2.1 - Flood Management/Coastal Zone Management Issues (Items 2, 4, 14A

and 14E)

The site is located within a flood zone based on the FEMA Flood Insurance Rate

map 0900070419G dated July 8, 2013. The site is located with an area mapped as an AE

zone, which is within the 100-year flood zone.



The site is located within the coastal zone boundary. As such, a Coastal Area

Management (CAM) Site Plan Review Application is required to be submitted to the

Fairfield Commission (unless otherwise exempted). It is our understanding that the

DEEP has approved a Flood Management Certificate (No. 201405290-FM) for all

CDBG-DR projects. Work shall be conducted in accordance with the conditions of the

Certificate.

2.2.2 - Inland Wetlands (Items 3 and 14D)

The work zone is located within a wetland setback area. The western portion of

the site parcel appears to be located within an area with mapped wetland soils. The

dwelling (i.e. the work zone) appears to be located within the setback limits of the

wetland soils. As such, a permit from the Town of Fairfield may be required for the

proposed work.

2.2.3 - Lead-Based Paint (Item 13C)

Based on the site inspection and the age of the building, potential lead-based paint

was observed within the work zone.

2.2.4 - Asbestos-Containing Materials (Item 13D)

Based on the site inspection and the age of the building, potential asbestos-

containing materials were observed in the work zone.

2.3 - Additional Items (Not Included in Statutory Checklist)

Although not specifically listed on the Statutory Checklist, Triton identified the

following additional potential issue associated with the project:

• Based on the site inspection, potential PCB-containing building materials

were observed in the work zone.



3.0 - HAZARDOUS MATERIALS EVALUATIONS

Based on the preliminary inspection of the subject property, the following hazardous

materials surveys were completed.

3.1 - Work Zone Lead Inspection and Lead Hazard Risk Assessment

An inspection of potential lead-based paint was completed within the work zone such

that the work can be completed safely and in accordance with the EPA’s Renovation,

Remodeling, and Painting (RRP) Rule as well as Occupational Safety and Health

Organization (OSHA) requirements. In addition, the structure was reportedly constructed

prior to 1978 and, based on information provided by Merritt, the overall cost of the

renovation work is anticipated to exceed $25,000.00. As such, Triton completed a lead

hazard risk assessment of the property in accordance with the United States Department of

Housing and Urban Development (HUD) Lead Safe Housing Rule (24 CFR 35). The

inspection and lead hazard risk assessment were completed by a State of Connecticut

certified lead inspector and risk assessor.

3.1.1 - XRF Lead Testing in Work Zone

As indicated in Section 1.1, the work zone as described by Merritt is considered to

be the basement of the dwelling and the exterior of the dwelling in the area where an

addition will be constructed. Triton conducted testing of the work zone using X-Ray

Fluorescence (XRF). The survey was completed by a Connecticut certified lead

inspector. The survey was completed using a Niton XL-300A XRF instrument. XRF

readings were taken at a total of 20 locations of 7 distinct building materials in the work

zone. Appendix C contains a spreadsheet summarizing the results. The results of the

XRF testing indicate that one of the exterior painted building materials tested contained

lead concentrations greater than the action level of 1 mg/cm2 (0.5% by weight). The

materials containing lead-based paint above the action level are summarized in the table

below. The approximate locations of these materials are shown on the Figure 2 diagram.



Summary of XRF Testing Results Within the Work Zone

Material Location Side Color Approx.

Quantity

Concentration

(mg/cm2)

Wooden siding shingle

Exterior C Blue 350 SF 2.1

3.1.2 - Lead Hazard Risk Assessment

The structure was reportedly constructed prior to 1978, and according to Merritt,

the overall cost of the renovation work is anticipated to exceed $25,000.00. As such,

Triton completed a lead hazard risk assessment of the property in accordance with the

HUD Lead Safe Housing Rule (24 CFR 35). The risk assessment was completed by a

State of Connecticut certified risk assessor.

3.1.2.1 - Site Information and Visual Assessment

The subject structure is a three-bedroom, single-family residential house

reportedly constructed in 1961. The site is owned by Emily and Sheila Sherwood.

There are currently four full-time occupants of the house, and reportedly two

children under the age of six reside there on a full or part time basis. For additional

information, please refer to Form 5.0 (Resident Questionnaire) included in Appendix

C.

As an initial step, the Triton risk assessor completed a visual inspection of the

dwelling, as summarized below. Observations regarding the general condition of the

building can often offer insight into where future lead-based paint hazards may occur

and whether certain hazard control options are likely to be successful. Information

regarding the overall condition of the building is found in Form 5.1 (Building

Condition Form) in Appendix C. As indicated in Form 5.1, less than two items were

checked as “Yes,” indicating that (for the purposes of a risk assessment) the dwelling

is considered to be in good condition.

The visual assessment was completed for the residence in order to identify:



• Deteriorating painted surfaces;

• Areas of visible dust accumulation;

• Areas of bare soil;

• Painted surfaces that are impact points or subject to friction; and

• Painted surfaces on which a child may have chewed.

Based on the visual assessment, the following areas of concern were

identified:

Type of Potential

Concern

Present?

(Yes/No) Locations Identified

Deteriorated Paint Yes Exterior siding, bedroom and living room door casing, bathroom wall

Dust Accumulations Yes Throughout 1st floor

Bare Soil Yes Beneath deck, garden, walkway, dripline

Impact/Friction Surfaces Yes Bedroom and living room door casing

Chewable Surfaces No

A summary of the visual paint inspection is provided on Form 5.2, “Paint

Conditions on Selected Surfaces,” provided in Appendix C. The areas of potential

concern identified above were used to determine where environmental samples were

collected (see below) or where further evaluation was needed.

3.1.2.2 - XRF Testing (Deteriorated Paint Areas)

In order to further evaluate the locations of deteriorated paint, Triton

conducted testing using the XRF. The survey was completed by a Connecticut

certified lead inspector/risk assessor. The surveys were completed using a Niton XL-

300A XRF instrument.

The results of the field XRF sampling are summarized on Form 5.3, “Field

Sampling Form for Deteriorating Paint,” provided in Appendix C. As indicated on

Form 5.3, the following deteriorated paint surfaces were determined to contain lead

paint above the HUD action level of 1 mg/cm2: green door jam in the living room

(1.3 mg/cm2).



3.1.2.3 - Dust Sampling

A total of seven dust wipe samples were collected during the risk assessment

from the areas identified with visible dust. The dust wipe samples collected are

summarized in Form 5.4, “Field Sampling Form for Dust,” provided in Appendix C.

As indicated on Form 5.4, none of the dust samples contained concentrations in

excess of applicable HUD action levels. The laboratory analytical report is included

in Appendix E.

3.1.2.4 - Soil Sampling

As indicated in Section 3.1.2.1, bare soil areas were identified in the

following locations at the residence: the building dripline, the garden, the walkway,

and beneath the deck.

A composite soil sample was collected from each area by collecting three or

more discrete samples (from the upper ½ inch of soil) and compositing the soil in a

pre-cleaned stainless steel bowl. The homogenized sample was then transferred into

a laboratory clean sample container for analysis. Form 5.5 “Field Sampling Form

For Soil” (included in Appendix C) provides a summary of the soil sampling

conducted. As indicated on Form 5.5, the lead concentrations in the soil samples

were below the HUD interim standard of 400 mg/kg:

3.1.2.5 - Lead Hazard Control Options

In accordance with HUD requirements for projects exceeding $25,000.00 in

overall cost, abatement of lead hazards is required (although interim controls are

acceptable for exterior hazards).

Abatement is a lead hazard reduction method that is designed to permanently

eliminate lead-based paint or lead-based paint hazards. Permanent is defined as

having 20-year expected life. Interim controls are lead hazard reduction activities

that temporarily reduce exposure to lead-based paint hazards through repairs,

painting, maintenance, special cleaning, occupant protection measures, clearance,

and education programs.



Based on the testing described above, lead hazards were identified in the

following areas:

• Hazard A - lead levels exceeding 1 mg/cm2 in deteriorated paint on the door jam in the living room.

• Hazard B - lead levels exceeding 1 mg/cm2 in deteriorated paint on the exterior of the house (side C only).

Based on the lead hazards identified above, abatement will be required for Hazard

A. Abatement options for Hazard A include:

• Removing lead-based paint and its dust. Paint removal options include removal by heat gun, chemical stripping, or by contained abrasives;

• Permanently encapsulating or enclosing the lead-based paint; and

• Replacing components containing lead-based paint.

Abatement and/or implementation of interim controls will be required for Hazard

B. Options include:

• Removing lead-based paint and its dust. Paint removal options include removal by heat gun, chemical stripping, or by contained abrasives;

• Permanently encapsulating or enclosing the lead-based paint; and

• Paint film stabilization (wet scraping or wet sanding followed by priming and painting).

3.2 - Asbestos Sampling

An asbestos survey was completed of the work zone on November 11, 2015. In

accordance with the EPA National Emission Standards for Hazardous Air Pollutants

(NESHAP) regulation 40 CFR Part 61 (Subpart M), a property owner must ensure that a

thorough inspection for asbestos-containing materials is completed prior to possible

disturbance during renovation or demolition. A walk-through and inspection of the work

zone was conducted by a Connecticut licensed asbestos inspector to identify suspect asbestos-

containing materials (ACM). Once the location and quantity of each suspect ACM was

documented, up to three representative samples of each suspect material were collected.

