BOTH-000641-2016 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-000641-2016 Date Issued: Monday, September 25, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000641-2016
has been completed.
Tax Map Number: 266.3-1-78
Location: 985 State Rte 149
Owner: ASAD PETROLEUM,INC.
Applicant: Tabassum(Toby)Sheikh
This structure may be occupied as a: Demolition Only(asbestos report attached)
Cross Reff, Site Plan Review 36-2015 By Order of Town Board
TOWN OF QUEENSBURY
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
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000641-2016
Tax Map No: 266.3-1-78
Permission is hereby granted to: ASAD PETROLEUM,INC.
For property located at: 985 State Rte 149
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
Tyne of Construction
Owner Name: ASAD PETROLEUM,INC. Demolition $0.00
Owner Address: 985 State Route 149 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Demolition Only(asbestos report attached)
Cross Ref. Site Plan Review 36-2015
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,September 23,2017
(if a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration
dddatk
Dated at the Town of\ eee4.j
ns /j ; [ J rider 23,2016
SIGNED BY: 4�(�Vy(r/ for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received
DEMOLITION PERMIT APPLICATION Permit#: gnt
NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED
Permit Feer lOvt1J L8� 10�(�__
Provide 2 plot plans drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures
on property and indicate which are to be demolished. Indicate the location of all utilities
Date o 3_a o=ao 14 Demolition Location
-- —_------------------
Tax Map ID (�Cf��/KUIGy 6�/y/LSoyf
--------------
APPLICANT _LpCLp�iLiS spU/yI ,PFfp��I/Lh ----- OWNER A16.:Z__�E1eC� UM
Address _=L.RQi�cL'1�}�..1`"'moi------ Address
Phone ------ _________ Phone
---------------------------
16 Y
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: _THS$SIM � Lff— io __ Phone: s I d-36/_3276
1. Person Responsible for Work
2. Where will demolition material be disposed?
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 —x— No
b) If Yes,our office needs the following Information ----Yes ---- No
Name of firm removing the asbestos
License number of firm
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 /'� x J Lf
c) Number of Stories aft
d) Foundation Type
e) Foundation A/0
f) Structure(s)
7. Utilities Information
a) Indicate utilities for this structure--- Gas _ Electric --_ 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 --X,No
b) Have all utilities been disconnected? ----Yes _ Y No
B. Signature
Print Name: ---- —_ W&I .S(f LLL________________ Date
Signature: ------------- ------ Date 02=20_aod2__--
Town of Queensbury Building & Codes - Demolition Permit - December 2014
Ambient Environmental, Inc.
Comprehensive Buitding.Science Solutions
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&SBA ED 1110S9&DBE
August 27,2016
Mr.Toby Sheikh 266.3-1-78 BOTH-000641-2016
985 State Route 149 ASAD Petroleum
Queensbury,NY 12804 985 State Route 149
Ph. 518-361-3276 Demo Only (asbestos report recVd)
Tobys2003@aim.com
RE: Hazardous Materials Survey Report FF�LE C OPY
Asbestos Pre-Demo
995 State Route 144
Queensbury,NY
Ambient Project Number: 160808AB
Dear Mr.Sheikh:
Ambient Environmental, Inc.is pleased to submit the attached pre-demo Hazardous Materials
Survey Report for asbestos at the above-referenced site: This report includes the procedures and
methodologies followed, analytical laboratory results,and applicable conclusions and
recommendations.
Ambient appreciates the opportunity to serve you and we look forward to working with you in the
future. In the meantime,if you have questions or comments regarding the information in this report
or if we can be of further assistance please do not hesitate to contact us.
Sincerely,
Ambient Environmental, Inc.
rr �
O'Le-vt<?S
Charles Wolford David Foote
Operations Lead Asbestos Inspector
Asbestos License#04-06596
Enclosure
Si=p 2 "l TOWN OJBy:
BUILDING
Reviewed
Date:
828 Washinglon Avenue, Albany. NY 12203-1622 Phone: 518.482.0704 Fax 518.452.0750
; fib: AAwbA',ambieni-env c-o❑l
A01Ambient Environmental, Inc.
Comprehensive Building Science Solutions
N114M Cer ifled 1173E
&SB.4 ED WGSB&DRF.
HAZARDOUS MATERIALS SURVEY
Asbestos Pre-Demo
Snack Shop
98.5 State Route 149
Queensbury, NY 12804
Survey Dates:August 16, 2016
Prepared for:
Mr.Toby Shetkb
985 State Route 149
Queensbury,NY 11804
Prepared by.
Ambient Environmental,Inc.
828 Washington Avenue
Albany,New York 12203
Ambient Project No. 160808AB
428 Wat1ii3tgiciii Avenue, ,Albatn-,!. NY 1220;-IF2' Pbone: 515.442.0704 Fax 518s.482.0750
web: www.arnbient-env.eoTn
Ambient Environmental,Inc.
TABLE OF CONTENTS
1.0 PURPOSE AND SCOPE OF SERVICES...............................................................t
2.0 EXECUTIVE SUMMARY........ ..... . ......................... ............................. .......1
3.0 ASBESTOS-CONTAINING MATERIALS SURVEY..........................................1
3.1 Sampling Protocol....................................:....:..........................................................2
3.1.1 Homogeneous Areas........................................................................................2
3.1.2 Hazard Assessment Factors .............................................................................2
3.1.3 Sampling Strategy.... ...... .. .................2
3.1.4 Laboratory Analytical Results.........................................................................3.
3.2 Asbestos Containing Material Results.....................................................................4
4.0 ASSUMPTIONS,LIMITATIONS,AND OTHER CONCERNS........................5
ATTACHMENTS
Attachment A Summary of Sample Results and Asbestos Sample Location Drawings
Attachment B Asbestos Laboratory Analysis Report With Chain of Custody
Documentation
Attachment C Company, Inspector and Laboratory Accreditation and Licenses
Page
Ambient Environmental,Inc.
1.0 PURPOSE AND SCOPE OF SERVICES
The purpose of this project was to conduct a pre-deruo hazardous materials survey for asbestos for
the snack shop building at 985 State Route 149,Queensbury, NY(The Site). The areas inspected
included the entire Wilding both interior and exterior. Ambient Environmental, Inc. (Ambient)
provided the following services for Toby Sheikh(Client) in accordance with Ambient proposal
number 2016-08-392.
