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421 VA DEP Landfill Report 6-10-19 Mabbett&Associates Inc. 5 Alfred Circle b el', t Mab I t Bedford, MA 01730-2318 Tel.781-275-6050 Scientists I Engineers I Program Managers Fax:781-275-2843 Since 1980 info@mabbett.com y www.mabbett.com Responsive. Reliable. Proven June 10, 2019 i Northampton Board of Health Joanne Levin, M.D.,Chair City Hall 210 Main Street C Northampton, MA 01060 4 I Re: 2019 Third-Party Inspector Report VA Central Western'lMassachusetts Healthcare System (VA CWM HCS) Landfill Leeds, Massachusetts DSWM File#11-2141008; FMf#131329 Dear Ms. Levin: ' Mabbett&Associates,Inc.(Mabbett(l)is pleased to submit the attached 2019 Third-Party Inspector(TPI)Reportfor the Veterans Affairs(VA)Central Western Massachusetts Healthcare System(CWM HCS)Landfill at 421 North Main Street in Leeds, Massachusetts. if you have any questions,please do not hesitate to contact me. Very truly yours, -4 MABBETT&ASSOCIATES,INC. BY: Stephe A.Vetere, PE, LSP, LEP, MassDEP Third-Party Inspector Director,Site Assessment and Remediation Group 781-275-6050 ext.312 vetere@mabbett.com . i I Enclosures: 2019 VA CWM HCS TPI Report cc: Robert E. Michalik, Environmental Protection Specialist/GEMS Program Manager,VA CWM HCS MassDEP Western Regional Office—Springfield,Solid Waste Management 4 i CERTIFIED RETURN RECEIPT NO.7016 0910 0000 75318701 'I i ©2019,Mabbett&Associates,Inc S:\ADMINA\7062006 VAMC Leeds\002\TPI Cover Letter to Northampton BOH.doc A US Department of Veterans Affairs Verified Service-Disabled Veteran-Owned Small Business i ■ Massachusetts Department of Environmental Protection Important When completing. ter,use Bureau of Waste Prevention/Solid Waste Management onl,the n a omoveyo only the Tab lieyto move your Third-Party Inspection Report—310 CMR 19.018(8) cursor-not the Return key. Operation &Maintienance l Instructions Use.this form to record and report the results of a Third-Party Operation and Maintenance MassDEP use Only,.. Inspection conducted pursuant,to 310 CMR 19.018. Be sure to obtain the most recent version Rec'd�Date Of this form. All applicable sections of the submittedform must be completed to be accepted by MassDEP. Pursuant to 310 CMR 19.018(8)(a),the third-partyinspector and facility owner/operator must sign r ; r; , r ;v,•,„ this Third-Party Inspection Report form and submit the completed report to the appropriate MassDEP regional office and one copy of each completed.report to the board of health of the municipality in which the.facility is located: Reviewer In the event that this inspection report contains,a recommendation for correcfive action(s),the Comments ` own.6doperator shall also submit the information required by 31.0 CMR 19.018(8)(c)2: Forms and instructions are available online: httr):!/www.mass.-govieeal'aaencies/mas'sdei/kecvcle/aoproVals/solid-waste-applications-and-forms html#8; Note:This form does notidentify°all hof the requirements applicable to each,solid waste management facility;otherr+equin:ments and/or.policies may apply to the operation,maintenance and monitoring for each facility: 1 Y I. Facility Information Facility Type(check one): ❑Transfer Station/Handling.Facility ❑ C&D Waste,Processor or C&D Waste Transfer Station ❑ Municipal Waste Combustor ❑Active Landfill E Closed Landfill El Other: Speer Facility: VA Central Western Massachusetts Healthcare System Facility Name Leeds MA 01.053 City/Town State ZIP Code (413)58444040 7 4115.88. 131329 Telephone Number Regulated Object Account Number FMF Number Operator: VA Central Western Massachusetts Healthcare System Operator Name(Doing Business As/Company Name) (41.3)5844040 Telephone Number Email Address: 421 North Main Street Mailing Address Leeds ' MA 01053 Cityrrown State ZIP Code Permittee: VA Central,Western Massachusetts Permittee Name(Entity Identified on(Facility Permit) 421 North Main Street j Mailing Address Leeds MA 01053 City/Town State ZIP Code Responsible Official for the Facility: Mr.Andrew McMahon I andrew.mcmahon@va.gov ResponsibleOfficial Name(Individual) Responsible Official Email-Address Associate Director (413)584-4040 Responsible'Official Company Name Responsible Official Telephone Number Third-PartyInspection Report(O&M)-Rev.12/4/14 Page.1 