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Asbestos Survey 303.20-1-10 DEMO-0680-2021 Marcantonio, Terry 11 Highland Ave Demolition of SFD LEARV _ Queensbury,NY 12804 N S P = C T O N 5 rvan@clearyuinsnections.com 518.832.9213 Spa" ' •y, ( , p UI L�'-'! uI�.IVU Pre- Demolition Asbestos Survey <o w o c_ o � �� o U'E E�2, c 28 ^ m ma m a — g ^ Nn0T 0 �n�� C C 1 to `n � 0 ym Z 7J L LL a" ca mdm — tnNn� PROJECT NUMBER PREPARED FOR 10027 Terry Marcantonio 90 McDonald St SITE LOCATION Glens Falls,Glens Falls 12801 Single Family Dwelling 11 Highland Ave PREPARED BY Queensbury, New York 12804 Ryan Wild 19 Blackberry Lane Inspection-6.27.2021 Queensbury, New York 12804 Report-7.17.2021 TOWN OF QUEENSSURY BUILDING & CODES DEPT, Reviewed Y: N" c Date: °� i„I- l Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 INTRODUCTION GENERAL INFORMATION ClearVU Inspections was retained by Terry Marcantonio,owner,to conduct a Pre-Demolition Asbestos Survey.All methods and procedures employed in this survey were done in accordance with NYSDOL(New York State Department of Labor), OSHA(Occupational Safety and Health Administration),and USEPA(United States Environmental Protection Agency) regulations and protocol. The information contained in this report has been collected in accordance with existing regulations. If this document is to be utilized for bidding quotations, it cannot be held binding and must be field verified by those contractors submitting bids. PURPOSE The purpose of this survey was to identify,document,and measure specified asbestos-containing materials in this building,which may be disturbed during demolition activities. Samples were collected of suspect accessible asbestos- containing building materials.Should any materials be encountered that are not identified in this report,they should be assumed asbestos containing until a representative number of samples are collected to document these materials as non-asbestos containing. SCOPE OF SERVICES Provide a visual inspection of all accessible building components to determine the presence of suspect materials.The inspector physically assessed,quantified and conducted bulk sampling as required of suspect ACM (Asbestos Containing Materials)which were accessible or exposed.This report represents the locations and quantities of ACM (Asbestos Containing Materials) present as well as all sampled materials that tested negative for the presence of asbestos and their locations. Bulk sample analysis was performed by a participating New York State Department of Health Environmental Approval Program (NYSDOH-ELAP) certified laboratory. SAMPLING METHODOLOGY During the visual inspection process, an inventory of suspect materials similar in appearance and composition was created and grouped into homogeneous sampling areas.A homogeneous area is defined as a surfacing,thermal or miscellaneous material that is uniform in texture, age, and appearance.A representative bulk sampling plan was created in accordance with current USEPA(United States Environmental Protection Agency) requirements and guidelines. Bulk samples were then collected of suspect ACM (Asbestos Containing Materials)to identify the presence of asbestos. There are a number of materials,which rarely contain asbestos and are not specifically addressed in this report.Such materials include but are not limited to,glass, rubber,cinderblock and mortar. LABORATORY METHODOLOGY The friable bulk samples were analyzed by Polarized Light Microscopy(EPA Interim Method:Appendix A to Subpart F 40CFR Part 763) at magnifications ranging from 10x to 400x, and New York State Department of Health ELAP Item Number 198.1(Polarized Light Microscopy Methods for Identifying and Quantitating Asbestos in Bulk Samples).The estimated phase abundances are provided in weight percent and are accurate to within 10 to 15 percent of the amount reported.These methods are sensitive to the detection of asbestos to less than one percent. All non-friable organically bound (vinyl flooring,caulking, etc.) bulk samples were analyzed by New York State Department of Health ELAP Item Number 198.4(Transmission Electron Microscopy Method for Identifying