DEMO-0648-2020r/
NOV 02 2020 Office Use Only
Cs Ir
Permit#: ` .,` s3 + otiz t '2on
Permit Fee:$__ 151Q
Town of Quecrisbury
Invoice:#:
742 Bay Road,Queensbury, NY 12804
P:518-761-8256 www.queensbury.net
Demolition Location: 3 S f'10!ci i 0/"?Tax Map ID#:
AN ASBESTOS REPORT IS REQUIRED WITH ALL
DEMOLITION APPLICATION SUBMISSIONS**
CONTACT INFORMATION:
Applicant:
Name(s):13QS 14`jrek
i
Mailing Address C S/Z: 1391 Cr e, v.SCier rrc' ro c f 1 -fon pG1 it /J i 1
Cell Phone: ( I ) 7_249 — $/ 5 7 Land Line: (Sig ) r?>) --a oo d
Email:
Primary Owner(s):
Name(s): 4--(4d5 I-leg ' eis
Mailing Address, cAS/Z: of c-ofty ra / Ga ei5"doci7 iuY /fig,%J 9
Cell Phone: _(.SI b ) . xe 3 t-
1 0g Land Line: 6t ? ) 7G7 0 3 00 eP -?Ir
V
Email: Dvo e 1-hht 1-0, tvo 0(:
Check if all work will be performed by homeowner only
Contractor: Workers' Comp ciRcurrentation must be submitted with this application
Contact Name(s): 1 sli-1-4 94fd
Contractor Trade: COrit S+I G C+r 0 n
Mailing Address, C/S/Z: C{ 17o U€
Cell Phone: _( Land Line: _(
Email:
List all additional contractors on the back of this form
Contact Person f r§uil in Code o I' ce: CP G l
g ;
r7
Cell Phone: (sr ) / and Line: (
Email: cfr . iay G?S-i cf-( ire Q ,CUlP/-
Demolition Application Revised February 2019
1
DEMOLITION INFORMATION:
fir
1. Where will demolition material be disposed? In fl
2. Type of structure to k4 demolished:
a. Residence E/
b. Garage
c. Business
d. Storage Building
3. What type of uti ' les are connected to the structure:
a. Gas i'
b. Fuel Oil
c. Propane
d. Electric
1/e. Public Water
f. Well-Water Pump
g. Public Sewer
h. Other
i. None
e//
4. Have ALL utilities been disconnected? Yes No
ADDITIONAL INFORMATION:
1. Two inspections may be required: an inspection to determine that utilities are disconnected, if
necessary, and a final inspection, after the structure is removed and the site is cleaned up and graded.
2. Twenty-four(24) hour notification is required for inspections.
3. Workers' Comp insurance information is required to be submitted with this application.
Declaration: I acknowledge that no structure(s)will be removed from the parcel until the demolition application has
been reviewed and approved by the Town of Queensbury Building&Code Enforcement and Zoning Departments and a
permit has been issued.
have read and agree to the above:
PRINT NAME:e G- r,-(c
i+ riSIGNATURE: DATE: 1 ` d 2/2 0
Demolition Application Revised February 2019
Atlantic
Contracting and Specialties Phone: 518-272-2715
Irex Contracting Group FAX: 518-272-0380
1 Harrison Street PO Box 844 Troy,NY 12181
Letter of Completion
Bast Hatfield Construction
332c; d37 ° ol1en Ain (0 eensbuf
Atlantic Contracting & Specialties has completed the abatement of all Asbestos
per the Demolition Survey provided Alpine Environmental dated January 08,
2020 fo '1 ode -T"and December 07, 2019 for.37 Holden Ave.
Atlantic Contracting and Specialties performed the abatement and disposal in
full accordance with all local, State, and Federal regulations.
Sincerely,
Sergio cProietti
Contractors-Thermal Insulation-Asbestos,Lead,&Mold Remediation
TOWNglitO Q1 ='
i% FILE COPY
B7 @L IN
a F
w.r h EENSBURYRsiiceved .:3 . _.// _ TOWN OF QU
AVM BUILDING DEPARTMENT lance
Date: Bawd on our limited examrnabencon Wed a!•
with our comments shall not
and matrons are i,.
indicating the plans wilding Codes
Lull comp)
New York State.
flipice
ENVIRONMENTAL SERVICES FILE COPY
November 2, 2020
Dal Valentini
Hudson Headwaters Health Network
9 Carey Road
Queensbury, New York 12804
Re: Asbestos Removal Confirmation at' &37glifio den xcenu4ueensbury, New York
Dal:
Alpine is in contract with Hudson Headwaters Health Network to provide asbestos
air/project monitoring services for the asbestos abatement at the captioned locations.
The asbestos material identified in the asbestos pre-demolition inspection report,
prepared by Alpine Environmental Services, Inc. has been removed.
This letter is meant to fulfill the requirements of NYS Department of Labor Industrial
Code Rule 56 5.1 (h)which states:
No demolition, renovation, remodeling or repair work shall be commenced by
any owner or the owner's agent prior to the completion of the asbestos
abatement in accordance with the notification requirements of this Part."
Do not hesitate to contact me with any questions at(518) 250-4047 ext. 307.
Sincerely,
Alpine Environmental Services, Inc.
TowN Or -
Michael Balzano,
Field Operations Manager
u'`
m °3`'z..Sa o awl f
438 New Karner Road •Albany, New York 12205 • Phone: (518)250-4047• Fax: (518)250-4353•email
craigp@alpineenv.com
flipbe
ENVIRONMENTAL SERVICESI
1°'`E °JIVER
atr
REPORT OF ASBESTOS INSPECTION
Location of Inspection: 35 Holden Avenue
Queensbury; New York 12804
R r 1 FILE COPY
Client: Hudson Headwaters Health Network
9 Carey Road
Queensbury, New York 12804
Building Owner: MJ Ringer Properties, LLC
10 South Western Avenue
Queensbury,New York 12804
Alpine Project#: 19-25194-A
Material or Area Inspected: Entire House and Sheds
Asbestos Material Tested or Assumed:
House foundation coating (observed and assumed asbestos), window
glazing compound, (observed and assumed asbestos),
roofing/flashing= (observed and assumed asbestos), loose fill
vermiculite insulation(assumed present and asbestos).
Sheds none.
Non-Asbestos Containing Materials Tested:
House: drywall, drywall joint compound, block mortars, concrete,
linoleum and mastic, sink undercoating, mirror adhesive, vapor
barriers between wood floor layers, caulk at bath tub, roof
shingles, and vapor bafflers beneath.roof shingles.
Sheds: roof shingles,and vapor barrier beneath roof shingles.
