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DEMO-0706-2021 Office Use Only i#1i1111► Permit#: j DEMOLITION APPLICATION _ f Permit Fee: $ O Town of Que 6 ry ?j 2 � 2 E �D �n n oice#: l5 � 742 Bay Road,Queensbury,NY 12804 D �J P:518-761-8256 www. ueensbu .ne I dod Zone? Y N Reviewed By: SEP 2 3 2021 TOWN.QF-:Q E�V�U, Y Demolition Location: Tax M p IDINUI I G C DID ' **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where wjA demolition material be disposed? �- 2. Type o ruct to be demolished: a. Residence d. Storage Building❑ b. Garage e. Other: c. Business❑ 3. What type of utilities are connected to the structure: a. Gas ❑ f. Well-Water Pump ❑ - b. Fuel Oil ❑ g. Public Sewer❑ c. Propane ❑ h. Other d. Electric❑ L None e. Public Water❑ 4. Have ALL utilities (water, electric, etc.) 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. I have read and agree to the above:: PRINT NAME: C ��S,,j 0 -p�"`� .✓ -G/`-n✓,1 7U SIGNATURE:_ 1?tac / fCCU1 t-(,%SG-17Y yr Ar &Lcf— DATE: Z Z Demolition APPlica' Revised December 2020 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): C HA,L S NJ Mailing Address, C/S/Z: Qcmi -5 Cell Phone: —I�;a--Une: v'1 = ` AlLl— 5 7 V Email: �7le 'J ' � v� e ,►- > �-s� �-, J • Primary Owner(s): Names : e l-(�.Trb �i�-��enS Mailing Address, C/S/Z: vp�5` � Cell Phone: Land.Line: Email: ❑Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s): Contractor Trade: )aC,+Vq i i;G ir" Mailing Address, C/S/Z: �v-gtAtir !� 4tic 1-4, �� ', G2-YZ'7 Cell Phone: Land Line: EmXG -Phone-.' V-L "Workers' Comp documentation must be submitted with this application" Contact Person for any questions regarding this project:•-;, lc(G Cell Phone: Land Line: G : 3a: Email: Demolition Application Revised December 2020 4• TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination,compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance with the Building Codes of New York State. 19 Blackberry Lane L E A rR`V U 2 �p sbury, NY 12804 I N S P E C T I O N S D 15 O V Zdclearyginsoections.corn SEP 2 3 2021 1- 2.9213 TOWN OF QUEENSBURY BUILDING&CODES Pre- Demolition Asbestos Survey VA VIEW qg' Sly „r;?'�� Y`-.p'vx,.a,$� ,s..n t.T ;•<'`�y�t:,.4.',;1`^^:., li '�',.: •'a ti+niyti`S«,._ �,•.�. ,�33 i.sue:�'i^. t�,� 'E w4=:7t ^ q:`�s. i> _ :.t�•i-.:.ss'��G�.r a�",. .[,:. 3 _ .,,+�,�'�un;i .� ,.. '' %•=�'r 2:;x�„.ry _ s.+SO,c�"' ¢_#:Y i.x}S', . xy..�:�'.� .t.E'� y..�iti' .+� ♦�.;y.Y�'kE j1 '�.fif�.,,.2 •fro-v.,FDA?�.. :::r -..f .'� - " ^n�!•.• '',1':�r �.J:g... "'i. .+:✓1'.•s., �F: & -,yn,:�:.1�gr� 3`<;a'��`" y `P t- ?e Tt .:3v r ::r".•..:�i ;�%":i.,r.,��. `�''''�a�` ':��.''`'.. >Nn �v- _ .K..rr.:�,�w ?. ,a:T :•? " �g�,:�z.-:.,:.,.=i"�:, .r w;r-- �'$ ^f;;l - °'iFa i"r,' '��..� `�''V,:.:..}.JY:; .Ey`,.:'.'k;, •Y+��y y,}-'d t,.'1,2...b:,fr. :4tir"'.+ _ TOWN OF QUEENSBURY � . BUILDING & COD S DEPT. PROJECT NUMBE�evlewed BY'. 24 PREPARED FOR 10023 Date' Chris Stevens 195 Sunnyside E Road SITE LOCATION Queensbury,Queensbury 1204 195 Sunnyside 195 Sunnyside Road East PREPARED BY Queensbury, New York 12804 Ryan Wild - 19 Blackberry Lane 279.19-1-28.2 DEMO-0706-2021 Queensbury, New York 12804 Christopher Stevens 195 Sunnyside Rd. East Demolition of Residence 'f Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 INTRODUCTION GENERAL INFORMATION ClearVU Inspections was retained by Christopher Stevens, 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. Page 2 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New-York,12804 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 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(my 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 CPR 1§26.1101. 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 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Executive Summary Asbestos-Containing Material Field Survey Christopher Stevens 193 Sunnyside E Queensbury,New York 12804 I. SUMMARY OF FINDINGS On June 06, 2021,an asbestos-containing material (ACM)field survey was conducted at 195 Sunnyside Road East located in Queensbury;New York(Site).The site was inspected to determine the presence of ACM in preparation for renovation.The ACM survey was performed at the request of with . 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.A total of 39 samples were collected from 20 suspect homogenous materials. Summary Table of Asbestos-Containing Materials j Material Material Id Material Category. RegulatoryResult Quantity NONE NONE NONE NONE n/a t— _...