and Quantitating Asbestos in Non-Friable Organically Bound Bulk Samples). NOB samples were first reduced by the Gravimetric Matrix Reduction Method to determine if greater than one percent of material remained. If greater than one Page 2 of 31 e Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 percent of the NOB material remained by weight,the sample was analyzed by Polarized Light Microscopy by New York State Department of Health ELAP Item Number 198.6 to determine if it contained greater than one percent asbestos. In accordance with New York State Department of Health regulations, Polarized Light Microscopy is not consistently reliable in detecting asbestos in non-friable organically bound materials,and in cases of a negative result TEM analysis is performed.This method is sensitive to the detection of asbestos to less than one percent by weight.A material is considered asbestos containing if it contains more than 1%asbestos. NYSDOL and USEPA regulations define asbestos containing material as containing greater than one percent(1%). Materials found to contain asbestos at concentrations of less than one percent(<1%) by weight are classified as containing trace amounts of asbestos. It should be noted,OSHA's definition of"asbestos containing'does not have a one percent(1%)cut-off,therefore, asbestos that is present in percentages less than one percent(<1%)continues to be covered by OSHA Construction Standard 29 CFR 1926.1101. HAYES MICROBIAL&EUROFIN CEI - LAB ID# 12048,COMPLETED THE ANALYSIS. WARRANTY The field and laboratory results reported are considered sufficient in detail and scope to determine the presence of accessible and/or exposed asbestos-containing building materials.The findings contained within this report have been gathered in accordance with existing regulations and industry protocol. This survey and analytical methods have been used to provide information regarding the presence of suspect interior asbestos-containing building materials existing at the time of the inspection.This report is limited to the information available from the client at the time it was prepared. It is possible that conditions may exist which could not be identified within the scope of the survey or which were not apparent during the site visit. Page 3 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Executive Summary Asbestos-Containing Material Field Survey Terry Marcantonio 11 Highland Ave Queensbury, New York 12804 I. SUMMARY OF FINDINGS On June 25, 2021,an asbestos-containing material(ACM)field survey was conducted at 11 Highland Ave located in Queensbury, New York(Site).The site was inspected to determine the presence of ACM in preparation for demolition. The ACM survey was performed at the request of the property owner. A summary of asbestos-containing materials is provided in the following table. However,this report should be read in its entirety, including detailed information that is contained in other sections and appendices. Atotal of 70 samples were collected from 26 suspect homogenous materials. Summary Table of Asbestos-Containing Materials Material i Material Id Material Category Regulatory Result Quantity There are no homogenous materials for this project that are assumed or have tested positive containing asbestos A table of ACM grouped by homogeneous areas is included in Appendix A of this report.A table presenting those materials sampled which did not contain asbestos can be found in Appendix B of this report.A complete listing of all suspect materials sampled is provided in Appendix C of this report.A Sample Location Diagram is provided in Appendix D of the report.The original laboratory analytical reports and chain of custody are located in Appendix E of this report. Page 4 of 31 � t Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Appendix A: ACM Homogenous Area Table -------------------- Material ! Material Space Section Friability Current Result Quantity Category Name Name Condition ! j i There are no homogenous materials for this project that are assumed or have tested positive containing asbestos Page 5 of 31 f � Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Appendix