of 13 i f I - I i - Massachusetts Department of,Environmental Protection Bureau of Waste Prevention /Solid Waste Management , Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance i II. Third-Party Inspector f Stephen Vetere j Mabbett&Associates Third-Party Inspector Name , Company Name SW48-0000134 04/30/2021 MassDEP Third-Party Inspector Identification Number MassDEP Third-Party Inspector Expiration Date(MM/DD/YYYY) (781)275-6050 vetere@mabbett.com Telephone Number Email Address 5 Alfred Circle j Mailing Address 1 Bedford ; MA 01730 City/Town State ZIP Code I • Construction and Demolition Waste(C&D Waste)Processing Facility or C&D Waste Transfer Station Only: Identify the qualifiedindividual that conducted the observation of incoming waste loads and collection of samples of suspect asbestos- containing materials during the inspection[pursuant to 310 CMR 19.018(6)(f)]. If the entire inspection was conducted by the third-party inspector listed above,then check the box and enter only the Asbestos Inspector Certification Number. ❑Same as above. Provide Asbestos Certification Number► MA Dept.of Labor Standards Asbestos Inspector Certification Number 4 Asbestos Inspector Name I Company Name Telephone Number Email Address Mailing Address I City/Town. State ZIP Code 111. Inspection Details E A. FREQUENCY Indicate the scheduled inspection frequency for this facility as required by 310 CMR 19.018(6)(b);or a more frequent schedule set forth in the Facility Permit/Other Approval[ ❑ Bi-Monthly ❑ Quarterlyl ❑ Semi-Annual ® Annual ❑ Biennial ❑ Other(include permit/approval type and date of issuance): B. DATE,TIME&PERSONNEL Inspection Date(MM/DD/YYYY): 05/22/2019 Inspection Start Time: 10:30 ®AM ❑ PM Facility Representatives in Attendalnce During Inspection: C. CONDITIONS Air Temperature: Approximately 65 degrees F. Wind Direction(direction from which the wind is blowing): i I Weather: ® Clear ❑ Partly Cloudy ❑ Cloudy ❑Nw M N ❑NE I ® Dry ❑ Rain ❑ Snow ❑W ; ❑E Wind Speed: ❑ Calm ® Breeze ❑ Moderate ❑ Strong ❑SW ❑S ❑SE i Third-Party Inspection Report(0&M) Page 2 of 13 I , I I j I Massachusetts Department of Environmental Protection Bureau of Waste Prevention /Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Lo Operation& Maintenance IV. Pre-Inspection Preparation A. FACILITY-SPECIFIC 0&M REQUIREMENTS During each third-party inspection,the third-party inspector shall examine and evaluate the facility's solid waste activities,equipment, operations,practices,procedures,and records relevant to the type of third-party inspection being conducted in order to determine the facility's compliance with all applicabl'requirements as set forth in 310 CMR 19.018(6)(a)1. Therefore,pursuant to 310 CMR 19.018(6)(a)1,prior to conducting a third-party facility operation and-maintenance . inspection,the third-party inspector shall,without limitation,complete all of the following: I ® Review and become familiar with the regulations set forth at 310 CMR 19.000—Massachusetts Solid Waste Regulations. ® Identify,review and become familiar with all solid waste permits,plans,approvals,and orders(or other enforcement documents issued to the facility by the Department),and the solid waste requirements applicable to the operation and maintenance of the facility. C Relevant requirements may include,without limitation,specific practices and procedures for the operation,maintenance and monitoring of the facility,waste acceptance/storage limits,and other requirements related to the facility's solid waste activities. Without limitation,these facility-specific requirements may be contained in the Facility Permit,Authorization to Construct, Authorization to Operate,Operation and Maintenance Plan,Closure/Post-Closure Plans and Approvals,Facility Modification Approvals,Beneficial Use Determinations,Administrative Consent Orders,and other determinations,authorizations or enforcement actions issued by-the Department. I, Stephen Vetere,have Identified,reviewed and understand all of the aforementioned requirements that ► SAV are applicable to this.facility and the following are my observations and recommendations related to the Inspector lnftials facility-specific requirements. i B. SOLID WASTE PERMITS,PLANS,APPROVALS&ORDERS List all relevant