In accordance with EPA protocols, the samples of each suspect ACM were submitted

to a State licensed laboratory and analyzed via the PLM method (EPA 600/R-93/116



Method). To avoid unnecessary sample analysis, the laboratory did not analyze duplicate

homogeneous samples once asbestos was detected at concentrations greater than 1% in a

related sample.

A total of 31 samples were collected from 14 homogeneous building materials within

the work zone. Some samples were further subdivided at the laboratory for discrete testing

resulting in the reporting of 33 results. The results indicated that none of the building

materials contained asbestos greater than one percent, which is considered non-asbestos-

containing under NESHAP.

A roster of the building materials suspected of containing asbestos (and subsequent

samples) is attached as Appendix D. The laboratory analytical report is attached in Appendix

E.

3.3 - Airborne Radon Sampling

Radon gas is a product of the decay series that begins with uranium. It is produced

directly from radium, which can be commonly found in bedrock that contains black shale

and/or granite. Radon gas can migrate through the ground and enter buildings through

porous concrete or fractures, and tends to accumulate in poorly ventilated basements. Long-

term exposure to radon has been associated with lung cancer.

Based on the nature of the planned renovations that will result in a ventilated air space

between the filled basement and the lowest livable space of the dwelling, radon testing was

not requested by Merritt.

3.4 - PCB Sampling

PCB sampling was conducted by Triton on November 11, 2015. Prior to sampling,

Triton conducted a visual survey of the work zone for potential PCB-containing materials. A

sampling plan was then developed in order to collect a set of samples that was representative

of the various materials observed. Where a significant number of homogeneous window

units are present, the EPA recommends that a minimum of 5% of windows be sampled to

generate a statistically significant data set for each sealant type.



The following table summarizes the various types of materials that were observed,

and the number of samples that were collected from each material type.

Sealant Material Location Number of

Locations

Number of Samples

Collected

(5% Minimum)

Foundation crack sealant Foundation C side 1 1

Window foam Windows on B side 2 1

Window glazing Windows on B side 2 1

As indicated, three samples were collected from the work zone that is believed to

provide a representative evaluation of the potential PCB-containing material observed. The

samples were collected using hand tools (e.g. utility knife). The samples were analyzed for

PCBs by EPA Method 8082 (using the soxhlet extraction method).

PCBs were not detected in any of the three samples (PCB-1, PCB-2, and PCB-3)

collected from the locations noted in the table above. The laboratory analytical results are

provided in Appendix E.

3.5 - Mold Inspection

Triton completed a visual mold inspection of the work area on November 11, 2015.

Mold was observed on insulation and concrete walls in the basement. Although not directly

observed, it is likely that mold is present on both wooden surfaces and insulation behind

remaining portions of walls in the basement. Photographs of the apparent mold are provided

in Appendix B. Given the nature of the proposed renovations (which will include filling in

the basement), abatement of the observed mold is not required.



4.0 - CONTRACTOR BID ITEMS

Triton has completed building materials surveys within the proposed work area described

by Merritt that have resulted in the identification of lead paint and mold. However, mold was

only identified within the basement, which will be filled in, and therefore does not require

abatement. The contractor will be required to address the lead in accordance with all appropriate

regulatory requirements and industry standards and guidelines as described below.

4.1 - Lead Abatement

Work Zone

Initial XRF testing completed for the work zone identified lead-based paint on the

exterior siding on the C side, which is where the propose addition for housing mechanicals

will be constructed. During the completion of the proposed work activities, if the lead-based

paint is disturbed or deteriorated, lead-containing materials should be abated in accordance

with local, state, and federal regulations including, but not limited to, Housing and Urban

Development – Lead-Based Paint Poisoning Prevention in Certain Residential Structures –

Rehabilitation Regulations (24 CFR 35(J)) as well as the EPA’s Renovation, Repair, and

Painting Rule (RRP) of 40 CFR Part 745.

Additional Lead Hazard Areas

In addition to the work zone inspection, Triton completed a lead hazard risk

assessment that identified two lead hazards at the residence: Hazard A is the deteriorated

lead-containing paint on the door jam in the living room and Hazard B is the deteriorated

paint on the exterior pf the house (side C). Given that the overall level of anticipated funding

for this project exceeds $25,000.00, Hazard A must be abated in accordance with 24 CFR

35.1325. Abatement or interim controls (stabilization) could be used to address the exterior

lead hazard (Hazard B). Section 3.1.2.5 summarizes available lead hazard control options for

the site. Upon review by Merritt, the Contractor, and the homeowner, a site specific lead

hazard control plan should be agreed upon and implemented.



Additional testing of leachable lead using the Toxicity Characteristic Leaching

Procedure (TCLP) will be needed (to be collected by Triton) to characterize any waste stream

generated from the lead hazard abatement for disposal. The abatement contractor must

provide credentials/adequate qualification documentation and a work plan for abatement with

their bid for review by Merritt and Triton. Work should meet safe work practices specified in

24 CFR 35.1350(b) including notifications to occupants and cleanup procedures. Clearance

testing will be completed by Triton following the work in accordance with HUD protocols.



5.0 - CONCLUSIONS AND RECOMMENDATIONS

Based on the results of NEPA evaluation and specific on-site surveys, it has been

determined that this project cannot convert to Exempt per § 58.34(a)(12) at this time because one

or more statutes/authorities require consultation or mitigation, as follows:

1. Flood Management/Coastal Zone Management Issues – The site is located within the coastal zone boundary. As such, a Coastal Area Management (CAM) Site Plan Review Application is required to be submitted to the Fairfield Zoning Commission (unless otherwise exempted). It is our understanding that the DEEP has approved a Flood Management Certificate (No. 201405290-FM) for all CDBG-DR projects. Work shall be conducted in accordance with the conditions of the Certificate.

2. Inland Wetlands – The western portion of site is located within the mapped inland wetland area and the dwelling structure appears to be within the upland review area of the wetland. As such, a permit from the Fairfield Inland Wetlands Agency will be required (unless otherwise exempted by the Town of Fairfield). It is our understanding that the project civil engineer will pursue these approvals.

3. Lead-Based Paint – Based on the work zone lead inspection, lead paint was identified within the work zone (exterior siding on the C side). Given the presence of lead on the surface, the renovation work that disturbs this surface should be completed in accordance with the EPA Renovation, Repair, and Painting (RRP) rule. The contractor should be familiar with where the lead paint is present such that they can take appropriate worker protection under OSHA regulations in 29 CFR. The lead hazard risk assessment also identified a lead hazard associated with the door jam in the living room (Hazard A), as well as the aforementioned deteriorated exterior paint on the C side of the house (Hazard B). Upon review of the hazard control options listed in Section 3.1.2.5, a site-specific lead hazard control plan should be developed and implemented. Notification of these lead hazards should be made to the homeowner and occupants within 15 days. Clearance testing will be performed by Triton following the work. All debris generated during the implementation of the abatement must be properly characterized via TCLP testing and disposed of at appropriately permitted facilities. The above items should be completed such that the project can transition to Exempt

status per § 58.34(a)(12).



6.0 - LIMITATIONS

The tasks completed were performed specifically within the work zone that has been

specified to Triton by the Merritt project manager (such zone may change as the project develops

and re-inspection by Triton will be required). In addition, the scope of work was limited to those

items that are part of the NEPA review process with the exception of PCB sampling, which was

performed as an emerging concern regarding worker/occupant health and safety and for proper

disposal practices. As such, Triton provides no warranty or opinion regarding conditions outside

of the work area, or related to additional environmental conditions outside of the NEPA review

process.

In some circumstances, Triton has relied upon available resource maps and/or visual

observations to evaluate specific statutory items. In these circumstances, actual surveys have not

been conducted. For example, a full wetland delineation and elevation survey with respect to the

coastal jurisdiction line has not been completed. Rather, Triton has relied upon available inland

wetland and tidal wetland maps (and visual observations) to complete this review.

The completion of the NEPA screen process does not constitute completion of an

Environmental Assessment (EA) or a Phase I Environmental Site Assessment.

The ACM, LBP, radon, mold, and PCB inspections were completed for accessible

materials within the work zone only (as defined in Section 1.1) and involved the use of selective

sampling and non-destructive sampling techniques to access visible suspect materials. Although

efforts were made to diligently inspect all windows and other building materials, in completing

the material survey it should be noted that additional suspect materials or mold may be present

behind or beneath building components that were not readily accessible. If suspect, ACM, LBP,

and PCB-containing materials are encountered during replacement activities, work should be

halted until the materials are submitted for laboratory analysis. If mold is identified during

replacement activities, it should be abated. As such, Merritt should consider having an

environmental professional familiar with the project on site to aid in identifying and sampling

potential materials. In most instances, CT DPH does not recommend analytical testing of the air

or surfaces to find out how much or what kind of mold is present. As such, Triton’s scope of



work has focused on a visual and olfactory evaluation. If requested by the homeowner, such

testing can be provided both prior to, and following abatement.

