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asbestos report wcmu j6 wnmn uawd,Cagal tints Alas MdwwlnlPvdw P.O.Box 2202 Glsru Fa,Now Ye* 12801 MAYTOWN OF BUILDING, To Whom it May Concern, Please be advised that t have hooded the pmpoty on the date indloated on the endosed report and token candour samPM as required. I hm sent the samples to a Nov York SUM approved laboretory for tedno. Based upon my Inspection combined with the labonrtay teat results for the samples Om from the au prop. Q*tlrero were no asbestos mining materials(RCM's),Bound on the subject property or ideaded In the saw J plas tested by the laboratory. AcOOr+dinglr.It to my underaWnding that,subOd to any and all appRe is ctatoa or basis and regubdions at the time of the enclosed tee report,Ore property owner may prooesd with rerrrodelMO or demolition as the owner eras AL Thank you, Michael J.$t ans v '� License Number:72900 Eno Michael J Stevens Licensed Asbestos Inspector PO Box-2202 Glens Falls, NY .__ 12801 - +j C � APRI L 19 2020 VIA, 4 �vttiJ� TO WS t MIKE STEVENS n�� RE: Pre-Demolition Asbestos Building Survey Report 1587 STATE RT 9 QUEENSBURY NY 12804 Dear MIKE STEVENS Please find the attached Pre-Demolition Asbestos Building Survey Report completed for the Property Located at: 1587 STATE RT 9 QUEENSBURY NY 12804 If you have any questions or require additional information, please feel free to contact: Mike Stevens @ 518-656-3270 Sincerely, Michael J. Stevens VIAY 0 4, i TO Wt� O� BUI DIN PRE-DEMOLITION ASBESTOS SURVEY 15 8 7 state rt 9 QUEENSBURY NEW YORK 12804 Background Information: Buildings) Location: 1587 state rt 9 QUEENSBURY NY NEW YORK 12804 Party Performing Survey: Michael J. Stevens PO Box 2202, Glens Falls, NY 12801 Laboratory Used For Sample Analysis: Amerisci 117 East 301h Street New York, New York 10016 NYSDOH ELAP Laboratory ID # 11480 OWNERS INFO MIKE STEVENS PO BOX 2202 GLENS FALLS NY 1.2801 Pre-Demolition Asbestos Building Survey 1587 STATE RT 9 QUEENSBURY NY 12804 APRIL 19 2020 LABORATORY RESULTS AmedSci New York 117 EAST 30TH ST. - SoNEWYORK,NY 10016 AMERI TEL:(212)679-8600•FAX: (212)679-3114 Is PLM Bulk Asbestos Report Michael I Stevens Date Received 04/08/20 AmeriSci Job# 220041421 Attn: -Michael Stevens Date Examined 04/09/20 P.O.# PO Box 2202 ELAP# 11480 Page 1 of 5 RE: 1587; 1587 State Rt. 9; NY Glens Falls, NY 12801 Client No. /HGA Lab No. Asbestos Present Total %Asbestos #1 220041421-01 No NAD 1 Location: Roof/North Side-Asphalt Shingle(Black) (by NYS ELAP 198.6) by Valedu Volcu on 04/09/20 Analyst Description: Black,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 2%, Non-fibrous 18.8% #2 220041421-02 No NAD Location: Roof/West Side-Asphalt Shingle(Black) (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 Analyst Description: Black,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 1 %, Non-fibrous 30.8% #3 220041421-03 No NAD Location: Roof/.South Side-Asphalt.Shingie(Black) (by NYS ELAP 198.6) by Valedu Voicu • on 04/09/20 Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 1 %, Non fibrous 17.7% #4 220041421-04 No NAD Location: Roof/North Side-Felt Paper (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 _7g Analyst Description:Black/Grey,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 1 %, Non-fibrous 20.3% #5 220041421-05 No NAD Location: Roof/West Side-Felt Paper (by NYS ELAP 198.6) by Valeriu.Voicu on 04/09/20 Analyst Description: Black/Grey,Homogeneous, Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 2%, Non-fibrous 14.2 See Reporting notes on last page AmeriSci Job#: 220041421 Page 2 of 5 Client Name: Michael J.Stevens PLM Bulk Asbestos Report 1587; 1587 State Rt. 9; NY Client'No. /HGA Lab No. Asbestos Present Total %Asbestos #6 . 220041421-06 No NAD Location: Roof/South Side-Felt Paper (by NYS ELAP 198.6) by.Valeriu Voicu on 04/09/20 Analyst Description: Black/Grey,Homogeneous,Fibrous,Bulk Material `Asbestos Types: Other Material: Fibrous glass 3%, Non-fibrous 10.7% #7 220041421-07 No NAD Location: Bedroom I!Wall-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #8 220041421-08 No NAD Location: Bedroom I/Wall-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #9 220041421-09 No NAD Location: Bedroom 1 /Ceiling-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #10 220041421-10 No NAD Location:-Bedroom 1 /Ceiling-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non fibrous 100% #12 220041421-11 No NAD Location: Bedroom 2/Wall-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 ,Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% See Reporting notes on last