Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BOTH-000571-2016
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000571-2016 Date Issued: Monday, December 12, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000571-2016 has been completed. Tax Map Number: 240.6-1-23 Location: 0 Hanneford RD Owner: Burkhart Family Irrev Inc Trustu Burkhart Applicant: Driftwood Contracting This structure may be occupied as a: 24 ft. by 27 ft. demolition of garage/wood shed combination due to storm damage by fallen trees. By Order of Town Board TOWN OF QUEEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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: BOTH-000571-2016 Tax Map No: 240.6-1-23 Permission is hereby granted to: Driftwood Contracting For property located at: 0 Hanneford RD 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: Burkhart Family Irev Inc Trusm Burkhart Demolition $0.00 Owner Address: 132 Seelye RD Total Value $0.00 Cleverdale,NY 12820 Contractor or Builders Name/Address Electrical Inspection Agency Driftwood Contracting 28 Spotwood DR Corinth,NY 12822 Plans&Specifications 24 ft.by 27 ft demolition of garage/wood shed combination due to storm damage by fallen trees. $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 1,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town o ueensb //Thu it y in er 1,2016 SIGNED BY: ((4•,,��r ll__K�I�II/// �•VJ for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes office Use only Received DEMOLITION PERMIT APPLICATION Permit#: — -- — — -- --- NO -jNO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee ce- Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads /streets. Show all existing structures on property and indicate which are to be demolished. Indicate the location of all utilities Date —14"1/,1, /��_— Demolition Location Tax Map ID —�0='P=1_Y�L�/ ��C/ APPLICANT J)e/P WCFV 7_ � C.li+^�(� OWNERrr gej rtlF u2Khl � Address _ _Sr Address --------------------------- _�71ei1 7,Z�SL ------------ Phone In1w Eb-------------- Phone _ _ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: J _ O2_ _ - ---------------?� �J� Phone: ---------- I. Person Responsible for Work Qd fG 2. Where will demolition material be disposed? r 3. All buildings to be demolished require an Asbestos Survey 4. Any building substantially 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 License number of firm Q Indicate where the asbestos material will be disposed 6. Structure Information a) Indicate the structure(s)to be demolished _—_ Residence __— Garage ___ Business __— Storage Bldg. ___ Other b) Size of Structure Z, c) Number of Stories d) Foundation Type � ccwner~ e) Foundation . ,r f) Structure(s) 7. Utilities Information a) indicate utilities for this structure___ Gas __ lectric ___ Propane ___ Public Water ___ Public Sewer __On•site well water pump a) Have you notified the Town Water Department for public water and sewer disconnect? _--- Yes _--_No b) Have all utilities been disconnected? _z=_'Yes --__No 8. Signature Print Name: ___ ________---_ Date -- — -- -- -- ----- Signature: ___ ______—_ Date jZ — — -- ------- ---- ---- Town of Queensbury Building & Codes - Demolition Permit - December 2014 r'— ; r. F Sar I- sal-'w/p ATLANTIC TESTING LABORATORIES Albany 22 Corporate Drive Clifton Park,NY 12665 51B-383-9144(T) WBE certified company atlantictesting.com August 11, 2016 Driftwood Consulting 28 Spotswood Drive Corinth, New York 12822 Attn: Mr. Jim Telfer Re: Asbestos Survey Residential Garage 41 Hanneford Drive Queensbury, New York ATL Report No. AT5410CE-01-08-16 Dear Mr. Telfer: Enclosed is a copy of the Asbestos Survey report prepared for the referenced site. This project was completed in accordance with the scope of work outlined in our contract (ATL No. AT5998- 377-06-16), dated June 28, 2016, and authorized by Mr. Jim Telfer on July 27, 2016. Please contact our office should you have any questions, or if we may be of further assistance. Sincerely, ATLANTIC TESTING LABORATORIES, Limited Amy T. LaBarge Project Manager ATL/JDGIal Enclosures 240.6-1-23 BOTH 571 -2016 Marianne Burkhart contractor: Driftwood Contracting 41 Hanneford Road Demolition- Garage Binghamton ♦ Canton Elmira ♦ Plattsburgh ♦ Poughkeepsie • Rochester♦ Syracuse ♦ Utica ♦ Watertown ASBESTOS SURVEY RESIDENTIAL GARAGE 41 HANNEFORD ROAD QUEENSBURY, NEW YORK I: WBE certified company PREPARED BY: ATLANTIC TESTING LABORATORIES, LIMITED 22 Corporate Drive Clifton Park, New York 12065 PREPARED FOR: Driftwood Consulting 28 Spotswood Drive Corinth, New York 12822 ATL REPORT No. AT541 OCE-01-08-16 August 11, 2016 TABLE OF CONTENTS 1.0 INTRODUCTION..................................................................................................................1 1.1 Purpose ...............................................................................................................................1 1.2 Project Team and Certifications ...........................................................................................1 2.0 SCOPE OF WORK..............................................................................................................1 2.1 Project Description...............................................................................................................1 2.2 Inaccessible Areas...............................................................................................................1 