Date of Inspection: December 27,2019
Date of Report: January 8,2020
309.7-1-60 DEMO-0648-2020
HHHN
35 Holden Ave
Demolition of SFD only
December 2019 35 Holden Avenue
Queensbury,New York
Inspection Performed By: Alpine Environmental Services, Inc.
438 New Kamer Road
Albany, New York 12205
Phone (518)250-4047
Inspector(s): Brian Gould AH 95-02582
NYS.Department of Labor Certified Asbestos Inspector
1.0- . 'Asbestos Inspection:
1.1 Scope and Purpose
This report is intended to document the pre-demolition asbestos inspection of the house and
sheds located at 35 Holden Avenue in Queensbury, New York.
Asbestos containing materials", as defined by the United States Environmental Protection
Agency (EPA), is any material containing more than 1% asbestos as determined using the
method specified in Appendix E, Subpart E, 40. CFR Part 763, Section 1, Polarized Light
Microscopy. Bulk samples were collected in accordance with USEPA ASHARA protocols for
number and types of samples. Materials easily crushed or pulverized by hand pressure are
considered friable. Materials with a bituminous or resinous binder that are not easily crushed or
pulverized by hand pressure are,considered Non-friable Organically Bound (NOB). Friable and
non-friable materials, excluding organically bound materials were analyzed using Polarized Light
Microscopy (PLM). Non-Friable Organically Bound samples were analyzed using Transmission
Electron Microscopy (TEM). All samples were analyzed by EMSL Analytical (ELAP 11506:
Manhattan Lab).
1.2 Description
The building inspected for the survey is a single story residential structure, constructed in or
about 1935. This building has a partial basement, and crawlspace. The walls and ceilings
consisted of drywall. Flooring materials consisted of carpet, linoleum, and plastic laminate. The
exterior was sided with vinyl siding over wood clapboards. There was no vapor barrier observed
behind the wood clapboard siding. Windows appeared to be replacement windows. The roofs
consisted of single layer shingle roofing systems.
The furnace was a newer direct vent model that had been constructed'in or about 2000. This
furnace is not suspect of containing asbestos materials.
1.3 Limitation
The attic was not accessible for entry to perform a thorough inspection. Any materials within the
attic that were not sampled in other locations of the building must be assumed to be asbestos
containing materials.
Wire insulation observed within the building was either the vinyl insulated wire, or metal clad
cable. Neither of these wire types is suspect of containing asbestos.
There was no foundation coating observed on the exterior of the basement/crawlspace walls.
There was a small amount of foundation coating observed within the crawlspace on the SW
corner of the basement walls. This foundation coating was too thin to get a clean sample and
must be assumed asbestos containing.
Page 2
438 New Kamer Road Albany, New York 12205 Phone: (518)250.-4047
December 2019 35 Holden Avenue
Queensbury,New York
Any suspect materials found during demolition/renovation activities that are not listed in this
report should be considered asbestos,containing materials until tested and determined otherwise.
1.4 Results of Inspection
Bulk samples were collected throughout the interior and exterior of the building. Samples were
collected as prescribed by US EPA ASHARA protocols for the numbers and types of samples.
See the sample results section for all samples collected and the results of analysis.
1.5 Conclusion and Recommendations
The following asbestos containing materials were found at the house and sheds located at 35
Holden Avenue in Queensbury, New York:
Table 1A:Asbestos Containing Materials Tested or Assumed: House
Homogeneous Location Substrate& Approx. Friability Condition
Material Accessibility Quantity
Miscellaneous
Foundation.
Coating Crawlspace;
Cement
Observed and SW Corner of
Block
10 sf . Non-Friable Good
Assumed Basement Wall
Asbestos)
Window Glazing
Compound
Attic; Wood Sash < 1 sf
Observed and Non-Friable Good
Assumed
West End and Glass. (1 window)
Asbestos) ,
Roofing/Flashing Nailed and/or
Observed and Attic:
Adhered to < 10 sf Non-Friable Good.
Assumed' Over Back Porch Wood
Asbestos)
Loose Fill
Vermiculite Between
Insulation
Attic
Joist Bays
810 sf Friable Good
Assumed and Under
Present and Fiberglass
Asbestos)
Table 1B:Asbestos.Containing Materials Tested or Assumed:Sheds
Homogeneous Location Substrate& Approx. Friability Condition
Material Accessibility Quantity
None
Please note these quantities are only estimates and the user should field Verify all quantities.
The following materials were sampled by Alpine Environmental Services and determined not to
contain,asbestos:
Page 3
438 New Kamer Road Albany, New York 12205 Phone: (518)250-4047
December 2019 35 Holden Avenue
Queensbury,New York
Table 2A: Non-Asbestos Containing Materials Tested: House
NonAsbestos if o'L 9,n„
Sample#sLocationsnsMaterial ', /, . r .
Walls"and Ceilings
Drywall and Joint Entry Coat Closet, Kitchen Closet, Living 1-01, 1-02,
Compound Room at Kitchen, Bathroom, NE Bedroom 1A-01, 1A-02, 1A-03
Floors
Linoleum and Mastic Kitchen, Bath Room 4-01,4-02,4M-01,4M-02
Miscellaneous
Block Mortars Basement,Crawlspace. 2-01,2-02, 2A-01,.2A-02
Concrete Crawlspace 3-01, 3-02
Sink Undercoating Kitchen 5-01, 5-02
Mirror Adhesive Bath Room 6-01, 6-02
Vapor Barrier
Between Wood Living Room(Floor) 7-01, 7-02,7A-01., 7A-02
Layers
Caulk at Bath Tub Bath Room 8-01,8-02
Roof,:
Roof Shingle and
9-01, 9-02,9A-01,9A-02
Vapor Barrier
Main Roof, Back Addition Roof 10-01, 10-02,
10A-01, 10A-02
Table 2B: Non-Asbestos Containing Materials Tested:Sheds
Non Asbestos
s iiLocations gr Sample .2
Roof
Roof Shingle and
Wooden Shed Roof 11-01, 11-02,
Vapor Barrier 11 A-01, 11 A-02
Any materials not sampled during this inspection should be considered suspect unless sampled
and determined to be non-asbestos. All asbestos containing materials must be abated prior to
the demolition/renovation of any part of the structure unless performed under a variance issued
by the NYS Department of Labor. Disturbance/Abatement of any asbestos containing materials,
as well as necessary air monitoring,,must be performed by a NYS DOL licensed contractor, in
accordance with state and federal regulations(NYS DOL ICR 56 and US EPA 40 CFR).
If Alpine Environmental Services can be of further assistance on this matter, please contact Craig
Petreikis at either(518)250-4047 ext. 313 or craigp(cr alpineenv.com.
Sincerely,
Alpine Environmental Services,Inc.