--•--.................---- -- --------_...------ ................ ___ .._............- --- ............ -......... ---..._... —_— 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 are located in Appendix E of this report. Page 4 of 19 4 h Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Appendix A: ACM Homogenous Area Table Material Material ' Space Section Friability Current j Result Quantity Category ! Name ; Name - Condition There are no homogenous materials for this project that are assumed or have tested positive containing asbestos Page 5 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Appendix B: Tested Negative Homogenous Material Table Material Material Space Name i Section Name Friability Result Quantity Category _ ---..._..-_.....---=- — ....... - ---...............__..__j—.._—.................._._ ........._...__..._..-. - Surfacing 018-White Basement First Floor Category II —Tested N/A Material Electrical Nonfriable Negative by Wire E Lab(No Sheathing 4 I Asbestos I � E i Detected) Miscellaneous 019-Gray Basement First Floor I Category II Tested N/A wire Nonfriable Negative by Lab(No i Asbestos j Detected) Miscellaneous ` 013-Floor, Bathroom First Floor Category II Tested 1 N/A Sheet Vinyl ) Nonfriable Negative by Paper Backing Lab(No I Asbestos i Detected) Miscellaneous 015-Gypsum Bathroom First Floor Friable Tested ? N/A Wallboard 3 (RACM) Negative by i Lab(No i Asbestos Detected) ; Miscellaneous i 017-Gypsum Bathroom i First Floor I Category II Tested N/A Wallboard Nonfriable Negative by Joint Lab(No Compound i Asbestos Detected) i Miscellaneous ` 016-Gypsum Bathroom First Floor Friable Tested ! N/A Wallboard (RACM) Negative by Joint Tape Lab(No j j (Paper) Asbestos j Detected) Miscellaneous 014-Vinyl Bathroom First Floor I Category II Tested N/A Adhesive i Nonfriable Negative by bottom layer j Lab(No i Asbestos Detected) Miscellaneous j 011-Vinyl Bathroom i First Floor Category II Tested 1N/A Flooring Nonfriable Negative by ' Lab(No ; Asbestos i Detected) i Page 6 of 19 a L Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Miscellaneous 008-Ceiling Bedroom 1 i First Floor i Friable Tested ! N/A ; Tile,Glue On (RACM) Negative by 1 I I Lab(No I Asbestos i I I Detected) ............... __-........................_........__._........______......__..........._.._._..-..�_-......-._-------.-----__-____..-...._...........__._._•-- i•___..__........-.___._.-. Miscellaneous j 020-Ceiling Bedroom 2 I First Floor Category II Tested N/A Tile,Lay In Nonfriable Negative by Lab(No Asbestos j ' Detected) Miscellaneous 004- Exterior First Floor j Friable Tested N/A ��^ Mason (RACM) Negative by RACM Ne rY I Mortar ; Lab(No I Asbestos I I Detected) Miscellaneous 1 005- Exterior First Floor Friable Tested N/A Masonry (RACM) Negative by Mortar i Lab(No Asbestos i Detected) Miscellaneous 006-White Exterior I First Floor I Category II Tested N/A Sealant, I Nonfriable Negative by Window Pane j Lab(No I Glazing* I Asbestos j j Detected) I _.........._....................__ ...... .._._...-........ —_---.........._.. —- -._.................. _ -------- ---- _._.......I...._._--......._..-__-- Miscellaneous ' 003-siding Exterior First Floor Friable Tested ( N/A I (RACM) Negative by (( ; Lab(No Asbestos i Detected) I Miscellaneous j 007-Ceiling Family Room First Floor Friable Tested N/A Tile,Glue On* (RACM) Negative by Lab(No Asbestos Detected) I Miscellaneous 008-Ceiling Family Room First Floor Friable Tested N/A Tile,Glue On (RACM) Negative by I i Lab(No j Asbestos I Detected) I ------ ..................__,.._....._.....---........._.._...._ --..--_.............-_ Miscellaneous j 015-Gypsum Family Room First Floor Friable Tested N/A Wallboard ; (RACM) Negative by I I Lab(No i I Asbestos I Detected) Page 7 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Miscellaneous 007-Ceiling Kitchen I First Floor Friable Tested N/A i Tile,Glue On* 3 (RACM) Negative by Lab(No Asbestos Detected) ............... ..................... ............................................................ Miscellaneous 015-Gypsum Kitchen i First Floor Friable Tested N/A Wallboard (RACM) Negative by Lab(No Asbestos Detected) Miscellaneous 017-Gypsum Kitchen First Floor Friable Tested N/A i Wallboard (RACM) Negative by Joint Lab(No Compound Asbestos Detected) Miscellaneous 016-Gypsum Kitchen j First Floor Friable Tested N/A Wallboard (RACM) Negative by Joint Tape i Lab(No (Paper) Asbestos Detected) .......... . ......... .......... Miscellaneous ON-vinyl Kitchen j First Floor Category ll Tested N/A adhesive Nonfriable Negative by Lab(No Asbestos ........... . Detected) ............ --A.............................. ........................... ............. Miscellaneous 009-Vinyl Kitchen First Floor Category 11 Tested N/A Flooring Norifriable Negative by Lab(No Asbestos Detected) j et Miscellaneous '1 002-Parge -Roof 3 First Floor Friable Tested N/A (RACM) Negative by Lab(No Asbestos Detected) i .............................. ........................... ------.................... .......... Miscellaneous 001-shingles Roof First Floor Category 11 Tested N/A Nonfriable Negative by Lab(No Asbestos Detected) —------------ ........................ *This material is part of a multi-layer sample group. Page 8 of 19 i yI v Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Appendix C: All Suspect Materials Sampled Sample ID Space Name I Section Name Material Analytical Result I Regulatory j Result I -------....__..._.__....._ _:.-___........._......_._.....__.._—_ __..._.._...__. —__ —.__...........................----_._............. .._..____._...._..__........-..._._-.—. i 001A I Roof ( First Floor 001-shin les ` 0% I g , Tested Negative i by Lab(No Asbestos i Detected) 001E Roof First Floor. j 001-shingles 0% Tested Negative I 1 j by Lab(No i � Asbestos j I Detected) 002A Roof First Floor I 002-Parge 0% Tested Negative i by Lab(No ' i ! Asbestos I Detected) _._.......____._—.----_.._._ ._...._. -----.-.-.-.--.---- ------------------ - 002E Roof — First Floor 002-Parge — 0% Tested Negative ' I by Lab(No i I I Asbestos I I Detected)I I 003A Exterior First Floor 003-siding '; 0% — Tested Negative y j( by Lab(No I [ Asbestos ' Detected) 003B Exterior i First Floor 003-siding 0% I Tested Negative i by Lab(No j I Asbestos Detected) 004A Exterior j First Floor 004-Masonry 0% Tested Negative i Mortar I i by Lab(No I I Asbestos Detected) I i.__..._..___...-__.............__..__.-._.:_.__...._._................_._ ! 8............_.._.-_-..__.._,___._............. f � _ ___.. .......... 004E j Exterior I First Floor i 004-Masonry I 0% I Tested Negative Mortar by Lab(No I Asbestos i I f f Detected) I 005A Exterior First Floor j 005-Masonry 0% I Tested Negative I i Mortar i by Lab(No : Asbestos I i Detected) I ._..........._.._ .................. —_.-..__..._:....._...----.._.__--___.._....__j _------.._.---- i 0058 Exterior First Floor I 005-Masonry I 0% I Tested Negative I i Mortar ' by Lab(No I Asbestos i i 1 Detected) Page 9 of 19 c } Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 006A Exterior ! First Floor 006-White I 0% Tested Negative I i Sealant,Window i by Lab(No I I Pane Glazing I Asbestos Detected) 006E Exterior First Floor 1 006-White i 0% 1 Tested Negative Sealant,Window ° by Lab(No Pane Glazing Asbestos I j Detected) 007A Kitchen First Floor 007-Ceiling Tile, 0% Tested Negative Glue On ± by Lab(No ` 1 ! Asbestos Detected) 007E Kitchen ( First Floor 007-Ceiling Tile, 0% Tested Negative Glue On i by Lab(No i I Asbestos i I I Detected) j ; 008A Bedroom 1 First Floor i 008-Ceiling Tile, i 0% Tested Negative i Glue On by Lab(No j - Asbestos Detected) 008E Family Room I First Floor 1008-Ceiling Tile, 1 0% Tested Negative Glue On i by Lab(No I Asbestos I i j Detected) 009A Kitchen First Floor 009-Vinyl 0% Tested Negative Flooring ! by Lab(No Asbestos I Detected) 009E .Kitchen First Floor 1 009-Vinyl 0% . Tested Negative 1 y ! Flooring by Lab(No I I Asbestos a Detected) ' 010A Kitchen First Floor 010-vinyl i 0% i Tested Negative I adhesive by Lab(No ! i Asbestos : t i i Detected) 010E Kitchen j First Floor i 010-vinyl 0% ! Tested Negative adhesive by Lab(No i ' s Asbestos i Detected) j I ----...................__......... _.-_-.............. -.......-..__.._._—_.;--......__...— --_ ..__.....-.-----._...............- -- -__._......_...._..__. ___ _..... —: 011A Bathroom First Floor I 011-Vinyl j 0% Tested Negative I i Flooring by Lab(No { ' Asbestos ! I , I ----.._..._._..........._....._.____........... -. _ -- - Detected)i , Page 10 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 j 011B Bathroom First Floor j 011-Vinyl 0% Tested Negative .! Flooring i by Lab(No Asbestos t Detected) —- ..—.._.._._....-----•-- ---------....-.__.._.--...............-.....------..._......................_ __-_._.........__-- - ....----------....._.._...-----—-----._...............- ...