Conduct a representative Hazardous Materials Stirvey in the identified building..which includes:
• Survey the site building.
• Identify accessible suspect asbestos-containing materials (ACMs)that were not previously
tested using limited destructive means.
• Quantify ACMs, including material condition and location.
• Collect and analyze bulk samples of suspect friable and non-friable materials to eliminate
suspect materials as asbestos containing.
2.0 EXECUTIVE SUMMARY
The inspection was conducted by a NYS licensed and AHERA trained asbestos inspector on
August 16, 2016. The inspection involved visual examinations and sampling of suspect
materials that may be impacted by planned demolition.
Inspection results revealed the following findings:
• Asbestos containing materials were not found in the samples analyzed
Please see attachments and specific report sections for sample locations, type ofmaterials and
analytical results.
3.0 ASBESTOS-CONTAINING MATERIALS SURVEY
On August 16,2016,Ambient performed an asbestos-containing material survey for planned.
demolition of the subject property. Ambient examined previous reports, if available, to determine if
adequate sampling was performed in the work areas and collected additional samples that appeared
to be deficient. New York State certified and AHERA trained asbestos inspectors conducted the
asbestos survey of the area.
The building was visually inspected for the presence of any additional building materials in the path
of demolition that are suspected to contain asbestos. Bulk samples of the newly identified suspect
ACMs were collected and placed into individual containers for transport to a National Voluntary
Laboratory Accreditation Program (NVLAP) and a New York State Department of Health
Environmental Laboratory Approval Program (ELAP)-accredited laboratory for analysis. Materials
visibly identified as non-asbestos(fibrous blas..,£barn rubber,wood, etc.)were not sampled. The
asbestos survey consisted of three basic procedures: 1)conducting a visual inspection of the
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Ambient Environmental, Inc.
structures; 2)identifying homogeneous areas(HAs)of suspect surfacing,thermal system insulation,
and miscellaneous materials; and 3)sampling accessible,friable and non-friable suspect materials.
31 Sampling Protocol
11.1 Homogeneous.Areas
Prior to collecting any samples,RAs were identified and listed to develop a sampling strategy. A
homogemeom sampling area can be described as one or more areas.of material that are similar in
appearance and texture and that have the same installation date and function. The actual number of
samples collected from each homogeneous sampling area may vary,based on the type of material
and the professional judgment of the inspector.
3.1.2 Hazard Assessment Factors
From the list of suspect homogeneous materials, a physical assessment was-performed for each
material on the list. A physical assessment includes evaluating the condition,assessing the potential
for disturbance, and determining the friability of each material. Friability is a tern used to describe
the ease in which a building material inherently lends itself to disturbance. By definition, "friable"
materials are those that can be crumbled or reduced to powder by hand pressure when dry.Each
material on the list was further classified into one of three categories,which have specific sampling
requirements for each category.
Surfacing Materials: Refers to spray-applied or troweled surfaces such as plaster ceilings
and walls, fireproofing,textured paints,textured plasters,and spray-
applied acoustical surfaces.
Thermal System Insulation: Refers to insulation used to inhibit heat gain or loss on pipes,boilers,
tanks, ducts,and.various other building.components.
Miscellaneous Materials: Refers to friable and non-friable products and materials that do not fit
in any of the above two categories such as resilient floor covering,
baseboards,mastics, adhesives,roofing material, caulking,.glazing,
and siding. This category also contains wallboard and ceiling tile.
All confrnned ACMs were then assessed by their condition as good(intact) fair(damaged)or poor
(significantly damaged)per Title 40 Code of Federal Regulations Part 763: Material with localized
significant damage was also assessed as poor when observed.
3.1.3 Sampling Strategy
The asbestos inspection was conducted according to New York State Department of Labor,
Industrial Code Rule 56 guidelines using a minimum number of samples collected from each
HA, which also meets the sampling requirement found in 29 CFR 1926.110'1.
Sample collection depends on the category that the HA falls into and the amount of material
present, as follows:
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Ambient Environmental,Inc.
GUIDELINES FOR DETERMINING THE NUMBER OF SAMPLES TO TAKE:
HA CATEGORY HA SIZE _ SAMPLES REQUIRED
<1,000.SF 3
Surfacing Materials 1,000-5,000 SF 5
>5,000 SF 7 or more
Thermal System Insulation No Stipulation 3+ Must also sample all repairpatches)
Per AHERA,these materials must be sampled"in a
Miscellaneous Materials No Stipulation manner sufficient to determine whether or not they
contain asbestos"typically 2-3 samples based upon
inspectorjudgment.
If the analytical results indicated that all the samples collected per HA did not contain asbestos,then
the HA(material)would be considered a non-ACM. However, if the analytical results of one or
more of the samples collected per HA indicate that asbestos is present in quantities of greater than l
percent asbestos by weight(as defined by EPA), all of the HA (material)would be treated as an
ACM regardless of any other analytical results. Material,which can visually be determined to be
non-asbestos(i.e.,fibrous glass,foam rubber,etc.)by the accredited inspector arenot required to be
sampled.
Miscellaneous materials require adequately representative sampling,which is typically done by
collecting from two to three samples per material. Inspectors typically rely on other survey
observations such as the condition, friability; and quantity of material to determine what would be
sufficient amount of samples to accurately evaluate the presence or absence of asbestos content.
Actual collection of bulk asbestos sample involves physically removing a small piece of material
and placing it in a marked,airtight container. Sample containers are marked with a unique
identification number, which is also noted in the field notes.
3.1.4 Laboratory Analytical Results
The samples were sent to AmeriSci New York in New York,New York for analysis. AmeriSci is
fully accredited for bulk sample analysis under the Environmental Laboratory Approval Program
(FLAP)administered by the New York State Department of Health, (ELAP# 11480). AmeriSci is
also accredited by the National Voluntary Laboratory Accreditation Program (NVLAP No.200546-
0) for both air and bulk sampling.
• Friable Sample's—Friable suspect'asbestos containing material samples were analyzed
utilizing Method EPA/600/R-93/116 with New York State FLAP 198.1 revision to facilitate
compliance with both AHERA and the New York State Department of Health polarized light
microscopy(PLM) analytical techniques. All fibers observed were identified to determine
whether or not they contained asbestos.