66/141 n/ L[
1:
6(
Brian Gould
NYS Dept.of Labor Asbestos Inspector
Enclosures: Results, NYSDOL Handling License(s), NYSDOL Handling Certificate(s), NYSDOH
ELAP License(s), asbestos materials location diagram
Page 4
438 New Kamer Road Albany, New York 12205 Phone: (518)250-4047
December 2019 35 Holden Avenue
Queensbury,New York
figs
y.
5 y
i
f
r ,
a.
r
a ..,
1
4 )
1,, ,' ?
v f '
if re', , .fir' ,
x
d rtt `g i g.{ tro era , n ,'
t '% ,. 0.t '. 4 i i .,A t ih in f fAAA 4".
t
N•, . P\
1
t r al. , 7t °.vdr i e. 1 p34C' r a l{`'{ p t
act..`;4
1 `, .
P.
i\
rt',I,* ,i ,. ,/S. ,, .,
4., • ,
r
d
pp
la:
t•
ti+3y a` n4p'1,, t Al,'.., (: J,,' . fit: y
o „
IP
pg si 3,;:le+
r ..
s'2.
4 s k,r C.
i s ,. a,..
i t`Y,,,k' .,a..'k9,,-...,..,/ '',,Tenn:-r't,4"-'J y'''' ''vTt`c r
Assumed Asbestos Containing Foundation Coating Within Crawlspace. Foundation Coating Was
Too Thin To Sample and Was Assumed To Be.Asbestos Containing.
r
ter J
F/ w;
r y/p//,/ r' P'Vq / up
r
a. .-.
w,
Fiberglass Insulation in Attic Space.Attic was not Safely Accessible for Thorough Inspection:
Possible Asbestos Materials Present in Attic Include:Vermiculite, Older Roofing Materials, and
Older Window Glazing Compound.
Page 5
438 New Kamer Road Albany, New York 12205 Phone: (518)250-4047
EMSL Analytical, Inc. EMSL Order: 031932311
307 West 38th Street New.York,NY 10018
Customer ID: ALPI50
Tel/Far
ww(
212)290-0051/(212)290-0058
Customer PO:
http://w :EMSL.com/manhattanlab@emsl.com
Project ID:
Attention: Brian Gould Phone: (518)250-4047
Alpine Environmental Services Fax:
438 New Karner Road Received Date: 12/31/2019 11:02 AM
Albany,NY 12205 Analysis Date: 01/04/2020
Collected Date: 12/27/2019
Project: 19-25194W 35 HOLDEN AVENUE,QUEENSBURY,NEW.YORK
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous, Asbestos
Sample ID 1-01 Description ENTRY COATCLOSET-DRYWALL
031932311-0001 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Brown/Gray 16.00%Cellulose 45.00%Gypsum None Detected
7.00%Glass 32.00%Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM.NYS 198.8 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID -1-02 Description KITCHEN CLOSET-DRYWALL
031932311-0002 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Brown/Gray 14.00%Cellulose 58.00%Gypsum None Detected
28.00%Non-fibrous(other)
PLM NYS 198.8 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 1A-01. Description LIVING ROOM:AT KITCHEN-JOINT COMPOUND
031932311-0003 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 White 62.00%Ca Carbonate None Detected
7.00%Mica
31.00%Non-fibrous(other)
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 1A-02 Description BATHROOM-JOINT COMPOUND
031932311-0004 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 White 60.00%Ca Carbonate None Detected
9.00%Mica.
31.00%Non-fibrous(other)
PLM NYS 198.8 VCM Not Analyzed
PLM NYS 198.8 NOB Not Analyzed
TEM NYS,198A NOB Not Analyzed
Sample ID 1A-03 Description •NE BEDROOM-JOINT COMPOUND.
031932311-0005 Homogeneity. Homogeneous
PLM NYS 198.1 Friable 01/04/2020 White 63i00°/n Ca Carbonate None Detected
37.00%Non-fibrous.(other)
PLM NYS 198.E VCM Not Analyzed
PLM NYS 198.8 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Initial report from:01/04/2020 06:46:58
ASB_198x 0009_0001 Printed 1/4/2020 6:47:01AM Page 1 of 4
EMSL Analytical,.Inc. EMSL.Order: 03193231'1
EMBL 307 West 38th Street New York,NY 10018
Customer ID: ALPI50
Tel/Fax:(212)290-0051/(212)290-0058
Customer PO:
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 2-01 Description BASEMENT:-BLOCK MORTAR
03193.2311-0006 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Gray 16.00%Ca Carbonate None Detected
37.00%Non-fibrous(other) •
47.00%Quartz
PLM NYS 198.6 VCM Not Analyzed .
PLM NYS 198.E NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 2=02 Description BASEMENT:-BLOCK MORTAR
031932311-0007 Homogeneity Homogeneous
PLM.NYS 198.1 Friable 01/04/2020 Gray 53.00%Non-fibrous(other)None Detected
47.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.E NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 2A-01 Description CRAWLSPACE:-BLOCK MORTAR
031932311-0008 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Gray 13.00%Ca Carbonate None Detected
39.00%Non-fibrous(other)
48.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed.
Sample ID 2A-02 Description CRAWLSPACE:-BLOCK MORTAR
031932311-0009. Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Gray 47.00%Non-fibrous(other)None Detected
53.00%Quartz
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198.4 NOB Not Analyzed
Sample ID 3-01 Description CRAWLSPACE:-CONCRETE
031932311-0010 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Brown 13.00%Ca Carbonate None Detected
6.00%Mica
36.00%Non-fibrous(other)
45.00%Quartz
PLM NYS 198:6 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM NYS 198:4 NOB Not Analyzed
Initial report from:01/04/2020 06:46:58
ASB_198x 0009_0001 Printed 1/4/2020 6:47:01AM Page 2 of 4
EMSLAnalytical, Inc. EMSL Order: 031932311
307 West 38th Street Newyork,NY 10018
Customer ID: ALPI50
EiVISL ` Customer PO:
Tel/Fax:(212)290-0051/(212)290-0058
http:/Avww.EMSL.com/manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 3-02 Description CRAWLSPACE:•-CONCRETE
031932311-0011 Homogeneity Homogeneous
PLM NYS 198.1 Friable 01/04/2020 Gray 4.00%Mica None Detected
46.00%.Non-fibrous(other)
50.00%Quartz
PLM NYS 198.8 VCM Not Analyzed
PLM NYS 198.6 NOB Not Analyzed
TEM.NYS 198.4 NOB Not Analyzed
Initial report from:01/04/2020 06:46:58, J
ASB_198x 0009_0001 Printed 1/4/2020 6:47:01AM Page 3 of 4
EMSL Analytical, Inc. EMSL Order: 031932311
EMSL 307 West 38th Street New York,NY 10018
Customer ID: ALPI50
Customer PO:
Tel/Fax:(212)290-0051/(212)290-0058
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The
reference number for these samples is the EMSL Order ID above.Please use this reference number when calling about these samples.
