The URL can be used to link to this page

DEMO-000243-2017 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 11 ,. -- Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: DEMO-000243-2017 Date Issued: Monday, June 12, 2017 This is to certify that work requested to be done as shown by Permit Number DEMO-000243-2017 has been completed. Tax Map Number: 302.6-1-49 Location: 819 State Rte 9 Owner: McDonald's Applicant: Hunt Companies This structure may be occupied as a: Demolition Only of McDonald's Restaurant By Order of Town Board Asbestos Report Received TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the r— J /,J property owner of the responsibility for compliance with Site Plan, V Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 QL Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: DEMO-000243-2017 Tax Map No: 302.6-1-49 Permission is hereby granted to: Hunt Companies For property located at: 819 State Rte 9 In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: McDonald's Demolition-Commercial $0.00 Owner Address: 819 State Rte 9 Total Value $0.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Hunt Companies 515A County Route 45 Argyle,NY 12809 Plans&Specifications Demolition Only of McDonald's Restaurant Asbestos Report Received $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 16,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbu before the ex/�.(Jation,,,///datk, �,,_2017 Dated at the Town of ueensb f/ /�'ue SIGNED BY: �(/ /� for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received DEMOLITION PERMIT APPLICATION Permit NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee 30 ----------- Provide 2 plot plans drawn to scale,showing Int hminelarlaq with dimpriginng and j,djacent roads /streets. Show all existing structures on property and Indicate which are to be de oe I ate3h I to f (u ilities R Date 5/2/2017 De o Location 819 Rte.9, Queensbury, NY ---------------------- Tax Map ID --302-6_1_49 -- � TOWN OF QUEENS13URY APPLICANT Hunt Companies, IMMUNITY DEVEL T McDonalds of Queensbury Address _ 5 - otrn e. Address 690 1antori Street Xr—Te-NY-r28W----------- -Wi sW66cT,-MXA 021)1D-------- ----------- ----- ---------------- Phone 518_838-808611--------------_ phone 518-3361-1761-1757 --------------------------- CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Dennis M. Hunt _—phone: 18.796-2563 1. Person Responsible for Work Hunt Companies, Inc. 2. Where will demolition material be disposed? I Hiram Hallow, Washburn Rd. Gansevoort, NY 3. All buildings to be demolished require an Asbestos Surma 4. Any buiidingsubstantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor 5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos In the building to be demolished Yes _ __No b) If Yes,our office needs the following information Yes ____No Name of firm removing the asbestos Atlantic Contracting Specialties License number of firm 29812 Indicate where the asbestos material will be disposed Albany Landfill - Rapp Road 6. Structure Information a) Indicate the structure(s)to be demolished _—_ Residence —_— Garage ___ Buslness __ Storage Bldg. _—_ Other b) Size of Structure 4884 s.f. c) Number of Stories 1 d) Foundation Type Basement e) Foundation Poured concrete f) Structure(s) Block & brick, wood truss 7. Utilities Information a) Indicate utilities for this structure___ Gas Electric --- Propane ___ Public Water 1—Public Sewer ___ On-site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? —L_Yes _ No b) Have all utilities been disconnected? ____ Yes _IL_No Pending day of shutdown 8. 5lgnature Print Name: ---- — ----- is M. unt---- •---------------- Date ---------------- 5/2/2017 5lgnature: —� —='--= ----- ----------------- Date ---------------- Town of Queensbury Building & Codes - Demolition Permit - December 2014 FILE C��Y R McDonald's Restaurant # 677 819 Route 9 302.6-1-49 DEMO-000243-2017 Queensbury, New York McDonald's Restaurant February 29, 2016 819 State Route 9 Terracon Project No. J5167007 Demo Only (asbestos report recv'd) f i TOWN OF OUEN B f" r, IM • BUILDING & O p Y, 6 t�: Reviewed B '. Date: TOWN Ol QUEENSBU Y r BUILDING DEPARTMENT 1 Based on our limited examination,compliance with our comments shalt not be construed as indicating the plans ano specifications are in full compllanoe with the Building Codes of New York State. Prepared for: Il1 McDonald's USA, LLC 2017 t U Westwood, Massachusetts TOWN OF OUEENSSU Y BUILDING& CODE'S Prepared by: Terracon Consultants, Inc. Rochester, New York February 29, 2016 lilt McDonald's USA, LLC Corporation 2111 McDonald's Drive Oak Brook, IL 60523 Attn: Scott Buckley E: scod.buck!ey c@us.mod.corn Re: Avne6tOG Sul'V6y McDonald's Restaurant ff677 319 Route 9 Queensbury, Now York Terracon Project No. J6167007 Dear Mr. BLtckley, Terracon Consultants, Inc. (Terracon) is pleased to submit this report for the above referenced site to McDonald's USA, LLC (McDonald's). The purpose of this report is to present the results of an asbestos survey performed on February 16, 2016. This survey was conducted in general accordance with our Service Supplier Proposal dated February 7, 2016, and McDonald's purchase Order No. 1277214. We understand that this survey was requested due to planned demolition activities of the above-referenced building. Asbestos was identified in the samples collected and analyzed for this project. Please refer to the report for full details. Terracon appreciates the opportunity to provide this service to McDonald's Corporation. If you have any questions regarding this report please contact the undersigned. Sincerely, Terracon Consultants, Inc. Frank i<ehoe -Jeffrey S. Mutchler, MPH Senior Project Manager Project Industrial Hygienist Terracon Consultants Inc. 15 htarway circle, Suite 2E) Rochester, NY 14624 1' (565) 247 3471 lerracon.com Environmental a Facilities rMaterials TABLE OF CONTENTS EXECUTIVESUMMARY..........................................................................:................:.......................:...........I 1.0 INTRODUCTION...............................................:..............................................................................1 1.1 Reliance.............................................................................................................................. 1 2.0 BUILDING DESCRIPTIONs.........................................:.........................:.......:.......:........................2 3.0 FIELD ACTIVITIES.....................................................................................:............I......................,2 3A Visual Assessimant.............................................................................................................. 3.2 Physical Assessment..........................................................................................................2 3,3 Sample Collection...............................................................................................................3 3.4 Sample Analysis..................................................................................................................3 4.0 REGULATORY OVERVIEW ............:...................................................:.....:.................:..................3 5.0 FINDINGS AND RECOMMENDATIONS.................:.................................:....................................4 6.0 LIMITATI€3NS(GENERAL COMMENTS ..................................:.............:.......................................16 LIST OF APPENDICES APPENDIX A IDENTIFIED ASBESTOS•CONTAINING MATERIALS BY HOMOGENEOUS AREA(HA) MATERIALS CONTAINING 1% OR LESS ASBESTOS BY His APPENDIX B ASBESTOS ANALYTICAL LABORATORY DATA APPENDIX C PHOTOGRAPHS APPENDIX D LICENSES AND CERTIFICATION$ Asbestos Survey McDonald's Restaurant Queensbury, New York I February 29, 2016 Terracon project No. J5167007 EXECUTIVE SUMMARY Terracon Consultants, Inc. (Terracon) conducted an asbestos surrey of the McDonald's located at 819 Route 9 in Queensbury, New York. We understand this asbestos survey was requested due to the planned demolition of the building. The purpose of this survey was to sample and identify suspect asbestos-containing materials (ACM) and provide information regarding the identity, location, condition, and approximate quantities of ACM in interior and exterior building components. The survey was performed on February 16, 2016 by an Asbestos Hazard Emergency Response Act (AHERA) accredited and State of New York certified asbestos inspector in general accordance with our Service Supplier Proposal dated February 7, 2016, McDonald's Purchase Order No. 1277214, and the sampling protocols established in United States Environmental Protection Agency (USEPA) 40 Code of Federal Regulations (CFR) Part 763, Subpart E, known as the AHERA. Terracon collected 102 bulk samples from 34 homogeneous areas of suspect ACM. Asbestos was identified in the following materials: Material Description Material Location Estimated Quantity Floor Tile Basement -144 SF Wall Tile Mastic Break Room Closet and Break Room Enhance -180 SF Black Roof Dud Patch Roof -6 SF The restaurant was occupied and operating at the time of the survey. As such, certain building areas, systems, structural components, or surfaces could not be observed because the space or surface was unsafe or impractical to access, disassemble, or remove, and thus, were not surveyed. The inaccessible areas included the following: The electrical systems in the building were energized at the time of the survey and therefore were not sampled. The vinyl coating, internal paper and fibrous insulation surrounding the wires are considered non-friable suspect materials and must be assumed to be ACM unless sampling determines otherwise. W Possible mirror mastic (bathrooms); Subsurface damp-proofing on exterior foundation walls (if present); Freezer/cooler panels; Mansard roof interior (where roof system contacts walls) and soffit. The materials listed above must either be assumed to contain asbestos or Terracon must return to the site when safe access is available to conduct destructive sampling prior to demolition activities. Asbestos Survey Proposed Dollar General Store Bre&apart, New York February 29, 2016 Tei racon Project No. J51571 i 4 Because the proposed demolition activities may crush or pulverize AGM, 7erracon recommends they be removed before any demolition begins by a qualified, licensed asbestos abatement contractor in accordance with a project design prepared by a licensed asbestos project designer. Licensed asbestos abatement contractors should be contacted to obtain competitive bids for removal of the ACM. At your request, 7erracon can provide a proposal for developing asbestos abatement specifications (project design) and for performing abatement observation and air monitoring. Additionally,the following suspect material was identified and sampled during the sun/ey. Analytical results, confirmed by analysis, indicate the following material does not contain asbestos in concentrations greater than 1% and is therefore not an EWA-regulated material. This material should be brought to the attention of contractors who may disturb the material so that they can comply with the Occupational Health and Safety Administration's (OSHA) asbestos provisions found in 29 CFR 1926.1101: MATERIALS CONTAMING i% OR LESS ASBESTOS BY HA Material description Material Location Estimated Quantity Floor Tile Mastic Basement I -144 SF It should be noted that suspect materials,other than those identified during the February 16, 2016 survey may exist within the site building. should suspect materials other than those which were identified during the survey be uncovered prior to or during the abatement and demolition process, those materials should be assumed asbestos-containing until sampling and analysis can confirm or deny their asbestos content. ii ASBESTOS SURVEY McDonald's Restaurant #877 819 Route 9, Queensbury, New York Terracon Project No. J6167007 February 29, 2016 1.0 INTRODUCTION Terracon Consultants, Inc. (Terracon) conducted an asbestos survey of the McDonalds' located at 819 Route 9 in Queensbury, New York. The survey was conducted on February 16, 2016 by an Asbestos Hazard Emergency Response Act (AHERA) accredited and state of New York certified asbestos inspector in general accordance with our Service Supplier Proposal dated February 7, 2016, and McDonald's Purchase Order No. 1277214. The interior and exterior building components were surveyed, and homogeneous areas of suspect asbestos-containing materials (ACM)were visually identified and documented. Although reasonable effort was made to survey accessible suspect materials, additional suspect but un-sampled materials could be located in wails, in voids or in other concealed areas. Suspect ACM samples were collected in general accordance with the sampling protocols outlined in United States Environmental Protection Agency (USEPA) 40 Code of Federal Regulations (CFR) Part 763 Subpart E 763, known as the AHERA. Samples were delivered to an accredited laboratory for analysis by Polarized Light Microscopy (PLM) via New York State Method 198.1 (friable materials) and 198.6 (non-friable organically bound or NOB materials). If PLM NOB analysis resulted in an inconclusive result, or if "trace" amounts of asbestos (less than 1 percent) are detected within a sample, the laboratory was instructed to use Transmission Electron Microscopy (TEM) analysis per New York State 198.4 Method, for confirmation. 