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. BUILDIG oriPi.pl-mtre 1111 OCT 22 2020 j liS '
• -Based on our limItec 41AeMinat90,:,umplianc2.
. with our comment',s'i• ,-..1 ,n vistrued as _:,,,, j
indicating the plot ;11, g,,V,i(10114fM are in TOWN OF OUEENS-ZRY
full compliance willi 1,,YJE-. eilliON C0054 of BUILDING-&CO.DPS
New York State.
lb Whom It May Concern,
••
Please be advised that I have Inspected the gloomy on the date Indicated on the enctsed report end taken :
random samples as required. I have sent the samples to a New Ybrk State approved laboratory for testy.
Based upon my map alien combined with the laboratory test results far the samples taken them the strafed prop.
erly,there were no asbestos containing materials(ACM's),found on the subject property or lehmtitied In the earn-
pies tested by the laboratory. AccordMaly.It to my understanding that,subject to any end aft applicable states or
, ...
locale and regulations at the time of the enclosed test report,the property owner may proceed with remodeling or
demolition as the owner sees it.
A.--,
Thank you, ..•
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'7.-• -/Michael.I.Slovens .11/M it ,
License NuMber:72000 I•I ,// u kJ
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BWICING & r FILE COPY CODES L)EPT.
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Date: Ac22z,I al .
Eno.
289.6-1-17.5 DEM0-0658-2020
Sicard, Mary
48 Louise Ln
Demolition
PRE-DEMOLITION ASBESTOS SURVEY
44 and 48 louise lane
LAKE GEORGE NY
12845
Background Information:
Buildings) Location:
44 AND 48 LOUISE LANE
LAKE GEORGE NY
12845
Party Performing Survey: Michael I. Stevens
PO Box 2202, Glens Falls, NY 12801
Laboratory Used For Sample Analysis:
Amerisci New york
117 East 30th Street
New York, New York 10016
NYSDOH ELAP Laboratory ID # 11480
OWNERS INFO MIKE STEVENS
PO BOX 2202
GLENS FALLS NY
12801
Michael J Stevens
Licensed Asbestos Inspector
PO Box 2202 Glens Falls, NY
12801
SEPTEMBER 17 2020
MIKE STEVENS
RE: Pre-Demolition Asbestos Building Survey Report
44 AND 48 LOUISE LANE
LAKE GEORGE NY
12845
Dear MARY SICARD
Please find the attached Pre-Demolition Asbestos Building
Survey Report completed for the Property Located at:
44 AND 48 LOUISE LANE NY 12845
If you have any questions or require additional information,
please feel free to contact:
Mike Stevens @ 518-656-3270
Sincerely,
Michael J. Stevens
Pre-Demolition Asbestos Building Survey
44 AND 48 LOUIS LANE
LAKE GEORGE NY 12845
INTRODUCTION
ON SEPTEMBER 12020 MARY SICARD OF LAKE GEORGE NY 12845
retained: Michael J. Stevens to preform an asbestos survey of the
property located at 44 AND 48 LOUISE LANE LAKE GEORGE NY
12845 this is 2 single family residence HOMES ON THE SAME LOT
The BUILDING is located on 44AND 48 LOUIS LANE LAKE GEORGE NY
The building was a single family structure of approximately 750
square feet on a 96,600 square foot lot (construction date is
approximately 19 00 according to warren County records). The
residence consists of wood frame construction, VINYL siding ON 44
AND LOG SIDING ON 48 METAL OVER ASPHALT SHINGLE ROOF
The purpose of this survey was to complete a pre-demolition asbestos
survey in accordance with Industrial Code Rule (ICR) 56.At the request
of the client destructive sampling techniques( i.e. breaking through
sheetrock walls, removing tiles, etc.) were utilized.
The remainder of this report describes building inspection procedures,
a summary of the results, conclusions and recommendations. A site plan
and building specific sampling locations are depicted.
Michael J. Stevens assumes no responsibilities for the implementation
or enforcement of the procedures, work practices, engineering controls,
or other asbestos-control methods recommended, required or
mentioned in this document.