B: Tested Negative Homogenous Material Table Material Category i Material Space Name , Section Name Result j Miscellaneous 010 White Caulk, Door Basement Basement Tested Negative by Lab i (No Asbestos Detected) Miscellaneous i 009-White Furnace Basement Basement Tested Negative by Lab Cement (No Asbestos Detected) j Miscellany-+ �--,__ ----'�-- — �eous 1008-Red Masonry Brick Basement Basement Tested Negative by Lab (No Asbestos Detected) Miscellaneous 007-Gray Masonry Basement Basement j Tested Negative by Lab Mortar (No Asbestos Detected) -___4----------- -t— --- j Miscellaneous 001-White Masonry Basement ; Basement Tested Negative by Lab i i I Mortar I j (No Asbestos Detected) j Miscellaneous 002-Gray Parge Basement Basement Tested Negative by Lab 1 i (No Asbestos Detected) Miscellaneous Black Woven Electrical Basement Basement ( Tested Negative by Lab Wiring i (No Asbestos Detected) Miscellaneous Red Woven Electrical Basement Basement I Tested Negative by Lab Wiring 4 +�r (No Asbestos Detected) Miscellaneous I White Woven Electrical Basement Basement Tested Negative by Lab { Wiring (No Asbestos Detected) - t Miscellaneous 015-Black Roofing Roof Exterior Tested Negative by Lab '+ Paper/Felt j (No Asbestos Detected) Miscellaneous 024-Brown Roofing, i Roof Exterior Tested Negative by Lab j Composite Shingle i (No Asbestos Detected) Miscellaneous 014-Green Roofing, Roof Exterior Tested Negative by Lab i .,. I Composite Shingle (No Asbestos Detected) i Miscellaneous Yellow Floor Tile Mastic Bathroom First Floor Tested Negative by Lab � i f (No Asbestos Detected) Miscellaneous 1021-Gypsum Wallboard Bathroom j First Floor Tested Negative by Lab j ( (No Asbestos Detected) ` Miscellaneous , 019-Gypsum Wallboard Bathroom First Floor Tested Negative by Lab Joint Compound j (No Asbestos Detected) Miscellaneous ! 020-Gypsum Wallboard Bathroom First Floor I Tested Negative by Lab } ( JointTa a 4 { (No As P (Paper)) Pa er bestos Detected) ; 'I Surfacing Material i 016 Hard Plaster Bedroom 2 First Floor Tested Negative by Lab I (No Asbestos Detected) Surfacing Material 016-Hard Plaster Bedroom 3 First Floor ` Tested Negative by Lab j I (No Asbestos Detected) f Surfacing Material 016-Hard Plaster Family Room First Floor 1 Tested Negative by Lab I (No Asbestos Detected) Page 6 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 j Miscellaneous Yellow Floor Tile Mastic : Kitchen First Floor v Tested Negative by Lab estos Detected) (No Asb Surfacing Material j 016-Hard Plaster Kitchen First Floor weed Negative os Detected) Lab( Miscellaneous I 025-Insulation Batting Kitchen First Floor Tested Negative by Lab �, (No Asbestos Detected) Miscellaneous 026-Laminate Flooring I Kitchen First Floor Tested Negative by Lab (No Asbestos Detected) j Miscellaneous j 027-Sealant,Window Kitchen First Floor Tested Negative by Labe i Pane Glazing (No Asbestos Detected) F — Miscellaneous 022-Wallpaper Living Room First Floor ( Tested Negative by Lab (No Asbestos Detected) Miscellaneous j 027-Sealant,Window Porch I First Floor Tested Negative by Lab j Pane Glazing (No Asbestos Detected) Miscellaneous l 013-Cork Ceiling Tile Bedroom ! Second Floor Tested Negative by Lab !. I (No Asbestos Detected) Y Surfacing Material j 016-Hard Plaster Bedroom Second Floor Tested Negative by Lab j ( � (No Asbestos Detected) � Surfacing Material 016-Hard Plaster Bedroom 1 i Second Floor Tested Negative by Lab I (No Asbestos Detected) Miscellaneous I 013 Cork Ceiling Tile Hallway Second Floor ( Tested Negative by Lab No Asbestos Detected) Miscellaneous 011-Cork Wall Panel Hallway Second Floor Tested Negative by Lab (No Asbestos Detected) Surfacing Material 016-Hard Plaster i Hallway Second Floor i Tested Negative by Lab I (No Asbestos Detected) Miscellaneous 017 Masonry Mortar i Hallway Second Floor Tested Negative by Lab _. _.. (No Asbestos Detected) i Miscellaneous 018-Wallpaper Hallway Second Floor Tested Negative by Lab (No Asbestos Detected) 1 Miscellaneous 011 Cork Wall Panel Stairwell Second Floor Tested Negative by Lab I (No Asbestos Detected) Page 7 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Appendix C: All Suspect Materials Sampled