Report Comments:
Sample Receipt.Date: 12/31/2019 Sample.Receipt Time: 11:02 AM,
Analysis Completed Date: 1/4/2020 Analysis Completed Time: 12:00 AM
Analvst(s):
Angelica Aquino PLM NYS 198.1 Friable(6) Shahrakur Mahmud PLM NYS 198.1 Friable(5)
Samples reviewed and approved by:
1121. r
James Hall,Laboratory Manager
or Other Approved Signatory
NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material
In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing.
All samples examined for the presence of vermiculite when analyzed via NYS 198.1.
NYS Guidelines for Vermiculite containing samples are available at http://www.wadsworth.orgllabcert/elapcertiformsNermiculitelnterimGuidance_Rev070913.pdf EMSL
maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by
EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client.
Samples were received in good condition unless otherwise noted:
This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report
may contain data that is not covered by the NVLAP accreditation.
Samples analyzed by EMSL Analytical,Inc.New York,NY NYS CLAP 11506
Initial report from:01/04/2020 06:46:58
ASS_198x 0009_0001 Printed 1/4/2020 6:47:01AM Page 4 of 4
Orde'rIb: 031932311
PI
h.,
n.eIpInc , .
0 3J'61.'--- 'a-3 \‘. 1
El$L -MAil',',.)--TAN'ijili
RECENE-D
E il,V I'R j1 ItM E N 17.Arl: .SE TOITC1:E'S:
MAIN toPtUSTODY 19 DEC ;:i.
Client:- Alpine EtivitOrtmentaiSerYiees-.1ne.: - - PrOject:- 35.fiolden-Avenher
43 KNCW-karner Road___ QUCCil tibll IV;-Ncw:Yoek . .
1 Albany,NY 12205 _ .Pkoject Nuitiber :19-25194-AI
Contact; Brian Gould Sampled8 ,t. ilelatidoold,
E-Mail:: 13tian'GeAlpintEnv,com • •Date iThetollected: 12=17-2019./7:60-i COO!
Turnaround-Tithe; .72liours Slh.i:iper TiaekingNtimbor: 7958.0466-6496: .(Tcde ) fAVIZ*
il...cig No 'Sample:satiiple Location Sample Material Analysis •Results .
Performed
10.-1 . Entry Coat,Closet: Drywoll, Nys 44A--.\.),
PrototoW
1-02 KitelieR:Closet: Drywall,- INys,RAP:
pi-otpcds.
1 M):J U. KOoni:.At Kitchen Joint Compound 1•1)!.$ 0=?A-F;
Protocols
1-A40-2 Bathroom Joint Compound NYS:ELAP -
Protocols •• . •
4 A-,03 -NE Bedroom - -- - Joint Compound NYS CLAP -— --- - — —
Protocols
2'i01 ' - Basement: 13,1Ock Mortar - :-NY,S.:ELAP . . Stop at
Protocols First Positive,'
1,02 BaSentea: Block MOrhtt N•YS.CLAP
Protocols
2A-;0A CrawlSphee:BlOct:-Mortar- :NYS;ELAR- - StOri..4t
Protocols First Positive
1A,_01, CraWISpitee: - Block Mortar NYS ELAP.;
j3fotheolS
341 - ----- -- - -CraVIVace; Concrete NYSE LAP -stop'at
Protocols. first POitiYe
3,02 CratOgitee-: Concrete Y. EL AP.N ,S FiS AP:
ProtbcOrs
Disposition of Samples Accept :,_ _ Reject . E .titain
Corittnelit.
Iteliiiiiiii0tedBy Received By:: Date: i Timw...
x ./..,aWi
L..,7. •
Page 1. of I
438;New kornert3oa •Albany',New Yofk:122g5)4.::PhPrie:'( 18.): 0'4947'• Epx;::.( 10)'120..,0 *-.. email crai,gpgalhinehtly,eorir
a ..'..•-le-% (,;/:.1 -)' ./-.M-?.
page i Of 1
1\tf t\)-:a .'-1—i 4-''-`--'
EMSL-Analytical, Inc. EMSL Order: 031932296
Customer ID: ALPI50
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051/(212)290-0058
Customer PO:
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Attention: Brian Gould Phone: (518)250-4047
Alpine Environmental Services Fax:
438 New Kamer Road Received Date: 12/31/2019 11:04 AM
Albany,NY 12205 " Analysis Date: 01/03/2020-01/04/2020
Collected Date: 12/27/2019
Project: 19-25194-A/35 HOLDEN AVENUE,QUEENSBURY,NEW YORK
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos.
Sample ID 4M-01 Description KITCHEN-LINOLEUM MASTIC
031932296-0001 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed.
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198;6 NOB 01/03/2020 Yellow 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Yellow 100.00%Other None Detected
Sample ID 4M-02 Description BATHROOM-LINOLEUM MASTIC
031932296-0002 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed •
PLM NYS 198.8 VCM Not Analyzed
PLM NYS 198.6 NOB - 01/04/2020 Yellow 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Yellow 100.00%Other None Detected
Sample ID 4-01 Description KITCHEN-LINOLEUM
031932296-0003 Homogeneity Heterogeneous
PLM NYS 198.1'Friable. Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Beige 100.00%Other Inconclusive:None Detected •
TEM NYS 198.4 NOB 01/04/2020 Beige 100.00%Other None Detected
Sample ID 4-02 Description- BATHROOM-LINOLEUM
031932296-0004 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6.VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Beige 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 •Beige 100.00%Other None Detected
Sample ID 5-01 Description KITCHEN-SINK UNDERCOATING
031932296-0.005 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed -
PLM NYS 198.6 VCM Not Analyzed
PLM NYS.198:6 NOB 01/04/2020 Yellow 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Yellow 100.00%Other None Detected
Initial report from:01/04/2020 06:50:09
ASB_198x 0009_0001 Printed 1/4/2020 10:23:58AM Page 1 of 5
EMSL Analytical, Inc. EMSL Order: 031932296
Customer ID:' ALPI50.
EMSL ' 307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051/(212)290-0058 Customer PO:
http://www.EMSL.com/manhattanlab@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 5-02 Description KITCHEN-SINK UNDERCOATING.
031932296-0906 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.8 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Yellow 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Yellow 100.00%Other None Detected
Sample ID 6-01. Description BATHROOM-MIRROR ADHESIVE;
031932296-0007 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Tan 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Tan 100.00%Other None Detected
Sample ID 6-02 Description BATHROOM-MIRROR ADHESIVE'.
