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HomeMy WebLinkAboutMiscellaneous - 80 FLAGSHIP DRIVE 11/13/2008 New England November 10,2008 Environmental NEETTechnologies RECEIVED NEET Project#0809742 Corporation Pagel of 3 Ms. Susan Y. Sawyer, Health Director Nov Town of North Andover Health Department 1600 Osgood Street TO VN OF NORTH A )(.)VE HEALTH EPARt"�G04t Building 20, Suite 2-36 North Andover,MA 01845 RE: Copy of Release Notification Form BWSC-103 Form Central Metal Finishing, Inc., 80 Flagship Drive,North Andover,MA Release Tracking Number(RTN) 3-25399 Dear Ms. Sawyer: On behalf of our client, Central Metal Finishing, Inc. (CMF), and in accordance with the Massachusetts Contingency Plan (MCP) 310 Code of Massachusetts Regulations (CMR) 40.1403(3)(h) public notification requirements, New England Environmental Technologies Corporation (NEET) is notifying the Town of North Andover, MA that a written Release Notification Form (RNF) Bureau of Waste Site Cleanup (BWSC)-103 Form was submitted to the Massachusetts Department of Environmental Protection (DEP) on November 6, 2008. The RNF Form is associated with a release of approximately 30 gallons of neutralized acid rinse water to the environment which occurred at the CMF property located at 80 Flagship Drive in North Andover, MA 01845 on September 15, 2008. The DEP has assigned Release Tracking Number (RTN) 3-27978 to the release. Sometime during the late evening of September 14, 2008, a float switch within an industrial waste water evaporation treatment system became stuck and resulted in a spill of neutralized acid rinse water within the facilities building. As an apparent result of the malfunction associated with the industrial waste water evaporation treatment system, a sufficient volume of steam was generated to trigger a fire alarm. Upon responding to the fire alarm, the North Andover Fire Department (NAFD) observed neutralized acid rinse water to be exiting the facilities building. The release of neutralized acid rinse water to the environment resulted in a small area of blue surface staining directly adjacent to the southwestern portion of the facilities building. The NAFD notified CMF management personnel of the release by telephone at approximately 1:30 AM. CMF management personnel reportedly performed the necessary actions to halt the additional release of neutralized acid rinse water to the environment as well as the generation of excessive steam. The NAFD subsequently notified DEP by telephone at 1:58 PM of the apparent reportable release of a hazardous material to the environment. After coordinating with CMF management personnel and Mr. Andrew Clark of DEP by telephone, NEET's Massachusetts Licensed Site Professional (LSP) conducted a site visit during the late morning of September 15, 2008 to observe disposal site conditions. Mr. Clark provided NEET's LSP with verbal authorization to perform limited soil excavation activities. M 01334 r n _ Facsimile(973) 521-176µ LA (TO November 10,2008 NEET Project#0809742 NEET Page 2 of 3 The release of approximately 30 gallons of the neutralized acid rinse water to the environment appears to have occurred within a 24 hour period triggering a 2 hour reporting condition in accordance with the MCP at 310 CMR 40.0311(2)(a)(b)(c). The small area of blue surface staining was entirely located within the unpaved area located east of the employee entrance stairway between the facilities building and the paved surface of the employee parking area located south of the on-site facilities building. The blue surface staining did not reach the paved surface of the entrance driveway or the employee parking area. On September 16, 2008 NEET's LSP conducted a second site visit and collected a representative sample of the residual material responsible for the blue surface staining. The entire area of blue surface staining along with approximately 4-inches of underlying topsoil was excavated under the observation of NEET's LSP. The removed heavy metals contaminated soil was temporarily containerized within three (3) 55-gallon plastic drums. NEET's LSP also collected five (5) confirmatory soil samples from the bottom of the excavation area. After the completion of removal activities the excavation area was covered with a polyethylene tarpaulin. The sample of residual released material and all five (5) confirmatory soil samples were submitted for laboratory analysis of the total Priority Pollutant Metals (13 separate metals), total cyanide