Rem#: Part IV: Standards for Soil Remediation Check either #1, #2, or #3 below to indicate the final assessment of release determination and investigation completed at the subject property for all potential releases applicable to the pertinent date of this verification. A. Release Determination and Investigation 1. No Releases to Soil. All potential releases to soil at the subject portion of the business establishment applicable to the – pertinent date of this verification - have been investigated in accordance with prevailing standards and guidelines, including the SCGD (Phase II ESA) or other equal alternative approach, and there were no detected concentrations of a substance in soil. Subsequent to previous verification identified in Part III. A. above. The relevant findings of all are presented in the Verification Report. “No-Release” determinations If #1 checked, skip to below. 2. Releases to Soil No Remediation or other Compliance Measure Required. – Substances, associated with business operations and applicable to the pertinent date of this verification, were detected in soil at the subject portion of the business establishment, but all detected concentrations of substances in soil were less than criteria before remediation or initiation of other compliance measure. The nature and distribution of all releases at the subject portion of the business establishment and applicable to the pertinent date of this verification have been characterized in accordance with prevailing standards and guidelines, including the SCGD (Phase III Investigation) or equal alternative approach. Releases subsequent to previous verification identified in Part III. A. above. If #2 is checked, skip to below. 3. Releases to Soil or other Compliance Measure Required –Remediation Substances in soil at the subject portion of the business establishment and associated with a release applicable to the pertinent date of this verification exceeded criteria at any time, Complete the information in the box below. Criterion Exceeded Category of COC Compliance Measure PMC Non-chlorinated VOCs Excavation & Removal GA Chlorinated VOCs Excavation / On-site Re-use GB Metals Engineered Control DEC PAHs ELUR Res SVOCs In-situ I / C PCBs RSR Exemption Petroleum Use of RSR Alternatives Hydrocarbons Pesticides / Herbicides Use of 95% UCL Other
Rem#: Part IV: Standards for Soil Remediation Check either #1, #2, or #3 below to indicate the final assessment of release determination and investigation completed at the subject property for all potential releases applicable to the pertinent date of this verification. A. Release Determination and Investigation 1. No Releases to Soil. All potential releases to soil at the subject portion of the business establishment – applicable to the pertinent date of this verification - have been investigated in accordance with prevailing standards and guidelines, including the SCGD (Phase II ESA) or other equal alternative approach, and there were no detected concentrations of a substance in soil. Subsequent to previous verification identified in Part III. A. above. The relevant findings of all “No-Release” determinations are presented in the Verification Report. If #1 checked, skip to below. 2. Releases to Soil – No Remediation or other Compliance Measure Required. Substances, associated with business operations and applicable to the pertinent date of this verification, were detected in soil at the subject portion of the business establishment, but all detected concentrations of substances in soil were less than criteria before remediation or initiation of other compliance measure. The nature and distribution of all releases at the subject portion of the business establishment and applicable to the pertinent date of this verification have been characterized in accordance with prevailing standards and guidelines, including the SCGD (Phase III Investigation) or equal alternative approach. Releases subsequent to previous verification identified in Part III. A. above. If #2 is checked, skip to below. 3. Releases to Soil –Remediation or other Compliance Measure Required Substances in soil at the subject portion of the business establishment and associated with a release applicable to the pertinent date of this verification exceeded criteria at any time, Complete the information in the box below. Criterion Exceeded Category of COC Compliance Measure PMC Non-chlorinated VOCs Excavation & Removal GA Chlorinated VOCs Excavation / On-site Re-use GB Metals Engineered Control DEC PAHs ELUR Res SVOCs In-situ I / C PCBs RSR Exemption Petroleum Hydrocarbons Use of RSR Alternatives Pesticides / Herbicides Use of 95% UCL Other
form_iii_verification_business_portion.docx