ppge AmedSci Job* 220041421 Page 3 of 5 Cllent Name: Michael J. Stevens PLM Bulk Asbestos Report 1587; 1587 State Rt. 9; NY Clierit'No. / HGA Lab No. Asbestos Present Total %Asbestos #13 220041421-12 No NAD Location: Bedroom 2/Wall-Compound (by NYS ELAP 198.1) by Valedu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material 'Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #14 220041421-13 No NAD Location: Bedroom 21 Ceiling-Compound (by NYS ELAP 198.1) by Valerlu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #15 220041421-14 No NAD Location: Bedroom 2/Ceiling-Compound (by NYS ELAP 198.1) by Valedu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non fibrous 100% #16 220041421-15 No NAD Location: Bathroom/Wail/Ceiling-Compound (by NYS ELAP 198.1) by Valerlu Voicu on 04/09/20 Analyst Description:White, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #17 220041421-16 No NAD" Location: Bathroom I Wall 1 Ceiling-Compound (by NYS ELAP 198.1) by Valerlu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #18 220041421-17 No NAD Location: Bathroom/Wall/Ceiling-Compound (by NYS ELAP 198.1) by Valerlu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% See Reporting notes on last page AmedSci Job#: 220041421 Page 4 of 5 Client Name: Michael J.Stevens PLM Bulk Asbestos Report 1587; 1587 State Rt. 9; NY Client-No. / HGA Lab No. Asbestos Present Total %Asbestos #19 220041421-18 No NAD Location: Bath/Floor-Vinyl Flooring (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 Analyst Description:Beige,Homogeneous,Fibrous,Bulk Material 'Asbestos Types: Other Material: Fibrous glass 1 %, Non-fibrous 0.4% #20 220041421-19 No NAD Location: Bath/Floor-Vinyl Flooring (by NYS ELAP 198.6) by Valedu Voicu on 04/09/20 Analyst Description:Beige,Homogeneous,Fibrous,Bulk Material Asbestos Types: Other.Material: Fibrous glass 1 %, Non-fibrous 0.8% #21 220041421-20 No NAD Location: Kitchen/Living Room/Wall/Ceiling-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #22 220041421-21 No NAD Location: Kitchen/Living Room/Wall/Ceiling-Compound (by NYS FLAP 198.1) by Valedu Voicu on 04/09/20 Analyst Description:White, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #23 220041421-22 No NAD Location:.Kitchen/Living Room/Wall/Ceiling-Compound (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% #24 220041421-23 No NAD Location: Kitchen/Living Room/Floor-Vinyl Flooring (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 Analyst Description: Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 1.2% See Reporting notes on last page i AmedSci Job*. 220041421 Page 5 of 5_ Client Name: Michael J.Stevens PLM Bulk Asbestos Report 1587; 1587 State Rt. 9; NY Client No. /HGA Lab No. Asbestos Present Total %Asbestos #25 220041421-24 No NAD Location: Kitchen 1 Living Room/Floor-Vinyl Flooring (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 Analyst Description: Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass Trace, Non fibrous 1.2% #26 220041421-25 No NAD Location: Kitchen/Living Room/Floor-Vinyl Flooring (by NYS ELAP 198.6) by Valeriu Voicu on 04/09/20 Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass Trace, Non-fibrous 1.1 % #27 220041421-26 No NAD Location: Cement Wall-Cement (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% ##28' 220041421'-27 No NAD Location: Cement Wall-Cement (by NYS ELAP 198.1) by Valeriu Voicu on 04/09/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% Reporting Notes: (1) This PLM job was analyzed using Olympus BH-2 Pol Scope S/N 229915 Analyzed by:Valeriu Voicu ,.(% `NAD1NSD--no asbestos detected;NA=not analyzed;NAPS=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 Technology Accredi on requirements mandate that this,report must not be reproduced except In full without the approval of the Iab.This PLM report relates ON t s taste A-LAP,LLC Lab ID 102843,RI Cart AAL-094,CT Cart PH-0186,Mass Cert AA000054. Reviewed By: END OF REPORT AmeriSci Job#: 220041421 Page 1 of 3 Client Name: Michael J.Stevens Table Summary of Bulk Asbestos Analysis Results 1587; 1587 State Rt. 9; 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 0.422 24.5 54.7 20.8 NAD NAD Location: Roof/North Side-Asphalt Shingle(Black) 02 #2 0.431 20.7 47.4 31.8 NAD NAD Location: Roof/West Side-Asphalt Shingle(Black) 03 #3 0.313 23.4 57.9 18.7 NAD NAD Location: Roof/South Side-Asphalt Shingle(Black) 04 #4 0.283 23.7 55.0 21.3 NAD NAD Location: Roof/North Side-Felt Paper 05 #5 0.235 26.0 57.8 16.2 NAD NAD Location: Roof/West Side-Felt Paper 06 #6 0.190 28.4 57.9 13.7 NAD NAD Location: Roof/South Side-Felt Paper 