solid waste permits,plans,approvals,orders or other enforcement actions issued to the facility by the Department that contain specific practices,procedures and other requirements still in effect for the operation,maintenance and monitoring or closure/post-closure of the facility. Where applicable,provide the plan or issue date for each item. For enforcement actions,include the document number,effective date;and status of implementation by the facility. Discussion:5/12/2008 MassDEP(Corrective Action Design Approval,9/12/2011 MassDEP Closure Certification.There are no current known enforcement actions related to this solid waste landfill facility. I I r Third-Party Inspection Report(0&M) Page 3 of 13 I i i Massachus watts Department of Environmental Protection Bureau of Waste Prevention /Solid Waste Management Ll I Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance I V. Performance Standards Examine and evaluate the facility's solid waste activities,equipment,operations,practices,procedures and records relevant to the type of solid waste facility. Using the tables below,identify all areas evaluated by the inspector during the inspection by checking the box in the first column. Describe all deviations noted during the inspection in the third column. Provide recommendations for corrective action to return to compliance with the applicable performance standard in the fourth column. Facility Type Performance Standards Transfer Station/Handling Facility Complete Section A. (Including C&D Facility) j If C&D Handling/Processing Facility,then also complete Section B. Municipal Waste Combustor i Complete Section A. Active Landfill I Complete Sections C.and F. If active ash landfill,then also complete Section D. Closed Landfill Complete Sections E.and F. A. TRANSFER STATION,HANDLING FACILITY,OR MUNICIPAL WASTE COMBUSTOR(INCLUDING C&D FACILITY) I Comments/Observations and Evaluated Performance Standard Deviation(s) Recommended Corrective Action(s) 1:1 19.205(1) f Storm Water,Controls. 1:1 19.205(2) Equipment. 11 19.205(3) Weighing Facilities.1 19.207(1) 11 General. Discuss in Section VI. Discuss in Section VI. 0 19.207(2) Supervision of Operation. ❑ 19.207(3) 1 Access to Facilities! 19.207(4) Security. 19.207(5) Posting of Handling Facility. 19.207(6) 1 Unloading of Refuse. ❑ 19.207(7) Special Wastes. 19.207(8) Banned/Restdcted Wastes. 19.207(9) Haiardous Waste. 19.207(10) f Household Haiardous Waste and Waste Oil Collections. 19.207(11) Bulky Waste. El 19.207(12) ', Liquid Wastes. Third-Party Inspection Report(0&M) Page 4 of 13 I i 1 Massachusetts Department of Environmental Protection Bureau of Waste Prevention /Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance 1 Comments/Observations and Evaluated Performance Standard Deviation(s) Recommended Corrective Action(s) ❑ 19.207(13) Bird Hazards. 1 ❑ 19.207(14) Dust Control. El Vector 1 Vector Control. j ❑ 19.207(16) j Control of Wind-blown Litter. 19.207(17) Staffing. El19.207(18) 4 Employee Facilities; ❑ 19.207(19) Accident Prevention/Safety. 19.207(20) I Fire Protection. ❑ 19.207(21) ; .I Recycling Operations. ❑ 19.207(22) Records for Operational and Plan Execution. I 19.207(23) Screening and/or Fencing. ❑ 19.207(24) Open Burning. ❑ 19.207(25) Inspections. j ❑ 19.207(26) End-of-Life Mercury-added Products. B. CONSTRUCTION AND DEMOLITION(C&D)WASTE PROCESSING FACILITY OR C&D WASTE TRANSFER STATION comments/Observations and Evaluated Performance Standard Deviation(s) Recommended Corrective Action(s) 19.206(1) Enclosed Operations. ❑ 19.206(2) Storage. ❑ 19.206(3) Contact Water. ❑ Suspect Asbestos-Containing Material(ACM)Inspection and Management Protocol. ❑ Sample collection of suspect Discuss sample results: ACM from incoming loads. i ► ❑Attach analytical reports. Third-Party Inspection Report(0&M) Page 5 of 13 I i LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention /Solid Waste Management Third-Parry Inspection Report-310 CMR 19.018(8) Operation&Maintenance C. ACTIVE LANDFILL Evaluated Performance Standard. Deviations) Comments/Observations and Recommended Corrective Action(s) 19.130(1) General. Discuss in Section VI. Discuss in Section VI. 19.130(2) Operator Supervision. 19.130(3) Special Wastes. j El 19.130(4) + Banned/Restricted Wastes. 