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asbestos report
intertek 104 Erie Blvd Schenectady, NY 12305 phone 518-377-9841 { FILE COP`l intertek.com/building psiusa.com TOWN OF QUEENSBURY BUILDING DEPARTMENT August 29, 2019 Based on our limited examination,compliance with our comments shall not be construed as Mr. Frank Marshall indicating the plans and specifications are in full compliance with the Building Codes of Engineering Dept, Property and MEP Project Manager New York State. The Saratoga Hospital 211 Church Street Saratoga Springs, New York 12866ECE I WERRE: Asbestos Project Monitoring & Air Sampling Post Abatement Ambient Results SEP 09 20191 g Former Carl R's Restaurant _ 124 Main Street TOWN OF QUEENSBURY Queensbury, New York 12804 BUILDING& CODES PSI Project No. 08213480 - Dear Mr. Marshall: In accordance with our agreement, Professional Service Industries, Inc., (PSI) provided Asbestos Project Monitoring and Air Sampling services during the asbestos abatement project at the former Carl R's restaurant located at 124 Main Street in Queensbury, New York. Air sample analysis was provided by PSI under New York State ELAP Certificate Number 10849. Project and air monitoring services for this project were provided under New York State Asbestos Handling License Number 29878. Abatement of asbestos-containing materials was performed by NRC NY Environmental Services, Inc. of 114 Bridge Road in Salisbury, Massachusetts, under New York State Asbestos Handling License Number 30030. The scope of asbestos abatement project included abatement of asbestos-containing floor tile and sink basin coatings. Each work area was a minor project (less than ten square feet) as defined by New York State Industrial Code Rule 56 (NYS ICR 56). Full time project monitoring was not required or requested for the minor size projects. Supervision of the work was provided by the asbestos abatement contractor, with an asbestos supervisor certified by the State of New York. Visual inspection of the work area as required by New York State Industrial Code Rule 56 (NYS ICR 56) was performed by the asbestos abatement contractor's supervisor. In accordance with the scope of work for this project, PSI also performed air sample collection and analysis. PSI's sampling included the collection of air samples in general accordance with NYS ICR 56. In accordance with NYSICR 56, PSI arrived at site at the conclusion of abatement in the work areas to perform post abatement air sampling which is required only on minor sized work areas if it is associated with an overall small or large sized asbestos abatement project, which is defined as greater than 25 linear feet or 10 square feet of asbestos containing material. If the project size is just a minor abatement project, defined as 25 linear feet or less or 10 square feet or less, there is no air monitoring required. A visual inspection is required for minor sized work PROFESSIONAL SERVICE INDUSTRIES,INC.104 ERIE BOULEVARD,SCHENECTADY,NEW YORK 12305 Ph 518/377-9841 Fax 51 377-•:47 TOWN OF QU ',Up/ BUILDING & ' O' ' S T. Reviewed B : I /. Date: __ _ q 1 loJ j,, areas, which can be performed by the asbestos abatement contractor supervisor. When PSI , • arrived at the site, the asbestos abatement contractor had already dismantled the interior minor sized work areas, as the supervisor believed no air sampling was required. However, because of the size of the exterior roof abatement, post abatement air sampling should have been conducted. As the work areas were dismantled, PSI collected ambient air samples at the approximate locations of the work areas. Because, the building is to be demolished, we believe the ambient air samples would provide adequate proof of successful abatement, if they met the clearance criterial of <0.01 f/cc. The ambient air samples were collected and analyzed on July 24, 2019. Laboratory analysis indicated that each sample was less than 0.01 fibers per cubic centimeter (<0.01 f/cc) meeting regulatory clearance standards. Attached to this report please find the Report of Air Monitoring and PSI Personnel and Laboratory Certifications. PSI appreciates the opportunity to provide our services to the Saratoga Hospital. Should you have any questions, please do not hesitate to contact PSI at 518-377-9841. Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC. _ a/a_ y I Joseph Armer John J. Tranter Project Manager Manager/ Principal Consultant Attachments: Report of Air Monitoring —Area Samples PSI Personnel and Laboratory Certificates Saratoga Hospital Former Carl R's 124 Main Street, Queensbury, New York Air Sampling Results PSI Project No. 08213480 August 29, 2019 Page 2 of 2 tntetek Intertek-PSI Tel +1518-377-9841 104 Erie Boulevard Fax+1 518-377-9847 Schenectady,New York 12305 intertek.com/bullding REPORT OF AIR MONITORING -AREA SAMPLES Page: 1 of 2 Tested for: Saratoga Hospital Project: 08213480 211 Church Street Former Carl R's Demolition Saratoga Springs,New York 12866 Work Area: Sink 1 and 2/Basement Attn: Frank Marshall Floor Tile(Red) Clearance(IIC)/Ambient Sampled By: Dominic Notar Report#: A494 Date Sampled: 07/24/19 Date Analyzed: 07/24/19 Report Date: 07/25/19 FIELD LAB SAMPLE PUMP START/FINISH FLOW RATE VOLUME,#FIBERS/FIBERS/ FIBERS/ INTRALAB INTERLAB ID NUMBER LOCATION TYPE ID TIME L/MIN LITERS #FIELDS mm(21 cc• Cv. Cv. 01 194426A Ambient(Basement Clearance/ 617 09:59 11:43 12.0/12.0 1248 16/100 20.4 0.006 0.24 0.31 Floor Tile,IWA 1) Ambient 02 194427A Ambient(Sink Center Clearance/ HV 10:01 11:42 12.0/12.0 1212 11/100 14.0 0.004 0.24 0.31 Room,IWA 2) Ambient 097 03 194428A Ambient(Sink Front Clearance/ HV 10:03 11:56 12.0/9.5 1215 10/100 12.7 0.004 0.24 0.31 Room,IWA 3) Ambient 840 04 194429A Field Blank N/A N/A N/A N/A N/A N/A 0/100 0.0 N/A N/A N/A 05 194430A Field Blank N/A N/A N/A N/A N/A N/A 0/100 0.0 N/A N/A N/A 06 194431A OWA 1 (Sinks) Clearance/ HV 11:13 13:05 9.5/12.0 1204 17/100 21.7 0.007 0.24 0.31 Ambient 840 •Corrected for blank count NOTES: (1)Analytical Methods: NIOSH Method 7400,Issue 2,dated 15 August 1994,not specific for asbestos. Cassettes: 25mm unless otherwise noted. (2)Working range of Method 7400 Is 100 to 1300 fibers/mm2. Limit of Quantification(LOQ)=100 fibers/mm2. Limit of Detection (LOD)=7 fibers/mm2. (3)Where fiber density is less than 100 fibers/mm2,greater sample volumes are recommended if feasible. (4)This report may not be reproduced,except in full,without the approval of PSI. (5)Results obtained and reported here relate solely to the samples as received by the laboratory. ANALYST: Jenny Scholl Res ectfully submitted, SCOPE: Nikon P OFESSIONAL SERVICE INDUSTRIES, INC. SERIAL 4: 954885 ELAP #10849 tntertek Intertek-PSI Tel +1518-377-9841 104 Erie Boulevard Fax+1 518-377-9847 Schenectady,New York 12305 intertek.com/building REPORT OF AIR MONITORING - AREA SAMPLES Page: 2 of 2 Tested for: Saratoga Hospital Project: 08213480 211 Church Street Former Carl R's Demolition Saratoga Springs, New York 12866 Work Area: Sink 1 and 2/Basement Attn: Frank Marshall Floor Tile(Red) Clearance (IIC)/Ambient Sampled By: Dominic Notar Report#: A494 Date Sampled: 07/24/19 Date Analyzed: 07/24/19 Report Date: 07/25/19 FIELD LAB SAMPLE PUMP START/FINISH FLOW RATE VOLUME,#FIBERS/FIBERS! FIBERS/ INTRALAB INTERLAB ID NUMBER LOCATION TYPE ID TIME L/MIN LITERS #FIELDS mm(2') cc' Cv. Cv. 07 194432A OWA 2(Basement) Clearance/ HV 11:08 12:40 13.2/13.2 1214 7/100 8.9 0.003 0.24 0.31 Ambient 091 Corrected for blank count NOTES: (1)Analytical Methods: NIOSH Method 7400,Issue 2,dated 15 August 1994,not specific for asbestos. Cassettes: 25mm unless otherwise noted. (2)Working range of Method 7400 is 100 to 1300 fibers/mm2. Limit of Quantification(LOQ)=100 fibers/mm2. Limit of Detection (LOD)=7 fibers/mm2. (3)Where fiber density is less than 100 fibers/mm2,greater sample volumes are recommended if feasible. (4)This report may not be reproduced,except in full,without the approval of PSI. (5)Results obtained and reported here relate solely to the samples as received by the laboratory. ANALYST: Jenny Scholl Respectfully submitted, SCOPE: Nikon P FESSIONAL SERVICE INDUSTRIES, INC. SERIAL#: 954885 ELAP #10849 REPORT OF AIR MONITORING -AREA SAMPLES Ultertek Project Name: Former Carl R's Demolition PSI Project Number: 08213480 Asbestos Contractor NRC NY Environmental Services,Inc. DOL Project Reference# 26451025 Sampling Phase: Turn✓ Around Time: ❑Backgrounds(IS) Y�.48 Hours(Standard) client:Saratoga Hospital County&Site:Warren,124 Main Street Oueensbury ❑Area Preparation(HA) !!E_❑-29 Hours 211 Church Street } ❑Abatemmtieleaolog ma&tIC) 0-.12 Hours Saratoga Springs,New York 12866 Work Area: 9((/l, k '0.w 1 o 'McA(� VIA w il Clearance plc) ❑-RUSH(Immediate) �eP v__• -:( . red) 'xl Amblent(Not for Protects) 7,�/ ) Attn: Frank Marshall Sampl d By: W(p VI(C, A...) 4-t Rotometer Id 0 0" Date Calibrated: 71/I(Q Report Number: A494 Sampled Date: 7(Z L I(rl Analysis Date: 7 a i 9 Method of Calibration bubble burette LAB ID NUMBER FIELD SAMPLE FLOW RATE PUMP VOLUME a fibers Fibers/ Fibers IntraLab Intorlab SAMPLE N NUMBER LOCATION TIME ON TIME OFF Stan Stop ID I (arm) a fields mm2 cc cV cV Comments H /9141-/a/0A (M en-�'S IDS tv�iisr a�iq l( q 12a(2.0 �17 ►ZL1 3 400 011.4 o,OD(o of a4 0.31 /gyya 7A 2 a e - Celt ,wboo 111� Z(0000zl � cz•� !Z 12 I/`60 /4.0 0.004 oa4 0,31 /91#498/9 3 A14,b;es,k(s'r00 )(i�� i�03 i156 iza �1S gyD lll� '�"va 1027 0.004 0.94 a31 /9441 a 9f3 Li 'Fe-0— k),ccv\,\ ( - _____` NCO 0.0 /9 r 41✓IA r c F c.2(8•-Sol r 1/NI, 7_ i i i - , 960 0.0 Mi1/3iA 6 0 LN I rs(.,4-. ..` ) I 1 13 1,3056(.5 n.0 i 2ol (no di•7 0.001 0,aq 0,31 Igo /994'3af* - 7 0 v&}pc 7 tb''•56'''109 Iiof 12q0 131113.2 o4 I2l`I Rco 8•9 p.0D3 0.021-1 0.31 i 1 I 1 I 'Corrected for blank count NOTES:(11 Analytical Methods:NIOSH Method 7400.Issue 2,dated 15 August 1094,not specific for asbestos. Respectfully submitted, Cassettes 25mm unless otherwise noted. 12)Working range al Method 740(1 is 100 to 1300 liters/mm2.Limit of OuanNlkation ILOD)=100 libers/mm2.Lind of Detection (LOD)=7liers/mm2. Professional Service Industries,Inc. (3)Where fiber density is less than 100 hbers/mm2,greeter sample volumes ere recommended if feasible (4)Tha report may not be reproduced,except in IA without the approve(of PSI (5) esulls obtained eJ d�heerre/r//o d e solely la the samples as received try the laboratory. ANALYST. t't� ELAP 110849 Scope:NI K� Serial N:95 I$"5 CHAIN OF CUSTODY ECORD Relinquished By: ROUTING INFORMATION �•-Df it�e Received Br J atefrime2e (Signature) �� tl-1 ••� IJ1(q (Signature) l�/p/�14). 7/a4/P/ a'36 Field Report to Fax No.: Relinquished By: Date/Tif fine Received By lDate/Time jStgnature) (Signature) Final Report to _Far No.: Relinquished By: Date/Time Received By: Date/Time (Signature) (Signature) PSI Project Manager: Disposition of Samples: 60 days unless otherwise noted. • • New York een DivisionState of—SafDety andpartm Health of Labor License and rtrfic State Campuus, wildingateUr 12 y _ ...IC() SS HANDLING LICENSE f ' nal Se tries. Inc. $ l )1 -- ` FILE NUMBER: 99-0046 -,: *:' LICENSE NUMBER: 2987 1 Eritooloor LICENSE CLASS: RESTRICTED DATE OF ISSUE: 03/21/2019CY 12305 G^ EXPIRATION DATE: 03/31 0 :1;4.,::.\-,,t)::: : ....,4„,::.sfarirmireseireaas-v_ ..410-11 ( ?,,i4:,,i-,t,--;:l ,.. as - r, , 1, ,A, , _. _ ....\ • Cli°1° , -•=1 Duly -,4 Author: a resentative'-John J Tranter = .: ': "r,01 i . 0 1 ..',;,Oti, r.;;;;;;;.---,-;,,, , ..:,,,,N2A,,,. .„_: ' - I P • ) ' , li:11411 This license has been issued in accordance ith applicable provisi of Artiel + f the sr Law of New Yor a - . ' o the New York State Codes,Rules�`i ;egt �ti©ns(I 2 NYQkR Part It is su 0•ct tIS sus ' sion or revocation .r a(1) serio violation of tate,federal •' fla"s with regard tjhe conduct of an as=esto#prt ; ,or(2)demonstrate.' k r or iby nduct of an involuting as estQs or�sb §tos material., 4 lltt'- Aiviii Thi 'clee only for the contractor named above and this license eti. .•s. mu • mi tly displayed at the asbe pr�o.(ect worksite. This-1ii�pse verifies that l ;sons • : A. i, e lic .ee on a• :'-st roJtct in New York State e&en.issued an Asbestos Certificate. ap �ta .,,t ey perform,by t ew Yo ' tate Depart t o bor. ._ I:4E NT-A L'i 'As' ileen M. Franko, Director SH 432(8/12) For the Commissioner of Labor Intertek P12613 104 Erie Blvd Schenectady, NY 12305 phone: 518-377-9841 intertek.corn/building May 2, 2018 psiusa corn Saratoga Hospital C E O W n 211 Church Street G Saratoga Springs, New York 12866 i Lpli JUN262019 J Attn: Mr. Frank Marshall Property and MEP Project Manager TOWN OF QUEENSBURY BUILDING, St CODES Re: Demolition Asbestos Survey Report Former Carl R's Restaurant 124 Main Street FILE COPY Queensbury, New York 12804 PSI Project No. 08212868 Dear Mr. Marshall: In accordance with your request, Professional Service Industries, Inc. (PSI), has performed a Demolition Asbestos Survey of the above referenced property. Please find one copy of the final report enclosed. Thank you for choosing PSI as your consultant for this project. If you have any questions, or if we can be of additional service, please call us at (518) 377-9841. Respectfully submitted, TOWN OF QUEENSBURY PROFESSIONAL SERVICE INDUSTRIES, INC. BUILDING DEPARTMENT Based on our limited examination,compliance �� with our comments shag! not be construed as indicating the plans and specifications are in full compliance with the Building Codes of Joiph Armer New York State. Project Manager Enclosures TOWN OFQUE• '• 714. BUILDING & •OD' �/�,,` Reviewed By. ����.,I Date; ��r ' 'vr TZZ 71 Infonnation DEMOLITION ASBESTOS ItiFrTOBUIId On SURVEY REPORT For the FORMER CARL R'S RESTAURANT 124 MAIN STREET QUEENSBURY, NEW YORK 12804 Prepared for SARATOGA HOSPITAL 211 CHURCH STREET SARATOGA SPRINGS, NEW YORK 12866 Prepared by Professional Service Industries, Inc. 104 Erie Boulevard Schenectady, New York 12305 Telephone(518)377-9841 Jo eph Armer Project Manager PSI PROJECT NO. 08212868 May 2, 2018 Joh District Manager/Principal Consultant TABLE OF CONTENTS 1. EXECUTIVE SUMMARY 1 2. INTRODUCTION 4 2.1 AUTHORIZATION 4 2.2 SITE DESCRIPTION 4 2.3 PROJECT BACKGROUND 5 2.4 PURPOSE AND SCOPE 5 3. ASSESSMENT ACTIVITIES 6 3.1 RECORD DOCUMENT REVIEW 6 3.2 VISUAL INSPECTION 6 3.3 SAMPLING AND ANALYSIS 6 4. CONCLUSIONS AND RECOMMENDATIONS 8 4.1 ASBESTOS CONTAINING MATERIALS 8 5. WARRANTY 11 TABLES TABLE 1 -ASBESTOS CONTAINING MATERIALS LIST OF APPENDICES& FIGURES FIGURE 1: SITE LAYOUT AND SAMPLING LOCATIONS APPENDIX A: ASBESTOS INSPECTION DATA SHEET APPENDIX B: LABORATORY ANALYTICAL REPORTS APPENDIX C: PERSONNEL AND LABORATORY CERTIFICATIONS Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 1. EXECUTIVE SUMMARY PSI conducted a demolition asbestos survey at the former Carl R's restaurant located at 124 Main Street in Queensbury, New York on April 12, 13, 16 and 23, 2018. The subject site consisted of a vacant single story former restaurant with a basement and attic. The assessment was performed for Saratoga Hospital. This survey was conducted at the request of Saratoga Hospital on the basis of identifying asbestos containing materials in the building prior to its demolition. The scope of the Demolition Asbestos Survey was to identify, quantify and assess the condition of suspect asbestos containing materials (ACM) at the project site, as well as the collection and analysis of bulk samples. Based on the methodologies described in this report, PSI identified ACM. PSI collected two hundred and forty (240) samples from one hundred and twelve (112) suspect asbestos containing homogenous materials from the building during the survey. The following materials were found by laboratory analysis to contain greater than one percent asbestos and are therefore considered to be ACM: • Red Floor Tile Remnants • Yellow Penetration Sealant • Black Sink Basin Coating • Rolled Roofing • Black Roof Flashing • Black Vent Tar The following materials were found by laboratory analysis to contain less than one percent asbestos. These materials are not considered to be ACM, however OSHA work control practices and prohibitions will still apply, with the extent depending on whether the worker's exposure to airborne asbestos exceeds the OSHA PEL during the renovation/demolition process: • Sprinkler Line Pipe Sealant • Tan Glue Dabs The following materials were sampled and analyzed and determined not to contain asbestos; therefore they are not considered to be ACM by EPA. • Drywall • Brown Floor Covering • Joint Compound • Fiberglass Duct Insulation and • Drywall Tape Jacket • Fiberglass Batt Insulation and Jacket • Cementitious Safe Insulation and • Yellow Carpet Adhesive Jacket • Block Mortar • 12"x12" Blue Marble Floor Tile • 2'x4' Crater Ceiling Tile • Black Adhesive for 12"x12" Blue • 2'x4' Smooth Ceiling Tile Marble Floor Tile • Gray Wrap Pipe Insulation • 4" Brown Cove Bas • Wood Floor Vapor Barrier • Brown Cove Base Adhesive Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 • Square Pattern Spline Ceiling Tile • Yellow Wall Panel Adhesive • Brown Glue Dabs • Fire Door Insulation • Tan Door Threshold Strip • Door Adhesive • Brown Wall Panel Adhesive • 1'x1' Hole Pattern Ceiling Tile • Thinset Grout • Black Glue Dabs • Thinset Mortar • Cooler Ceramic Floor Grout • Thinset Backing and Adhesive • Cooler Ceramic Floor Mortar • Yellow Ceramic Wall Tile Adhesive • Styrofoam Cooler Adhesive • Ceramic Wall Tile Grout • Yellow Carpet Adhesive-First Floor • White Safe Insulation • Yellow Ceiling Panel Adhesive • Fiberglass Boiler Insulation • Metal Panel Insulation • Black Vibration Joint Cloth • Drywall Ceiling Board • Crawlspace Drywall • Drywall Ceiling Board Joint • Crawlspace Drywall Joint Compound Compound • Crawlspace Drywall Tape • Tan Light Heat Shield • White Insulation Layer in Plastic • Green Carpet Adhesive Vapor Barrier • Black Putty Window Glazing • Black Vapor Barrier Compound • Black Vapor Barrier on Block • Orange Ceramic Floor Tile Grout • Yellow Truss Adhesive • Orange Ceramic Floor Tile Mortar • Black Tar on Wood • 2'x4' Wavy Line Pattern Ceiling Tile • Black Floor Barrier • Yellow Partition Adhesive • Packing Around Water Pipe • Paper Board on Truss • Gray Stair Carpet Adhesive • Blown In Insulation • Yellow Textured Wall Paper and • Green Floor Tile Adhesive • Gray Leveler • 4" Gray Cove Base • Black Slipsheet and Floor Tile • Tan Cove Base Adhesive Adhesive • 8"x8" Ceramic Tile Grout • Yellow Floor Tile Adhesive • 8"x8" Ceramic Tile Mortar • Pressed Wood Wall Panel Adhesive • Black Felt Paper • Orange Ceramic Tile Adhesive • Interior Duct Insulation • Exterior White Vapor Barrier • White Window Glazing Compound • Exterior Putty Window Glazing • 1'x1' Ceramic Floor Tile Grout Compound • 1'x1' Ceramic Tile Mortar • White Exterior Wall Caulk • Black Coating on Draft Tower • EPDM Roof • Yellow Tin Ceiling Adhesive • EPDM Sealant • Fiberglass Batt Insulation (Pink) and • Brown Fiberboard Jacket • Black Vapor Barrier • 1'x2' Spline Ceiling Tile • Roof Shingle • Black Cooler Lining • Vapor Barrier Under Shingle • Yellow Counter Panel Adhesive • Tan Fiberboard • Light Heatshield • White Metal Flashing Adhesive • Kitchen Ceramic Floor Tile Grout- • Metal Roof Vapor Barrier Putty • Yellow Flashing Adhesive • Kitchen Ceramic Floor Tile Mortar • Gray Door Window Glazing • Ceramic Cove Base Grout Compound • Ceramic Cove Base Adhesive 2 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 These materials are unregulated by EPA and are considered unclassified asbestos work per OSHA. Some OSHA work control practices and prohibitions will still apply, with the extent depending on whether the worker's exposure to airborne asbestos exceeds the OSHA PEL during the renovation/demolition process. At the time of PSI's inspection, no ACM debris was encountered. It is important to note that building and material conditions may change from the time of the inspection. 