• Non-Friable Samples—Non-friable organically bound (NOB)suspect asbestos containing
material samples were analyzed utilizing Method EPA/600/R-93/116 with New York State
ELAP 198.6 and 198.4 revisions to facilitate compliance with both AHERA and the New
York State Department of Health polarized light microscopy(PLM)and transmission
electron microscopy(TEM) analytical techniques. These non-friable organically bound
samples must be weighed to record initial sample weights, then subjected to muffle furnace
and acid bath sample preparation to eliminate the organic constituents. If the remaining
inorganic sample residue is 1% or less of the original sample weight, the sample is
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Ambient Environmental,Inc.
considered a non-asbestos containing;material. If the remaining inorganic sample residue is
greater than 1%of the original sample weight then the sample must be analyzed using either
PLM or TEM analytical techniques to determine that the sample is an asbestos containing
material(positive)or TEM to prove that the sample is a non-asbestos containing material
(negative). A non-friable organically bound sample must be proven a non-asbestos
containing material utilizing the NYS ELAP 198.4 TEM test method to be in compliance
with the New York state Department of Health.
3.2 Asbestos'ContainingMaterlaiResults
The results of the asbestos survey conducted at the subject property indicate that none of the
sampled materials were found to contain more than 1.0%asbestos.
Attachment A contains a table listing samples collected and analyzed, sample locations, results
and sample location drawings. Attachment B contains the asbestos laboratory analysis report
with chain of custody documentation_ Attachment C contains the company, inspector and
laboratory accreditations and licenses.
Please Note: Some materials collected and analyzed in this Inspection do contain trace
amounts of asbestos. These materials include:
• Joint Compound,Wall
• Joint Compound,Ceiling
This information must be conveyed to any contractors working on these materials for compliance
with the Occupational Safety and Health Administration 1926.1101. Work that will disturb these
materials may require a negative exposure assessment and may include the use of respirators,
emplonee fit tests, an employer respiratory protection program, and an employer medical
monitoring program.
The building survey included limited destructive sampling for"hidden"materials. Therefore,the
results of this survey may not be inclusive of all asbestos containing material that may be present
in the pathway of demolition. If,during the course of demolition, any suspect material is
discovered that isnot listed on the table in Attachment A it must be treated as asbestos
containing material and handled appropriately or sampled by an inspector and analyzed
according to NYS and EPA regulations.
One(1) copy of the results of the building/structure asbestos survey shall be immediately
transmitted by the building/structure owner as follows.
• One(1) copy of the completed asbestos survey shall be sent by the owner or their agent to the
local government entity charged with issuing a permit for such demolition,renovation,
remodeling or repair work under applicable State or local laws.
• The completed asbestos survey for controlled demolition (as per Subpart 56-11.5)or pre-
demolition asbestos projects shall also be submitted to the appropriate Asbestos Control
Bureau district office.
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Ambient Environmental,Inc.
® The completed asbestos survey shall be kept on the construction site with the asbestos
notificationand variance;if required, throughout the duration of the asbestos project and any
associated demolition, renovation,remodeling or repair project.
4.0 ASSUMPTIONS,LIMITATIONS,AND OTHER CONCERNS
The results. findings, conclusions, and recommendations expressed in this report are based only
on conditions that were noted during the inspection of the subject property.
• Ambient's selection of sample locations and frequency of sampling was based on
observations and the assumption that like materials in the same area are homogeneous in
content.
• Refer to Section 1.0 Purpose and.Scope of Services of this report to see clarification of
survey locations that were in our scope of work.
• No electrical equipment, wiring, or other electrical components were inspected as the
building power was live at the time of the survey. These systems may contain asbestos.
• Ambient did not inspect any exterior areas below grade. Foundation sealers, buried piping,
and other items may exist below grade which may contain asbestos. Paved or concrete
sidewalk around all of the exterior.
• Floor levelers, seam sealers, adhesives, concrete sealers and other materials below flooring
layers may exist. The limited destructive nature of sampling may not have discovered these
materials as only small areas of large expanses of flooring are accessed.
• Vermiculite insulation was not found during this inspection. Currently, there is no approved
analytical methodology to confirm vermiculite as non-asbestos; therefore it automatically has
to be considered to be contaminated with asbestos in New York State. If encountered during
renovation it must be handled as an asbestos containing material. Please refer to this link for
more information http://www2.epa.ggv/asbestos/protect-your-family-asbestos-contaminated-
vermiculite-insulation
• Although there was no asbestos containing Thermal System Insulation(TSI) or pipe
insulation found there may be TSI or pipe insulation found in unseen cavities or wet walls. A
reasonable attempt was made to indentify all TSI without performing full demolition.
• The components of the window that were accessible without demolition were inspected.
Limited intrusive demolition was performed during this inspection. There may be additional
materials concealed beneath or behind window frames. Only full removal of the window
unit would reveal these materials.
• This report reflects the conditions found at the date and time of the inspections. Conditions of
the area may change due to external events or forces. Ire-inspection of the area may be required
prior to the start of any work if an extended period of time has passed or if disturbances have
occurred.
All construction personnel, as well as individuals who have access to locations where ACM
exists, should he informed of its presence and the proper work practices in these areas.
Conspicuous labeling of all ACM is suggested to ensure personnel is adequately informed.
Personnel should be informed not to rest, lean or store material or equipment on or near these
Page 5
Ambient Environmental, Inc.
surfaces and not to out, saw, drill, sand or disturb ACM. All removal, disturbance and repair of
ACM should be performed in compliance with Title 12 NYCRR Part 56 by persons properly
trained to handle ACM. Facility custodial and maintenance personnel should receive training
commensurate with tbeir work activities, as defined in 29 CFR 1910.1001.
The report is designed to aid the building owner,architect, construction manager, general
contractors,and potential asbestos or lead abatement contractors in locating ACM. Under no
circumstances is the report to be utilized as a bidding document or as a project specification
document since it does not have all the components required to serve as an Asbestos Project
Design document or an Abatement Workplan.
Our professional services have been performed, our findings obtained, and our conclusions and
recommendations prepared in accordance with customary principles and practices in the fields of
environmental science and:engineering. This statement is in lieu of other statements either
expressed or implied. This report does not warrant against future operations or conditions,nor does
it warrant against operations or conditions present of a type or at a location not investigated.
Ambient inspected and sampled materials, which were observable and accessible to the survey
team. It is possible,however, that additional suspect materials may exist within interstitial
spaces (i.e. underground chases,plenums,wall cavities, beneath pavement/asphalts pathways,
etc.), which were not accessible or not made accessible and as a result,not noted in this report.