1.1 Project Objective We understand this asbestos survey was requested due to the planned demolition of the on-site building to satisfy requirements of the USEPA 40 CFR Part 61, Subpart M, the National Emission Standards for Hazardous Air Pollutants (NESHAP). 1.2 Reliance This report is for the exclusive use of McDonald's USA, LLC for the project being discussed. Reliance by any other party on this report is prohibited without written authorization of Terracon and McDonald's USA, LLC. Reliance on this report by McDonald's USA, LLC and all authorized parties will be subject to the terms, conditions, and limitations stated in the proposal, this report, and Terracon's Master Services Agreement (MSA). The limitations of liability defined in , r, Asbestos Survey McDonald's Restaurant Queensbury, New Yorkt II :Bi,."`' g �3, . .. � February 29, 2016 =, Teracor, Project No. J6167007 Terracon's MSA is the aggregate limit of Terracon's liability to McDonald's Corporation this report and Terracon's MSA. 2.0 BUILDING DESCRIPTIONS The subject building is an approximately 4,600 square-foot McDonald's restaurant building. The wood framed with a partial basement and has masonry exterior wails. The interior of the building is finished with ceramic floor tiles, gypsum drywall, ceramic mail tiles (bathrooms and portions of the kitchen), and wallpaper. The main roof is fat and constructed with rolled asphalt membrane, a mop-coat, black fel paper, and a vapor barrier over a wood deck. An asphalt-shingled mansard roof wraps around the perimeter of the building. The restaurant is heated with natural gas fired forced hot air units mounted an the roof. 3.0 FIELD ACTIVITIES The survey was conducted by Ms. Megan Cruz, an ANERA accredited and State of New York certified asbestos inspector. A copy of Ms. Cruz's asbestos inspector certification is attached as Appendix D. The survey was conducted in general accordance with the sample collection protocols established in USEPA 40 CFR Part 763, Subpart E, Section 763.86, AHERA. A summary of survey activities is provided below. 3.1 Visual Assessment Survey activities were initiated with visual observation of the interior and exterior of the buildings to identify homogeneous areas of suspect ACM. A homogeneous area (HA) consists of building materials that appear similar throughout in terms of color and texture with consideration given to the date of application. Interior assessment was conducted in visually accessible areas of the building. Additionally, the roofing system was assessed. Terracon lifted floor coverings in several areas, where possible, and did not observe additional floor coverings/layers except where noted in this report; however, as Terracon could not assess beneath all floor coverings in all areas, there may be isolated areas of additional suspect material present beneath existing flooring. 3.2 Physical Assessment A physical assessment of each homogeneous area of suspect ACM was conducted to assess the friability and condition of the materials. A friable material is defined by the USEPA as a material which can be crumbled, pulverized or reduced to powder by hand pressure when dry. Friability was assessed by physically touching suspect materials. Asbestos survey McDonald's Restaurant > Queensbury, New York l fcrrOlLun February 29, 2016 , Tarracon Reject No. J^o1^07007 3.3 Sample Collection Based on results of the visual observation,bulk samples of suspect ACM were collected in general accordance with USEPA AHERA sampling protocols. Samples of suspect materials were collected from randomly selected locations in each homogeneous area. Sulk samples were collected using wet methods as applicable to reduce the potential for fiber release. Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. The selection of sample locations and frequency of sampling were based on Terracon's observations and the assumption that like materials in the same area are homogeneous in content. Terracon collected 102 bulk samples from 34 homogeneous areas of suspect ACM. A copy of the laboratory report and chain of custody are included as Appendix B. Photographs of the sample locations are attached in Appendix C. 3.4 Sample Analysis Bulk samples were submitted under chain of custody to EMSL Analytical, Inc. of Piscataway, New Jersey for analysis by PLM via New York State Method 198.1 (friable materials) and 198.6 (NOB materials). If PLM NOB analysis resulted in an inconclusive result, or if "trace" amounts of asbestos (less than 1 percent)are detected within a sample, the laboratory was instructed to use Transmission Electron Microscopy (TEM) analysis per New York State 198.4 Method, for confirmation. The percentage of asbestos, where applicable, was determined by microscopic visual estimation. EMSL Analytical, Inc. is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP)Accreditation No. 101048-0. The laboratory was instructed to analyze samples from each homogeneous area until the first sample containing asbestos was identified (Positive Stop). The laboratory analytical data report is attached in Appendix B. 4.0 REGULATORY OVERVIEW The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions and asbestos waste disposal practices. The asbestos NESHAP regulation also requires the identification and classification of existing ACM according to friability prior to demolition or renovation activity. Friable ACM is a material containing more than 1% asbestos that, when dry, can be crumbled, pulverized or reduced to powder by hand pressure.All friable ACM is considered regulated asbestos-containing material (RACM). Asbestos Survey McDonald's Restaurant Queensbury, New York I erracon February 29, 2016 Terracon Project No. iB167007 The asbestos NESHAP regulation classifies ACM as either RACM, Category I non-friable AGM or Category 11 non-friable ACM. RACM includes all friable ACM, along with Category I and Category Il non-friable AGM that has become friable, will be or has been subjected to sanding, grinding, cutting or abrading, or ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder in the course of renovation or demolition activity. Category I non-friable AGM are exclusively asbestos-containing packings, gaskets, resilient floor coverings, resilient floor covering mastics and asphalt roofing products that contain more than i% asbestos. Category If non-friable ACM are all other non-friable materials other than Category 1 non-friable ACM that contain more than I% asbestos. Asbestos activities are regulated by the New York State Department of Labor (NYSDOL) under the New York Regulations Industrial Code Rule 56 (12 NYCRR Part, 56), enforces the asbestos NESHAP. The owner or operator must provide New York State Asbestos Control Bureau with written notification at least 10 calendar days prior to the commencement of asbestos abatement activities that will disturb RACM in amounts greater than or equal to 160 square feet or 260 linear feet. NYSDOL enforces the Occupational Safety and Health Administration (OSHA) standards at 29 CFR 1910.1001 and 29 CFR 1926.1101, which regulates employee exposure to asbestos. The OSHA standard requires that employee exposure to airborne asbestos fibers be maintained at or below 0.1 fibers per cubic centimeter of air (0.1 f/cc) as an eight hour time weighted average (TUNA)and not exceed i.0 fibers per cubic centimeter of air(1.0 f/cc)over a 30 minute time period known as an excursion limit (EL). The TWA and EL are known as OSHA's permissible exposure limits (PELs). The OSHA standard classifies construction and maintenance activities which could disturb ACM, and specifies work practices and precautions which employers must follow when engaging in each class of regulated work. 5.0 FINDINGS AND RECOMMENDATIONS Asbestos was identified in the following materials: Material Description Material Location Estimated Quantity Floor Tile Basement —144 SF Beige Wall Tile Mastic Break Room Closet and Break Room Entrance —180 SF Black Roof Duct Patch Roof —6 SF The restaurant was occupied and operating at the time of the survey. As such, certain building areas, systems, structural components, or surfaces could not be observed because the space or surface was unsafe or impractical to access, disassemble, or remove, and thus, were not surveyed. The inaccessible areas included the following: AsbeStos SUNey McDonald's Restaurant Queensbury, New York February 29,2016 Terrscon Project No. J6167007 The electrical systems in the building were energized at the time of the survey and therefore were not sampled. The vinyl coating, internal paper and fibrous insulation surrounding the wires are considered non-friable suspect materials and must be assumed to be ACM unless sampling determines otherwise. * Possible mirror mastic (bathrooms); Subsurface damp-proofing on exterior foundation walls (if present); Freezer/cooler panels; Mansard roof interior (where roof system contacts walls) and soffit. The materials listed above must either be assumed to contain asbestos or Terracon must return to the site when safe access is available to conduct destructive sampling prior to demolition activities. Because the proposed demolition activities may crush or pulverize ACM, Terracon recommends they be removed before any demolition begins by a qualified, licensed asbestos abatement contractor in accordance with a project design prepared by a licensed asbestos project designer. Licensed asbestos abatement contractors should be contacted to obtain competitive bids for removal of the ACM. At your request, Terracon can provide a proposal for developing asbestos abatement specifications (project design) and for performing abatement observation and air monitoring. It should be noted that suspect materials, other than those identified during the November 20, 2015 survey may exist within the site building. Should suspect materials other than those which were identified during the survey (such as those that may exist in inaccessible areas) be uncovered prior to or during the abatement and demolition process, those materials should be assumed asbestos-containing until sampling and analysis can confirm or deny their asbestos content. Additionally,the following suspect material was identified and sampled during the survey. Analytical results, confirmed by analysis, indicate the following material does not contain asbestos in concentrations greater than 1% and is therefore not an EPA-regulated material. This material should be brought to the attention of contractors who may disturb the material so that they can comply with the Occupational Health and Safety Administration's (OSHA) asbestos provisions found in 29 CFR 1926.1101: MATERIALS CONTAINING 1% OR LESS ASBESTOS BY HA Material Description Material Location Estimated Quantity Floor Tile Mastic Basement -144 SF T Asbestos Survey McDonald's Restaurant M Queensbury, New York f r a. i"-,U I t February 29, 2016 Terracon Project No. J6167007 6.0 LIMITATIONS/GENERAL COMMENTS Terracon did not perform sampling which required demolition or destructive activities such as dismantling of equipment or removal of protective coverings. Reasonable efforts to access suspect materials within known areas of restricted access (e.g., crawl spaces) were made; however, it should be noted that suspect materials,other than those identified during the February 3, 2016 survey may exist within the site building. Should suspect materials other than those which were identified during the survey be uncovered prior to or during the abatement and demolition process,those materials should be assumed asbestos-containing until sampling and analysis can confirm or deny their asbestos content. This asbestos survey was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results,findings, conclusions and recornmendations expressed in this report are based on conditions observed during our survey of the building.The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by McDonald's Corporation for specific application to their project as discussed. This report is not a bidding document. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Terracon does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. APPENDIX A McDonald's Restaurant #677 8191 Route 9, Queensbury New York Terracon Project No. J5167007 IDENTIFIED ASBESTOS-CONTAINING MATERIALS BY HOMOGENEOUS AREA(HAS Estimated HA No. Material Description Material Location °/*and Type NESKAP Asbestos Classification Condifian Quanw 20 Brown Floor Tile Basement 1.3%Chrysotile Category I/Nom Fair —144 SF friable 10 Beige Wall Tile Mastic Break Room Closet and Break 2.3%Chrysotile Category II/Non- Fair —180 SF Room Entrance friable 31 Black Roof Duct Patch Roof 15.8%Chrysotile Category I/Non Fair —8 SF hiable Electrical Wiring Insulation; Possible mirror mastic (bathrooms);Subsurface damp- proofing on exterior foundation 819 Route 9,Queensbury,NY Assumed Not assessed Not assessed Not assessed walls(if present); Freezer/cooler panels;Mansard roof interior(where roof system contacts walls)and soffit *Estimated quantities are based on a cursory field evaluation,and actual quantities may vary significantly,especially if asbestos containing materials are present in hidden and/or inaccessible areas not evaluated as part of this survey. MATERIALS CONTAINING 1%OR LESS ASBESTOS BY HA HA No. Material Description Material Location %Asb Two Condition s aEed Y` 20 1 Tan Floor Tile Mastic I Basement I < I%Chrysotile IFair -144 SF Materials containing less than 1% asbestos are not regulated by NESHAP or AHERA; however the OSHA personal exposure limits (0.1 floc of air as an eight hour time weighted average or 1.0 floc of air over 30 minutes)for asbestos apply when materials containing 1%asbestos or less are disturbed during renovations or demolitions.A listing of materials that contain 1%asbestos or less is provided above to enable the renovation/demolition contractor to make appropriate decisions concerning compliance issues with applicable OSHA regulations. APPF-NL)IX S ASBEST09 LA80PATMY ANALYTICAL DATA AND CHAIN OF CUSTODY EMSL Analytical, Inc. EMSL Order: 051600580 1056 steaan Road,Piscataway,NJ 88864 CustomerlD: TERC42 Phone/Fax (732)981-0550/(732)981-0551 CustomerPO: hitc:l.4wvw.EMSLcom ip SCe iv�a_Nab(iil_��ni:a,coiri Pro)eoflD: Ann: Megan L. Cruz Phone: (908)546-6187 Terracon consultants, Inc. Fax: 4081 Hadley Road, Unit 13 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 ' Project: J5167007/Mcrionald's Corporation,Store 17677,Queensbury,Novi York Test Report: Asbestos Analysis of Non-Friable organically Bound materials by PLM via the NY State FLAP 198.6 Method MAYRIx %NGN-AS9ESY05 ASrSFS f O3 SAMPLE ID bESCRiPTION APPEARANCE MATERIAL FIBERS TYPES 001-CAi-001 Interior Window Gray 100%Other None Inconclusive:No Asbecios Detected 051600580-0001 Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 001-CAl-002 Interior W indow Gray 100%Other Fiona inconclusive:No Asbestos Detected 051600580-0002 Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 00i-CA1-003 Interlor Window Gray 100%Other None Inconclusive:No Asbestos Detected 051600580-0003 Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 004-CA2-010 Black Door Caulk, Black 100%Other None Inconclusive:No Asbestos Detected 051600580-0010 North Dining Room Non-Fibrous Homogeneous 004-CA2-011 Black Door Caulk, Black 100%Other <1 Min.W ool Inconclusive:No Asbestos Detected 051600680-0011 North Dining Room Non-Fibrous Homogeneous 004-CA2-012 Black Door Caulk, Black 100%Other None inconclusive:No Asbestos Detected 051600580-0012 North Dining Room Non-Fibrous Homogeneous 004-CA2-013 2x2 Ceiling Tiles, Gray 88.1%Other 11.9 Min.Wool inconclusive:No Asbestos Detected 051600580-0013 Main Dining Room Fibrous Homogeneous 004-CA2-014 2x2 Ceiling Tiles, Gray 82.0%Other 18.0 Min.Wool Inconclusive:No Asbestos Detected 051600580-0014 Main Dining Room Fibrous Homogeneous Analysts) - David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Light Microscopy(PLA)is not consistently reliable in detecting asbestos in eoorcmedngs and similarnon-friable organically bound materials. Quantltative Tmmmission Electron Mir WIYy Ls currency the only method that can be used to determine if this material can be considered or treated as non-asbestos containing. The test results contained within this report meet the requirements of NELAC unless otherwise noted EMSL maintains liabllitylbnited to coslof analysis. This report relates only to the samples reported above and may not be reproduced,eu pt lnlull,withuutwdden approve!by EMSL.The above lest report relates only to the Items tested. EMSL bears no responsibility for sample collodion activities w anelyti ml method limitations.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc Piswlaer,,NI NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 1 EMSL Analytical, Inc. EMSL Order: 061600580 1056 Station Road,Piscataway,NJ 62684 CustomerlD: TERC42 1 PhonelFaK (732)981-05501(732)981-0551 CustomerPO: htta vn..-E111 I.c m niscatnwaNabC<ilomsl.cnm Pm)ectlD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fair. 4081 Hadley Road, Unit B Received: 02117/166:58 PM South Plainfield, NJ 07060 Analysis Date: 2/19/2016 Collected: 2115/2016 Project J5167007/McDonald's Corporation,Store*677,Queensbury,New Yorlt Test Report: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM1 via the NY State FLAP 198.6 Method MATRIX %NOWA56ESTOS ASBESTOS SAMPLE iD DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 004-CA2-015 2,,2 Ceiling Tiles, Gray 100%Other None inconclusive:No Asbactos Detected 051600560-0015 Main Dining Room Fibrous Homogeneous 006-MG5-016A Cream Ceramic Tile Tan 100%Other <1 Glass inconclusive:No Aebesics Detected 051600560-0017 &Beige Mastic, Non-Fibrous Men's Resiroom Homogeneous 006-MG5.017A Cream Ceramic Tile Tan 100%Other <1 Glass Inconclusive:Nr,Asbestos Detected 051600580m19 &Beige Mastic, Non-Fibrous Men's Restroom Homogeneous 006-MG5.018A Cream Ceramic Tile Tan 100%Other <1 Glass Inconclusive:No Asbestos Detected 051600560-0021 &Beige Mastic, Non-Fibrous Men's Restroorn Homogeneous 010-MG5-028 Beige Wall Tile Brown 97.7%Other None 2."s% Chrysotile 051600560.0031 Mastic,Breakroom Non-Fibrous Closet Homogeneous 2.3% Total 010-MG5-029 Beige Wall Tile Positive Stop(Not Analyzed) 0516005600032 Mastic,Breskroom Closet 010-MG5-030 Beige Wall Tile Positive Stop(Not Analyzed) 0516005800633 Mastic,Breakroom Closet 012-CTI-034 12x12 Fiberglass W hite(Yellow 68.3%Other 31.7 Mm.Wool Inconclusive:No Asbestos Detected 051600580-M7 Ceiling Tiles, Fibrous Breakroom Homogeneous Analyst(s) .1 David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Light Microscopy(PLM)Is not consistently rellable In detecting asbestos in floor cmerings and similar non{daNe organically bound materials. Wenutatha Tomemission Electron Miuoscopy is wmen6ythe only method that can be used to determine It this material can be Considered or treated as mmasbeslos containing. The lest results contained within this report meet the requirements of NELAC unless omermse noted EMSL maintains liability limited to cost of analysis. This report relates onlyte the samples reported above and may not be reproduced,except infull,without w ften approval by EMSL.The above test report relates only to the Items tested. EMSL bears no responsibility for sample collection actiAtIes or analytical method limitations.Samples recehed In good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,W NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 2 EMSL Analytical, Inc. EMSL Order. 051500580 1058 station Road,Piscataway,N,i 08854 CusfomerlD: TERC42 PhonelFax: (732)981-0550/(732)981-0551 CustomerPO: Inle:/hrvv^.v.EP,1SL coon 17mrajaweydaliaounsl.cri ProjectlD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax 4081 Hadley Road, Unit 13 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2115/2015 Project: 151676071McDonalei's Corporation,Store N677,QuesnaburV,New York Test Report: Asbestos Analysis of Non-Friable Organically Sound Materials by PLM via the NY State FLAP 198.8 Method MATRIX %NOWASSESY08 ASBESTOS SAMPLE ID DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 012-CT1-035 12.12 Fiberglass Whhe/Yellaw 74.0%Other 26.0 Min.Wool Inconctuafve:No Asbestos Detected 051600580-0036 Ceiling Tiles, Fibrous Breakroom Homogeneous 012-CTI-036 12x12 Fiberglass W hhe/Yellow 70.1%Other 29.9 Min.Wool Inconclusive:No Asbestos Detected 051600580-0039 Ceiling Tiles, Fibrous Breakroom Homogeneous 015-MG3.043 Beige Cove Base Tan 100%Other None Inconclusive:No Asbestos Detected 051600560-0046 Mastic,Breakroom Non-Fibrous Homogeneous 015-MG3-044 Beige Cove Base Tan 100%Other None Inconclusive:No Asbestos Detected 051600560.0047 Mastic,Breakroom Non-Fibrous Homogeneous 015-MG3-045 Beige Cove Base Tan 100%Other None Inconclusive:No Asbestas Detected 051600580-0046 Mastic,Breakroom Not-Fibrous Homogeneous 016-MG5.046 Beige Ceramic Wall Tan 100%Other None Inconclusive:No Asbestos Detected 051600560-0049 Tile Mastic,Kitchen Non-Fibrous Homogeneous 016-MG5.047 Beige Ceramic Wall Tan 100%Other None Inconclusive:No Asbestos Detected 051600580-0050 Tile Mastic,Kitchen Non-Fibrous Homogeneous 016-MG5-048 Beige Ceramic Wall Tan 100%Other None Inconclusive:No Asbestos Detected 051600580-0051 Tile Mastic,Kitchen Non-Fibrous Homogeneous Analyst(s) David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory -Polarized Light Microscopy(PLM)is not consistently reliable In detecting asbestos In Boor coverings and similar non4dable organically bound materials. quanthathe Transmission Electron Microscopy is cum miry the only method that can be used to determine If this material can be considered or treated as nonasbestos containing.no test results contained within this report meet the requirements of NELAC unless otherwise noted.EMSL maintains liability limited to cost of analysis. This report relates onlyte the samples reported above and may not be reproduced,except infull,without written approval by EMSL.The above test report relates only to the Items tested. EMSL bears no responsibility for sample collection activities or analytical method limitations.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc Piscataway,NJ NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed:2119/2016 2:49:02 PM 3 EMSL Analytical, Inc. EMSL Order. 051600580 100 Staltan Road,Piscataway,NJ 08854 CustomerlD: TERC42 PhonelFax (732)981-0550/(732)981-0551 CustomerPO: hIWjAwm.EMSLcom 0iscatawwAabr5ams1.conl ProjeetlD: Aon: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax 4081 Hadley Road, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project: J61167007/McDonald's Corporation,Store 4677,Oueansbu -,New Yoi( Test Report: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM via the NY State BLAP 108.6 Method MATRIX %NON-ASBESTOS ASBESTOS SAMPLE ID DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 017-CA4-049 Floor Caulk Black, Black 100%Other <i Glass Inconclusive:No Asbtstos Detected 051600560-0052 Kitchen Non-Fibrous Homogeneous 017-CA4-050 Floor Caulk Black, Black 100%Other <1 Glass Inconclusive:No Asbestos CWtected 051600580-0053 Kitchen Non-Fibrous Homogeneous 017-CA4-051 Floor Caulk Black, Black 100%Other <i Glass Inconclusive:No Asbestos Detected 05161)0590-0054 Kitchen Nor.-Fibrous Homogeneous 018-MG3.052 Gray Cove Base, Gray 100%Other None inconclusive:No Asbestos Detected 0516005800055 Kitchen Non-Fibrous Homogeneous 018-MG3.053 Gray Cove Base, Gray 100%Other None Inconclusive:No Asbestos Detected 051600580-0056 Kitchen No-Fibmus Homogeneous 018-MG3.054 Gray Cove Base, Gray 100%Other None inconclusive:No Asbestos Detected 051600560-0057 Kitchen Non-Fibrous Homogeneous 020-FT2-058-Floor Basement Around Brown 100%Other None Inconclusive:<19/013hrysotile Tile Pipe End-Basement Non-Fibrous e 0516005806061 Around Pipe End Homogeneous inconclusive-<i%Total 020-FT2-058-Mastic Basement Around Tan 100%Other None inconclusive:No Asbestos Detected 051600580-0061A Pipe End-Basement Non-Fibrous Around Pipe End Homogeneous Analyst(s) - David Moody(40) ` Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory *Polarized Light Microscopy(PLM)m relconsistently reliable in detecting asbestos in floor cownings and similarronddable orgenicallybound materiels. Ouanuwuti Transmission Electron Microscopy Is currently the only method that can be used b determine If this material can be considered or heated as noroasbesas,containing. The test results contained within this report mast the requirements or NELAC unless otherwise noted EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported above and may not be reproduced,emcepl lnfull,without written approwl by EMSL.The above last report relalss only la the items tested. EMSL bears no responsibility for sample collection actMlles or analytical method limllalions.