3 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 2. INTRODUCTION A demolition asbestos survey of the former Carl R's Restaurant located at 124 Main Street in Queensbury, New York has been conducted by Professional Service Industries, Inc. (PSI) to identify Asbestos Containing Materials within the facility. This survey was conducted on April 12, 13, 16 and 23, 2018 by Mr. Joseph Armer and Mr. Alexander Navratil of PSI. The survey was conducted at the request of Saratoga Hospital on the basis of identifying asbestos containing materials that may be impacted by the planned demolition of the structure. The survey was generally conducted in four phases as follows: • Phase 1 — Record Document Review- Drawings, floor plans, historical data or other documents provided to PSI or made available on site were evaluated for the general construction history and layout of the facility. Other documents such as maintenance records, operation and maintenance plans, laboratory results, etc., provided to PSI or made available on site were also reviewed. This data was used to focus the walk through and scope of work to be followed over the course of our visual inspection and sampling. • Phase 2 — Visual Inspection- A visual inspection of the facility was conducted to identify, quantify and assess the condition of suspect ACM. The inspection team access each area and recorded suspect asbestos containing materials present. Each material was visually estimated for total quantity within the space. The general condition and friability was also recorded. PSI conducted intrusive inspection of areas behind finished systems including finished plaster or drywall systems. These intrusive evaluations were limited to representative areas of construction or areas where ACM was likely to exist. Extensive and exhaust investigation behind such closed systems was not requested or provided. There is a distinct possibility that conditions exist which could not be reasonably identified within the scope of this study. • Phase 3 — Sample Collection and Analysis- Samples were collected for each suspect homogeneous area. Samples were submitted to AmeriSci New York's accredited laboratory in New York, New York for asbestos analysis by Polarized Light Microscopy (PLM), matrix reduction with PLM, and Transmission Electron Microscopy (TEM) in accordance with New York State Department of Health Environmental Laboratory Approval Program (ELAP). • Phase 4 - Project Report - This report outlines the assessment findings based on the interviews, testing results and field observations. The report also discusses other observations concerning the workplace as they impacted the sampling events. This report includes a discussion of sampling methodology, locations, analytical methods, results and conclusions. 2.1 AUTHORIZATION Authorization to perform this asbestos survey was given by Mr. Frank Marshall, Property and MEP Project Manager for Saratoga Hospital. 2.2 SITE DESCRIPTION The subject site upon which this assessment was conducted is located at 124 Main Street in Queensbury, New York. The subject site consists of a single-story structure with a basement 4 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 and attic. There is a crawlspace around the north, south and west sides of the basement. The building was formerly Carl R's restaurant and was vacant at the time of the survey. The building is owned by Saratoga Hospital, 211 Church Street, Saratoga Springs, New York. 2.3 PROJECT BACKGROUND The former Carl R's restaurant located at 124 Main Street in Queensbury, New York is scheduled to be demolished. PSI was contracted by Saratoga Hospital to perform a demolition asbestos survey to identify asbestos containing materials in the building prior to its demolition. 2.4 PURPOSE AND SCOPE The purpose of this asbestos survey was to identify, quantify, and analyze suspect hazardous materials present in the building prior to its planned demolition. The demolition asbestos survey was completed in general accordance with the authorized scope of work. 5 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 3. ASSESSMENT ACTIVITIES The visual inspection and sampling activities were conducted on April 12, 13, 16 and 23, 2018. Prior to the commencement of asbestos survey activities, Saratoga Hospital provided site contact information and assisted in providing access to the facility. 3.1 RECORD DOCUMENT REVIEW PSI was not provided and did not review any drawings, floor plans, historical data, maintenance records, previous survey reports, laboratory reports or other documents for information regarding construction history and building materials. 3.2 VISUAL INSPECTION PSI's inspector accessed each room or area of the subject site to identify suspect homogenous areas of ACM. Suspect ACM was categorized into homogeneous areas on the basis of color, texture, appearance, use and apparent construction era (where available). Each homogeneous area was given a unique material description. Quantities were visually estimated by the inspector. The inspection team selected representative areas to perform an intrusive evaluation of void spaces within the building or structure. Such inspections were made by creating an opening of sufficient size to determine the presence, condition and quantity of suspect ACM within. Void spaces which were evaluated included locations of suspected pipe or HVAC chases, wall cavities where fireproofing or other ACM was suspected, above finished ceiling systems where ACM was likely to exist, within pipe trenches or within other concealed locations. Although PSI made an attempt to identify all areas of ACM, an exhaustive investigation of void spaces was not included in the scope of services for this project. There may exist conditions which were unable to be identified within the scope of this study. As the building is scheduled for demolition, locations of intrusive evaluation were not patched following our visual inspection. In addition to identification of each material and quantities, the inspector also determined friability. A friable material is defined as any material able to be crushed, crumbled, pulverized or reduced to a powder by hand press when dry. The inspector used a hand pressure test to determine friability. Each material was further assessed for overall condition. Conditions were rated as good, fair or poor. Materials in good condition included those materials which were in the same condition as when installed showing only minor age deterioration. Materials in fair condition included those materials which had apparent age deterioration and minor damage, however the matrix of the material remained substantially intact. Materials in poor condition included all materials with damage or significant damage and evidence that the material's matrix has failed or has begun to fail. 3.3 SAMPLING AND ANALYSIS PSI's asbestos inspector, under the supervision of a Principal Consultant, developed a sampling scheme for suspect ACM at the facility. At a minimum, three samples of suspect thermal system insulation were collected, samples of surfacing materials were collected in accordance with AHERA's 3-5-7 rule, and miscellaneous materials were collected in a manner sufficient to determine whether the material is an ACM. Sample locations were randomly chosen to the extent possible, however preference was given to hidden or obscure locations. 6 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 Each sample location was sprayed with amended water and was kept wet during the entire sampling process. Samples were collected by coring through the material from the surface down to the base substrate. All layers of the material were extracted in placed into a sample container for transport to the laboratory. Sample containers were sealed and labeled with a unique sample id. Restoration of finishes and materials to their pre-sampling condition was not provided. Samples were submitted to AmeriSci New York's Laboratory in New York, New York. AmeriSci's laboratory is approved under ELAP/NVLAP requirements for analysis of asbestos in bulk samples. Please refer to the appendices for copies of their accreditations. Samples were analyzed on a first positive stop basis to reduce the overall analytical cost. Samples were dried, homogenized, and representative portions were examined with a stereo binocular microscope. If no asbestos is found in a sample, "NAD" (No Asbestos Detected) is reported. If asbestos is found in a sample, the percentage and type of asbestos is reported. 7 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 4. CONCLUSIONS PSI has performed a demolition asbestos survey of the subject site. Based on the results of this assessment, the following conclusions have been developed. 4.1 ASBESTOS CONTAINING MATERIALS PSI has identified asbestos containing materials within the former Carl R's restaurant located at 124 Main Street in Queensbury, New York. The facility included in this Demolition Asbestos Survey was formerly used as a restaurant and was vacant at the time of the survey. This structure is a single-story wood framed building with a masonry foundation. The structure has a basement with a crawlspace around the north, south and west sides and an attic. The roof was an asphalt shingle system, rubber roof system and a rolled roofing system over wood substrate. Heat for the building was from a forced air system with two central units located in the basement. Forced air was distributed through a ducted system. Based on the methodologies described in this report, PSI identified ACM. PSI collected two hundred and forty (240) samples from one hundred and twelve (112) suspect asbestos containing homogenous materials from the building during the survey. The following materials were found by laboratory analysis to contain greater than one percent asbestos and are therefore considered to be ACM: • Red Floor Tile Remnants • Yellow Penetration Sealant • Black Sink Basin Coating • Rolled Roofing • Black Roof Flashing • Black Vent Tar Please refer to Table 1 and the asbestos assessment spreadsheets included in Appendix A for the locations, quantities and conditions of ACM identified during this survey. The following materials were found by laboratory analysis to contain less than one percent asbestos. These materials are not considered to be ACM, however OSHA work control practices and prohibitions will still apply, with the extent depending on whether the worker's exposure to airborne asbestos exceeds the OSHA PEL during the renovation/demolition process: • Sprinkler Line Pipe Sealant • Tan Glue Dabs The following materials were sampled and analyzed and determined not to contain asbestos; therefore they are not considered to be ACM by EPA. 8 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 • Drywall • 8"x8" Ceramic Tile Grout • Joint Compound • 8"x8" Ceramic Tile Mortar • Drywall Tape • Black Felt Paper • Fiberglass Batt Insulation and Jacket • Interior Duct Insulation • Yellow Carpet Adhesive • White Window Glazing Compound • Block Mortar • 1'x1' Ceramic Floor Tile Grout • 2'x4' Crater Ceiling Tile • 1'x1' Ceramic Tile Mortar • 2'x4' Smooth Ceiling Tile • Black Coating on Draft Tower • Gray Wrap Pipe Insulation • Yellow Tin Ceiling Adhesive • Wood Floor Vapor Barrier • Fiberglass Batt Insulation (Pink) and • Brown Floor Covering Jacket • Fiberglass Duct Insulation and • 1'x2' Spline Ceiling Tile Jacket • Black Cooler Lining • Cementitious Safe Insulation and • Yellow Counter Panel Adhesive Jacket • Light Heatshield • 12"x12" Blue Marble Floor Tile • Kitchen Ceramic Floor Tile Grout- • Black Adhesive for 12"x12" Blue Putty Marble Floor Tile • Kitchen Ceramic Floor Tile Mortar • 4" Brown Cove Bas • Ceramic Cove Base Grout • Brown Cove Base Adhesive • Ceramic Cove Base Adhesive • Square Pattern Spline Ceiling Tile • Yellow Wall Panel Adhesive • Brown Glue Dabs • Fire Door Insulation • Tan Door Threshold Strip • Door Adhesive • Brown Wall Panel Adhesive • 1'x1' Hole Pattern Ceiling Tile • Thinset Grout • Black Glue Dabs • Thinset Mortar • Cooler Ceramic Floor Grout • Thinset Backing and Adhesive • Cooler Ceramic Floor Mortar • Yellow Ceramic Wall Tile Adhesive • Styrofoam Cooler Adhesive • Ceramic Wall Tile Grout • Yellow Carpet Adhesive-First Floor • White Safe Insulation • Yellow Ceiling Panel Adhesive • Fiberglass Boiler Insulation • Metal Panel Insulation • Black Vibration Joint Cloth • Drywall Ceiling Board • Crawlspace Drywall • Drywall Ceiling Board Joint • Crawlspace Drywall Joint Compound Compound • Crawlspace Drywall Tape • Tan Light Heat Shield • White Insulation Layer in Plastic • Green Carpet Adhesive Vapor Barrier • Black Putty Window Glazing • Black Vapor Barrier Compound • Black Vapor Barrier on Block • Orange Ceramic Floor Tile Grout • Yellow Truss Adhesive • Orange Ceramic Floor Tile Mortar • Black Tar on Wood • 2'x4' Wavy Line Pattern Ceiling Tile • Black Floor Barrier • Yellow Partition Adhesive • Packing Around Water Pipe • Paper Board on Truss • Gray Stair Carpet Adhesive • Blown In Insulation • Yellow Textured Wall Paper and • Green Floor Tile Adhesive • Gray Leveler • 4" Gray Cove Base • Black Slipsheet and Floor Tile • Tan Cove Base Adhesive Adhesive 9 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 • Yellow Floor Tile Adhesive • Black Vapor Barrier • Pressed Wood Wall Panel Adhesive • Roof Shingle • Orange Ceramic Tile Adhesive • Vapor Barrier Under Shingle • Exterior White Vapor Barrier • Tan Fiberboard • Exterior Putty Window Glazing • White Metal Flashing Adhesive Compound • Metal Roof Vapor Barrier • White Exterior Wall Caulk • Yellow Flashing Adhesive • EPDM Roof • Gray Door Window Glazing • EPDM Sealant Compound • Brown Fiberboard These materials are unregulated by EPA and are considered unclassified asbestos work per OSHA. Some OSHA work control practices and prohibitions will still apply, with the extent depending on whether the worker's exposure to airborne asbestos exceeds the OSHA PEL during the renovation/demolition process. At the time of PSI's inspection, no ACM debris was encountered. It is important to note that building and material conditions may change from the time of the inspection PSI did not observe any vermiculite insulation in the foundation block walls. The top of the block walls was accessible to look into the cores of the block in the basement crawlspace. The perimeter wall system in the crawlspace (exterior wall) consisted of the exterior block wall, wood furring strips, non-suspect styrofoam panels and drywall systems. No adhesives behind the styrofoam panels were observed at the locations checked by PSI. The styrofoam panels were loose to the touch and appear to not be adhered to the wall. If any adhesives or glues are discovered in the perimeter wall system they should not be disturbed and tested for asbestos content. PSI did not have access to the exterior basement foundation walls below grade. If a vapor barrier or other suspect material is discovered below grade, the material should not be disturbed and tested for asbestos content. If suspect materials not documented in this report are encountered during work activities, the material should be considered asbestos-containing unless bulk sampling is performed and laboratory analysis proves otherwise. Data Interpretation A material is considered an asbestos containing material if at least one sample from the homogenous area is confirmed to contain greater than one percent asbestos (>1.0%) under laboratory analysis. In addition, OSHA's construction standard considers all thermal systems insulation and surfacing materials in a facility constructed prior to 1981 to be presumed asbestos containing (PACM) and all flooring to be assumed asbestos containing unless it is demonstrated through laboratory analysis to contain 1.0% asbestos or less. The National Emissions Standard for Hazardous Air Pollutants further classifies ACM as regulated (RACM), Category I non-friable ACM or Category II non-friable ACM. 10 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 5. WARRANTY Asbestos Survey The information contained in this report is based upon the data furnished by the Client and observations and test results provided by PSI. These observations and results are time dependent, are subject to changing site conditions, and revisions to Federal, State and local regulations. PSI warrants that these findings have been promulgated after being prepared in general accordance with generally accepted practices in the asbestos and/or lead-based paint testing and abatement industries. PSI also recognizes that raw laboratory test data are not usually sufficient to make all abatement and management decisions. No other warranties are implied or expressed. Use By Third Parties This report was prepared pursuant to the contract PSI has with Saratoga Hospital. That contractual relationship included an exchange of information about the subject site that was unique and between PSI and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between PSI and its client, reliance or any use of this report by anyone other than Saratoga Hospital, for whom it was prepared, is prohibited and therefore not foreseeable to PSI. Reliance or use by any such third party without explicit authorization in the report does not make said third party a third party beneficiary to PSI's contract with Saratoga Hospital. Any such unauthorized reliance on or use of this report, including any of its information or conclusions, will be at third party's risk. For the same reasons, no warranties or representations, expressed or implied in this report, are made to any such third party. Unidentifiable Conditions This report is necessarily limited to the conditions observed and to the information available at the time of the work. Due to the nature of the work, there is a possibility that there may exist conditions which could not be identified within the scope of work or which were not apparent at the time of our site work. This report is also limited to information available from the client at the time it was conducted. The report may not represent all conditions at the subject site as it only reflects the information gathered from specific locations. 