Report of Asbestos Air/Project Monitoring t
D
FEB 18:2:0]21
TOW
N OF QUEENSBURY
I i Ine BUILDING&CODES
ENVIRONMENTAL SERVICES
REPORT OF ASBESTOS AIR/PROJECT MONITORING
Location of Project: Six Flags Great Escape
1172 State Route 9
Queensbury, New York 12804
Client: Six Flags-Great Escape
1172 State Route 9
Queensbury, New York 12804
Alpine Project#: 21-26294-A
Material or Area of Abatement: Red Garter Building
Asbestos Removed: Non-friable Demolition (front & rear sections) &
Caulk (walk-in cooler)
Dates of Abatement: January 7th— 15th, 2021
Abatement Contractor: Atlantic Contracting
Monitoring Performed By: Alpine Environmental Services, Inc.
438 New Kamer Road
Albany, New York 12205
Phone (518) 250-4047
Technician(s): Anthony Moro
Scope and Purpose
This report is intended to document asbestos air/project monitoring associated
with the abatement performed at the above address.
Air samples were analyzed by Phase Contrast Microscopy (PCM). Alpine
Environmental Services, Inc (ELAP# 11740) analyzed PCM samples. All
sampling via PCM followed NIOSH 7400 Method. NYSDOL defines acceptable
air results to be less than 0.010 f/cc or the background levels, whichever is
greater. These results can be found in the far right column of the attached Air
Sample Data Reports.
Page 1 of 2
438 New Karner Road-Albany-New York-12205-(518) 250-4047
Limitations
Alpine was hired to perform air/project monitoring services only. Clearance
sampling, as required by 12 NYCRR 56 and site specific variance (file # 20-
0336), was performed by Alpine to determine airborne fiber concentrations
during/following abatement.
Asbestos materials abated were limited to the materials listed below.
Air Sample Results
Clearance air samples were taken on January 15th, 2021 and fiber
concentrations were found to be below the limits set forth by NYSDOL ICR 56.
Asbestos Materials Removed
Summary of asbestos abatement:
Non-friable Demolition (front & rear sections) 800 Square Feet
Caulk (walk-in cooler) < 1 Square Foot
Conclusion
In the event renovation or demolition reveals previously unidentified suspect
asbestos materials, Alpine should be contacted immediately for verification and
all aspects of 12 NYCRR56 must be followed.
If Alpine can be of any further assistance to you on this matter, please contact
me at (518) 250-4047 Ext 307.
Sincerely,
Alpine Environmental Services, Inc.
16,41
Michael Balzano
Field Operations Manager
Enclosure: Air Sample Results, Logs & Certificates of Visual Inspection.
Page 2 of 2
438 New Karner Road-Albany-New York-12205-(518) 250-4047
AIR SAMPLE DATA REPORT
EMVI'RWt#MENTAt SERVICES
CLIENT: �k I PROJECT: go- ' �'�"'� �' �' PROJECT#�',
(J+re�Gil- jr., C ADDRESS: �` S • I �� LAB# 3
ROTAMETER#: t O6 WORK AREA: " ` COLLECTED BY:
ABATEMENT
CONTRACTOR: h l ik a DATE COLLECTED:
CONTRACTOR A ®
SUPERVISOR: QUANTITY:
Circle One TENT Circle One BACKGROUND PRE URIN-W FINAL QC
INITIAL
FLOW TOTAL
SAMPLE LOG START STOP TOTAL FIBERS FIBERS FIBERS/
NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME !FIELDS /mm' cc QC
FLOW (LITERS)
UMIN
,'I;,G I v �•� �• d�b3 1;�� ��S s� � 2 J*o� 3.761 4.002
1
►-ass 4.VgL
LG3 4 ll� ® eaof IS3D �' �� 3.74 4.411a
2,66 J""j, 1 `0®9 !$fz , , s (b?�' �®. 3.74 4.001 (j
af.G �a. 9 �''2 tab% Ax)' �®® .z so 4-00z
Or
RELINOkISH5P QW RECEIVED BY: DATE: TIME: Comments: FB Ave.-- fibers/100fields
�. a. 1 At 2,1 Qt% 9
3. 4.
LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: START STOP
TIME: TIME:
JX]*Below the limit of Detection [ ]**>50% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
Microscope Used: r I Olympus CH27LO215(Field Area=0.007W8mm=) Nikon 131-545(Field Area=0.00 2mm2)
Standard Deviation �40 Sta r�Dev its!
ari Dev Log# /Standard Dev i
NYS DOH ELAP#11740;Analytical method used:NIOSH 7400 A Rules,Issue 3:29 April 2019,revised 14 June 2019. e Xs/2 t
Doc.#ASDRA24,Ray.5.10114119.
Lab RSD:5-20 fibers(Low),2D.550 fibers(Medium),>50 Fibers(High). Nick D f Lab QC Officer
Limit of detection is 7.00 Ymm';Fibers/cc has been calculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that 9 samples are
collected by the client,results can be verified by Alpine through t/mm'only and relate only to the items tested.
Samples received in good condition and meet lab acceptance criteria unless othenwise noted.