2.3 Document Review................................................................................................................2 2.4 Limitations............................................................................................................................2 3.0 ASBESTOS.........................................................................................................................2 3.1 Methodology ........................................................................................................................2 3.2 Regulatory Compliance........................................................................................................3 3.3 Summary of Findings...........................................................................................................3 4.0 CONCLUSIONS AND RECOMMENDATIONS ...................................................................7 4.1 General................................................................................................................................7 4.2 Asbestos-Containing Materials.............................................................................................7 APPENDICES Licenses and Certifications ........................................................................................................A SampleLocation Plans .............................................................................................................. B Laboratory Reports and Custody Documentation.......................................................................C SummaryTables........................................................................................................................D Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 1.0 INTRODUCTION 1.1 Purpose Atlantic Testing Laboratories, Limited (ATL) was retained by Driftwood Consulting, to perform an asbestos survey of a residential garage consisting of the main garage with a side garage addition. The survey was performed on July 27, 2016. The purpose of the asbestos survey was to identify asbestos-containing materials (ACM) that are present on exposed surfaces within the subject areas, and may have a significant impact on planned renovation activities. The asbestos survey procedures and report format that follow are in general compliance with applicable local, state, and federal rules and regulations. 1.2 Project Team and Certifications Members of the ATL project team included Thomas Farley, Project Manager; and Amy LaBarge, Project Manager. Certifications of ATL's field survey team members and a copy of applicable company licenses maintained by ATL are included in Appendix A. 2.0 SCOPE OF WORK 2.1 Project Description The project site is located at 41 Hanneford Road, Queensbury, New York, 12804. The intent of the asbestos survey was to identify suspect ACM that are located within areas of the residential garage and may be impacted during a proposed demolition project. The asbestos survey was conducted for the subject areas, as directed by Jim Telfer, representing Driftwood Consulting. The subject area was not occupied at the time of the sampling event. 2.2 Inaccessible Areas The extent of inaccessible areas is dependent upon the building type, construction materials, history of renovations and repairs, and project scope. Concealed materials may exist in areas that are not readily exposed to view. Although this asbestos survey was performed to identify ACM within the subject areas, potential ACM may have escaped detection that could be encountered during future building demolition and/or renovation activities. Wall, ceiling, floor, roofing, and/or other component systems may contain concealed suspect ACM. If any suspect ACM is encountered during demolition and/or renovation activities, the activities disturbing the suspect ACM must stop and the material must be sampled and laboratory analyzed in accordance with applicable regulations. 2.3 Document Review No historical asbestos survey reports or sampling and analysis data were available for review at the time of the asbestos survey. t Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT541 OCE-01-08-16 2.4 Limitations This report has been prepared in accordance with the scope of work outlined in ATL's contract (ATL No. AT5410-01-08-16), dated July 27, 2016, and should not be used as abatement specifications or design documents. The findings, conclusions, and recommendations presented in this report are based on the field observations made by representatives of ATL and the information provided by representatives of Driftwood Consulting. Quantities and locations of sampled materials are approximate, and should be verified by the abatement contractor(s) prior to providing actual cost quotations and/or initiating abatement activities. Variations in reported quantities and locations for sampled materials, in addition to the discovery of suspect materials not identified in this report, is possible due to the presence of inaccessible areas, as described in Section 2.2 of this report. The findings and opinions are relevant to the dates of our site work and should not be relied on to represent conditions at substantially later dates. 