Sample ID Space Name - Section Name ! Material _ Analytical Result ',, Regulatory Result OOIA Basement Basement 001-White 0% Tested Negative Masonry Mortar by Lab(No Asbestos Detected) OO1B Basement Basement 001-White 0% Tested Negative Masonry Mortar by Lab(No Asbestos Detected) 002A Basement Basement 002-Gray Parge 0% Tested Negative '., by Lab(No Asbestos Detected) 002E Basement Basement 002-Gray Parge 0% Tested Negative by Lab(No Asbestos Detected) 003A Basement Basement 003-Yellow 0%Composite Tested Negative Woven Electrical by Lab(No Wiring Asbestos ',. Detected) 003A.1 Basement Basement ',, Red Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 003A.2 Basement Basement White Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 003A.3 Basement Basement Black Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 0038 Basement Basement 003-Yellow 0% Tested Negative Woven Electrical by Lab(No Wiring Asbestos Detected) 003B.1 Basement Basement Red Woven 0% '.. Tested Negative Electrical Wiring by Lab(No Asbestos Detected) Page 9 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 ..-_.-------_. - 003B.2 Basement Basement White Woven 0% Tested Negative '.. Electrical Wiring by Lab(No Asbestos Detected) . 003B.3 Basement Basement Black Woven 0% Tested Negative Electrical Wiring j '. by Lab(No Asbestos Detected) 004A Basement Basement 004-Green = 0%Composite Tested Negative Woven Electrical by Lab(No Wiring Asbestos Detected) 004A.1 - Basement — Basement '', White Woven 0% TTested Negative Electrical Wiring by Lab(No Asbestos Detected) 004A.2 Basement Basement Black Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 004B Basement Basement 004-Green ! 0%Composite Tested Negative Woven Electrical by Lab(No Wiring Asbestos Detected) 004B.1 Basement Basement White Woven : 0% Tested Negative Electrical Wiring by Lab(No ',. Asbestos Detected) 0048.2 Basement Basement Black Woven 0% Tested Negative Electrical Wiring by Lab(No '... Asbestos Detected) 005A Basement Basement '.. 005-White 0%Composite Tested Negative Woven Electrical by Lab(No ',. Wiring Asbestos Detected) 005A.1 Basement Basement Red Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 005A.2 Basement Basement White Woven 0% : Tested Negative !. Electrical Wiring by Lab(No Asbestos Detected) Page 9 of 31 r Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 005A.3 '.. Basement '.. Basement Black Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 005B Basement Basement 005-White 0%Composite Tested Negative Woven Electrical by Lab(No Wiring Asbestos Detected) 005B.1 j Basement '',, Basement Red Woven 0% '.. Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 005B.2 Basement Basement White Woven 0% ', Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 005B.3 Basement Basement Black Woven 0% Tested Negative Electrical Wiring _ by Lab(No Asbestos Detected) ---- --- ----- ----- --- -- 006A Basement Basement 006-Gray 0%Composite Tested Negative ! Woven Electrical by Lab(No Wiring ',, Asbestos Detected) 006A.1 Basement Basement Black Woven 0% !, Tested Negative Electrical Wiring ', by Lab(No Asbestos Detected) 006A.2 Basement Basement Red Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) - - -------- - ---- ------ --- ------ - 006B Basement Basement 006-Gray 0%Composite Tested Negative : Woven Electrical by Lab(No Wiring Asbestos Detected) 006B.1 Basement Basement Black Woven 0% Tested Negative Electrical Wiring by Lab(No Asbestos Detected) 006B.2 Basement Basement Red Woven 0% Tested Negative Electrical Wiring _ by Lab(No Asbestos Detected) Page 10 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 007A Basement Basement 007-Gray 0% Tested Negative Masonry Mortar by Lab(No Asbestos '.; Detected) 007E Basement Basement 007-Gray 0% Tested Negative Masonry Mortar by Lab(No Asbestos Detected) 008A Basement Basement 008-Red 0% Tested Negative Masonry Brick by Lab(No Asbestos Detected) 008B Basement Basement 008-Red 0% Tested Negative Masonry Brick '.. by Lab(No Asbestos Detected) 009A Basement Basement 009-White 0% Tested Negative Furnace Cement by Lab(No Asbestos Detected) 009B Basement Basement 009-White 0% Tested Negative Furnace Cement by