If questions arise regarding asbestos in materials/locations that were not tested by Ambient,then
additional survey services should be procured to test these locations. Ambient makes no
representation or warranty concerning the standards and specifications provided in applicable
regulations. Any materials that have not been tested and/or found during future investigation
must be assumed positive for asbestos.
Page 6
ATTACHMENT A
SUMMARY OF SAMPLE RESULTS AND ASBESTOS SAMPLE LOCATION
DRAWINGS
AntbientEnvironmental,Inc.
TOBYSHEI%H
985 ROUTE 149, Q("E 'N,SI3UR1". NY
SUMMARY OF ASBESTOS SAMPLES AND ANALYSIS RESULTS
Sample Type of Sample Location of Sample Asbestos Content
Number
01-01 Concrete,Sidewalk North Exterior DIAD
01-02 Concrete, Sidewalk North Exterior NAD
02-01 Concrete, Floor Slab Southwest Interior NAD
02-02 Concrete, Floor Slab Southwest Interior NAD
03-01 12 x 12 Gray with Spots Bathroom NAD
Floor Tile
03-02 12 x 12 Gray with Spots Bathroom NAD
Floor Tile
04-01 12 x 12 Tan Floor Tile Southwest Interior NAD
04-02 12 x 12 Tan Floor Tile Southwest Interior NAD
05-01 Black Floor Tile Mastic Southwest Interior NAD
05-02 Black Floor Tile Mastic Southwest Interior NAD
06-01 Drywall, Wali North Interior NAD
06-02 Drywall, Wall North Interior NAD
07-01 Joint Compound, Wall North Interior <0.25% Chrysotile
07-02 Joint Compound,Wall North Interior <0.25% Chrysotile
08-01 Drywall, Ceiling Center Interior NAD
08-02 Drywall;Ceiling Center htterior NAD
09=01 Joint Compound, Ceiling North Interior NAD
09-02 Joint Compound, Ceiling North Interior 0.3%a Chrysotile
10-01 Fiberglass Insulation Jacket North Interior NAD
10-02 Fiberglass Insulation Jacket Center Interior NAD
11-01 Window Glazing, White North Exterior NAD
11-02 Window Glazing, White North Exterior NAD
12-01 Window Repair Caulk North Exterior NAD
12-02 Window Repair Caulk North Exterior NAD
13-01 Roof Shingle East Roof NAD
13-02 Roof Shingle East Roof NAD
14-01 Roof Vapor Barrier East Roof NAD
14-02 Roof Vapor Barrier East Roof NAD
15-01 Roof Edge Facia West Roof Edge NAD
15-02 Roof Edge Facia West Roof Edge NAD
NAD=No asbestos detected
Note;Refer to Assunsptions&Limitations Section of the Report,
Survey Date: August 16, 2016 Page I of I Toby Sheikh
985 State Route 149, Queensbtay, NY
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ATTACHMENT B
ASBESTOS LABORATORY ANALYSIS REPORT WITH
CHAIN OF CUSTODY DOCUMENTATION
---- -- ----� ,4meriScl New York
117 EAST 30TH ST.
Am
p NEW YORK,NY 10016
r n!'l ERI Sa TEL;(212)679-8600•FAX:(212)679-3114
PLM Bulk Asbestos Report
Ambient Environmental, Inc. Date Received 08/22/16 AmeriSci Job# 216084169
Attn: ]oella Viscusi Date Examined 08/25/16 P.O. #
12 Colvin Avenue ELAP# 11480 Page 1 of 6
RE: 160808AB; Toby Sheikh; Demo. Survey For Snack Shop, 985
Albany, NY 12206 Route 149, Queensbury, NY, Snack Shop, Interior And Exterior
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
01-01 216084169-01 No NAD
01 Location: North Exterior-Concrete(Sidewalk) (by NYS ELAP 198.1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey,Homogeneous,Non-Fibrous, Cementitious,Bulk Material
Asbestos Types:
Other Material:Cellulose Trace, Non-fibrous 100%
01-02 216084169-02 No NAD
01 Location: North Exterior-Concrete(Sidewalk) (by NYS ELAP 198.1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
02-01 216084169-03 No NAD
02 Location: Southwest Interior-Concrete(FloorSlab) (by NYS ELAP 198.1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious, Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100 %
02-02 216084169-04 No NAD
02 Location: Southwest Interior-Concrete(Floor Slab) (by NYS ELAP 198.1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey,Homogeneous, Non-Fibrous, Cementitious,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
03-01 216084169-05 No NAD
03 Location: Bathroom- 1202 Gray W/Spots Floor Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 16.7%
See Reporting notes on last page
AmeriSci Job#: 216084169 Page 2 of 6
Client Name: Ambient Environmental, Inc.
PLM Bulk Asbest®s Report
160808AB; Toby Sheikh: Demo. Survey For Snack Shop, 985
Route 149, Quemsbuay, NY, Shack Shop, interior Arid Exterior
Client No. / HGA Lab No. Asbestos Present Total %e Asbestos
03-02 216084169-06No NAD
03 Location: Bathroom-12x12 Gray W/Spots floor Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Grey, Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material.Non-fibrous 19.8%
04=01 216084169-07 No NAD
04 Location: Southwest Interior= T2x12 Tan Floor Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 08125/16
Analyst Description:Beigefran, Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 10.3%
04-02 216084169-08 No NAD
04 Location: Southwest Interior-12x12 Tan Floor Tile (by NYS ELAP 198.6)
by Valeriu Voicu
t Des on 08/25/16
Analyst Description: Beigefran,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 7.6%
05-01 216084169-09 No NAD
05 Location: Southwest Interior-Black Floor Tile Mastic (by NYS ELAP 198,6)
by Valeriu Voicu
on 08/25/16
Analyst Description:Black/Grey,Heterogeneous,NorrFlbroue,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 19.4 %
05-02 216084169-10 No NAD
05 Location: Southwest Interior-Black Floor Tile Mastic (by NYS ELAP 198.6)
by Valerlu Volcu
on 08/25/16
Analyst Description: Black/Grey,Heterogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 16.4%
06-01 216084169-11 No NAD
06 Location: North Interior-Drywall(Wall) (by NYS ELAP 198:1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Brown/White, heterogeneous,Fibrous,Bulk Matedav
Asbestos Types:
Other Material. Cellulose 7%, Non-fibrous 93%
See Reporting notes on last page
AmeriSci Job#: 216084169 Page 3 of 6
Client Name: Ambient Environmental, Inc.