In completing the survey, Triton has relied upon information provided by the client and

subcontractors (i.e., testing laboratories). Triton provides no warranty regarding the accuracy and

completeness of the information provided by subcontractors. A statistical methodology was used

during the materials sampling (consistent with the 5% guidance recommended by EPA). Since

not all materials were sampled, Triton cannot guarantee that additional materials are not present

which contain higher concentrations. Without additional samples of embedded window materials

for PCBs, the need for future EPA involvement cannot be confirmed.

All abatement/renovation activities should be conducted in accordance with all applicable

local, state, and federal regulations and Occupational Safety and Health Association (OSHA)

guidelines.

This report is intended solely to summarize the results of the ACM, PCB, radon, and XRF

lead testing, and mold inspection conducted at the site. This report is not intended to serve as a

comprehensive hazardous materials survey or a technical specification for abatement and should

not be used as such. All abatement activities should be conducted in accordance with applicable

local, state, and federal regulations and OSHA guidelines.

This NEPA Report was prepared specifically for Merritt Construction Services, Inc. and

the State of Connecticut. No person or other body shall be entitled to rely upon or use

information presented in this report without written consent of Merritt Construction Services,

Inc., the State of Connecticut, and Triton Environmental, Inc.



7.0 - SIGNATURES OF REPORT AUTHORS

This report has been prepared by Triton Environmental, Inc. The names listed below are

the principal authors of this report. Requests for information regarding the content of this report

should be directed to those individuals.

David Vasiliou, LEP

Senior Project Manager

J. Carver Glezen, LEP

Senior Vice President

FIGURES

ORMER NORWALK CARE AND REHABILITATION CENTER

FIGURE 1

SITE LOCATION MAP

108 LONGDEAN ROAD FAIRFIELD, CONNECTICUT

U.S. Geological Survey Map Scale: 1:24,000

Quadrangle

Printed from TOPO! ©1998 Wildflower Productions R:\Programs\TopoMap\Topo Template.doc

N

U.S. Geological Survey Map Scale: 1:24,000

Westport Quadrangle

SUBJECT SITE

Appendix A

Public Resource Maps

U.S. Fish & Wildlife Service

108 Longdean Road -#1526IPaC Trust Resource ReportGenerated October 08, 2015 07:27 AM MDT

This report is for informational purposes only and should not be used for planning oranalyzing project-level impacts. For projects that require FWS review, please return tothis project on the IPaC website and request an official species list from the RegulatoryDocuments page.

FWMFX-S454R-DEBB4-SMWVE-HXJOCUIPaC Trust Resource Report

10/08/2015 07:27 Page 2 Information for Planning and ConservationIPaCVersion 2.2.7

US Fish & Wildlife Service

IPaC Trust Resource Report

Project DescriptionNAME

108 Longdean Road - #1526

PROJECT CODE

FWMFX-S454R-DEBB4-SMWVE-HXJOCU

LOCATION

Fairfield County, Connecticut

DESCRIPTION

Restoration f residential dwellingfollowing Superstorm Sandy

U.S. Fish & Wildlife Contact InformationSpecies in this report are managed by:

New England Ecological Services Field Office70 Commercial Street, Suite 300Concord, NH 03301-5094 (603) 223-2541

http://localhost/project/FWMFXS454RDEBB4SMWVEHXJOCU



Threatened

Threatened

Endangered SpeciesProposed, candidate, threatened, and endangered species that are managed by the

and should be considered as part of an effect analysisEndangered Species Programfor this project.

This unofficial species list is for informational purposes only and does not fulfill therequirements under of the Endangered Species Act, which states that FederalSection 7agencies are required to "request of the Secretary of Interior information whether anyspecies which is listed or proposed to be listed may be present in the area of aproposed action." This requirement applies to projects which are conducted, permittedor licensed by any Federal agency.

A letter from the local office and a species list which fulfills this requirement can beobtained by returning to this project on the IPaC website and requesting an officialspecies list on the Regulatory Documents page.

Birds Red Knot Calidris canutus rufa

CRITICAL HABITAT

has been designated for this species.No critical habitat

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0DM

Mammals Northern Long-eared Bat Myotis septentrionalis

CRITICAL HABITAT

has been designated for this species.No critical habitat

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=A0JE

Critical HabitatsPotential effects to critical habitat(s) within the project area must be analyzed along withthe endangered species themselves.

There is no critical habitat within this project area

http://www.fws.gov/endangered/

http://www.fws.gov/endangered/laws-policies/section-7.html

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0DM

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=A0JE



Bird of conservation concern













Migratory BirdsBirds are protected by the and the Bald and Golden EagleMigratory Bird Treaty ActProtection Act.

Any activity which results in the of migratory birds or eagles is prohibited unlesstakeauthorized by the U.S. Fish and Wildlife Service ( ). There are no provisions for1allowing the take of migratory birds that are unintentionally killed or injured.

You are responsible for complying with the appropriate regulations for the protection ofbirds as part of this project. This involves analyzing potential impacts and implementingappropriate conservation measures for all project activities.

American Oystercatcher Haematopus palliatus

Year-roundhttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0G8

American Bittern Botaurus lentiginosus

Season: Breedinghttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0F3

Bald Eagle Haliaeetus leucocephalus

Year-roundhttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B008

Black Rail Laterallus jamaicensis

Season: Breedinghttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B09A

Black-billed Cuckoo Coccyzus erythropthalmus

Season: Breedinghttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HI

Blue-winged Warbler Vermivora pinus

Season: Breeding

Canada Warbler Wilsonia canadensis

Season: Breeding

Fox Sparrow Passerella iliaca

Season: Wintering

Gull-billed Tern Gelochelidon nilotica

Season: Breedinghttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0JV

Hudsonian Godwit Limosa haemastica

Season: Migrating

Least Bittern Ixobrychus exilis

Season: Breeding

Least Tern Sterna antillarum

Season: Breeding

Pied-billed Grebe Podilymbus podiceps

Year-round

http://www.fws.gov/migratorybirds/RegulationsPolicies/mbta/mbtintro.html

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0G8

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0F3

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B008

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B09A

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HI

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0JV












Bird of conservation concern Prairie Warbler Dendroica discolor

Season: Breeding

Purple Sandpiper Calidris maritima

Season: Wintering

Rusty Blackbird Euphagus carolinus

Season: Wintering

Saltmarsh Sparrow Ammodramus caudacutus

Season: Breeding

Seaside Sparrow Ammodramus maritimus

Year-round

Short-eared Owl Asio flammeus

Season: Winteringhttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HD

Snowy Egret Egretta thula

Season: Breeding

Upland Sandpiper Bartramia longicauda

Season: Breedinghttps://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HC

Wood Thrush Hylocichla mustelina

Season: Breeding

Worm Eating Warbler Helmitheros vermivorum

Season: Breeding

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HD

https://ecos.fws.gov/speciesProfile/profile/speciesProfile.action?spcode=B0HC



RefugesAny activity proposed on lands must undergo a 'CompatibilityNational Wildlife RefugeDetermination' conducted by the Refuge. If your project overlaps or otherwise impacts aRefuge, please contact that Refuge to discuss the authorization process.

There are no refuges within this project area

http://www.fws.gov/refuges/



WetlandsImpacts to and other aquatic habitats from your project may be subject toNWI wetlandsregulation under Section 404 of the Clean Water Act, or other State/Federal Statutes.

Project proponents should discuss the relationship of these requirements to their projectwith the Regulatory Program of the appropriate .U.S. Army Corps of Engineers District

DATA LIMITATIONS

The Service's objective of mapping wetlands and deepwater habitats is to produce reconnaissance level informationon the location, type and size of these resources. The maps are prepared from the analysis of high altitude imagery.Wetlands are identified based on vegetation, visible hydrology and geography. A margin of error is inherent in the useof imagery; thus, detailed on-the-ground inspection of any particular site may result in revision of the wetlandboundaries or classification established through image analysis.

The accuracy of image interpretation depends on the quality of the imagery, the experience of the image analysts,the amount and quality of the collateral data and the amount of ground truth verification work conducted. Metadatashould be consulted to determine the date of the source imagery used and any mapping problems.

Wetlands or other mapped features may have changed since the date of the imagery or field work. There may beoccasional differences in polygon boundaries or classifications between the information depicted on the map and theactual conditions on site.

DATA EXCLUSIONS

Certain wetland habitats are excluded from the National mapping program because of the limitations of aerialimagery as the primary data source used to detect wetlands. These habitats include seagrasses or submergedaquatic vegetation that are found in the intertidal and subtidal zones of estuaries and nearshore coastal waters.Some deepwater reef communities (coral or tuberficid worm reefs) have also been excluded from the inventory.These habitats, because of their depth, go undetected by aerial imagery.

DATA PRECAUTIONS

Federal, state, and local regulatory agencies with jurisdiction over wetlands may define and describe wetlands in adifferent manner than that used in this inventory. There is no attempt, in either the design or products of thisinventory, to define the limits of proprietary jurisdiction of any Federal, state, or local government or to establish thegeographical scope of the regulatory programs of government agencies. Persons intending to engage in activitiesinvolving modifications within or adjacent to wetland areas should seek the advice of appropriate federal, state, orlocal agencies concerning specified agency regulatory programs and proprietary jurisdictions that may affect suchactivities.