Lab(No Asbestos Detected) OlOA Basement Basement 010-White 0% Tested Negative Caulk, Door by Lab(No Asbestos Detected) 010E Basement Basement 010-White 0% Tested Negative Caulk, Door by Lab(No Asbestos Detected) 011A Stairwell ',, Second Floor 011-Cork Wall 0% Tested Negative Panel by Lab(No Asbestos Detected) 011B Hallway Second Floor 011-Cork Wail 0% Tested Negative Panel by Lab(No Asbestos Detected) 013A Bedroom Second Floor 013-Cork 0% Tested Negative Ceiling Tile by Lab(No Asbestos Detected) Page 11 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 013E Hallway Second Floor 013-Cork 0% Tested Negative _ Ceiling Tile by Lab(No Asbestos Detected) 014A Roof Exterior 014-Green 0% Tested Negative Roofing, by Lab(No Composite Asbestos Shingle Detected) 014E Roof Exterior 014-Green 0% Tested Negative Roofing, by Lab(No '., Composite Asbestos Shingle Detected) 015A Roof Exterior 015-Black 0% Tested Negative Roofing Paper/ by Lab(No '.. Felt Asbestos Detected) 015B Roof Exterior 015-Black 0% Tested Negative Roofing Paper/ by Lab(No Felt Asbestos Detected) 016A Bedroom ',, Second Floor : 016-Hard 0% Tested Negative '., Plaster by Lab(No Asbestos Detected) 016E Bedroom 1 Second Floor 016-Hard 0% Tested Negative Plaster by Lab(No Asbestos Detected) 016C Hallway Second Floor 016-Hard 0% Tested Negative Plaster by Lab(No Asbestos Detected) 016D Bedroom 2 First Floor 016-Hard 0% Tested Negative Plaster - by Lab(No Asbestos Detected) 016E Family Room First Floor 016-Hard 0% Tested Negative Plaster by Lab(No Asbestos Detected) 016F Bedroom 3 First Floor 016-Hard 0% Tested Negative Plaster by Lab(No Asbestos Detected) Page 12 of 31 • Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 016G Kitchen First Floor 016-Hard 0% Tested Negative ', Plaster by Lab(No Asbestos Detected) 017A Hallway Second Floor 017-Masonry 0% Tested Negative ',. Mortar ',., by Lab(No Asbestos Detected) 017B Hallway Second Floor 017-Masonry 0% ! Tested Negative Mortar by Lab(No Asbestos Detected) 018A Hallway Second Floor !, 018-Wallpaper j 0% Tested Negative^! by Lab(No Asbestos Detected) 018B Hallway SecondFloor 018-Wallpaper 0% Tested Negative '., by Lab(No Asbestos Detected) 019A Bathroom First Floor 019-Gypsum 0% '', Tested Negative Wallboard Joint by Lab(No Compound Asbestos Detected) 019B _ Bathroom First Floor 019-Gypsum 0% Tested Negative Wallboard Joint by Lab(No Compound Asbestos Detected) '.. 020A Bathroom First Floor 020-Gypsum 0% Tested Negative Wallboard Joint by Lab(No Tape(Paper) Asbestos Detected) -------- ----- — ---- 020E Bathroom First Floor 020-Gypsum 0% Tested Negative '.. Wallboard Joint by Lab(No Tape(Paper) Asbestos Detected) 021A Bathroom First Floor 021-Gypsum 0% ' Tested Negative Wallboard by Lab(No '.., Asbestos Detected) - 021E Bathroom First Floor 021-Gypsum 0% Tested Negative Wallboard by Lab(No '.,. Asbestos Detected) Page 13 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 021C Bathroom First Floor 021-Gypsum 0% - Tested Negative '.. Wallboard by Lab(No Asbestos Detected) 022A Living Room First Floor 022-Wallpaper 0% Tested Negative by Lab(No Asbestos Detected) 022B Living Room First Floor 022-Wallpaper '', 0% ! Tested Negative by Lab(No Asbestos Detected) 023A Bathroom First Floor 023-Vinyl 0%Composite Tested Negative Flooring by Lab(No Asbestos Detected) 023A.1 Bathroom First Floor Yellow Floor Tile 0% Tested Negative Mastic by Lab(No Asbestos Detected) .-------- -------- ----- —._------- ---` 023B Kitchen First Floor 023-Vinyl 0%Composite !, Tested Negative Flooring by Lab(No Asbestos Detected) 02313.1 Kitchen First Floor Yellow Floor Tile 0% Tested Negative Mastic by Lab(No Asbestos Detected) 024A Roof Exterior 024-Brown 0% Tested Negative ',. Roofing, - by Lab(No Composite Asbestos Shingle Detected) 024E Roof Exterior 024-Brown 0% Tested Negative Roofing, by Lab(No Composite Asbestos Shingle Detected) 025A Kitchen First Floor 025-Insulation,Y- 0% TTested Negative 'l '... Batting by Lab(No Asbestos Detected) 025E Kitchen First Floor 025-Insulation, 0% Tested Negative Batting by Lab(No Asbestos Detected) Page 14 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 026A Kitchen First Floor 026-Laminate 0% Tested Negative Flooring by Lab(No Asbestos Detected) 026E Kitchen First Floor 026-Laminate 0% Tested Negative Flooring by Lab(No Asbestos Detected) 027A Kitchen First Floor 027 Sealant, 0% Tested Negative ''.. Window Pane by Lab(No Glazing Asbestos Detected) 027E Porch First Floor 027-Sealant, ! 