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,W NYS FLAP 11423 Initial report from 02119/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 4 I✓MSL Analytical, Inc. EMSL order: 051600560 1058 StationtEoad,Placataway,NJ 08854 CustomerlD: TERC42 Phone/Fax (732)981-0550/(732)981-0551 CusiomerPO: 4 Rt : kivy_.EMSLcom Prolectl D: Attn: Megan E. Cruz Phone: (908)546-6187 Tefracon Consultants, Inc. Fax: 4081 Hadley Plod, Unit 8 Received: 02/17/166:58 PM Analysis Date: 2119/20i6 South Plainfield, NJ 07080 Collected: 2115/2016 Project: J5167007/McDonaid's Corporation,Stora#677,Queensbutry,New York Test Deport: Asbestos Analysis of Non-friable Organically Bound Materials by PLM via the NY state FLAP 198.6 Method MATRIX %NON-AS&ESTOS ASBESTOS SAMPLE ID DBBCRi"ON APPEARANCE MATERIAL FIBERS TYPES 020-FT2.059-Flcor Basement Around Brown 100%Other None Incondusive:s1e/aChiysouts Tile Pipe End-Brown Non-Fibrous o 051600580.0062 Vinyl i2x12 Floor Tile Homogeneous Inconclusive-41%Total &Brown Black Mastic, 020-FT2-059-Mastic Basement Around Tan 100%Other None Inconclusive:No Axbestos betectad 051600580-00624 Pipe End-Brown Non-Fibrous - Vinyl 1W2Floor Tile Homogeneous &Brown Black Meade, 020-FT2-060-Floor Basement Around Brown 100%Other None Inconclusive:al°/60hrysortie, Tile Pipe End-Brown Non-Fibrous e 051600580-0063 Vinyl 12xi2 Floor Tile Homogeneous inconclusive-41/a Total &Brown Black Mastic, 020-FT2-060-Mastic Basement Around Tan 100%Other None Inconclusive:No Asbestos Detected 05/600580.00634 Pipe End-Brown Non-Fibrous Vinyl 12x12 Floor Tile Homogeneous &Brown Black Mastic, 021-FT2-061-Floor Basement-Beige Beige 100%Other None Inconclusive:No Asbestos Detected Tile Vinyl 1 W2 Floor Tile Non-Fibrous 051600580-0064 &Brown Mastic Homogeneous 021-FT2-061-Mastic Basement-Beige Black 100%Other None Inconclusive:No Asbestos Detected 051600580-0064A Vinyl 12x12 Floor Tile Non-Fibrous &Brown Mastic Homogeneous 021-FT2-062-Floor Basement-Beige Beige 100%Other None Inconclusive:No Asbestos Detected Tile VInyI 12x12 Flow Tile Non-Fibrous 051600580-0065 &Brown Mastic Homogeneous I Analyst(s) David Moody(40) Chaiyui Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Light Microscopy(PLM)is not consistently rellable In detecting asbestos In floor coverings and similar non4dable organically bound materials. Cluantitatiw Transmission Electron Microscopy is currently the only method that can be used to determine if this material can be considered or heated as non-asbestos containing. The test results contained within this report meet the requirements of NELAC unless otherwise noted.EMSL maintains Nobility united to cost of analysts. This report relates ardyto the samples reported above and may not be reproduced,except infull,without written approval by EMSL.The above lest report mules only to the Items tested. EMSL been no responsibility for sample collection activities or analytical method limitations.Samples received in good condition unless otherwise noted. Samples anslyved by EMSL Analytical,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/1912016 2:49:02 PM 5 EMSL Analytical, Inc. EMSL Order. 051600580 1656 a'taiton Road,Piscataway,NJ 08954 CUstomerlD: TERC42 Phone/Fa—, (732)981-0550/(732)981-0551 CustomerPO: i1[ .vwar,IMSL.utRi w,talar^raNsi�,�nmsl.cam ProjectlD: Ann: Megan E. Cruz Phare: (908)546-6187 Terracon Consultants, Inc. Fa:c 4081 Hadley Road, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project 151670071McDonalcl s Corporation,Store tlo77,Queardi ,New York Test Report: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM via the NY State EL.AP 198.6 Method MATRIX %N€SN-ASSESYOS ASBESTOS SAMPLE ib DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 021-FT2-062-Mastic Basement-Beige Black 100%Other None Inconclusive:No Asbesilas Detected 051600580-0065A Vinyl 12x12 Floor Tile Non-Fibrous &.Broken Mastic Homogeneous 021-FT2-063-Floor Basement-Beige Beige 100%Other None inconclusive:No Asbestos Detected Tile Vinyl 12x12 Floor Tile Non-Fibrous 051600580-0066 &Broke Mastic Homogeneous 021-FT2-063-Masiie Basement-Beige Black 100%Other None Inconclusive:No Asbestos Detected 061WOOO-0066A Vinyl 12I 2 Floor Tile Non-Fibrous &Brown Mastic Homogeneous 022-CT4-064 2x4 Suspended Gray 96.6%Other 3.4 Min.Wool inconclusive:No Asbestos Oetected 051600580-0067 Ceiling Tile,Basement Fibrous Homogeneous 022-CT4-065 2x4 Suspended Gray 95.1%Other 4.9 Min.Wool Inconclusive:No Asbestos Detected 051600660-0068 Ceiling Tile,Basement Non-Fibrous Homogeneous 022-CT4-066 2x4 Suspended Gray 93.1%Other 6.9 Min.Wool Inconclusive:No Asbestos Detected 051600580-0069 Ceiling Tile,Basement Fibrous Homogeneous 023-MG3.067-Cove Bram Cove Base& Black 100%Other <1 Min.Wool inconclusive:No Aebestas Detected Base Beige Mastic, Non-Fibrous 051600680-0070 Basement Homogeneous 023-MG3-067-Mastic Brown Cove Base& Tan 100%Other None Inconclusive:No Asbestos Detected 051600580-007114 Beige Mastic, Non-Fibrous Basement Homogeneous Anatyst(s) - David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory •Polarized Light Miorroseolry(PLM)is net consistently reliable In detecting asbestos in noor coverings and similar non-friable organically bound materiels. ouanthaths Transmission Electron Mic escepy Is currently the only method that can be used to determine If this materiel can be considered or treated as nonasbsstos containing. The test results contained within this report meet the requirements or NELAC undess otherwise noted.EMSL maintains liability limited 10 cost of analysis. This report relates onlyto the samples reported above and may not be reproduced.except indult,without written approval by EMSL.The above test reportnelates only to he items tested. EMSL bears no responsibiliWor sample cdledbn actiNUes or analytical method limitations.Samples received in good condition unless otherwise noted. Samples analyared by EMSL Analytical,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed:2/19/2016 2:49:02 PM 6 • 5MSL Analytical, Inc. EMSL Order: 051600580 1058 bYaiton Read,Piscataway,NJ 0998d r ustomerlD: TERG42 Phone/Fez. (732)981-0550/(732)981-0551 C.usiomerPO: f6[o:NwvN,.ErISL.con, ioe 'd�n6E Qns!.rnm PrciecilD: Attn: Megan 9. Cruz Phone: (908)546-6187 Terracoln Consultants, Inc. Fa>v 4081 Wadley Road, Unit g Received: 02/17/16 6:58 PM Lauth Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 - Project: J6167007/McDoreld`s Corporation,Store#677,Queansirui ,Now York Test Report. Asbestos Analysis of Non-Friable organically Bound Materials by PLM via the NY State FLAP 198.6 Method MAYkIX %NON-ASBESTOS ASBESTOS SAMPLE M bE6CPJPTION APPEARANCE MATERIAL _ FIBERS TYPES 023-MG3-068-Care Brown Cove Base& Black 100%Other None Inconclusive:No Asbestos bsteded Base Beige Mastic, Non-Fibrous 051600550-0071 Basement Homogeneous 023-MG3-068-Mastk: Brown Care Base& Tan 100%Other None inconclusive:No Asbestos batected 051600580-0071A Beige Mastic, Non-Fibrous Basement Homogeneous 023-MG3.069-Coe Broom Cove Base& Black 100%Other None inconclusive:No Asbeates Datenowd Base Beige Mastic, Non-Fibrous 0516005500072 Basement Homogeneous 023-MG3-069-Mastic Brown Cove Base& Tan 100%Other None Inconclusive:No Asbestos Detected 05/600560-00724 Beige Mastic, Non-Fibrous Basement Homogeneous 024-MG4.070 Stair Tread Mastic, Tan 100%Other None Inconclusive:No Asbestos Detected 051600580-0073 Basement Stairs Nal-Fibrous Homogeneous 024-MG4-071 Stair Tread Mastic, Tan 100%Other None Inconclusive:No Asbestos Detected 051600580-0074 Basement Stairs Non-Fibrous Homogeneous 024-MG4-072 Stair Tread Mastic, Tan 100%Other None inconclusive:No Asbestos Waded 0516005800075 Basement Stairs Non-Fibrous Homogeneous 025-FT5-073-Grout Kitchen-Terracotta Brown 100%Other None inconclusive:No Asbestos Detected 05160058000764 44 Floor Tile And Non-Fibrous Bleck Floor Grout Homogeneous Sample appears to be organically bound material. Analysts) -- David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Light Microscopy(PLM)Is not consistently reliable In detecting asbestos in floor coverings and similar nonidable organically bound materiels. Quantitatise Transmission Electron Microscopy Is currently the only method that can be used to determine if this material can be considered or treated as non-asbestus containing. The test results contained within this report meetthe requirements of NELAC unless otherwise noted.EMSL maintains liability limited to at of analysis. This report relates only to the samples reported shove and may not be reproduced,except inrutl,wllhoutwdden approval by EMSL.The shove test report relates only to the Items tested. EMSL bears no responsibility for sample collection acWties or analytical method limitations.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,W NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 7 PMSL Analytical, Ific. EMSL Order: 05160058b 1056 ctalion Road,Piscsaway,FIJ e8aM CustomerlD: TERG42 Phonei az: (732)981-0550/(732)981-0551 CustomerPO: PrcgecilD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax: 4081 Hadley Road, Unit B Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/206 Project: .15167007/McDonaid`s Corporation,Store 9677,Queensbury,New York Test Deport: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM via the NY State RLAP 198.6 Method MATRIX %NON-ASBESTOS A813ESTOG SAMPLE 10 DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 025-FT5-074-Grout Kitchen-Terracoita Brown 100%Other None inconclusive:No Attbectos Detected 051600580-0077A 4x4 Floor Tile And Non-Fibrous Black Floor Grout Homogeneous Sample appears to be organically bound meterld. .� 025-FT5-075-Grout Kitchen-Terracotta Brown 100%Other None inconclusive:No Asbestos Detectad 051600580-007eA 4x4 Floor Tile And Non-Fibrous Black Floor Grout Homogeneous Sample appears to be organically bound material. Y 026-MG5-076 North Dining Room- White 100%Other None Inconclusive:No Asbestos Dst6cted 051600580-0079 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 026-MG5-077 North Dining Room- White 100%Other NoneT inconclusive:No Asbestos Detected 0516005800050 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 026-MG5-078 North Dining Room- White 100%Other None r inconclusive:No Asbestos Detected 051600560-0061 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 027-SG5-079 Gray Vinyl Wall GrayMhite 100%Other None inconclusive:No Asbestos Detected 051600580-0082 Paper,Main Dining Non-Fibrous Rolan Homogeneous 027-SG5-080 Gray Vinyl W all Gray/White 100%Other None Inconclusive:No Asbestos Detected 051600580-0083 Paper,Main Dining Fibrous Room Homogeneous 027-SG5.081 Gray Vinyl Wall GrayMhite 100%Other None Inconclusive:No Asbestos Detected 051600580-0084 Paper,Main Dining Non-Fibrous Room Homogeneous Analyst(s) David Moody(40) Chalyul Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Ughl Microscopy(PLM)is not consistently reliable In detecting asbestos In eoorsovedngs and similar nom-friable organically bound materials. WanOMtiw Tmnsmiseloneecban Miuoscopyls currently the only method that can be used to determine if this materiel can be considered or treated all nonasbesum containing. The lest results contained within this report meal the requirements of NELAC unless otherwise noted EMSL maintains liability runited to cost of analysis. This report relates only to the samples reported oboe and may not be reproduced,except Infull,without wd6en approval by EMSL.The above lest report relates only to the Items tested. EMSL bears no responsibility for sample collection acWtles or analytical method limitations.Samples mcehed In good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,W NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed:2/19/2016 2:49:02 PM 8 EMSL Analytical, Inc. EMSL Order: 051600580 1038 Station Rand,Piscataway,Nj 00854 CustomerlD: TERC42 Phone/Fax (732)981-0550/(732)981-0551 CustomerPO: hifu:/hrrlwtEdASL.com ;iscalaa'aylab!n,nnsl can PigectiD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax 4081 Hadley Road, Unit B Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2115/2016 Project: J5167007/6lcdanaid's Corporation,Store 4077,Queensbury,New Yovk Treat Deport: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM via the NY State EL.AP 198.6 Method MATRIX %NON-ASBESTOS ASBESTOS SAMPLE ID DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 028-RF6-082 Black Roof Membrane Black 100%Other None Inconclus!ve:No Asbestos Detected 051600580-0085 Non-Fibrous Homogeneous 028-RF6-083 Black Roof Membrane Black 100%Other None inconclusive:No Asbestos detected 051600580-0086 Non-Fibrous Homogeneous 028-RF6-084 Black Roof Membrane Black 100%Other None Inconclusive:No Asbestos Detected 051600560.0087 Non-Fibrous Homogeneous 029-CAS-085 Black Roof Caulk Black 100%Other None inconclusive:No Asbestos Detected 051600580-0088 Non-Fibrous Homogeneous 029-CA5-086 Black Roof Caulk Black 100%Other None Inconclusive:No Asbestos Detected 051600580-0069 Non-Fibrous Homogeneous 029-CA5-087 Black Roof Caulk Black 100%Other None inconclusive:No Asbestos detected 051600590-0090 Non-Fibrous Homogeneous 030-RF9-088 Black Roof Patch Black 100%Other None inconclusive:No Asbestos Detected 0516005600091 Non-Fibrous Homogeneous 030-RF9-089 Black Roof Patch Black 100%Other None Inconclusive:No Asbestos detected 051600580-0092 Non-Fibrous Homogeneous Analyst(s) David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(37) or other approved signatory 'Polarized Light Microscopy(PLM)is not consistently reliable In detecting asbestos in floor coverings and similar nomfdable organically bound materials. Quantilsthe Transmission Electron Microscopy is cunently the only method that can be used to determine If this material can be considered or[vested as non-asbestos containing. The test results contained within this report meet the requirements of NELAC unless otherwise noted.EMSL maintetns liability limited to cost of analysis. This report relates only to the samples reported show and may not be reproduced,wept infuti,withoulwriaen apprewl by EMSL.The above test report relates only to the Items tested. EMSL bears no responsibility for sample collection acdd6es or analytical method limitations.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,W NYS SLAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 9 ! i 1 EMSL Analytical, Inc. EMSL Order: 051600580 1666 6taitan Road,Piscataway,NJ 098E Custom TERC42 Phone/Far: (732)981.05501(732)981-0551 CustomerPO: h11w//wvm.EMSi...corn tiscatawaNnbOnmsl.con ProjeotlD: Attn: Megan E. Cruz Phone: (908)546-6187 Tetracon Consultants, Inc. Fax: 4881 Hadley Road, Unit 8 Received: 02/17/166:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project: J516700711McDonaid's Corporation,Store*377,Queensbury,New York Test Report: Asbestos Analysis of Non-Friable Organically Bound Materials by PLM via the NY State FELAP 198.8 Method MATRIX %NON-ASBESYOS ASBESTOS SAMPLE ID DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES 030-RF9-090 Black Roof Patch Black 100%Other None inconclusive:No Aebectoe Detected 051600580-0093 Non-Fibrous Homogeneous 031-RFS-091 Black Duct Patch Black 84.2%Other None 15.9% ChArysotilo M_�w 051600560-0094 Rod Non-Fibrous Homogeneous 16.8% Total 031-RF9-092 Black Duct Patch Positive Stop(Not Analyzed) 0516005800095 Rod 031-RF9-093 Black Duct Patch �... Positive Stop(Not Analysed) 051600580-0096 Rod 033-CA3.097 Brick Caulk, Gray 100%Other None Inconclusive:No Asbestos Datacted 0516005800100 Northwest Entrance Non-Fibrous Homogeneous 033-CA3-098 Brick Caulk, Gray 100%Other None inconclusive:No Asbectoc Detected 051600580-0101 Northwest Entrance Nan-Fibrous Homogeneous 033-CA3-099 Brick Caulk, Gray 100%Other None Inconclusive:No Asbesfoc Detected 051600580-0102 Northwest Entrance Non-Fibrous Homogeneous 034-RF5-100 Asphalt Roof Black 92.9%Other 7.1 Glass inconclusive:No Asbestos Detected 051600590-0103 Shingles,Storage Non-Fibrous Shed Roof Homogeneous Analyst(s) David Moody(40) Chatyut Sae l.ao, Laboratory Manager Susan Pollack(37) or other approved signatory *Polarized Light Microscopy(RM)is not consistently reliable In detecting asbestos in floor cowedngs and similar non.fdable organically bound materials. Quantitative Transmission Electron Microscopy Is currently the only method that can be used to determine If this material can be considered or treated as non-asbestos containing. The test results contained within this report meet the requirements of NELAC unless otherwise noted.EMSL maintains liability limited to coat ofanelysls. This report relates onlyto the samples reported above and may not bereproduced,except lnfull,without written approval by EMSL.The above test report relates only to the items tested. EMSL bears no responsibilityfor sample collection activities or analytical method limitations.Samples recelwd in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM 10 EMSL Analytical, Inc. EMSL Order: 051600580 11656 Stafton Paad,Placa4sway,NJ 60056 CustomerlD: TERC42 Phone/Fax (732)981-05501(732)981-0551 CustomefPD: nttp:pwvA+.FMSL ram u'scatewaNab?0_nnsl.r._cmi ProjectID: Attn: Megan E. Crux Phone: (908)5466187 Terracon Consultants, Ino. Fax: 4081 Hadley Road, Unit 13 Received: 02/17/16 6:58 PM .South Plainfield, NJ 07080 Analysis Date: 2J19/2016 Collected: 2/15/2016 Project: J61167007/McDonald's Corporation,Store 0677,Queens6uf ,New York Test Report: Asbestos Analysis of Non-Friable organically Bound Materials by PLM via the NY State FLAP 198.6 Method MATRIX %NON-ASREVOS ASBESTOS SAMPLE iG DESCRIPTION APPEARANCE. MATERIAL FIBERS TYPES 034-RF5-101 Asphalt Roof Black 92.8%Other 7.2 Glass Inconclusive:He Asbestos 0,Wc%d 0516005600104 Shingles,Storage Non-Fibrous Shed Roof Homogeneous 034-RF5-102 Asphalt Roof Black 93.2%Other 6.8 Glass Inconclusive:No Asbestoa Detected 051500580-0/05 Shingles,Storage Non-Fibrous Shed Roof Homogeneous Analyst(s) - David Moody(40) Chaiyut Sae Lao, Laboratory Manager Susan Polack(37) or other approved signatory 'Polarized Light Microscopy(PLM)is not consistently reliable in detecting asbestos In Boor co,srtrgs and similar non.fdable oganloally bound materials. Cumultative Transmiaslon Electron Miwscopy is currently the only method that can be used b determine if this materiel can be considered or boated as non-ssbeslos containing. The test results contained within this report meet tha requirements of NELAC unless otherwise noted.EMSL maintains liability limited to cost of analysis. This report relates onlyto the samples reported above and may not be reproduced,wmepl lnfull,without written approval by EMSL.The abowt test report relates only to the items tested. EMSL bears no responsibility for sample collection actiNties or analytical method limitations.Samples recelved in good conditon unless oll rwise nMad. Samples analyzed by EMSL Analytical,Ing Piscataway,NJ NYS ELAP 11423 Initial report from 02/19/2016 14:49:02 Test Report PLMNYNOB-7.27.8 Printed: 2/19/2016 2:49:02 PM THIS IS THE LAST PAGE OF THE REPORT. 11 EMSL Analytical, Inc. EMSL Order. 051600580 Custome;10: TERG42 i066 station Road,Piscataway,NJ 08854 Phone/Fax: (732)981.05501(732)981-0551 CustomerPO: W : my FMSL.cam niscalsvtaotahc.emSI.co>_n ProjecilD: Ann: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax•. Received: 02/17/16 6:58 P 4081 Hadley Load, Unit t3 DA South Plainfield, NJ 07080 Analysis Data: 2/18/2016 Collected: 2/15/2016 Project: J51670071McDonald`s Corporation,Stare 4677,Queensbury,Now Yenk Test Report Asbestos Analysis of Bulk Materials by PLM via the NY State FLAP 198.1 Method Nan-Asbestos Asbesf s sample Description Appearance % Fibrous % Non-Fibrous % Type 002-MA4-004 Ceramic Floor Tile Black <1%Cellulose 100.00%Non-fibrous(other) NoneDefscfed 0516005800004 Grout-Black,North Non-Fibrous Dining Room Homogeneous 002-MA4-005 Ceramic Floor Tile Black <i%Cellulose 100.00%Non-fibrous(other) None Detected 6516005600005 Grout-Black,Nash Non-Fibrous Dining Room Homogeneous 002-MA4-006 Ceramic Floor Tile Black <i%Cellulose 100.00%Non-fibrous(other) None detected 0516005800006 Grout-Black,North Non-Fibrous Dining Room Homogeneous 003-FT2-007 Beige Ceramic Floor Beige <1%Cellulose 100.00%Non-fibrous(other) None Detected 0516005800007 Tile(12x12)North Non-Fibrous Dining Room Homogeneous 003-F72-008 Beige Ceramic Floor Beige <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600580-0008 Tile(12x12)North Non-Fibrous Dining Room Homogeneous 003-FT2-009 Beige Ceramic Floor Beige <1%Cellulose 100.00%Non-fiibrous(other) None Detected 0516005800009 Tile(1202)North Non-Fibrous Dining Room Homogeneous 006-MG5-016 Cream Ceramic Tile& White <1%Cellulose 100.00%Non-fibrous(other) None Detected 0516005800016 Beige Mastic,Men's Non-Fibrous Restroom Homogeneous Analyst(s) David Moody(11) Chalyut Sae Lao, laboratory Manager Susan Pollack(28) or other approved signatory EMSL maintains liability limited to costar analysis. This report relates onlyto Me samples reported and may not be reproduced,except in full,with nd wrinen approval by EMSL EMSL bears no responsibility for sample collection ectidties or analytical method limitations. Interpretation and use of test results am the responsibility of the client. This report must not be used by the Giant to claim product certification,approval,orendomemenlby NVLAP,NISTor any agency of the federal govemment. Nonfriable organically bound materials presents problem matrix and therefore EMSL recommendsgrevimetdcmdwUwpdortoarmlysls. Samples mceiwd in good condition unless uthemrise noted.Ali samples examined for the presence afvermimilte. Samples analyzed by EMSL Analytical,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Report PLMPTC-7.25.0 Printed:2/20/2016 7:52:51 PM 1 EMSL Analytical( Inc. EMSL Order: 051600580 1088 Station Road,piccat",ay,Ni 08854 CustomerlD: TERC42 Prione/Fa c (732)981-0550/(732)981-0551 CusiomerPO: htlna/www EMSL com I_�isr"I'mV,;_',•yr:_pisl_rrnn P1'OfeC6D: Attw Megan E. Cruz Phone. (908)546-6187 Terraicon Consultants, Inc. Fati 4081 Hadley Road, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/18/2016 Collected: 2/15/2016 Project: JM670071McDonaid's Cor oration,Store 4677,Quatinsbury,NevJ York "fest Peport: Asbestos Analysis of Bulk Materials by PLM via the ICY State FLAP i 88.1 Method Nan-Asbeaios Asbestds Sample Description Appearance % Fibrous % Non-Fibrous % Type 006-MGS-017 Cream Ceramic Tile& White <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600580-0018 Beige Mastic,Men's Non-Fibrous Restroom Homogeneous 006-MG5-018 Cream Ceramic Tile& White <1%Cellulose 100.00%Non-fibrous(other) None Detected n51600580-0020 Beige Mastic,Men's Non-Fibrous Restroom Homogeneous 007-MA4-019 Beige Wall Tile Grout Beige <1%Cellulose 100.00%Non-fibrous(other) Nano Detected 051600580-0022 Men's Restroom Non-Fibrous Homogeneous 007-MA4.020 Beige Wall Tile Grout, Beige <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600560-0023 Men's Restroom Non-Fibrous Homogeneous 007-MA4-021 Beige Wall Tile Grout Beige <i%cellulose 100.00%Non-fibrous(other) None Detected 061600680-0ON Men's Restroom Non-Fibrous Homogeneous 008-MS5-022 Black Formeg, Main Black 35.00%Cellulose 65.00%Non-fibrous(other) None Detected 051600580-0025 Dining Room Non-Fibrous Homogeneous 008-MS5-023 Black Formeg, Main Black 30.00%Cellulose 70.00%Non-fibrous(other) None Detected 051600580-0026 Dining Room Nen-Fibrous Homogeneous Analyst(s) David Moody(11) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(28) or other approved signatory EMSL maintains liability limited In 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 bean no responsibilityfor sample collection actiN6es or anelyical 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 certiticotion,approval,orendomemenl by NVLAP,NIST many agency of the federal gmemment. Nandriable organically bound materials present a problem matrix and thereloe EMSL recommends gra%lmeldc reduction pdorto analysis. Samples mceimd in good condition unless otherwise noted.All samples examined for the presence ofverrdculite. Samples analyzed by EMSL Analytical,Inc.PiscateWay,NJ NYS FLAP 11423 Initial report from 02/20/2016 19:52:51 F Test Report PLMPTC-7.25.0 Printed:2/20/2016 7:52:51 PM 2 t 5MSL Analytical, Inc. EMSL Older.. 