There are no wetlands identified in this project area

http://www.fws.gov/wetlands/

http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx

Wetland Soils and Setback Map (September 2, 2008)

108 Longdean Road Fairfield, CT

Site Location

Coastal Boundary Map (January 2013)


Site Location

Farmland Soil Map (April 2011)


Site Location

Indoor Radon Potential Map - 1997 108 Longdean Road

Fairfield, CT

Site location is approximate

Site Location

Natural Diversity Database Map (September 2015)

108 Longdean Fairfield, CT

Site Location

Vision Government Solutions

108 LONGDEAN ROAD

Location 108 LONGDEAN ROAD Assessment $261,100

Mblu 1831 2641 I I Appraisal $373,000

Acct# 16350 PID 16764

Owner SHERWOOD EMILY M & SHEILA B Building Count 1

Current Value

Valuation Year

2014

Valuation Year

2014

Owner of Record

Owner SHERWOOD EMILY M & SHEILA B

Co-Owner

Address 108 LONGDEAN ROAD

FAIRFIELD, CT 06824-6551

Ownership History

Appraisal

Assessment

Sale Price $444,000

Certificate

Book & Page 3527/225

Sale Date 06/02/2005

Instrument 00

Ownership History

Total

Total

Owner Sale Price Certificate Book & Page Instrument

SHERWOOD EMILY M & SHEILA B

THOMAS ELIZABETH N A/K/A

MACINTYRE ANDREW S & CARROLL

ANDRESEN KEITH W & BARBARA A

Building Information

Building 1 : Section 1

Year Built:

Living Area:

1961

912

$444,000

$204,000

$0

$0

Building Attributes

Field Description

Style Ranch

Stories: 11 Story

Occupancy 11

Exterior Wall 1 Wood Shingle

http:/ I gis. vgsi.com/fairfieldct/Parcel.aspx?Pid= 167 64

3527/ 225 00

1836/ 111

1164/ 271 00

00838/0113

Building Photo

Page 1 of3

$373,000

$261,100

Sale Date

06/02/2005

05/29/1998

08/14/1992

06/16/1988

10/7/2015

Vision Government Solutions

Exterior Wall 2

Roof Structure:

Roof Cover

Interior Wall 1

Interior Wall 2

Interior Fir 1

Interior Fir 2

Heat Fuel

Heat Type:

ACType:

Total Bedrooms:

Total Bthrms:

Total Half Baths:

Total Xtra Fixtrs:

Total Rooms:

Bath Style:

Kitchen Style:

Extra Features

Land

Land Use

Use Code

Description

Zone

1010

Single Fam MDL-01

B

Alt Land Appr No

Category

I Gable/Hip

Asphalt

Drywall

I Hardwood

I Gas

Hot Water

I None

3 Bedrooms

1

11

I Is Rooms

I Average

Average

Page 2 of3

(http :/ /images. vgsi .com/photos/FairfieldCTPhotos/ /\02\03

\48/94.jpg)

Building Layout

UDM[228[

FDMi6B4]

Building Sub-Areas

Code Description Gross

Area

BAS First Floor 912

FBM Basement, Finished 1684

UBM I Basement, Unfinished 1228

WDK I Deck, Wood 1270

2094

Extra Features

No Data for Extra Features

Land Line Valuation

Size (Acres) 0 .14

Depth 0

Living

Area

912

lo 0

0

912

1 ()/7 /?() 1"

Vision Government Solutions Page 3 of3

Outbuildings

Outbuildings legend

Code Description Sub Code Sub Description Size

SHD2 W/UGHTS ETC 308 S.F.

Valuation History

Appraisal

Valuation Year Total

2013 $373,000

2012 I $373,000

2011 $373,000

Assessment

Valuation Year Total

2013 $261,100

2012 I $261,100

2011 $261,100

(c) 2014 Vision Government Solutions, Inc. All rights reserved.

http:/ I gis. vgsi.com/fairfieldct/Parcel.aspx?Pid= 167 64 10/7/2015

Appendix B

Photographs

Photograph 2 Rear of site building with lead paint

Photograph 1 Front of site building

Photograph 3 Mold on basement wall

Photograph 4 Basement with walls partially removed from water damage

Appendix C

Lead Risk Assessment and Inspection Forms

XRF Testing Results108 Longdean Road, Fairfield, CT

#1526

Reading No Time Type Duration Units Component Substrate Side Condition Color Site Inspector Floor Room Misc 1 Results Depth Index Action Level PbC PbC Error PbL PbL Error PbK PbK Error155 11/11/2015 12:43 PAINT 20 mg / cm ^2 shingle WOOD C FAIR BLUE 1526 BNS FIRST EXTERIOR Positive 4.22 1 2.1 0.3 1.2 0.1 2.1 0.3 1156 11/11/2015 12:44 PAINT 15.91 mg / cm ^2 shingle WOOD C FAIR BLUE 1526 BNS FIRST EXTERIOR Positive 5.81 1 2.1 0.4 0.9 0.2 2.1 0.4 1157 11/11/2015 12:45 PAINT 20 mg / cm ^2 TRIM WOOD C FAIR WHITE 1526 BNS FIRST EXTERIOR Negative 1.13 1 0 0.02 0 0.02 0.2 0.18 1158 11/11/2015 12:46 PAINT 20 mg / cm ^2 TRIM WOOD C FAIR WHITE 1526 BNS FIRST EXTERIOR Negative 1 1 0 0.02 0 0.02 0.27 0.18 1159 11/11/2015 12:49 PAINT 20 mg / cm ^2 WALL CONCRETE C FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 1.11 1 0 0.02 0 0.02 0.17 0.4 1161 11/11/2015 12:50 PAINT 4.81 mg / cm ^2 WALL CONCRETE C FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 1 1 0 0.02 0 0.02 0.4 0.8 1162 11/11/2015 12:51 PAINT 20 mg / cm ^2 WALL CONCRETE D FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 1.46 1 0 0.02 0 0.02 0.6 0.3 1163 11/11/2015 12:52 PAINT 20 mg / cm ^2 WALL CONCRETE D FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 2.28 1 0 0.02 0 0.02 0.3 0.38 1164 11/11/2015 12:53 PAINT 11.8 mg / cm ^2 WALL CONCRETE A FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 1.99 1 0 0.02 0 0.02 0.5 0.5 1165 11/11/2015 12:54 PAINT 20 mg / cm ^2 WALL CONCRETE A FAIR lime gren 1526 BNS BASEMENT BASEMENT Negative 1.16 1 0 0.02 0 0.02 0.19 0.37 1166 11/11/2015 12:55 PAINT 8.3 mg / cm ^2 WALL CONCRETE B FAIR WHITE 1526 BNS BASEMENT BASEMENT Negative 1.1 1 0 0.02 0 0.02 0.8 0.5 1168 11/11/2015 12:55 PAINT 9.57 mg / cm ^2 WALL CONCRETE B FAIR WHITE 1526 BNS BASEMENT BASEMENT Negative 1.87 1 0 0.02 0 0.02 0.4 0.6 1169 11/11/2015 12:56 PAINT 12.43 mg / cm ^2 CEILING DRYWALL FAIR WHITE 1526 BNS BASEMENT BASEMENT Negative 1 1 0 0.02 0 0.02 0.11 0.33 1171 11/11/2015 12:57 PAINT 20 mg / cm ^2 CEILING DRYWALL FAIR WHITE 1526 BNS BASEMENT BASEMENT Negative 1.54 1 0 0.02 0 0.02 0.25 0.25 1172 11/11/2015 12:58 PAINT 20 mg / cm ^2 WALL DRYWALL A FAIR BLUE 1526 BNS BASEMENT BASEMENT Negative 1.84 1 0 0.02 0 0.02 0.26 0.26 1173 11/11/2015 12:59 PAINT 19.71 mg / cm ^2 WALL DRYWALL A FAIR BLUE 1526 BNS BASEMENT BASEMENT Negative 1.33 1 0 0.02 0 0.02 0.2 0.26 1174 11/11/2015 13:00 PAINT 20 mg / cm ^2 WALL DRYWALL A FAIR TAN 1526 BNS BASEMENT BASEMENT Negative 2.58 1 0 0.02 0 0.02 -0.03 0.25 1175 11/11/2015 13:01 PAINT 20 mg / cm ^2 WALL DRYWALL A FAIR TAN 1526 BNS BASEMENT BASEMENT Negative 1 1 0 0.02 0 0.02 0.08 0.25 1176 11/11/2015 13:03 PAINT 20 mg / cm ^2 POST METAL POOR WHITE 1526 BNS BASEMENT BASEMENT Negative 1.37 1 0.05 0.02 0.05 0.02 0.18 0.44 1177 11/11/2015 13:04 PAINT 20 mg / cm ^2 POST METAL POOR WHITE 1526 BNS BASEMENT BASEMENT Negative 1.3 1 0.05 0.02 0.05 0.02 0.14 0.44 1178 11/11/2015 13:08 PAINT 5.11 mg / cm ^2 CEILING DRYWALL INTACT WHITE 1526 BNS FIRST BATHROOM MASTER BEDROOM Negative 1.19 1 0 0.02 0 0.02 -0.13 0.44 1179 11/11/2015 13:11 PAINT 7.62 mg / cm ^2 DOOR WOOD CRACKED WHITE 1526 BNS FIRST BEDROOM BEDROOM 2 DOOR CASING Negative 1 1 0 0.02 0 0.02 0.21 0.29 1180 11/11/2015 13:12 PAINT 20 mg / cm ^2 CEILING DRYWALL CRACKED WHITE 1526 BNS FIRST BATHROOM Negative 1.74 1 0 0.02 0 0.02 0.23 0.25 1181 11/11/2015 13:14 PAINT 20 mg / cm ^2 WALL DRYWALL B CRACKED PINK 1526 BNS FIRST BATHROOM Negative 1 1 0 0.02 0 0.02 0.4 0.4 1182 11/11/2015 13:17 PAINT 20 mg / cm ^2 DOOR WOOD A CRACKED GREEN 1526 BNS FIRST LIVING ROOM DOOR JAM Positive 7.71 1 1.3 0.2 1.3 0.2 1.2 0.3 1183 11/11/2015 13:19 PAINT 20 mg / cm ^2 TRIM WOOD A PEELING WHITE 1526 BNS FIRST EXTERIOR DOOR JAM Negative 2.28 1 0.13 0.03 0.13 0.03 -0.28 0.2 1184 11/11/2015 13:21 PAINT 15.93 mg / cm ^2 WALL WOOD B PEELING BLUE 1526 BNS FIRST EXTERIOR DOOR JAM Negative 3.43 1 0.4 0.1 0.4 0.1 1.2 0.3 1185 11/11/2015 13:22 PAINT 17.18 mg / cm ^2 WALL WOOD B PEELING BLUE 1526 BNS FIRST EXTERIOR DOOR JAM Negative 3.2 1 0.4 0.1 0.4 0.1 0.9 0.3 1