Report may not be reproduced,except in full,without written permission of Alpine Environmental.
aoL=JelowDet bleOs Craig Petreikis,CIH,Lab Director;Report Date
QC SigneXLmit
Scanned'JDOL_
438 New Kamer Road 9 Albany, New York 12205•Phone:(518)250-4047•Fax:(518)250-4353 Page T O _
Rip h. e AIR SAMPLE DATA REPORT
ENVIRONMENTAL SERVICES
CLIENT: ✓W 0 s � PROJECT: S Olt �!"S ~4 �5c'` PROJECT# �F � r4
SCO�lf ADDRESS: l« 1"p . �✓QwwJLw LAB# ya
ROTAMETER#: WORK AREA: "" COLLECTED BY: •/^�
ABATEMENT f
CONTRACTOR: 41 ' t K'� �� (� DATE COLLECTED:CONTRCTOR
SUPERVISOR: �Ol� QUANTITY:
Circle One TEM Circle One BACKGROUND PRE FINAL QC
IWTIAL
FLOW TOTAL
SAMPLE LOG START STOP TOTAL i LFIBERS FIBERS FIBERS/
NO. . NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUMEELDS /mm' cc QC
FLOW (LITERS)
I314o �eco•— ��2v rf ,
too
383 V w�-•,,Q- o��� If A" s �. g tag( •00
�P T 1!11rG_o
11.0
002
0
/AL 07) t� 3 t 5 Ir Ltd✓ !V0 18•z.
90
3'�7 2t,..� �, eYj ls,Zs �� f N" (•3o 40Dl
q 3y8 +�tw..J` oV& (06 �,o s S IOo. 7 7 .Oo �
w
0
JU6-
► i3ZF . z
-REI_INQjMHeSK. •RECEIVED BY: DATE: TIME: Comments: FB Ave= bers/100fields
1. 2.Al
� �IS�At v71v (
3.
LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: RAT START I STOP
TIME: TIME:
$ r.,,_ c&t't S* 111VA, 107131 V W c!< 6AVry I VISA( I loco 105
*Below the limit of Detection [ ]**>50% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
fcrosco a Used: K Olympus CH27L0215(Field Area=0.007698me) Nikon 131-545(Field Area=0.00e012mm')
Standard Deviation14 I SW Dev Af ISta Bard Dev /S erd Dev
0
NYS DOH ELAP#11740;Analytical method us OSH 7400 A Rules,Issue 3:29 Apri 019,revised 14 June 2019.
Doq#ASDR-824,Rev.5,10/14/19. -
Lab RSD:5-20 fibers(Low),20.550 fibers(Medium),>50 Fibers(High). Ni
away,Lab /QC Officer
Limit of detection Is 7.00 t/mmZ Fiberslcc has been calculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that R samples are
collected by the client,results can be verified by Alpine through f/mm'only and relate only to the Items tested.
Samples received in good condition and meet lab acceptance criteria unless otherwise noted.
Report may not be reproduced,except In full,vrlthoutwritten permission of Alpine Environmental.
BDL=Below De ble Limits Craig Petre(kis,CIH,Lab Director;Report Date
QCr Signedtect Scanned DOL_
438 New flamer Road•Albany,New York 12205•Phone:(518)250-4047•Fax:(518)250-4353 Page r of 1
AIR SAMPLE DATA REPORT
ENVI:RONNE-NTAL SERVICE& c c_ _,�
CLIENT: ✓ 6—S PROJECT: d t #' S (Tr.6 irf e-r PROJECT
IS �z ADDRESS: / LA
Li 11
ROTAMETER#: I1f�6 WORK AREA: (/'1 ej� */ l COLLECTED BY:A
ABATEMENT a
CONTRACTOR: DATE COLLECTED'OI
CONTRACTOR P feo-ve 0
SUPERVISOR: QUANTITY: �"W
Circle One TEM Circle One BACKGROUND PRE DURIN FINAL QC
INITIAL
FLOW TOTAL
SAMPLE LOG START STOP TOTAL I FIBERS FIBERS FIBERS/
NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME /FlELDS /mm? or QC
FLOW (LITERS) .
I
357 Ueco�- 6zios- low6 , 13 0 ,00z
3s9 Ce 0 1 ITLI s `f 30 39,0 .00(0
340 v ...� 014 ` op f� Y ZO.9 .D03 30-
361 v �- a ISZj �f f Wo l��o �3.c •
.6 31•�. �,,�.., 0 1S��I SD s d s "too- o.os� l C01'
7 363 d!i ?,2SlSts s 'coo
1Z .017
If 3L6 .003
k 3 G`t J�w�'"'� Doi ��, �� �' o o•o'o L.00t`�
8� .�
2 T.M
RELIN S RECEIV D BY: DATE: TIME: Cornmeft FB Ave.= fibers/100fields
1. 2.
Ilr�/sr 070
3.
LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: sE TIME
TIMME: TIME:
S 10019t 107q[ ieIle 6*vF' l IS t! I(tot t%six
{fj*Below the limit of Detection [ ]**>50%Particulate Matter, Unreadable [ ]**"Sample Damaged or Missing
Microscope Used: Olympus CH271-0215(FleldArea=0.007698mm') F I Nikon 131-545(Field Area=0.00s012me)
/Stan Dav. /Standard Dev Log# /Standard Dav'
Standard Deviation �. / ra/;
WS DOH ELAP#11740;Analytical method used:NIOSH 7400 A Rules,Issue 3:29 Aprff2019,revised 14 June 2019.
Doc.#ASDR524,Rev.5,10114119.
Lab RSD:5-20 fibers(Low),20.550 fibere(Medlum),>50 Flbers(High). NICK Vey,Lab /QC Officer
Limit of detection Is 7. m 001/m ';Flberslcc has been calculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the dlent,results can be verified by Alpine through f/mm?only and relate orgy to the items tested.
Samples received in good condition and meet lab acceptance criteria unless otherwise noted.
Report may not be reproduced,except in full,without written permission,of Alpine Environmental.
BDL=Below DeteaagieLimits Craig Petreikis,CIH,Lab Director;Report Date
QC Signed,,W Scanned DOL_ /
438 New Kamer Road•Albany, New York 12205 9 Phone:(518)250-4047•Fax:(518)250A353 Page /of
r
I
I
AIR SAMPLE DATA REPORT'
ENVIRDNOENTAI SERV:tCE3
CLIENT: PROJECT: �/•� s �•� `''� PROJECT#J e-A2w ' f
Q �1
ADDRESS: 1l72 t� i LAB# ;L
ROTAMETER#: l l b6 WORK AREA: � N l COLLECTED BY.
ABATEMENT `
m h ft'3r21
CONTRACTOR: w �K' ~� DATE COLLECTED:
CONTRACTOR ^ AyC/�-�jSY 1V7�ro ��
SUPERVISOR: F,6QUANTITY: O
Circle One C TEM Circle One BACKGROUND - PRE e-DURINWFINAL QC
INITIAL
SAMPLE LOG - START STOP TOTAL FL IN
TOTAL FIBERS FIBERS FIBERS!
NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME !FIELDS lmm' oc OC
FLOW (LITERS)
I
c°`
*Za
y, I 2
3 �{pl, . "�,.�`'!`` X9 o.of� tool
Las 4.001
q D3 (0�1 '.
"'� 07 S s �o® o.o0
S ZYoo
l yet 02 tSZ� ,o® 3.71 (.wt
2.617 �.Do( 2.s0
yoG '� Z
`0 1 b•r►w B 41111, 1..a s cot
q08 s V06 z
� � S
t l �(o q .t.-ft&—lr o7ot IS so <.col
L7 a
RELIN HE RECE ERBY: DATE: TIME: Comments: FBAve.= fibefs1100fields
1. 2.
t/lS tt 01700 ,
3.
LOGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: s STOP
TIMMEE:: TIME:
tr s11110t1 13LI 1 1 t r r I IYJv I IrIS
pQ*Below the limit of Detection [ ]**>50%Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
Microscope Used: C I Olympus CH27LO215(Field Area=0.007s9smm2) M Nikon 131-545(Field Area=0.00W12nar")
Standard Deviation jtL& !S col Dev I # ! d Dev Log# I Standard Dev
NYS DOH ELAP#11740;Analytical method use . SH 7400 A Rules,Issue 3:29 April 2019,revised 14 June 2019.
Doc.#ASOR-824,Rev.5,10114119.
Lab RSD:5-201bers(Low),20.550 fibers(Medium),>50 FIbera(High). Nlck Vey, /QC Officer
Limit of detection Is 7.00 flrrri?;Fibersko has been calculated after sub racting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the client,results can be verified by Alpine through 11mm2 only and relate orgy to the items tested.
Samples received in good condition and meet lab acceptance criteria unless otherwise noted.
Report may not be reproduced,except In full,without written permission of Alpine Environmental.
BDL=Below Detectable Limits Craig Petreikis,CIH,Lab Director,Report Date _
QC4jiSlgned,,-0 Scanned-{DOL_
438 New Kamer Road•Albany, New York 12205•Phone:(518)250-4047•Fax:(518)250-4353 Page of
» I
AIR SAMPLE DATA REPORT
ENVIRONMENTAL 8ERVtCES
CLIENT:StX � PROJECT: V tx PROJECTO;t j� T r�
G�C� SCa�C ADDRESS: 2Q � LAB#
ROTAMETER A a WORK AREA: -65 COLLECTED BY:
ABATEMENT J
CONTRACTOR: DATE COLLECTED:
CONTRACTOR
r
SUPERVISOR: QUANTITY: '
Circle One C TEM Circle One BACKGROUND PRE FINAL QC
IN
SAMPLE LOG START STOP TOTAL Row TOTAL FIBERS 7ERSFIBERS/
NO. NO. SAMPLE LOCATION TIME TIME MIN. FINAL VOLUME /FIELDScc QC
FLOW (LITERS)
I
Y$3 �(�/1 QA (SL0 s � n �Om (.2s (.00(
YSS ti 6Zto [ $ Da Y100 (..Dt it p..a
Ix
y s(o 67s t szr s o.oo <. t
,� ys7 -oo zs® 4.001
yw Nf 4v7-7on
�tOl y��w � t��� � S �- " '/op �•.ZS 1•pot
t( 446-3 e
c z �Bb
RELIN H RECEIVED BY DATE: TIME: Comments: FB Ave,= fibers/100fields
1. 2.