031932296-0008 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Tan 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB "01/04/2020 Tan 100.00%Other None Detected"
Sample ID 7-01 Description LIVING ROOM:FLOOR BETWEEN WOOD LAYERS-VAPOR BARRIER(BLACK)
031932296-0009 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed.
PLM NYS 198.8 NOB 01/04/2020 Black 100.00%-Other Inconclusive:None Detected
Final residue mass 41%
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID 7-02 Description LIVING ROOM:FLOOR BETWEEN WOOD LAYERS-VAPOR BARRIER(BLACK)'
031932296-0010 Homogeneity " Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 188.E VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 100.00%Other Inconclusive:None Detected`
Final residue mass<1%
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID: 7A-01 Description LIVING ROOM:FLOOR BETWEEN WOOD LAYERS-VAPOR BARRIER(BLACK)
031932296-0011 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.8 VCM Not Analyzed.
PLM NYS 198.6 NOB 01/04/2020 Brown 100.00%Other Inconclusive:None Detected
Final residue mass<1%
TEM NYS 198.4 NOB 01/04/2020 Brown 100.00%Other None Detected
Initial report from:01/04/2920 06:50:09
ASB 198x 0009_0001 Printed 1/4/2020 10:23:58AM Page 2 of 5
EMSL Analytical, Inc. EMSL Order: 031932296
Customer ID: ALPI50
EMSL.' 307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051/(212)290-0058
Customer PO:
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color' Fibrous . Non-Fibrous Asbestos
Sample.io 7A-02 Description LIVING ROOM:FLOOR BETWEEN WOOD LAYERS-VAPOR BARRIER(BLACK)
03193.2296-0012 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Brown 100.00%Other Inconclusive:None Detected
Final residue mass<1%
TEM NYS 198:4 NOB 01/04/2020 Brown 100.00%Other None Detected
Sample ID 8-01 Description BATHROOM-CAULK AT TUB
031932296-0013 Homogeneity Heterogeneous
PLM NYS 198:1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 -White 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 White . 100,00%Other • None Detected
Sample ID 8-02' Description ' BATHROOM-CAULK AT TUB
031932296-0014 Homogeneity Heterogeneous
PLM NYS.198.1 Friable Not-Analyzed'
PLM NYS 198.6 VCM Not Analyzed
PLM.NYS 198.6 NOB 61/04/2020 White 100.00%Other Inconclusive:None Detected
TEM NYS'198.4 NOB 01/04/2020 White 100.00%Other None Detected
Sample ID 9-01 Description MAIN ROOF-ROOF SHINGLE
03193229670015 Homogeneity Heterogeneous
PLM NYS'198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Brown 11.00%Glass 89.00%Other Inconclusive:None Detected .
TEM NYS 198.4 NOB 01/04/2020 Brown.100.00%Other None Detected .
Sample ID 9-02 Description. MAIN ROOF-ROOF SHINGLE
031932296-0016 Homogeneity Heterogeneous
PLM NYS 198:1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Brown • 15.00%Glass 85.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/20.20 Brown 100.00%Other None Detected.
Sample ID. 9A-01 Description MAIN ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
031932296-0017 Homogeneity . Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 - Brown 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 -Brown 100.00%Other 'None Detected '
Initial report from:01/04/2020 05:50:09 -
ASB 198x 0009 0001 Printed 1/4/2020.10:23:58AM Page 3 of 5
EMSL Analytical, Inc. EMSL Order: 031932296
307 West 38th Street New York,NY 10018 Customer ID: ALPI50
Tel/Fax:(212)290=0051/(212)290-0058 Customer PO:
http://www.EMSL.com/manhattanlab@emsl.com Project ID:
Test Report:Asbestos Analysis of.Bulk Material.
Analyzed
Non-Asbestos
Test- Date Color Fibrous Non-Fibrous Asbestos
Sample ID 9A-02 Description MAIN ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
03193.2296-0018 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyied
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Brown 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Brown 100.00%Other None Detected
Sample ID 10-01 Description BACK ADDITION ROOF-ROOF SHINGLE
031932296-0019 Homogeneity . Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 6.20%Glass 93.80%Other Inconclusive None Detected
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID 10-02 Description BACK ADDITION ROOF-ROOF SHINGLE
031932296-0020 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 :Black 2.50%Glass 97.50%Other Inconclusive:None Detected
TEM NYS.198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID 10A-01 Description BACK ADDITION ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
031932296-0021 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed.
PLM NYS 198.6 VCM Not Analyzed,
PLM NYS 198.6 NOB 01/04/2020 Black <1.00%Glass 100.00%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None.Detected
Sample ID 10A-02 Description . BACK ADDITION ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
031932296:0022 , Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 100.00%Other Inconclusive:None Detected
Final residue mass<1%
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Initial report from:01/04/2020 06:50:09
ASB_198x 0009_0001 Printed 1/4/2020 10:23:58AM Page 4 of 5
EMSLEMSL Order: 031932296Analytical, Inc.
307 West 38th Street New York,NY 10018
Customer ID"t ALPI50
TeUFax:(212)290-0051/(212)290-0058
Customer PO:
http://www.EMSL.com/'manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The
reference number for these samples is the EMSL Order ID above.Please use this reference number when calling about these samples.
Report Comments:
Sample Receipt Date: 12/31/2019 Sample.Receipt Time: 11:04 AM
Analysis Completed Date: 1/3/2020 Analysis Completed Time: 11:57 PM
Analyst(s):
eht,--vvro
Tiquasha Thompson PLM NYS 198.6 NOB(22) Steven L/TEM NYS 198.4 NOB(22)
Samples reviewed and approved by:
James Hall,Laboratory Manager
or Other Approved Signatory
NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material
In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing.
All samples examined for the presence of vermiculite when analyzed via NYS 198.1.
NYS Guidelines for Vermiculite containing samples are available at http://w wv.wadsworth.org/labcert/elapcert/forms/VenniculitelnterimGuidance_Rev070913.pdf EMSL
maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by
EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client.
Samples were received in good condition unless otherwise noted:
This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report
may contain data that is not covered by the NVLAP accreditation.
Samples analyzed by EMSLAnalytical,Inc Nev York,NY NYS ELAP 11506
CInitial report from:01/04/202006:50:09 3
ASB_198x_0009_0001 Printed 1/4/2020 10:23:58AM Page 5 of 5
Ordei•II): 031932296
Page 1 Of
eIpr3 03117) a .1.),9 Co' inr,„,
ENNIRGNMIN:I111: SERVICES Et ISL.l'iAhH• :J ;, :
i 1 . ,i;
CHAIN OF CUSTODY 13.ECI-Iti/Fli
Client :Alpine Environmental-Services.inc. Projeet:. 33 fleildert Avenue 9'OEf.!-'-f. - [f, 11:.'C:..