11 Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 TABLES Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 TABLE 1 -ASBESTOS CONTAINING MATERIALS Former Carl R's, 124 Main Street, Queensbury, New York Asbestos Demolition Survey Material # Material Material F/NF 1 Cond.' % ACM EPA Est. Qty. 8 Description Location & type' NESHAP (#Samples) Cat' 23 (2) Red Floor Tile B7, B11 NF Poor 2.4% Ch Cat I NF 52 LF Remnant 32 (2) Yellow B09 NF Fair 3.4% Ch Cat II NF 1 SF Penetration Sealant 52 (2) Black Sink 101, 102 NF Fair 3.0% Ch Cat II NF 12 SF Basin Coating 97 (2) Rolled Roofing R1 NF Poor 6.0% Ch Cat I NF 440 SF 98 (2) Gray Roof Tar R1 NF Poor 3.2% Ch Cat I NF 100 SF 99 (2) Black Roof R1, R2 NF Fair 3.2% Ch Cat I NF 80 SF Flashing 106 (2) Black Vent Tar R3 NF Fair 4.7% Ch Cat II NF 2 SF 1 F=Friable; NF=Non-friable 2 Cond.=Condition Of Materials Either good,fair or poor 3 NAD=No Asbestos Detected,Ch=Chrysotile 4 NESHAP Category-Regulated ACM(RACM),Cat I NF=Category I Non-Friable ACBM, Cat II NF=Category II Non-Friable ACBM Saratoga Hospital Carl R's Asbestos Demolition Survey PSI Project Number 08212868 FIGURE 1 : SITE LAYOUT AND SAMPLING LOCATIONS - l r C)y-1 i ay-t8 utl-ue 3 -lt°-4u-tit �-� 11-10 0-13, b ij 0 -6l� ci t 3 -yjE1 1 -i tO - 1 1 Alf _. . 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Client: Saratoga Hospital --�.i Information 104Erie Boulevard,SuiteI Scheneecctadyy.,New York 12305 Mom' To Build On Name: Former Carl R's Engineering.Consulting.Testing ((518) 7377-98 phone 51 -9847 jar PSI Project#: Date: 08212868 April 16.2018 APPENDIX A: ASBESTOS INSPECTION DATA SHEET i 7 Information /v'eflTo Build On ASBESTOS ASSESSMENT SPREADSHEETS Inglneeditg•Coneutelng•T Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS Wood Cove Base is Nailed In,No Basement B01 Drywall Systems NA F Good N Adhesive Observed 2'x4'Crater Ceiling Tile NA F Good N White Fiberglass Batt Insulation and Jacket NA F Good N White Sprinkler Line Putty NA NF Fair N Yellow Carpet Adhesive NA NF Poor N Concrete Floor Block Mortar NA NF Good N Wood Cove Base is Nailed In,No B02 Drywall Systems NA F Good N Adhesive Observed White Fiberglass Batt Insulation and Jacket NA F Good N 2'x4'Crater Ceiling Tile NA F Good N 2'x4'Smooth Ceiling Tile NA F Good N White Sprinkler Line Putty NA NF Fair N Yellow Carpet Adhesive NA NF Poor N Gray Wrap Pipe Insulation NA F Poor N Block Mortar NA NF Good N B03 Brown Floor Covering NA NF Fair N 2'x4'Crater Ceiling Tile NA F Good N Drywall Systems NA F Good N Fiberglass Duct Insulation and Jacket NA F Fair N Interior Duct Insulation NA F Fair N Block Mortar NA NF Good N White Sprinkler Line Putty NA NF Fair N ,B04 Brown Floor Covering NA NF Fair N Drywall Systems NA, F Fair N 2'x4'Crater Ceiling Tile NA F Fair N White Fiberglass Batt Insulation and Jacket NA F Fair N Fiberglass Duct Insulation and Jacket NA F Fair N Interior Duct Insulation NA F Fair N White Sprinkler Line Putty NA NF Fair N Firedoor-Non-Suspect Styrofoam _B05 Yellow Carpet Adhesive NA NF Poor N Insulation Drywall Systems NA F Fair N 2'x4'Crater Ceiling Tile NA F Fair N Cementitious Safe Insulation NA F Fair N White Sprinkler Line Putty NA F Fair N SF-Square Feet LF-Linear Feet EA-Each Z7;1 Information Ne' .To Build On ASBESTOS ASSESSMENT SPREADSHEETS Ibmftm.ng•c_•n.my Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's -_ Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS Basement B06 12'x12"Blue Marble Floor Tile NA NF Fair N Black Floor Tile Adhesive NA NF Fair N 4"Brown Cove Base NA NF Fair N Brown Cove Base Adhesive NA NF Fair N Drywall Systems NA F Fair N Walls and Ceilings Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N Brown Wall Panel Adhesive NA NF Fair N Tan Door Strip NA NF Fair N B07 12"x12"Blue Marble Floor Tile NA NF Fair N Black Floor Tile Adhesive NA NF Fair N 4"Brown Cove Base NA NF Fair N Brown Cove Base Adhesive NA NF Fair N Brown Wall Panel Adhesive NA NF Fair N Drywall Systems NA F Fair N Ceiling Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N Red Tile Remnant 26 LF NF Poor Y Perimeter,May Extend Under Walls Tan Door Strip NA NF Fair N B08 Thinset Grout NA NF Fair N Thinset Mortar NA NF _ Fair N Thinset Backing Paper and Adhesive NA NF Fair N Drywall Systems NA F Fair N Yellow Ceramic Wall Tile Adhesive NA NF Fair N Ceramic Wall Tile Grout NA NF _ Fair N 2'x4'Smooth Ceiling Tile NA F Poor N 2'x4'Crater Ceiling Tile NA F Poor N Fiberglass Duct Insulation and Jacket NA F Fair N Interior Duct Insulation NA F Fair N White Sprinkler Line Putty NA NF Fair N B09 Fiberglass Duct Insulation and Jacket NA F Fair N Interior Duct Insulation NA F Fair N Gray Wrap Pipe Insulation NA F Fair N White Sprinkler Line Putty NA NF Fair N White Safe Insulation NA F Poor N Fiberglass Boiler Insulation NA F Fair N Black Vibration Joint Cloth NA NF Fair N SF-Square Feet LF-Linear Feet EA-Each gra Information I!—w .To Build On ASBESTOS ASSESSMENT SPREADSHEETS nyne«iw•sa.eu+ino•hating Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS South Wall,East of Crawlspace Basement B09 Yellow Penetration Sealant 1 SF NF Fair Y Opening Packing Around Water Pipe NA NF Fair N B10-Crawlspace Crawlspace Drywall NA F Fair N White Insulation Between Plastic NA F Fair N Black Vapor Barrier NA NF Fair N Black Vapor Barrier On Block NA NF Fair N Black Tar on Wood NA NF Fair N White Sprinkler Line Putty NA NF Fair N Yellow Truss Glue NA NF Fair N B11 -Under Stairs Red Tile Remnant 26 LF NF Poor Y Perimeter,May Extend Under Walls White Sprinkler Line Putty NA NF Fair N B12-Crawlspace Yellow Truss Glue NA NF Fair N Black Floor Vapor Barrier NA NF Fair N Drywall Systems NA F Fair N Packing Around Water Pipe NA NF Fair N White Fiberglass Batt Insulation and Jacket NA F Fair N South Stairs Gray Stair Carpet Adhesive NA_ NF Fair N Brown Wall Panel Adhesive NA NF Fair N Drywall Systems NA F - Fair N Walls and Ceilings Yellow Textured Wall Paper and Adhesive NA NF Fair N Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N _ 1 100-Entry Drywall Systems NA F Fair N Walls and Ceilings 4"Brown Cove Base NA NF Fair N Brown Cove Base Adhesive NA NF Fair N 8"x8"Ceramic Floor Tile Grout NA NF Fair N Tile Extends Under Walls 8"x8"Ceramic Floor Tile Mortar NA NF Fair N Tile Extends Under Walls Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N 101 -Dining/Bar Area Yellow Carpet Adhesive-First Floor NA NF Fair N Wood Floor Vapor Barrier NA F Fair N Between Layers of Plywood 4"Gray Cove Base NA NF Fair N Tan Cove Base Adhesive NA NF Fair N Yellow Textured Wall Paper and Adhesive NA NF Fair N Drywall Systems NA F Fair N Walls and Ceilings Square Pattern Spline Ceiling Tile NA F Fair N SF-Square Feet LF-Linear Feet EA-Each els•Wn Information N?' .To Build On ASBESTOS ASSESSMENT SPREADSHEETS inion.ing•Consulang•T Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(Y/N) COMMENTS 1 101 -Dining/Bar Area Brown Glue Dab NA NF Fair N Tan Glue Dab NA NF Fair N Black Felt Paper NA F Fair N Under Carpet,Elevated Sections Interior Duct Insulation NA NF Fair N White Window Glazing Compound NA F Fair N Brown Wall Panel Adhesive NA NF Fair N 4ft Up Walls Black Sink Basin Coating 6 SF NF Fair Y East Wall,North End 8"x8"Ceramic Floor Tile Grout NA NF Fair N 8"x8"Ceramic Floor Tile Mortar NA NF Fair N 1'x1'Ceramic Tile Grout NA NF Fair N Red, Bar Area 1'x1'Ceramic Tile Mortar NA NF Fair N White, Bar Area Black Coating On Draft Tower/Lines NA NF Poor N Pink Fiberglass Batt Insulation and Jacket NA F Fair N 1'x2'Spline Ceiling Tile NA F Fair N Between Layers of Batt Insulation 4"Brown Cove Base NA NF Fair • N Brown Cove Base Adhesive NA NF Fair N Yellow Tin Ceiling Adhesive NA NF Fair N 2'x4'Crater Ceiling Tile NA F Fair N Yellow Couner Panel Adhesive NA NF Fair N Bar and Cabinets Light Heat Shield NA F Fair N Black Cooler Lining NA NF Fair N _ White Sprinkler Line Putty NA NF Fair N Green Floor Tile NA NF Fair N Grey Leveler NA NF Fair N Black Slipsheet and Floor Tile Adhesive NA NF Fair N Yellow Floor Tile Adhesive NA NF Fair N 102 Drywall Systems NA F Fair N Kitchen Ceramic Tile Grout-Putty NA NF Fair N Kitchen Ceramic Tile Mortar NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Yellow Wall Panel Adhesive NA NF Fair N Brown Wall Panel Adhesive NA NF Fair N 1'x1'Hole Pattern Ceiling Tile NA F Fair N Black Glue Dabs NA NF Fair N Firedoor Insulation NA F Fair N 2 Doors Door Adhesive NA NF Fair N SF-Square Feet LF-Linear Feet EA-Each i 7 Information lr`?" .To Build On ASBESTOS ASSESSMENT SPREADSHEETS fnghwerig•Consulteng•nag Project: Carl Rs Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS 1 102 Black Sink Basin Coating 6 SF NF Fair Y White Sprinkler Line Putty NA NF Fair N Pink Fiberglass Batt Insulation and Jacket NA F Fair N Attic Attic Fiberglass Duct Insulation and Jacket NA F Fair N Interior Duct Insulation NA F Fair N White Sprinkler Line Putty NA NF Fair N White Board on Truss NA F Poor N Pink Fiberglass Batt Insulation and Jacket NA F Fair N _ Blown In Insulation NA F Poor N Roof Shingle NA NF Fair N Roof Shingle Vapor Barrier NA NF Fair N 1 103-Cooler Cooler Ceramic Floor Tile Grout NA NF Fair N Cooler Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Styrofoam Cooler Insulation Adhesive NA NF Fair N Pink Fiberglass Batt Insulation and Jacket NA F Fair N Space Above Cooler Blown In Insulation NA F Poor N Space Above Cooler Pressed Wood Wall Panel Adhesive NA NF Fair N Space Above Cooler 104 Kitchen Ceramic Tile Grout-Putty NA NF Fair N Kitchen Ceramic Tile Mortar NA NF Fair N Yellow Wall Panel Adhesive NA NF Fair N Drywall Systems NA F Fair N Yellow Ceiling Panel Adhesive NA NF Fair N Pink Fiberglass Batt Insulation and Jacket NA F Fair N Metal Wall Panel Insulation NA F Fair N 105 8"x8"Ceramic Floor Tile Grout NA NF Fair N Includes North Stairs 8"x8"Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Yellow Wall Panel Adhesive NA NF Fair N Pink Fiberglass Batt Insulation and Jacket NA NF Fair N Drywall Systems NA F Fair N Drywall Ceiling Board NA F Fair N Drywall Ceiling Board Joint Compound NA F Fair N Metal Wall Panel Insulation NA F Fair N SF-Square Feet LF-Linear Feet EA-Each pr-iTZTi 1 Information ldrIh .To Build On ASBESTOS ASSESSMENT SPREADSHEETS f nikma.rg•Coe./fig•Tasting Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS 1 106-Cooler Cooler Ceramic Floor Tile Grout NA NF Fair N Cooler Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Styrofoam Cooler Insulation Adhesive NA NF Fair N Tan Light Heat Shield NA NF Fair N 107-Cooler Cooler Ceramic Floor Tile Grout NA NF Fair N Cooler Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Styrofoam Cooler Insulation Adhesive NA NF Fair N Tan Light Heat Shield NA NF Fair N 108-Cooler Cooler Ceramic Floor Tile Grout NA NF Fair N Cooler Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Styrofoam Cooler Insulation Adhesive NA NF Fair N 109 Drywall Systems NA F Fair N 110-Hall 8"x8"Ceramic Floor Tile Grout NA NF Fair N 8"x8"Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Drywall Systems NA F Fair N Yellow Wall Panel Adhesive NA NF Fair N Drywall Ceiling Board NA F Fair N Drywall Ceiling Board Joint Compound NA F Fair N 111 8"x8"Ceramic Floor Tile Grout NA NF Fair N 8"x8"Ceramic Floor Tile Mortar NA NF Fair N Ceramic Cove Base Grout NA NF Fair N Ceramic Cove Base Adhesive NA NF Fair N Drywall Systems NA F Fair N Yellow Wall Panel Adhesive NA NF Fair N Drywall Ceiling Board NA F Fair N Drywall Ceiling Board Joint Compound NA F Fair N 117-Hall 8"x8"Ceramic Floor Tile Grout NA NF _ Fair N 8"x8"Ceramic Floor Tile Mortar NA NF Fair N 4"Brown Cove Base NA NF Fair N Brown Cove Base Adhesive NA NF Fair N SF-Square Feet LF-Linear Feet EA-Each N f 1 Information _ N .To Build On ASBESTOS ASSESSMENT SPREADSHEETS a yr.....ny•Consulting•Moen, Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(Y/N) COMMENTS 1 117-Hall Yellow Textured Wall Paper and Adhesive NA NF Fair N Drywall Systems NA F Fair N Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N 112 Drywall Systems NA F Fair N Yellow Textured Wall Paper and Adhesive NA NF Fair N Green Carpet Adhesive NA NF Fair N 4"Gray Cove Base NA NF Fair N Yellow Cove Base Adhesive NA NF Fair N Brown Wall Panel Adhesive NA NF Fair N Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N Black Putty Window Glazing Compound NA NF Fair N 113 8"x8"Ceramic Floor Tile Grout NA NF Fair N 8"x8"Ceramic Floor Tile Mortar NA NF Fair N 4"Brown Cove Base NA NF Fair N Brown Cove Base Adhesive NA NF Fair _ N Square Pattern Spline Ceiling Tile NA F Fair N Brown Glue Dab NA NF Fair N Drywall Systems NA F Fair N 114-Hall 8"x8"Orange Ceramic Floor Tile Grout NA NF Fair N 8"x8"Orange Ceramic Floor Tile Mortar NA NF Fair N 4"Brown Cove Base NA NF Fair N Yellow Cove Base Adhesive NA NF Fair N Drywall Systems NA F Fair N Walls and Ceilings Brown Wall Panel Adhesive NA NF Fair N Yellow Textured Wall Paper and Adhesive NA NF Fair N 2'x4'Wavy Line Pattern Ceiling Tile NA F Fair N Fiberglass Duct Insulation and Jacket NA F Fair N 115-Bathroom 8"x8"Orange Ceramic Floor Tile Grout NA NF Fair N 8"x8"Orange Ceramic Floor Tile Mortar NA NF Fair N Orange Ceramic Tile Adhesive NA NF Fair N Cove Drywall Systems NA F Fair N 2'x4'Crater Ceiling Tile NA F Fair N _ 2'x4'Wavy Line Pattern Ceiling Tile NA F Fair N Yellow Partition Adhesive NA NF Fair N Yellow Wall Panel Adhesive NA NF Fair N SF-Square Feet LF-Linear Feet EA-Each orli=j1 Information ' ,To Build On ASBESTOS ASSESSMENT SPREADSHEETS Ighwool.D•Consulting•reorsg Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS 1 ,116-Bathroom 8"x8"Orange Ceramic Floor Tile Grout NA NF Fair N 8"x8"Orange Ceramic Floor Tile Mortar NA NF Fair N Orange Ceramic Tile Adhesive NA NF Fair N Cove Drywall Systems NA F Fair _ N 2'x4'Crater Ceiling Tile NA F Fair N 2'x4'Wavy Line Pattern Ceiling Tile NA F Fair N _ Yellow Partition Adhesive NA NF Fair N Yellow Wall Panel Adhesive NA NF Fair N Exterior North Side Gray Door Window Glazing Compound NA NF Fair N White Wall Caulk NA NF Fair N At Penetrations Also Exterior White Vapor Barrier NA F Fair N Exterior Putty Window Glazing Compound NA NF Fair N East Side Exterior White Vapor Barrier NA F Fair N White Wall Caulk NA NF Fair N Pink Fiberglass Batt Insulation and Jacket NA F Fair N South Side Yellow Fiberglass Batt Insulation and Jacket NA F Fair N Exterior Putty Window Glazing Compound NA F Fair N Exterior White Vapor Barrier NA F Fair N _West Side Exterior Putty Window Glazing Compound NA NF Fair N Exterior White Vapor Barrier NA F Fair N White Wall Caulk NA NF Fair N Roof R1 Rolled Roofing 440 SF NF Poor Y Wood Roof Deck Gray Roof Tar 100 SF NF Poor Y Black Roof Flashing 50 SF NF Fair Y R2 EPDM Roof NA NF Fair N Roof Top Layer EPDM Sealant NA NF Fair N Brown Fiberboard NA NF Fair N Black Vapor Barrier NA NF Fair N Roof Bottom Layer,Wood Deck Black Roof Flashing 30 SF NF Fair Y Yellow Flashing Adhesive NA NF Fair N R3 Roof Shingle NA NF Fair N Vapor Barrier Under Shingle NA NF Fair N Black Vent Tar 2 SF NF Fair Y East Side,South End White Metal Flashing Adhesive NA NF Fair N .R4 EPDM Roof NA NF Fair N Tan Fiberboard NA NF Fair N Roof Bottom Layer,Wood Deck R5 Roof Shingle NA NF Fair N ! Vapor Barrier Under Shingle NA NF Fair N SF-Square Feet LF-Linear Feet EA-Each • f.i 1 Information Iv"i .To Build On ASBESTOS ASSESSMENT SPREADSHEETS d•D-••sortng•Consulting•hotting Project: Carl R's Demoltion Inspector: J.Armer Certificate Number: 01-12679 Project Number: 08212868 Date of Inspection: April 12, 13, 16&23,2018 Building Name: Car R's Samples Collected: 240 Attn: Frank Marshall TOTAL Floor Room MATERIAL QUANTITY FRIABLE CONDITION ACM(YIN) COMMENTS Roof R6 EPDM Roof NA NF Fair N On Ducts Also Brown Fiberboard NA NF Fair N On Ducts Also Black Va.or Barrier NA NF Fair N Bottom Roof La er Wood Deck Metal Roofs Metal Roof Va.or Barrier NA F Fair N SF-Square Feet LF-Linear Feet EA-Each APPENDIX B: LABORATORY ANALYTICAL REPORTS ./°121't. AmeriSci New York 117 EAST 30TH ST. AMERI SCI NEW YORK, NY 10016 TEL:(212)679-8600•FAX:(212)679-3114 PLM Bulk Asbestos Report PSI, Inc. Date Received 04/19/18 AmeriSci Job# 218043307 Attn: John Tranter Date Examined 04/23/18 P.O.# 104 Erie Blvd. ELAP# 11480 Page 1 of 35 RE:08212868; Saratoga Hospital; Carl Rs Demolition Survey, Schenectady, NY 12305 New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 01-01 218043307-01 No NAD 01 Location: B04-East Wall Ceiling Height 4'From N Wall-Drywall (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 20%, Fibrous glass 3%, Non-fibrous 77% 01-02 218043307-02 No NAD 01 Location: Rm. 100-S Wall 5 Ft.From W Wall-Drywall (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 30%, Fibrous glass 2%, Non-fibrous 68% 02-03 218043307-03 No NAD 02 Location: B04-East Wall Ceiling Height-4'From N Wall-Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 02-04 218043307-04 No NAD 02 Location: Rm. 100-S Wall 5 Ft.From W Wall-Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 03-05 218043307-05 No NAD 03 Location: B04-East Wall Ceiling Height-4'From N Wall-Drywall Tape (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 95%, Non-fibrous 5% See Reporting notes on last page AmeriSci Job#: 218043307 Page 2 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 03-06 218043307-06 No NAD 03 Location: 101 -W Wall 20'From N Wall-Drywall Tape (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 96%, Non-fibrous 4% 04-07 218043307-07 No NAD 04 Location: B01 -NE Corner Wall Above Drop Ceiling-Fiberglass Batt Insulation And (by NYS ELAP 198.6) Jacket by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.5% Comment: Submitted Sample Contained Tar(NOB) 04-08 218043307-08 No NAD 04 Location: B03-W Wall in SW Corner Ceiling-Fiberglass Batt Insulation And Jacket (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.5% Comment: Submitted Sample Contained Tar(NOB) 04-09 218043307-09 No NAD 04 Location: B02-N Wall Center-Fiberglass Batt Insulation And Jacket (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Yellow,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 20.7°A) 05-10 218043307-10 No NAD 05 Location: 801 -5 Ft.From W Wall 6'From N Wall Ceiling-Sprinkler Line Pipe Sealant (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 36.6% See Reporting notes on last page • • AmeriSci Job#: 218043307 Page 3 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 05-11 218043307-11 No NAD 05 Location: 110-SW Corner Ceiling-Sprinkler Line Pipe Sealant (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 36.8% 06-12 218043307-12 No NAD 06 Location: B01 -SE Corner Behind Door-Yellow Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 26 06-13 218043307-13 No NAD 06 Location: B05-NE Corner-Yellow Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.8% 07-14 218043307-14 No NAD 07 Location: B09-E Wall 18'Fl.From N Wall-Block Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 07-15 218043307-15 No NAD 07 Location: B09-SW Corner Entrance To Crawl Space-Block Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 08-16 218043307-16 No NAD 08 Location: B04-Ceiling 6'From N Wall,4'From E Wall-2'x 4'Crater Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 58.8% See Reporting notes on last page AmeriSci Job#: 218043307 Page 4 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 08-17 218043307-17 No NAD 08 Location: 101 -Center Above Bar-2'x 