� tS�tl o?u S
3. 4.
LOGGED IN&PREPPED BY: DATE: I TIME: SAMPLES ANALYZED BY: DATE: TIME: TIME:
STOP
TIME:
I f Its zt I Isvi I 3.SA-A-' gaa I I he u lie 1 05G
D(]*Below the limit of Detection [ ]">50% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
Microscope Used: Olympus CH271-0215(Field Area=D.007595mm2) Nikon 131-545(Field Area=0.0D9012mm)
Standard Deviation ftS /Stan=
' /Stan ev 'Log# /Standard Dev
NYS DOH ELAP#11740;AnalyflcAl method used:NIUSH 7400 A Rules,Issue 3:29 April 2019.revised 14 June 201g, r ,
Doc.#ASOR524,Rev.5,10t14fig.
Lab RSD:5-20 fibers(Low),20.550 fibers(Medium),>50 Fibers(Hlgh). Nick D /QC Officer
Limit of detection Is 7.00 f/mmz;Fibers/cc has been calcutafed after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the client,results can be verified by Alpine through f/mm2 only and relate only to the Items tested.
Samples received in good condition and meet lab acceptance criteria unless otherwise noted.
Report may not be reproduced,except In full,without written permission of Alpine Environmental.
BDL=Below Detect la umlts Craig Petreikis,CIH,Lab Director;Report Date
QC,/Sig Scanned-45;DOL_
438 New Kamer Road•Albany, New York 12205•Phone:(518)2504047 9 Fax:(518)250-4353 Page )of
AIR SAMPLE DATA REPORT
EMVIRONM'EbTAI 3•EOV.tCE3 ••I
CLIENT:y(tX A s PROJECT: i�cut ��' Sf S P G,� C- PROJECT# ( v�
6ra". ADDRESS: ' 7 LAB#
ROTAMETER#: If WORK AREA: COLLECTED BY:
ABATEMENT
CONTRACTOR: if `" ' �� µ� DATE COLLECTED: 4--Z
CONTRACTOR
SUPERVISOR: QUANTITY:
Circle One TEM Circle One BACKGROUND PRE URI FINAL QC
HF
SAMPLE LOG START STOP TOTALTOTAL FIBERS FIBERS FIBERS/
NO. NO. . SAMPLE LOCATION TIME TIME MIN: VOLUME /FIELDSmm' QO
(LITERS)
O
00 )— too 0.0% L.00Z D.eo
o.oa
s
LYZ W7 OW o.&a e.,Dbz
y13 wl o75) 11PIAD tT OW /
79 ILL Sp r /� �0 0.00
TW
? q►!o .mow �L . 6 o7Z3 t183 � �`� (00 0.00 e.o0z,
41 C%f�ea( .2 �? �Z�3� d� l�� 00 Z:bo t otaZ�
s o r
)qco o .00 .ooi
o0 C, c.OdUIJZ o.o�
AMC
ELIN Y: RECEIVED BY: DATE: TIME: Comme s. B Ave.= fibers/100fields
1. 2.
�t t tg�21 �3I.Z •
3. 4.
LOGGED IN&PREPPED BY: DATE:. TIME: SAMPLES ANALYZED BY: DATE: START STOP
TIME: TIME:
IS st 13 . �cmc. D•wF' . < <S 1 t' SO j'!
*Below the limit of Detection ]**>5 I% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
icrosco a Used: 01 m pus CH27LO215(FieldArea=0.007693mm') Nikon 131-545(Field Area=0.00so12mm)
Standard Deviation /Stan ev #• /Standard v L # Standard Dev
WS DOH EIAP#11740;Analytical method used:NIOSH 7400 A Rues,Issue 3:29 April 2019,revised 14 June 2019.
Doc.#ASDR•824,Rev.5,10/14119.
Lab RSD:5.20 fibers(Lour),20.5,0 fibers(Medium),>50 Fibers(High). NI Vey,La /QC Officer
Limit of detection Is 7.00 f1mm2;Fiberacc has been calculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the client,results can be verified by Alpine through f/mm'only and relate only to the Items tested.
Samples received In good condition and meet lab acceptance alteda unless otherwise noted.
Report may not be reproduced,except In full,without written penrdssion of Alpine Environmental.