Notes: 28"Side" refers to location as shown on Figure 2.Total lead concentration shown in PbC column.

TRITON ENVIRONMENTAL, INc. Environmtnlal Consulting & Enginttn'ng

NEPA ENVIRONMENTAL REVIEW LEAD RISK ASSESSMENT

FORM 5.0 -RESIDENT QUESTIONNAIRE

Site Address: /Qlf Lo~jJ.e:. lt1 goa,\ FQ..t'cf't€-{J. ., cT Site ID: /!Fa <e

Children/Children's Habits

1. (a) How many full time and part time occupants are there in the home? -------=1..(=-=-----=

(b) Do you have any children under the age of6 that live in the home? Yes [8] No D (c) If yes, how many? ~ Ages? ._!T P. J

----'"---:-''---=----

Yes (d) Do children or grandchildren regularly visit the home? (e) If yes, how long do they typically stay? l?ef; /Jw~f s

-=~~~~---------

(f) Record blood lead levels, ifknown ___________ _

IF NO CHILDREN, SKIP TO Question 5.

2. Locate the rooms/areas where each child sleeps, eats and plays.

Location of Location of all Primary location Primary location

Name of Child Bedroom

rooms where child where child plays where child plays eats indoors outdoors

J) ,' /(on A- .5 :Joe at Ao,\'\e. J<.M-eV\ V- •t1,11<o flc)ONI , Be .it c. '"elm i>f,"~'"' ~ t- R<o..t~ Cros~"/ t I II .,v l• "

, , I

Where are toys stored/kept? 3.

4. Is there any visible evidence of chewed or peeling paint on the woodwork, furniture or toys? YesD No ~

Family Use Patterns

5.

6.

Which entrances are used most frequently?

Which window are opened most frequently? .Jftf 7. Do you use window air conditioners? If yes, where? M a~

~~~---------

8. (a) Do any household members engage in gardening? Yes IX] NoD

(b) Record the location of any vegetable garden. ff~c- G:u-Jl~ .:; Oil (L, 7

(c) Are you planning any landscaping activities that will remove grass or ground covering?

9.

YesD No f6l (a) How often is the housing unit cleaned?

(b) What cleaning methods do you use?

Triton Environmental, Inc. RefNo. 1043/8

June 2014 Page I

ENVIRONMENTAL, INc. Environmcnlal Consulling &: Enginttring

10. (a) Did you recently complete any building renovations? Yes __ No >\ (b) Ifyes, where? _ ___.,AJ--=-....!A'-'-·, ___ _

(c) Was building debris stored in the yard? If yes, where? ___ M:___:::o _______ _

11. Are you planning any building renovations? Ifyes, where? _ ___!A~Vc~u::...' _______ _

12. (a) Do any household members work in a lead-related industry? Yes D No ~

(b) If yes, where are dirty work clothes placed and cleaned? _ JI:.__:A:....!...._ ______ _

Triton Environmental, Inc. RefNo. 104318

June 2014 Page2

TRITON ENVIRONMENTAL, INc. Environm~nlal Cansulling & Engineering


FORM 5.1 - BUILDING CONDITION FORM

Site Address: /o~ ~jJ€CW! ftMJ /4/ r tLe(cb, G(

Site ID: _,rf'--"6-=io"-----

Condition Yes Roof missing parts of surfaces (tiles, boards, shakes, etc.) Roof has holes or large cracks Gutters or downspouts broken Chimney masonry cracked, bricks loose or missing, obviously out of plumb Exterior or interior walls have obvious large cracks or holes, requiring more than routine pointing (if masonry) or painting Exterior siding has missing boards or shingles Water stains on interior walls or ceilings Plaster walls or ceilings deteriorated Two or more windows or doors broken, missing, or boarded up Porch or steps have major elements broken, missing, or boarded up Foundation has major cracks, missing material, structure leans, or

X visibly unsound Total number* i

No y J{

j(

)C

X

.X j(

)(_.

'.!" X

*If the "Yes" column has two or more checks, the dwelling is usually considered to be in poor condition for the purposes of a risk assessment. However, specific conditions and extenuating circumstances should be considered before determining the final condition of the dwelling and the appropriateness of a lead hazard screen.

NOTES:

-k- ·ga...S~ f}\QIItf

J>e"'-2j f) ~ ~ J_

~


June 2014 Page I

TON ENVIRONMENTAL, INc. Environmtntal Cons11lling '" Hnginttn'ng


FORM 5.2- PAINT CONDITIONS ON SELECTED SURFACES (Single Family, Owner Occupied)

Site Address: loco ~~Je'-V\ !{~ J r;/,'ft€- (J , ~ r Site ID: >.:!I iJL...<;I+-'"-"b'---

Building Component Building Siding Exterior Trim Exterior Windows Exterior Doors Railings Porch Floors Other Porch Surfaces Interior Doors lu...S•i\<.:.. Ceilings

, __,

Walls Interior Windows Interior Floors Interior Trim Stairways Radiator (or radiator cover) Kitchen cabinets Bathroom cabinets Other surfaces Ba --1 ~ t!::-<Wt (().:N Ll


Location Notes

:3 A

.A~I A (.,

B ._:0.( 00 I'V' " Ll vI""'- fJ.tX:~JV' .. ., (3 ,~-t(..rco-M

[;-<t"- b ~ Cow I l.ro...,.:,/..vJ+

LJoo& c:T{ /i (9

lh c~cL..crJt ""I;, 1.-o g.'~£, e t.n .. A f

;1)A-

fl) 4 B s /J..e..

Paint Condition (Intact, Fair, Poor or Not Deterioration Due to Deterioration due

Present) Friction or Impact? to Moisture? i1.-"-(Jl. Ne~ v I

fl II h

kfa-<-1- \. ' J./D Fa.. / t Nr:; .No ).)11M e. .Aio(l e. J/ O fl 'i'

Y<.XJ'L '1 ;Uo <L /Jo r~

·-rill fa .._ t .A/oV! -e

•-:[fA fu..c... f-Poll~

/VG¥1~

LVl fc.u-'f-' JVOI\"(_

Pere-z_ fi/o y~

Location of Painted Component with

Visible Bite Marks

!V'c >I

,. . 1/

JJo ;{.b

I

\v ;f./o

June 2014 Page I

TRITON ENVIRONMENTAL, INc. Environmtnlal Cons11lling & Enginun·ng


FORM 5.3- FIELD SAMPLING FORM FOR DETERIORATED PAINT (Single Surface)

Site ID: ._,_./5=J.'--(.. __

Name of Risk Assessor 13::::.!..._l' ''--"'c...""'v'-'-1 .,.....:=:::.:....!_=::.__:---=-----:----

Name of Property Owner Property Address I 0'6 L

~~~~==~~==~~~~~~~~ Apt. No. ___ _

Sampling Protocol ___ All Dwellings __ Targeted __ Worst-Case __ Random

Target Dwelling Criteria (Check all that apply) Code Violations Judged to be in Poor Condition

Y.:. Presence of 1 or More Children under the Age of 6 Years Serves as Day-Care Facility Recently Prepared for Re-occupancy Random Sampling None of the above