and pH. Laboratory analysis of the sample of residual released material collected from the ground surface identified the metals Cadmium, Chromium and Nickel at measured concentrations above the applicable MCP S-2 Reportable Concentrations (RCs). Measured concentrations of other metals and total cyanide were also identified within the released material which were below the applicable MCP S-2 RCs. The pH measurement of the residual released material at 8.9 was not below 2 or above 12.5 which would have been representative of a characteristic hazardous waste. Laboratory analysis performed on the soil samples collected after completion of the initial soil excavation activities reported measured concentrations of the metals Cadmium and Chromium above the applicable MCP S-2 RCs. The results of total metals analysis also reported measured concentrations of Cadmium, Chromium and Nickel above the applicable MCP Method 1 S-1 GW-2/GW-3 Soil Standards. A measured concentration of total cyanide was only reported within one soil sample which was below the applicable MCP Method 1 S-1 GW-2/GW-3 Soil Standard. All of the pH measurements reported for the five soil samples were between 7.2 and 8.9. None of these pH measurements are below 2 or above 12.5 which is representative of a characteristic hazardous waste. No stressed vegetation was observed to be present within the disposal site outside of the area of initial soil excavation conducted on September 16, 2008. Additionally, none of the visual observations or the results of laboratory analysis completed to date leads NEET to conclude that either a Critical Exposure Pathway (CEP) or Imminent Hazard (IH) condition is associated with the reported release of approximately 30 gallons of the neutralized acid rinse water to the environment. gA 7 November 10,2008 NEET Project#0809742 NEET Page 3 of 3 Because the preliminary results of total metals analysis performed on the confirmatory soil samples collected on September 16, 2008 indicated that soil was effected to a depth of greater than 4 inches below surface grade, NEET also prepared a written Immediate Response-Action (IRA) Plan and a BWSC-105 IRA Transmittal Form on behalf of CMF which were also submitted to DEP on November 6, 2008. The IRA activities verbally approved by DEP as of October 23, 2008 included the excavation and proper treatment/disposal of up to 10 cubic yards of contaminated soil and the collection of confirmatory soil samples from the excavation bottom and/or side walls. In accordance with the IRA Plan, on November 6, 2008 NEET observed the excavation of approximately nine (9) additional cubic yards of soil from the vicinity of the surface release. The excavated soil was containerized within a 20 cubic yard roll-off container. It is NEET's understanding that the three (3) drums of previously containerized heavy metals contaminated soil excavated on September 16, 2008 and the additional site soil excavated on November 6, 2008 will be transported off-site under a Uniform Hazardous Waste Manifest (UHWM)] for proper disposal or treatment. The remaining field activities associated with the performance of the IRA include the collection of groundwater samples from two (2) existing groundwater monitoring wells for dissolved metals analysis. Pending the results of laboratory analysis to be performed on the confirmatory soil samples collected on November 6, 2008 and the groundwater samples to be collected, NEET currently anticipates that a Class A-I Response Action Outcome (RAO) Statement will be prepared and submitted to DEP on or before January 13, 2009. Please find the enclosed copy of a cover letter dated November 5, 2008 which was submitted to DEP along with the RNF Form and IRA Plan for the above referenced property. Arrangements can be made to review the RNF Form and IRA Plan dated November 5, 2008, at DEP's Northeast Regional Office or NEET's 310 Main Street, Groveland, MA office. If you have any questions or require additional information, please do not hesitate to contact NEET at(978) 521-1111. Very truly yours, NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES George G. Lingenfelter, P.G. Senior Environmental Project Manager cc: Ms. Carol Shibles, CMF, 80 Flagship Drive,North Andover, MA 01845 Mr. Mark Rees, Town Manager, 120 Main Street,North Andover, MA 01845 enclosures: 1. Copy of RNF Form and associated cover letter to DEP as well as Table of Contents For the IRA Plan dated November 5, 2008. 