4'Crater Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 57.4 09-18 218043307-18 No NAD 09 Location: B02-Ceiling 8'From N Wall, 10 Ft.From E Wall-2'x 4'Smooth Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 53.8% 09-19 218043307-19 No NAD 09 Location: B02-Ceiling Center-2'x 4'Smooth Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 46.7% 10-20 218043307-20 No NAD 10 Location: B02-Ceiling 8'From N Wall, 10'From E Wall-Gray Wrap Pipe Insulation (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.4% 10-21 218043307-21 No NAD 10 Location: B09-N Side 15'From E Wall-Gray Wrap Pipe Insulation (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.2% 10-22 218043307-22 No NAD 10 Location: B09-N Side 30'From E Wall-Gray Wrap Pipe Insulation (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.7% See Reporting notes on last page • AmeriSci Job#: 218043307 Page 5 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 11-23 218043307-23 No NAD 11 Location: 101 -N Side By Entrance To 100-Vent-Wood Floor Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3% 11-24 218043307-24 No NAD 11 Location: 101 -N Side By Entrance To Room 100-Vent-Wood Floor Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.9% 12-25 218043307-25 No NAD 12 Location: B04-4 Ft.From W Wall 8 Ft. From N Wall Floor-Brown Floor Covering (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 60.1 % 12-26 218043307-26 No NAD 12 Location: B03-West Wall Center Floor-Brown Floor Covering (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 62.7% 13-27 218043307-27 No NAD 13 Location: B09-15'From E Wall 25'From S Wall Duct-Fiberglass Duct Insulation And (by NYS ELAP 198.1) Jacket by Bo Sun on 04/23/18 Analyst Description: Silver/Brown/Pink,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 20%, Fibrous glass 60%, Non-fibrous 20% 13-28 218043307-28 No NAD 13 Location: B04-NE Comer Ceiling-Fiberglass Duct Insulation And Jacket (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Silver/Brown/Pink,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 15%, Fibrous glass 70%, Non-fibrous 15% See Reporting notes on last page AmeriSci Job#: 218043307 Page 6 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 13-29 218043307-29 No NAD 13 Location: Attic South End By Hatch-Fiberglass Duct Insulation And Jacket (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Silver/Brown/Pink,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 40%, Fibrous glass 45%, Non-fibrous 15% 14-30 218043307-30 No NAD 14 Location: B05-Safe In SE Corner Interior Front Door-Cementitious Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/Grey,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 95%, Vermiculite 5 14-31 218043307-31 No NAD 14 Location: B05-Safe In SE Corner Interior Front Door-Cementitious Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 97%, Vermiculite 3% 14-32 218043307-32 No NAD 14 Location: B05-Safe In SE Corner Interior Front Door-Cementitious Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 95%, Vermiculite 5% 15-33 218043307-33 No NAD 15 Location: B06-SW Corner Floor-12"x 12"Blue Marble Floor Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 20.4% 15-34 218043307-34 No NAD 15 Location: B07-NE Corner Floor-12"x 12"Blue Marble Floor Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 21.2 See Reporting notes on last page AmeriSci Job#: 218043307 Page 7 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 16-35 218043307-35 No NAD 16 Location: B06-SW Corner Floor-Black Adhesive For 12"x 12"Blue Marble Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 21.9 16-36 218043307-36 No NAD 16 Location: B07-NE Corner Floor-Black Adhesive For 12"x 12"Blue Marble Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey,Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 10.5 17-37 218043307-37 No NAD 17 Location: B06-SW Corner Wall-4"Brown Cove Base (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 3% 17-38 218043307-38 No NAD 17 Location: 101 -E Wall By SE Comer-4"Brown Cove Base (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.7% 18-39 218043307-39 No NAD 18 Location: B06-SW Corner Wall-Brown Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 45.8 18-40 218043307-40 No NAD 18 Location: 101 -E Wall By SE Corner-Brown Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 52.4 See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 8 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 19-41 218043307-41 No NAD 19 Location: B06-Corner Of SE Wall Floor Debris-Square Pattern Spline Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Grey, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 10.1 19-42 218043307-42 No NAD 19 Location: 101 -W Wall 20'From N Wall-Square Pattern Spline Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 10.9% 20-43 218043307-43 No NAD 20 Location: B06-Corner Of SE Wall Floor Debris-Brown Glue Dab (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 45.70/0 20-44 218043307-44 No NAD 20 Location: 101 Ceiling 25'From N Wall 25'From W Wall-Brown Glue Dab (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 47.3% 21-45 218043307-45 No NAD 21 Location: B04-Threshold To Room B06-Tan Door Threshold Strip (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Tan, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.8% 21-46 218043307-46 No NAD 21 Location: B07 Threshold To B09-Tan Door Threshold Strip (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.3 See Reporting notes on last page AmeriSci Job#: 218043307 Page 9 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 22-47 218043307-47 No NAD 22 Location: B07-N Wall 5 Ft. From East Wall-Brown Wall Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 52.3% 22-48 218043307-48 No NAD 22 Location: 101 -S Wall 20 Ft.From E Wall-Brown Wall Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 34.9% 23-49 218043307-49 Yes 2.4 %1 23 Location: B07-N Wall 4 Ft.From E Wall-Red Floor Tile Remnant (EPA 400 PC) by Bo Sun on 04/23/18 Analyst Description: Red,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 2.4% Other Material: Non-fibrous 43.4% 23-50 218043307-50 NA/PS 23 Location: B07-N Wall 10 Ft.From W Wall-Red Floor Tile Remnant Analyst Description: Bulk Material Asbestos Types: Other Material: 24-51 218043307-51 No NAD 24 Location: B08-5'From S Wall 10'From E Wall Floor-Thinset Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 24-52 218043307-52 No NAD 24 Location: B08-NE Corner Floor-Thinset Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey, Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 10 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 25-53 218043307-53 No NAD 25 Location: BOB-5'From S Wall 10'From E Wall Floor-Thinset Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 25-54 218043307-54 No NAD 25 Location: B08-NE Corner Floor-Thinset Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 26-55 218043307-55 No NAD 26 Location: B08-5'From S Wall 10'From E Wall Floor-Thinset Backing And Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: White, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4% 26-56 218043307-56 No NAD 26 Location: B08-NE Corner-Thinset Backing And Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 38.7% 27-57 218043307-57 No NAD 27 Location: B08-S Wall 12 Ft.From E Wall-Yellow Ceramic Wall Tile Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39% 27-58 218043307-58 No NAD 27 Location: B08-NE Corner Wall-Yellow Ceramic Wall Tile Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 18.3% See Reporting notes on last page AmeriSci Job#: 218043307 Page 11 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 28-59 218043307-59 No NAD 28 Location: B08-S Wall 12 Ft. From E Wall-Ceramic Wall Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 28-60 218043307-60 No NAD 28 Location: B08-NE Corner Wall-Ceramic Wall Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 29-61 218043307-61 No NAD 29 Location: B09-Safe Near NE Corner Of Room,Interior Door-White Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 92%, Vermiculite 8% 29-62 218043307-62 No NAD 29 Location: B09-Safe Near NE Corner Of Room, Interior Door-White Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 93%, Vermiculite 7% 29-63 218043307-63 No NAD 29 Location: B09-Safe Near NE Corner Of Room,Interior Door-White Safe Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 92%, Vermiculite 8% 30-64 218043307-64 No NAD 30 Location: B09-N Unit Boiler In SE Comer W Wall-Fiberglass Boiler Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Black/Yellow,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 70%, Synthetic fibers 30% See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 12 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 30-65 218043307-65 No NAD 30 Location: B09-N Unit Boiler In SE Corner-E Wall-Fiberglass Boiler Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Black, Heterogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 45%, Synthetic fibers 55% 30-66 218043307-66 No NAD 30 Location: B09-N Unit Boiler In SE COmer-Bottom E Wall-Fiberglass Boiler (by NYS ELAP 198.1) Insulation by Bo Sun on 04/23/18 Analyst Description:Black,Heterogeneous,Fibrous, Bulk Material Asbestos Types: Other Material: Synthetic fibers 70%, Non-fibrous 30% 31-67 218043307-67 No NAD 31 Location: B09-15 Ft.From S Wall 10 Ft. From E Wall Duct-N Unit-Black Vibration (by NYS ELAP 198.6) Joint Cloth by Bo Sun on 04/23/18 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.2% 31-68 218043307-68 No NAD 31 Location: B09-5 Ft.From S Wall 10 Ft. From E Wall Duct-S Unit-Black Vibration (by NYS ELAP 198.6) Joint Cloth by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.9% 32-69 218043307-69 Yes 3.4% 32 Location: B09-South Wall 10 Ft.From E Wall-Yellow Penetration Sealant (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 3.4% Other Material: Non-fibrous 25.6% 32-70 218043307-70 NA/PS 32 Location: B09-South Wall 10 Ft.From E Wall-Yellow Penetration Sealant Analyst Description: Bulk Material Asbestos Types: Other Material: See Reporting notes on last page AmeriSci Job#: 218043307 Page 13 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 33-71 218043307-71 No NAD 33 Location: B12-N Wall Center-Crawlspace Drywall (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 25%, Non-fibrous 75% 33-72 218043307-72 No NAD 33 Location: B11 -SE Comer-Crawlspace Drywall (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 20%, Non-fibrous 80% 34-73 218043307-73 No NAD 34 Location: B11 -SE Comer-Crawlspace Drywall Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 34-74 218043307-74 No NAD 34 Location: B11 -NW Corner-Crawlspace Drywall Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 35-75 218043307-75 No NAD 35 Location: B11 -SE Comer-Crawlspace Drywall Tape (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 35-76 218043307-76 No NAD 35 Location: B11 -NW Corner-Crawlspace Drywall Tape (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Brown/White,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 14 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 36-77 218043307-77 No NAD 36 Location: B12-West Side Center-White Insulation Layer In Plastic Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 7.9% 36-78 218043307-78 No NAD 36 Location: B12-SW Comer-White Insulation Layer In Plastic Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown, Heterogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 1.5% 36-79 218043307-79 No NAD 36 Location: B12-W Wall 10 Ft. From S Wall-White Insulation Layer In Plastic Vapor (by NYS ELAP 198.6) Barrier by Bo Sun on 04/23/18 Analyst Description:White/Black,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6% 37-80 218043307-80 No NAD 37 Location: B12-N Side S Wall Center-Black Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.2% 37-81 218043307-81 No NAD 37 Location: B12-East Side 20 Ft. From S Wall-Black Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.3% 38-82 218043307-82 No NAD 38 Location: B12-NW Corner Interior Wall-Black Vapor Barrier On Block (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 75.7% See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 15 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 38-83 218043307-83 No NAD 38 Location: B12-SW Corner-Black Vapor Barrier On Block (by NYS FLAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 56.7% 39-84 218043307-84 No NAD 39 Location: B12-NW Corner Interior Wall-Yellow Truss Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 27.9% 39-85 218043307-85 No NAD 39 Location: B12-SW Comer-Yellow Truss Adhesive (by NYS FLAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 25.5% 40-86 218043307-86 No NAD 40 Location: B12-SW Corner-Black Tar On Wood (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.2% 40-87 218043307-87 No NAD 40 Location: B12-N Side Center-Black Tar On Wood (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.8% 41-88 218043307-88 No NAD 41 Location: B11 -SE Corner-Black Floor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.9% See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 16 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 41-89 218043307-89 No NAD 41 Location: B11 -N Wall 10 Ft. From W Wall-Black Floor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 13.2% 42-90 218043307-90 No NAD 42 Location: B11 -NE Comer-Packing Around Water Pipe (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 42-91 218043307-91 No NAD 42 Location: B11 -NE Corner-Packing Around Water Pipe (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Cementitious, Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 43-92 218043307-92 No NAD 43 Location: Basement Stair Top-Gray Stair Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 49.8% 43-93 218043307-93 No NAD 43 Location: Basement Stair Bottom-Gray Stair Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 45.8% 44-94 218043307-94 No NAD 44 Location: 101 -NW Corner Wall-Yellow Textured Wall Paper And Adhesive (by NYS ELAP 198.6) "Physically Inseparable Layers In Sample-Sample Composited For by Bo Sun Analysis" on 04/23/18 Analyst Description: Yellow/Brown, Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.4% See Reporting notes on last page AmeriSci Job#: 218043307 Page 17 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 44-95 218043307-95 No NAD 44 Location: 101 -E Wall 20 Ft.From N Wall-Yellow Textured Wall Paper And Adhesive (by NYS ELAP 198.6) "Physically Inseparable Layers In Sample-Sample Composited For by Bo Sun Analysis" on 04/23/18 Analyst Description: Yellow/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6.8% 45-96 218043307-96 No NAD 45 Location: 101 -NW End By Room 100-4"Grey Cove Base (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2% 45-97 218043307-97 No NAD 45 Location: 101 -South Wall By Room To 112-4"Grey Cove Base (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.1 % 46-98 218043307-98 No NAD 46 Location: 101 -North West End,Curved Hallway By 100-Tan Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 49.6% 46-99 218043307-99 No NAD 46 Location: 101 -South Wall By Door To 112-Tan Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 25.2% 47-100 218043307-100 No NAD 47 Location: 100-South End,East Side,At Doorway-8"x 8"Ceramic Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey, Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% See Reporting notes on last page • AmeriSci Job#: 218043307 Page 18 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 47-101 218043307-101 No NAD 47 Location: 101 -East Wall,South Of Door To 102-8"x 8"Ceramic Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100 oio 48-102 218043307-102 No NAD 48 Location: 100-South End,East Side,At Doorway-8"x 8"Ceramic Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/Grey, Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 48-103 218043307-103 No NAD 48 Location: 101 -East Wall,South Of Door To 102-8"x 8"Ceramic Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 49-104 218C43307-104 No NAD 49 Location: 101 -North Side,West End,By West Floor Vent-Black Felt Paper (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 13.2% 49-105 218043307-105 No NAD 49 Location: 101 -West Wall,South Vent-Black Felt Paper (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Heterogeneous.Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 13.7% 50-106 218043307-106 No NAD 50 Location: 101 -North Side,West End,West Floor Vent-Interior Duct Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Black/Yellow,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 30%, Synthetic fibers 65%, Non-fibrous 5% See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 19 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. /HGA Lab No. Asbestos Present Total % Asbestos 50-107 218043307-107 No NAD 50 Location: 101 -East Wall,Vent South Of Door To 102-Interior Duct Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Black/Yellow,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 40%, Synthetic fibers 55%, Non-fibrous 5% 50-108 218043307-108 No NAD 50 Location: 101 -North Side,East End, East Floor Vent-Interior Duct Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Black/Yellow, Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 35%, Synthetic fibers 60%, Non-fibrous 5% 51-109 218043307-109 No NAD 51 Location: 101 -North Side,West End,Window By West Floor Vent-White Window (by NYS ELAP 198.6) Glazing Compound by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 27.4% 51-110 218043307-110 No NAD 51 Location: 101 -West Wall,Center-White Window Glazing Compound (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 27.5% 52-111 218043307-111 Yes 3 52 Location: 101 -East Wall,North End Sink-Black Sink Basin Coating (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 3.0% Other Material: Non-fibrous 12.2% 52-112 218043307-112 NAPS 52 Location: 101 -East Wall,North End Sink-Black Sink Basin Coating Analyst Description: Bulk Material Asbestos Types: Other Material: See Reporting notes on last page • AmeriSci Job#: 218043307 Page 20 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 53-113 218043307-113 No NAD 53 Location: 101 -Bar Area,East Side North End Of Bar-1'x 1'Ceramic Floor Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Red,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 53-114 218043307-114 No NAD 53 Location: 101 -Bar Area,North West End,South Side Of Bar Entrance-1'x 1' (by NYS ELAP 198.1) Ceramic Floor Tile Grout by Bo Sun on 04/23/18 Analyst Description: Red,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 54-115 218043307-115 No NAD 54 Location: 101 -Bar Area,East Side,North End Of Bar- 1'x 1'Ceramic Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 54-116 218043307-116 No NAD 54 Location: 101 -Bar Area,East Side, North End,South Side Of Bar Entrance-1'x 1' (by NYS ELAP 198.1) Ceramic Tile Mortar by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 55-117 218043307-117 No NAD 55 Location: 101 -Bar,South East End On Draft Tower-Black Coating On Draft Tower (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.9 aio 55-118 218043307-118 No NAD 55 Location: 101 -Bar,South East End On Line To Draft Tower-Black Coating On Draft (by NYS ELAP 198.6) Tower by Bo Sun on 04/23/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.3% See Reporting notes on last page AmeriSci Job#: 218043307 Page 21 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. /HGA Lab No. Asbestos Present Total % Asbestos 56-119 218043307-119 No NAD 56 Location: 101 -East Side,South Light In Bar Arae-Yellow Tin Ceiling Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39.2 56-120 218043307-120 No NAD 56 Location: 101 -Bar Area-North West Corner-Yellow Tin Ceiling Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 40.8% 57-121 218043307-121 No NAD 57 Location: 101 -Bar Area-East Side Center-Fiberglass Batt Insulation(Pink)And (by NYS ELAP 198.6) Jacket by Bo Sun on 04/23/18 Analyst Description: Black/Brown/Pink,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 6 57-122 218043307-122 No NAD 57 Location: Attic,South East End By Duct-Fiberglass Batt Insulation(Pink)And Jacket (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown/Pink,Heterogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 10%, Non-fibrous 3.6% 57-123 218043307-123 No NAD 57 Location: Attic Center-Fiberglass Batt Insulation(Pink)And Jacket (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown/Pink,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 3.4% 58-124 218043307-124 No NAD 58 Location: 101 -Bar Area,East Side Center-1'x 2'Spline Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 21.1 % See Reporting notes on last page AmeriSci Job#: 218043307 Page 22 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 58-125 218043307-125 No NAD 58 Location: 101 -Bar Area, East Side Center-1'x 2'Spline Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 20.2% 59-126 218043307-126 No NAD 59 Location: 101 -Bar,North End Center-Black Cooler Lining (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.4% 59-127 218043307-127 No NAD 59 Location: 101 -Bar,North End Center-Black Cooler Lining (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.5% 60-128 218043307-128 Yes Trace (<0.25 % pc) I 60 Location: 101 -West Wall, North End Above Windows-Tan Glue Dabs (EPA 400 PC) by Bo Sun on 04/23/18 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Anthophyllite <0.25%pc Other Material: Fibrous Talc Trace, Non-fibrous 27.1 % 60-129 218043307-129 Yes Trace(<0.25 % pc) 1 60 Location: 101 -West Side,Center-Tan Glue Dabs (EPA 400 PC) by Bo Sun on 04/23/18 Analyst Description: Tan, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Anthophyllite <0.25%pc Other Material: Non-fibrous 39.7% 61-1'30 218043307-130 No NAD 61 Location: 101 -Bar Area, North Side,West End Of Bar-Yellow Counter Panel (by NYS ELAP 198.6) Adhesive by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2% See Reporting notes on last page • AmeriSci Job#: 218043307 Page 23 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 61-131 218043307-131 No NAD 61 Location: 101 -Bar Area,North West End,Counter-Yellow Counter Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.8% 62-132 218043307-132 No NAD 62 Location: 101 -South East End,South East Dome Light-Light Heat Shield (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Silver/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 5%, Fibrous glass 90%, Non-fibrous 5 62-133 218043307-133 No NAD 62 Location: 101 -North West End,North West Dome Light-Light Heat Shield (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Silver/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 10%, Fibrous glass 80%, Non-fibrous 10% 63-134 218043307-134 No NAD 63 Location: 102-North West End-Kitchen Ceramic Floor Tile Grout-Putty (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.6% 63-135 218043307-135 No NAD 63 Location: 104-North East Corner-Kitchen Ceramic Floor Tile Grout-Putty (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 14.2 oie 64-136 218043307-136 No NAD 64 Location: 102-North West End-Kitchen Ceramic Floor Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% See Reporting notes on last page • AmeriSci Job#: 218043307 Page 24 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 64-137 218043307-137 No NAD 64 Location: 104-North East Corner-Kitchen Ceramic Floor Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 65-138 218043307-138 No NAD 65 Location: 102-West Wall,Corner By 101 -Ceramic Cove Base Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100 65-139 218043307-139 No NAD 65 Location: 110-North Wall,West Of Door To 104-Ceramic Cove Base Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 66-140 218043307-140 No NAD 66 Location: 102-West Wall,Corner By 101 -Ceramic Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 6% 66-141 218043307-141 No NAD 66 Location: 110-North Wall,West Of Door To 104-Ceramic Cove Base Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.1 % 67-142 218043307-142 No NAD 67 Location: 102-West Wall,Corner By 101 -Yellow Wall Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 46.2% See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 25 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 67-143 218043307-143 No NAD 67 Location: 105-West Wall,By Door To 104-Yellow Wall Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 37.3% 68-144 218043307-144 No NAD 68 Location: 102-North Door To 101 -Fire Door Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100°A), Non-fibrous Trace 68-145 218043307-145 No NAD 68 Location: 102-North Door To 101 -Fire Door Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 68-146 218043307-146 No NAD 68 Location: 102-North Door To 101 -Fire Door Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 69-147 218043307-147 No NAD 69 Location: 102-North Door To 101 -Door Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.4°A) 69-148 218043307-148 No NAD 69 Location: 102-North Door To 101 -Door Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow, Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 7.7 See Reporting notes on last page AmeriSci Job#: 218043307 Page 26 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 70-149 218043307-149 No NAD 70 Location: 102-East Wall,North End-1 x 1 Hole Pattern Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39.8 70-150 218043307-150 No NAD 70 Location: 102-West Wall,South End By Roof Hatch- 1 x 1 Hole Pattern Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 47.6°A, 71-151 218043307-151 No NAD 71 Location: 102-East Wall, North End-Black Glue Dab (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 48.8% 71-152 218043307-152 No NAD 71 Location: 102-West Wall,South End By Roof Hatch-Black Glue Dab (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 43% 72-153 218043307-153 No NAD 72 Location: 103-Doorway-Cooler Ceramic Floor Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100 72-154 218043307-154 No NAD 72 Location: 106-Doorway-Cooler Ceramic Floor Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100 See Reporting notes on last page • AmeriSci Job#: 218043307 Page 27 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 73-155 218043307-155 No NAD 73 Location: 103-Doorway-Cooler Ceramic Floor Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 73-156 218043307-156 No NAD 73 Location: 106-Doorway-Cooler Ceramic Floor Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100 74-157 218043307-157 No NAD 74 Location: 103-South Side, East End-Styrofoam Cooler Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.8% 74-158 218043307-158 ' No NAD 74 Location: 103-South Side,East End-Styrofoam Cooler Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow, Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 6.8 ok 75-159 218043307-159 No NAD 75 Location: 101 -North West End,South Side Of Entrance To Bar-Yellow Carpet (by NYS ELAP 198.6) Adhesive-First Floor by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 47.1 % 75-160 218043307-160 No NAD 75 Location: 101 -South Side,By Stair To Bar Area-Yellow Carpet Adhesive-First Floor (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 33.1 % See Reporting notes on last page AmeriSci Job#: 218043307 Page 28 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 76-161 218043307-161 No NAD 76 Location: 105-East End Center-Yellow Ceiling Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39.1 % 76-162 218043307-162 No NAD 76 Location: 105-East End Center-Yellow Ceiling Panel Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 31.4% 77-163 218043307-163 No NAD 77 Location: 105-West Wall, North End-Metal Panel Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 5%, Non-fibrous 95% 77-164 218043307-164 No NAD 77 Location: 105-West Wall,North End-Metal Panel Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 7%, Non-fibrous 93% 77-165 218043307-165 No NAD 77 Location: 105-West Wall,North End-Metal Panel Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 5%, Non-fibrous 95% 78-166 218043307-166 No NAD 78 Location: 105-Center-Drywall Ceiling Board (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/Grey,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 15%, Non-fibrous 85% See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 29 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 78-167 218043307-167 No NAD 78 Location: 105-West Wall,South End By 110-Drywall Ceiling Board (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 20%, Non-fibrous 80% 78A-168 218043307-168 No NAD 78A Location: 105-Center-Drywall Ceiling Board Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: White, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 78A-169 218043307-169 No NAD 78A Location: 105-South East Corner-Drywall Ceiling Board Joint Compound (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 79-170 218043307-170 No NAD 79 Location: 107-Center-Tan Light Heat Shield (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 79-171 218043307-171 No NAD 79 Location: 107-Center-Tan Light Heat Shield (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Tan,Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 80-172 218043307-172 No NAD 80 Location: 112-South End,Center-Green Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Green,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 13.8% See Reporting notes on last page • AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 30 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. /HGA Lab No. Asbestos Present Total % Asbestos 80-173 218043307-173 No NAD 80 Location: 112-North West Corner-Green Carpet Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Green, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 17.9% 81-174 218043307-174 No NAD 81 Location: 112-North Wall,West Window-Black Putty Window Glazing Compound (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Black/Grey,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.2% 81-175 218043307-175 No NAD 81 Location: 112-North Wall, East Window-Black Putty Window Glazing Compound (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 28.6% 82-176 218043307-176 No NAD 82 Location: 115-North Wall,West End-Orange Ceramic Floor Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Red, Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 82-177 218043307-177 No NAD 82 Location: 114-South West Corner-Orange Ceramic Floor Tile Grout (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Red, Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 83-178 218043307-178 No NAD 83 Location: 115-North Wall,West End-Orange Ceramic Floor Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100°A, See Reporting notes on last page AmeriSci Job#: 218043307 Page 31 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 83-179 218043307-179 No NAD 83 Location: 114-South West Corner-Orange Ceramic Floor Tile Mortar (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 84-180 218043307-180 No NAD 84 Location: 115-West End Center-2'x 4'Wavy Line Pattern Ceiling Tile (by NYS ELAP 198.6) by Bo Sun • on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 33.1 % 84-181 218043307-181 No NAD 84 Location: 115-East End Center-2'x 4'Wavy Line Pattern Ceiling Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 34.6% 85-182 218043307-182 No NAD 85 Location: 115-East Side Center-Yellow Partition Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.9% 85-183 218043307-183 No NAD 85 Location: 115-East Side Center-Yellow Partition Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.8% 86-184 218043307-184 No NAD 86 Location: Attic-East End Center-Paper Board On Truss (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%. Non-fibrous Trace See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 32 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 86-185 218043307-185 No NAD 86 Location: Attic-Center-Paper Board On Truss (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Brown, Homogeneous,Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-186 218043307-186 No NAD 87 Location: Attic-West End Center-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-187 218043307-187 No NAD 87 Location: Attic-North End Center-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-188 218043307-188 No NAD 87 Location: Attic-South End Center-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-189 218043307-189 No NAD 87 Location: Attic-East End Center-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-190 218043307-190 No NAD 87 Location: Attic-South East End-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 33 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 87-191 218043307-191 No NAD 87 Location: Attic-Center-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description:Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 87-192 218043307-192 No NAD 87 Location: Attic-South End,By Hatch-Blown In Insulation (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 88-193 218043307-193 No NAD 88 Location: 101 -North West End,South Side Of Bar Entrance-Green Floor Tile (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Green, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 14.9% 88-194 218043307-194 No NAD 88 Location: 101 -North West End,South Side Of Bar Entrance-Green Floor file (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Green,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 16.4% 89-195 218043307-195 No NAD 89 Location: 101 -North West End,South Side Of Bar Entrance-Gray Leveler (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 89-196 218043307-196 No NAD 89 Location: 101 -North West End,South Side Of Bar Entrance-Gray Leveler (by NYS ELAP 198.1) by Bo Sun on 04/23/18 Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% See Reporting notes on last page • AmeriSci Job#: 218043307 Page 34 of 35 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 90-197 218043307-197 No NAD 90 Location: 101 -North West End,South Side Of Bar Entrance-Black Slipsheet And (by NYS ELAP 198.6) Floor Tile Adhesive by Bo Sun on 04/23/18 Analyst Description: Brown/Green, Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 21.6% 90-198 218043307-198 No NAD 90 Location: 101 -North West End,South Side Of Bar Entrance-Black Slipsheet And (by NYS ELAP 198.6) Floor Tile Adhesive by Bo Sun on 04/23/18 Analyst Description: Brown/Green,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 18.8% 91-199 218043307-199 No NAD 91 Location: 101 -North West End,South Side Of Bar Entrance-Yellow Floor Tile (by NYS ELAP 198.6) Adhesive by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 42.3% 91-200 218043307-200 No NAD 91 Location: 101 -North West End,South Side Of Bar Entrance-Yellow Floor Tile (by NYS ELAP 198.6) Adhesive by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 45.3% 92-201 218043307-201 No NAD 92 Location: 103-Above Cooler,West Wall,South End-Pressed Wood Wall Panel (by NYS ELAP 198.6) Adhesive by Bo Sun on 04/23/18 Analyst Description: Brown,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 35% 92-202 218043307-202 No NAD 92 Location: 103-Above Cooler,West Wall,South End-Pressed Wood Wall Panel (by NYS ELAP 198.6) Adhesive by Bo Sun on 04/23/18 Analyst Description: Brown, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 33.6% See Reporting notes on last page AmeriSci Job#: 218043307 Client Name: PSI, Inc. Page 35 of 35 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 93-203 218043307-203 No NAD 93 Location: 115-North Wall,West End-Orange Ceramic Tile Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description: Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 44.9% 93-204 218043307-204 No NAD 93 Location: 116-South Wall,West End-Orange Ceramic Tile Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/23/18 Analyst Description:Yellow,Homogeneous,Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 59.7% Reporting Notes: (I) Sample prcpared for analysis by ELAP 198.6 method Analyzed by:Bo Sun BC S t.. . L. 