Sample Room

Building Number Component

i.78 3eJ-C.:-"0 M ('edtv--.~ r-----1-Tcr_ II ]oof {~s ; ,, <~

/flO Bu-t\.. too ,-v' Ce.i l,·""~ -j ?;>_' h !Vo.. L\. · ~

w~~ /)o L:v. ~~. .. RCOIV' Dam'..) c.tVV'

j 8j f t. -ka.:rr.. A-s.~-e /1 / N' JB{-{fj;- (l (3 t< we~.. Cl

155-15"6 N.-fevtrry '' C·- S;ck '' /;vaA./

HUD/EPA STANDARD

Sample all layers of paint, not just deteriorated paint layers Total Number of Samples This Page 7 Paae I of I c . Date of Data Collection it / ll


-

XRF Reading (mg/cm2)

0 0 0 0

L3 L' .\:S C).l.-\ '2 I I

1 mg/cm2 or 0.5% by weight

TluTON ENVIRONMENTAL, INc. Em•ironmtntal Cr1nsulling &: Enginuring

Site ID: /rcJ..(.;,


FORM 5.4- FIELD SAMPLING FORM FOR DUST (Single Surface Sampling)

Name of Risk Assessor n \/6-v\ S :' t'owt c..G\ Name of Property Owner £md~ p Sile...;{u...._ s /) QJ\.RJ~ Property Address loCO /-.o.n:sfl-~\ {(~ "fiy ;t' t L-e LJ,;/ CT Apt. No. ____ _

Sampling Protocol __ All Dwellings __ Targeted __ Worst-Case __ Random

Target Dwelling Criteria (Check all that apply) Code Violations Judged to be in Poor Condition

·x Presence of 1 or More Children under the Age of 6 Years Serves as Day-Care Facility Recently Prepared for Re-occupancy Random Sampling None ofthe above

Room (Record name of room Is Surface Dimensions I of Sample used by the Owner or Surface Type Smooth and sample area Number

Resident) Cleanable? (inches x inches) iU( /...., 'vvtu. A ·.JON\ Cdft:ei /Avc.; fl/o LJ.x. l .h \JJ. 11-.k~.., l J . ·r<""~ -J Y'e.A l .l .. d! 0~ Ke~k,;OJV\ -i l' '( L d....:<.- ( J.,.

W 'I .S rt l (( It ll •( ·' 1---X- .1.. Y~

w .~- Be~(UONI ~ d r 1 IJ..x..( ~ I.J~ .~ r."l{

(( ,, ' £ (( l '>-x.. A Y1 W7 P, .. \l.<.,.o un ~,... !- Ft<X...., {~c( e (-f If i ).__).. l t-.

1 Measure to the nearest 1/8 inch HUD Standards: 40 11g/ft2 (floors) and 250 11g/ft2 (interior window sills).

Total Nmpber of Samples This Page L

Area (ft2)

(

I (

(!/ . .)~-

I lo-:n:1

l

Page ( of I Date of Sample Collection I' l {tt Date Shipped to Lab _____ _

Result of Lab Analysis

(J.lg/ft2) 1./[) 4/[)

.YD ,,VD Alii

J.73 1-(,cr,

Shipped by_ See Chain of Custody __ Received by_ See Chain of Custody __ _ (Signature) (Signature)


TRIToN ENVIRONMENTAL, INc. Environmtnlal Consulting&: Enginuring


FORM 5.5- FIELD SAMPLING FORM FOR SOIL (Composite Sampling Only)

Site ID: i "5" d..<.. -=-----Name of Risk Assessor f3r h . .t..v\ 5 t { Ocv '-G f.r. Name of Property Owner £.1/Vl ' (, Property Address loc:s h..v::Sc).e"-'.v1 Apt. No. __

Sample No. Location Bare or Covered? Lab Result ( ug/ g) SS-1 c"Df ; fJ j, ,·fl~ W<.:-..:1 ced., COl(

S:J -.l GrJ ·· J~ Ill {oc:..,~ C -e..J.. fh<vo .~-eo

ss --s ~I II ., 7( C:,5 - i <t ,, ,,

?C(

SS· .? It ,, •• ?'t 55 -· (;. II II /I (;;0

Ss -- 7 f.J a..U<.Wc.:," I &r~,"J {>/) Bar e.. 53 5~ · <6 fAd'-i.:Jdl 'fl.,,._.. • {) 70 55 - ~ iSe net.trh Dec... fA /.)u[ -e 77

HUD interim standard for play area 400 HUD interim standard for perimeter 2,000

Collect only top ~ inch of soil

Total Number of Samples This Page <1 Page l of i.

Date of Sample Collection L t ( L l Date Shipped to Lab ___ _

Shipped by_ See Chain of Custody_ Received by_ See Chain of Custody ___ _ (Signature) (Signature)


Appendix D

Roster of Suspect Asbestos-Containing Materials

Appendix D Roster of Suspect Asbestos Containing Materials – October 2015

Site # 1526 – 108 Longdean Road, Fairfield, CT

Triton Environmental, Inc. Ref. No. 104318.37 Page 1 of 1

Sample ID HA Material Quantity Condition Location 1-3 1 Main roof – black paper 950 SF Good Roof 4-6 2 Main roof – black shingle 950 SF Good Roof 7-9 3 Deck roof – rolled roofing 135 SF Good Roof

10-12 4 Deck roof – Black paper 135 SF Good Roof 13-15 5 Black paper under siding 1,100 SF Good Exterior – all sides 16-18 6 Brown fiber board under siding 1,100 SF Good Exterior – all sides

19 7 Gray sealant on foundation at rear 4 LF Good Foundation – C side 20 8 Gray sealant on chimney 3 LF Good Basement

21-23 9 Combined basement sheetrock 2,000 SF Damaged Basement 24-26 10 Basement fiberglass insulation 900 SF Damaged Basement

27 11 Basement window foam insulation 10 LF Good Basement 28 12 Basement window glazing 2 windows Good Basement

29-31 13 Basement floor leveling compound 400 SF Damaged Basement Notes: SF = Square Feet LF = Linear Feet HA = Homogeneous Area

Appendix E

Laboratory Analytical Data

80 Lupes Drive

Stratford, CT 06615

Tel: (203) 377-9984

Fax: (203) 377-9952

e-mail: [email protected]

Client: Mr. Brian Sirowich

Triton Environmental

385 Church St.

Guilford, CT 06437

Analytical Report

CET# 5110268

Report Date:November 17, 2015

Project: 104318

Project Number: 108 Longdean Rd, Fairfield (1526)

PO Number: 1526

Rhode Island Certification: 199Massachussetts laboratory Certificate: M-CT903

Connecticut Laboratory Certificate: PH 0116 New York Certification: 11982

Page 1 of 9


Project: 104318

CET # : 5110268

Sample ID Laboratory ID Matrix Collection Date/Time Receipt Date

SAMPLE SUMMARY

The sample(s) were received at 10.8 C.

This report contains analytical data associated with following samples only.

SS-1 0-6in 5110268-01 Soil 11/11/201510:0011/11/2015

SS-2 0-6in 5110268-02 Soil 11/11/201510:1511/11/2015

SS-3 0-6in 5110268-03 Soil 11/11/201510:3011/11/2015

SS-4 0-6in 5110268-04 Soil 11/11/201510:4511/11/2015

SS-5 0-6in 5110268-05 Soil 11/11/201511:0011/11/2015

SS-6 0-6in 5110268-06 Soil 11/11/201511:1511/11/2015

SS-7 0-6in 5110268-07 Soil 11/11/201511:3011/11/2015

SS-8 0-6in 5110268-08 Soil 11/11/201511:4011/11/2015

SS-9 0-6in 5110268-09 Soil 11/11/201511:5011/11/2015

PCB-1 5110268-10 Caulk 11/11/201513:0011/11/2015

PCB-2 5110268-11 Solid 11/11/201513:1211/11/2015

PCB-3 5110268-12 Caulk 11/11/201513:3011/11/2015

W-1 5110268-13 Wipe 11/11/2015 9:3011/11/2015

W-2 5110268-14 Wipe 11/11/201510:0511/11/2015

W-3 5110268-15 Wipe 11/11/201510:2511/11/2015

W-4 5110268-16 Wipe 11/11/201510:3511/11/2015

W-5 5110268-17 Wipe 11/11/201511:0011/11/2015

W-6 5110268-18 Wipe 11/11/201511:2011/11/2015

W-7 5110268-19 Wipe 11/11/201511:5511/11/2015

80 Lupes Drive, Stratford, CT 06615 � Tel: 203-377-9984 � Fax: 203-377-9952 � www.cetlabs.com

Complete Environmental Testing, Inc.