2. Figure 2 - Site Sketch L73Massachusetts Department of Environmental Protection BWSC103 Bureau of Waste Site Cleanup RELEASE NOTIFICATION & NOTIFICATION Release Tracking Number RETRACTION FORM 3❑ - 7978 Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) A. RELEASE OR THREAT OF RELEASE LOCATION: 1. Release Name/Location Aid: Central Metal Finishing, Inc. 2. Street Address: 80 Flagship Drive 3. City/Town: North Andover 4. ZIP code: 01845-0000 5. UTM Coordinates: a. UTM N: 4724569 b. UTM E: 327189 B. THIS FORM IS BEING USED TO: (check one) ® 1. Submit a Release Notification ❑ 2. Submit a Revised Release Notification ❑ 3. Submit a Retraction of a Previously Reported Notification of a release or threat of release including supporting documentation required pursuant to 310 CMR 40.0335 (Section Cis not required) (All sections of this transmittal form must be filled out unless otherwise noted above) C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR): 1. Date and time of Oral Notification, if applicable: 09/15/2008 Time: 01:58 W1 AM ❑ PM mm/dd/yyyy h h:m m 2. Date and time you obtained knowledge of the Release or TOR: 09/15/2008 Time: 01:30 AM ❑ PM mm/dd/yyyy h h:m m 3. Date and time release or TOR occurred, if known: Time: ❑ AM El PM mm/dd/yyyy h h:m m Check all Notification Thresholds that apply to the Release or Threat of Release: (for more information see 310 CMR 40.0310-40.0315) 4. 2 HOUR REPORTING CONDITIONS 5. 72 HOUR REPORTING CONDITIONS 6. 120 DAY REPORTING CONDITIONS Q a. Sudden Release a. Subsurface Non-Aqueous a. Release of Hazardous ❑ Phase Liquid(NAPE) Equal to Material(s)to Soil or ❑ b. Threat of Sudden Release or Greater than 1/2 Inch Groundwater Exceeding Reportable Concentrations) ❑ c. Oil Sheen on Surface Water ❑ b. Underground Storage Tank (UST) Release b. Release of Oil to Soil ❑ d. Poses Imminent Hazard ❑ Exceeding Reportable ❑ e. Could Pose Imminent ❑ c. Threat of UST Release Concentration(s)and Affecting Hazard More than 2 Cubic Yards ❑ d. Release to Groundwater near Water Supply c. Release of Oil to ❑ f. Release Detected in ❑ Groundwater Exceeding Private Well e. Release to Groundwater Reportable Concentration(s) g. Release to Storm Drain ❑ near School or Residence d. Subsurface Non-Aqueous ❑ h. Sanitary Sewer Release ❑ f. Substantial Release Migration ❑ Phase Liquid(NAPE)Equal to (Imminent Hazard Only) or Greater than 1/8 Inch and Less than 1/2 Inch Revised:02/10/2006 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC103 RELEASE NOTIFICATION & NOTIFICATION Release Tracking Number RETRACTION FORM - 27978 Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR):(cont) 7. List below the Oils(0)or Hazardous Materials(HM)that exceed their Reportable Concentration(RC)or Reportable Quantity (RQ)by the greatest amount. O or HM Released CAS Number, 0 or HM Amount or Units RCs Exceeded,if if known Concentration Applicable(RCS-1,RCS-2, RCGW-1,RCGW-2) Neutralized Acid Rinse Water HM 30 GAL N/A Cadmium HM 100 MG/KG RCS-2 Chromium HM 340 MG/KG RCS-2 ❑ 8. Check here if a list of additional Oil and Hazardous Materials subject to reporting is attached. D. PERSON REQUIRED TO NOTIFY: 1. Check all that apply: ❑ a. change in contact name ❑ b. change of address ❑ c. change in the person notifying 2. Name of organization: Central Metal Finishing, Inc. 3. Contact First Name: Russell 4. Last Name: Shibles 5. street: 80 Flagship Drive 6.Title: General Manager 7. City/Town: North Andover 8. State: MA 9. ZIP Code: 01845-0000 10. Telephone: (978) 685-4811 11.Ext.: 12. FAX: (978) 975-1123 ❑ 13. Check here if attaching names and addresses of owners of properties affected by the Release or Threat of Release, other than an owner who is submitting this Release Notification (required). E. RELATIONSHIP OF PERSON TO RELEASE OR THREAT OF RELEASE: 0 1. RP or PRP ❑ a. Owner V] b. Operator ❑ c. Generator ❑ d. Transporter ❑ e. Other RP or PRP Specify: ❑ 2. Fiduciary, Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) ❑ 3. Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.50)) ❑ 4. Any Other Person Otherwise Required to Notify Specify Relationship: Revised:02/10/2006 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC103 RELEASE NOTIFICATION & NOTIFICATION Release Tracking Number RETRACTION FORM 3� - 2797$ Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) F. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: 1. I, Russell Shibles attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii)that, based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true, accurate and complete,and(iii) that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I/the person or entity on whose behalf this submittal is made am/is aware that there are significant penalties, including, but not limited to, possi a ine pri w' II submitting false, inaccurate, or incomplete information. u 2. By:=, !Z -� 3. Title: General Manager Signature 4. For: Central Metal Finishing, Inc. 5. Date: (Name of person or entity recorded in Section D) mm/dd/yyyy 6. Check here if the address of the person providing certification is different from address recorded in Section D. 7. Street: 8. City/Town: 9. State: 10. ZIP Code: 11. Telephone: 12.Ext.: 13. FAX: YOU ARE SUBJECT TO AN ANNUAL COMPLIANCE ASSURANCE FEE OF UP TO$10,000 PER BILLABLE YEAR FOR THIS DISPOSAL SITE. YOU MUST LEGIBLY COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Date Stamp(DEP USE ONLY:) Revised:02/10/2006 Page 3 of 3 NEST WRITTEN RELEASE NOTIFICATION AND IMMEDIATE RESPONSE ACTION (IRA) PLAN For Property Located at: Central Metal Finishing 80 Flagship Drive North Andover, Massachusetts RTN 3-27978 Prepared For: Mr. Russell Shibles Central Metal Finishing, Inc. 80 Flagship Drive North Andover, MA 01845 Prepared By: New England Environmental Technologies Corporation 310 Main Street Groveland, MA 01834 November 5, 2008 NEET Project 90809742 New England November5,2008 Environmental NEET Project#0809742 ET Technologies RTN 3-27978 NECor-ccraiion Data Entry Group Bureau of Waste Site Cleanup Department of Environmental Protection-Northeast Region 205B Lowell Street Wilmington, Massachusetts 01887 RE: Written Release Report and Immediate Response Action (IRA) Plan Property Located at: 80 Flagship Drive, North Andover,Massachusetts 01845 Release Tracking Number (RTN) 3 -27978 Dear Data Entry Group: Please find the enclosed written Release Notification Form (RNF) Bureau of Waste Site Cleanup (BWSC)-103 Form and Immediate Response Action(IRA) Plan which includes IRA Transmittal Form BWSC-105. On September 15, 2008, at approximately 1:58 AM, the North Andover Fire Department made a verbal release report to the Massachusetts Department of Environmental Protection (DEP) on behalf of the property operator Central Metal Finishing, Inc. (CMF), that a release of approximately 30 gallons of neutralized acid rinse water had occurred to the environment at the above referenced property triggering a 2 hour reporting condition in accordance with the Massachusetts Contingency Plan (MCP) at 310 Code of Massachusetts Regulation (CMR) 40.0311(2)(a)(b)(c). New England Environmental Technologies Corporation (MEET) was contacted by CMF and NEET's Massachusetts Licensed Site Professional (LSP) John H. Clement, LSP 45103 conducted a site visit on September 15, 2008. NEET was subsequently contracted by CMF to provide LSP services. DEP granted NEET's LSP verbal approval to conduct IRA activities at the site which included contaminated soil excavation. The DEP prepared a Notice of Responsibility (NOR) dated September 30, 2008 and assigned Release Tracking Number(RTN) 3-27978 to the reported release. If you have any questions or require additional information, please do not hesitate to contact NEET at (978) 521-1111. Very truly yours, NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES George G. Lingenfelter, P.G. ohn H. Clement, LSP Senior Environmental Project Manager President cc: Mr. Russell Shibles (Central Metal Finishing, Inc.) .71, csimile(975) 52t-178G E TABLE OF CONTENTS 1.0 GENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 1 1.1 Property Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1.2 Disposal Site Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1.3 Disposal Site Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.0 DESCRIPTION OF RELEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 _ 2.1 Site Conditions /Potential Receptors . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.2 Immediate Response Actions Undertaken To Date . . . . . . . . . . . . . . . 5 2.3 Reason Immediate Response Action Required . . . . . . . . . . . . . . . . . . 7 3.0 IMMEDIATE RESPONSE ACTION OBJECTIVE . . . . . . . . . . . . . . . . . . 8 3.1 Immediate Response Action Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 3? Environmental Monitoring Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3.3 Permits Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.0 IMMEDIATE RESPONSE ACTION SCHEDULE . . . . . . . . . . . . . . . . . 