PLM Bulk Asbestos Report
160808AB; Toby Sheikh; Demo. Survey For Snack Shap, 985
Route 14% Queensbury, NY, Snack Shop, Interior And Exterior
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
06-02 216084169-12 No NAD
06 Location: North interior-Drywall(Wall) (by NYS SLAP 198:1)
by Valeriu Voicu
on 08125/16
Analyst Description:Brown/White,Heterogeneous,fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose 10%, Non-fibrous 90%
07-01 216084169-13 Yes Trace (<0.25 %pc)
07 Location: Korth Interior-Joint Compound(Wall) (EPA 400 PC)
by Valeriu Voicu
on O8f25/16
Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:Chrysotile X0.25%pc
Other Material; Cellulose Trace, Non-fibrous 100%.
07=02 216084169-14 Yes Trace (<0.25 % pc)
07 Location: North Interior-Joint Compound(Wall) (EPA 400 PC)
by Valeriu Voicu
on 08!25/16'
Analyst Description White,Homogeneous,Non-Fibrous,.,Bulk:Material
Asbestos Types: Chrysotile <0.25%:pc
Other Material: Cellulose Trace, Non-fibrous 100%
08-01 216084169-15 No NAD
08 Location: Center Interior-Drywall(Ceiling) (by NYS SLAP 198.1)
by Vateriu Voicu
on 08125/16
Analyst Description; Brown/WNte,Heterogeneous,Fibrous,Bulk Materiat
Asbestos Types:
Other Material: Cellulose 15%, Non-fibrous 85%
08-02 216084169-16 No NAD
08 Location: Center Interior-Drywall(Ceiling) (by NYS SLAP 198.1)
by Valeriu Voicu
on 08/25/16
Analyst Description: Brown/White,Heterogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose 10%,, Non-fibrous 90%
09-01 216084169-17 No NAD
09 Location:, North Interior-Joint Compound(Ceiling) (by NYS SLAP 198.1)
by Valeriu Voicu
on 08125/16
Analyst Description:White/Brown,Heterogeneous,Fibrous,Bulk Material'
Asbestos Types:
Other Material: Cellulose 70%, Non-fibrous 30%
See Reporting notes on last page
AmeriSci Job,#: 216064169 Page 4 of 6
tient Name: Ambient Environmental, Inc.
PLM Bulk Asbestos Report
t60808AB; Toby Sheikh; Demo. Survey For Snack Shop, 985
Route 149, Queensbury, NY, Snack Shop, Interior And Exterior
Client No. /HGA Lab No. Asbestos Present Total % Asbestos
09-02 216084169-18; Yes 0.3 %
09 Location: North Interior-Joint Compound(Ceiling) (EPA 400 PC)
by Valeriu Voicu
on 08/25/16
Analyst Description:Beige,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:Chrysotile 0.3
Other Material.,Cellulose Trace, Non-fibrous 99.7%
10-01 216084169-19 No NAD
10 Location: North Interior-Fiberglass Insulation Jacket (by NYS ELAP 198.6)
by Valeriu Volcu
on.08126it6
Analyst Description:Silver/Fan/Black,Heterogeneous,Non-Fibrous,Bulk Material
Asbestos Types;
Other Material: Non-fibrous 41;3%
10-02 216084169-20 No NAD
10 Location: Center Interior-Fiberglass Insulation Jacket (by NYS ELAP 198;8)
by Valedu Volcu
on 08/25/16
Analyst Description:Tan/Black/Pink,Heterogeneous,Non-Fibrous,Bulk Material
Asbestos Types-,
Other Material: Fibrous glass 15%, Non-fibrous 3.3%
11-01 216084169-21 No NAD
11 Location: North Exterior-Window'Glazing(White) (by NYS ELAP 198.6)
by Valerlu Voicu
on 08/25116
Analyst Description:White/Grey,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous Talc Trace, Non-fibrous 11.1 %
11-02 216084169-22 No NAD
11 Location; North Exterior-Window Glazing(White) (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description:White/Gray,.Homogeneous,Non-Fibrous.Bulk Material
Asbestos Types:
Other Material: Non-fibrous 8%
12-09 216084169-23 No NAD
12 Location: North Exterior Window Repair Caulk (by NYS ELAP 198.6)
by Valedu Voicu
on 08/25/16
Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material::Non-fibrous 9.6%
See.Reporting notes on last page
AmeriSci Job#: 216084165
Client Name: Ambient Environmental, Inc. Page 5 of 6
PLM Bulk Asbestos Report
160808AB; Toby Sheikh; Demo. Survey For Snack Shop, 985
Route 149, Queensbury, NY, Snack Shop, Interior And Exterior
Client No. /.HGA Lab No. Asbestos Present Total % Asbestos
12-02 216084169-24 No NAD
12 Location: North Exterior-Window Repair Caulk (by NYS ELAP 198.6)
by Valeriu Voicu
Analyst Description: White, Homogeneous,Non-Fibrous,Bulk Material on 08/25/16
Asbestos Types:
Other Material: Non-fibrous 7.4%
13-01 216084169-25 No NAD
13 Location: East Roof-Roof Shingle (by NYS ELAP 198.6)
by Valeriu Voicu
an 08/25/16
Analyst Description: Black/Brown,Homogeneous,Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Fibrous glass 2%, Non-fibrous 25.6%
13-02 216084169-26 No NAD
13 Location: East Roof-Roof Shingle (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Black/Brown,Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 2%, Non-fibrous 22.9%
14-01 216084169-27 No NAD
14 Location: East Roof-Roof Vapor Barrier (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 18,2%
14-02 216084169-28 No NAD
14 Location: East Roof-Roof Vapor Barrier (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Black,Homogeneous, Non-Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous 16.5%
15-01 216084169-29 No NAD
15 Location: West Roof Edge-Roof Edge Fascia (by NYS ELAP 198.6)
by Valeriu Voicu
on 08/25/16
Analyst Description: Red/Black,Heterogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous Talc Trace, Non-fibrous 38%
See Reporting notes on last page
AmeriSci Job#: 216084169 Page 6 of 6
Client Name: Ambient Environmental, Inc.