0% Tested Negative Window Pane '., by Lab(No Glazing Asbestos Detected) Page 15 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Appendix D: Sample Location Maps All Sample Locations for Basement 7 3 2 4 5 4 Page 16 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Map ID Sample ID Section Name Space Name Material Lab Result Analytical Result 1 001A I Basement Basement 001-White Tested 0% Masonry Negative by j Mortar Lab(No y Asbestos Detected) 2 001E Basement Basement 001-White ( Tested 0% Masonry Negative by Mortar Lab(No Asbestos i Detected) 3 002A Basement Basement 002-Gray Tested 0% Parge Negative by Lab(No Asbestos ._Detected) 3 002B Basement Basement 002-Gray j Tested 0% Parge I Negative by . - Lab(No Asbestos 1 Detected) !, 4 003A Basement Basement 003-Yellow Tested 0%Composite I Woven I Negative by I Electrical Lab(No Wiring ( Asbestos j — _ Detected) I i 4 003A.1 Basement Basement Red Woven 7 Tested 0% '.. Electrical Negative by -, Wiring Lab(No Asbestos Detected) 4 003A.2 Basement Basement White Woven Tested 0%..._ Electrical Negative by _ Wiring ( Lab(No Asbestos Detected) 4 _ 003A.3 Basement Basement Black Woven Tested 0% Electrical Negative by G ',. Wiring Lab(No i Asbestos Detected) 4 003B Basement Basement 003-Yellow woven Electrical I Wiring F Page 17 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 4 003B.1 j Basement Basement Red Woven Tested 0% I Electrical Negative by : Wiring Lab(No Asbestos Detected) 4 003B.2 Basement Basement White Woven Tested 0% f Electrical Negative by Wiring Lab(No '.. Asbestos i i Detected) 4 003B.3 j Basement Basement Black Woven Tested 0% Electrical Negative by Wiring Lab(No Asbestos 'r Detected) 7 5 004A Basement Basement 004-Green Tested : 0%Composi ` Woven { Negative by IIIIII� Electrical Lab(No i Wiring � Asbestos Detected) 1 5 004A.1 Basement Basement White Woven Tested 0% Electrical Negative by Wiring I Lab(No j Asbestos I Detected) 5 004A.2 1 Basement Basement Black Woven Tested 0% j Electrical Negative by Wiring Lab(No Asbestos I Detected) 5 004B Basements Basement 004-Green Tested 0%Composite j Woven Negative by Electrical ( Lab(No t Wiring Asbestos i Detected) 5 004B.1 Basement Basement White Woven { Tested 0% Electrical Negative by Wiring ( Lab(No Asbestos ` It Detected) j 5 004B.2 Basement Basement Black Woven Tested 0% Electrical Negative by j Wiring Lab(No ` - Asbestos f Detected) j Page 19 of 31 Terry1Marcantonio,11 Highland Ave,Queensbury,New York,12804 t 6 005A Basement Basement 005-White Tested 0%Composite Woven ( Negative by Electrical Lab(No Wiring Asbestos Detected) 6 005A.1 Basement Basement Red Woven Tested 0% Electrical ( Negative by - Wiring � Lab(No i Asbestos Detected) 6 005A.2 Basement Basement White Woven Tested 0% Electrical Negative by j Wiring Lab(No Asbestos ( Detected) 6 _ 005A.3 Basement — Basement Black Woven Tested 0% Electrical ( Negative by j Wiring ( Lab(No Asbestos Detected) 6 005B j Basement Basement 005-White Tested 0%Composite Woven Negative by Electrical Lab(No i Wiring Asbestos Detected) 6 0056.1 Basement Basement Red Woven Tested 0% Electrical Negative by i Wiring Lab(No i Asbestos j Detected) 6 0058.2 ; Basement Basement White Woven Tested 0% Electrical Negative by j Wiring Lab(No I Asbestos Detected) 6 005B.3 Basement Basement Black Woven Tested 0% Electrical Negative by Wiring I Lan(No Asbestos � Detected) i 6 006A Basement Basement 006-Gray Tested 0%Composite Woven Negative by ' Electrical Lab(No Wiring I Asbestos i Detected) `--- ------- -----..._ _------- ---- — -- -- Page 19 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 6 - 006A.1 Basement Basement Black Woven Tested 0% Electrical Negative by Wiring Lab(No ! Asbestos Detected) ! 