3.0 ASBESTOS 3.1 Methodology A visual examination of the subject areas was conducted by an Asbestos Building Inspector to identify suspect ACM. Functional spaces were identified to assist while locating suspect ACM. A functional space is defined as a spatially distinct area within a building that contains identifiable populations of building occupants. A functional space may include a room, a group of rooms, or other defined area, and several functional spaces may comprise a single homogeneous sampling area. A homogeneous sampling area is defined as an area that is uniform by color, texture, construction/application, and general appearance. Each identified functional space was visually examined to determine the locations of suspect ACM. These materials were then delineated into homogeneous sampling areas. Samples of each accessible homogeneous area were collected and placed in clean, labeled containers. The appropriate custody documentation was completed and the suspect ACM samples were submitted to AmeriSci New York (AmeriSci), located in New York, New York. The samples were laboratory analyzed by polarized light microscopy (PLM) and transmission electron microscopy (TEM) methodologies, as applicable. AmeriSci is a New York State Department of Health (NYSDOH) certified laboratory for PLM and TEM analysis under Environmental Laboratory Approval Program (ELAP) No. 11480. AmeriSci is also accredited by the National Institute of Standards and Technology (NIST), under the National Voluntary Laboratory Accreditation Program (NVLAP). 3.2 Regulatory Compliance In New York State, there are multiple regulatory agencies that have jurisdiction over ACM in buildings. Asbestos survey requirements are primarily regulated or specified by the New York State Department of Labor (NYSDOL), the New York State Department of Health (NYSDOH), the Occupational Safety and Health Administration (OSHA), and the United States Environmental Protection Agency (EPA). The NYSDOL established Part 56 of The Official Compilation of Codes, Rules, and Regulations (cited as 12 NYCRR, Part 56) to address the proper identification, handling, removal, and 2 Residential Garage,Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 disposal of ACM in buildings. Asbestos survey requirements are specified in Subpart 56-5.1 "Asbestos Survey Requirements for Building/Structure Demolition, Renovation, Remodeling and Repair." The NYSDOL also works in conjunction with the NYSDOH to establish and maintain asbestos safety training program requirements, and enforce personnel certifications and licensing protocol for asbestos contractors. The OSHA defines requirements for asbestos surveys and identification of ACM and presumed asbestos-containing materials (PACM) in 29 CFR 1926.1101 (k) "Communication of Hazards." Under this regulation, OSHA makes reference to conducting inspections according to 1926.1101 (k)(5)(ii)(B) and 1926.1101 (k)(5)(iii) or pursuant to the requirements of the Asbestos Hazard Emergency Response Act (AHERA) 40 CFR Part 763, Subpart E "Asbestos-Containing Materials in Schools." The AHERA is regulated by the EPA, and applies to primary and secondary schools only; however, the procedures mandated under AHERA are generally considered the industry standards for surveys, as these are typically the most stringent. 3.3 Summary of Findings A total of 13 homogeneous areas of suspect ACM were identified during the visual examination, from which 26 bulk samples were collected and subsequently submitted to a NYSDOH approved laboratory for analysis. Approximate sample locations are depicted on the Sample Location Plans, contained in Appendix B. A copy of laboratory reports and sample custody documentation are contained in Appendix C. Table I contained in Appendix D, provides a summary of the identified suspect ACM and associated analytical results. The EPA, NYSDOL, and other regulatory agencies define ACM as any material containing greater than I% of asbestos. None of the materials sampled were determined to be ACM. Materials containing trace asbestos (i.e., less than 1%) are not considered ACM; however, the OSHA recognizes materials that contain trace amounts of asbestos, and requires these materials be handled in accordance with their standard interpretation letter titled "Requirements for demolition operations involving material containing <1% asbestos ", dated August 13, 1999. As shown in Table I contained in Appendix D, one material was determined to contain trace amounts of asbestos. 4.0 CONCLUSIONS AND RECOMMENDATIONS The following conclusions and recommendations are prepared from ATL's understanding that the subject building may be subject to demolition project. Should the management of the building areas change, it is recommended that the findings be revisited to reflect appropriate operations and management practices for ACM. 4.1 General 1. Concealed regulated ACM may exist at the site that could be encountered during future building renovation activities. Wall, ceiling, floor, roofing, and/or other component systems may contain concealed suspect ACM. If any suspect ACM is encountered during demolition and/or renovation activities, the activities disturbing the suspect ACM must stop and the material must be sampled and laboratory analyzed in accordance with applicable regulations. 