Pre-Demolition Asbestos Building Survey
44 AND 48 LOUISE LANE
LAKE GEORGE NY 12845
Summary Of Results
A material is considered by the EPA to be Asbestos-containing if at least
one sample collected from the homogenous area shows asbestos
present in an amount greater than 1%. Based on review of the
Laboratory results, none of the submitted friable and non-friable ACM
samples analyzed contain asbestos.
Survey
Building Inspection Procedure
Mr. Michael J. Stevens, a New York State Certified Inspector (
Certification #72900) conducted an asbestos survey of the building(s)
on SEPTEMBER 1 2020 which included both the interior and exterior
portions of the BUILDING
Mr. Stevens visually inspected the residence for suspect asbestos
containing materials (ACMs). The roof of the residence was accessed
with a ladder. Methodologies used were generally consistent with
USEPA publications: "Guidance for Controlling Asbestos Containing
Materials in Buildings" (June 1985) and "Asbestos in Buildings:
Simplified Sampling Scheme for Friable Surfacing Materials" (dated
October 1985). The documents were used for their asbestos survey
concepts, such as identifying homogenous materials, quantifying
materials, and evaluating friability(potential to crumble with hand
pressure) and condition (good, damaged or significantly damaged).
Over 3,000 products are currently known to contain asbestos. Although
no comprehensive list of ACMs exists, Mr. Stevens utilized the USEPA's "
Sample List of Suspect Asbestos-Containing Materials" as a general
guide to identify and document suspect ACMs within the building, In
addition, in some cases, Mr. Stevens utilized their experience and the
knowledge obtained through training courses to identify suspect ACMs.
Mr. Stevens inspected all spaces of the building, including storage
rooms, utility rooms, and crawl spaces.
During the survey, the inspector classified each suspect ACM as one of
three types: 1) surfacing material applied by spray or trowel, 2) thermal
insulation on pipes, tanks, boilers and related features, 3) miscellaneous
not classified as surfacing material or thermal system insulation. The
inspector touched all assumed or suspected materials on all surfaces,
including walls, ceilings, structural members, and mechanical
equipment, to determine their friability, or the extent to which the
material, when dry, may be crumbled, pulverized, or reduced to powder
by hand pressure. In addition, the inspector assessed the condition of
each suspect ACM and classified the material as either 1) good 2)
damaged 3) significantlydamaged.A suspect ACM is considered in good
condition if there are no visible signs of damage, is considered damaged
if the material contains less than 25% localized damage or less than
10% distributed damage and is considered significantly damaged if the
material contains greater than 25% localized damage or greater than
10% distributed damage.
It should be noted that in accordance with the Occupational Safety and
Health Administration (OSHA), Asbestos Construction Standard 29 CFR
1926.1101, any thermal insulation, surfacing materials, floor tiles,
roofing felts and shingles found in buildings constructed no later than
January 1, 1981 are presumed ACMS
To arrive at a preliminary evaluation of ACM, Mr. Stevens considered
the following in its assessment: 1) location of the ACM; 2) condition of
the material, such as damage and severity of damage; 3) accessibility to
building occupants; 4) the potential for disturbance; 5) known or
suspected causes of damage; and 6) preventative measures that might
eliminate the likelihood of future damage.
i
•
Pre-Demolition Asbestos Building Survey
44 AND 48 LOUISE LANE
LAKE GEORGE NY
12845
SEPTEMBER 17 2020
LABORATORY RESULTS
•
Please Reply To:
AmeriSci New York
• 117 EAST 30TH ST.
AMERI SCI NEW YORK,NY 10016
TEL:(212)679-8600•FAX:(212)679-3114
LABORATORY ELECTRONIC TRANSMITTAL
To: Michael Stevens From: Valeriu Voicu
Michael J. Stevens AmeriSci Job#: 220091772
Fax#: Subject: ELAP-PLMTTEM 5 day Results
Client Project: 44; 44 Louise Lane; 44 Louise
•
Email: mikesoldcars@gmail.com Lane,Lk George,NY
Date: Tuesday,September 15,2020 Number of Pages:
Time: 04:54:24 '
Comments:
(including cover sheet)
•
NOTE:Attached report is to be considered preliminary until final review with accompanying analysis summary letter is issued.