6 006A.2 Basement Basement Red Woven Tested 0%..._ Electrical Negative by Wiring Lab(No i j Asbestos Detected) 6 006B Basement Basement 006-Gray Tested 0%Composite Woven Negative by Electrical ( Lab(No E Wiring Asbestos Detected) 6 006B.1 Basement Basement Black Woven—Tested 0% Electrical ( Negative by i Wiring Lab(No Asbestos Detected) 6 006B.2 Basement Basement Red Woven Tested 0% Electrical Negative by Wiring Lab(No Asbestos jDetected) 4 007A Basement Basement 007-Gray Tested 0% I j Masonry Negative by j Mortar Lab(No Asbestos i i Detected) 4 007E Basement Basement 007-Gray Tested _ 0% 1 j - Masonry Negative by j Mortar Lab(No Asbestos ! Detected) 4 008A ! Basement Basement 008-Red Tested 0% j Masonry Brick Negative by Lab(No Asbestos - Detected) 4 008B Basement Basement 008-Red ( Tested 00% Masonry Brick Negative by Lab(No Asbestos Detected) Page 20 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 4 009A Basement Basement 009-White Tested 0% Furnace Negative by I Cement Lab(No , j Asbestos '.. Detected) j � 4 009B � Basement Basement 009-White Tested '. 0% i Furnace Negative by Cement Lab(No Asbestos A Detected) 7 OIOA Basement Basement a 010-White Tested 00% Caulk,Door Negative by ' Lab(No Asbestos Detected) - 7 010B Basement - Basement 010-White Tested 0% Caulk,Door Negative by Lab(No j Asbestos j Detected) Page 21 of 31 i Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 All Sample Locations for Second Floor 3 4 7 6 la �.ar Page 22 of 31 Terry Marcantonio,11 Highland Ave,QueensbuM New York,12804 j r Map ID Sample ID Section Name Space Name Material___I -Lab Result Analytical 1 Result 1 011A Second Floor Stairwell 011-Cork Tested 0% i 'I Wall Panel Negative by Lab(No Asbestos Detected) 2 0118 Second Floor Hallway 011-Cork i Tested 0% Wall Panel j Negative by i Lab(No Asbestos Detected) 3 013A Second Floor Bedroom 013-Cork Tested 0%� Ceiling Tile Negative by Lab(No Asbestos Detected) - i 4 013E ! Second Floor Hallway 013-Cork j Tested 0% j Ceiling Tile I Negative by Lab(No � Asbestos Detected) i 5 016A Second Floor •: Bedroom 016-Hard i Tested 0% Plaster I Negative by I Lab(No t Asbestos Detected) 7 016B Second Floor Bedroom 1 _ 016-Hard �—Tested 0% j Plaster Negative by Lab(No Asbestos Detected) i i 2 016C Second Floor Hallway 016-Hard Tested 0% Plaster Negative by l Lab(No Asbestos Detected) 2 017A Second Floor Hallway 017- Tested 0% j Masonry i Negative by Mortar Lab(No Asbestos Detected) 2 017B Second Floor Hallway 017- Tested 0% Masonry Negative by j Mortar Lab(No L. ! Asbestos Detected) Page 23 of 31 Terry Marcantonio,11 Highland Ave,Queensbury New York,12804 3 018A Second Floor Hallway 018- Tested 0% Wallpaper Negative by Lab(No Asbestos 11 Detected) ` 6 018B Second Floor - Hallway 018- I Tested 0% Wallpaper , Negative by Lab(No Asbestos Detected) j Page 24 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 All Sample Locations for Exterior —; 2 Y i 1 I } _......__..w� .. Page 25 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Map ID Sample ID ! Section Name Space Name Material Lab Result Analytical Result 1 014A Exterior Roof 014-Green Tested 0% j Roofing, ( Negative by Composite ( Lab(No j Shingle Asbestos Detected) 2 014B Exterior Roof 014-Green Tested 0% Roofing, Negative by Composite Lab(No Shingle Asbestos j Detected) 1 015A Exterior Roof 015-Black Tested 0% Roofing Negative by I - : Paper/Felt Lab(No Asbestos i { Detected) 2 0158 Exterior Roof 015-Black Tested 0% Roofing Negative by I Paper/Felt Lab(No Asbestos Detected) 3 024A Exterior Roof 024-Brown Tested 0% j Roofing, Negative by ! Composite Lab(No Shingle i Asbestos Detected) 4 024B Exterior Roof 024-Brown Tested 0% Roofing, Negative by j Composite Lab(No Shingle Asbestos Detected) j Page 26 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 All Sample Locations for First Floor !4 3 8 Y. 10 1 y.e , t 12 Page 27 of 31 ' Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Map ID Sample ID Section Name Space Name Material Lab Result Analytical Result ' 1 016D ; First Floor Bedroom 2 016-Hard Tested 0% ( Plaster Negative by Lab(No Asbestos Detected) 2 016E First Floor Family Room 016-Hard Tested 0% Plaster Negative by Lab(No i Asbestos Detected) ' 11 016F First Floor Bedroom 3 016-Hard Tested 0% Plaster Negative by Lab(No Asbestos '.. � Detected) i 3 016G First