07 #7 — — — — NAD NA Location: Bedroom I/Wall-Compound O8 #8 — --- — — NAD NA Location: Bedroom I/Wall-Compound 09 #9 -- — --- — NAD NA Location: Bedroom 1/Ceiling-Compound 10 #10 — — -- --- NAD NA Location: Bedroom 1/Ceiling,-Compound 11 #12 ---- — ---- ---- NAD NA Location: Bedroom 2/Wall-Compound 12 #13 — — -- — NAD NA Location: Bedroom 2/Wall-Compound 13 #14 — ---- — — NAD NA Location: Bedroom 2/Ceiling-Compound 14 #15 — — — — NAD NA Location: Bedroom 2/Ceiling-Compound 15 #16 — — — ---- NAD NA Location: Bathroom/Wall/Ceiling-Compound 16 #17 _._ _.. _- — NAD NA Location: Bathroom/Wall/Ceiling-Compound See Reporting notes on last page AmeriSci Job#: 220041421 �4 Page 2 of 3 Client Name: Michael J:Stevens Table Summary of Bulk Asbestos Analysis Results 1587; 1587 State Rt.9; NY Heat Acid Insoluble r Sample ' Arnedscl HG Weight Sensitive Soluble Non-Asbestos '"Asbestos%by *'Asbestos%by Sample# Client Sample# -Area (gram) Organic% inorganic% inorganic% PLMIDS TEM 17 #18 — -- — — NAD NA Location: Bathroom/Wall/Ceiling-Compound 18 #19 0.107 63.1 35.5 1.4 NAD NAD Location: Bath/Floor-Vinyl Flooring 19 #20 0.142 61.5 36.7 1.8 NAD NAD Location: Bath/Floor-Vinyl Flooring 20 #21 — — — NAD NA Location: Kitchen/Living Room/Wall/Ceiling-Compound 21 #22 V --- -- — -- NAD NA Location: Kitchen I Living Room/Wall/Ceiling-Compound 22 #23 -- — --- ---- NAD NA Location: Kitchen/Living Room/Wall/Ceiling-Compound 23 #24 0.312 34.4 64.3 1.2 NAD NAD Location: Kitchen/Living Room/Floor-Vinyl Flooring 24 #25 0.254 34.9 63.9 1.2 NAD NAD Location: Kitchen/Living Room/Floor-Vinyl Flooring 25 #26 0.249 35.6 63.3 1.1 NAD NAD Location: Kitchen/Living Room/Floor-Vinyl Flooring 26 #27 — — — — NAD NA Location: Cement Wall-Cement 27 #28 --- --- — — NAD NA Location: Cement Wall-Cement See Reporting notes on last page AmeriSci Job#: 220041421 Page 3 Of 3 Client Name: Michael J. Stevens Table 1 Summary of Bulk Asbestos Analysis Results 1587; 1587 State Rt. 9; 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 Analyzed by:M Peysakhov-Hitachi#747/Noran " ;Date Analyzed 4/9/2020 "Quantitative Analysis(Semi/Full);Bulk Asbestos Analysis-PLM by Appd E to Subpt E,40 CFR 763 or NYSDOH ELAP 198.1 for New York friable samples or NYSDOH ELAP 198.6 for New York NOB samples,TEM(Semi/Full)by EPA 600/11-93/116(or NYSDOH ELAP 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 Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning weights of<0.1 grams should be considered as qualitative only;Qualitative Analysts:Asbestos analysis results of"Present"or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEM Analysis 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. Waming Note:PLM limitation,only TEM will resolve 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 debris for whli;;WPl. on is recommended(i.e.soils and other heterogenous materials). r Reviewed By: ...mot-.� - �/� J-�- y � i-X�•.« t✓ 1 c WWI VIWOO Wo M, W-11,00AIVA'- W1 0 0 0 Wom O`er _ t igoom WWI f .4IL llplpv� :. So w1 "i 2 . Pre-Demolition Asbestos Building Survey 1587 STATE RT 9 QUEENSBURY NY 12804 Conclusions & Recommendations Conclusions Based on the completion of the survey, No regulated asbestos materials (>1%) were identified at the site based on materials sampled. Recommendations Based on the results of this survey, Mike Stevens has the following recommendations at this time. • Prior to any demolition activities, a copy of the asbestos survey_ .should be provided to the demolition contractor and local asbestos control board. • Maintain a copy of this asbestos survey with the property. • If un-assessed suspect ACM is identified during demolition activities, retain an asbestos building inspector to sample the material(s). • One copy of the asbestos survey report should be immediately transmitted by the building owner as follows: 1) One copy of this report must be immediately transmitted by the building owner, or their agent, to the local government entity charged with issuing a permit for such demolition, renovation, remodeling or repair work under applicable NY Stat laws. 2) The completed asbestos survey for controlled demolition (as per Subpart 56-11.5) or pre-demolition asbestos projects shall also be submitted to the NEW YORK STATE DEPARTMENT OF LABOR Pre-Demolition Asbestos Building Survey " 1587 STATE RT 9 QUEENSBURY NY 12804 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 APRIL 12019 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) significantly damaged. 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 a . 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