I .438,NeW'karner'Road i @tieensbuiy;New York
Albany...NY:12205: _ Project Ntiniher:- 19.-2-5,194-A. _ __
Contact.': 'Brian Gould- SamplectBy:- Brian Gould
E-Mail:' BrialiGaAlPineEnv:COM Date/Tinie::Ccilleeted:. 12-27,2019/7:00-4100
Turnaround Time:. 72 hours . . _ - . Shipper.Tracing.NuMber:- .79-38:0466 649.6 (fedek) ems-L.
Log No. Sample Sample Location SaMple:Material : Analysis ' Results,
No.. :Performed
41V1-0,1,— :Kitchen- Litioleutir:MaStie NN'S.ELAP' Stop:at
Protocols 'lu-st-Positive.
41‘,1-01 Bath R6ont tinOleuni'Mastie/ NYS'ELAP'
Protocolst s,
4:;01 Kitchen ' — Lifiolatini !( NYS ELAP Stop at -
Protocols 'Fit Positive_
1.. Bath.Robni - tinOleinn / NYS.ELAP
Protocols
5-0-1 Kitchen Sink Undercoating/ NYS ELM' Stop at i
Protocols - First Po5itive;
5402 .. Kitchen Sink Undercoating: NYS ELAP
Protocols.
6-01 • 'Bath Room Mirror AdheSkiel ' NYS ELAP Stop at
Pcotocols first.P9itiv6 •
6-02- Bath Room Minor Adhesive / NYS ELAP iprotocols.
7:-01 Living Room floor Vapor Barrier NYS ELAP Stop:at
Between Wood Layers black) 7 Protocol5 f irst Positiver
7402. Livirig,RoOtn:'lloOr ' Vapor Barrier ,-,,, NYS ELAP' - -
Between Wood Layers black) / 'Protocols:
7A.,01 LiVing. -66M:''PlOor Vapor Barrier / NYS FLAP Stop at
Between Wood Layers 1?rowti): / Protocol's. .First.PositiVc
7A-02 LiViag.Rotim:'',E-l6or Vapor Barrier / NYS ELAP
Betweep WOoti:Layers. brOwn), Pr6tocols.
DiSpoiition.61Sarnple-s:.Accept _Reject Explain
ComlnentS:
Rell.49Oisliedpy:' Reeeivect By:Date:: Time:
Z.Y:&41,-/ ...klr?'4:( e.bea.a g 37.://q 11°Y;d2711
Pa•g6 i of, 21.-
438 Nevi,Kern er;koad 4 1 Albany,-New YOrIc 12365.•-Phon0:(518)25()4047.4r ret(616).,260,43.-•.em6licraigp@alpineenv.c;om
Page 2 Of
OrderID: 031932296
I I
Pine 00319L4---. P10for,:
i'll:VIRONMEN T A I. 1:ER,V.I'CES
JD-151, , ,
CHAIN OF iCLISTO DV' FILL 1'_i . J1
Client: AlPine'EtiVironitiental Seeinee§:ind. _ projeCt: 35.1-fOlden.Avenue_ w. f-4. J,11,.,19 D'EC,
438:.New'karner:Road OiteetisbUrv;New York
AlbrifiV.NY 12205 Project:Number: 19,25:194tA
C.!OntaCt:' Brian Gould Sampled By:,_Brian Gould
E-Mail _BrianGgAlpineEtw.cont Date/Time Colleeteck:12-27,0.0191 7..f00-1 100
TUrnaround Time:: 72.hours Shippertradking Nuittber: 7958:04.66 6496, (fedex).
Lou.No. 'Sample: Sample LocoOori, Sample Material - Analysis Results.
No. Performed
f.'0:1 Bathroom. Caulk at Tub 7 NYS ELAP Stop at
Protocols First.Pcisitiire
102 BathrooM Caulk at Tub / NYS ELAP
P icit.Oco IS:
9.01 Main Roof- Roof Shingle -,/ -NYS ELM) . - Stop at
Protocols First Positive
9:42 Main Roof Root Shingle ' 'NYS ELAP
ProtOccils
9.A01. Main.Roof Vapor Barrier,Under/ ',NYS FLAP Stop at
Roof•Sliinitle. ', Protocols FirstPoSitive
9A-02 Main Rpiol Vapor RarricrUncicrY Nrys ELAr
ROW'.Shingle / PrOtocols
1.0-01- Bak Addition ROI Roof Sliiiiglc ' NY-S.ELA V-Stop-at
protocols First Positive
10-02. Back Addition Roof Roof Shingle NYS ELAP
Protocols
IQA-Q1; Back Addition Roof Vapor Barrier Uuaer
a :
NYS ELAP Stop at
Roof Shingle Protocols First Positive
1 0A-0.2.: Back Addition Roof Vapor Barrier Uti5ler NYS EL AP
Roof Shingle ProtoCols:. V
Disposition of Samples;Accept Reject Explain
Comments:
Relinquished:13y: Received ily: 13ate: Time:
Page : 9of /--
ASECNew KariirRead a Albanji;NewYdrk 12205.,Phorie: (615)150-4047.Fai: (518)-250-4353•.-emall craigp@alOineenv.tom I
EMSL Analytical, Inc. EMSL Order: 031932306
307 West 38th Street New York,NY 10018
Customer ID: ALPI50
Tel/Fax:(212)290-0051/(212)290-0058 Customer PO: 19-25194-A
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Attention: Brian Gould Phone: (518)250-4047
Alpine Environmental Services Fax:
438 New Karner Road Received Date: 12/31/2019 11:03 AM
Albany,NY 12205 Analysis Date: 01/04/2020
Collected Date: 12/27/2019
Project: 19-251.94-A/35 HOLDEN AVENUE/QUEENSBURY NY
Test Report:Asbestos Analysis of Bulk Material
Non-Asbestos
Analyzed
Test Date Color Fibrous Non-Fibrous Asbestos
Sample ID 11-01 Description WOODEN SHED ROOF-ROOF SHINGLE
031932306-0001 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed,
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 4.40%Glass 95.60%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID 11-02 Description WOODEN SHED ROOF-ROOF SHINGLE
031932306-0002 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 2.40%Glass 97.60%Other Inconclusive:None Detected
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other. None Detected
Sample ID 11A-01 Description WOODEN SHED ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
031932306-0003 Homogeneity Heterogeneous
PLM.NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 100.00%Other Inconclusive:None Detected
Final.Residue<1%of original subsample
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Sample ID 11A-02 Description WOODEN SHED ROOF-VAPOR BARRIER UNDER ROOF SHINGLE
031932306-0004 Homogeneity Heterogeneous
PLM NYS 198.1 Friable Not Analyzed
PLM NYS 198.6 VCM Not Analyzed
PLM NYS 198.6 NOB 01/04/2020 Black 100.00%Other Inconclusive:None Detected
Final Residue<1%of original subsample
TEM NYS 198.4 NOB 01/04/2020 Black 100.00%Other None Detected
Initial report from:01/04/2020.10:22:06
ASB 198x 0009 0001 Printed 1/4/2020 10:22:12AM Page 1 of 2
EMSL
si
EMSL Order: 031932306Analytical, Inc.