Floor Kitchen 016-Hard I Tested 0% Plaster Negative by Lab(No i Asbestos Detected) 4 019A First Floor Bathroom _ 019-Gypsum Tested 0% Wallboard Negative by Joint Lab(No Compound ' Asbestos Detected) 4 019B First Floor Bathroom 019-Gypsum I Tested 0% Wallboard Negative by l Joint Lab(No Compound ( Asbestos ! Detected) 4 020A First Floor Bathroom 020-Gypsum Tested 0% Wallboard Negative by Joint Tape Lab(No ,,,. (Paper) Asbestos Detected) i I 4 0208 First Floor - Bathroom _� 020-Gypsum ( Tested 0% fWallboard ( Negative by Joint Tape Lab(No (Paper) Asbestos Detected) 4 021A First Floor Bathroom 021-Gypsum Tested - 0% I Wallboard Negative by i - Lab(No j Asbestos Detected) Page 28 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 4 021E First Floor Bathroom 021-Gypsum i Tested 0% Wallboard ( Negative by i Lab(No Asbestos { Detected) I 4 021C First Floor Bathroom 021-Gypsum Tested 0% Wallboard Negative by Lab(No Asbestos j Detected) 5 022A j First Floor Living Room 022- Tested 0% j Wallpaper Negative by Lab(No Asbestos Detected) 6 022B First Floor Living Room 022- Tested 0% Wallpaper Negative by - Lab(No Asbestos Detected) ... 4 023A First Floor Bathroom 023-Vinyl 1 Tested i y OS'o Composite Flooring Negative by j _ - Lab(No : I Asbestos j i Detected) 4 023A.1 First Floor Bathroom Yellow Floor Tested 0% I Tile Mastic Negative by Lab(No ` Asbestos Detected) 7 0238 First Floor Kitchen 023-Vinyl Tested 0%Composite Flooring ! Negative by j Lab(No Asbestos C Detected) 7 0236.1 First Floor Kitchen Yellow Floor Tested 0% 1 Tile Mastic Negative by Lab(No Asbestos Detected) 3 025A First Floor Kitchen 025- Tested 0% Insulation, Negative by Batting Lab(No `- Asbestos ! Detected) Page 29 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 8 025B i First Floor Kitchen 025� Tested 0°% I Insulation, Negative by E Batting Lab(No Asbestos j Detected) 7 026A First Floor Kitchen 026- 1 Tested D% ! Laminate Negative by j Flooring Lab(No Asbestos j Detected) ! 9 026B ! First Floor Kitchen 026- ! Tested 0% ! Laminate Negative by Flooring I Lab(No Asbestos Detected) 10 027A First Floor Kitchen 027-Sealant, Tested 0%—� Window Pane Negative by Glazing Lab(No Asbestos Detected) 12 027E First Floor Porch 027-Sealant, Tested 0%.__. Window Pane Negative by , Glazing Lab(No j Asbestos ' ,Detected) j Page 30 of 31 Terry Marcantonio,11 Highland Ave,Queensbury,New York,12804 Appendix E: Chain of Custody&Laboratory Report Page 31 of 31 E E E ( J ƒ{ $ co § OD ; / ; z ka § \ �| ; -Ul } 'A, /\ f �; e § O 0 ;E \ ■ & e + D. GO § G \ & k EL ) ; , / ( « k | ! ) ) 2 ! ! ` CT / } ( | � § �§ } to — 0 E § § § § CD to§ A 2 c . 0 � \ \ � } - - « � - a ` > m = IL r I ƒ } pZ > a CL 2 ;o :E �R 2 n7 ' o a -< ] 22 & % i ` 7 ) \ _ 7 7 7 7 7 CD \ / \ \ \ 21 w _ � . o _ < & \ a _ ƒ ) ) ) i ( \ { \ A ( \ E . | -0 ; w ; ; „ ; 2T \ ; ; \ 7 0 2E2 \ EI # EZ # E - \ E � ' Z _ - a | - ; § * a r I § ; ( $ } $ 2 E2 ; » $ 90 — � o � NO rom 0 O O 0 0 O O 0 0 0 0 o y 0 o O 0 0 0 0 O 0 O 0 O t) m G w w OD V V 0) m CT 0 A A W m e D ao D w D ao D w D w D w 3.H S o� C 0 = N RL . n �> go m O O co O O O 0) O O O O O O OD co V V 0) T (T CT A A W T N G) G) G7 G) 0 NCL a `NG fa NCTC 7 7 f C C C 3 N N N N <O OSS <<< 0 ? 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O 6 J N G m m 1p c � Q N m .Jn m N g o d d 0 Q °—' � A 0 n0 ,o 3 J c m m Oa m 'm c c m N » M� d a n J y �1 m d r 0 d N o o _ O1 to N 0 O to _. W New York State-Department of Labor Division of Safety and Health License and Certificate Unit Slate Campus,Building 12 Albany,NY 12240 ASBESTOS HANDLING LICENSE Creative Spaces II, LLC dba ClearVU Inspections FILE NUMBER: 21-282890 LICENSE NUMBER: 282890' 18 Blackberry Lane LICENSE CLASS: RESTRICTED DATE OF ISSUE: 01/26/2021 Queensbury, NY 12804 EXPIRATION DATE: 01/31/2022 Duly Authorized Representative—Ryan Wild: This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and ofl. the New York State Codes,Rules and Regulations(12 NYCRR Part 56). It is subject to suspension or revocation for a(1) serious violation of state, federal or local laws with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. L? Eileen M.Franko, Director SH 432(8112) For the Commissioner of Labor