CONFIDENTIALITY NOTICE: Unless otherwise indicated,the information contained in this communication is confidential information intended for use
of the individual named above. If the reader of this communication is not the intended recipient,you are hereby notified that any dissemination,
distribution or copying of this communication is prohibited. If you have received this communication in error,please immediately notify the sender by
telephone and return the original message to the above address via the US Postal Service at our expense. Samples are disposed of in 60 days or unless
otherwise instructed by the protocol or special instructions in writing. Thank you.
Certified Analysis Service 24HoursA Day• 7 Days A Week Competitive Prices
visit our web site-www.amerisci.com
Boston•Los Angeles•New York•Richmond
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
Michael J. Stevens Date Received 09/10/20 AmeriSci Job# 220091772
Attn: Michael Stevens Date Examined 09/14/20 P.O. #
PO Box 2202 ELAP# 11480 Page . 1 of 4
RE:44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
Glens Falls, NY 12801
Client No. /HGA Lab No. Asbestos Present Total %Asbestos
#1-A 220091772-01 No NAD
Location: Living/Kitchen Ceiling-Compound (by NYS ELAP 198.1)
by Valeriu Voicu
on'09/14/20
Analyst;Description: White,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#2-A 220091772-02 No< . NAD
Location: Living/Kitchen Ceiling-Compound . . (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description: White,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#3-A 220091772-03 No NAD
Location: Living/Kitchen Ceiling-Compound ._. (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description: White,Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#4-A 220091772-04 No NAD
Location: Bedroom 1 Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description:White/Beige, Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 5%, Non-fibrous 44.4%
#5-A 220091772-05 No NAD
Location: Bedroom 1 Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description:White/Beige, Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 7%, Non-fibrous 42.1 %
See Reporting notes on last page
• • , AmeriSci Job#: 220091772 Page 2 of 4
Client Name: Michael J.Stevens
PLM Bulk Asbestos Report
44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
Client No. / HGA Lab No. Asbestos Present Total %Asbestos
#6-A 220091772-06 No NAD
Location: Bedroom 1 Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description: White/Beige, Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 5%, Non-fibrous 40.6%
#7-A 220091772-07 No NAD
Location: Bedroom 2 Wall-Compound (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description: White, Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Non-fibrous 100%
#8-A 220091772-08 No NAD
Location: Bedroom 2 Wall-Compound (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description:White,Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#9-A 220091772-09 No NAD
Location: Bedroom 2 Wall-Compound (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description:White, Homogeneous, Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#10-A 220091772-10 No NAD
Location: Bathroom Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description:White/Beige,Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 7%, Non-fibrous 41.7%
#11-A 220091772-11 No NAD
Location: Bathroom Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description:White/Beige, Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 5%, Non-fibrous 32.2°10
See Reporting notes on last page
AmeriSci Job#: 220091772 Page 3 of 4
Client Name: Michael J. Stevens
PLM Bulk Asbestos Report
44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
Client No./ HGA Lab No. Asbestos Present Total %Asbestos
#12-A 220091772-12 No NAD
Location: Bathroom Ceiling-Ceiling Tile (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description: White/Beige,Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 7%, Non-fibrous 36.6%
#13-A 220091772-13 No NAD