051600580 CusfornerlD: TERC42 1066 station Road,Piscataway,NJ 680:4 Phone/Fa: (732)9 81-0.5 5 0 1(732)981-0551 CustomerPO: DIttIL/vnasv EMSLcom pi5calavre'ah(a onI_Gln! ProjectID: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fac 13 Received: 02/17/166:58 PM 4081 Wadley Road, Unit South Plainfield, NJ 07000 Analysis Date: 2/18/2016 Collected: 2115/2016 Project: J5167007/McDonald'¢Corporation,Store 9677,Dueenobu New York Test Re-port: Asbestos Analysis of Bulk Materials by PLM via the NY State FLAP 19801 Method Non-Asbestos Aabasioa sample Description Appearance % Fibrous % Non•flbreus % TYPe 008-MS5-024 Black Forrneg,Main Black 25.00%Cellulose 75.00%Non-fibrous(other) None Detected 051600580-0027 Dining Roan Non-Fibrous Homogeneous 009-WB5-025 Gray Cement Gray <1%Cellulose 100.00%Nan-fibmus(other) Nolle Detected 051600580-0028 Wallboard,Break Non-Fibrous Room Closet Homogeneous 009-W B5-026 Gray Cement Grey <1%Cellulose 100.00%Non-fibrous(other) None Detected 05160056"029 Wallboard,Break Non-Fibrals Room Closet Homogeneous 009-WB5-027 Gray Cement Gray <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600580-0030 Wallboard,Break Non-Fibrous Room Closet Homogeneous 011-WB5.031- Gray&White White <1%Cellulose i00.00%Non-fibrous(other) None Detected Skim Coat Multilayer Ceiling, Non-Fibrous 0515005800034 Breakroom Closet Homogeneous 011-WB5.031- Grey&White Gray <1%Cellulose 100.00%Non-fibrous(other) None Detected Base Coat Multilayer Calling, Non-Fibrous 0516005600034A Breakroorn Closet Homogeneous 011-WB5.032- Gray&White White <1%Cellulose 100.00%Non-fibrous(other) None Detected Skim Cost Multilayer Ceiling, Non-Fibrous 0516005800035 Breakroom Closet Homogeneous I Analyst(s) David Moody(11) Chaiyul Sae Lao, Laboratory Manager Susan Pollack(28) or other approved signatory EMSL maintains liability Handled to cost of analysis.This repart relates only to the samples reported and may not be reproduced,e=ept In toll,without wri6en approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations. inteiprateum,and use of test results are the responsibility,of the client. This report must act be used by the Vent b claim product certification,appmvd,or endorsement by NVLAP,NIST or any agency of the federal government. Nomfrlable organically bound materials present a problem meals and therefore EMSL recommends gravimetric reduction prior to analysis. Samples receNed In good condition unless otherwise noted.All samples emmined for We presence of mumicullte. Samples analyzed by EMSL Ana icel,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Repot PLMPTC-7.25.0 Printed:2120120167:52:51 PM 3 EMSL Analyfical, hic. EMSL Order. 059600580 i056 Staitoll Road,Plecaiaway,NJ 68854 CustonerlD: TERG42 Phone/Fax (732)981-0550/(732)981-0551 CusiornerPO: h&V1vnvvvENiSLrcm p_sc=_Ia�raviaG c_;rr,c!.c,,n PrefeCflD: Attn: Megan r=. CrUZ Phone: (908)546-6187 Terracon Consultants, Inc. Fax. 4081 Wadley Road, Unit 8 Received: 0211 7/1 6 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/18/2016 Collected: 2/15/2016 Project: J516700716A0®maid'c Corporation,$tors 4677,Quanantsburir,New York Test Report: Asbestos Analysis of Bulk Materials by PLM via the NY State LLAP 108.1 Method Non-Asbestos Asbestos sample Description Appearance % Fibrous % Non-Fibrous Type 011-WB5-032- Gray&White Gray 100.00%Non-fibrous(other) None,Detected Base Coat Mullilayer Ceiling, Non-Fibrous 051600580-00354 Breakroom Closet Homogeneous 011-WB5-033- Gray&White White <1%Cellulose 100.00%Non-fibrous(other) Nona Detected Skim Coat Multilayer Ceiling, Non-Fibrous 051600580-0036 Breakroom Closet Homogsneous 011-WB5.033- Gray&White Gray <i%Cellulose 100.00%Non-fibrous(other) None Detected Base Coat Multilayer Ceiling, Non-Fibrous 051600580-0036A Breakroom Closet Hom2geneous 013-W B5.037 Breakroom Ceiling Gray/Tan 12.00%Cellulose 88.00%Non-fibrous(other) None Detected 0516005804040 Wallboard Fibrous Heterogeneous 013-W 85.038 Breakroom Ceiling Gray/ran 12.00%Cellulose 88.00%Non-fibrous(other) None Detected 051600500m41 Wallboard Fibrous Heterogeneous 013-W B5-039 Breakroom Ceiling Gray/Tan 15.00%Cellulose 85.00%Non-fibrous(other) None Detected 051600560-0042 Wallboard Fibrous Heterogeneous 014-WB2-040 Wallboard,Breakroom Grayrran 12.00%Cellulose 88.00%Non-fibrous(other) None Detected 0516005804043 Wall Fibrous Heterogeneous I Analyst(s) David Moody(11) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(28) 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 beers no msponsibilifyforsample collection activities oranalyical method limitations. interpretation and use oftesl 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,NISTor any agency of the federal government Non-friable organically bound materials presents problem matdxand therefore EMSL recommends gravimanc reduction prior to analysis. Samples received in good condition unless otherwise noted.All samples examined for the presence of vermiculite. Samples analyzed by EMSL Analytical,Inc.Piscataway,NJ NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Report PLMPTC-7.25.0 Printed:2/20/20167:52:51 PM 4 EMSL Analytical, Inc. EMSL Order: 051600580 i05e station Road,Piscataway,NJ 68854 CUStOmerlD: T ERC42 Phonaffal; (732)981-0550/(732)981-0551 C.ustome.PO: 11 tp,1.Iwvrvr.EN15L.coIn pi=aiLna}9ah(ulemsl.cnm ProjectID: Attn: Megan P. CrUZ Phone: (908)546.6187 Terracon Consultants, Inc. Fax: 4081 Hadley Road, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Gate: 2118/2016 Collected: 2/15/2016 Project: 15167007/1ilcDonald's Corporation,Store 17677,Queanibu }New York Test Report: Asbestos Analysis of Bulk Materials by PLM via the NY State FLAP 198.1 Method Non•Asbastos As es'oa sample Description Appearance % Fibrous % Non-Fibrous % Type 014-WB2-041 Wallboard,Breakroom Grayrran 12.00%Cellulose 88.00%Non-fibrous(other) Nona Deiectod 0516005800044 Wall Fibrous Heterogeneous 014-WB2-042 Wallboard,Breakroom Grayrran 10.00%Cellulose 90.00%Non-fibrous(other) None Detected 051600580-0045 Wall Fibrous Heterogeneous 019-MA4-055 Gray Grout Basement Gray <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600580-0058 Around Pipe End Non-Fibrous Homogeneous 019-MA4-056 Gray Grout Basement Gray <1%Cellulose 100.00%Non-fibrous(other) Nona Detected 05160058x0059 Around Pipe End Non-Fibrous Homogeneous 019-MA4-057 Gray Grout Basement Gray <1%Cellulose 100.00%Non-fibrous(other) Nona detected 051600580-0060 Around Pipe End Non-Fibrous Homogeneous 025-FT5.073- Kitchen-Terracotta Red <1%Cellulose 100.00%Non-fibrous(other) None Detected Terracotta Floor 4x4 Floor Tile And Non-Fibrous Tile Black Floor Grout 051600560-0076 Homogeneous 025-FT5-074- Kitchen-Terracotta Red 100.00%Non-fibrous(other) None Detected Terracotta Floor 4x4 Floor Tile And Non-Fibrous Tile Black Floor Grout 051600580-0077 Homogeneous Analyst(s) David Moody(11) Chaiyut See Lao, Laboratory Manager Susan Pollack(28) - or other approved signatory EMSL maintains liability limited to cast of analysis. This report reletes only to the samples reported and may not be reproduced,incest in NII,without written approval by EMSL. EMSL bears no respomiblityfa wmplawfleedmoc6Nfiesoramlyticslmelhodlimitafions. Interpretation and use of test results are the responsibility of the client. This report mustrimbe used bythe ctientto claim product certification,appmvel,or endorsement by NVLAP,NIST many agency of the federal govemment. Nonfriable organically bound materiels present a problem matrix and therefore EMSL recommends gmMmetdc reduction prior to analysis. Samples received In good condition unless otherwise noted.All samples examined for the presence of vermiculita. Samples analyzed by EMSL Analytical,Inc.Placetaway,hL Mrs ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Repot PLMPTC-7.25.0 Printed:2/20/2016 7:52:51 PM 5 EMSL Analytical, inc. EMSi Order: 051600580 1060 S4attor,Road,Piccareway,NJ 09854 CustomerlD: TERC42 Phone/Faw (732)981-0550/(732)981-0551 CustomerPO: L1jmj/VMv'lf/AsLwil Pro)ectlD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fgnc 4081 Hadley toad, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/18/2016 Collected: 2/15/2016 Project: J5107007/MoDonaid'c Cor oration,Store;i%77,Aueansbu r,Now York Test Deport: Asbestos Analysis of Sulk Materials by PLM via the FAY State SLAIN 188.1 Method Non-Asbestos Asbestos sample Doscriptlsn Appearance % Fibrouo % Nan-Fibrous % Type 025-Ff5075- Kitchen-Terfacotta Red <11%Cellulose 100.00%Non-fibrous(other) None Detected Terracotta Floor 44 Floor Tile And Non-Fibrous Tile Black Floor Grout 051600580-0078 Homogeneous 032-MA4.094 Brick Grout NW Gray 0%Cellulose 100.00%Non-fibrous(other) Nona Detected 0516005600087 Entrance Non-Fibrous Homogeneous 032-MA4-095 Brick Grout NW Gray <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600580-0098 Entrance Non-Fibrous Homogeneous 032-MA4-096 Brick Grout NW Gray <1%Cellulose 100.00%Non-fibrous(other) None Detected 051600560-0099 Entrance Non-Fibrous Homogeneous Analyst(s) David Moody(11) Chaiyut Sae Lao, Laboratory Manager Susan Pollack(28) 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 NII,without wdeen approval by EMSL EMSL beers no responsibility for simple collection ac6Nties 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 ceNtication,approval,orendomement by NVLAP.NISTor any agency of the federal go,remment Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gmvimdde reduction prior to analysis. Samples received In good condition unless otherwise noted.All samples examined for the presence of uremiiculite. Samples analyzed by EMSL Analytical,Ina Piscataway,NI NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 € Test Repel,PLMPTC-7.25.0 Printed:2120/20167:52:51 PM THIS IS THE LAST PAGE OF THE REPORT. 6 EMSL Analytical, Inc. EMSL Order: 051600580 1056 b"iofton Road,Piscataway,NJ 02851 CustornerlD: TERC42 Phone/Fax (732)981.05501(732)981-0551 CustomerPO: htlo9/vn11v1EMSI_coin r,Iscatawa\Aabfi)amsl.;:em PrcjectlD: Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax: 4081 Hadley Poad, Unit 13 Received: 02/171166:58 PM South Plainfield, NJ 070$0 Analysis Date: 2/19!2016 Collected: 2115/2016 , Project: 15167007IMcDonald's Corporation,Store*677,Oueanstrur ,Now York Test Repli Asbestos Analysis of Non-Friable Organically Bound materials by Transmission Electron Microscopy via NYS ELAP Method 158.4 MATRIX %NON•ASBESTOS ASBESTOS %TOTAL SAMPLE iD DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 001-CA1-001 Interior Window Gray 100% Other None No Asbestos Detected 051600580-0001 Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 001-CAi-002 Interior Window Gray 100% Other None No Asbestos Detected 051600560-0002. Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 001-CAl-003 Interior Window Gray 100% Other None No Asbestos Detected 0516005800003 Caulk-Clear,North Non-Fibrous Dining Room Homogeneous 004-CA2-010 Black Door Caulk, Black 100% Other None No Asbestos Detected 051600580-0010 North Dining Room Non-Fibrous Homogeneous 004-CA2-011 Black Door Caulk, Black 100% Other None No Asbestos Detected 051600580-0011 North Dining Room Non-Fibrous Homogeneous 004-CA2-012 Black Door Caulk, Black 100% Other None No Asbestos Detected 051600580-0012 North Dining Room Non-Fibrous Homogeneous 004-CA2-013 2x2 Ceiling Tiles, Gray 100% Other None No Asbestos Detected 051600580-0013 Main Dining Room Fibrous Homogeneous 004-CA2.014 2x2 Ceiling Tiles, Gray 100%s Other None No Asbestos Detected 051600560-0014 Main Dining Room Fibrous Homogeneous Analyst(s) Cohn Slattery(73) Chaiyut Sae Lao, Laboratory Manager or other approved signatory This laboratory Is not responsible for%asbestos In total sample when the residue only Is submitted for analysis.The above report relates only to the items tested.This report may not be reproduced, erspl in full,without written approval by EMSL Analytical,Inc Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Me.Piscataway,W NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Repot NYrrEMNOB-7.27.8 Printed:2/20/2016 7:52:51 PM 1 EMSL Analytical, Inc. EMS"Order: 051600580 1056 6talton Road,Piccaiaway,NJ 88854 CustomerlD: TERG42 Phone/Fax (732)981-0550/(732)981-0551 CustomerPO: fY:o,1/V1`V1_U111SIL Corn Projecil D: Attn: Megan R. Cruz Phone: (908)546-6187 Teeracon Consultants, Inc. Fax 4061 Hadley Road, Emit B Received: 02/17/16 6:58 PM South Plainfield, NJ 07060 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project. JM67007/McDonaid's Corporation,Store 0677,Queensbury,New York Test Deport Asbestos Analysis of Non-Friable Organically Bound materials by Transmission Electron Microscopy via NYS SLAP Method 196.4 MATRIX %NOWASBESTOS ASBESTOS %TOTAL SAMPLE ID DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 004-CA2-015 2x2 Ceiling Tiles, Gray 100% Other None No Asbestos Detected 051600580-0015 Main Dining Room Fibrous Homogeneous 006-MG5-01GA Cream Ceramic Tile Tan 100% Other None No Asbesios Detected 0516005800017 &Beige Mastic, Non-Fibrous Men's Restroom Homogeneous 006-MG5-017A Cream Ceramic Tile Tan 100% Other None No Asbestos Detected 051600580-0019 &Beige Mastic, Non-Fibrous Men's Restroom Homogeneous 006-MG5-018A Cream Ceramic Tile Tan 100% Other None No Asbestos Detected 051600580-0021 &Beige Mastic, Non-Fibrous Men's Restroom Homogeneous 012-CTI-034 12212 Fiberglass White/Yellow 100% Other Note No Asbestos Detected 051600560-0037 Ceiling Tiles, Fibrous Breakroom Homogeneous 012-CT1-035 12x12 Fiberglass Whke/Yellov! 