'NAD/NSD=no asbestos detected;NA=not analyzed;NA/PS=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite; (SM-V)=Surfacing Material containing Vermiculite;PLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763(NVLAP 200546-0),ELAP 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 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 tile,FR 59,146,38970,8/1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the lab.This PLM report relates ONLY to the Items tested.AIHA-LAP,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PH-0186,Mass Cert AA000054. Reviewed By: �l END OF REPORT AmeriSci Job#: 218043307 Page 1 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 01 01-01 01 NAD NA Location: B04-East Wall Ceiling Height 4'From N Wall-Drywall 02 01-02 01 ---- ---- --- ---- NAD NA Location: Rm, 100-S Wall 5 Ft. From W Wall-Drywall 03 02-03 02 --- --- ---- --- NAD NA Location: B04-East Wall Ceiling Height-4'From N Wall-Joint Compound 04 02-04 02 --- --- ---- --- NAD NA Location: Rm. 100-S Wall 5 Ft.From W Wall-Joint Compound 05 03-05 03 -- ---- ---- ---- NAD NA Location: B04-East Wall Ceiling Height-4'From N Wall-Drywall Tape 06 03-06 03 --- ---- ---- ---- NAD NA Location: 101 -W Wall 20'From N Wail-Drywall Tape 07 04-07 04 0.242 87.6 9.9 2.5 NAD NAD Location: B01 -NE Corner Wall Above Drop Ceiling-Fiberglass Batt Insulation And Jacket 08 04-08 04 0.171 87.1 9.4 3.5 NAD NAD Location: B03-W Wall in SW Corner Ceiling-Fiberglass Batt Insulation And Jacket 09 04-09 04 0.169 65.7 13.6 20.7 NAD NAD Location: B02-N Wall Center-Fiberglass Batt Insulation And Jacket 10 05-10 05 0.309 62.1 1.3 36.5 NAD Anthophyllite Trace Location: B01 -5 Ft.From W Wall 6'From N Wall Ceiling-Sprinkler Line Pipe Sealant 11 05-11 05 0.174 59.8 3.4 36.7 NAD Anthophyllite Trace Location: 110-SW Corner Ceiling-Sprinkler Line Pipe Sealant 12 06-12 06 0.150 58.7 15.3 26.0 NAD NAD Location: B01 -SE Corner Behind Door-Yellow Carpet Adhesive 13 06-13 06 0.121 59.5 10.7 29.8 NAD NAD Location: B05-NE Corner-Yellow Carpet Adhesive 14 07-14 07 --- ---- --- ---- NAD NA Location: B09-E Wall 18'Fl.From N Wall-Block Mortar 15 07-15 07 ---- --- ---- --- NAD NA Location: B09-SW Corner Entrance To Crawl Space-Block Mortar 16 08-16 08 0.131 20.6 20.6 58.8 NAD NAD Location: B04-Ceiling 6'From N Wall,4'From E Wall-2'x 4'Crater Ceiling Tile See Reporting notes on last page AmeriSci Job#: 218043307 Page 2 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos **Asbestos°/.by "Asbestos%by Sample# Client Sample# Area (gram) Organic°/. Inorganic% Inorganic% PLMIDS TEM 17 08-17 08 0.169 20.1 22.5 57.4 NAD NAD Location: 101-Center Above Bar-2'x 4'Crater Ceiling Tile 18 09-18 09 0.104 32.7 13.5 53.8 NAD NAD Location: B02-Ceiling 8'From N Wall,10 Ft.From E Wall-2'x 4'Smooth Ceiling Tile 19 09-19 09 0.120 30.0 23.3 46.7 NAD NAD Location: B02-Ceiling Center-2'x 4'Smooth Ceiling Tile 20 10-20 10 0.114 92.1 3.5 4.4 NAD NAD Location: B02-Ceiling 8'From N Wall, 10'From E Wall-Gray Wrap Pipe Insulation 21 10-21 10 0.146 90.4 3.4 6.2 NAD NAD Location: B09-N Side 15'From E Wall-Gray Wrap Pipe Insulation 22 10-22 10 0.108 96.3 0.0 3.7 NAD NAD Location: B09-N Side 30'From E Wall-Gray Wrap Pipe Insulation 23 11-23 11 0.066 97.0 0.0 3.0 NAD NAD Location: 101-N Side By Entrance To 100-Vent-Wood Floor Vapor Barrier 24 11-24 11 0.053 98.1 0.0 1.9 NAD NAD Location: 101-N Side By Entrance To Room 100-Vent-Wood Floor Vapor Barrier 25 12-25 12 0.188 23.4 16.5 60.1 NAD NAD • Location: B04-4 Ft.From W Wall 8 Ft.From N Wall Floor-Brown Floor Covering 26 12-26 12 0.268 26.5 10.8 62.7 NAD NAD Location: B03-West Wall Center Floor-Brown Floor Covering 27 13-27 13 -- --- -- -- NAD NA Location: B09-15'From E Wall 25'From S Wall Duct-Fiberglass Duct Insulation And Jacket 28 13-28 13 -- -- --- --- NAD NA Location: B04-NE Corner Ceiling-Fiberglass Duct Insulation And Jacket 29 13-29 13 --- — --- — NAD NA Location: Attic South End By Hatch-Fiberglass Duct Insulation And Jacket 30 14-30 14 --- -- -- — NAD NA Location: B05-Safe In SE Corner Interior Front Door-Cementitious Safe Insulation 31 14-31 14 --- -- — -- NAD NA Location: B05-Safe In SE Corner Interior Front Door-Cementitious Safe Insulation 32 14-32 14 -- --- — -- NAD NA Location: B05-Safe In SE Corner Interior Front Door-Cementltlous Safe Insulation See Reporting notes on last page AmeriSci Job#: 218043307 Page 3 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos ""Asbestos%by ""Asbestos%by SampleClient Sample# % Area (gram) Organic% Inorganic Inorganic% PLM/DS TEM 33 15-33 15 0.299 22.4 57.2 20.4 NAD NAD Location: B06-SW Corner Floor-12"x 12"Blue Marble Floor Tile 34 15-34 15 0.217 22.1 56.7 21.2 NAD NAD Location: B07-NE Corner Floor-12"x 12"Blue Marble Floor Tile 35 16-35 16 0.137 61.3 16.8 21.9 NAD NAD Location: B06-SW Corner Floor-Black Adhesive For 12"x 12"Blue Marble Tile 36 16-36 16 0.076 72.4 17.1 10.5 NAD NAD Location: B07-NE Corner Floor-Black Adhesive For 12"x 12"Blue Marble Tile 37 17-37 17 0.166 42.8 54.2 3.0 NAD NAD Location: B06-SW Corner Wall-4"Brown Cove Base 38 17-38 17 0.149 43.6 53.7 2.7 NAD NAD Location: 101-E Wall By SE Corner-4"Brown Cove Base 39 18-39 18 0.238 47.1 7.1 45.8 NAD NAD Location: B06-SW Corner Wall-Brown Cove Base Adhesive 40 18-40 18 0.294 46.9 0.7 52.4 NAD NAD Location: 101-E Wall By SE Corner-Brown Cove Base Adhesive 41 19-41 19 0.168 12.5 77.4 10.1 NAD NAD Location: B06-Corner Of SE Wall Floor Debris-Square Pattern Spline Ceiling Tile 42 19-42 19 0.266 8.3 80.8 10.9 NAD NAD Location: 101-W Wall 20'From N Wall-Square Pattern Spline Ceiling Tile 43 20-43 20 0.247 52.6 1.6 45.7 NAD NAD Location: B06-Corner Of SE Wall Floor Debris-Brown Glue Dab 44 20-44 20 0.262 52.7 0.0 47.3 NAD NAD Location: 101 Ceiling 25'From N Wall 25'From W Wall-Brown Glue Dab 45 21-45 21 0.181 40.9 56.4 2.8 NAD NAD Location: B04-Threshold To Room B06-Tan Door Threshold Strip 46 21-46 21 0.152 38.8 57.9 3.3 NAD NAD Location: B07 Threshold To B09-Tan Door Threshold Strip 47 22-47 22 0.155 22.6 25.2 52.3 NAD NAD Location: B07-N Wall 5 Ft.From East Wall-Brown Wall Panel Adhesive 48 22-48 22 0.146 49.3 15.8 34.9 NAD NAD Location: 101-S Wall 20 Ft.From E Wall-Brown Wall Panel Adhesive See Reporting notes on last page AmeriSci Job#: 218043307 Page 4 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos % e g "Asbestos by "Asbestos /e by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 49 23-49 23 0.201 28.9 25.4 43.4 Chrysotile 2.4 NA Location: B07-N Wall 4 Ft.From E Wall-Red Floor Tile Remnant 50 23-50 23 0.127 25.2 29.9 44.9 NA/PS NA Location: 807-N Wall 10 Ft. From W Wall-Red Floor Tile Remnant 51 24-51 24 --- ---- ---- ---- NAD NA Location: B08-5'From S Wall 10'From E Wall Floor-Thinset Grout 52 24-52 24 ---- -- --- --- NAD NA Location: B08-NE Corner Floor-Thinset Grout 53 25-53 25 --- --- --- -- NAD NA Location: B08-5'From S Wall 10'From E Wall Floor-Thinset Mortar 54 25-54 25 --- -- -- --- NAD NA Location: B08-NE Corner Floor-Thinset Mortar 55 26-55 26 0.050 92.0 4.0 4.0 NAD NAD Location: B08-5'From S Wall 10'From E Wall Floor-Thinset Backing And Adhesive 56 26-56 26 0.062 30.6 30.6 38.7 NAD NAD Location: B08-NE Corner-Thinset Backing And Adhesive 57 27-57 27 0.146 61.6 -0.7 39.0 NAD NAD Location: B08-S Wall 12 Ft.From E Wall-Yellow Ceramic Wall Tile Adhesive 58 27-58 27 0.115 80.0 1.7 18.3 NAD NAD Location: B08-NE Corner Wall-Yellow Ceramic Wall Tile Adhesive 59 28-59 28 --- -- -- --- NAD NA Location: B08-S Wall 12 Ft.From E Wall-Ceramic Wall Tile Grout 60 28-60 28 — -- --- -- NAD NA Location: B08-NE Corner Wall-Ceramic Wall Tile Grout 61 29-61 29 --- -- --- --- NAD NA Location: B09-Safe Near NE Corner Of Room,Interior Door-White Safe Insulation 62 29-62 29 --- ---- — --- NAD NA Location: B09-Safe Near NE Corner Of Room,Interior Door-White Safe Insulation 63 29-63 29 --- — -- -- NAD NA Location: B09-Safe Near NE Corner Of Room,Interior Door-White Safe Insulation 64 30-64 30 --- --- ---- ---- NAD NA Location: B09-N Unit Boiler In SE Corner W Wall-Fiberglass Boiler Insulation See Reporting notes on last page AmeriSci Job#: 218043307 Page 5 of 14 Client Name: PSI, Inc. Table Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos % % 9 "Asbestos by "'Asbestos by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 65 30-65 30 ---- ---- --- ---- NAD NA Location: B09-N Unit Boiler In SE Corner-E Wall-Fiberglass Boiler Insulation 66 30-66 30 -- — --- --- NAD NA Location: B09-N Unit Boiler In SE COrner-Bottom E Wall-Fiberglass Boiler Insulation 67 31-67 31 0.062 91.9 4.8 3.2 NAD NAD Location: B09-15 Ft. From S Wall 10 Ft.From E Wall Duct-N Unit-Black Vibration Joint Cloth 68 31-68 31 0.101 29.7 63.4 6.9 NAD NAD Location: B09-5 Ft. From S Wall 10 Ft.From E Wall Duct-S Unit-Black Vibration Joint Cloth 69 32-69 32 0.124 59.7 11.3 25.6 Chrysotile 3.4 NA Location: B09-South Wall 10 Ft.From E Wall-Yellow Penetration Sealant 70 32-70 32 0.123 46.3 17.9 35.8 NA/PS NA Location: B09-South Wall 10 Ft.From E Wall-Yellow Penetration Sealant 71 33-71 33 -- — --- -- NAD NA Location: B12-N Wall Center-Crawispace Drywall 72 33-72 33 -- -- --- ---- NAD NA Location: B11 -SE Corner-Crawispace Drywall 73 34-73 34 --- -- -- ---- NAD NA Location: B11 -SE Corner-Crawispace Drywall Joint Compound 74 34-74 34 --- — — --- NAD NA Location: B11 -NW Corner-Crawlspace Drywall Joint Compound 75 35-75 35 -- — -- -- NAD NA Location: B11-SE Corner-Crawlspace Drywall Tape 76 35-76 35 --- -- --- ---- NAD NA Location: B11 -NW Corner-Crawlspace Drywall Tape 77 36-77 36 0.114 92.1 0.0 7.9 NAD NAD Location: B12-West Side Center-White Insulation Layer In Plastic Vapor Barrier 78 36-78 36 0.065 98.5 0.0 1.5 NAD NAD Location: B12-SW Corner-White Insulation Layer In Plastic Vapor Barrier 79 36-79 36 0.084 94.0 0.0 6.0 NAD NAD Location: B12-W Wall 10 Ft.From S Wall-White Insulation Layer In Plastic Vapor Barrier 80 37-80 37 0.071 94.4 1.4 4.2 NAD NAD Location: B12-N Side S Wall Center-Black Vapor Barrier See Reporting notes on last page AmeriSci Job#: 218043307 Page 6 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos *"Asbestos%by **Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 81 37-81 37 0.063 93.7 0.0 6.3 NAD NAD Location: B12-East Side 20 Ft.From S Wall-Black Vapor Barrier 82 38-82 38 0.333 14.4 9.9 75.7 NAD NAD Location: B12-NW Corner Interior Wall-Black Vapor Barrier On Block 83 38-83 38 0.363 16.0 27.3 56.7 NAD NAD Location: B12-SW Corner-Black Vapor Barrier On Block 84 39-84 39 0.122 50.0 22.1 27.9 NAD NAD Location: B12-NW Corner Interior Wall-Yellow Truss Adhesive 85 39-85 39 0.137 51.8 22.6 25.5 NAD NAD Location: B12-SW Corner-Yellow Truss Adhesive 86 40-86 40 0.062 96.8 0.0 3.2 NAD NAD Location: B12-SW Corner-Black Tar On Wood 87 40-87 40 0.052 96.2 0.0 3.8 NAD NAD Location: B12-N Side Center-Black Tar On Wood 88 41-88 41 0.085 94.1 0.0 5.9 NAD NAD Location: B11-SE Corner-Black Floor Barrier 89 41-89 41 0.129 60.5 26.4 13.2 NAD NAD Location: B11-N Wall 10 Ft.From W Wall-Black Floor Barrier 90 42-90 42 --- --- -- -- NAD NA Location: B11-NE Corner-Packing Around Water Pipe 91 42-91 42 ---- -- --- --- NAD NA Location: 611 -NE Corner-Packing Around Water Pipe 92 43-92 43 0.289 46.4 3.8 49.8 NAD NAD Location: Basement Stair Top-Gray Stair Carpet Adhesive 93 43-93 43 0.212 46.2 8.0 45.8 NAD NAD Location: Basement Stair Bottom-Gray Stair Carpet Adhesive 94 44-94 44 0.110 80.9 12.7 6.4 NAD NAD Location: 101 -NW Corner Wall-Yellow Textured Wall Paper And Adhesive"Physically Inseparable Layers In Sample-Sample Composited For Analysis" 95 44-95 44 0.148 83.1 10.1 6.8 NAD NAD Location: 101 -E Wall 20 Ft.From N Wall-Yellow Textured Wall Paper And Adhesive"Physically Inseparable Layers In Sample-Sample Composited For Analysis" 96 45-96 45 0.152 56.6 41.4 2.0 NAD NAD Location: 101-NW End By Room 100-4"Grey Cove Base See Reporting notes on last page AmeriSci Job#: 218043307 Page 7 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 97 45-97 45 0.148 62.2 33.8 4.1 NAD NAD Location: 101-South Wall By Room To 112-4"Grey Cove Base 98 46-98 46 0.230 47.0 3.5 49.6 NAD NAD Location: 101-North West End,Curved Hallway By 100-Tan Cove Base Adhesive 99 46-99 46 0.238 73.1 1.7 25.2 NAD NAD Location: 101-South Wall By Door To 112-Tan Cove Base Adhesive 100 47-100 47 -- --- -- -- NAD NA Location: 100-South End,East Side,At Doorway-8"x 8"Ceramic Tile Grout 101 47-101 47 -- --- -- --- NAD NA Location: 101-East Wall.South Of Door To 102-8"x 8"Ceramic Tile Grout 102 48-102 48 — — — -- NAD NA Location: 100-South End,East Side,At Doorway-8"x 8"Ceramic Tile Mortar 103 48-103 48 — --- -- -- NAD NA Location: 101 -East Wall,South Of Door To 102-8"x 8"Ceramic Tile Mortar 104 49-104 49 0.129 60.5 26.4 13.2 NAD NAD Location: 101-North Side.West End,By West Floor Vent-Black Felt Paper 105 49-105 49 0.095 63.2 23.2 13.7 NAD NAD Location: 101-West Wall,South Vent-Black Felt Paper 106 50-106 50 --- — -- --- NAD NA Location: 101-North Side,West End,West Floor Vent-Interior Duct Insulation 107 50-107 50 — -- -- — NAD NA Location: 101-East Wall,Vent South Of Door To 102-Interior Duct Insulation 108 50-108 50 -- -- -- — NAD NA Location: 101-North Side,East End,East Floor Vent-Interior Duct Insulation 109 51-109 51 0.175 40.0 32.6 27.4 NAD NAD Location: 101 -North Side,West End,Window By West Floor Vent-White Window Glazing Compound 110 51-110 51 0.222 38.3 34.2 27.5 NAD NAD Location: 101 -West Wall,Center-White Window Glazing Compound 111 52-111 52 0.145 76.6 8.3 12.2 Chrysotile 3.0 NA Location: 101 -East Wall,North End Sink-Black Sink Basin Coating 112 52-112 52 0.194 76.8 7.7 15.5 NAPS NA Location: 101 -East Wall,North End Sink-Black Sink Basin Coating See Reporting notes on last page AmeriSci Job#: 218043307 Page 8 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmerlSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by Sample k Client Sample* Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 113 53-113 53 -- ---- --- --- NAD NA Location: 101-Bar Area,East Side North End Of Bar-1'x 1'Ceramic Floor Tile Grout 114 53-114 53 -- -- --- -- NAD NA Location: 101-Bar Area,North West End.South Side Of Bar Entrance-1'x 1'Ceramic Floor Tile Grout 115 54-115 54 -- --- -- - NAD NA Location: 101-Bar Area,East Side,North End Of Bar-1'x 1'Ceramic Tile Mortar 116 54-116 54 -- --- -- -- NAD NA Location: 101-Bar Area,East Side,North End,South Side Of Bar Entrance-1'x 1'Ceramic Tile Mortar 117 55-117 55 0.052 98.1 0.0 1.9 NAD NAD Location: 101-Bar,South East End On Draft Tower-Black Coating On Draft Tower 118 55-118 55 0.057 94.7 0.0 5.3 NAD NAD Location: 101-Bar,South East End On Line To Draft Tower-Black Coating On Draft Tower 119 56-119 56 0.255 57.3 3.5 39.2 NAD NAD Location: 101-East Side,South Light In Bar Arae-Yellow Tin Ceiling Adhesive 120 56-120 56 0.260 51.2 8.1 40.8 NAD NAD Location: 101 -Bar Area-North West Corner-Yellow Tin Ceiling Adhesive 121 57-121 57 0.146 87.7 1.4 11.0 NAD NAD Location: 101 -Bar Area-East Side Center-Fiberglass Batt Insulation(Pink)And Jacket 122 57-122 57 0.198 86.4 0.0 13.6 NAD NAD Location: Attic,South East End By Duct-Fiberglass Batt Insulation(Pink)And Jacket 123 57-123 57 0.179 91.6 0.0 8.4 NAD NAD Location: Attic Center-Fiberglass Batt Insulation(Pink)And Jacket 124 58-124 58 0.166 29.5 49.4 21.1 NAD NAD Location: 101-Bar Area,East Side Center-1'x 2'Spline Ceiling Tile 125 58-125 58 0.109 32.1 47.7 20.2 NAD NAD Location: 101-Bar Area,East Side Center-1'x 2'Spline Ceiling Tile 126 59-126 59 0.085 92.9 4.7 2.4 NAD NAD Location: 101-Bar,North End Center-Black Cooler Lining 127 59-127 59 0.120 91.7 5.8 2.5 NAD NAD Location: 101-Bar,North End Center-Black Cooler Lining 128 60-128 60 0.199 69.3 3.5 26.9 Anthophyllite<0.25 Anthophyllite<1.0 Location: 101-West Wall,North End Above Windows-Tan Glue Dabs See Reporting notes on last page AmeriSci Job#: 218043307 Page 9 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos **Asbestos%by **Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 129 60-129 60 0.151 57.6 2.6 39.5 Anthophyllite<0.25 Anthophyllite<1.0 Location: 101 -West Side,Center-Tan Glue Dabs 130 61-130 61 0.051 86.3 11.8 2.0 NAD NAD Location: 101 -Bar Area,North Side,West End Of Bar-Yellow Counter Panel Adhesive 131 61-131 61 0.057 98.2 0.0 1.8 NAD NAD Location: 101 -Bar Area,North West End,Counter-Yellow Counter Panel Adhesive 132 62-132 62 --- -- -- --- NAD NA Location: 101 -South East End,South East Dome Light-Light Heat Shield 133 62-133 62 --- --- -- ---- NAD NA Location: 101 -North West End,North West Dome Light-Light Heat Shield 134 63-134 63 0.308 66.9 32.5 0.6 NAD NAD Location: 102-North West End-Kitchen Ceramic Floor Tile Grout-Putty 135 63-135 63 0.113 69.9 15.9 14.2 NAD NAD Location: 104-North East Corner-Kitchen Ceramic Floor Tile Grout-Putty 136 64-136 64 — -- — --- NAD NA Location: 102-North West End-Kitchen Ceramic Floor Tile Mortar 137 64-137 64 --- --- -- ---- NAD NA Location: 104-North East Corner-Kitchen Ceramic Floor Tile Mortar 138 65-138 65 --- --- -- ---- NAD NA Location: 102-West Wall,Corner By 101 -Ceramic Cove Base Grout 139 65-139 65 — --- --- -- NAD NA Location: 110-North Wall,West Of Door To 104-Ceramic Cove Base Grout 140 66-140 66 0.367 35.7 58.3 6.0 NAD NAD Location: 102-West Wall,Corner By 101 -Ceramic Cove Base Adhesive 141 66-141 66 0.196 35.7 35.2 29.1 NAD NAD Location: 110-North Wall,West Of Door To 104-Ceramic Cove Base Adhesive 142 67-142 67 0.329 42.2 11.6 46.2 NAD NAD Location: 102-West Wall,Corner By 101 -Yellow Wall Panel Adhesive 143 67-143 67 0.252 45.6 17.1 37.3 NAD NAD Location: 105-West Wall,By Door To 104-Yellow Wall Panel Adhesive 144 68-144 68 --- ---- --- --- NAD NA Location: 102-North Door To 101 -Fire Door Insulation See Reporting notes on last page AmeriSci Job#: 218043307 Page 10 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmerlScl HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by Sample 0 Client Sample./ Area (gram) Organic° Inorganic'Y. Inorganic% PLMIDS TEM 145 68-145 68 -- --- -- — NAD NA Location: 102-North Door To 101 -Fire Door Insulation 146 68-146 68 — — --- -- NAD NA Location: 102-North Door To 101 -Fire Door Insulation 147 69-147 69 0.056 92.9 1.8 5.4 NAD NAD Location: 102-North Door To 101-Door Adhesive 148 69-148 69 0.065 90.8 1.5 7.7 NAD NAD Location: 102-North Door To 101 -Door Adhesive 149 70-149 70 0.128 17.2 43.0 39.8 NAD NAD Location: 102-East Wall,North End-1 x 1 Hole Pattern Ceiling Tile 150 70-150 70 0.189 14.8 37.6 47.6 NAD NAD Location: 102-West Wall,South End By Roof Hatch-1 x 1 Hole Pattern Ceiling Tile 151 71-151 71 0.160 51.3 0.0 48.8 NAD NAD Location: 102-East Wall,North End-Black Glue Dab 152 71-152 71 0.186 51.6 5.4 43.0 NAD NAD Location: 102-West Wall,South End By Roof Hatch-Black Glue Dab 153 72-153 72 -- -- --- — NAD NA Location: 103-Doorway-Cooler Ceramic Floor Grout 154 72-154 72 --- --- -- — NAD NA Location: 108-Doorway-Cooler Ceramic Floor Grout 155 73-155 73 -- -- -- — NAD NA Location: 103-Doorway-Cooler Ceramic Floor Mortar 156 73-156 73 -- — — — NAD NA Location: 106-Doorway-Cooler Ceramic Floor Mortar 157 74-157 74 0.053 96.2 0.0 3.8 NAD NAD Location: 103-South Side,East End-Styrofoam Cooler Adhesive 158 74-158 74 0.059 93.2 0.0 6.8 NAD NAD Location: 103-South Side,East End-Styrofoam Cooler Adhesive 159 75-159 75 0.157 52.2 0.6 47.1 NAD NAD Location: 101 -North West End,South Side Of Entrance To Bar-Yellow Carpet Adhesive-First Floor 160 75-160 75 0.133 58.6 8.3 33.1 NAD NAD Location: 101-South Side,By Stair To Bar Area-Yellow Carpet Adhesive-First Floor See Reporting notes on last page AmeriSci Job#: 218043307 Page 11 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos **Asbestos%by "*Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 161 76-161 76 0.297 60.9 0.0 39.1 NAD NAD Location: 105-East End Center-Yellow Ceiling Panel Adhesive 162 76-162 76 0.137 69.3 -0.7 31.4 NAD NAD Location: 105-East End Center-Yellow Ceiling Panel Adhesive 163 77-163 77 --- ---- --- --- NAD NA Location: 105-West Wall,North End-Metal Panel Insulation 164 77-164 77 -- ---- — --- NAD NA Location: 105-West Wall,North End-Metal Panel Insulation 165 77-165 77 --- ---- --- ---- NAD NA Location: 105-West Wall,North End-Metal Panel Insulation 166 78-166 78 --- ---- ---- ---- NAD NA Location: 105-Center-Drywall Ceiling Board 167 78-167 78 --- --- — — NAD NA Location: 105-West Wall,South End By 110-Drywall Ceiling Board 168 78A-168 78A ---- ---- — — NAD NA Location: 105-Center-Drywall Ceiling Board Joint Compound 169 78A-169 78A ---- -- --- -- NAD NA Location: 105-South East Corner-Drywall Ceiling Board Joint Compound 170 79-170 79 ---- --- -- -- NAD NA Location: 107-Center-Tan Light Heat Shield 171 79-171 79 ---- -- ---- --- NAD NA Location: 107-Center-Tan Light Heat Shield 172 80-172 80 0.123 55.3 30.9 13.8 NAD NAD Location: 112-South End,Center-Green Carpet Adhesive 173 80-173 80 0.134 64.9 17.2 17.9 NAD NAD Location: 112-North West Corner-Green Carpet Adhesive 174 81-174 81 0.233 32.2 38.6 29.2 NAD NAD Location: 112-North Wall,West Window-Black Putty Window Glazing Compound 175 81-175 81 0.220 29.5 41.8 28.6 NAD NAD Location: 112-North Wall,East Window-Black Putty Window Glazing Compound 176 82-176 82 ---- --- --- -- NAD NA Location: 115-North Wall,West End-Orange Ceramic Floor Tile Grout See Reporting notes on last page AmeriSci Job#: 218043307 Page 12 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by **Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 177 82-177 82 --- --- --- ---- NAD NA Location: 114-South