11 ATTACHMENTS REGULATORY INFORMATION Release Notification Form (RNF), BWSC-103 Form Immediate Response Action(IRA) Transmittal Form, BWSC-105 Form FIGURES Figure 1 - Site Locus Figure 2 - Site Sketch Figure 3 - Soil Excavation Detail and Soil Sample Location Sketch, September 16, 2008 TABLES ANALYTICAL DATA APPENDICES Appendix I - Health and Safety Plan L71Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup - HWSC1 Qa IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking.Number FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) ❑3 27978 k RE?EASE OR THREAT OF RELEASE LOCATION: 1. Release Name/Location Aid: Central Metal Finishing, Inc. 2. Street Address: 80 Flagship Drive 3. City/Town: North Andover 4. ZIP Code: 01845 5. UTM Coordinates: a.UTM N: 4,724,569 b. UTM E: 327, 189 6. Check here if a Tier Classification Submittal has been provided to DEP for this disposal site. a. Tier IA a b. Tier I c. Tier IC d: Tier II - F1 7. Check here if this location is Adequately Regulated, pursuant to 310 CMR 40.0110-0114. Specify Program(check one): a. CERCLA 0 b. HSWA Corrective Action CI c. Solid Waste Management d. RCRA State Program(21C Facilities) B.THIS FORM IS BEING USED TO: (check all that apply) 1. List Submittal Date of Initial IRA Written Plan (if previously submitted): (mm/dd/yyyy) 0 2. Submit an Initial IRA Plan. 3. Submit a Modified IRA Plan of a previously submitted written IRA Plan. 4. Submit an Imminent Hazard Evaluation. (check one) a. An Imminent Hazard exists in connection with this Release or Threat of Release. b. An Imminent Hazard does not exist in connection with this Release or Threat of Release. c. It is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release,and further assessment activities will be undertaken. d. It is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release. However, response actions will address those conditions that could pose an Imminent Hazard, 5. Submit a request to Terminate an Active Remedial System or Response Action(s)Taken to Address an Imminent Hazard. 6. Submit an IRA Status Report. 7. Submit a Remedial Monitoring Report. (This report can only be submitted through eDEP.) a.Type of Report: (check one) [:] i. Initial Report 7 ii. Interim Report F7 iii. Final Report b. Frequency of Submittal: (check all that apply) F7 i. A Remedial Monitoring Report(s)submitted monthly to address an Imminent Hazard. ii. A Remedial Monitoring Repart(s)submitted monthly to address a Condition of Substantial Release Migration. iii. A Remedial Monitoring Report(s)submitted concurrentwith a IRA Status Report. c. Number of Remedial Systems and/or Monitoring Programs: A separate BWSC105A, IRA Remedial Monitoring Report,must be filled out for each Remedial System and/or Monitoring Program addressed by this transmittal form. Revised: 2/9/2005 Page 1 of 6 Massachusetts Department of Environmenta[Protection Bureau of Waste Site Cleanup HWSC'tQ5 IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL- Release Tracking Number FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) ❑ - 27978 B.THIS FORM IS BEING USED TO(cont): (check all that apply) ❑ 8. Submit an IRA Completion Statement a. Check here if future response actions addressing this Release or Threat of Release notification condition will be ❑ conducted as part of the Response Actions planned or ongoing at a Site that has already been Tier Classified under different Release Tracking Number(RTN). When linking RTNs, rescoring via the NRS is required:if there is a reasonable likelihood that the addition of the new RTN(s)would change the classification of the site. b. Provide Release Tracking Number of Tier Classified Site(Primary RTN): ❑- Q These additional response actions must occur according to the deadlines applicable to the Primary RTN.Use the Primary RTN when making all future submittals for the site unless specifically relating to this Immediate Response Action. ❑ 9. Submit a Revised IRA Completion Statement. (All sections of this transmittal form must be filled out unless otherwise noted above) C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT IRA: 1. Identify Media Impacted and Receptors Affected: (check all that apply) ❑ a. Air ❑ b. Basement ❑ c. Critical Exposure Pathway ❑ d. Groundwater ❑ e. Residence ❑ f. Paved Surface ❑ g. Private Well ❑ h. Public Water Supply ❑ i. School ❑ j. Sediments k. Soil ❑ I. Storm Drain ❑ m. Surface Water ❑ n. Unknown ❑ o. Wetland ❑ p. Zone 2 ❑ q. Others Specify: 2. Identity Oils and Hazardous Materials Released: (check all that