Page 2 of 9


Project: 104318

CET # : 5110268

Notes

Date/Time

AnalyzedPreparedBatchDilutionRLResultLaboratory ID Client Sample ID Units

Analyst: TWF

Matrix: Soil

Analyte: Total Solids [EPA 160.3 modified]

84 11/12/2015 11/12/2015 13:235110268-01 %SS-1 0-6in 1.0 1 B5K1205

56 11/12/2015 11/12/2015 13:235110268-02 %SS-2 0-6in 1.0 1 B5K1205

79 11/12/2015 11/12/2015 13:235110268-03 %SS-3 0-6in 1.0 1 B5K1205

79 11/12/2015 11/12/2015 13:235110268-04 %SS-4 0-6in 1.0 1 B5K1205

78 11/12/2015 11/12/2015 13:235110268-05 %SS-5 0-6in 1.0 1 B5K1205

60 11/12/2015 11/12/2015 13:235110268-06 %SS-6 0-6in 1.0 1 B5K1205

53 11/12/2015 11/12/2015 13:235110268-07 %SS-7 0-6in 1.0 1 B5K1205

70 11/12/2015 11/12/2015 13:235110268-08 %SS-8 0-6in 1.0 1 B5K1205

77 11/12/2015 11/12/2015 13:235110268-09 %SS-9 0-6in 1.0 1 B5K1205

Notes

Date/Time


Analyst: SS

Matrix: SoilPrep: EPA 3050B

Analyte: Total Lead [EPA 6010C]

97 11/12/2015 11/12/2015 17:555110268-01 mg/kg drySS-1 0-6in 2.4 1 B5K1202

39 11/12/2015 11/12/2015 18:075110268-02 mg/kg drySS-2 0-6in 3.6 1 B5K1202

33 11/12/2015 11/12/2015 18:125110268-03 mg/kg drySS-3 0-6in 2.5 1 B5K1202

49 11/12/2015 11/12/2015 18:165110268-04 mg/kg drySS-4 0-6in 2.5 1 B5K1202

37 11/12/2015 11/12/2015 18:205110268-05 mg/kg drySS-5 0-6in 2.6 1 B5K1202

75 11/12/2015 11/12/2015 18:335110268-06 mg/kg drySS-6 0-6in 3.4 1 B5K1213

29 11/12/2015 11/12/2015 18:375110268-07 mg/kg drySS-7 0-6in 3.7 1 B5K1213

49 11/12/2015 11/12/2015 18:415110268-08 mg/kg drySS-8 0-6in 2.9 1 B5K1213

48 11/12/2015 11/12/2015 18:455110268-09 mg/kg drySS-9 0-6in 2.6 1 B5K1213



Page 3 of 9


Project: 104318

CET # : 5110268

Notes

Date/Time


Analyst: SS

Matrix: WipePrep: EPA 3050B

Analyte: Total Lead [EPA 6010C]

ND 11/12/2015 11/12/2015 21:455110268-13 ugW-1 1.0 1 B5K1210

ND 11/12/2015 11/12/2015 21:495110268-14 ugW-2 1.0 1 B5K1210

ND 11/12/2015 11/12/2015 21:535110268-15 ugW-3 1.0 1 B5K1210

ND 11/12/2015 11/12/2015 21:575110268-16 ugW-4 1.0 1 B5K1210

ND 11/12/2015 11/12/2015 22:025110268-17 ugW-5 1.0 1 B5K1210

1.5 11/12/2015 11/12/2015 22:065110268-18 ugW-6 1.0 1 B5K1210

4.8 11/12/2015 11/12/2015 22:105110268-19 ugW-7 1.0 1 B5K1210

Client Sample ID PCB-1

Lab ID: 5110268-10

Notes

Date/Time

AnalyzedPreparedBatchDilution

RL

(mg/kg (As

Rec))

Result

(mg/kg (As

Rec))

Analyte Prep Method

Method: EPA 8082AMatrix: Caulk

Analyst: CAPCBs by Soxhlet

PCB-1016 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1221 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1232 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1242 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1248 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1254 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1260 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1268 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

PCB-1262 ND 4 B5K1323 11/13/2015 11/16/2015 13:510.80 EPA 3540C

Surrogate: TCMX 63.0 % 11/13/2015 11/16/2015 13:51B5K132350 - 150

Surrogate: DCB 93.4 % 11/13/2015 11/16/2015 13:51B5K132350 - 150



Page 4 of 9


Project: 104318

CET # : 5110268


Lab ID: 5110268-11

Notes

Date/Time


RL

(mg/kg (As

Rec))

Result

(mg/kg (As

Rec))

Analyte Prep Method

Method: EPA 8082AMatrix: Solid


PCB-1016 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1221 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1232 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1242 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1248 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1254 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1260 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1268 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C

PCB-1262 ND 4 B5K1323 11/13/2015 11/16/2015 14:100.80 EPA 3540C


Surrogate: DCB 121 % 11/13/2015 11/16/2015 14:10B5K132350 - 150



Page 5 of 9


Project: 104318

CET # : 5110268


Lab ID: 5110268-12

Notes

Date/Time


RL

(mg/kg (As

Rec))

Result

(mg/kg (As

Rec))

Analyte Prep Method

Method: EPA 8082AMatrix: Caulk


PCB-1016 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1221 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1232 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1242 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1248 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1254 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1260 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1268 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C

PCB-1262 ND 4 B5K1323 11/13/2015 11/16/2015 14:290.80 EPA 3540C


Surrogate: DCB 112 % 11/13/2015 11/16/2015 14:29B5K132350 - 150



Page 6 of 9


Project: 104318

CET # : 5110268

Report Comments:

Questions related to this report should be directed to David Ditta, Timothy Fusco, or Robert Blake at 203-377-9984.

Sincerely,

David Ditta

Laboratory Director

Sample Result Flags:

E- The result is estimated, above the calibration range.

H- The surrogate recovery is above the control limits.

L- The surrogate recovery is below the control limits.

B- The compound was detected in the laboratory blank.

P- The Relative Percent Difference (RPD) of dual column analyses exceeds 40%.

D- The RPD between the sample and the sample duplicate is high. Sample Homogenity may be a problem.

+- The Surrogate was diluted out.

*C1- The Continuing Calibration did not meet method specifications and was biased low for this analyte. Increased uncertainty is

associated with the reported value which is likely to be biased low.

*C2- The Continuing Calibration did not meet method specifications and was biased high for this analyte. Increased uncertainty

is associated with the reported value which is likely to be biased high.

*F1- The Laboratory Control Sample recovery is outside of control limits. Reported value for this analyte is likely to be biased

on the low side.

*F2- The Laboratory Control Sample recovery is outside of control limits. Reported value for this analyte is likely to be biased

on the high side.

I- The Analyte exceeds %RSD limits for the Initial Calibration. This is a non-directional bias.

All results met standard operating procedures unless indicated by a data qualifier next to a sample result, or a narration in the QC

report.

Complete Environmental Testing is only responsible for the certified testing and is not directly responsible for the integrity of the

sample before laboratory receipt.

ND is None Detected at the specified detection limit

All analyses were performed in house unless a Reference Laboratory is listed.

Samples will be disposed of 30 days after the report date.



Page 7 of 9


Project: 104318

CET # : 5110268

CertificationsAnalyte

CERTIFICATIONS

Certified Analyses included in this Report

EPA 6010C in Soil

CT,NYLead

EPA 6010C in Wipe

CTLead

EPA 8082A in Soil

CT,NYPCB-1016

CT,NYPCB-1221

CT,NYPCB-1232

CT,NYPCB-1242

CT,NYPCB-1248

CT,NYPCB-1254

CT,NYPCB-1260

CTPCB-1268

CTPCB-1262

EPA 8082A in Solid

CT,NYPCB-1016

CT,NYPCB-1221

CT,NYPCB-1232

CT,NYPCB-1242

CT,NYPCB-1248

CT,NYPCB-1254

CT,NYPCB-1260

CTPCB-1268

CTPCB-1262

Complete Environmental Testing operates under the following certifications and accreditations :

Code Description Number Expires

Connecticut Public Health 09/30/2016CT PH0116

New York Certification (NELAC) 04/01/2016NY 11982



Page 8 of 9

EMSL Analytical, Inc.200 Route 130 North Cinnaminson, NJ 08077

Tel/Fax: (800) 220-3675 / (856) 786-5974

http://www.EMSL.com / [email protected]

041533977EMSL Order:

Customer ID: TRIT52

Customer PO: 104318.37

Project ID:

Attention: Phone:Brian Sirowich (203) 458-7200

Fax:Triton Environmental, Inc. (203) 458-7201

Received Date:385 Church Street 11/13/2015 10:30 AM

Analysis Date:Suite 201 11/20/2015

Collected Date:Guilford, CT 06437

Project: 104318.37

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

1

041533977-0001

Black

Fibrous

Homogeneous

None DetectedMain Roof - Black

Roof Paper

10% Glass 90% Non-fibrous (Other)

2

041533977-0002

Black

Non-Fibrous

Homogeneous


Roof Paper


3

041533977-0003

Black

Fibrous

Homogeneous


Roof Paper


4

041533977-0004

Black

Fibrous

Homogeneous


Roof Shingle


5

041533977-0005

Black

Fibrous

Homogeneous


Roof Shingle


6

041533977-0006

Black

Fibrous

Homogeneous


Roof Shingle


7

041533977-0007

Black

Fibrous

Homogeneous

None DetectedDeck Roof - Rolled

Roofing


8

041533977-0008

Black

Fibrous

Homogeneous


Roofing


9

041533977-0009

Black

Fibrous

Homogeneous


Roofing


10

041533977-0010

Black

Fibrous

Homogeneous

None DetectedDeck Roof - Roof

Paper Black

65% Cellulose 35% Non-fibrous (Other)

