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asbestos report
D ECIEDVE5 JUN 2 7 2013 LL9 0 TOWN OF QUEENSBURY Adir n U Q 1. BUILDING&CODES "" �"----- Healthy Home RE: Journey Kerchner-Pirrone 93 Main St 309.10-1-32 DEMO-0445-2019 Queesbury, NY 12804 Pirrone, Felicia 93 Main St Demolition of SFD To Whom It May Concern: Adirondack Healthy Home, LLC (ADK) completed an asbestos survey of the residential structure, located at 93 Main St in Queensbury, New York on April 29, 2019. The inspection was performed by a NYS-DOL Certified Asbestos Inspector, and in accordance with New York Department of Labor Division of Saftey and Health and the Environmental Protection Agency (EPA) Requirements. A detailed summary table of the sampling is included; however, this report should be read in its entirety. Area Description/Scope of Work: The structure, located at 93 Main St in Queensbury, New York is a two-story wood structure with a sloped metal roof. ADK performed limited sampling at the structure on May 3, 2019 for Demolition activities of the structure, above the level of the foundation. The foundation was NOT inspected as part of this survey and is to remain intact. Inspection Strategy/Sampling Protocol: The inspection consisted of grouping suspect asbestos containing materials into homogeneous areas based on the color and texture of the material, and then performing representative sampling of the materials included in those homogeneous areas. NYSDOL has requirements for the minimum number of samples that can be collected from each homogeneous area (three samples of each miscellaneous material, three samples of each type of thermal system insulation, and the sample requirements for surfacing are based on square footage). Following completion of the on-site inspection/sampling, samples were submitted to an New York State accredited laboratory for analysis. Results: NYSDOL and the EPA recognizes a material as Asbestos Containing Material (ACM) if an asbestos content of greater than one percent asbestos is detected in a representative sample analyzed by polarized light microscopy. Every effort was made to identify all materials in accessible areas. There is the possibility that suspect materials were not identified in inaccessible areas. If any suspect material is discovered that is not included within this report, it should be sampled before it is physically disturbed. Please be advised that I have inspected the property on the date indicated on the enclosed report and taken random samples as required. I have sent the samples to a New York State approved laboratory for testing. Based upon my inspection combined with the laboratory test results for the samples taken from the subject property, there are no asbestos containing materials (ACM's), found on the subject property or identified in the samples tested by the laboratory. to G ' aldi NYSDOL ASBESTOS INSPECTOR CERT# 18-44782 NYSDOL ASBESTOS HANDLING LICENSE# 110376 > �_ / New York State—Department of Labor Division of Safety and Health License and Certificate Unit State Campus.Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Adirondack Healthy Home, LLC FILE NUMBER: 18-110376 LICENSE NUMBER: 110376 P.O. Box 4623 LICENSE CLASS: RESTRICTED DATE OF ISSUE: 04/18/2019 Queensbury, NY 12804 EXPIRATION DATE: 04/30/2020 Duly Authorized Representative—Steven Grimaldi: This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of the New York State Codes,Rules and Regulations(12 NYCRR Part 56). It is subject to suspension or revocation for a(1) serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material. This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform.by the New York State Department of Labor. Eileen M. Franko. Director SH 432(8/12) For the Commissioner of Labor 7f �Fi..r1 YP INSKIWISI CH * t 8i.14782 0MW 154568073 . - _ • , . . • ASBESTOS INSPECTION REPORT . . PROJECT INFORNLkTION ABBREVIATIONS KEY Preiec:Name : Friability Condition Damage Potentla: /Y00 i 1.3 Mai!, Si' /depti : F.Frial•it .•intaz• 1-Corn=?;:entia Date Iasi:rem: ; Building Num NT-Ni,n-Friante . :•Oantes Stint:I:anti:.Ornlitt.: -Scse Porenna: S.--..?-/? 1 q1/4j,1r1,;., Gi_ (44,6,,, ; Accessibility :-9..arnafed S1.:::',-ne Mat..vitt:. ' :4-Viimtinn P:ttenni. t i 1_Elsa:.Aceemt.it : .:-3:putt=•Dentage5 o..truoing Materiat. 4-46. iE::st.5r.Potential . PM d Imptctogs) :-Enniosed . -Darraget S vnifican:!:.Daztap!5.1iaz Nirena: 5-Wate:?...:en:ta: ...., n-ACBM e nti?clentia:f.-:Darrdlit i-Other...r,..-,....:nment.:? e-Is.o• t Of t 1 -C-ie.A./ el &aievici id 0 I ::iltmes,.=::,...A.— - --AC3M,tt'n Potenta:f;-Stint?Teant Datr.5.0 --Ot'ttr?'•••rinc..?:•;-...a:"...- - SA:NIPLE IDENTIFICATION Functional 1 Friability' Condition Damage I Bulk I Space ID# Homogeneous.Areas Quantity Comments !Accessibility Condition Potential I Sample iF 1 Floor . : I Wall gLbAeg/Y1 k I Ceiling /5 Other C . / 7 F1I 1 I , if i f ( ; 1((j/776,6. 1 1 1 Floor • , • ; Wait 22_0 'F : r-7, / / / ,12...,_.._____... ._,.. - ____ V "\t , :• Ceiling I • 4 . Other Ltic, ji • :z9,A0 SI-- F/ i i i (3z.)-2 5-A et, 1e foe.(•( Other 1 1 1 , •2`S F r:// ( i / 747 5 he..e,-i- Other i ! • ! . Floor .-... . Wall gej Ceiling • " . 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