PLM Bulk Asbestos Report
160808AB, Toby Sheikh; Demo. Survey For Snack Shop, 985
Route 14% Queensbury, NY, Snack Shop, Interior And Exterior
Client No. l HGA Lab No. Asbestos Present Total % Asbestos
15-02 216084169-30 No NAD
15 Location: West Roof Edge-Roof edge Fascia (by NYS ELAP 198:6)
by Valenu Voicu
on 08/25/16
Analyst Description: Red/Black,Heterogeneous;Non-Fibrous;Bulk Material
Asbestos Types:
Other Material: Fibrous Tale Trace, Non-fibrous 43.5%
Reporting Notes:
Analyzed by:Valedu Voicu (,N
'NAD/NSD=no asbestos detected;NA=not analyzed;NAIP5=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite;
(SM-V)=Surfag.Material containing Vermiculite;PLM Bulk Asbestos Analysis by EPA 6001M4-82.620 per 40 CFR 763(NVLAP 200546-0),FLAP
PLM Method 198.1 for NY friable samples,which includes the identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt ct
Surfacing
by EPA 600/M4-a2-020(NY ELAP Lab 11480);Note:PLM is:not consistently reliable in detecting asbestos in Moor coverings and similar non-friable
organically bound materials. NAD or Trace results by.PLM are inconclusive,TEM is curranity,the only method that can be used to determine if Iris
material can be considered or treated as non asbestos•contairdng in NY State(also see EPA Advisory for floor life,FR 59.546,38970,8/1194)National
Institute of Standards.and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of
the lab,Tnis PLM report relates ONLY to:the items tested.AIHA-LAP,LLC Lab ID 102843,RI cart AAL-094,CT Cert PH-0188,Mass Carl AA060054.
Reviewed 6y. END OF REPORT
AmeriSci Job#: 216084169 Rage 1 of 3
Client Name: Ambient Environmental, Inc.
Table I
Summary of Bulk Asbestos Analysis Results
16080BAB; Toby,Sheikh; Demo.Survey For Slack Shop,985 Route 149, Queensbury,NY, Snack Shop, Interior And Exterior
Sample Heat Acid Insoluble
AmeriScl NG Weight Sensitive Soluble Non-Asbestos "Asbestos%by ^Asbestos%by
Sample 0 Client Sample# Area (gram) organic% Inorganic% Inorganic% PLMIDS TEM
01 01.01 01 - -^ _ NAD NA
Location. North Exterior-Concrete(Sidewalk)
02 01402 01 — -•- — — NAD. NA
London: North Exterior-Concrete(Sidewalk)
03 02-01 02. — ---- -- — NAD NA
London: Southwest Interior-Concrete:(Floor Slab)
04 '02-02. 02 --- — — NAD NA
Location: Southwest Interior-Concrete(Floor Slab)
05 03-01 03 0.264 18.6 64.8 16.7 NAD NAD
Location; Bathroom-12x12 Gray Wt Spots Floor Tile
06 03.02 03 0.262 14.5. 65.6 19.8NAD NAD
Location: Bathroom-12x12 Gray W1 Spats Floor Tile
07 04-01 04 0.204 15.7 74.0 10.3 NAD NAD
London: Southwest Interior-12x12 Tan Floor Tile
08 04-02 04 0.393 15.5 76.8 7.6 NAD NAD
Location: Southwest Interior-12x12 Tan Floor Tile
09 05.01 05 0.623 35,8 44.8 19.4 NAD NAD
Location: Southwest interior-Black Floor Tile Mastic
10 05-02 05 0444 35.1 48.4 16.4. NAD NAD
Location: Southwest Interior-Black Floor Tile Mastic
11 06-01 08 — -- ---- — NAD NA
Location; North Interior-Drywall(Wag)
12 06-02 '06 — -- ---- NAD NA
Location:. North Interior-Drywall(Wall)
13 07-01 07 — --- — Chrysotile<0.25 NA
Location:. North Interior-Joint Compound(Wall)
14 07.02 07 -- Chrysotile<0.25 NA
Location: North interior-Joint Compound(Wall)
15 08.01 08 — -- -- — NAD NA
Location: Center Interior-Drywall(Ceiling)
16 08.02 08 -- -- — NAD NA
Location: Center Interior-Drywall(Ceiling)
See Reporting notes on last page
AmeriSci Job#: 216084169 Page 2 of 3
Client Name: Ambient Environmental, Inc.
Table I
Summary of Bulk Asbestos Analysis Results
160808AB: Toby Sheikh; Demo. Survey For Snack Shop, 885 Route 149, Queensbury, NY; Snack Shop; Interior And Exterior
Sample- Heat Acid Insoluble
AmeriSci HG Weight. sonaitive Soluble Non-Asbestos ^Asbestos%by "Asbestos%by
Sample cllent8ample# Area (gram) Organic% Inorganic% Inorganic/, PLMIDS - TEM
17 09-01 09 - ..- - - NAD NA
Location: North Interior-Joint Compound(Ceiling)
18 09-02 09 - -- --- - Chrysotile 0.3 NA
Location: North Interior-Joint Compound(Gelling)
19 10.01 10 0,208 58.2. 0.5 41.3 NAD NAD
Location: North Interior Fiberglass Insulation Jacket
20 10.02 10 0.257 80.9 0.8 18.3 NAD NAD
Location: Center Interior-Fiberglass Insulation Jacket
21 1141 11 0.314 10.8 78.0 11.1 NAD NAD
Location: North Exterior-Window Glazing(While)
22 11-02 11 0.501 0.6 85A 8.0 NAD NAD
Location: North Exterior-Window Glazing-(WhMt
23 12-01 12 0.416 28.4 62.0 9.6 NAD NAD
Location: North Exterior-Window Repair Caulk
24 12.02 12 '0.256. 25.0 -67.6 7.4 NAD NAD
Location: North Exterior-Window Repair Caulk
25 13-01 13 0.492 23.2 49.2 27.6 NAD NAD
Location: East Roof-Roof Shingle
26 13.02 13 0.489 19.4 55.6 24.9 NAD NAD
Location: East Roof-Roof Shingle
27 14.01 14 0.086 80.3 1.5 18.2 NAD NAD
Location: East Roof-Roof Vapor Bander
28 14.02 14 0.091 62R 1.1 16.5 NAD NAD
Location: East Roof-Roof Vapor Barrier
29 15.01 15 0.187 59.9 2.1 38.0 NAD NAD
Location: West Roof Edge-Roof Edge Fascia
30 15-02 15 0.230 56.1 0.4 43.5 NAD NAD
Location: West Roof Edge-Roof Edge Fascia
Soo Reporting notes on last nage
AmeriSci Job#: 216064169
Client Name; Ambient Environmental,_Inc.