West Corner-Orange Ceramic Floor Tile Grout 178 83-178 83 --- --- ---- --- NAD NA Location: 115-North Wall,West End-Orange Ceramic Floor Tile Mortar 179 83-179 83 --- -- --- --- NAD NA Location: 114-South West Corner-Orange Ceramic Floor Tile Mortar 180 84-180 84 0.178 27.5 39.3 33.1 NAD NAD Location: 115-West End Center-2'x 4'Wavy Line Pattern Ceiling Tile 181 84-181 84 0.104 35.6 29.8 34.6 NAD NAD Location: 115-East End Center-2'x 4'Wavy Line Pattern Ceiling Tile 182 85-182 85 0.107 81.3 16.8 1.9 NAD NAD Location: 115-East Side Center-Yellow Partition Adhesive 183 85-183 85 0.106 76.4 19.8 3.8 NAD NAD Location: 115-East Side Center-Yellow Partition Adhesive 184 86-184 86 --- --- --- --- NAD NA Location: Attic-East End Center-Paper Board On Truss 185 86-185 86 --- -- ---- --- NAD NA Location: Attic-Center-Paper Board On Truss 186 87-186 87 — --- --- --- NAD NA Location: Attic-West End Center-Blown In Insulation 187 87-187 87 ---- --- --- ---- NAD NA Location: Attic-North End Center-Blown In Insulation 188 87-188 87 -- — -- -- NAD NA Location: Attic-South End Center-Blown In Insulation 189 87-189 87 --- --- ---- --- NAD NA Location: Attic-East End Center-Blown In Insulation 190 87-190 87 ---- --- ---- -- NAD NA Location: Attic-South East End-Blown In Insulation 191 87-191 87 --- --- ---- -- NAD NA Location: Attic-Center-Blown In Insulation 192 87-192 87 ---- --- ---- --- NAD NA Location: Attic-South End,By Hatch-Blown In Insulation See Reporting notes on last page AmeriSci Job#: 218043307 Page 13 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by **Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 193 88-193 88 0.242 19.0 66.1 14.9 NAD NAD Location: 101 -North West End,South Side Of Bar Entrance-Green Floor Tile 194 88-194 88 0.213 19.7 63.8 16.4 NAD NAD Location: 101 -North West End,South Side Of Bar Entrance-Green Floor Tile 195 89-195 89 --- --- --- ---- NAD NA Location: 101 -North West End,South Side Of Bar Entrance-Gray Leveler 196 89-196 89 --- ---- --- -- NAD NA Location: 101 -North West End,South Side Of Bar Entrance-Gray Leveler 197 90-197 90 0.143 55.2 18.2 26.6 NAD NAD Location: 101 -North West End,South Side Of Bar Entrance-Black Slipsheet And Floor Tile Adhesive 198 90-198 90 0.244 56.6 19.7 23.8 NAD NAD Location: 101 -North West End.South Side Of Bar Entrance-Black Slipsheet And Floor Tile Adhesive 199 91-199 91 0.239 50.6 7.1 42.3 NAD NAD Location: 101 -North West End,South Side Of Bar Entrance-Yellow Floor Tile Adhesive 200 91-200 91 0.192 37.0 17.7 45.3 NAD NAD Location: 101 -North West End,South Side Of Bar Entrance-Yellow Floor Tile Adhesive 201 92-201 92 0.157 65.0 0.0 35.0 NAD NAD Location: 103-Above Cooler,West Wall,South End-Pressed Wood Wall Panel Adhesive 202 92-202 92 0.226 64.2 2.2 33.6 NAD NAD Location: 103-Above Cooler,West Wall,South End-Pressed Wood Wall Panel Adhesive 203 93-203 93 0.185 39.5 15.7 44.9 NAD NAD Location: 115-North Wall,West End-Orange Ceramic Tile Adhesive 204 93-204 93 0.320 38.1 2.2 59.7 NAD NAD Location: 116-South Wall,West End-Orange Ceramic Tile Adhesive See Reporting notes on last page AmeriSci Job#: 218043307 Page 14 of 14 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl Rs Demolition Survey, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos o %9 ""Asbestos /by "Asbestos /by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM Analyzed by:John P.Koubiadis . Date Analyzed 4/24/2018 "Quantitative Analysis(Semi/Fu ,Bulk Asbe os Analysis--P by EPA 600/M4-82-020 per 40 CFR or ELAP 198.1 for New York friable samples or ELAP 198.6 for New York NOB samples;TEM (Semi/Full)by EPA 600/R-93/116(not covered by NVLAP Bulk accreditation)or ELAP 198.4;for New York samples;NAD=no asbestos detected during a quantitative analysis; NA=not analyzed;Trace= <1%;(SOF-V)=Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning 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 ID 102843. Warning Note:PLM limitation,only TEM will resolve fibers<0.25 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non-uniformly dispersed debris for which PLM evaluation is recommended(i.e.soils and other heterogenous materials). Reviewed By:__, - , / 4-M] Information CHAIN OF CUSTODY SHEET �'� To Build On anakuuriavemmiampragaell Project Number: (/.6 a()k Client: 5Crohut3q tAusoiltil Report Number: Attn: Frc4t. f eilLett Date Delivered: Address: Zt.l (hoptlit &Ilea Package Shipped From: Sr'lescek A11r„v`(,Jl4 SOro Seri'Ay% A/EW Yv/k I1166 ` Carrier: Ct Project Name: (Or �x Ue, l��:b�uAiii Number Collected: 1.44 Project Location(STATE): few YJ� Number Receive V Date Sampled: 4rrit 11-M t„t NO-Jig Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi..in. 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P To Bu id On Information CHAIN OF CUSTODY SHEET Project Number: 08 Wai 03 Client: Sor4Tuyr thjyrt,( Report Number: Attn: frogl♦ tf4,0n1011 Date Delivered: Address: 2WW (tnvrtfl Pcret/ Package Shipped From: ctne„tt b.tln/k!s,'{ry kro Sjr;nys, Ak%fr Y (La 1 Cor( as be,�,t4 �afv Carrier:me �f W Project Name: �{ Number Collected: Z%0 Project Location(STATE):/V¢w yml Number Received: Condition of Custody Seal on Receipt: Date Sampled: qer;t 1107 cn2 lbrtdld' Condition of Package on receipt: ___ Shia•in• Manifest Attached: Shi..ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID 507- AI Wr^(/ y.'{ 6rom E Red Fluky isle 1 L5-yy t. / Ke rvn cA l- Z�_ aow�/ / /of( .may,5- Ae� F ( �;t Bog- S 'fjYxr, c u.ki-/( /or ,;'151}- CN4 2A-rt iforr E w a(/ (/oar 13046-NE cofrtc c -c&, r ' \hinS¢� GNir4 Zy-SZ 25- rj sog- c Ifrom 5 e,J0,l/ /0' ill!"ASPl- Mdr}ri Croce rya// {/c c aag-- tiE corns-f 00oor -LC-5`� i�cel Mu/ v b-rT t0�'Sr'4bv1 .5r c. i Ant 'tt,,iAt•E kuckr4i From C ter.,// (/cot AA). 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S\ At E4)4- e,,,►}(ft. 02 1 8 0 4 3 3 © 7 Professional Service Industries.Inc.• 104 Erie Blvd.Suite I - Schenerta`iv NP,•,v,,.t i lanc. oti......,G 1 0, »-, •• .,-... ___ ....-- 1MInformation CHAIN OF CUSTODY SHEET To Build On aste+ake•or.n..rr.tre.ike c Project Number: 0211-2z6$ Client: Ortilkfla kott,'4 i Report Number: Attn: r'c l MtrIt fI Date Delivered: Address:Z1k OAvf(61 S4i't►tll Package ShippedCLC6 eflvAL I M,,,�'(,v,,i, 9 From:j S(rotur SPrrNtr Alto- I�/J(ll Ileeb Carrier: F-f # Project Name: (or I Rt (kv 14-1w Sv(v‘.-j Number Collected: 1tJ`•1 Project Location(STATE): Number Received: MN,Ytlk Date Sampled: 4fn'I IL 11 c,1 1biLing Condition of Custody Seal on Receipt: Condition of Package on receipt: __ Shi..in. Manifest Attached: _ __ Shi..ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID /3c4-Sq-FG /�-otr NE'C csrrte-r i 504 ti-61 CA rear) ',Wen er max Z�-6 r me ncar' NE" c-c rnr 1nil�,,le Sc(e Z��b3 33—sue`nro,,-N� c.r,r(xd' I�►►'k Scie of r«w) -In/cioyc.Lor In1vif:tttn 1309 -ri' uniJ (3•e(/tr ,Y) r�I 1 3V-61 SE corner r,.w • Jc./( T��l�lwl 6Qt1Q/ 3o4-N Clnt4 Bark-r ✓n SE ffr5 lit fl wkki 3laS Corner-e we.(( coot- Non,/ f3o,(e r t n Se- �^1v���t�6 r 30-66 -orrxr- �ta�r�t w�/� I�,ie,blbt, o,l0/ ►m,,10-1(s go g- /S-f l-f(ar►-t 5 c.,xA,// 1316r`I4 11,3ro1-tti4 1147 /dfl ,m6 £ k.t(/ I c- -/v,.N JoiA1- (loSlA 1 oy- cf•t from 5 e..r..11 111(a V iv&kfti1 -11-6i /OPfrom E 4.,54t 0(XA- s (Jr.-4 (tA- 13c19_saAh Wall laf•lfrerr) `4.kkt.., (kmivtAtcn AO 6 woJ/ So010,1- 609-3co11., coeA!/ ON from ‘6\10►„ PPnt4n4 32-10 E 6004 I SQQICil I- 13 rt- N ()c..1 Cetric r (rowl S pm() 11-11 33-1Z 31) S6 c rnP.( Cruwlvitt nr-ttral l Sampled By: J,Art. 1 /A. Albvroi-.l //n�� /� Report Routing: Relinquish Signature Chain of Custody / Date: '1 1(1 lS Draft to: Signature of Chain of Custody Recipient: I�''_. Date: �//ff /MO Draft Due: Disposition of Samples: Final Report To: ` NOTE:if the package has sustained substantial damage or the custody seal is broken, and contact the project managq,,Land shipper. S 'up � Pi-m- Poillr-1 2 8 0 4 3 3 Q Professional Service Industries.Inc..• 104 Erie Blvd.Suite I • Schenectady New York 12305• Phr nr!SIR‘177_0a4 r .C.,...141Q,29'1 no," WMInformation CHAIN OF CUSTODY SHEET Build On �w To rir Project Number: uzak-aGh Client: Sc,rckict,, u`iv,i(.l Report Number: Attn: Fr.nk A44t1r Date Delivered: Address: IA\ (hunt,' S4te(4 Package Shipped From: Jti,c4ella-,IJl/C4,-`tot, ioro/tit'' i pn;1(Si New Yo(i (tett Carrier: Ct� Project Name: (of I Its nQilm,lthvi Swvty Number Collected: 7.J`1 Project Location(STATE): 1witifb, Number Received: Date Sampled: NM tlt 1i ce4 Iit r.,flil Condition of Custody Seal on Receipt: Condition of Package on receipt: Stu.'in. Manifest Attached: Shi..ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID 3�t_13 iU- 56 c- me (cowtspr:te neilmal JoinF (,this, 6 I I- /VGu cc) ( Crtvtsp r.te pi,..„..tl 34-7y J(,►n+ (uttV,tvA 3S is 6 i(-.5 t Cer of (r..v()pute T1r jt*.vi -fc,fic 3S.16 5)1 - MA.) corrxe ( pc(( 0,4,4,,,6 ne ��`1� I;ef Stc- WIl4C (n),,I6k,Ln y t3 t a-S u) co rnc� wl�; c�� PI i i-I,J,, ,c� L‘(At rill tilt‘ht Vrput 1 irtiCr 6-71 ..c. tNol i) to-ter in PIA'( t ftd ,JurJ1`R/ �l-�r, -»` N s►` e s c�x-1 Nat Uri. Le_A-1 cr rcorr a/ 3`1, , - E-as'( 5icQt .Ap.0 *AA h \J 3.7-81 -(foM 0 (A) c\i i (� aorf;{e 3�-gz t!3-i1`/-vt,.) c�rncr B10(k 4,( (Sort�(i in-furor 1‘--e e � OR NARJ1 n � ����� i3•" cme' 17.--",5(..) o ! �+r 1t6(11 0pur t�Yw ' On MO 3q t5-(a�- �w cc rn� `I UUu � »G„ /� `� e_,o r t„b� t t4tNe>i,� Sampled By `' Ar t tit," 1Jou ,{ 1 _ Report Routing: Relinquish Signature Chain of Custody: 4n. Date: 'y 11/y Draft to: Signature of Chain of Custody Recipient: - Date: 47 8- //NO Draft Due: / Disposition of Samples: Final Report To: • NOTE:If the package has sustained substantial d a the custody seal is broken,stop and contact the project ma aggr ar�d pper. Ski i4T Tire r'(J�t7ti,_ NI Gh8 `J1 �J U Professional..ervire..nrincv;P t.., . 1n.1 c.:..DI..., o..:.. . r_. . . .. .. . .____ • • —\\ ` Information CHAIN OF CUSTODY SHEET o Build On ■�ruoy. Tanalme.tilisiitr Project Number: Ob'LI L?'(t' Client: iCa4tiy ttO Report Number: Attn: frcnh iko'►t+611 Date Delivered: Address: .ill (Lfih Slim 4 Package Shipped From: SCLtnril4-1 Npw Sorolut Spi- ,,NPW Yj,41 (isGG fl Project Name: (or( rir pp..,IL4a:f, SuA y Carrier: Project Location (STATE): Number Collected: 1-04 • NPw 'fJ yap, Number Received: Condition of Custody Seal on Receipt: Date Sampled: A(,ri+ IL,I; al (lyttits Condition of Package on receipt: Shia'in. Manifest Attached: Shi..ed Bill Retained: Laboratory ID Sample ID Other Location ID Sample Type Other �- t3l -3(du corner- Yelltl� 1i,4) t3IP.- S w c.ornc-c- 13(&c(1c, (y- wawa t3 Lid-in \�- N sty -i�- ccn Block To, on Uv0� `It SI 6ii-50/_S(corner 131(4 Ftu,/ ao#iel III �q 31I - A/ we,.f/ Iv-1-( .� \ ( I k FIUu( w vo(I , ifie✓ Alt-�� 81 J- NE c�rne,l— PGth(-r'5 Arw^! Wv4e. Piv 3►(- N6 cork-r' P&L krill 4fuu4 Vri( Pipe gaik. lcoj ss-le.l'r {o �� e ve RcA cnnell-1 s4cdr bol4o1ri Gr q \- i. (viet1- 41--13 I ftelt vt. to/- NtJ ccit-nt-f- k(eII0, Too-kheet• Lls-k-qq (,-,b,l/ Walt Per o.2 /4),Lii)tvc /0/- 6 cAXjr aof-r .crom /v t .P Wott ?opt c.a A llituv,e • �(C- /0/ - NW 6ncl, by rooM1 't' G/t, (vuc � A� -- I\0ac_ Sampled By: J. f fn„v IA. t u6Va,k t -- l� Report Routing: Relinquish Signature Chain of Custody: L_ Date: I ,,(Y Draft to Signature of Chain of Custody Recipient: • /i Date:e- f�f b //4 Draft Due: Disposition of Samples: L--• Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. Professional Service Industries Inc • Ifld Fr;,..ui..•i C , e. . , .. .. . .-- .- - `'-D Information To Build On CHAIN OF CUSTODY SHEET arse S �� f ( Project Number: Jail ZS`ts Client: Gr (�it 16 Report Number: ,,fAttn: Ptak /It tr Date Delivered: Address: 2\l (kvrt1l S}te 4 Package Shipped From:sde4e(II-0-0 Ann. i-(r,,t S'4J41pr4NA Ow Y,,r"t ItYlis �t� �} Carrier: Project Name: (wl lb 00'4(i tin �u,/v') Number Collected: 1041 Project Location(STATE):Amu., VJ41 Number Received: Date Sampled: Am;( 1i•1?a) l iitulir Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: Shi••-d Bill Retained: Laborator ID Sam le ID Other i y P ID Location Sample Type Other 1 t) fly4A ',th,l I, 7 nay' I I I tl't C9 rr 1 (Ut4 `5- 41 t ,tb. 4 g l u\1 ktu,; ' WO- E'% ,(Inv/2 TO^ (tive fiiv 1 - M Ity,rt,tl (,.A 1UU �'�l'tctjtr\ 101, Sovl'lr kM,lM 1 C-L now lt► 1U L 1ce% t f',)e Lib- ci 9 u Q>i�e LI�r1uu (Uu,Stw €4,Ect{- 54 At fiww,/ `P1(Vt erc... t 1i1c P N't (tll f tot 1,vt,t1,St., d r tt. fc��r Iv 8",t8 (eran,;t Isle q 1-tUl tot GN.)I- qlt t)u1 S In (4. 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Srhenerta,iv NPn,V,,.t, ,97nc.o,.....,.'C.O. 1,,,..,., .- ___ ._ ® Information CHAIN OF CUSTODY SHEET 4r.w T.�:m s Build On Project Number: (Yet-1 vr68 Client: SGro 1.1,, ,hi Report Number: Attn: 1�a� ‘t,.� Date Delivered: Address: UI (6„,,, Sl/to Package Shipped From:SCtemdaffftpos, Ur Soruh Seri",A/rr•Yak ItY61 Carrier: PlZl� Project Name: (Wl A s Oe•Ma1.tn SJ/ucy Project Location(STATE): A � 10 Number Collected: "LA"LAlV Number Receive Date Sampled: , (ttll 64 A. %tltd Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi.•in. Manifest Attached: Shi•.ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID tt)\, kb Si e)WrPl- TI-��� � 1gbr�+)t,tr ; t�,Al,,<„ V( Ut1- f(wli llrp4- Gluons (tMp ! , 1l1 r ve. 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Signature of Chain of Custody Recipient: Date: ifff i /j'D Draft Due: Disposition of Samples: Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stopand contact the�} project manager and shipper. S ll►p Al- RAP &A tie P218043307 Prnfrcc,nnar CN..i l i.,.._:.,. ..., n. • .,. . .. . _ . FIT Information CHAIN OF CUSTODY SHEET ��r T�o�olliir llleillig O !Avid Project Number: QYL ILW'1' Client: tq 11 Id Report Number: Attn: rr t AnvAt•,5 Date Delivered: Address: LA t6r14 S4104 Package Shipped From: S(fietttl ail AJ7 y, 4" Sor ,SpriAyt,Mu/ LevA 11414 Carrier: Pc 4 Project Name: co,( its Oed4V iti„Swut, Number Collected: 14.1q Project Location(STATE): AA,,,�,, Number Received: ,vl1N Y�rts Date Sampled: f( Rt11 c 4 004.0 Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi.•in. Manifest Attached: Shi••-d Bill Retained: 1 Laboratory ID Sample ID Other Location Sample Type Other ID wf �, hit.,Vol. S,. 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N(Nrd-1 Report Routing: Relinquish Signature Chain of Custody: / Date: 4 Draft to: Signature of Chain of Custody Recipient: Date: { I f I fr P Draft Due: Disposition of Samples: (� Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. )Up At' c,11- P,11t- IP 2 1 8 0 4 3 3 0 7 Professional Service Industries,inc.,• 104 Erie Blvd.Suite I . c.•he,,.-.-r„t.,nr....,v,,.t, ,-,l.,<. .,'.._ ,....• - - - F J� Information CHAIN OF CUSTODY SHEET ��• Tei.no+ii�i�� C Project Number: ORA 2.g6$ Client: ut t,yp RviLl Report Number: Attn: frw4 AunivAl Date Delivered: Address: Package Shipped From: 14IAae c(oli A/fw 'Qvtt 564ayt,SprituisiMav Yv<k 12W Carrier: r8.t•� Project Name: Coil R'f emold,i,e Su/via Number Collected: ZU't Project Location(STATE):Mw Y41n Number Received: Date Sampled: Apt.'( Il,(l] „4 (Nutt Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi•.in. Manifest Attached: Shi•.:d Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID I (U\i ittl/ WO" , 46/I Lc k- 44' S6t�ct>� 6z'l33 \Amyl- rlckmr. 1 ty�-- S b3-11`� 1U1,- I% u/6 L e K► dsr (er..+t. S ��lMt l�u/��+ Eon} i'v✓.►ti �uY -TAP �ru�l-`may 6 li K, Le (¢r6►ic ow, TIE GAO -Puy • (,�l lib 10, /l fL Iwe Ena (irk ,\ (C c Fig ►tc vrl-<< b -,1 1 ( t7_ i AZ/PA T u+- (V/„C, Ki ,en (gtee,rt. 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CM.._..._,c•o, „-.n.,.. .- ___ Fill] Information CHAIN OF CUSTODY SHEET To Build On Project Number: 0 il It 2$6 S Client: Sort,tv 4 kg -61 Report Number: Attn: frr,b Meulkotl Date Delivered: Address: 1,\ Package Shipped From: cCPPrl,,lyetif 4eYdit4 - f Carrier: re 4 Project Name: (oil ail OQt,ol,'hi4 )tf/tJty Number Collected: ZU`'l Project Location(STATE):New YA Number Received: Date Sampled: Apt( IZf13 :'12 1601U1 e Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi.'in Manifest Attached: Shi••-d Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID 101 l 44,k Ow/ 4-0 WI I ilk kW 61041 lAulLA(A �_��� (0Z, ti01Jn ( , It, (0\ PIA. 4(AY l it$„lt,l,.e,, 69-NI (bZ , 1.11A Our, b, 10 Nor � -4. . b9 1`l8 toil AAA �V ow( l ut ()our Aglesiul �u-t.tc� I tc,N. 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Il Draft Due: Disposition of Samples: % Final Report To: NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. ibe At Fi:i ebi1 ktv 122 1 8 0 4 3 3 0 7 Professional Service Indiistriec Mr• • In,F,-i..ral.,a c , ('..,..._- ., . .....•_ ... _._ -__ EtglInformation CHAIN OF CUSTODY SHEET To Build On Project Number: M$U i868 Client: 5041tyq 14004,1 Report Number: Attn: fry Airo4uM Date Delivered: t Address: Z1( oulti4 tei4 Package Shipped From: SCIfeat(al1A404. 'Llh 5oio1,yc. Spent ittr.,`?uAt (1216 Carrier: Re Project Name: Cor( it's OQM6141P VjA14.1 Number Collected: blA Project Location(STATE): Mvv 'M Number Received Date Sampled: gpI1,13r• r+t41-tttl>r Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: Shi••ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID i in, SW{L ct ' I6+C^). y/ rr (Lull/ I "ly,1s . 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(1 Al- r-tftE t'osr}wr Z 1 8 0 4 al 3 © 7 Professional Information CHAIN OF CUSTODY SHEET To Build On Isessedwearr.tfrseas Project Number: 08 Ll l6bk Client: 5G Nye l Report Number: Attn: Fc�k /I 4,ct1 Date Delivered: Address: lit (•twrrA Stfett Package Shipped From: Safe*t 4 ti-A Ille.fr Y Sorolvii cpr;41t, Ak., Y1I1t ti2(6 Carrier: L. br Project Name: CO It's nt•ao(tlF n Svh.4.1 Number Collected: 704 Project Location(STATE):(UN, Number Received: Date Sampled: April 0,17 ca 60oU Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••iin• Manifest Attached: Shi••ed Bill Retained: • Laboratory ID Sample ID Other Location Sample Type Other ID C- , �+((�S� �1� ^ X k.11nL 0,1u,ndl (e,,l+r, -1 Ib9 I xrl Jut t (Uotivot t01 (eAuf TW ►yGi- 1-104, -71-ntJ ttl2_ (Un t(enki T. Lxhl Noot 11-n 1 S lAielt 11 t, VA E', (ems,1-et (teteN (ve At tu-Ill 11 e)ive 111 AAJ \.jp1)- ('Jr'' Green (apt( Yu-h �) AAl Oltiic ' III NU/11% \MAI, lhie►i` l,/,n?�,�, (loch 1-k1-1 I-All \krvi,n,,. 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Draft to: Signature of Chain of Custody Recipient: .!i Date: /Fri 7/11"0 Draft Due: Disposition of Samples: (7' Final Report To: NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and cortficeheirofit(*n4e3n(yhl e S oti 9 ' P'„3- IPA{ lvk MgInformation CHAIN OF CUSTODY SHEET To Build On i_adooa.m lbeinullou C Project Number: °XI(25bis Client: )6r4, i{klip, 1 Report Number: Attn: trod friciAGII Date Delivered: Address: 1.t1 (( $ S}reet Package Shipped From: Sclvbirckl ltiVit4,Ku41 Soro4u11 Spf;A!(,At., `Gttdt 7`trli Carrier: F!Z Fk Project Name: Co( Vt • t'. iti r'4t Surveg Number Collected: 2tr{ Project Location(STATE):New 'irk Number Received: Date Sampled: April I/113 W►i ilvtolt? 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O1c4 ( (Qr64ic 93-113 lit 4 giesive t14 Suok Vol ,We4 Evl llro,tgt (t?rcriet 11-ZO`{ -Lit AgosivC Sampled By: J At 'A ilvvroirii Report Routing: Relinquish Signature Chain of Custody: 4-.../V t._. Date: 4 6 6 Draft to: Signature of Chain of Custody Recipient: Date:1' (e //41V Draft Due: Disposition of Samples: Final Report To: ' NOTE:if the package has sustained substanti or the custody seal is broken,stop and contact the project manager and shipper. Slip p 41- Pt(t1 %" 02 1 80433 07 Professional Service Industries.Inc..