19:130(5) Hazardous Waste. 19.130(6) f Bulky Wastes. 19.130(7) Liquid Wastes. 19:130(8) Solid Waste Handling. 19.130(9) i I Bird Hazards. 19.130(10) Equipment and Shelter. E 19.130(11) Staffing. El 19.130(12) Employee Facilities! 19.130(13) Accident Prevention/Safety. F1 19.130(14) l Spreading and Co ipacting of Solid Waste. El 19.130(15) Cover Material. 19.130(16) Vector,Dust and Odor Control. El 19.130(1.7) Litter Control. 11 19.130(18) Top Slope and Side Slopes. 171 19.130(19) Storm Water Drainage. 1:1 19.130(20) Erosion Control. 19.130(21) Boundary/Etevationl Markers. El 19.130(22) Access Roads. 19.130(23) Security. � 19.130{24) ; Posting of the Landfill. Third-Party inspection Report(0&My ` Page 6 of 13 i � Massachusetts Department of Environmental Protection Bureau of Waste Prevention !Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Operation& Maintenance I Evaluated Performance Standard Deviation(s) Comments/Observations and Recommended Corrective Action(s) C1 19.130(25) Open Burning. 19.130(26) Fire Protection and Control. 19.130(27) Convenience and Recycling Drop-off Areas at Landfills. El 19.130(28) Waste Oil Collections at Landfills., j 0 19.130(29) Household Hazardous Waste Collections at Landfills. Cl 19.130(30) I Leachate Collection I Treatment and Disposal. 19.130(31) Phase Completion E the Landfill. 19.130(32) ! Disruption of Landfilled Areas. Q _ 19.130(33) Construction of Buildings. 0 19.130(34) I Records for Operational and Plan Execution. ❑ 19.130(35) Inspections. 0 19.130(36) a Re-circulation of Leachate. ❑ 19.130(37) End-of-Life Mercury-added Prodi ucts. D. ASN LANDFILL Comments/Observations and Evaluated Performance Standard, Deviation(s) Recommended Corrective Action(s) 19.131(1) 1 Discuss in Section VI. Discuss in Section VI. General. 19.131(2) Fugitive Emissions.i 19.131(3) Cl Ash Moisture Content. 19.131(4) ' Spreading/Compacting of Ash. 19.131(5) ? Vehicle Washdown Wheelwash/Other Measures. Third-Party inspection Report(O&M) Page 7 of 13 Massachuse I tts Department of Environmental Protection Bureau of Waste Prevention I Solid Waste Management Third-Party L Inspection Report—310 CMR 19.018(8)I Operation&Maintenance E. CLOSED LANDFILL Evaluated Performance Standard Deviation(s) Comments/Observations and 19.016 Recommended Corrective Action(s) Post-closure Use. None No post-closure use observed. 19.142(1) j Discuss in Section V1. -General. Discuss in Section'V1. 19.142(2) None -Post-closure PeriodJ' Post-closure ongoing. 19.142(3) 1 -Post-closure Period jWaiver. None No waiver being sought at this time. 19,142(4) . I I — Post-closure PeriQd!Extehsion. None No extension being sought at this time. 11914?(5) Post-6osure Requirements. None Minor areas of erosion observed. 19.142(6) I Inspection Requirements. None Annual TPI inspections as required. 19.,142(7) 'I Additional Measures None None 19.1142(8) Termination of the Post- None None Closure Period. 19.143(1) Applicability., None No change-in,post-closure use being 19.143(2) None sought at this time. Submission of Post-closure Not applicable. Use Plans. I 19.143(3) i __ None Criteria for Approval of Post- Not applicable. closure Use. 19.143(4) Post-closure Construction.I None Not applicable. Third-Party Inspection Report(O&M) Page 8013 I Massachusetts Department of Environmental Protection Bureau of Waste Prevention / Solid Waste Management Third-Party Inspection Report—310 CMR 19.01$(8) Operation& Maintenance F. ADDITIONAL LANDFILL REQUIREMENTS 'I ' CommentstObservations and Evaluated Performance Standard Recommended Corrective Action(s) ® 19.132 f Mabbett&Associates conducted the required Environmental Monitoring Requirements. annual sampling,(groundwater,surface water, Is the monitoring of surface water,ground water,landfill leachate seeps)on April 30,2019.No landfill gas gas and any'other media as determined by the Department,including without limitation,soil and is required by MassDEP under the permit.The sediment,being conducted on the schedule established in results of the 2019 annual sampling event will be the permit oras oth l rwise required by the Department? submitted within 60 days of sample collection ®YES ❑NO (i.e.on or before June 30,2019) Are the analytical results of the environmental monitoring submitted