3 Residential Garage, Queensbury, New York August 11, 2016 ATL Report No.AT5410CE-01-08-16 4.2 Asbestos-Containing Materials 1. None of the materials sampled were determined to be ACM. Table 1 of Appendix D, also shows a material that contains trace concentrations of asbestos and is regulated under OSHA. 2. Subpart 56-5(h) of 12 NYCRR Part 56 requires that no demolition, renovation, remodeling, or repair work be commenced by any owner or the owner's agent prior to the completion of asbestos abatement. Asbestos abatement must be performed by an asbestos abatement contractor that maintains a current asbestos handling license, and employs NYSDOL certified asbestos handlers and supervisors. It is recommended that a 12 NYCRR 56 certified Project Monitor oversee abatement activities. 3. Subpart 56-5(g) of 12 NYCRR Part 56 specifies requirements for transmittal of asbestos survey information by the owner or owner's agent. One copy of the asbestos survey report shall be sent to the local government entity charged with issuing a permit for such demolition, renovation, remodeling, or repair work under applicable State or local laws. If controlled demolition or pre-demolition activities will be performed, one copy of the asbestos survey report shall be submitted to the appropriate Asbestos Control Bureau district office. One copy of the asbestos survey report must be kept on the construction site throughout the duration of the asbestos project and any associated demolition, renovation, remodeling, or repair project. 4 Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 Asbestos Certificate Code Classifications The following letter codes shown on the enclosed asbestos certificates represent the corresponding asbestos classifications: A - Asbestos Handler F - Operations & Maintenance B - Allied Trades G - Asbestos Supervisor C - Air Sampling Technician H - Asbestos Project Monitor D - Building Inspector I - Asbestos Project Designer E - Management Planner Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 APPENDIX A LICENSES AND CERTIFICATIONS A SENT OF CMI National Voluntary " `� Laboratory Accreditation Program S'47 S OF SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 AmeriSci New York DBA: AmeriSci New York 117 E. 30th Street New York. NY 10016 Mr. Paul Mucha Phone: 212-679-8600 Fax: 212-679-2711 Email: pmuchagamerisci.com http://www.amerisci.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 200546-0 Bulk Asbestos Analysis Code Description I8/A01 EPA 600,!M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples 18/A03 EPA 600/R-93/[16: Method for the Determination of Asbestos in Bulk Building Materials Airborne Asbestos Analysis Code Description 18/A02 U.S. EPA's "Interim Transmission Electron Microscopy Analytical Methods-Mandatory and Nonmandatory-and Mandatory Section to Determine Completion of Response Actions"as found in 40 CFR, Part 763,Subpart E, Appendix A. For the National Votuntark L4borat6gAccreditation Program Effective 2016-07-01 through 2011-06-30 Page 1 of 1 United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISO/IEC 17025:2005 NVLAP LAB CODE: 200546-0 AmeriSci New York New York, NY is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for.- Asbestos or:Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISO1IEC 17025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system(refer to joint ISO-ILAC-IAF Communique dated January 2009). 2016-07-01 through 2017-06-30 5 Effective Dates 5, l �N' I For the National Voluntary boretOry Accreditation Program New York State—Department of Labor Division of Safety and Health License and Certificate Unit State Campus,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Atlantic Testing Laboratories, Limited FILE NUMBER: 99-0911 LICENSE NUMBER: 29276 P.O. Box 29 LICENSE CLASS: RESTRICTED DATE OF ISSUE: 09/03/2015 Canton, NY 13617 EXPIRATION DATE: 10/31/2016 Duly Authorized Representative—Marijean 6 Remington: This license has been issued in accordance with applicable proxnsions of Article 30 of the Labor Law of New York State and of the New York State Codes, Rules and Regulations(12 NYCRR Part 56). It is subject to suspension or revocation for a(1) serious Violation of state,federal or local laws with regard to the conduct of an asbestos project, or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material. "Ibis license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate, appropriate for the type of work they perform, by the New York State Department of Labor. JI.L. Eileen M. Franke, Director SH 432(ane) For the Commissioner of Labor This fovn i. the ntrinil record ofsucoe.iful z:. pletion cfa Nen York Sune accredited ashcs.+s snl'ery�,fining cra:rse...9 Certificate No. f ✓_ a I I-To be completed by Trainee L�—o - -- - - Namef Trnmee (pnnn NYS Depart, u!'Ntutor Veh tc e'T s ID (D1U1V I�))7-' Signature Signature of Trainee Telephone Number I Date of Birth Address +- (street or PO Dox) (City) (S(ntc) (Zip Code! _ II--To be completed by Training Sponsor Provider's Nam Telephone Number AddressR Course (�dNuSG: sir. Location: Zip Code" p� _ { y'y,}-poli ruennly -- Course Title: initial E] Refresher L0 DOH Equivalency' Training Language: [?F�nglish❑other:_ Exam Grade/Date: Dates of Training: From: ?