asbestos report i c
Asbestos oPY
BILE �
Maureen Conroy
115 VanDusan Rd
Queensbury; NY 12804
Inspection date: 10/14/2020 308.11-1-23 DEMO-0657-2020
Forbair Development LLC
115 Van Dusen Rd
Demolition of garage only
Tom Callahan/TC Inspections
1 Knolls Dr
Queensbury, NY 12804
Inspector# 17-42926/Contractor# 109425 D e c e Q
ve,
cell# 518-832-9750
TOWN OF QUEENSBURY /llll2OCT 2020
BU[WG! CODES EiEPL. rowry o,`
Reviewed -y: eyI L Df P2U ENShr
Date:
Summary of inspection
At the request of Maureen Conroy an asbestos survey was
performed at 115 VanDusen Rd Queensbury, NY .
Scope of the Inspection/Survey is to determine if the garage
contains any asbestos prior to demolition .
TOWN OF QUEcNS3URY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shai lot Pe construed as
indicating the clans.c .;pecilTcations are in
full compliance with 'iie. Building Codes oif
New York State.
Suspected Asbestos containing materials were removed and sent.
out for sampling. The following samples were removed and sent
out for testing.
Homogeneous area 1( nonfriable) asphalt shingles (none
detected)
Homogeneous area 2 (nonfriable) Tar paper (none detected)
Things to note
THIS REPORT SHOULD BE MADE AVAILABLE TO ANY NEIGHBORS.
THIS REPORT SHOULD ALSO BE READILY AVAILABLE AT THE
LOCATION OF THE DEMOLITION/RENOVATION FOR ANY TRADES
PEOPLE ENGAGED TO CARRY OUT REPAIRS OR DEMOLITION OF
THE PROPERTY.
Conclusion
No Materials were identified as containing more than 1% asbestos
material. Therefore no asbestos abatement is required.
A copy of this report should be kept at the work site.
A copy of the sample analysis is attached to this report
J •
rC M', `. • EMSL Analytical,-Inc. EMSL Order: 062019474. -
E P si . 528 ntinecla Avenue Ceiba Place.WY 11514 Customer ID: TCNS29
'.. TeliFax:(516)997-7251/(5161997-7520_
Customer PO:
,w1',,-, Mier//ww;v,EMSL,ramjearleplacela4emsl.com _ Project ID:
. Atteritio_n:.Tom Callahan
TC Inspections
Phone: (518);882-9750
1 Knolis Orhie-
Fax:
Received Date: 10/15/2020 11:27 AM Queensbury,.NY.12804 Analysis Date: 10/18/2020
Collected.Date: 10/14/2020 •
Project: 115 Van Dusen Rd
Test Report:Asbestos Analysis of Bulk Material
Analyzed Non-Asbestos •
Test Date Color Fibrous
• Samptel0 ,RS1. - Non-Fibrous Asbestos
Description Roof Shingles
062019474.000r Homeganeity Heterogeneous
PLM NYS 198.1 Friable
PLM NYS 198.6.VCM - Not Analyzed
PLM NYS 198.6 NOB 10/18/2020 Gray/Black Not Analyzed
100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 10l1812020 Gray/Black ..
Sample ID RS2 - 100.00%Other None Detected
Description Roof Shingles
0622019474.0002
Homogeneity Heterogeneous
PLM NYS 198.1 Friable
PLM NYS 198.6 VCM Not Analyzed
•PLM NYS_198.6 NOB 10/18)2020. Gray/Black - Not Analyzed
100.00%Other 'Inconclusive:None Detected
TEM NYS 198.4 NOB 10/18/2020 Gray/Bladt_
Sample ID TP1 100.00%Other None Detected.
•
Description Tar Paper
062019774-0003 Homogeneity Homogeneous
PLM NYS 198.1 Friable - - . -
PLM NYS 198.6 VCM - Not Analyzed
PLM NYS 196.6 NOB 10/18/2020 Black <1'.0046 Glass 100.00% Not Analyzed
Other Inconclusive:None Detected
TEM NYS 198.4 NOB 10/102020 Black
100.00%Other None Detected
Sample lD TP2 Description Tar Paper
062019474.0004 Homogeneity Homogeneous
PLM NYS 198.1 Friable -
PLM NYS 198.E VCM - Not Analyzed
PLM17 NYS 198.6 NOB 10/18/2020Not Analyzed
Black ,<1.00%Glass 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 10/18/2020 Black
100.00%Other None Detected
•
(Initial report,from:10/19,12020 11:15:01
ASB_f98s_01:09 000f Printed 10/19/2020 11:15:02AM
Page 1 of 2
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'New York State-Departinetlt of Cabor::
'q `t_ ,Division:orSefetyand Health
' . '"-",License and Certificate Unit
c
} State Campus'Building 12 � k
-f Albany NY12246' , +.-_ _
/ASBESTOS HANDLING LICENSE:-.. 1
Thomas M Callahan dba TC inspections==_ FILE NUMBER. 18-109425- r t
1 Knolls Drive LICENSE NUMBER:'-109425
:LICENSE GLASS: RESTRICTED
Queensbury-NY 128Q4 DATE OF ISSUE- 12/26/2019
EXPIRATIONDATE 01/31/20211�
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I
;. is
Duly Authorized Representative:—Thamas Callahan
This license has been issued in accordance,withi a licable se
the NewYork-State Codes,Rules and Regulations(I2NYCRR Part•S6)It is subj ct to pension dpr Law rrovocation o ate l�d of
serious violation of state,federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated tact.of
rcaponsihdity in the conduct of any job:mvol.ing asbestos or asbestos material 7.
This'license is.valid only for die contractor named above and t is,license or a photocppy.mustbe'-prominently displayed at thef
asbestos project worksite:This license verities thata1tpersons employed.bythe licensee on anasbestos projecrin.NewYork
State have been issued an Asbestos Certificate,appropriate for thetype of•aprkthey perform,by theNew York State'
Department of Labor. -
SH 432(8/12) x t.ilcen M.Franko, Director
For the Commissioner of Labor
`STATE OF NEW YORK DEPARTM L B ENTOF OR r..t i;
ASBESTOSc f ftcATE. '_
-' • '4 y,,R THOMAS-M-CALI AHAN • -
y; 'CLASS(EXPIRES)
'J D INSP(12/20)
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rrii • i''i te(tro t ,:z9P5
. _.� Ci}dti?J9.3-321i
MUST BE CARRIED ON ASBESTOS,PR_OjECTS
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