to the Department within 60 days after the date of sample collection]or as otherwise specified by the Department? [EYES ❑ NO 19.133 ® Maintenance of Env ironrnental Control and Monitoring All monitoring wells observed to be in good Systems. ( condition.Environmental control and monitoring Are the facility operations conducted in a manner which systems inspected on a monthly basis by the protects all environmental control systems as approved in permittee. the Operation and Maintenance plan and monitoring systems as approved in the Operation and Maintenance plan or permit? ®YES ❑ NO Is regular maintenance of all landfill environmental control systems performed as approved in the Operation and Maintenance plan or permit? ®YES ❑NO Has the Department been notified of the existence and extent of damaged or destroyed environmental control systems,monitoring devices,or surface water sampling location markers in accordance with 310 CMR 19.133(1)(c)andtor19.133(1)(e)? ®N/A(it no damage to report) ❑YES ❑NO i Continue to Next page► r � - I l ; Turd-Party Inspection Report(O&M) Page 9 of 13 I J LiMassachusetts Department of Environmental Protection Bureau of Waste Prevention 1 Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance I F. ADDITIONAL LANDFILL REQUIREMENTS-Continued I Evaluated Performance Standard Comments/Observations and Recommended Corrective Action(s) 1319.121(4) d Landfill Gas Recovery Operation and Maintenance No landfill gas monitoring is required by the Requirements. permit. Is condensate generation kept to a minimum and condensaterecirculation,if proposed,performed in accordance with the permit? ❑YES ❑NO 1 Are the sampling and analysis of condensate conducted on the schedule established in the permit or as otherwise required by the Department? ❑YES ❑NO Are the analytical results of condensate monitoring reported to the Department as established in the permit or as otherwise required by the Department? ❑YES ❑NO Is an annual report,on the operation of the landfill gas recovery facility submitted to the Department as specified in the permit? I! ❑YES [:]NO T I f I 'I f I I I I 'I. h Third-Party Inspection Report(O&M)i Page 10 of 13 r i -' Massachusetts Department of Environmental Protection Bureau of Waste Prevention /Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance VI. Inspection Observations A. FACILITY CONDITION AND OPERATIONS Examine and evaluate the facility condition and operations as observed during the inspection,including the following: ❑ Describe any evidence of the following conditions observed at the time of the inspection: • Unpermitted discharges to air,water,land or other natural resources of the Commonwealth;and • Dust,odors,litter,and/or other nuisance conditions. ❑ Document and discuss all deviations from any specific requirements for the facility that are not addressed in the previous'section (Section V.—Performance Standards),including without limitation,the requirements set forth in the facility's operation and maintenance plan,orders or other enforcement documents,and other solid waste permits,approvals,and authorizations issued to the facility by MassDEP. ❑ List the types and estimated quantities of all waste and materials stored at the facility at thei time of the inspection. ® Provide a narrative that describes the overall status of the general condition,operation and performance of the facility as observed at the time of the inspection. I bAttach photographs taken during',the inspection that depict the general condition and operation of the facility. At a minimum,include photographs,as applicable,.of the waste unloading(tipping)area,waste storage areas,recyclable material storage and,for transfer stations,the waste reloading activity. Discussion:The VA Central Western Massachusetts Healthcare System Landfill is a closed landfill.Third Party Inspector Stephen Vetere observed the landfill to be in good condition at the time of the inspection on 5/22/2019. The entire landfill is enclosed by a chain-link fence that is in very good condition.All gates are locked(the permittee unlocked the gates to enable the inspection)and signage maintained in good condition.The vegetative cover on the landfill is in good condition,with no major areas lacking vegetation.There