Location: Main Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description: Black/Green,Homogeneous,Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass.2%, Non-fibrous 22.9%
#14-A 220091772-14 No NAD
Location: Main Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description: Black/Green, Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass Trace, Non-fibrous 21.6%
#15-A 220091772-15 No NAD
Location: Main Roof Shingle-Asphalt Shingle (by NYS ELAP 198.6)
by Valeriu Voicu
on 09/14/20
Analyst Description: Black/Green,Homogeneous,Non-Fibrous,Bulk Material
Asbestos Types:
Other Material: Fibrous glass 2%, Non-fibrous 19.9%
#16-A 220091772-16 No NAD
Location: Foundation Cement-Masonary Cement (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material
Asbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100%
#17-A 220091772-17 No NAD
Location: Foundation Cement-Masonary Cement (by NYS ELAP 198.1)
by Valeriu Voicu
on 09/14/20
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#: 220091772 Page 4 of 4
Client Name: Michael J. Stevens
• PLM Bulk Asbestos Report
44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
Reporting Notes:
(1) This PLM job was analyzed using Olympus BH-2 Pol Scope S/N 229915
Analyzed by:Valeriu Volcu 4615/Gi-t
•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 Appd E to Subpt E,40 CFR 763(NVLAP 200546-0),ELAP PLM
Method 198.1 for NY friable samples,which includes the identification and quantitation of vermiculite or ELAP 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 Technol,.,y Accreditation requirements mandate that this report must not be reproduced except in full without the approval of
the lab.This PLM report relat;• Y 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
41f,/
AmeriSci Job#: 220091772
Page 1 of 2
Client Name: Michael J.Stevens
Table I
Summary of Bulk Asbestos Analysis Results
44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
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 #1-A — — --.- — NAD NA
Location: Living/Kitchen Ceiling-Compound
02 #2-A — — — — NAD NA
Location: Living/Kitchen Ceiling-Compound
03 #3 A — — — — NAD NA
Location: Living/Kitchen Ceiling-Compound
04 #4-A 0.204 24.5 26.1 49.4 NAD NAD
Location: Bedroom 1 Ceiling-Ceiling Tile
05 #5-A 0.177 25.7 25.3 49.1 NAD NAD
Location: Bedroom 1 Ceiling-Ceiling Tile
06 #6-A 0.235 26.5 27.8 45.6 NAD NAD
Location: Bedroom 1 Ceiling-Ceiling Tile
07 #7-A — — — — NAD NA
Location: Bedroom 2 Wall-Compound
08 #8-A — — — — NAD NA
Location: Bedroom 2 Wall-Compound
09 #9-A — — — — NAD NA
Location: Bedroom 2 Wall-Compound
_
10 #10-A 0.195 25.2 26.0 48.7 NAD NAD
Location: Bathroom Ceiling-Ceiling Tile
11 #11-A 0.259 21.0 41.8 37.2 NAD NAD
Location: Bathroom Ceiling-Ceiling Tile
12 #12-A 0.189 27.9 28.5 43.6 NAD NAD
Location: Bathroom Ceiling-Ceiling Tile
13 #13-A 0.332 25.4 49.7 24.9 NAD NAD
Location: Main Roof Shingle-Asphalt Shingle
14 #14-A 0.341 24.2 54.2 21.6 NAD NAD
Location: Main Roof Shingle-Asphalt Shingle
15 #15-A 0.251 24.3 53.8 , 21.9 NAD NAD
Location: Main Roof Shingle-Asphalt Shingle
16 #16-A — — — — NAD NA
Location: Foundation Cement-Masonary Cement
See Reporting notes on last page
AmeriSci Job#: 220091772
Page 2 of 2
Client Name: Michael J.Stevens
Table I
Summary of Bulk.Asbestos Analysis Results
44; 44 Louise Lane; 44 Louise Lane, Lk. George, NY
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 #17-A --- — — _ — NAD NA
Location: Foundation Cement-Masonary Cement
Analyzed by:Khaalid W.Perine ' ;Date Analyzed 9/15/2020 1 1`•`CL (.47 /1/4t( ••
"Quantitative Analysis(Semi/Full); estos by Appd E to Subpt E,40 CFR 763 or NYSDOH ELAP 1 8.1 for New York friable samples or NYSDOH ELAP 198.6 for New York NOB
samples;TEM(Semi/Full)by EPA 0/R- /116(or NYSDOH ELA 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 Ve culite;(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"P enr or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEMAnalysis 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 limitati•• • M wil esolve 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 •. /which PL evaluation is recommended(i.e.soils and other heterogenous materials).
Reviewed By: / 116
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