%U—A t' To: 2, i I i U Expires: 1 certify that the asbestos safety training course given on the above date complied with both 10 NYCRR Part T and TSCA Title 11, was consistent with the curriculum and instructors approved by the New York State Department of Health,and the trainee receiving this certificate completes the training courseand suc fullt e et9aSon. Training Director=: (Print) (Signature) DEPT.OF LABOR DOH-2832(10103) `Optional Informaticm -'DOH Equivalency signed by NYS DOB representative only NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER s: Expires 12:01 AM April 01, 2017 ,. Issued April 01, 2016 CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502 Public Health Law of New York State MR. PAUL J. MUCHA NY Lab Id No: 11480 AMERICA SCIENCE TEAM NEW YORK INC 117 EAST 30TH ST NEW YORK, NY 10016 is hereby APPROVED as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE All approved subcategories andlor analytes are listed below: Miscellaneous Asbestos In Friable Material Item 198.1 of Manual EPA 6001M4/82/020 Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM) Asbestos in Non-Friable Material-TEM Item 198 4 of Manual Serial No.: 54287 Property of the New York slate Department of Health. CeNBcales are valid only at the address shown,must be conspicuously pasted,and are printed an secure paper continued accrei llaaoa depends on successful ongoing participation in the program. Consumers are urged to call(518)485-5570 to verify the laboraloys accreditation status. Page 1 of i STATE OF NEW YORK-DEPARTMENT OF LABOR 5. ASBESTOS CERTIFICATE AMY T LABAR6E CLASS(EXPIRES) C ATEC(04/17) D INSP(04/17) H PM (04/17) ' CERT#89-11692 DMV#C75674597 MUST BE CARRIED ON ASBESTOS PROJECTS LIM torn orate Department of neattn Geruncate 01 Asnestos J&tety lramtng This form is the official record of successful completion of a New York State accredited asbestos safety training course. Certificate No.7A 9 --I —To be completed by Trainee Name o Trainee(,ringNYS e15 part.ofMotor e c es ID(L)MV ID). F,r Signature of Iramee Telephone Number Date of Birth'// Address : ;Z% c:; ye„/ 11 !rlI "I /V/ J 'i76 (Street or PO Box) (City) (State) (Zip Code) 'completed: Provider's Name I a ep one Number tA 7-1 Addresp`C• / Course ���G`� Location: Zip C tle .. 1.�Q/— NYS DON use oniv Course Title: / Initial fresher ❑ DOH Equivaten Training Language: glish❑Other: /Exam Grade/Date: Dates of Training: From:_� f / To: / J b Expires:L✓3g / I certify that the asbestos safety training course given on the above date complied with both 10 NYCRR Part 73 and TSCA Title II, was consistent with the curriculum and instructors approved by the New Yorktate Depa cnt of Health,and the trainee receiving this certificate completed the tr2.aining course and success y p sed the ination Training Director': n I P f `1 l/ (Print) (Signature) STUDENT DOH-2832(10/03) 'Optional Information 2DOH Equivalency signed by NYS DOH representative only STATE of NEW YORK DEPARTMENT Of - :1*00S:C,ERTIPL A fF THOMAS A FARLEY ..CL4S*XPIRES) C4TEC(oe/Ts) DINSP(08/I6) NPM (08/16) MU f EL CARRIED ON A$RESTOS PROJECTS Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 APPENDIX B SAMPLE LOCATION PLAN B 11 1 1 r f.. ��. Yui �i."!I'�.•.'�.��i: ��'^q.fl,�'�il.•.� ."h �trr -:Ill.. ,. .�+�.�� - .�•�" :.��^ MUMM isle. f?tdi .. . Xlf.PU.by PWNOB, IM by TEM-NOB ., rte..:.. ' `c RTRMT�MRZA � i/F 2- G _74�- .�L:_ �• `� ��' [.. •. :w amt■/=�•�il ;��n _��©__- L•h. u• . L c�L"l'••.t•L••L':(7.��+.91[% .—�`l•Sf� ©�___- 14WAN _ i i ® ATLANTIC TESTING LABORATORIES 18175 ASBESTOS BULK SAMPLE CHAIN-OF-CUSTODY RECORD dIhBY Birehemloo jjBgB zwu PUftb,,b Pooehkerolto ggp�ert ]l Cm}eb ILM MPuk Awnr MII V.I.Wgi—y 11 M301bm 351 IJO. Aw - ]f1V � �'� CAIM Pd,NY I#U BgNrtIpq AY Im � NNY 11617 Pkobq NY im PYNbu NY 12" H q NYMMW )1Vl ,Ny PM2 6sn1 .8venPgl IOIRMO oyeYwl 1.561 NYeP 293 lINIMIM 10".1111 31N36a5M mV`114wp IIk1m1 NY I1f1k P¢harn,NY IM]J Syinuq NY 1Old U'M IJ101 WNnevq NY IJWI m m m m !1v»1.lwlwm NSrW1.6WBm f.5N11�Y- m JISN Munn 311Mi 330em flyr 78187m fINS)91MIPI 4`"M] 50) 31YJ louz1Fl W!/]W14M SIYW-1111m SkLNtb (n ".2,M)m 51)WJL)lflm ]Imwom nsnw1YR(5] 1 I 1 S I I Ttie•Amanb ❑m [I1<Irt C zv1 r ❑,+nr 5.e6(AMOMk wk 5dry ❑ ATLC.., .:. NolalCoote'-: 9jvyl Ya"-Ww S1W MIY.k Srnd�ipy .�1� y �II�CYW?oe, lf lepive by PR4-NOB.wIJmty T[M-\OB .... r 13 Odor NO F ,I AMI r eulel fomPla SwpkLmHow S1mpk D.,". PlM- t1M- Vbontory . PLN TEM. MICRO NaSwpk NOB NOB ONLY -VAC IO Na Q 0 1 x . Q Ike A o X Smw33r.NNW Dd.: a1 1 : ae.e1.<d 1.Wd..er.(Nem:t: iWt^ nua, pkiWN.�ipd;: Y� Rrs5 D 6_: I,:bmm-n 5 rm:rt�. T JCD OYES ONO %:Se b lad 0.¢mrd Br pk)d. 77, N.W, qa al 4iiM: Dere: r'me Dsrm'aiuc: — :.� 7 5 2 4 6 Think Quality 0181HINlow WhBo Wth Semplm ENV-001A Yellow W Lebomtory pddve:Forms\EnvironmentallFieldFoens\3Asbestoe Bulk Sample Chaln-of-Cuslody Re rd rev 4:02/14 Pink to ATL Flles Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 APPENDIX C LABORATORY REPORTS AND CUSTODY DOCUMENTATION C AmeriSci Job#: 216075246 Page 2 of 5 Client Name: Atlantic Testing Laboratories, Limited PLM Bulk Asbestos Report j AT5410; Residential Garage; Queensbury, NY I Client No. I HGA Lab No. Asbestos Present Total % Asbestos AT5410AI03B 216075246-06 No NAD 03 Location: Main Garage-Roof-Rolled Asphalt Roofing-Bottom Layer (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: other Material: Non-fibrous 9.4% AT5410AI04A 216075246-07 No NAD 04 Location: Main Garage-Exterior-Window Glazing (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Grey, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 21.5% AT5410AI04B 216075246-08 No NAD 04 Location: Main Garage-Exterior-Window Glazing (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Grey, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 