Customer ID: ALPI50
307 West 38th Street New York,NY 10018
Tel/Fax:(212)290-0051/(212)290-0058
Customer PO: 19-25194-A
http://www.EMSL.com/manhattanlab@emsl.com
Project ID:
Test Report:Asbestos Analysis of Bulk Material
The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via NYS ELAP Approved Methods.The
reference number for these samples is the EMSL Order ID above.Please use this reference number when calling about these samples.
Report Comments:
Sample Receipt.Date: 12/31/2019. Sample Receipt Time: 11:03 AM.
Analysis Completed Date: 1/4/2020 Analysis Completed Time: 2:47 AM
Analyst(s):
Angelica Aquino PLM NYS 198.6 NOB(4)Steven Li TEM NYS 198.4 NOB(4)
Samples reviewed and approved by:
1, /
2"
James Hall,Laboratory Manager
or Other Approved Signatory
NOB=Non Friable Organically Bound WA=Not Applicable.VCM=Vermiculite Containing Material
In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing.
All samples examined for the presence of vermiculite when analyzed via NYS 198.1.
NYS Guidelines for Vermiculite containing samples are available at http Jhvww.wadsworth.org/labcert/elapcert/forms/VermiculitelnterimGuidance_Rev070913.pdf EMSL
maintains liability limited to cost of analysis.This report relates only to,the samples reported above and may not be reproduced,except in full,without written approval by
EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client.
Samples were received in good condition unless otherwise noted.
This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,.NIST,or any agency of the federal government.This report
may contain data that is not covered by the NVLAP accreditation.
Samples analyzed by EMSLAnalytlral,Inc.New York,NY NYS ELAP 11506
Initial report from:01/04/202010:22:06
ASB 198x 0009 0001 Printed 1/4/2020 10:22:12AM Page 2 of 2
OrderlD: 031932306
ie
i1'" i e EMSL MANFHATTAN LAB
ED
ENVIRONMENTAL SERVICES 031 2124 RECEI
CHAIN OF CUSTODY 19 DEC 3 l MPM I I. 03
Client: Alpine Environmental Services.Inc. Project: 35 Holden Avenue
438 New Kamer Road Oueensbury,New York
1 Albany,NY 12205 Project Number: 19-25194-A
Contact: Brian Gould Sampled By: Brian Gould
E-Mail: BrianGnv,AlpineEnv.com Date/Time Collected: 12-27-2019/7:00.-1100
Turnaround Time: 72 hours Shipper Tracking Number: 7958 0466 6496 (fedex)
Lag No. Sample Sample Location Sample Material Analysis Results
No. PerformedCt4
11-01 Wooden Shed Roof Roof Shingle NYS ELAP Stop at
Protocols First Positive
11-02 Wooden Shed Roof Roof Shingle NYS ELAP • iProtocols
I1A-01 Wooden Shed Roof Vapor Barrier Under NYS ELAP Stop at
Roof Shingle Protocols First Positive
11A-02 Wooden Shed Roof Vapor Barrier Under NYS ELAP
Roof Shingle Protocols
Disposition of Samples:Accept Reject Explain
Comments:
Relinquished By: Received By: Date:
ki
Time:
11,e&fil 6612717( Sitigl gV/i q ii OMM.
Page ) of I
438 New Kamer Road•Albany.New York 12205• Phone:(518)250-4047• Fax:(518)250-4353•email craigp@alpineenv.com
Page 1 Of 1
7---.---
1---isiew--16ck State 7,Deprtn-t-antof,Lab0---,
7-,- 1 A Division of Safety and Health,*II 1 ''•1-, ---.
i( '\\ ,-- 1 License and Certificate/Unit/
1 \ 'state Cempus;Bilildirig 12 11,/ ,,,,,,,5?---
4// 4(\'
2-* olbany,.NY12240 ---,` ./
4,',"-1,. `,..\-i,--''' ' i ....)-.. -• \11:„..,--...,---- \fl'\ \\\ 5:2 ------ASBESTOS HANDLING LICENSE-.r. -- ---
J \\ \i„, ..•4, V ii ,
Alpine-,Environmental"Services, Inc. ..
7";'
4_•%•i--;.--\''''' r"----, FILE NUMBER: 007:020- /I,,),,,, \\
7' //
i i \\ 8--... //
4:-1LICENSE NUMBER:°,29095:-----e7 \ \4y,ip.b. ,."1=7
4 ,8-New.',Karr,ier Road z...1 u' --, .-i LICENSE CLASS: RESTRICTED'--Z,„) \\
ife
I, /i f.?,,
1 ita‘r'''''
cl- Ps' DATE OF ISSUE: 07/1Q/2,019 ii
AibanY,-NY/12205 c - cj..f.--L,4,,of= ,..\. - EXPIRATION DATE: 07/31/2029. --A, \ \
J,...,,,,„:„
i 1. fr"--.4.
11, 41 • 'i'•''`t 11' ..f:i!-,1 't:
5,53; 1•4°
1
I ii. --..\
1 ""t.1 II rif ::-..- ..,.,.,,,,, 1 /1, '\‘:,---) :\ •----._;--- - •'.•:.i.§}.-,)--\\ .,:i •. -- '.1, , v/
1 I t
tittt• iVi'li -;;:-.-;'.XYZ__77,--.-7_,-.----i.777.11\'''' ',.,\\..\,26 \,4:1,-..,-.,I \-..ii, - ,'I\
t,_ 't
I i j •
L.,,-, .9c7,1.,,,-„,___ • _ _ - -,--_,,,,,..-_, ,. ., , ,..k ' i P 1 cc',
i 2I--4- 1
fr.5-i. .1. %-.---L-_ - - - - ----:21-p..6/7 ,tt .,.1,y, V,-,p,,l' 1 'kll ds\-. Ak\•_ -7 t, P
P.-A
I /
4 I IVt,I( / 1//t"\1 )'W--
2-:
k,
I I.
p i-:•--7-,
p',.,_,).' Fil-y: ty!-" -- ,$),---. ,. V 1!