BDL— ow Det umlts Craig Petreikis,CIH,Lab Director,Report Date
QC SignedScannedy, DOL_
438 New Kerner Road 9 Albany,,New York 122.05•Phone:(518)250-4047•Fax:(518)250-4353 Page I of 1
AIR SAMPLE DATA REPORT
ENVIRONN€IITAL SERVICCES
CLIENT: 't fle-cs PROJECT: Six P& S J&M�_ � 8�5--- e PROJECT#
ADDRESS: ♦ I � LAM .5
y� r�
ROTAMETER#: O WORK AREA: Wa. (8b / COLLECTED BY:
ABATEMENT
CONTRACTOR: e. /����, ��� DATE COLLECTED: O 7—
CONTRACTOR
D
SUPERVISOR: QUANTITY:
Circle One TEM (Circle One) KGROUND PRE DURING (FLNALJ QC
TTOTAH
LSAMPLE LOG START STOP TOTAL FIBERS FIBERS FIBERS/NO. NO. SAMPLE LOCATION TIME TIME MIN. VOLUME /FIELDS /mm'. ccOC
(LITERS)
`122 be/A dp�v Ill Do 1•3Q c.oc�z
RELIN I Y: RECEIVED BY: DATE: TIME: Comments: FB Ave= fibers/100fields
3. 4.
BC-6-hu'dL
OGGED IN&PREPPED BY: DATE: TIME: SAMPLES ANALYZED BY: DATE: START STOP
TIME: TIME:
&-*.+es 7 I 1 z I 13gO I I+ t 1K3G .
*Below the limit of Detection I ]**> 50% Particulate Matter, Unreadable [ ]***Sample Damaged or Missing
Microscope Used: OI pus CH27LO215(Field Area=0.007595mmz) Nikon 131-545(Field Area=0.00Bo12me)
Standard Deviation I
Log# /Standard Dev Log# !Standard Dev I Log# /Standard Dev
NYS DOH EIAP#11740;Analytical method used:NIOSH 7400 A Rules,Issue 3:29 April 2019,revised 14 June 2019.
!8/Z�
Doc.9ASDR524,Rev.5,10114119.
Lab RSD:5.20 fibers(Law),20.550 fibers(Medium),>50 Fibers(High). Nlok�, bC Officer
Limit of detection Is 7.00 Umm';Fiberslcc has been calculated after subtracting field blank average.
Air samples supplied by and collected by Alpine unless otherwise noted.Please note that If samples are
collected by the client.results can be verified by Alpine through fkmmZonly and relate only to the items tested.
Samples received In good condition and poet lab acceptance alleria unless otherwise noted.
Report may not be reproduced,e t in full,without written permission of Alpine Environmental.
BDL=Below Dete ble Unfl s Craig Petreikis,CIH,Lab Director;Report Date
QC Signed Scanned 'DOL_
438 New Kamer Road•Albany,New York 12205•Phone: (518)250-4047 a Fax:(518)250-4353 Page j of
438 New Kamer Ro W, Alpine NYSDOL Lic.No.29095
Albany,NY 12205 Alpine ELAP No. 11740
pine (518)250-4047 EMSL ELAP No. 11506
Fax(518)-250-4353
E R'V IVIO.N T A §110.I.,t tt
Daily Inspection Log
Pr 'ect: 4:�T Date: �l� r�f Page of
!sue
Alpine Pr e t No• or Tech (circle one) Variance No.:
�� Name: . /V—,ex=�
Abatem nt o act Superri�or Name and Cert No: Waste Hauler Permit M
.0 G �l-O
Eaaluo.
A .-- 0 Type d Amount of ALCM anal� Phase:
2. 2. 2.
3. ov 13. 3.
Time Notes Phase: Backs,Preparation,During, is/ n /3 Cleaning,Visual, Clearance
2.
3. 40 ® th,r .�. Ace ,-1/L.
4. D S e G ev r
5. 016
6.
7. �a e
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. oil
23.
Original-to be delivered to the office with Air Sheets
Copy—must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
438 New Kanner Road, Alpine NYSDOL Lie.No.29095
.. Albany,NY 12205 Alpine ELAP No. 11740
(518)2504047 EMSL ELAP No.11506
Fax(518)-250-4353
EHVI'ti�N. ifNTAL
Dafly Inspection Log
Pro' t: Date: DI I Page of or
Alpine P o ifZ.044
or 'r Tec�cle one) Variance No.:
Name:
Abateme t ontr ctor: SupeQisor Name and Cert No: Waste Hauler Permit#:
Exact Work ea(s)• Type and Amount of ACM: Phase:
A®R• I
1. I 1. 1.
2. 2. 2.
3. 3. 3.
Time Notes Phase: Backs,Preparation,During, 1 /2n/3 Cleaning,Visual,Clearance
1. 6700 r-1.44 r. 3r / k-wr- u-f%t- 4ft
2.
3.
5. m ,
6. /s0 ® �.� •...� ... f
8.
9. yov ,..,..v)
10. t'RV csll�• 1.•.�
11.
12.
13.
14.
15.
16.
17.
18.
19.
20. 100,
21.
22.
23.
Original-to be delivered to the office with Air Sheets
Copy-must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
438 New Kamer Road, Alpine NYSDOL Lic.No.29095
a. Albany,NY 12205 Alpine ELAP No. 11740
(518)250-4047 EMSL ELAP No. 11506
Fax(518)-250-4353
a ae
W4.. n -
'EN.VI..ROiV NTlkL t-19
Dais y Inspection Log
Projvt: Date: Page of
Y%X
Alpine Pred or AirTech (circle one) Variance No.:
-Name:
Abatementontirpetor, Su rvisor Name and Cert No: Waste Hauler Permit M
1 "C
Exa t 0141 Area(s)- Is Type a Amount of ACM: P
ZW4� &0
tg je 1. 1.