22.5% AT5410AI05A 216075246-09 No NAD 05 Location: Main Garage-Exterior-Homasote Board (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black/Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.3% AT5410AI05B 216075246-10 No NAD 05 Location: Main Garage-Exterior-Homasote Board (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black/Brown,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 7.3% AT5410AI06A 216075246-11 No NAD 06 Location: Main Garage-Interior-Braided Wire Jacket (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 17.6% See Reporting notes on last page /rte AmeriSci New York 117 EAST 30TH ST. AMERI SCI NEW YORK, NY 10016 TEL:(212)679-8600•FAX:(212)679.3114 Y PLM Bulk Asbestos Report Atlantic Testing Laboratories, Limited Date Received 07/28/16 AmeriSci Job# 216075246 Attn: Amy Labarge Date Examined 08/01/16 P.O. # 18195,75 P.O. Box 29 ELAP# 11480 Page 1 of 5 RE:AT5410; Residential Garage; Queensbury, NY Canton, NY 13617 Client No. / HGA Lab No. Asbestos Present Total % Asbestos AT5410AI01A 216075246-01 No NAD 01 Location: Main Garage-Roof-Rolled Asphalt Roofing-Top Layer (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.1 % AT5410AI01 B 216075246-02 No NAD 01 Location: Main Garage-Roof-Rolled Asphalt Roofing-Top Layer (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39.3% AT5410AI02A 216075246-03 No NAD 02 Location: Main Garage-Roof-Rolled Asphalt Roofing-Middle Layer (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 22.7% AT5410AI02B 216075246-04 No NAD 02 Location: Main Garage-Roof-Rolled Asphalt Roofing-Middle Layer (by NYS ELAP 198.6) by Jared C. Clarke on 08/01116 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 34.3% AT5410AI03A 216075246-05 No NAD 03 Location: Main Garage-Roof-Rolled Asphalt Roofing-Bottom Layer (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 12.5% See Reporting notes on last page AmeriSci Job#: 216075246 Page 3 of 5 Client Name: Atlantic Testing Laboratories, Limited PLM Bulk Asbestos Report AT5410; Residential Garage; Queensbury, NY Client No. / HGA Lab No. Asbestos Present Total % Asbestos AT5410AI06B 216075246-12 No NAD 06 Location: Main Garage-Interior-Braided Wire Jacket (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 16% AT541OA107A 216075246-13 No NAD 07 Location: Side Garage-Roof-Rolled Asphalt Roofing (by NYS ELAP 198.6) by Jared C.Clarke on 08/01116 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 20% AT5410AI07B 216075246-14 No NAD 07 Location: Side Garage-Roof-Rolled Asphalt Roofing (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 19% AT541OA108A 216075246-15 No NAD 08 Location: Side Garage-Roof-Paper Vapor Barrier (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.9% AT5410AI08B 216075246-16 No NAD 08 Location: Side Garage-Roof-Paper Vapor Barrier (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3% AT541OA109A 216075246-17 No NAD 09 Location: Side Garage-Roof-Flashing Tar (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 16.8% See Reporting notes on last page AmeriSci Job#: 216075246 Page 4 of 5 Client Name: Atlantic Testing Laboratories, Limited PLM Bulk Asbestos Report AT5410; Residential Garage; Queensbury, NY Client No. / HGA Lab No. Asbestos Present Total % Asbestos AT5410AI09B 216075246-18 No NAD 09 Location: Side Garage-Roof-Flashing Tar (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 15% AT5410AI10A 216075246-19 Yes Trace (<0.25 % pc) 1 10 Location: Side Garage-Exterior-Window Glazing (EPA 400 PC) by Jared C. Clarke on 08/01/16 Analyst Description: OflWhite, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types:Chrysotile <0.25%pc Other Material: Fibrous Talc Trace, Non-fibrous 4% AT5410AI10B 216075246-20 Yes Trace (<0.25 % pc) 1 10 Location: Side Garage-Exterior-Window Glazing (EPA 400 PC) by Jared C. Clarke on 08/01/16 Analyst Description: OffWhite, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types:Chrysotile <0.25%pc Other Material: Non-fibrous 5.4% AT5410AI11A 216075246-21 No NAD 11 Location: Side Garage-Siding Vapor Barrier (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black/Brown, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 0.5% AT5410AI11 B 216075246-22 No NAD 11 Location: Side Garage-Siding Vapor Barrier (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black/Brown,Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 1.4% AT5410AI12A 216075246-23 No NAD 12 Location: Main Garage-Interior-Green Asphalt Shingles (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Black, Homogeneous,Non-Fibrous, Built Material Asbestos Types: Other Material: Fibrous glass 2%, Non-fibrous 35.3% See Reporting notes on last page AmeriSci Job#: 216075246 Page 5 of 5 Client Name: Atlantic Testing Laboratories, Limited PLM Bulk Asbestos Report AT5410; Residential Garage; Queensbury, NY Client No. / HGA Lab No. Asbestos Present Total % Asbestos AT5410AI12B 216075246-24 No NAD 12 Location: Main Garage-Interior-Green Asphalt Shingles (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Black, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 2%, Non-fibrous 37.1 % AT5410AI13A 216075246-25 No NAD 13 Location: Main Garage-Exterior-Window Glazing (by NYS ELAP 198.6) by Jared C.Clarke on 08/01/16 Analyst Description: Grey, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.2% AT5410AI13B 216075246-26 No NAD 13 Location: Main Garage-Exterior-Window