11

041533977-0011

Black

Fibrous

Homogeneous


Paper Black


12

041533977-0012

Black

Fibrous

Homogeneous


Paper Black


13

041533977-0013

Black

Fibrous

Homogeneous

None DetectedExterior Roof - Siding

Paper Black


14

041533977-0014

Black

Fibrous

Homogeneous


Paper Black


15

041533977-0015

Black

Fibrous

Homogeneous


Paper Black


16

041533977-0016

Brown

Fibrous

Homogeneous

None DetectedExterior Roof - Brown

Fiberboard


Initial Report From: 11/20/2015 14:33:19

Page 1 of 3PLM - 1.65 Printed: 11/20/2015 2:33 PM


Tel/Fax: (800) 220-3675 / (856) 786-5974



Customer ID: TRIT52


Project ID:


Light Microscopy



% Type

17

041533977-0017

Brown

Fibrous

Homogeneous


Fiberboard


18

041533977-0018

Brown

Fibrous

Homogeneous


Fiberboard


19

041533977-0019

Gray

Non-Fibrous

Homogeneous

None DetectedRear Foundation -

Sealeant Gray

100% Non-fibrous (Other)

20

041533977-0020

Gray/White

Non-Fibrous

Homogeneous

None DetectedBasement - Chimney

Sealant


21

041533977-0021

Brown/White

Fibrous

Homogeneous

None DetectedBasement -

Sheetrock

15%

5%

Cellulose

Glass


22-Drywall

041533977-0022

Brown/White

Fibrous

Homogeneous


Sheetrock

15%

5%

Cellulose

Glass


22-Joint Compound

041533977-0022A

White

Non-Fibrous

Homogeneous


Sheetrock


23-Drywall

041533977-0023

Brown/White

Fibrous

Homogeneous


Sheetrock

15%

5%

Cellulose

Glass


23-Joint Compound

041533977-0023A

White

Non-Fibrous

Homogeneous


Sheetrock


24

041533977-0024

Pink

Fibrous

Homogeneous


Fiberglass Insulation

90% Min. Wool 10% Non-fibrous (Other)

25

041533977-0025

Pink

Fibrous

Homogeneous




26

041533977-0026

Pink

Fibrous

Homogeneous




27

041533977-0027

Yellow

Non-Fibrous

Homogeneous

None DetectedBasement Window -

Insulation Foam


28

041533977-0028

Gray

Non-Fibrous

Homogeneous

None DetectedBasement Window -

Glazing


29

041533977-0029

White

Non-Fibrous

Homogeneous

None DetectedBasement Floor -

Leveling Compound


30

041533977-0030

White

Non-Fibrous

Homogeneous


Leveling Compound


31

041533977-0031

White

Non-Fibrous

Homogeneous


Leveling Compound





Tel/Fax: (800) 220-3675 / (856) 786-5974



Customer ID: TRIT52


Project ID:


Light Microscopy



% Type

Analyst(s)

Amy Johnson (23)

Steven Quinn (10)

Benjamin Ellis, Laboratory Manager

or Other Approved Signatory

EMSL maintains liability limited to cost of analysis . This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no

responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim

product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government . Non-friable organically bound materials present a problem matrix and therefore EMSL

recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless

requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%

Samples analyzed by EMSL Analytical, Inc. Cinnaminson, NJ NVLAP Lab Code 101048-0, AIHA-LAP, LLC-IHLAP Lab 100194, NYS ELAP 10872, NJ DEP 03036, PA ID# 68-00367



OrderID: 041533977

Page 1 Of 2

-

• EMSL ANALYTICAL. INC. u.•OIIAJOI<I'•"RODU~•TWA.IfilNQ

Asbestos Bulk Building Material Chain of Custody

EMSL Order Number (Lab Use Only):

\Q_L{ ~~~ q~FJ

EMSL Analytical, Inc.

200 Route 130 North

Cinnaminson, NJ 08077

PHONE: 1-800-220-3675 FAX: (B56) 7B6-5974

ComDanv: Triton Environmental, Inc. EMSL-Bill to: B Same 0 Different If Bill to 1s Different note instructions in Cofl}ments ..

street: 385 Church Street Suite 201 Third Parlv Billing requires written authorization from third nartv

Citv: Guilford r state/Province: CT Zio/Postal Code: 06437 I Country: United States

Report To INamel: Brian Sirowich Teleohone #: 203-45B-7200

Email Address: [email protected] Fax#: 203-45B-7201 I Purchase Order: 104318.37 PrDiect Name/Number: 104318.37 Please Provide Results: ( I= ax I v Email r Mail u.s. State Samnles Taken: CT CT Samoles: IJ CommercialfTaxable 0 ResidentialfTax Exemot

Turnaround Time (TAT\ Ootions• Please Check A 03 Hour TO 6 Hour I 0 24 Hour I 0 48 Hour I D 72 Hour ro 96 Hour IIISJ.1 Week I 0 2Week *For TEM Air 3 hr through 6 hr, please call ahead ~~11:ched~:j *There is a premium charge for 3 Hour TEM AHERA or EPA Level II TAT;,; au will be asked to sign

an authorization fonn for this service. Anal sis com feted in accordance With EMSL's Terms and Conditions located in the Anal ical Price Guide.

PLM- Bulk {rel!orting limit) TEM-Bulk l.ZI PLM EPA 600/R-93/116 (<1%) 0 TEM EPA NOB - EPA 600/R-93/116 Section 2.5.5.1 0 PLM EPA NOB (<1%) Oi'J:V E_!:AP l\1et_hod !98.~(TEM) . ___ ----~~----- -----·--- ------- ·- - --·-- -----Point Count D 400 (<0.25%) D 1000 (<0.1%) _g_ C~atfie19 Protocol (semi-qtJ_a~titative) __ . __

~- ---Point count .;d8ravimetric 0 4oo i~o-.i5o/,)r:Jiooo(~o:1o/~ 0 TEM% by Mass- EPA 600/R-93/116 Section 2.5.5.2

0 TEM Qualitative via Filtration Pr•p Technique _O __ NJO§_H 9002 (<1%)_ - - ----- -. 0 NY ELAP Method 198.1 (tri~ble in NY) D TEM o~aliiative vi~ rir;;-p Mount p~.;p T£)chniqile O_t-ly ELAP Meth~d 198"~J'IO_B_(n"n:fri~le-NY) __ Other -- -0 OSHA ID-191 Modified 0 Standard Addition Method D

0 Check For Positive Ston- Clearlv ldentifv Homo~enous Grouo 1 Date Sampled: --- I Samplers Signature:

- -Samplers Name:

Sample# HA# Samole Location Materi31 Description

/- ~ I AkLd\ P&&-t Pi=(/,_ a~ fa_ (JP(''

'{-b "U

J. ,, '. l' « I

S~w.(~

17-'1 ~ Dec..K ~crot fl.o { (., c9- ~c)A,/Iu v

lh -I~ '1 t• ' I ~art Pa,t-tr 13!"-cJ- ' lt?, -I)

__... ft. f.ei ;"01. I( rtX' S" IJt~ S,')i/lr, Pa.#-ei !?

I fa-[ c.r & ( ' It u-= /3 fO<..i<Vl v FJor -b~ -ICC 7 Rf'W' -c:, J- c..R--'f IL ()/I S-ed.(cv'\,t- &!bv :Jn C( 130-6-ell'lll~f c~ ~~ fVll]f_y S-ea_ l0 t

IJJ-J.) or II ~~1 -Q-£-({~,.J~ d-.'t-J,_(p ;u \1 1-t~rerbvs J0.stJ io-1/:..0-Client Sam ole# tsl: I - ~I Total# of Samples: 21

Relinquished (Client):~ 9., ./J Date: !;),~}ti' Time: JO:a-oi{M

Received (Lab): Date: Time: Comments/Special Instructions:

~IL-¥1'\"C<.-1'\ \~*---tges l\·13-l\ \o;?,D~ €1

~

-- .

OrderID: 041533977

Page 2 Of 2

• EMSl. AN.AL'tTICA.L. INC. &.I;POIU!o.....,..MOoc.o;n•....._

Asbestos Bulk Building Material Chain of Custody

EMSL Order Number (Lab use Only):

IOt(f[;33917

EM SL Analytical, Inc.

200 Route 130 North

Cinnaminson, NJ 08077

PHONE: 1-800-220-3675 FAX: (856) 786-5974

Additional Pages of the Chain of Custody are only necessary if needed for additional sample information

Sample# HA# Sample location Material Descriotion

~7 [t ~-e_\JVl'lvt + 4.) )oAAiv-<J "ivtsJ Lo.. -ftrta f-'tx, r A/1

d-4> I 'it-- l ' I I Ct 0-_Z_( /I.e: l:j_q:~~ t?, t0--..6 ~ vY\~1\.t- ~{ao-z l..,e.<)-{J{Lilo0 ~o~

...__) u

' ~

.

-. - - . -

- -.

- . .

- --. -- .. -- ' - -

c '

. .

"'Comments/Special Instructions:

Page ;}..___ of .Q:___ pages

.

NEPA ENVIRONMENTAL REVIEW REPORT · Remodeling, and Painting (RRP) Rule as well as Occupational...

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