Rage 3 of 3
Table I
Summary of Bulk Asbestos Analysis Results
169808A8; Toby Sheikh; Demo,Survey For Snack Shop, 985Route 149,Queensbury, NY;Snack Shop, Interior And Exterior
Sample Heat Acid Insoluble
AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%b
Sample# Client Sample# Area (gram) OrgaNe% Inorganle°!b Inorganle% PLM/DS Y .,AsSTEMs%by
t
i%
Analyzed by:Aleksandr Barengol[s i.., -' •Date Analyzed 8/26/2016
"Quantitative Analysis(SomllFull);Bulk As �RAaiysls-PLM by EPA 6g0/M4.4-020 per 40 GFR or ELAP 198.1 for New York fridbl@ samples or ELAP 198.6 for New York NOB samples;TEM
(Semi/Full)by EPA 600/R-93l116.(not cover y NVLAP Bulk accreditation)or FLAP 196.4;for New York samples:NAD=no asbestos detected during a P 198.6 forive analysis NA Snot pies;TE bete=
<1%;(SOF-V)=Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quanfitation-for bgginning weights of<0.1 grams should be considered as qualitative
only;Qualitative Analysis:Asbestos analysis results of"Present^or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEM Analysis only(no accreditation coverage available from any
regulatory agency for qualitative analyses):NVLAP(PLM)200546-0,NYSDOH ELAP Lab 11480,AIHA-LAP,LLC(PLM)Lab to 102843.
Warning Note;PLM limitapon,only TEM will resolve fibers 4025 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrix material and may not be representative of
non-uniformly dispersed dgbris for which PLM evaluation is recommended(i.e.sots and other heterogenous materials).
Reviewed By:
Ambient Environmontal, Inc,
Comprehensive Building SclitnceSoludons Page___I'__of 3_
1Colvin Albany,NY 12206
NCfed iE PH:51qe2-070a I Fid82 750
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10: 11, 42 13,sampled.Material 14.T
Laboratory 'Homogenesis Bulk _ YPa of Me 15.SampleeLocatian _ 16. 17. 18.quantity 19.Asbestos
Sample Area Number Sample ID Sud TSI MISC Sample Coordinates Friability Condg{on (LF,SF FA) Content
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ATTACHMENT C
COMPANY, INSPECTOR AND LABORATORY ACCREDITATION
AND LICENSES
New York State-Department of Labor
Di4ston of Safely and Health
License and Ce tificate Unit
Slate Campus,Building 12
Albany,NY 12240
ASBESTOS HANDLING LICENSE
Ambient Environmental, Inc. FILE NUMBER: 06-0549
LICENSE NUMBER 29608
826 Washington Avenue LICENSE CLASS: RESTRICTED
DATE OF ISSUE 07/07/2016
Albany,NY 12203 EXPIRATION DATE: 07/31/2017
Duly Authorized Representative—Joella Uiscusi:
This license has been issued in accordance with applicable provisions of Article 30 of the Libor 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 stare, 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 materiae
This license is valid only for the contractor named above and this license or a photocopy must be prominently displavedat the
asbestos project worksite. This license verifies that all:persons employed by the licensee on an asbestos project in Ncw York
State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State
Department of Labor.
LJ
Eileen Af.Franke, Director
Sri 432(8112) For the Commissioner of Labor
Itit[Aift S`M( U e V e 0 nIefl
Deiemher iii,2014
file ED so-a"
AAs Joelfa Viscust
Ambient Environmental Inc
12 Colvin Avenue
Albany,NY 12206
Dear'Ms.loetia Viscusi
The New York State Department at Economic Development,Division of Mmonty and women's Business
Development.{DIyIWBD)has determined that your film,Ambient Environmental Inc,, continues to meet
Eligibility requitaments for re-certification,.pursuant:to fkecutive i,aw,Article 15-A and SNYCRR Sectioo 740
through 145 of the Regulations
Therefore,we are pleased to inform you that yo.ucfirm,has once again,been granted status as a Women
Business.Enterprise(WOE) your business will continue in be listed I"the_States Directory of Certified
Businesses with codes listed on:the:following page..
This Certification remains in effect for a period of generaliv three 13iyears from the date of this letter or until
such time as you are selected again;bythis office tot re,cenification,Any changes in your company that affect
ownership,managerial and/or operational control,must be reported to this Office within thirty t30t days of such
changes;Including.changes to company name,husiness-address,telephone numbers,principal
products/services and bonding capacity.
Tne Certification status is not Intended to Impiythat New York'State;gpalanMes your company's capability to
pEn ifin an contracts,.not does it_imply that.your company is guaranteed ary State business.
I hi for your cooperation On hehah of the State of New York,I wish ycw luck.n your business,endeavors,.
partscutariy those involving State agencies.
Sincerely..
Bette:Yee
r';rF.Gtc.! nr Cert!ilr 3;i¢,OLer iti7n4
k.1 r y f t ( C y� �} �y New TorA 51a/t Dtpnrtmrnl of(kanomlt Derrlopmert
1 A'krf -�R�' v♦ +i: f. 4. if e o. m 4 )t 633 in,o Arenurtsrw Vora Ne,ro,4;dla:'Ie1212803 Ta)<
v.tir Sac.w.+:.r cd::y you/M1Y8yntm�
December 10.2014
rile IG':S004y
Ms Jnella viscusi
Ambien;fnvironmenta)Int
12 Colvm Avenue
Alpany, NY 12206
A=ient fnvkerwirizl lnc i,o jjs;vcl f»the 5ta£r k 0..*•<;r-rr n f•,r.1f rd BarsSesca,v In tf v Eryk:.:wME,£,sl ni
¢odesfor produCt S and servt(yts�:
ESO-C-0029.ASBESTOS REMOVAL.