Glazing (by NYS ELAP 198.6) by Jared C. Clarke on 08/01/16 Analyst Description: Grey, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.1 % Reporting Notes: (1) Sample prepared for analysis r-,,p� - P 19 m�elth id Analyzed by:Jared C.Clarke I °h. / �-- •NAD/NSD=no asbestos detected;, - nalyzed;NAPS=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite; (SM-V)=Surfacing Material contaihiha a icullte;PLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763(NVLAP 2005460),ELAP PLM Method 198.1 for NY friable sar)rp e ,which includes the Identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt cl by EPA 600/M4-82-020(NY ELAP Lab 11480);Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this material can be considered or treated as non asbestos-containing in NY State(also see EPA Advisory for floor file,FR 59,146,38970,&1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the Iab.Thls PLM report relates ONLY to the items tested.AIHA-IAP,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PH-0186,Mass CertAA000054. Reviewed By: END OF REPORT Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT541 OCE-01-08-16 APPENDIX D SUMMARY TABLES D Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 Table I Summary of Suspect ACM and Analytical Results Friable/ General ACM % Estimated Material Location' Type AsbestosZ" Condition Sample Numbers Quantity''4 Black Rolled Main Garage AT5410A101A Asphalt Roofing Roof N/M NAD Poor AT5410A01 B NA To Layer) Gray Rolled A Asphalt Roofing Roof Main Garage N/M NAD Poor AT5410A102AT5410A102NA Middle Layer) Red Rolled Main Garage AT5410AI03A Asphalt Roofing Bottom Layer) Roof N/M NAD Poor AT5410AI03B NA Off-White Main Garage Window North and N/M NAD Poor AT5410AI04A NA Glazing South AT5410AI046 Windows Brown/Black Main Garage AT5410AI05A Homasote Walls Y/M NAD Poor AT5410A105B NA Board Black Braided Main and Side AT5410AI06A Wire Jacket Garage N/M NAD Poor AT5410AI06B NA Black Rolled Side Garage N/M NAD Poor AT5410AI07A NA Asphalt Roofing Roof AT5410AI07B Black Paper Side Garage N/M NAD Poor AT5410AI08A NA Vapor Barrier Roof AT5410AI086 Side Garage Black Flashing Roof and cans N/M NAD Poor AT5410AI09A NA Tar stored in Main AT5410AI09B Garage Off-White Side Garage Window North and N/M Trace Poor AT5410AI10A NA Glazing West AT5410AI10B Windows Black Siding Side Garage AT5410All1 A Vapor Barrier and Stored in N/M NAD Poor AT5410All 1 B NA Main Garage Green Asphalt Stored in Main AT5410AI12A Shingles Garage N/M NAD PAT5410AI128 NA ocr White Window Main Garage N/M NAD Poor AT5410AI13A NA Glazing Bay Door AT5410AI13B D AmeriScWob#: 216075246 Page 1 of 2 Client Name: Atlantic Testing Laboratories,Limited Table I Summary of Bulk Asbestos Analysis Results AT5410; Residential Garage; Queensbury,NY Sample Heat Acld Insoluble AmeriScl HO Weight Sensltlw Soluble Non-Asbestos "Asbestos%by ^Asbestos%by Sample s Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 01 ATS410AI01A 01 0.308 48.4 22.5 29.1 NAD NAD Locator: Main Garage-Roof.Rolled Asphalt Rooting-Top Layer 02 ATS410AI016 01 0.298 43.6 17.1 39.3 NAD HAD Locapcn: Main Garage-Roof-Rolled Asphalt Roofing-Top Layer 03 AT5410AI02A 02 0.300 60.7 16.7 22.7 NAD NAD Location: Main Garage-Roof-Rolled Asphalt Roofing-Middle Layer 04 AT5410AID2B 02 0.315 46.7 19.0 34.3 HAD NAD Locabon: Main Garage-Roof-ROAM Asphalt Roofing-Addle Layer 05 ATS410AI03A 03 0.264 76.5 11.0 12.5 HAD NAD Locate, Main Garage-Roof-Rolled Asphalt Roofing-Bottom Layer 06 AT5410AI03B D3 0.213 82.2 8.5 9.4 NAD NAD Location: Mein Garage-Roof-Rolled Asphalt Racers-Bottom Layer 07 AT5410AI04A 04 0.186 9.1 69.4 21.5 NAD NAD Locator: Main Garage-Exterior-Window Glazing 08 AT5410AI04B 04 0.187 9.1 68.4 22.5 NAD NAD l.ocapon: Mein Garage-Exterlor-Window Glazing 09 AT5410AI05A 05 0.139 94.2 1.4 4.3 HAD NAD Location; Mein Garage-ExleMr-Homasole Board 10 AT5410AIM 05 0.082 90.2 2.4 7.3 NAD HAD Lpcapon: Main Garage-EArmor-Homasote Board 11 AT541GAI06A 06 0.051 74.5 T.8 17.6 NAD HAD Location: Mein Garage-Interior-Scalded Win Jacket 12 ATS410AI06B 06 0.050 76.0 8.0 18.0 NAD NAD Lorabon: Main Garage-Interior-Braided Wbe Jacket 13 AT5410AI07A 07 0.255 56.3 24.7 20.0 NAD NAD Location: Side Garage-Roof-Rolled Asphalt RooMg 14 AT5410AI076 07 0.352 64.8 16.2 19.0 HAD NAO Location: Side Garage-Roof-Rolled Asphalt Roofing 15 ATS410AI08A 08 0.238 95.0 2.1 2.9 NAD HAD Incaton: Side Garage-Roof-Paper Vapor Bander 18 ATS410AI088 08 0.165 96.4 0.6 3.0 NAO NAD Location; Side Garage-Roof-Paper Vapor Barrier See Reporting WIN on last page AmeriScl Job g: 218075246 Page 2 of 2 Client Name: Atlantic Testing Laboratories,Limited Table I Summary of Bulk Asbestos Analysis Results AT5410; Residential Garage; Queensbury, NY sample Neel Acid Insoluble AmsrISCI NO Weight Sensitive Soluble Non-Asbestos ••Asbestos%by ^Assisi%by Sample 0 Client sample# Ana (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 17 ATS41GAI09A 09 0.131 82.4 0.8 16.8 NAD NAD Locabon: Side Garage-Roof-Flashing Tar 18 ATS410AI09B 09 0.120 75.8 9.2 15.0 NAD NAD Location: Side Garage-Roel-Flashing Tar 19 AT5410A110A 10 0.299 0.4 87.6 3.7 Chrysalis<0.25 Chysoule<io Location: Side Garage-Exterior-Widow Glazing Anmophyllite Trace 20 ATS410AI10B 10 0.299 8.7 S8.0 5.2 Chrysotlle<0.25 Chrysotile Trace Location: Side Garage-Exterior-Window Glazing Anthophyllis Trace 21 AT5410A111A 11 0.193 94.3 5.2 0.5 NAD NAD Location: Side Garage-Siding Vapor