was no unusual settlement observed.The stormwater drainage system appeared to be functioning properly,with no excessive'siltation or obstructions in any of the swales or detention basins.All monitoring wells are maintained in good condition. The area of minor erosion noted in the 2018 inspection report was observed near MW-3S.The area was similar in size as noted in the prior inspection(10'x 10'),suggesting the impacted area is stable and not eroding further. Revegetation in this area is recommended but not critical. This is the fourth TPI inspectionlperformed since the program was implemented by MassDEP. No prior corrective actions were noted in previous inspection reports. No photographs are required since this is a closed landfill facility. i I B. RECORD REVIEW Examine and evaluate the facility's record-keeping. Without limitation,document'the status of the facility's compliance with,and any deviations from,the record-keeping required by 310 MCR 19.000;the facility's operation and maintenance plan;orders or other enforcement documents issued to the facility;and other solid waste permits,approvals,determinations and authorizations issued to the facility by the Department,including the following: ® Discuss the evaluation of the Facility's"daily log"such as,daily tonnage records. i ❑ List and discuss any special incidents that have occurred since the previous inspection such as exceedances of the facility's permitted waste acceptance limits,nature and outcome of complaints reported to the facility operator(including the identity of the complainant,if known),fires,emergencies,or other disruptions to the routine operation of the facility. Discussion:The permittee,(VA) has been performing monthly inspections,which are documented on an inspection checklist. Mabbett reviewed the monthly inspection checklist documenting monthly;inspections by the permittee performed between February 2'018 and April 2019. No special incidents were reported to the facility. i Third-Party Inspection Report(0&M) Page 11 of 13 Massachusetts Department of Environmental Protection Bureau of Waste Prevention 1 Solid Waste Management Third-Party Inspection Report—310 CMR 19.018(8) Operation&Maintenance VII.Summary and Recommendations Pursuant to 310 CMR 19.018(6)(a)4.,'where a third-party inspector observes that the operation or maintenance of the facility deviates from the aforementioned applicable requirements,he or she shall document all such deviations and recommend corrective actions for the facility to take to return to compliance. A. INSPECTION RESULTS Based on the-examinations and evaluations conducted in Sections V.and VI.,please summarize the inspection results by checking one of the following determinations: i ® No deviations from the applicable performance standards or additional requirements listed at 310 CMR 19.018(6) were identified during this inspection. If no deviations were identified during the inspection,check this box and proceed to Section VI1.B. ❑ Deviations from the applicable performance standards'or additional requirements listed at 310 CMR 19.018(6)were identified during this inspection and are discussed further in this report. If deviations were identified during the inspection,check this box and ensure that each deviation and the recommended corrective actions are discussed in the applicable section(s)below. B. STATUS OF PREVIOUS RECOMMENDATIONS FOR CORRECTIVE ACTION If a previous inspection report identified deviations with recommendations for corrective action,please describe the action(s)taken since the last inspection to return the facility to compliance with the applicable requirements. Discussion:Not applicable. C. RECOMMENDATIONS FOR CORRECTIVE ACTION Based on the results of this inspection,please list all deviations noted during the inspection and provide recommendations for corrective action to return to compliance with the applicable requirement. Recommendations: None. i r` D. ADDITIONAL COMMENTS Comments:Consider repair of minor erosion at toe of slope near MW-3S. i Vill.Additional Information Checklist Attach the following additional information,as applicable,to complete the inspection report.