--- 012E Bedroom 2 First Floor j 020-Ceiling Tile,.; 0% Tested Negative I i Lay In a by Lab(No l I I Asbestos i I I Detected) 013B Bathroom I First Floor I 013-Floor, 0% Tested Negative I Sheet Vinyl i by Lab(No t : i Paper Backing Asbestos I ; I j i I Detected) i : 014A ! Bathroom First Floor ! 014-Vinyl 0% ii Tested Negative I ; i Adhesive bottom by Lab(No i layer E - Asbestos I Detected) ...........................___.._..i_....._...._....................._._..__.__.._.__._r._.................. ¢ ._..-._ __—_............._- --__—_.............._......._ 014E Bathroom First Floor i 014=Vinyl 0% —I Tested Negative € I Adhesive bottom I by Lab(No I i j layer I Asbestos i ' l Detected) i I I 015A Bathroom First Floor ` 015-Gypsum ( 0% Tested Negative Wallboard + by Lab(No I i j i Asbestos 1 iDetected) I 015B Kitchen First Floor I 015-Gypsum I 0% Tested Negative I ; Wallboard I by Lab(No I Asbestos I I ; i Detected) ... . _.—. --....._ ------..............._._._._..--- ------- _ t :.� 015C Family Room First Floor 015-Gypsum I 0% Tested Negative- Wallboard by Lab(No I i I Asbestos i I I Detected) 016A I Bathroom j First Floor 1 016-Gypsum I 0% Tested Negative j Wallboard Joint 1 by.Lab(No Tape(Paper) Asbestos I I i j Detected) 016B Kitchen I First Floor i 016-Gypsum 0% Tested Negative Wallboard Joint 1 by Lab(No i I Tape(Paper) ' Asbestos i : Detected) l._-.__..-......_._.............._.......___.... _._......................._____.___._......____............-.-----.-_ .. -----__.............._- --..____._.............._:_-� I 017A Bathroom I First Floor 017-Gypsum 1 0% Tested Negative y I I Wallboard Joint by Lab(No Compound Asbestos 1 i I Detected) Page 11 of 19 3 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 017B Kitchen First Floor 017-Gypsum ! 0% j Tested Negative ! I ! Wallboard Joint I by Lab(No j Compound ; Asbestos j i I 1 i Detected) r._..--.......... ------ ........-....----- .._......_.........- 018A Basement 1 First Floor ! 018-White i 0% : Tested Negative Electrical Wire j f by Lab(No I 1 Sheathing Asbestos ! Detected) 018B Basement ! First Floor ( 018-White ! 0% Tested Negative Electrical Wire I by Lab(No Sheathing Asbestos I I i Detected) i 019A Basement First Floor 019-Gray wire 0% i Tested Negative i j i by Lab(No I Asbestos ; ___._f i Detected) ..............._.._..--.-- .—......__..._..._. �...._..... ------.....i..._._.._._—._.._._......._._ 019B Basement First Floor i 019-Gray wire I 0% Tested Negative i I i by Lab(No I i I j Asbestos 1 Detected) I 020A Bedroom 2 First Floor 020-Ceiling Tile, 0% Tested Negative j Lay In by Lab(No j Asbestos i i ! Detected) 020C Bedroom 2 First Floor j 020-Ceiling Tile, 0% I Tested Negative Lay In ! by Lab(No i i ! � i Asbestos i ! ; j Detected) I Page 12 of 19 Chris,Stevens,195 Sunnyside Road East,QueensbuM New York,12804 Appendix D: Sample Location Maps All Sample Locations for First Floor ,e��cr^:e''�"�. ^wr P;',. -,.ffr�'-,'..��:3. c5^+..•t..` .+^3"5`,�n"c.�,r-•:+,.?rv.v..�.,t�s_r.`+�._.Fv ir"",N:'#�",u t 2 ' ., 1 +.`G.' •`:Fr '� 1 b- 1J'' - ""'� c9 bun• J> ,l r`^' r54 �'S� -N ' ''x`�'�. S: -y. r i t ��T1- r` �.�'��8 t"�'�,iy f ;,� a.:..+'� r;Lk:w,�� -t•.i �8,, ��y a'�a.��".,•p �"�L' `�, �F.4'�.vW'3a, �{.��'v�.-•_ .'�. D� .� �•. �`�•�•#.'�"';.� '� }�,.,E.�v„x;�,=`.t�,. ,} 5 ,«`�: -.Y.�;.: f-`.-�i,".:.'.fir,,:,"�,` 8 "_-:' :r 'u;.';' ;i;. �v" wr"r,;.`.-Y,t >.,....;r��4�i`.:..;� =Vz;7'.'if'Sid`.'-i'3c::"h31:r1:�:tss..� ;,- '•l,S:�i: v. �`ls. 4'':q•c:.�:(•x.�.c,t3:da.s.z:t�'.'.rt;;.,:§,3.":.r�,,Y�r�1<"�. ';m.-;�:�c', "�"Qa,:::FS�c,.a i,,,t�w;y:�o'('.+.y��#{��,.�,.rt.`q-•�,.{,,a:,.„;,.�.. �Y'w'=F-tr`e qfru,s:§..R P,:g,%"tsrr�2"..h-"c;n.na'-.-, 5�r, 4" �1;..:`;,+t�4se:':...Skr.,! :�-=- �:. da;.k. •�. ..a. ;i x,.t. - :n 's�t�•::'Y:,x,.`sn n;r'•' � {.'iEa�^ ri.:,,e ,_,*.. • '� =r..�. - ' �..7: - - :-[e: ��S.j,:k..y :.i?:df N1� 'i'i •;= .i_7t.i-Nly� ptP .,.S� q,X' �)',P: }.a± Ac(u'. !2.,"?"4:? `eP kt.,t'� `�:�-:. '�,, '�'-;"�:':fx• �, ,:�: :{�• ��':',:H '.r• ��ir`r t .a 10 !::*"r�`fs3�°'.,?`e;'�.% t�;.,L�,°� n ;' x£ "�:,.:a '�,#'S+��y!,-,1. .'�d'f'." �p• ^�� wii �z �a{��;'-ts<:.�'..+1�� :✓'t�;,� t `�• - .;;�,.�x,.i' r �` IO .,:•;-^ .rs,;".;Ett•: t;;, m''. .c:s ,flax .IS•w,t!= a:1S'.:, Y` .l1�'� .i !E??�; 5k: "�`-' I •if.�'"�'yfi.';'`1 :rr rou', f� .#�...:,dn. F-brf -I•<�r. -�;,� •.6•k�j,t;;,u�, sffc�::.�,` 1 ,t, i»:•« .,Y" *''*il' . :;r.,;;_ir,::,,:n C�r( ?f:i M,•'�. "!S-'p("5[f'r :ai '1 :�+;+l3r:�,'°��i}��..:F{t'• �:C ?..•iz,!�;4isr '` - ggait. ' Y T"sr.