L too —
2. 2. 2.
3. 3. 3.
Time Notes Phase: Backs,Preparation,During, I5/2"/3m Cleaning,Visual,Clearance
2. A> 9--!944 Ir
3. e
4.
5.
6.
7.
8.
9.
-10.
11. A---
12. IP
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. /A Z
23. OA Areit
Original-to be delivered to the withAir Sheets
Copy— must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
438 New Kamer Road, Alpine NYSDOL Lic.No.29095
Albany,NY 12205 Alpine ELAP No. 11740
(518)250-4047 EMSL ELAP No. 11506
A10611 j4,.JV Fax(518)-250-4353
t0l.I 64.M t-N V:C 8�t R'4-,IT
Daffy Inspecfion Log
Pr0j, t: Date. 6[-IA-g t Page of
Alpine Pr Name: 41)or AA-T gelreleone) Variance No.:
k. ;4
Abatemen;Mtraxtor: Su Name and Cert No: Waste Hauler Permit M
,,g
r.,0,
Exac W k Area(s): Type an kn ad) �punt®f AI�M Phase:
xap
ffl
&29 DAV I. 1.
2. 2. 2.
3. 13. 3.
Time Notes Phase: Backs,Preparation,During, 1St/2"Brd Cleaning,Visual, Clearance
L ® 10,'e 0 - S , k 3 A' 3>9--e?) A-- J% -
3.
4.
0
5.
6. IL t5.
7.
8.
9. 41
10.
11. 10j. .,
12-
13.
14. 1000�
15.
16.
17.
18.
19.
20.
21.
22.
23. VA 6!<1 I
Original-to be delivered to the o ith Air Sheets
Copy-must be kept on site Al Technician Signature
Also need daily check list(separate sheet)to be submitted with original
i
438 New Kanner Road, Alpine NYSDOL Lic.No.29095
AlAlbany,NY 12205 Alpine ELAP No. 11740
(518)250-4047 EMSL ELAP No. 11506
..
fne Fax(518)-250-4353
EN�I,R�NMENT_AL S.ER�V:I.EES
Daffy Inspection L®
Prot: e.e 5 G D 6 Date: Page k of
Alpine Proj Mw or Air Tech (circle one) Variance No.:
o21-02 Name:
Abatement ntri3ctor: Supervisor Name and Cert No: Waste Hauler Permit M
Exact WV r Anea(s): Type and Amount i ��of ACM: P ase:
2. 2. 2.
3. 3. 3.
Time Notes Phase: Backs,Preparation,During, is/2° /3 Cleaning,Visual, Clearance
1. Alto ®.n f sa e
2. p7ZO
3. ate- �+A✓
4. c
6. per. r�. o .c.�
8.
9.
10.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Original-to be delivered to the office with Air Sheets
Copy-must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
438 New Kamer Road, Alpine NYSDOL Lic.No.29095
Albany,NY 12205 Alpine ELAP No. 11740
(518)250-4047 EMSL ELAP No. 11506
Fax(518)-250-4353
ENN. 0k:Mt,.fAL S`.ERVLC£;S
Daily Inspection Log
Project: d S � � Date: O� t���` Page of
Alpine Project No.: IV or 'r Tech (circle one) Variance No.:
016 i 'tt Name: /`t-ae-d>
Abateme on actor: Sup or Name and Cert No: Waste Hauler Permit M
Va i►.0 ,�Il
Exact W rk ea(s)• ,y d�� Type and Amount of AC : Phase:
L (I%%
2. 2. 2.
3. 3. 3.
Time Notes Phase: Backs,Preparation,During, I"/2n(/3m Cleaning,Visual, Clearance
1. Opp r�,,..�, w S� t�-�•' �.� S �.�
2. s
3. ?ZA y •r f .r r a- -a e
4.
5.
6.
7. lose s•r ` }je/�S
8. ® j,,,� b,,,,,,•,��
10.
12.
r
13. I s ®s✓ try Lf r?►.�'1�.- r�-,evs,�
14. Cvll.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Original-to be delivered to the office with Air Sheets
Copy—must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
438 New Kamer Road, Alpine NYSDOL Lie.No.29095
�. Albany,NY 12205 Alpine ELAP No. 11740
(518)2504047 EMSL ELAP No. 11506
I I Fax(518)-250-4353
ENilI.R6IV�I��'NTAL 3:ERVI.��:;5
Daffy Inspection Log
Pro'.�f/a s asCe Date: b I�+S�2•I Page of
Alpine Prpjjet No.: or Air Tech (circle one) Variance No.:
.I^ q -A Name: , /''ram r-0
Abatement g tra�or: Supervisor Name and Cert No: Waste Mauler Permit#:
Ezac k Area(s): Type d Amount of A M:/ Phase:
3 �1K �s to
1. 1. 1 E'er a 1.
2. V-0 2. 2.
3. 3. 3.
Time Notes Phase: Backs,Preparation,During, is/2° /3 Cleaning,Visual,Clearance
2.
4. fw .�. ✓ ,... 'h
5. S .iy..✓ rc �,. / �..
6.