earner 22 AT5410AIl IS 11 0.209 95.2 3.3 1.4 NAD NAD Location: Side Garage-Siding Vapor Berner 23 AT541DA112A 12 0.338 20.1 42.6 37.3 NAD NAD Location: Main Garage-Interior-Green Asphalt Shingles 24 AT541DA1128 12 0.371 20.5 40.4 39.1 NAD NAD Location: Mein Garage-Interior-Green Asphalt Shingles 25 AT541GA113A 13 0.089 9.0 61.8 29.2 NAD NAD Location: Main Garage-Exterior-Window Glazing 28 ATS410A1138 13 0.121 7.4 88.4 4.1 NAD NAD Location: Main Garage-Exterior-Window Glazing Analyzed by Samuel X.Zhang »H ;Date Analyzed 812/2016 "Quantlmtire Analysis(Seal011);Sulk Asbe os Analysis-PLM by EPA 600/104-82-020 per 40 CFR or ELAP 198.1 for New York Mable samples or FLAP 198.6 for New York NOB sampies;TEM (SemVFull)by EPA 600/R-93N 16(not covered by NVLAP Bulk accreditation)or ELAP 198.4;far New York aemples;NAD=no asbestos detected during a quantitative analysis;NA=not analyzed;Trace <1%;(SOF-V)=Sprayed On Fireproo8rg containing Vermicu111e;(SM-V)=Surfacing Material coruainlng Vermiculite;Quanuta0an for beginning weights of<0.1 grams should be considered as quauladve Only,OualBaWe Analysis:Asbestos analysis results of'Present'or'NVA=No Visible Asbestos'represents results for Qualitative PLM or TEM Analysis only(no au+editalbn coverage available from any regulatory agency M qualitative analyses):NVLAP(PLM)200546-0.NYSDON ELAP Lab 11480,AINA-LAP,LLC(PLM)Lab ID 102843. Warning Note:PLM limitation,only TEM Wil resolve fibers<0.25 micrometers In diameter.TEM bulk analysis Is representative of the fine grained math material and may not be representative of rgrtun4omYy disposed debris for which PLM evaluation is recommended(i.e.soils and other hater genus materials). Reviewed By: Residential Garage, Queensbury, New York August 11, 2016 ATL Report No. AT5410CE-01-08-16 KEY FOR ACM SUMMARY TABLES Acronyms for the Known or Assumed ACM: CFT= Ceramic Floor Tile HVAC = Heating, Ventilation,and Air Conditioning CWT= Ceramic Wall Tile TSI =Thermal System Insulation EPDM = Ethylene Propylene Diene Monomer Abbreviations for FriablelACM Type. Y=Yes N= No M = Miscellaneous S = Surfacing T =Thermal System Insulation Descriptions for Conditions: The listed conditions of Good, Fair, and Poor generally correspond with the AHERA descriptions of Good, Damaged, and Significantly Damaged for different types of materials. The following summarizes additional details relative to the listed conditions. Surfacing (Surf.)and Miscellaneous (Misc.) Materials • Good: Material with no visible damage or deterioration, or showing only very limited damage or deterioration • Fair: Material with characteristics of surface crumbling, blistered, water-stained, gouged, marred, or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed or one quarter if the damage is localized. • Poor: Material with one or more of the following characteristics: Surface crumbling or blistering is present over at least one tenth of the surface, if the damage is evenly distributed or one quarter if the damage is localized. - One tenth (or one quarter, if localized) of material hanging from the surface, deteriorated, or showing adhesive failure. - Water stains, gouges, or mars over at least one tenth of the surface if the damage is evenly distributed or one quarter if the damage is localized. Thermal System Insulation (TSI) Materials • Good: Material with no visible damage or deterioration, or showing only very limited damage or deterioration • Fair: Material with one or more of the following characteristics: - A few water stains or less than one tenth of insulation with missing jackets. - Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed or up to one quarter if the damage is localized. • Poor: Material with one or more of the following characteristics: - Missing jackets on at least one tenth of the piping or equipment. - Crushed or heavily gouged or punctured insulation on at least one tenth of the component(pipe runs/risers,boiler,tank, duct, etc.)if the damage is evenly distributed or one quarter if the damage is localized. Notes: Sample Location Plan is enclosed in Appendix B. 2•NAD= No Asbestos Detected/28 ND=Not detectedabovethe laboratory method detection limit. a Quantities and locations are approximate and must be verified by asbestos abatement contractors prior to providing actual cost quotations and/or initiating abatement activities. NA=Not Applicable E c: C �7 11 r1} 1 W.0[0- v S�/ vrra.ars - a.........,,�,...o w.,r-..a_..a SAMPLE LOCATION PLAN u"^°"3r U.wnu Rae a,e ResHen4el Genpe ATLANTC TESTING LABORATORIES.Llrni d 41 Hannelatl RwO eyv riun Q—.,,New YIA . ., n.�.... ,.. 20160620_095806.jpg Page ] of 2 a F _.y AS TOWN OF QUEENSBURY 240.6-1-23 BOTH 571 -2016 BUILDING DEPART VENT Marianne Burkhart T{";jt I,;, Rl try Based on our limited exam n-aiion,compliance �UEENSL: .,. Contractor: Driftwood contracting -r r`t„ with our comments Shad "Ct^e ron`strUed aS q7 Hanneford Road Ull '.; _A CO S -;t I indicating the plans ano s ecif,cations are in Rev, fuil compliance with the wilding Codes of Demolition-Garage New York State. Dai@: https://mail.google.com/_/scs/mail-static%/j s/k=gmaii.main.en.NctkA7RNwE.O/m=m_i,t,it/am=OosHAjZPxv3BuJYBQFb6CI... 8/22/2016 ! ZKq c9 IbC, zo �a 2 u5S dor ® 2 G G� 518 osia 6HF-7 - G rnE,t�� R,dar�rn�� R9o.tg, 7=t 1 Si0iiJCir 1x"7 oN Dom R, Qac g `CDN c 13LOC 14' r� V-1 ,1c1 . .]ih llNIV 0:10-1c] •r —• 0 1 l , • i • _ r 1 v : : : v :y .c x :