`a''T 22 9' .cr7r ,,. ) 'f" `pa� 7a� �y�ur '.i',��,,� ,�.. :tit i�. � ��+.. :. �; �r.it z�Y;*' "-•m, .�@,S I -�_ -ice• ��.i3-"J � €!.•.,.a,',k Six�4 _# +x5-, �',.:Wf�.at�'J,l - :.�-� '�`{� .,�i,•ri�ik' �� a �5�� -�&._.R fl,, f1 µ ^'# �, � fi 1#=i N .' q. wa � yy,' (;� ��',z'r+t�, -L ,� �'"�oa rt'w�{ �� r 6 vk'S.'� A �'tt, ,�i""' g 'a;- - 'dt r -•� 11 n'p S{ t- e'n'` '� tL�'n:CEfl rF�d.'�:f �& t��,h ..3 +� ^ �w «u':1.,.- 1•-�.� 5�-.� ..b ;��ys �"i' / r` xi�s. � $i':•„ .: 'ai !�. '!t= : ',j{;1 j: ;'.'''ra-. .n•z; seFY «:= ?s t8 �;�; sa ,,,�; . fly �", ��3 ��,', a{i'; �!' ,at �;R�� n !� z, s �..z• 7' �;, �3 01 JIM :�:n.•,�:k;i#,.4#.•.Y��+i a?`•:<y�• .,tt#'v'"c's�•1,5�`:��:.�; u:�` � - .3,r i`:a�,'�+'�tc•.?,�e, w3 p4t....h".°• .s i � �r�'sr~�; � >�.e. �x i� �'fli ,'�a: -�^x. ='?';r�t'r•; �s^:'�•:�"�+r;,�' �.e. k��.;,.., ,>.? 1j 16 ��`t.-: - • ;} „r}�,t�:,;',_�t��yid.. .,�`� '• ,:k°,_ �fy',i�:."nen,. Jz';.ah� �.,).. �P:'[.^r-. 1�1L�s '+'N„'� - _;1i :`,�:°w`t' 'ii�.r--:�: 'ac if,'�.. �= s.S.{ t.t €r�-'•ti�;.'t '€�� ''nz,=+rs_ '"t �.�..}~, �'�tr'��X fit.. :vim.- ��,Pd. e;i'":,�:ar.• �.,. '•�'.„'s- .� �,3, ,� �#j r. t € -� + r.;,�,,. p:; �'. k c r.i• � ss: � Y ss ��. d� - a ',�`A ��a � ,,,t} 4t:':t'e�„a' 'a't _ •�tik>�' ,+r� � w: '' -' _ °.�., * r`F. 1 8 I II 3 .......... _ —_ ._._....... --._ _-,-...._..__...... - _,--..._._..._..__._..._...,-.._...._..........------ — Map ID Sample ID Section Name Space Name Material Lab Result Analytical Result 1 001A First Floor Roof ' 001-shingles Tested 0% i ! Negative by i Lab(No ! I Asbestos I- ' Detected) ` 2 00113 First Floor Roof 001-shingles Tested 0% ! i F j Negative by i ! Lab'(No Asbestos i i Detected). Page 13.of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 2 002A First Floor Roof 002-Parge Tested 0% Negative by j Lab(No I Asbestos Detected) I 2 ! 002B First Floor Roof 002-Parge Tested 0% I Negative by Lab(No Asbestos # 1 Detected) 3 003A First Floor I Exterior 1 003-siding Tested 0% ' Negative by Lab(No Asbestos I ' Detected) 4 003B First Floor Exterior 003-siding Tested 0% Negative by Lab(No i I Asbestos j 1 Detected) i __.._.._._......_........-.....__.._--.--.... ........... ____.___... _...._.__.._._.._.......... -.. 5 004A First Floor Exterior 1 004- Tested 0% ( Masonry Negative by Mortar Lab(No j ; Asbestos 1 Detected) --.--...................__- -...__.—__....__....__._.________.._..........__._ _—...._........._......_......__._ ___..__..._..__...-.__--___............._...... - 5 004B First Floor Exterior 004- Tested 0% Masonry Negative by j Mortar Lab(No j Asbestos Detected) 6 ` 005A First Floor Exterior 005- Tested 0% 1 ` Masonry Negative by a l Mortar Lab(No Asbestos i Detected) —.---.._------_...............__ .__.._..._..._......__._.._..._.._-_. ___........................__. ._._._..__......._.....______—;._..—.......-........_--._._.__._ 7 005E First Floor 1 Exterior I 005- Tested 0% 1 Masonry Negative by I 1 Mortar Lab(No I I � � Asbestos Detected) 8 i 006A First Floor I Exterior ' 006-White Tested 0% i Sealant, Negative by 1 Window Pane Lab(No Glazing Asbestos { Detected) Page 14 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 9 3 006E First Floor Exterior i 006-White Tested. 1 0% Sealant, Negative by j E Window Pane Lab(No I Glazing Asbestos I. I Detected) ----_._....._...........__..__.__—_._..._._......._.._._...__..____....................-._-----....................-......__._.�._--__..._........____.._— --._.._..._._._._._._.—__._..._....._.____--- 10 007A First Floor Kitchen ! 007-Ceiling Tested 0% Tile,Glue On Negative by E Lab(No i s Asbestos ; Detected) — 11 007E First Floor Kitchen j 007-Ceiling Tested 1 0% 3 1 i Tile,Glue On Negative by I j ' E Lab(No i Asbestos Detected) 12 008A First Floor Bedroom 1 t 008-Ceiling Tested 0% j Tile,Glue On Negative by Lab(No 1 ! Asbestos Detected) I 13 008B First Floor Family Room 008-Ceiling Tested j 0% Tile,Glue.On Negative by s 1 Lab(No Asbestos Detected) _.....__..._._._.-_.......__..._.__.._..._ .._.__.-....._....._--- - ---..__.................._.... ---._. ..__.---f-.._..__.._.._.. -— - ......... --- _-........._._—. 10 009A First Floor Kitchen 009-,Vinyl Tested -- 0% i Flooring Negative by Lab(No jAsbestos I Detected) 14 . 009E First Floor Kitchen ! 009-Vinyl Tested 0% Flooring Negative by Lab(No 1 1 Asbestos i ! � { ' Detected) 10 010A First Floor Kitchen 010-vinyl Tested ' 0% I adhesive . Negative by . Lab(No l Asbestos Detected) 14 010E First Floor Kitchen 010-vinyl Tested 0% I adhesive Negative by Lab(No 1 Asbestos i Detected) Page 25 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 15 1 011A First Floor Bathroom 011-Vinyl Tested 1 0% Flooring Negative by Lab(No Asbestos Detected) ................................... ..................................