apply) ❑ a. Oils ❑ b. Chlorinated Solvents ❑X c. Heavy Metals ® d. Others Specify: Complexed cyanide compounds neutralized acid rinse water D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply, for volumes list cumulative amounts) ❑ 1. Assessment and/or Monitoring Only ❑ 2. Temporary Covers or Caps ❑ 3. Deployment of Absorbent or Containment Materials ❑ 4. Temporary Water Supplies ❑ 5. Structure Venting System ❑ Temporary Evacuation or Relocation of Residents ❑ 7. Product or NAPL Recovery ❑ 8. Fencing and Sign Posting ❑ 9. Groundwater Treatment Systems ❑ 10. Soil Vapor Extraction ❑ 11. Bioremediation ❑ 12. Air Sparging Revised: 2/9/2005 Page 2 of 6 Massachusetts Department of Environmental Protectiort Bureau of Waste Site Cleanup BWS010s IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL_ Release Tracking Number FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) 3Q - 27978 D. DESCRIPTION OF RESPONSE ACTIONS(cont.): (check all that apply,for volumes list cumulative amounts) © 13. Excavation of Contaminated Soils ❑ a. Re-use, Recycling or Treatment ❑ i.On Site Estimated volume in cubic yards ❑ ii.Off Site Estimated volume in cubic yards iia. Receiving Facility: Town: State: iib. Receiving Facility: Town: State: iii. Describe: ❑ b. Store ❑ i. On Site Estimated volume in cubic yards ❑ ii.Off Site Estimated volume in cubic yards iia. Receiving Facility: Town: State: iib. Receiving Facility: Town: State: ® c. Landfill ❑ i. Cover Estimated volume in cubic yards Receiving Facility: Town: State: ii. Disposal Estimated volume in cubic yards 10 to 20 Receiving Facility: Stablex of Canada Town: State: ❑ 14. Removal of Drums, Tanks or Containers: a. Describe Quantity and Amount: b. Receiving Facility: Town: State: c. Receiving Facility: ' Town: State: ❑ 15. Removal of Other Contaminated Media: a.Specify Type and Volume: b. Receiving Facility: Town: State: c. Receiving Facility: Town: State: ❑ 16. Other Response Actions: Describe: ❑ 17. Use of Innovative Technologies: Describe: Revised: 2/9/2005 Page 3 of 6 Massachusetts Department of Environmental Protection: K"'�3 Bureau of Waste Site Cleanup BWSCIOS IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release-Tracking Number FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) 30 - 27978 E. LSP SIGNATURE AND STAMP: I attestunder the pains and penalties of perjury that I have personally examined and am familiarwith this transmittal form, including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of(i)the standard of care in 309 CMR 4.02(1), (ii)the applicable provisions of 309 CMR 4.02(2)and(3), and 309 CMR 4.03(2),and (iii)the provisions of 309 CMR 4.03(3), to the best of my knowledge, information and belief, > if Section 8 of this form indicates that an Immediate Response Action P/anis being submitted,the response action(s)that is(are)the subject of this submittal(i)has(have)been developed in accordance with the applicable provisions of M.G.L c.21 E and 310 CMR 40.0000, (ii)is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000 and(iii)complies(y)with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section 8 of this form indicates that an Imminent Hazard Evaluation is being submitted,this Imminent Hazard Evaluation was developed in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,and the assessmentactivity(ies) undertaken to support this Imminent Hazard Evaluation comply(ies)with the applicable provisions of M.G.L.C.21 E and 310 CMR 40.0000; > if Section 8 of this form indicates that an Immediate Response Action Status Report and/or a Remedial Monitoring Report is(are)being submitted,the response action(s)that is(are)the subject of this submittal(i)is(are)being implemented in accordance with the applicable provisions of M.G.L. c.21 E and 310 CMR 40.0000,(ii)is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000 and(iii)comply(ies)with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section 8 of this form indicates that an Immediate Response Action Completion Statement or a request to Terminate an Active Remedial System or Response Action(s) Taken to Address an Imminent Hazardis being submitted,the response action(s)that is(are)the subject of this submittal(i)has(have)been developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000, (ii) is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000 and(iii)comply(ies) with the identified provisions of all orders, permits, and approvals identified in this submittal. I am aware that significant penalties may result, including, but not limited to, possible fines and imprisonment, if I submit information which I know to be false, inaccurate or materially incomplete. 