• 104 Eric Blvd.Suite 1 • Schenectady New York 12305•Phone(518)377-9841 • Fax(518)377-9847 AmeriSci New York AMERI SCl 117 EAST 30TH ST. NEW YORK,NY 10016 TEL:(212)679-8600•FAX:(212)679-3114 PLM Bulk Asbestos Report PSI, Inc. Date Received 04/25/18 AmeriSci Job# 218043997 Attn: John Tranter Date Examined 04/26/18 P.O.# 104 Erie Blvd. Page 1 of 7 RE:08212868; Saratoga Hospital; Carl R's Demolition, New York Schenectady, NY 12305 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 94-205 218043997-01 No NAD 94 Location: South Side,East End,East Wall To Bathrooms,At Damage-Exterior White (by NYS ELAP 198.1) Vapor Barrier by Bo Sun on 04/26/18 Analyst Description:White, Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 94-206 218043997-02 No NAD 94 Location: West side,Center South Of Corner,By Center Windows-Exterior White (by NYS ELAP 198.1) Vapor Barrier by Bo Sun on 04/26/18 Analyst Description: White, Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 95-207 218043997-03 No NAD 95 Location: South Side,Center, East Window-Exterior Putty Window Glaze Compound (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.4% 95-208 218043997-04 No NAD 95 Location: West Side,North Window-Exterior Putty Window Glaze Compound (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 34.5% 96-209 218043997-05 No NAD 96 Location: West Side,Center-White Exterior Wall Caulk (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.2% See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 2 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 96-210 218043997-06 No NAD 96 Location: North Side,East End-White Exterior Wall Caulk (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 10.9% 97-211 218043997-07 Yes 6 % 97 Location: R1,West Side Center-Rolled Roofing (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 6.0% Other Material: Non-fibrous 47.8 97-212 218043997-08 NA/PS 97 Location: R1,Center-Rolled Roofing Analyst Description: Bulk Material Asbestos Types: Other Material: 98-213 218043997-09 Yes 3.4 % 98 Location: R1,West Side Center-Gray Roof Tar (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 3.4% Other Material: Non-fibrous 13.6% 98-214 218043997-10 NA/PS 98 Location: R1, East Side,North End-Gray Roof Tar Analyst Description: Bulk Material Asbestos Types: Other Material: 99-215 218043997-11 Yes ' 3.2 /o 99 Location: R1,West Side Center,At Damage-Black Roof Flashing (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous, Non-Fibrous, Bulk Material Asbestos Types:Chrysotile 3.2% Other Material: Non-fibrous 8% See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 3 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 99-216 218043997-12 NA/PS 99 Location: R1,West Side Center,At Damage-Black Roof Flashing Analyst Description: Bulk Material Asbestos Types: Other Material: 100-217 218043997-13 No NAD 100 Location: R2,West End Center-EPDM Roof (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 9.3% 100-218 218043997-14 No NAD 100 Location: R4,Center-EPDM Roof (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 4.2% 101-219 218043997-15 No NAD 101 Location: R2,South End,West Side-EPDM Sealant (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 8.8% 101-220 218043997-16 No NAD 101 Location: R6,North End Center-EPDM Sealant (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 8.9% 102-221 218043997-17 No NAD 102 Location: R2,West End Center-Brown Fiberboard (by NYS ELAP 198.1) by Bo Sun on 04/26/18 Analyst Description:Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 98%, Non-fibrous 2 See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 4 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 102-222 218043997-18 No NAD 102 Location: R6,Center-Brown Fiberboard (by NYS ELAP 198.1) by Bo Sun on 04/26/18 Analyst Description: Brown, Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 97%, Non-fibrous 3% 103-223 218043997-19 No NAD 103 Location: R2,West End Center-Black Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black, Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.6 103-224 218043997-20 No NAD 103 Location: R6,Center-Black Vapor Barrier (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.7 oio 104-225 218043997-21 No NAD 104 Location: R5,East Side,North End-Roof Shingle (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black, Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 70.1 % 104-226 218043997-22 No NAD 104 Location: R3, East Side,North End-Roof Shingle (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 58.8% 105-227 218043997-23 No NAD 105 Location: R5,East Side,North End-Vapor Barrier Under Shingle (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.1 % See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 5 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 105-228 218043997-24 No NAD 105 Location: R3,East Side,South End-Vapor Barrier Under Shingle (by NYS ELAP 198.6) by Bo Sun Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material on 04/26/18 Asbestos Types: Other Material: Non-fibrous 0.5% 106-229 218043997-25 Yes 4.7 % 106 Location: R3,East Side,South End,Vent-Black Vent Tar (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 4.7% Other Material: Non-fibrous 18.9% 106-230 218043997-26 NA/PS 106 Location: R3,East Side,South End,Vent-Black Vent Tar Analyst Description: Bulk Material Asbestos Types: Other Material: 107-231 218043997-27 No NAD 107 Location: R4.Center-Tan Fiberboard (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.9% Comment: Submitted Sample Contained TAR(NOB) 107-232 218043997-28 No NAD 107 Location: R4,Center-Tan Fiberboard (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.1 Comment: Submitted Sample Contained TAR(NOB) See Reporting notes on last page • AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 6 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 108-233 218043997-29 No NAD 108 Location: R3,South Side,East End-White Metal Flashing Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black/Grey,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 64.8% 108-234 218043997-30 No NAD 108 Location: South Metal Roof, North West Comer-White Metal Flashing Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Black/Grey,Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 75.3% 109-235 218043997-31 No NAD 109 Location: South Metal Roof,North West Corner-Metal Roof Vapor Barrier (by NYS ELAP 198.1) by Bo Sun on 04/26/18 Analyst Description: Brown,Homogeneous,Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 109-236 218043997-32 No NAD 109 Location: South Metal Roof, North West Corner-Metal Roof Vapor Barrier (by NYS ELAP 198.1) by Bo Sun on 04/26/18 Analyst Description: Brown,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 100%, Non-fibrous Trace 110-237 218043997-33 No NAD 110 Location: R2,West End,Center-Yellow Flashing Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Yellow, Heterogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 1.7% 110-238 218043997-34 No NAD 110 Location: R2,West End,South Side-Yellow Flashing Adhesive (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Yellow, Heterogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.9% See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 7 of 7 PLM Bulk Asbestos Report 08212868; Saratoga Hospital; Carl R's Demolition, New York Client No. / HGA Lab No. Asbestos Present Total % Asbestos 111-239 218043997-35 No NAD 111 Location: North Side,East Enter Door-Gray Door Window Glazing Compound (by NYS ELAP 198.6) by Bo Sun Analyst Description: Grey,Heterogeneous,Non-Fibrous,Bulk Material on 04/26/18 Asbestos Types: Other Material: Non-fibrous 45.8% 111-240 218043997-36 No NAD 111 Location: North Side West Enter Door-Gray Door Window Glazing Compound (by NYS ELAP 198.6) by Bo Sun on 04/26/18 Analyst Description: Grey,Heterogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 41.9% Reporting Notes: !~~ ` Analyzed by:Bo Sun ((f- 'NAD/NSD�o asbestos detectbd;NA=not analyzed;NAPS=not analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite; (SM-V)=Surfacing Material containing Vermiculite:PLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763(NVLAP 200546-0),ELAP 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 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 tile,FR 59,146,38970,8/1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the lab.This PLM report relates ONLY to the items tested.AIHA-LAP,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PH-0186,Mass Cert AA000054. Reviewed By: END OF REPORT AmeriSci Job#: 218043997 Page 1 of 3 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl R's Demolition, New York Sample Heat Acid Insoluble AmeriScl HG Weight Sensitive Soluble Non-Asbestos "Asbestos%b Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS y .. TEM Asbestos%try 01 94-205 94 --- -- -- NAD NA Location: South Side,East End,East Wall To Bathrooms,At Damage-Exterior White Vapor Barrier 02 94-206 94 --- _- -- --- NAD NA Location: West side,Center South Of Corner,By Center Windows-Exterior White Vapor Barrier 03 95-207 95 0.252 34.9 35.7 29.4 NAD NAD Location: South Side,Center,East Window-Exterior Putty Window Glaze Compound 04 95-208 95 0.220 25.9 39.5 34.5 NAD NAD Location: West Side,North Window-Exterior Putty Window Glaze Compound 05 96-209 96 0.290 26.9 67.9 5.2 NAD NAD Location: West Side,Center-White Exterior Wall Caulk 06 96-210 96 0.311 24.4 64.6 10.9 NAD NAD Location: North Side,East End-White Exterior Wall Caulk 07 97-211 97 0.130 44.6 1.5 47.8 Chrysotile 6.0 NA Location: R1,West Side Center-Rolled Roofing 08 97-212 97 0.420 89.0 7.6 3.3 NA/PS NA Location: R1,Center-Rolled Roofing 09 98-213 98 0.265 27.2 55.8 13.6 Chrysotile 3.4 NA Location: R1,West Side Center-Gray Roof Tar 10 98-214 98 0.135 51.9 6.7 41.5 NA/PS NA Location: R1,East Side,North End-Gray Roof Tar 11 99-215 99 0.268 85.1 3.7 8.0 Chrysotile 3.2 NA Location: R1,West Side Center,At Damage-Black Roof Flashing 12 99-216 99 0.184 85.9 2.7 11.4 NA/PS NA Location: R1,West Side Center,At Damage-Black Roof Flashing 13 100-217 100 0.162 88.9 1.9 9.3 NAD NAD Location: R2,West End Center-EPDM Roof 14 100-218 100 0.167 94.6 1.2 4.2 NAD Location: R4,Center-EPDM Roof NAD 15 101-219 101 0.295 42.7 48.5 8.8 NAD NAD Location: R2,South End,West Side-EPDM Sealant 16 101-220 101 0.360 42.2 48.9 8.9 NAD NAD Location: R6,North End Center-EPDM Sealant See Reporting notes on last page AmeriSci Job#: 218043997 Client Name: PSI, Inc. Page 2 of 3 • Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl R's Demolition, New York AmeriSci Sample Heat Acid Insoluble HG Weight Sensitive Soluble Non-Asbestos ** % Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% As PLM/DS TEMs Asbestos by **Asbestos %by 17 102-221 102 - -- --- -- NAD NA Location: R2,West End Center-Brown Fiberboard 18 102-222 102 --- --- - -- NAD NA Location: R6,Center-Brown Fiberboard 19 103-223 103 0.163 98.2 1.2 0.6 NAD NAD Location: R2,West End Center-Black Vapor Barrier 20 103-224 103 0.148 98.6 0.7 0.7 NAD NAD Location: R6,Center-Black Vapor Banter 21 104-225 104 0.415 25.8 4.1 70.1 NAD NAD Location; R5,East Side,North End-Roof Shingle 22 104-226 104 0.667 36.7 4.5 58.8 NAD NAD Location: R3,East Side,North End-Roof Shingle 23 105-227 105 0.091 97.8 1.1 1.1 NAD NAD Location: R5,East Side,North End-Vapor Barrier Under Shingle 24 105-228 105 0.215 98.1 1.4 0.5 NAD NAD Location: R3,East Side,South End-Vapor Barrier Under Shingle 25 108-229 106 0.161 68.9 7.5 18.9 Chrysotile 4.7 NA Location: R3,East Side,South End,Vent-Black Vent Tar 26 106-230 106 0.145 66.9 5.5 27.6 NA/PS NA Location: R3,East Side,South End,Vent-Black Vent Tar 27 107-231 107 0.054 92.6 5.6 1.9 NAD Location: R4.Center-Tan Fiberboard NAD 28 107-232 107 0.090 97.8 1.1 1.1 NAD NAD Location: R4,Center-Tan Fiberboard 29 108-233 108 0.159 18.9 16.4 64.8 NAD NAD Location: R3.South Side,East End-White Metal Flashing Adhesive 30 108-234 108 0.089 15.7 9.0 75.3 NAD NAD Location: South Metal Roof,North West Corner-White Metal Flashing Adhesive 31 109-235 109 -- -- --- -- NAD NA Location: South Metal Roof,North West Corner-Metal Roof Vapor Barrier 32 109-236 109 --- --_ --- ---- NAD NA Location: South Metal Roof,North West Corner-Metal Roof Vapor Barrier See Reporting notes on last page AmeriSci Job#: 218043997 Page 3 of 3 Client Name: PSI, Inc. • Table I Summary of Bulk Asbestos Analysis Results 08212868; Saratoga Hospital; Carl R's Demolition, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%b Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLM/DS y ** Asbestos%by TEM 33 110-237 110 0.060 96.7 1.7 1.7 NAD NAD Location: R2,West End,Center-Yellow Flashing Adhesive 34 110-238 110 0.106 98.1 0.9 0.9 NAD NAD Location: R2,West End,South Side-Yellow Flashing Adhesive 35 111-239 111 0.192 43.8 10.4 45.8 NAD NAD Location: North Side,East Enter Door-Gray Door Window Glazing Compound 36 111-240 111 0.191 43.5 14.7 41.9 NAD NAD Location: North Side West Enter Door-Gray Door Window Glazing Compound ___;, _.:_.7____...„.....„.,------, ......,..--7-7-7,- Analyzed by:Marik Peysakhov .;Date Analyzed 4/27/2018 "Quantitative Analysis(Semi/Full);Bulk Asbestos Analysis-PLM by EPA 600/M4-82-020 per 40 CFR or ELAP 198.1 for New York friable samples or ELAP 198.6 for New York NOB samples;TEM (Semi/Full)by EPA 600/R-93/116(not covered by NVLAP Bulk accreditation)or ELAP 198.4;for New York samples;NAD=no asbestos detected during a quantitative analysis;NA=not analyzed;Trace= <1%;(SOF-V)=Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning 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 ID 102843. Warning Note:PLM limitation,only TEM will resolve fibers<0.25 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non-uniformly dispersed debris for which PLM evaluation is recommended(i.e.soils and other heterogenous materials). Reviewed By: WIInformation CHAIN OF CUSTODY SHEET �t.",..�:;�, 2 1 8 0 4 3 9 9 7 Project Number: 08212868 Client: Saratoaa Hospital Report Number: Attn: Frank Marshall Date Delivered: Address:211 Church Street Package Shipped From: St6itiNectrt tAItu,Yuk Saratoga Springs,New York 12866 Carrier: FedEx Project Name:Carl R's Demolition Number Collected: 3(, Project Location(STATE):New York Number Received: Date Sampled: Igor*( III 01 g Condition of Custody Seal on Receipt: Condition of Package on receipt: ShiI sin. Manifest Attached: Shi..ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ' ID c5Sl e EcAl- ell, EGO- u.t tit 'X r ((ortU ;k voNr g 54( (itt:1435 AV jAt. s�,,,x, Dk C i ei E rt �'w1,i ,� 4-zud 4e It{ (eater LviALwA,i VC/eV aG.srP., SwStik St4E i(ent r,E i tkAtA4uw CN /ttx (lvtt ct -Z,b1 Vl1ta4••(,tit Utz#•r*,.�� �4 4- \ &, WI,\AA ,, Ecitr,tt P,,A. I qs Z03 1Ali Glc•;,� (v. p ,.,? b-Z u Weir Si�t.l(eAkti �t 4 4k.titi, y wGk\ C ot,t1k IkAn IA,.41, tot- E),1Z Vick If[ Ex cQii ttr 11.-2tu Wt,tt (4vu41 crt-ttl (UIG/e1F )ik Ce4er iV1te Izt>140ty `(1-2 t Z PA, (eAAeR n0tt9 1,1m A;ok5 VA(We St (A1-4r (,rdy auul-`Tw It-Zt3 nn t ,Eon-/lef, A/W R. rI t . ( 'err Int tti4- Tb/ cptc-ivi nn \ A /- q�. Z,l� Itt,wet4- Sic (e/t,-Lr,A1- �f/hL'� Mutt E(G ik) K��Zt� R1t we►4- 1,k cQ�n1r Al- Qr, ye (lab p.twt- P64tl Sampled By: J.Armer Report Routing: Relinquish Signature Chain of Custody: 0,-...-, L— Date: %VI-A J� Draft to: Signature of Chain of Custody Recipient: SrA.,s ti^ Date:11'1 t la ILI6 Draft Due: Disposition of Samples: Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. c qt A 'rr+1. 11U111-iutz. 1 DPI nn� �!T1 Professional Service Industries,Inc..• 104 Eric Blvd.Suite 1 Schenectady New York 12305• Phone(518)377-9841 •Fax(518)377-9847 1%IT To Mavis Information 9 7 CHAIN OF CUSTODY SHEET Ihessetesollemillip Project Number: 08212868 Client: Saratoga Hospital Report Number: Attn: Frank Marshall Date Delivered: Address:211 Church Street Package Shipped From: )cke.tt.147,A6,'J4 Saratoga Springs,New York 12866 Carrier: FedEx Project Name:Carl R's Demolition Number Collected: 1(0 Project Location(STATE): New York Number Received: Date Sampled: R'...t 1,1,WU Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi.•in• Manifest Attached: Shi..ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID R11WQ>t -.AZ ("Ake,, LtIOA 11ub4 [tt-th 114, CgA/ l✓ ijnM nWi_ lW-tvi 1111 Svc Ek 1' Jell- st ePOM Spi.l4.,� tvA-1 q IV, No/NA Z Cenl-e✓ f;hlM 566 tk -uo (Zt iWe,- EA. 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Professional Service Industries.Inc..• 104 Erie Blvd.Suite I Schenectady New York 12305•Phone(518)377-9841 • Fax(518)377-9847 1 °_ Information iii 2 1 8 0 4 3 9 %1AIN OF CUSTODY SHEET To Build On atika1_1N—Irliftw1f•Ur/ Project Number: 08212868 Client: Saratoga Hospital Report Number: Attn: Frank Marshall Date Delivered: Address:211 Church Street Package Shipped From: Saratoga Springs, New York 12866 Carrier: FedEx Project Name:Carl R's Demolition Number Collected: Project Location(STATE):New York Number Received: Date Sampled: Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi..in. Manifest Attached: Shi..-d Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other 1 ID ItIkrZt R3 IE`t�- ,Sw}L E►Atja44. II two, l(i.4-j ar (ti, 1g Ste.,Stull, 44,tilso 1314 VIA-6, la-Zio in i ii (o1-Z3Z . Rat SwMk Stk Ec11- 64 v"hiit AVt,1 f 01-Z33 c,(, I,CQIIVt in( Scw(kSttEG1I• C4 W ,k M (O -zi1Sett aki4/1 t��� it 1M. 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A\- ( d- poiLt DAtt `t Professional Service Industries,Inc.,• 104 Erie Blvd,Suite 1 • Schenectady New York 12305•Phone(518)377-9841 •Fax(518)377-9R47 APPENDIX C: PERSONNEL AND LABORATORY CERTIFICATIONS Ultertek Intertek-PSI Tel +1518-377-9841 104 Erie Boulevard Fax+1 518-377-9847 Schenectady,New York 12305 intertek.com/building STATE OF NEW YORK-DEPARTMENT OF LABOR r , I ASBESTOS CERTIFICATE f JOSEPH C--ARMER CLASS(EXPIRES) C ATEC(03/19) D INSP(03/19) E MGPL(03/19) H PM (03/19-) I PD (03/19) CERTB 014-12679 DMVM 616016597 MUST BE CARRIED ON ASBESTOS PROJECTS IIuIlI Il��1�I�ln l� STATE OF NEW YORK-DEPARTMENT OF LABOR ASBESTOS CERTIFICATE `' ALEXANDER T NAVRAT1L CLASS(EXPIRES) _ - 4104, D INSP(11/18) #4,1• b CERTa 13-14616 DMVN 713933761 MUST BE CARRIED ON ASBESTOS PROJECTS MINN I INl•IN N■ N State-Depart MAI Division of Safety and Ith ' License and Certificate 0 State Campus,Building 12 York2 Albany,N BESTOS HANDLING LIC SE "mkt All) f •• al Se i ustries, Inc. % FILE NUMBER: 99-0046 _ \ LICENSE NUMBER: 2987 1 Eri Ivd - \ �'` LICENSE CLASS: RESTRI �- �` DATE OF ISSUE: 03/29/2 Y 1 l` $ EXPIRA1IONATE: 03/3 "tlll�tq'Mt"Att i 77 . * ' l'\ 1 :)::., 1 r ,:::.__ I, /s/__=- -,. __ A i , it + I I 1. f •f-- -- — : i s 71 t epresentative-John J tranter: :i , '4 fi r;,'''' .. ,i,,...-0,,,..c--..,,-,-::,,-,.,',,,,,,t4-,,,,, , ,!:', : 4:411 liNgaie is nse n issued in ac "r •nee tth 7 , '#TRyls,ons of Article 30 of the `sr Law of New or a • .. 1 o t o t Codes,Rules;•.nd Rceulations112 " ' Part*). 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