* ❑ Attach photographs taken during the inspection that depict the general condition and operation of the facility,as required in Section VI.A. ❑ For C&D Waste facilities only,attach the analytical results,as required in Section V.B. *Note:Pursuant to 310 CMR 19.018(8) MassDEP may request additional infomradon. Continue to Certification Statement on Next Page► Tnird-Party Inspection Report(Q&M) i Page 12 of 13 I Massachusetts Uepartment,of Environmental Protection BUreau of Waste Prevention I Solid Waste Management L Third-Party Inspection Report—310 CMR 1,9.018(8) Operation 4.ftnienanix IX. certification—THIRD-PARTY INSPECTOR ' attest under the pains and penalty of p6 Jury that L Signature of Third-PartyInspector 1. 1 have personally examined ands am-familiar with the information contained in this submittal,including any and all documents accompanying this d6riiiicati6n statement; Stephen.Vetere I Rased.on,my Inquiry of those pe'rs r'is Print FUIFName 0 responsible for obtaining the information,,the information,contained ifi.this submittal'is,to the:best,of M knowledge;,true,aCCL Mabbeft&.Associates y irate and complete; 3. 1 have been able to conduct the1hird-party inspection.and prepare the Company Name ffilrj,partyInspq0tioh re0o,dwiihout being influenced by the facility municipal eniploy0e)Without bei owner or operator and;,(if I am ii ng influenced by my.municipal 6MMoyer,by atiy_-c6w & orker- by any 05IZ3/2019, Date(?AM/DDIYYYY, ) elected or appoififed offi6ial of tlie'rnunicipality.;and 4. [aaaware lhat.1h6reareitignifi int penalties,including,but not limited io,possible administrative and"ivilpenaltie5 fbusubmitting false, inaccurate,or incomplete.inf, ation:and possible fines:and ritonment for knovA �or% -imp, fifijiy sub,q iffing,false,inaccurate or incomplete X Certification—FACILITY"OW I NERIOPERATOR Does the facility.maintain aFinancial Assurance Mechanism ffAM)pursuant to-310,CMR iqml? El YES []'NO F If"yes: Enter the amount ofth I e current FAM: $: 4i Enter the date.6f.thO list revision of the FAM amount,pursuant to 310:0M_R 19;05;'[(6): Ataremind6r,pursuAnti6.3fOCMRig.65,i(6),the'lestimatooftliecost:df.closure dpqst­9.os bml..,dan X6 mainten&Ijee most tie r*e w'-sed every year and every second year shall b .e t6theD pa ment. "!certify under-the penalty,of'law:� YW 1. That I have Oersbnally,exdynined and,am familiar with the information Signa tureq?;(ehpoffsl�Fdra I C-1 Oft submitted in this third inip6ttionreport,including but.ndt limited't,6 the;statbxments-above cand I ernifi,9 iiie*ondal-assurance Mechanism in Andrew McMahon.. place in a''c6orda-rice with any,66ili'lly, permit.and'310 CMR 19.051,;and, Print Full Name: all attachme'rits,and that;bmed'oh my inquiry of those individuals immediately responsible for otitaimihg the.information;1 believe that the Associate Director information is true,accurate.and complete.Farh aware that there are 'Title, 0grifficant-pprialfies both,civil aii'd"criminal for'submitling false imp in'Ibunatitori:including possible fiiies,and dsonment. 2. That,in;.the-event that this,inspection report contains a recommendation Date.(MMIDDNYWY) for corro.olve,action(s),l,have.66modeted and'attiched-tobis report a, Corrective-Action Plan and Schiiddle*,pursuant to 310 CURthirdio- Pursuant to-.31 0 CMR 19.018(8)(c),a copy of each third party-ins crion'report shall be meiintamed'at the facility in *Nble'Thd owner oroperatormpy6lect tovorrwt deviations identified in the Third- accordance with the requirements of.310 CMR fg.obo. The ., owner and'operptior'shall make thlrdmparly inspection reports Party Inspection Obpo�in a ffiehhei-that Is.different than that rixommenti6d by the available to personnel or authorized represent,allves,of the fhikppa�y Ir*peotof,so long as the-fadility is 6rou4ht.back into compliance with bepaitftntlbr revie'w' atAhe!faciii. upon requ6st. Within 30 days of the 4 Mail this completed fdrrh to,the MassDEPr Rdgional A list of municipalities and Mas6DEP-110ional inspection date: OfficL-that serves the municipality in whiph-th61scili.ty Offices is,available online at: fs 10,cated..(Attention:Solid Waste MMal;i0ment) :contacts/fi'nd-tfi-e�'rffdssdeo--fEgfonalr-6ffi6&-for your- • Send one copyto the local board of health for the Municipality in which the facility-is,located. Third-Party lhspT.Aion Report(Q&M) r Page 13 of 13