1. LSP#: 5103 2. First Name: John H. 3. Last Name: Clement 4. Telephone: 978-521-1111 5. Ext.: 6. FAX: 978-521-1760 7. Signature: OF 8. Date: �� "t t? f JOHN 9. LSP Stamp: (mm/dd/yyyy) H. CtEMEN no. 5103 Revised: 2/9/2005 Page 4 of 6 Massachusetts Department of Environmental Protectiorr Bureau of Waste Site Cleanup BWSO105 IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release-Tracking.Number FORM Pursuant to 310 CMR 40.0424-40.042T(Subpart D) ❑ — 27978 F. PERSON UNDERTAKING IRA: 1. Check all that apply: L7 a. change in contact name ❑ b. change of address ❑ c. change in the person undertaking response actions 2. Name of Organization: Central Metal Finishing Inc. 3. Contact First Name: Russell 4. Last Name: Shibles S. Street: 80 Flagship Drive 6.Title: General Manager 7. City/Town: North Andover 8. State: MA 9. ZIP Code: 01845 10. Telephone: 978-685-4811 11. Ext.: 12. FAX: 978-975-1123 G. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON UNDERTAKING IRA: 1. RP or PRP ❑ a. Owner Y b. Operator ❑ c. Generator ❑ d. Transporter ❑ e. Other RP or PRP Specify: ❑ 2. Fiduciary, Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) ❑ 3. Agency or Public Utility on a Right of Way(as defined by M.G.L. c.21 E,s.50)) ❑ 4. Any Other.Person Undertaking IRA Specify Relationship: H.REQUIRED ATTACHMENT AND SUBMITTALS: 1.Check here if any Remediation Waste,generated as a result of this IRA,will be stored,treated,managed, recycled or ❑ reused at the site following submission of the IRA Completion Statement. If this box is checked,you must submit one of the following plans, along with the appropriate transmittal form. ❑1 a. A Release Abatement Measure(RAM) Plan(BWSC106) ❑ b.Phase IV Remedy Implementation Plan(BWSC108) 2. Check here if the Response Action(s)on which this opinion is based, if any, are(were)subject to any order(s), permit(s) ❑ and/or approval(s)issued by DEP or EPA. If the box is checked,you MUST attach a statement identifying the applicable provisions thereof. ❑ 3. Check here to certify that the Chief Municipal Officer and the Local Board of Health were notified of the implementation of an Immediate Response Action taken to control, prevent, abate or eliminate an Imminent Hazard. ❑ 4. Check here to certify that the Chief Municipal Officer and the Local Board of Health were notified of the submittal of a Completion Statement for an Immediate Response Action taken to confrbl,prevent, abate or eliminate an Imminent Hazard. ❑ 5. Check here if any non-updatabie information provided on this form is incorrect,e.g. Release Address/Location Aid. Send corrections to the DEP Regional Office. © 6. Check here to certify that the LSP Opinion containing the material facts,data, and other information is attached. Revised: 2/9/2005 Page 5 of 6 Massachusetts Department of Environmental'Protectiofr Bureau of Waste Site Cleanup BWS01w IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking Number FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) - 27978 1. CERTIFICATION OF PERSON UNDERTAI KING IRA: 1 I Russell Shibles , attest under the pains and penalties of perjury(i)that I have personally examined and am familiarwith the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(iii) that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I/the person or entity on whose behalf this submittal is made am/is aware that there are significant penalties, including,but not limited to, possible fines and imprisonment,for willfully submitting false, inaccurate, or incomplete information. 2. By: 3. Title: General Manager Signature 4. For Central Metal Finishing, Inc. 5. Date: (Name of person or entity recorded in Section F) (mm/dd/yyyy) 6. Check here if the address of the person providing certification is different from address recorded in Section F. 7. Street: 8. City/Town: 9. State: 10. ZIP Code: 11. Telephone: 12.Ext.: 13. FAX: YOU ARE SUBJECT TO AN ANNUAL COMPLIANCE ASSURANCE FEE OF UP TO$10,000 PER BILLABLE YEAR FOR THIS DISPOSAL SITE. YOU MUST LEGIBLY COMPLETE ALL RELEVANT- SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Date Stamp(DEP USE ONLY:) Revised:2/9/2005 Page 6 of 6 Clq 00 0 rA ed Paned G ca Zn co CG V M UO!I!PPV 10 m 1� E E Is, Ce 0 C4 rq + E M4. co U31v aoujo office �4 00 0 0 0. C) I'Ose arkioS Area 0 ed CD Cm FLAGSIJIP DRIVE o Cn o .0 0 .ti en "s " Zo 2 U ,,d