—-—---......... ............. ................. 16 01113 First Floor Bathroom '1 011-Vinyl Tested I 0% Flooring Negative by Lab(No Asbestos Detected) 22 012B First Floor j Bedroom 2 t 020-Ceiling Tested j 0% Tile,Lay In Negative by Lab(No Asbestos Detected) 15 013B First Floor Bathroom 013-Floor, Tested 0% Sheet Vinyl Negative by 1 Paper Backing Lab(No Asbestos Detected) ............. --------.......... ........................................ 15 014A First Floor i Bathroom 014-Vinyl Tested 0% Adhesive Negative by i bottom layer Lab(No Asbestos Detected) ............................................................ ...................—----- ...................................................................... J .................. 16 j 014E First Floor Bathroom 014-Vinyl Tested 0% Adhesive Negative by i bottom layer Lab(No Asbestos Detected)17 i 015A First Floor Bathroom j 015-Gypsum Tested 0% li Wallboard Negative by Lab(No Asbestos Detected) ............................... ............... ....................... ....................... I 18 015E..........J First Floor Kitchen 015-Gypsum Tested 0% Wallboard Negative by Lab(No Asbestos Detected) .................................. ................ .......... 19 015C First Floor Family Room 015-Gypsum Tested 0% Wallboard Negative by Lai)(No Asbestos Detected) Page 16 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 i 18 016A First Floor Bathroom i Ulb-Gypsum Tested 0% Wallboard Negative by Joint Tape Lab(No (Paper) Asbestos Detected) ........... ...... ................. 19 016B First Floor Kitchen 016-Gypsum Tested 0% 1 Wallboard Negative by Joint Tape Lab(No (Paper) Asbestos Detected) 18 017A First Floor Bathroom 017-Gypsum Tested 0% Wallboard Negative by Joint Lab(No. Compound Asbestos Detected) 19 017E First Floor Kitchen 017-Gypsum Tested 0% Wallboard Negative by Joint Lab(No Compound Asbestos Detected) ............ ................................. ............................. ............. 20 018A First Floor Basement 018=White Tested 0% Electrical Negative by Wire Lab(No Sheathing Asbestos Detected) ........... ........------ ............ ............................................ -------------- 21 018B- .First Floor Basement 018-White Tested . 0% Electrical Negative by Wire Lab(No Sheathing Asbestos Detected) 'I 21 j 019A First Floor IBasement 019-Gray Tested 0% wire Negative by Lab(No Asbestos Detected) ......................................................... ................................... .................... ....................... 21 i 019E First Floor Basement 019-Gray Tested 0% wire Negative by j Lab(No Asbestos Detected) ........................ ............. ............................. .............. 22 020A First Floor Bedroom 2 I 020-Ceiling Tested 0% Tile,Lay In Negative by I Lab(No Asbestos Detected) Page 17 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 23 020C First Floor Bedroom 2 1 020-Ceiling Tested 0% i i 1 Tile, Lay In Negative by I I Lab(No Asbestos ---....__._............._....____........__.......................__..._ __---..._...._. _._......................._._____._ __..._...._..........._..___.______.__..._...__._—.-._____.. Detected) Page 18 of 19 Chris Stevens,195 Sunnyside Road East,Queensbury,New York,12804 Appendix F: Laboratory Report&Chain of Custody Page 19 of 19 EDEX - 80X 50 A58E5T05 N SHIP:DATE: 8160 F 4910 4919 3200 208 n C&Nu 21019853 9FJ9PY Chain of Custody ClearVU Inspections 19 Blackberry Lane Project: 1002 T Queensbury,New York 12804 Site Location: 195 Sunnyside 195 Sunnyside Road East Queensbury,New York 12804 Sampled-By: Ryan Wild(ryan@clearvuinspections.com) Reporting By: Ryan Wild(cyan@clearvuinspeebons.com) Purpose:AHERA Compliance(Mandatory.or Voluntary) Laboratory Notes Turn Around Time Request . . , ?Rt;�irw.,' c'.'b" �•a:;; .*F�r:�i:' t'.i:cs"�+� ."raAiv` �kfi?ass^�x%r�?"e�44SY:3.:S:Y':�dv%:�^a�i` ,.,'�.,rG Stop after first positive for each HM 5 Day Samples �'c�ts;t+e�c,+ d.: +xis..�:,:r�-�,�s=.acar�a;c•_�. � zs .v��? �ur-s ;: .r..K�s;>, :.