100% Other None No Asbestos Detected 0516005800038 Ceiling Tiles, Fibrous Breakroon Homogeneous 012-CT1-036 12x12 Fiberglass Whke(Yellow 100% Other None No Asbestos Detected 051600580-0039 Ceiling Tiles, Fibrous Breakroon Homogeneous 015-MG3-043 Beige Cove Base Tan 100% Other None No Asbestos Detected 0516005800046 Mastic,Breakroom Non-Fibrous Homogeneous . Analyst(s) Colin Slattery(73) Chaiyut Sae Lao, Laboratory Manager or other approved signatory This laboremry is not responsible for%asbestos in total sample when the residue only Is submitted for analysis.The above report relates only to the Items tested.This repot may not be reproduced, except In full,without wdden appmwl by EMSL Analytical,Inc.Samples moaned In good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc Piscataway,NJ NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Repot NYITEMNOB-727.8 Printed:2/2012016 7:52:51 PM 2 EMSL Analytical, Inc. EMSL Order: 051600580 1058 Stalton Road,Pipcaiaway,NJ 08854 CustomerlD: TERC42 Phone/FaK (732)981-0550/(732)981-0551 CustomerPO: hlt�.7funvw EMSL rom 0i;catawaviUAgnni i—MiT ProjectlD: Attn: Megan E. Cruz Phorne: (908)546-6187 Terracon Consultants, Inc. Farc 4081 Hadley Road, knit B Recelved: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project: J5i6700Y/McDonald's Corporation,Storrs it677,Queensbury,New York Test Report: Asbestos Analysis of Non-Friable organically Bound materials by Transmission Electron Microscopy via NYS FLAP Method 18€3.4 MATRIX %NON•ASBESTOS ASBESTOS %TOTAL SAMPLE 10 DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 015-MG3-044 Beige Cove Base Tan 100% Other None No Asbestos Detected 0516005110-0047 Mastic,Breakroom Non-Fibrous Homogeneous 015-MG3-045 Beige Cove Base Tan 100% Other None No Asbestos Detected 0516005800048 Mastic,Breakroom Non-Fibrous Homogeneous 016-MG5-046 Beige Ceramic Wall Tan 100% Other None No Asbestos Detected 051600580-0049 Tile Mastic,Kitchen Non-Fibrous Homogeneous 016-MGS-047 Beige Ceramic Wall Tan 100% Other None No Asbestos Detected 051600560-0050 Tile Mastic,Kitchen Non-Fibrous Homogeneous 016-MG5-046 Beige Ceramic Wall Tan 100% Other None No Asbestos Detected 051600580-0051 Tile Mastic,Kitchen Non-Fibrous Homogeneous 017-CA4-049 Floor Caulk Black, Black 100% Other None No Asbestos Detected 051600580-0052 Kitchen Non-Fibrous Homogeneous 017-CA4-050 Floor Caulk Black, Black 100% Other Note No Asbestos Detected 051600580-0053 Kitchen Non-Fibrous Homogeneous 017-CA4-051 Floor Caulk Black, Black 100% Other None No Asbestos Detected 0516005800064 Kitchen Non-Fibrous Homogeneous Analyst(s) Colin Slattery(73) Chalyut See Lao, Laboratory Manager or other approved signatory This laboratory Is not responsible for%asbestos In total sample when the residue only Is submitted for analysis.The above report relates only to the Items tested.This report may not be reproduced, except in full,without written appmal by EMSL Analytical,Inc.Samples received In good condition unless othendse noted. Samples analyzed by EMSL Ansly6cal,Inc.Piscataway,NJ NYS ELAP 11423 Initial reportfrom 02/20/2016 19:52:51 Test Report NY/TEMNOB-7.27.8 Printed:212012016 7:52:51 PM 3 EMSL Analytical, Inc. EMSL order: 051660580 1056 @talion Road,Piccataway,NJ 09854 CustomerlD: TERC42 Phonerrax: (732)981-05501(732)981-0551 CuslomerPG http:/Avww.EMBI com aiscalnwaVla!>.7-o`n s� Lcr,_I ProjecilD: g Attn: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax: 4081 Wadley Road, Unit B Received: 02/17/16 6:58 PM South Plainfield, NJ 07050 Analysis Date: 2/f9/20i6 Collected: 2/15/2016 Project: .15167007/McDonald's Col ration,Store 8677,Queenabu ,New York Test Report Asbestos Analysis of Nan-Friable Organically Bound materials by Transmission Electron Microscopy via NYS FLAP Method 198.4 MATRIX %NON•ASBESTOS ASBESTOS %TOTAL SAMPLE ID DESCRIPTION APPEARANCE MATERIAL. FIBERS TYPES ASBESTOB 018-MG3-052 Gay Corm Base, Gray 100% Other None No Asbestos Detected 051600580-0055 Kitchen Non-Fibrous Homogeneous 018-MG3-053 Gray Cove Base, Gray 100% Other None No Asbesios Detected 051600580-0056 Kitchen Non-Fibrous Homogeneous 018-MG3-054 Gray Cove Base, Gray 100% Other None No Asbestos Detected 051600580-0057 Kitchen Non-Fibrous Homogeneous 020-FT2-058-Floor Basement Around Brown 98.7% Other None 1.3% Chrysotlle 1.3 Tile Pipe End-Basement Non-Fibrous 051600580-0061 Around Pipe End Homogeneous 020-FT2-058-Mastic Basement Around Tan 100% Other None <'l e/ Chrysotile <t 051600580-0061A Pipe End-Basement Non-Fibrous Around Pipe End Homogeneous 020-FT2-059-Floor Basement Around Tile Pipe End-Brown 051600580-0052 Vinyl 12.12 Floor Tile &Brown Black Mastic, Positive Stop(Not Analyzed) 020-FT2-059-Mastic Basement Around Tan 100% Other Pone <1% Chrysotile <1 051600580-0062A Pipe End-Brown Non-Fibrous Vinyl 12x12 Floor Tile Homogeneous &Brown Black Mastic, Ana yst(s) Colin Slattery(73) Chaiyut Sae Lao, Laboratory Manager or other approved signatory This lebomtory Is not responsible for%asbestos In Wal sample when the residue only is submitted foranalysis.The slows report relates only to the Items lasted.This report may not be mpreduced, except In full,without written approval by EMSL Analytical,Inc.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc Piswteway,W NYS ELAP 11423 p. Initial report from 02/20/2016 19:52:51 9 Test Repot NYITEMNOB-7.27.8 Printed:2/20/2016 7:52:51 PM 4 C FMSL Analytical, Inc. FMSL Order: OSI600580 1056^ataiton Road,Piscataway,W 98854 CustomerlD: TERC42 Phone/Fa (732)981-05501(732)981-0551 CustoaerPO: httml/www EMSLcom niscatawayl b-bnemsLc-om PrcjectlD: Attn: Megan S. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fa. 4061 Hadley Road, Unit 8 Received: 02/17/166:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/18/2016 Project J5167007/Mcbonatd°s Corporation,Store 477,Queonabury,New York Test Deport Asbestos Analysis of Non-Friable Organically Bound materials by Transmission Electron Microscopy vial NYS FLAP Method 198,4 MATIYIX %NOWASSESfOS ASBESTOS %TOTAL SAMPLE 10 DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 020-FT2-060-Flcor Basement Around Tile Pipe End-Brown 051600580-0063 Vinyl 12xl 2 Floor Tile &Brown Black Mastc, Positive Stop(Not Analyzed) 020-F U-060-Mastic Basement Around Tan 100% Other None <1% Chrysotile <1 051600580-0063A Pipe End-Brown Non-Fibrous Vinyl 12x12 Floor Tile Homogeneous &Brown Black Mastic, 021-FT2.061-Floor Basement-Beige Beige 100% Other None No Asbestos Detected Tile Vinyl 12x12 Floor Tile Non-Fibrous 051600580-OOR &Brown Mastic Homogeneous 021-FT2-061-Mastic Basement-Beige Black 100% Other None No Asbesios Detected 051500580-0084A Vinyl 12x12 Floor Tile Non-Fibrous &Brown Mastic Homogeneous 021-FT2-062-Floor Basement-Beige Beige 100% Other None No Asbestos Detected Tile Vinyl 12x12 Floor Tile Non-Fibrous 051600580-0065 &Brown Mastic Homogeneous 021-FT2-062-Mastic Basement-Beige Black 100% Other Note No Asbestos Detected 051600580-0065A Vinyi 12x12 Floor Tile Non-Fibrous &Brown Masflc Homogeneous 021-FT2-063-Floor Basement-Beige Beige 100% Other None No Asbestos Detected Tile Vinyl 12x12 Floor Tile Non-Fibrous 051600580-0066 &Brom Mastic Homogeneous Analyst(s) Colin Slattery(73) Chaiyul Sae Lao, Laboratory Manager or other approved signatory This laboratory is not responsible for%asbestos In total sample when the residue only is submitted for analysis The above report relates only to the Items tested.'This repon may not be reproduced, emept in full,without written approval by FMSL Analytical,Inc.Samples received In good cond18on unless otherwise noted. Samples enatyred by EMSL Analytical,Inc.Piscataway,W NYS ELAP 11423 Inkial reportfron 02/20/2016 19:52:51 Test Repot NY/TEMNOB-7.27.8 Printed:2/20/2016 7:52:51 PM 5 r=MIiSL Analytical, Inc. EMSL Order. 0516600580 1056 Station Road,Piscataway,NJ 09854 CusiomerlD: TERC42 Phone/Fax: (732)981-0550/(732)981-0551 CusiornerPO: httTPw,t^.v i?LSI_a,m pi,=.calawmiann�mcl_cnm ProjectlD' Attn: Allegan L. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Far. 4081 Hadley Road, Unit 8 Received: 02/17/16 6:58 PM South Plainfield, NJ 07080 Analysis Date: 2/19/2016 Collected: 2/15/2016 Project: J6i87007/McDonalcrs Corporation,Stora 0677,Oueencitut -,New York Test Report: Asbestos Analysis of Non-Friable Organically Bound materials by Transmission Electron Microscopy via NYS FLAP Method 198,4 MATRIX %NON•ASDESY08 ASBESTOS %TOTAL SAMPLE ID DE&CRIPYtON APPEARANCE MATERIAL PIBERS TYPES ASBESTOS 021-FT2-063-Mastic Basement-Beige Black 100% Other None No Asbestos Detected 0516005W.0066A Vinyl 12x12 Floor Tile Non-Fibrous &Brown Mastic Homogeneous 022-CT4-064 2x4 Suspended Gray 100% Other None No Asbestos Detected 051600560-0067 Ceiling Tile,Basement Fibrous Homogeneous 022-CT4-065 2x4 Suspended Gray 100% Other None No Asbestos Detected 051600560-0066 Ceiling Tile,Basement Non-Fibrous Homogeneous 022-CT4.066 2x4 Suspended Gray 100% Other None No Asbestos Detected 051600580-0069 Ceiling Tile,Basement Fibrous Homogeneous 023-MG3-067-Cove Brown Cove Base& Black 100% Other None No Asbestos Detected Base Beige Mastic, Non-Fibrous 051600580-0070 Basement Homogeneous 023-MG3.067-Mastic Brown Cove Base& Tan 100% Other None No Asbestos Detected 051600580-0070A Beige Mastic, Non-Fibrous Basement Homogeneous 023-MG3-068-Cove Brown Cove Base& Black 100% Other None No Asbestos Detected Base Beige Mastic, Non-Fibrous 051600590-0071 Basement Homogeneous 023-MG3.068-Masiic Brown Cove Base& Tan 100% Other None No Asbestos Detected 051600590-0071A Beige Mastic, Non-Fibrous Basement Homogeneous Analyst(s) Corin Slattery(73) Chaiyut See Lao, Laboratory Manager a other approved signatory This laboratory Is not responsible for%asbestos in total sample when the residue only is submitted for analysts.The shoe report relates only to the items tested.This report may not be reproduced, except in full,without written appimad by EMSL Analytical,Inc.Samples receiw d in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,ISL NYS ELAP 11423 Initial report from 02/202016 19:52:51 Test Report NYrrEMNOB-7.27.8 Printed:2/202016 7:52:51 PM 6 EMSL Analytical, Inc. EMSL Order: 051600580 1056 Station Road,Ptcealaway,NJ 08854 CusiomerlD: TERG42 PhonelFa: (732)981-05501(732)981-0551 CustorrterPG: hltp lN.v�e ENSL rom piscalewaNabro7emsl.ccm ProjeetlD: Attn: Megan L. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Fax: 4081 Hadley Road, Unit S Received: 02/17/16 6:58 PM South plainfieid, NJ 07080 Analysis Date: 2/1912016 Collected: 2/15/2016 Project: J5167007/McDonald's Corporation,Store"77,Ousensidury,Now York Test Deport: Asbestos Analysis of Nan-Friable Organically Bound materials by Transmission Electron Microscopy via NYS BLAIN Method 198.4 MATRIX %NON-ASBESTOS ASBESTOS %TOTAL SAMPLE ID DESCRIPTION APPEARANCE MATERIAL Flocks TYPES ASSESTbS 023-MG3-069-Cove Brown Cove Base& Black 100% Other None No Asbestos Detected Base Beige Mastic, Non-Fibrous 051600580-0077 Basement Homogeneous 023-MG3-069-Mastic Brown Cove Base& Tan 100% Other None No Asbestos Detected 051600660-0072A Beige Mastic, Non-Fibrous Basement Homogeneous 024-MG4.070 Stair Tread Mastic, Tan 100% Other None No Asbestos Detected 051600560-0073 Basement Stairs Non-Fibrous Homogeneous 024-MG4-071 Stair Tread Mastic, Tan 100% Other None No Asbestos Detected 051600580-0074 Basement Stairs Non-Fibrous Homogeneous 024-MG4-072 Stair Tread Mastic, Tan 100% Other None No Asbestos Detected 051600580-0075 Basement Stairs Non-Fibrous Homogeneous 025-FT5-073-Grout Kitchen-Terracotta Bro in 100% Other None No Asbestos Detected 051600580-0076A 4x4 Floor Tile And Non-Fibrous Black Floor Grout Homogeneous 025-FT5.074-Grout Kitchen-Terracotta Brown 100% Other None No Asbestos Detected 051600580-0077A 4x4 Floor Tile And Non-Fibrous Black Floor Grout Homogeneous 025-FT5-075-Grout Kitchen-Terracotta Brown 100% Other None No Asbestos Detected 051600680-0078A 4x4 Floor Tile And Non-Fibrous Black Floor Grout Homogeneous Analysts) Colin Slattery(73) Chaiyul See Lao, Laboratory Manager or other approved signatory This laboratory is not responsible for%asbestos in total sample when the residue only is submitted for analysts.The above report relates only to the items tested.This report may not be reproduced, ..opt in lull,without wd ban approval by EMSL Analytical,Inc.