8.
10. .�..i, t: t:• tee �s-� �bJI &.i tit-•
11. ... tw S / •
12. E �- A.•._� r d� ,,,.� ,�3
13. �0 3 L �.» ® t...lf•mac. ®'
14. �.,.ls ti�/c p<, /r. •.+/ 1�. G/S �'o' .�
15. ra ,
16.
L vf� ✓ KM�
17. V -
18. 1 ti �.....c. s• z
19.
20.
21.
All
22.
23.
Original-to be delivered to the ffice with Air Sheets '
Copy-must be kept on site Alpine Technician Signature
Also need daily check list(separate sheet)to be submitted with original
qP(3e
ENVIRDNIIENYAl SERVICES
CERTIFICATE OF VISUAL INSPECTION
Building: ��7� S P, 6 Veto si , 1
Project and Project umbJ!er: SIX FN S t
Specific Area: hm PE jig
Abatement Contractor. efi@A C.
J
Asbestos Materials Removed, including Quantities(TO BE COMPLETED BY PROJECT MANAGER)
MONITOR'S CERTIFICATION:
The Monitor hereby certifies that he/she has accompanied the Asbestos Abatement Contractor on
his/her visual inspection and verifies that his/her inspection has been through and,to the best of his/her
knowledge and belief,the Asbestos Abatement Contractor has removed all asbestos thatwas to be
removed in the abovyarea.
By:(Signature) Date:
(Print Name) 111D Title: ��\e /'C��
7- 1
Has all of the asbestos identified In the abatement specification been removed(circle one):
Y No Don't Know
Note:This form must be completed and included with any final abatement air samples to be read.
Comments/Concerns: 'tftop-
''� �+V �
438 New Karner Road •Albany,NY 12205 • Phone:(518)250-4047 • Fax:(518)250-4353
s o
•
apn
ENVIRDNMEN1Al SERVICES
CERTIFICATE OF VISUAL INSPECTION
Building: (72 PY5 AoeqAJ1V!!:1 :
'Project and Project Number,
6 W fA LS! d
Specific Area: (Ya wft)Y tL cm
Abatement Contractor: MAAAL
Asbestos Materials Removed, including quantities(TO BE COMPLETED BYPROJECT MANAGER)
MONITOR'S CERTIFICATION:
The Monitor hereby certifies that he/she has accompanied the Asbestos Abatement Contractor on
his/her visual inspection and verifies that his/her inspection has been through and,to the best of his/her
knowledge and belief,the Asbestos.Abatement Contractor has removed all asbestos that,was to be
removed in the above area.
By:(Signature) Date:
(Print Name) Title:
O .l
Has all of the asbestos Identified In the abatement specification been removed(circle one):
ae No Don't Know
Note:This form must be completed and included with any final abatement air samples to be read.
Comments/Concerns:
438 New Karner Road •Albany,NY 12205 • Phone:(518)250-4047 • Fax:(S18)250-4353
.2 7
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rq-B!_S-C 5 1979(Rev.9109)
Waste Management Green Ridge LF Original
424 Peters Rd Ticket# 71874
WwM0 Gansevoort, NY, 12831
WASTE MANAGEMENT Ph: (518) 636-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action Waste ACTION WASTE
Ticket Date 01/12/2021 Vehicle# RO-32 Volume
Payment Type Credit Account Container
Manual Ticket# Driver
Hauling Ticket# Check#
Route Billing 4 0000003
State Waste Code Gen EPA ID
Manifest #1
Destination Grid D 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIONWASTEVARIOUS ACTION {TASTE SERVICES
Time Scale Operator inbound Gross 46960 lb
In 01/12/2021 10: Inbound SD #605115 Tare 36480 lb
Out 01/12/2021 11: Outbound SD #605115 Net 10480 lb
Tons 5.24
Comments
Product LD% Qty UOM Rate Tax Amount Origin
------------------------=------------------------------------------------------------------
1 Asb Non Fri-Tons-A 100 5.24 Tons REN
Total Tax
Driver's Signature ` f
Total Ticket l�
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169-Bt.S-C 5 11979(Rev.9/091) DESIGNATED FACIUTY TO GENERATOR
WWRRWaste Management Green Ridge LF Original
424 Peters Rd Ticket$ 11997
Q Gansevoort, NY, 12831
WASTE YAAMAaEMENT Ph: (518) 63 6-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action Waste ACTION WASTE
Ticket Date 01/12/2021 Vehicle# RO-32 Volume
Payment Type Credit Account Container
Manual Ticket# Driver
Hauling Ticket# Check#
Route Billing # 0000003
State Waste Code Gen EPA ID
Manifest NA
Destination Grid D 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIONWASTEVARIOUS ACTION WASTE SERVICES
Time Scale Operator Inbound Gross 41480 lb
In 01/12/2021 13: Inbound SD #605115 Tare 34540 lb
Out 01/12/2021 13: Outbound SD #605115 Net 6940 lb
Tons 3.47
Comments
Product LD% Qty UOM Rate Tax Amount Origin
-------------------------------------------------------------------------------------------
1 Asb Non Fri-Tons-A 100 3.47 Tons REN
Total Tax
Driver's Signature
Total Ticket
h, '
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NON-HAZARDOUS 1,I°en3r3�➢11U X9'1Ser 2.Pan to! 3.Gr.:�ru_�:P.Srs 5i Pnonc r•1.Vas!Tnckirg Number .,
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Waste Management Green Ridge LF Original
424 Peters Rd Ticket§ 72015
Gansevoort, NY, 12831
WASTa MANAOHMENT Ph: (518) 6 3 e-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action Waste ACTION WASTE
Ticket Date 01/13/2021 Vehicle# RO-32 Volume
Payment Type Credit Account Container
Manual Ticket4 Driver
Hauling Ticket§ Check§
Route Billing # 0000003
State 'Waste Code Gen EPA ID
Manifest NA
Destination Grid b 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIONWASTEVARIOUS ACTION I4ASTE SERVICES
Time Scale Operator Inbound Gross 47240 lb
In 01/13/2021 13: Inbound SD #605115 Tare 35740 lb
Out O1/13/2021 14: Outbound SD *1905115 Net 11500 lb
Tons 5.75
Comments
Product LD% Oty UOM Rate Tax Amount Origin
-------------------------------------------------------------------------------------------
1 Asb Non Fri-Tons-A 100 5.75 Tons REN
Total Tax
Driver's Signature P
Total Ticket w�
p 4.'Nasle T fachig Humber
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waste Management Green Ridge LF Original