•�_•��r� Sample ID Material Floor/Section Space Analysis 001A 001 -shingles First Floor Roof NYELAP 198.1 &198.4.PLM&TEM where applicable NY ELAP 198.1 &, 001 B 001 -shingles First Floor Roof 198.4 PLM&TEM . where applicable NY ELAP 198.1 & 002A 002-Parge First Floor Roof 198.4-PLM&TEM where applicable 002E NYELAP 198.1 & 002-Parge First Floor Roof 198A PLM&TEM where applicable 003A 003-siding First Floor Exterior 11 8.4 PLM&TEM Where applicable Ciear`vu�risf;ectic��s-..^.i;a4'or Custody For Chris Stevens �_•.._ 195 Sunnyside-10027 �-- �/']/ 1 of 5 NY ELAP 19E 003E 003-siding First Floor' Exterior 198.4 PLM& where applic� o V NY E LAP 1911 !m 004A 004-Masonry Mortar First Floor Exterior 108.4 PLM& o where applice m x NY ELAP 191 m N 004B 004-Masonry Mortar. First Floor Exterior 198.4 PLM& Eiiiii " X where applia M o NY ELAP 19E 005A 005-Masonry Mortar First Floor Exterior 198.4 PLM& whore applicz NY ELAP 19E 005E 005-Masonry Mortar First Floor Exterior 198.4 PLM& N where appliu m �m NY ELAP 191 W, 006A 006-Sealant,.Window Pane Glazng First Floor Exterior 198.4 PLM-& N m� where applic� uj i NYELAP 191 006B 006-Sealant,Window Pane Glazing First Floor Exterior 198.4 PLM& i trvi where applicable NY ELAP 198.1 & 007A 007-Ceiling Tile,Glue On First Floor Kitchen 198.4 PLM&TEM where applicable NY ELAP 198.1 & 007B 007-Ceiling Tile,Glue On First Floor Kitchen 198.4 PL.M&TEM where applicable NY ELAP 198.1 & 008A 008-Ceiling Tile,Glue On First Floor Bedroom 1 198.4 PLM&TEM where applicable NY ELAP 198.1 & 008E 008-Ceiling Tile,Glue On First Floor Family Room 198.4 PLM&TEM where applicable NY ELAP 198.1 & 009A 009-Vinyl Flooring First Floor Kitchen 198.4 PLM&TEM where applicable. NY ELAP 198.1 & 009B 009-Vinyl Flooring First Floor Kitchen 198.4 PLM&TEM where applicable Clear dlearvu inspections-Main or Uustody For Chris Stevens 2 of 5 _ 195 Sunnyside-10027 _.._..._ ........_ _.......— /�� / �� NY ELAP 198.' z 010A 010-vinyl adhesive First Floor Kitchen 198.4 PLM.&T .� where applicat v Ilti♦ i NY ELAP 198.' 010B 010-vinyl adhesive First Floor Kitchen 198.4 PLM&1 —m m where applicat N m m �m 'M x NYELAP 198. 011A 011 -ViN Flooring First Floor Bathroom 198.4 PLM&1 s m x where applicat s o NYELAP 198. 011B 011 -Vinyl Flooring First Floor Bathroom 198.4 PLM&' where applical 0126 020-Ceiling Tile,Lay In First Floor. NYELAP 198. Bedroom 2 1.98.4 PLM&' �! where applical NYELAP 198. m 013B 013-Floor,Sheet Vinyl Paper Backing First Floor Bathroom 198.4 PLM&' to jm� where applical w NY ELAP 198 014A 014-Vinyl Adhesive bottom layer First Floor Bathroom 198.4 PLM&1 r-rvi where.applicable NYELAP 198.1 & 014E 014-Vinyl Adhesive bottom layer First Floor Bathroom 198.4 PLM&TEM where applicable NYELAP 198.1,& 015A 015-Gypsum Wallboard First Floor Bathroom 198A PLM&TEM where applicable NY ELAP 198.1 & 015E 015-Gypsum Wallboard First Floor Kitchen 198.4 PLM&TEM where applicable 015C 015-Gypsum Wallboard First Floor NY ELAP 198.1 & Family Room 198.4 PLM&TEM where applicable NYELAP 198.1 & 016A 016-Gypsum Wallboard Joint Tape(Paper) First Floor Bathroom 198.4 PLM&TEM where applicable NYE E LAP 198.1 016E 016-Gypsum Wallboard Joint Tape(Paper) First Floor Kitchen NYE PLM& .1 & where applicable C ear nspections- am o usto y For-Chris tevens 195 Sunnyside-10027 3 of 5 ._.. —...._....... NY ELAP 198.1 & 017A 017-Gypsum Wallboard Joint Compound First Floor Bathroom 198.4 PLM&TEM where applicable NY ELAP 198.1 & 017B 017-Gypsum Wallboard Joint Compound First Floor Kitchen 198.4 PLM&TEM where applicable NY ELAP 198.1 & 018A 018-White wire First Floor Basement 198.4 PLM&TEM where applicable NY ELAP 198.1 & 018B 018-White wire First Floor Basement 198.4 PLM&TEM where applicable NY ELAP 198.1 & 019A 019-Gray wire First Floor Basement 198.4 PLM&TEM where applicable NY ELAP 198.1 & 019B 019-Gray wire First Floor Basement 198.4 PLM&TEM where applicable NY ELAP 198.1 & 020A 020-Ceiling Tile,Lay In First Floor Bedroom 2 198.4 PLM&TEM where applicable NYELAP 198.1 & 020C 020-Ceiling Tile,Lay In First Floor Bedroom 2 198.4 PLM&TEM where applicable SHIP: FEDEX - BOX 50 ASBESTOS DATE; 06-08-2021 8166 4910 3200 2101985' ClearVU Inspections-Chain of Custody For Chris Stevens 195 Sunnyside-10027 4 of 5 6.6.21 6 P M Sampled By Date Time Received By Date Time Received By Date Time Received By Date Time Relinquished By Date Time Relinquished By Date Time Relinquished By, Date Time Analysis By Date Time SHIP: FEDEX - BOX SO ASBESTOS WE:,06-08-2021 8160 4918 3260 IIIIIIIIIIII11111 MINIMUM 21019853 r ClearVU Inspections-Chain of Custody For Chris Stevens 195 Sunnyside-10027 5of5 r4C HAYES MICROBIAL CONSULTING #21019853 Analysis Report prepared for We