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,AL NYS ELAP 11423 Initial report from 02/20/2016 19:52:51 Test Report NYITEMNOB-7.27.8 Printed:2/20/2016 7:52:51 PM 7 5MSL Analytical, Inc. EMSL Order: 051600580 1858 6teltaa(toad,Piscataway,NJ 08854 CustomerlD: TERG42 Phme/Faz: (732)081-0550/(732)981-0551 CustomerPO: )10D:llwuxf.FAlSL com oi�cet_wa iLh,7i emsl�om PrcjectlD: Attn: Megan b. Cruz Phone: (908)546.6187 TerraGon Consultants, Inc. Fax 4001 Hadley Load, Unit H Received: 02/17/16 6:58 PM South Plainfield, NJ 07000 Analysis Date: 2/19/2016 Collected: 2/1512016 Project: J5i67007fMaDenatd'sCorporation,Store f(177,Ou"itabu NewYork Test Report Asbestos Analysis of Non-Friable Organically Bound materials by Transmission riectron Microscopy via NY$ FLAP Method 198.4 MATRIX %NON-ASBESTOS A-985STOS %TOTAL SAMPLE It) DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 026-MG5-076 North Dining Room- White 100% Other None No Asbestos Detected 051600580-0079 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 026-MG5.077 North Dining Room- White 100% Other None No Asbestos Detected �- 051600580-0080 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 026-MG5-078 North Dining Room- White 100% Other None No Asbestos Detected 051600560-0081 Clear Mastic Behind Non-Fibrous Wall Paneling Homogeneous 027-SG5-079 Gray Vinyl Wall Gray/White 100% Other None No Asbestos Detected 051600560-0082 Paper,Main Dining Non-Fibrous Rimm Homogeneous 027-SG5-080 Gray VlnylWall Gray/White 100% Other None No Asbestos Detected 051600580-0083 Paper,Main Dining Fibrous Room Homogeneous 027-SG5-081 Gray Vinyl Wall Gray/White 100% Other None No Asbestos Detected 051600580-0064 Paper,Main Dining Non-Fibrous Room Homogeneous 028-RF6-082 Black Roof Membrane Black 100% Other Pone No Asbestos Detected 051600560-0095 Non-Fibrous Homogeneous 028-RF6-083 Slack Roof Membrane Black 100% Other None No Asbestos Detected r 051600560-0096 Non-Fibrous Homogeneous Analyst(s) Cohn Slattery(73) Chaiyut Sae Lao, Laboratory Manager or other approved signatory This laboratory is not responsible for%asbestos In total sample when the residue only is wbmilled for analysis.The above mporl relates only N Ne items tested.This report may not be mizaduced, .pt in full,without wnhen approval by EMSL Analytical,Inc.Samples received In good condition unless ofher dse noted. Samples analyzed by EMSL Analytical,Inc.Rscalaway,W NYS ELAP 11423 Initial reportfrom 02/20/2016 19:52:51 Test Report NY/TEMNOB-727.8 Printed:2/20/2016 7:52:51 PM 8 EMSL Analytical, Inc. EMSL Order: 051600580 1!356 Station Road,Piccetaway,NJ 08854 Cusiomei ID: TERC42 Phone/Fav: (732)981-05501(732)981-0551 Customer-P0: 1�:lnwnv.E6lSl.com L(� m:d ren;. Pro)ectIO: Ann: Megan E. Cruz Phone: (908)546-6187 Terracon Consultants, Inc. Faz 4081 Hadley toad, Unit g Received: 02117/16 6:58 PM South Plainfield, NJ 07080 Collected: Date: 2/19/2016 Collected: 2/15/2016 Project: J5167007IMcDonaid's Corporation,Store 9677,Clueensiltury,New York Test Report: Asbestos Analysis of Nor!-Friable Organically Bound materials by Transmission Liectron Microscopy vial NYS FLAP Method 198.4 MATRIX %NON-ASBESTOS ASBESTOS %TOTAL SAMPLE 10 DESCRIPTION APPEARANCE MATERIAL FIBERS TYPES ASBESTOS 028-RF6.084 Black Roof Membrane Black 100% Other None No Asbestos Detected 051600560-0087 Non-Fibrous Homogeneous 029-CA5-085 Black Roof Caulk Black 100% Other None No Asbestos Detected 051600580-0088 Non-Fibrous Homogeneous 029-CA5-086 Black Roof Caulk Black 100% Other None No Asbestos Detected 051600580-0089 Non-Fibrous Homogeneous 029-CA5-087 Black Roof Caulk Black 100% Other None No Asbestos Detected 051600580-0090 Non-Fibrous Homogeneous 030-RF9-088 Black Roof patch Black 100% Other None No Asbestos Detected 061600580-0091 Non-Fibrous Homogeneous 030-RF9-089 Black Roof Patch Black 100% Other None No Asbestos Detected 051600580-0092 Non-Fibrous Homogeneous 030-RF9.090 Black Roof Patch Black 100% Other None No Asbestos Detected 0.51600580-0093 Non-Fibrous Homogeneous 033-CA3-097 Brick Caulk, Gray 100% Other None No Asbestos Detected 051600580-0100 Northwest Entrance Non-Fibrous Homogeneous Analyst(s) Colin Slattery(73) Chaiyut Sae Lao, Laboratory Manager or other approved signatory This laboraloryis not responsible for%asbestos In total sample when the residue only Is submitted for enalyals The above repod relates only to the items tested.This report may not be reproduced, accept in full,without written alo omml by EMSL Analytical,Inc Samples received in good condition unless otherwise noted. Samples analysed by EMSL Analytical,Inc.Placelsway,NJ NYS SLAP 11423 Initial report from 02120/2016 19:5251 Test Report NYITEMNOB-7.27.8 Printed:2/20!2016 7:52:51 PM 9 EMSL Analytical, Inc. EMs Order: 051600580 1058 Station goad,Piscataway,NJ D8854 CustomerlD: TERC42 Phone/Fax (732)981-0550/(732)981-0551 CustorllerPO: h�'Mw_1 EMBL.co 01.cos Ira v_�b o�P I om,,i ProJectlD: Attn: Megan E. Cruz PhorIe: (908)546-6187 Terracon Consultants, Inc. Fax 4081 Hadley Road, Unit 13 Received: 02/17/i66:58 PM South Plainfield, NJ 07080 Analysis Data: 2/19/20i6 Collected: 2115/2016 ' Project 1516711107/McOunald's Corporation,Store f1677,Queartsbury,New York Teat Deport: Asbestos Analysis of Non-Friable Organically Bound materials by Transmission Electron Microscopy via NYS FLAP Method 198.4 MATRIX %NON-ASBESTOS ASBESTOS %TOTAL SAMPLE:ID DESCRIPTION APPEARANCE MATERIAL PIMERS TYPES ASBESTOS 033-CA3-098 Brick Caulk, Gray 100% Other None No Asbestos Detected 0516005800101 Northwest Entrance Non-Fibrous Homogeneous 033-CA3-099 Brick Caulk, Gray 100% Other None No Asbestos Detected 0516005800102 Northwest Entrance Non-Fibrous Homogeneous 034-RF5-100 Asphalt Roof Black 100% Other None No Asbestos Detected 051600560-0103 Shingles,Storage Non-Fibrous Shed Roof Homogeneous 034-RF5-101 Asphalt Roof Black 100% Other None No Asbestos Detected 0516005800104 Shingles,Storage Non-Fibrous Shed Roof Homogeneous 034-RF5-102 Asphalt Roof Black 100% Other None No Asbestos Detected 05160051100105 Shingles,Storage Non-Fibrous Shed Roof Homogeneous Analyst(s) Cohn Slattery(73) Chaiyui Sae Lao, Laboratory Manager or other approved signatory This laboratory Is not responsible for%asbestos in total sample when the residue only Is submitted for analysis.The above report relates only to the Items tested.This report may not be reproduced, except In full,wllhout written approval by EMSL Analytical,Inc.Samples received in good condition unless otherwise noted. Samples analyzed by EMSL Analytical,Inc.Piscataway,sL NYS ELAP 11423 Initial report from 02/20/2016 19:5251 Test Report NYfTEMNOB-7.27.8 Printed:2/20120167:52:51 PM THIS IS THE LAST PAGE OF THE REPORT. 10 APPENDIX C PHOTOGRAPHS Site Location: 81g Route G Ciueensbury, New York Gate Photos Taken: February 16, LOiG 7erracon Project No. J5i67607 i� � 4 Photo 1: View of ACM black duct patch on building photo 2: View of ACM basement floor tiles. roof. w� t ....."7 - Photo _ <... -Photo 3: View of break room. Photo 4: View of wall tile and ACM mastic in break room. i I • Photo 5: View of dining area. APPPNDIX D LICF-NSE$ AND CERTIFICATIONS M60AN E CRUZ CLFSS(GXPIRF:S) D INSP06116) -P:!USI B CAI?RIEG "?i'J {?)6Fj �?1PIiU1��..I', 01 t LL LIJ LU DO z 0 > W W W Z � W W M g W � Cn z UJ /. o o w z O O _J O Q J > i = Lt. �- (9 4 F- w LL l CL U Q Z U LU O O UW' `C Z U) O O Q Q Z z 06 O m LIJ I a / ° - O O O N < O g O Q a W 0 Z 3 / / Ca cn Z O :D 00W W Z O U to m U) iY 0 t-- M W W W W W _ f W W W O I►\ a X z ct a ¢ M a WOODEDAREA (TSR) G _ 1 °�+ ♦ II \r I H r r r0 co CD W ` / ( �- ♦ II II / Q O O N \,x �III ASPHALT II \!X !� \_ TONIN OF QUEENSBURY SPIGOT II <TBR) II II _ ' 'r`/ I BUILDING DEPARTMENT > (TBRJ /� 11 �L=== ! W Based on our limited examination,compliance 0 C4 M 't to (0 ti 00 0) / siGNs /i with our comments shall not be construed as TRA SH • • • • indicating)the plans aw iithathesSu dingCodes of , G/ BUILDING • full comp ///0�v+ ��:♦ �, I/ /��8RICK(5R) (TBR) New York State. p / CONCRETE\ / CONCRETE(TBR GARAGEI PAD \ /i (TBR) \ TBR /i I F- �® CONI n ■ ' t ', z PORTION OF GAS \ / // I SIGNS I I CURB I I - `SOW LINE TO BE (� 1% c �/ \\ i 11 (TBRJ II (TBRJ + REMOVED. SEE 7// Z C. UTILITY PLAN ( / / i =___=�� ` � f -( ( ® ii'`e I LIGHT POLE 777 ./ ` LIGHT POLE ' ° ( 1 r (TBR) �� rl f Dates / /�/ 1 ! \ CONC CURB I (TBRJ ( ) / /\ ASPHAL 7 fir, Z ® W d. 0 0 0 _ / \ ORDER PED sc, \ SPEAKER SLGNS (TBR) y ASPHALT I I (TBRJ OVERH D I i� -I - _ CLEARA Ue =—�=___ --.• I-- �s SIGN \\\\ I �\\ (TBR) _ LP G/ ♦® BEGIN CONIC / ♦ CURB O O EMC GM I DRIVE I I i Z ( O `\ REMOVAL T �) •I/ / i THRU r I O I ' I � (TBRJ RA UO // I I UNDERGROUND I SPEED BUMPLL UMH PA vED SUN ( I + O Cn O °f OVER TF=3s3.a l I UTILITY CINE TO I (rBR) e o.s / T R 39 I _ / { A O \ O( ) THRU I I . BE REMQ�ED. I C_ ——I V'�Y �1 Y�JLy ®l� TRAFFIC �_ I- �hw g LIGHT_POLE " EXSTI G ABANDONED; _ � _ O. l SEE UT/L TY N -- - N _ PLA u - - - - ,- -. -- -., ,__ ...,rl•- «z _ TBR - MH PA� UMH _ - 'r - - - ED ®" PA QED - ( J MANHOLE TBR - - - - - - - a W cD ` C OVER TBR OVER TBR l _ °Q- - 9 Z O CONC, PAD- I I i STR/P/NG I I l ®� NOTES p❑ w O T y, ♦1 \ O EX/ST/NG SAN/TARP (TBRJ I PORTION OF I (TBRJ (TYPJ I all no e temporary 1 ne los a on the folio in dates: W ~ °0 There shall t ba c urs w g fn -------- i BE 10,10VED. SEE I I I t LL - Z I` LATERAL TO BE CUT, I SANITARY LINE TO , Q CAPPED & PROTECTED. I DURING CONSTRUCTION - I I UTIVTY PLAN. ° �� I I t o 2016 2017 s Q 38.T I 110 P� LP y y y w I- V O J �A May 27-31 Ma 26-30 I Z Jul 1-5 June 30-Jul 5 n Sept.2-6 - Sept.1-5 - O O O OUT--382.8 _ (� O t LIGHT POLE / / I Nov.23-28 Nov.22-27 CL O EXISTING ABANDONED ' I I I I = w ~ Z O \ (TBRJ LA I I / ¢ I - Dec.23-26 Dec.22-26 ® _ ?� \MANHOLE (TBRJ EXISTING ASANOONE29 /�� l j = j I TDRIVERU I I -Q Dec,31-Tan.4 Dec.30-tan.2 I- ❑ W MANHOLES (TER) O: �' I I. I - LU v S -- �P i I 45.9 I I I - There shall be no temporary lane closure on Route 9 on the Q ❑ O'• / II I I following days and times: Z/ SPEED BUMP <n LACe TBR I -o O a CATCH BAS1/V (TER) I �) -v Monday-Friday: 6:00 a.m.through 9:00 a.m. F w \ CI I /i 11 I 1 `�e`\ T7%�7 �....._ 3:00 a.m.through 6:00 a.m. V CONC CURB 1 <� I I I �_ 50' BLDG LINE I - -_-_ _r- _ w . I / SEE GENERAL NOTE _ - 1L�L /� _—___ -'� // / / / r,� he Department retains the right to cancel any work operations V a0 (TBRJ _ /:.: s` t I 1 IQ -- CONC(TBR) — - Al i / / / I t 1 ,t li.� a - cl ding lane closure and/or total road closures that would be d .FLAG POLE ..L!—.1 _ .i _,. - - - e ted by unforeseen major events that may create traffic delays - � AREA OF , I J� /i ASPHALT WA[LS (TBR) �I o (r" I 3 'I j 7 calendar da s prior to the proposed work.Specific dates ❑ PAVEMENT TO \ \ l l ISI - --_—- _ --'J S TN STRIPING I I i t et to be determined, p p p ¢ _ ! BE MILLED `ill $ EXISTING,-� I7� (�) (TBRJ (TYPJ i L �-'�� (i 3`i I' 3 / CO � AND OVERLA/0 t- \ I �- I j FREE-STAND/NG S/GN III I I , _——— I � \ a G _ -Ped striae accommodations must be maintained at all times during g z _ L!' �i l \ -r °I`l3 I con ruction. I _J I s III 1111 ASPHALT �� OF OUP:ENSBURY w I a �I / IBJ ! I—I II °� �iV%P1taiiiF! 1e1EF\ E�_�..I�'-I1IE1T ellownofQueensburymustbenotifiedpriortoanylaneclosures. W h 4 # CONC CURB I BRICK (TBRJ � _ ( r -O I STRIPING LIGHT POLE T j�I STRIPING —I I ~ U L O U (TBRJ (T)TJ I (TBRJ (TYP) I �tCONC 20 0 10 20 40 80(TBR) L N III) CURB II LP;s I I ( N EXISTING ABANDONED j ( /�� \�\ III LWALL �eR2 J III " REMOVAL II SA sA_ sA - sA— [0.1 MANHOLE (TBRJ CONC CURB '` .f I / ' \ --- --- I ___ SA sA — _ - ' -�/ \ J I Ii I,4 I i r N 0 1 ~ I ' i LA < sA --�\- SA SA/ TF=3 12 -._��---_=� 11 O C O / NOTE: LOCATION OF -_ ++ (TBRJ - SA- - I`� �� sa --= ^_� TRENCH DRAIN (TBR1__ 391'1 EXISTING WATER 1►.1 ��- GRAPHIC SCALE 1 INCH= 20 FEET W ® L DIPL�—__ _ - _ ___ _ - SERVICE UNKNOWN Tr�� }�� (°�( �T �T�j °�° LA _ SA - SA a I ■ ■ SA = ST - — I i� -- _ i ■ ■ ^IM Ii \j --Y-�1�= _ � T 'I ,I V ■ ■ w. i T� _ � ALL SLLJA�ls VV � LLJL�bV �1LIasJL TE 0 0 O - SA U _ 8 I L TD l - s SA low / TF=392.5 - LU � SA OUT=389.6 TD TF r=159 �, INSTALLED mag a SA --s ST-� =391.0 TF 392.5 /N=391.1/ 1NRU 393.6 OUT--394.5 0 RIGHT-OF-WAY SHALL ''� L`!s�� '`" U? �-- TF W �� _--a ]E�]E �'s�®� S7C1��T1L��I��s 1�1�T� ® � cc GC TO LOCATE EXISTING + THRU=3s�s THRU=384.5 WATER SERVICE AND CUT CONC CURB W — - — (TBRJ Q N O . AND CAP PRIOR START s��s — -- OF DEMOLITION W _ _ TF=388.4 TF=388.8 r = N THRU=385.0 yy.- �� ,.. REFER TO GENERAL NOTES Es SHEET J � W � ® � E ciP _ . d 1N=384 9Q W $, _- �-- EXISTING o� > W ® 0 �' W - Z� I cf� 10 i SIGNAL ¢ = z GLENS FALLS - LAKE,GEORGE S.H. NO. 417 ` THIS PLAN TO BE UTILIZED FOR