7, ,'. 1, tql
j
1
1 hDuly,,Apthorized Representative Craig Petreikisz---- ,,.--"':,...•.;'-f;; \,. -Az-.. $ y ; ' - -d
i I le----- 1,1,, ii , ,.,7m c.---.,—„,,,,,:z.,..„ , .,..,,,-....,,,:_-4 -4, )
1 H 1.t.,,,,..., itisl\., d 4 /,, t: I:I—1) t------1 i11 „-il I li t:/.170 ift:4:::,..: , , ,,--j..,§ 44k11,*3 11.1(( .'' 11 I i -------, ' 1
This litenselas been issued in acdoidaficelivith,appliCalSe,prcirliiedis-orAl-tiele 30yof the Labor Law of New York State and of'
6---rftli- i i, ,Nik•
i-.-----.. .--_ Part ,-V_----- ii V41, - , in---ti ' • i
the Neyv-Yotk-Stdte.Codes,Rules and Regulations', 12,IN xCRR' Do). itisuntect to suspension or revocation Tor a(1) ;1) if 1
tt •t 1., 17::''' refIct1;•,,,) - -'-•
the
v,,„ ,, il.,m
sertotis violatiot,i of state,federal or local laws with,r.egald-toh conduct'.of aWasbestos:project,or.(2)de.mons,trated.lack of it‘4 t t, v P.' .. .tp--p. :-. .,,,..,144P..- .. ,`,4*.rWA:1;•-7-9277;•=4-.72/z1 Id t}}11 i i ,e,",:‘-'':::......\....---„, t
responsibility in the„conduct of any-jobinv.otving"asuestp.s orasoestosmnteriaLkii ..../,,,h ,l,..;..,.., i / 4'
j i-^-,,, ,) i
1 \,.,,,, '1-.,.. . 1,:cD..9 ',...i.>-gfi)'... .!---- (.,?-,.--... ...,-5.,
r'''''' "-'•1 'This license iS:valid only for the contractor nagtect7above andliii•Sclieense ert17PhotoCopy_must_belordininently displayed at the
t----• ., ••' ..,;6----6-16,
asbeStos-project_worksite.\This-license verifies thaVall.persons.employed:bythe licensee on an New York
4--—- f-•.71II.VI' ....."'".-State have beenisitied an ASbestos Certifica1-6;-appropriate foitlie tYpeAof-work-they perform,by the'islew York State' //
Labor./
s, - •
t,
t..4
6. ,/ iDepartMentof,L ?•"..--, \ \
1 6 "s
i
6( I! 6,,
r. .\`. '•••••6-,(,
6••,•,/
t, . i „t?'/ ";1-'•- •;?1
t•
i/ i/ 7-,, 7--s-i'''., ----A' 't„,•'',, ' 1 •\.- -' ''
t ....t• ."'
it,„\-- --•'--.
1 i
v
ti ' \ \
6.,`"..
p p
A t, ...-----
Eileen M.Franko, Director
SH 432(8/12) For the Commissioner of Labor
NEW YORK STATE DEPARTMENT OF HEALTH
WADSWORTH CENTER
1 Expires 12:01 AM April 01, 2020
Issued April 01,2019
CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE
Issued in accordance with and pursuant to section 502 Public Health Law of New York State
MR. JAMES HALL NY Lab Id No: 11806
EMSL ANALYTICAL, INC
307 WEST 38TH STREET SUITE 901
NEW YORK, NY 10018
is hereby APPROVED as an'Environmental Laboratory for the category
ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE
Al!approved subcategories and/or analytes are listed below:
Miscellaneous
Asbestos in Friable Material Item 198.1 of Manual
EPA 600/M4/82/020
Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM)
Asbestos In Non-Friable Material-TEM Item 198.4 of Manual,
Asbestos-Vermiculite-Containing Material Rem 198.8 of Manual
Serial No.: 59684
Property of the New York State Department of Health. Certificates are valid orty,at the address
shown;must be conspicuously posted,and are printed on secure paper. Continued accreditation depends
on successful ongoing participation in the Program. Consumers,are urged to call(518).85.5570 to
verify the laboratory's accreditation status.
Pagel of 1
idspumpi
STATE OF NEW YORK-DEPARTMENT OF LABOR [.•
t
ASBESTOS CERTIFICATE r`__..
BRIAN i#-GOULD
CLASS(EXPIRES)1` -
C ATEC(o1120),D INSP(o1%20): .
r '
Ft (01120)'I OD-(01120)-'
CERT% 95,=02582
DMVI.552647297' '
MUST BE CARRIED ON ASBESTOS PROJECTS
BIHIIIIII II minim
FILE COPY
nationaigrid
300 Erie Boulevard West
Syracuse,New York 13202
DATE 11/2/2020
RE: Service Removal for Building Demolition.
This letter is to confirm that,per your request,National Grid has confirmed electrical
service and meters have been removed from~3 A Ti 'OW Avx.,_Queensbury,NY . The
work was processed on work request#30190343. If you have any questions or need
further assistance,please feel free to contact us at 800-260-0054.
Sincerely,
Lydia Styb ESR3
Customer Connections UNY
nationaigrid
300 Erie Blvd West Syracuse NY 13202 Phone: 1 -800 -260-0054 Fax: (315) 350 -3967 Email: CustomerGasConnectionsUNY@nationalgrid.com
November 18, 2020
Email: dvalentini@hhhn.org
Re: National Grid GSR#: 30190319
Service Address: 35 HOLDEN AVE QUEENSBURY NY 12804
This letter is to advise you that the natural gas service line to the above location was physically
disconnected on November 17, 2020.
The service has been retired at the main.
If you feel that the location where the service was terminated (as stated above) will
interfere with your planned excavation, please contact us immediately and do not
start excavation.
New York State law requires anyone planning underground excavation work to notify local utilities by
calling “811”, or 800-962-7962. This confirmation letter of disconnect does not relieve the excavator
of making this “811” call.
Respectfully,
Andrea Dyer
Gas Connections UNY
Phone: (315) 468-7505
Email: Andrea.Dyer@nationalgrid.com
gridnational
300 Erie Boulevard West
Syracuse, New York 13202
DATE 11/2/2020
RE: Service Removal for Building Demolition.
This letter is to confirm that, per your request, National Grid has confirmed electrical
service and meters have been removed from 35 Holden Ave., Queensbury, NY . The
work request #30190343. work was processed on If you have any questions or need
further assistance, please feel free to contact us at 800-260-0054.
Sincerely,
Lydia Styb ESR3
Customer Connections UNYgridnational