ESO-1-0246:ENVIRONMENTAL CONSULTANTS
ESD f-1012 ASBESTOS ABATf MENT &COMPLIANCE
(50-h2070.A58ESTOS ABATEMENT PLANS&COMPLIANCE
ESOT-.2072,,.LEAD PAINT ABATEMENTOWNS&COMPLIANCE
PSD-:2429-LEAD INSPECTION& RISK ASSPSSMENT
1,AIC -_'31S:C):i,S9E'.TG .ABA7-fWLNISEhviCES
NAfCS 562910:ASBESTOS REMOVAL GM'TRACIORS
W
V
��Att CY N%fv tvF e.
<f.:qwY. N.Y. '.a21?-
)nn.r+H[UOun.: 2.HOH%n'M CvewfCc
COvy,ySrtfv(R GOV%FrapN
013
i!AR 2I Visousi.Prebided:
Ambien-,Environmenisi, inc
12 Colvin Avenue
Albany,NY 1220€
Ke: 1313E CERTMCATiON NOTICE
Dear Ms.Viscusi:
The New York State Department of Transporstion(NYSDOT), a Certifying Partner in the
Nm York,State llwfred Certification Program (NYS2ICP), is pleased toinfarin you.that
your firth meds the Ogibifiryctiteiia'estabbshe d by the G'S Department of Trantgortation
Disadvantaged Huscness Enterprises regu)ation, codified at 49 rFR,.Pan 26, and has been
ti:'
CFRTrb a:4 F Dw}viiatag-m Susiness Enterprise.(DSF) with the N:'SUCP.Your rurn
is mnified,to provide the services tistcd_below
Arte of Service: Ensironmentel &Sanitation ConsultingSenicev
NA1CS
541620[Environmental Coruulung Services
;tYSD Codes;
OSOB Air Quality
OBOE Noise
080H fiaaaidow Wrstc/Asbcstosll..cad
Yc-us f nn is digiti;" w panmipste as a DBE oa N`YSDO`F,.Me mpo'han Trampanadcn
•. ::ir,:its P u(� ." "5 i'r',<w' York end New rmmv rod iiiagarr Fmnder Trarspanatian
t1 s.::•.. '-Ct5 ni ria lrlonufied 5c,Vice:2:mn.
Y: toe N'YSL'CP wdl rt_-tos effect 'e for za :ang es your
;vgtu-wmcc;r r- U the owncrst;iF aad
��. _'� : '.i'. r..•:', "nn., ,ee..gran.ezt,hay n ._nkrt HeSwcv,er
ov. rsrship et cmtroi. li die cvcpl die,• Uaerc are changes; phase bt advisstt'that y4w arc
requirrd 'to no:ify- .the NYSDO7% within 3C' day.:, cf any changes in you! business'
ownership,control ardret operations including zddress,telephone number,business services
and capabilities Fzii r: io adhere (c.[hest mcuiremenis may result in the rcrnoval 01 i r1r,
cer6ficahor,. -
Yov: firth uii' tt..7-.eipcc;: it, the;:5i:CF G;c C} (_. �'ft;i ccr ruc_t, mac} +shies wi ,
indicate the type of work tha'.your firm has been unified to perform
Please noir that any of the Certifying Pouters of rhe NYSUC.p resents the sight to review
your firm's certification eligibility prior to your firm's participation or, a reccretly asisisietl
project for their agency or at any time that it is deternimorl that such rervaluation
warranted.
As c newly wiified OBE highwayy-arid itridge consyracOcut controctol, you res. eltgiblr to
receive x -!tcc oc;t-yea: io Bid Expneir. (Hid-X1Bid-X Weh-bisod
subscription service that provider for the electronic submission of conimet bids by
coarractars for NYSDGT contracts To learn more obout the fee urea and benefits of Bid-k.
please contact NYSDOT Office of Civil Right<at QCR.SSN@tlot slate.ny w
Furthermore, as a newly`certified DBE you should be aware that the U.S- Stns11 Business.
Admimstiation (SBA) can guaranscc bonds for contracts up ry S2 million. coveting bid,
performance and payment bonds for small and emerging contractors who caro: obtain
s+trcty bonds through 'ieg`star ro^u.:erraal channels. To learn more about the Surety Bond
Gaarantee program, please tali 5017-U-ASK-SbA (dint 62'1-y ) or visit:
title'//wwu'Sba RO�:rR-eR,�IlRti
We are pitascd to have you as a participant in the 1v`YSUCII and wish you much success
Should you lave arty gocstionc, rltasc ^_mail i.o-v.Srnit a. e#et,r u , or cal: jclF) 45Y-
3180.
Sincerely,
�O'r� �3n�itia
Lot y Smirks
Compliance Spct:Wis'
.'.)IZZ"t:eitt71eE1len
Orrin:of Audit
STATE OF NEW YORY'•DEPARTMENT Of WOR
ASSES TOK€R'nFiCATE
DAVID R.FOOTE
CLASS(EXPIRES)
CATEC(04117) 0WSP(04117)
-N PM (04/17)
MUST BE CARMED ON ASBESTOS PROJECTS
IP FOUND RETURN TO:
a
.�n BYES 8R0 NYSDOL - LGC UNIT
HAIR RRO ROOM 161A BUILDING 22
�$ EO1` S' 11" STATE OFFICE CA$PUS
o
�- A79P17Y 17Y 12200
�'e
NEW YORK STATE DEPARTMENT OF HEALTH
WADSWORTH CENTER
�. Expires 12;01 AM April At, 2017
;,, Issued April 01, 2016
,I
•4'Itn. ^
CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE
Issued in accordance with andpursuant to section 502 Pu4licHealth Law othiew Yolk state
MR. PAUL J. MUCHA NY Lab Id No: 91480
AMERICA SCIENCE TEAM NEW YORK INC
117 EAST 30TH ST
NEW YORK, NY 10016
is herebyAPPROVED as an Environmental Laboratory for the category
ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE
Ali approved subcategories and/or analytes are listed below
Miscellaneous
Asbestos in Friable Maieriai item 195.1 of Manual
EPA 600IM4i82/020
Asbestos.In-Non-Friable Material-PLM llem 198.6 of Manual(NOB by PLM)
Asbestos in Non-Friable Material-TEM Item 198.4 of Manual
Serial No.: 54287
Property of me New Yon,State Department of Neallh Certificates are valid only at the address
shown.must be-conspicuously posted.and are piled on secure paper. Cominuad aceredltaton depends
onsuccessful ongoing participation in the Program, Consumers are Urged to call.(518)485-5570 to
verity the laboratorys accreditation status.
Page 1 of 1
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