424 Peters Rd - Ticket* 7211b".
WYMO Gansevoort, NY, 12831
WASTEMAN"IEMENT Ph: (518) 636-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action Waste ACTION WASTE
Ticket Date 01/14/2021 Vehicle,# R03 Volume
Payment Type Credit Account Container
Manual Ticket* Driver
Hauling Ticket# Check#
Route Billing # 0000003
State Waste Code Gen EPA ID
Manifest NA
Destination Grid D 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIONWASTEVARIOUS ACTION WASTE SERVICES
Time Scale Operator Inbound Gross 46960 lb
In 01/14/2021 15: Inbound SD #605115 Tare 35860 lb
Out 01/14/2021 15: Outbound SD #605115 Net 11100 lb
Tons 5.55
Comments
Product LD% Qty UOM Rate Tax Amount Origin
-------------------------------------------------------------------------------------------
1 Asb Non Fri-Tons-A 100 5,55 Tons REN
Total Tax
Driver's Signature 'E \1
Total Ticket (J
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169-BLS-C 5 11979(Pev.9109) DESIGNATED FACILITY TLC GENERATOR
Waste Management Green Ridge LF Original
424 Peters Rd Ticket# 72083
Gansevoort, NY, 12831
.WASTE MANAoNMBroT Ph: (518) 63 6-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action Waste ACTION WASTE
Ticket Date 01/14/2021 Vehicle# R03 Volume
Payment Type Credit Account Container
Manual Ticket# Driver
Hauling Ticket#) Check#
Route Billing $ 0000003
State Waste Code Gen EPA ID
Manifest na
Destination Grid D 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIONWASTBVARIOUS ACTION WASTE SERVICES
Time Scale Operator Inbound Gross 51880 lb
In 01/14/2021 12: Inbound SW *606036 Tare 38020 lb
Out 01/14/2021 13: Outbound SD *605115 Net 13860 lb
Tons 6.93
Comments eric
Product LD% Qty UOM Rate Tax Amount Origin
-------------------------------------------------------------------------------------------
1 Asb Non Fri-Tons-A 100 6.93 Tons REN
Total. Tax
Driver's Signature Jn
Total Ticket
-�.—Emc,v,.cv Pr,,u Wasle^fr�c7Mng NumberN0*HAZAPi0QUS--'
WASTE tMANIFEST
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169-SLS-C 5 11979(Rev.9102) DES!GNATED FACILITY TO GENERATOR
Waste Management Green Ridge LF Reprint
W-?4
11. 424 Peters Rd Ticket# 72340
WASTE MANAGEMENT Gansevoort, NY, 12831
Ph: (518) 636-2141
Customer Name ACTIONWASTE ACTION WASTE SERV Carrier Action *Haste ACTION WASTE
Ticket Date 01/19/2021 Vehicle# R03 Volume
Payment Type Credit Account Container
Manual Ticket# Driver
Hauling Ticket# Check#
Route Billing 4 0000003
State Waste Code Gen EPA ID
Manifest NA
Destination Grid D 28 LIFT 3
Profile 120027NY (NON FRIABLE ASBESTOS)
Generator 190-ACTIO-W—ASTEVARIOTJS ACTION WASTE SERVICES
Time Scale Operator Inbound Gross 46240 lb
in 01/19/2021 11: Inbound SD #605115 Tare 38060 lb
Out 01/19/2021 12: Outbound SD #605115 Net 8180 lb
Tons 4.09
Comments
Product LDt Qty TJOiq Rate Tax Amount Origin.
-------------------------------------------------------------------------------------------
1 Asb Von Fri-Tons-A 100 4.09 Tons REN
Total Tar.
r-
Driver's Signature
Total `ticket
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