would like to thank you for trusting Hayes Microbial for our analytical needs! i ,Y 9 Y Y Yt We received 39 samples by FedEx in good condition for this project on June 8th,2021. ClearVu Inspections I The results in this analysis pertain only to this job,collected on the stated date,and should not be used in the interpretation of any other job.This report may not be duplicated,except in full,without the written 18 Blackberry Lane Queensbury, 12804 consent of Hayes Microbial Consulting, LLC.. NY Phone: (518) 832-9213 This laboratory bears no responsibility for sample collection activities,analytical method limitations,or your use of the'test results. Interpretation and use of test results are your responsibility.Any reference to health effects or interpretation of mold levels is strictly the opinion of Hayes Microbial. In no event,shall Hayes Microbial.or any of its employees be liable for lost profits or any special,incidental or consequential damages arising out of the use of these test results. 10027 195 Sunnyside Road East Queensbury, New York 12804 Collected: Received: June 8,2021 Reported: June 16, 2021 Steve Hayes,BSMT(ASCP) Laboratory Director Hayes Microbial Consulting,LLC. ��yr9L PROt�G�` Cwe utircHeetwM l EPA Laboratory ID:VA01419 Lab ID: #18886$ DPH License: #PH-0198 Hayes Microbial Consulting,LLC, 3005 East Boundary Terrace,Suite F.Midlothian,VA.23112 (804)562-3435 contact@hayesmicrobial.com Page:1 of 6 Ryan wild 10027 #21019853 ClearVu Inspections 195 Sunnyside Road East 18 Blackberry Lane Queensbury,New York 12804 Queensbury,NY 12804 Asbestos 198.4 (518)832-9213 Subcontracted 1:Amerisci-Lab ID#10984 ..:�.-_...-_x..:._."..,,S.-..•=�:.�::.:r.�,ea"�a".->��e.-->=�-.~r__^�.�._.,.._.:._..,_,,.,r._-.?...r.:$,.�,s .:•,,!'.,��.•a.:.:w�•...>....,.�,.._.:,�,._.x�....-,_,<?.-`.m_sx P...r..-,-_.},�z��..,r.�:,.,...3�_M>._J�.r..�-r.;•�t,;..y.,�..<�:.�.�y..�t�c,__�;._s..k.a...•�.:,.,.�.a_r��»„.-..r�B�r:w:_.,.-..___'i:vP_.m-.--.-�e�-:._�:_.:_a--,'�-;-c.-s x��_z�_-��_._.v_-__,,��__--c,..-5..._-..'.:.=v.r:•`r Y'r_.-_.am':•,�--_-'S��rs�,_-•_•�+:�_::—>:.•_�-�•'--xa...r._�_:�.s.,.-�.-�_v-.^�':-;c.-, S--.�.Z>�'-";.�,-r�:_•�s:r-��_�_r�','`.�-:.'•.,.��.a...i�__.=_,<'-,5.4=i.:._-,."�'c.X:-?a%'_`..«.s;_''�..'=.".r�:.��.=zri;?•�"�Y°e�c-=..a.w.=.•_.a-_.....-:.-._:.a..,,.��..."��•�a- uat"e--a �t_I 'r-A Ia c ld tr - xl .-��•:,�:_:::._ - 'b-..... t_�s t= Ir J^r2ias~,~z - ; es rPn-� T :Slu e:.� OA-001-Shingles First Floor Roof Shingle/Black None Detected 001 B-001-Shingles First Floor Roof Shingle/Black None Detected =1 T` 006A-006-Sealant,Window Pane Glazing First Floor Exterior Sealant/Clear None Detected 1K271 006B-006-Sealant,Window Pane Glazing First Floor Exterior Sealant/Clear None Detected 13m' 0 70 A-007-Ceiling Tile,Glue On First Floor Kitchen Ceiling Tile/White/B... . W None Detected I 114.;: 007B-007-Ceiling Tile,Glue On First Floor Kitchen Ceiling Tile/White/B... None Detected <1`.5 008A-008-Ceiling Tile,Glue On First Floor Bedroom 1 Ceiling Tile/White/B... M None Detected C'16�1 008B-008-ceiling Tile,Glue On First Floor Family Room, Ceiling Tile/White/B... None Detected Collected: Received:Jun 8,2021 Reported:Jun 16,2021 s_ _ 'g T ..a�,.......:�.,ma.. «..,�.;� �,;r�+'?.: 'w��a .°c..;..,�-�.�Wiz-'r�:tr�.Viz'-.,,+.' ,'�<,:.:�'. ^a:, -�.r�: a _., x. _ - - -_ ;:.^Y .,�.,- '_'3,.:a_��._H•y,*�i..p e.-_N" _y.� ._h.�.✓j.,---:t,�L�: - roect' al st.. - -=,�T>t - a -�.. 4 d: P ,An - — �s-. ---.D tell. =Re iew .➢ -- ry^??.c - urz>. ,.r.. ,<.vc�.' f-fie�_- ;,`•.�-emu •^:''�_.�r��,:.Tii _ s+�`J-Ti. �' ''�-� �w.�4t,:w ;L` ••cFz, iY �%��`'R •a dd D a'yes .tt1i �l.:i"'�tiyt.�tJGlSi�f..: _ -`wt. Y: •T A s-l. - .:Y::•:t-:F.Y�'�i�S:.;, ..pi.i-'•'.. - zc<A-- .�.a..•" 'c�'it _:•.i°::'..�:.r-`'::.�"..�'-:�».^j. ^.',y_..=�Y.?_`.?�.. _ _ _ _ -'c"�Y-=�;*t:-.:i:i5:-.. MICROBIAL CONSULTING �..._ ..,.�.. __,.....��.�=. '-� r .� ,--•,•-•,'�_.� �'�.��;; �b� .�..-.�._�,.. 3005 East Boundary Terrace,Suite F.Midlothian,VA.23112 (804) 562-3435 contact(g)hayesmicrobial.com Page:2 of 6 Ryan wild 10027 #21019853 ClearVu Inspections 195 Sunnyside Road East 18 Blackberry Lane Queensbury,New York 12804 .Queensbury,NY 12804 Asbestos 198.4 (518)832-9213 Subcontracted 1:Amerisci-Lab ID#10984 "'•:'�: ~'--'. <.. - _'"fit'?a^_.__.,,_...,... _.e=_:..x, . .+`._ �, _.y3.. ...._ , ,._ ._a>r`� _ -wx-�rr,;fa.��-..a-`' _ ,,y;,_,,.: _-_ -z•`r:.. ,..,�,_._. ,.�.,«;� .«..n v,...k�.:;S_.,-..--,t._.-...r.,.aa.x t. s.K._ ,,...,� .:.. .; ....u:,,-.:_,� - - -ter- �;:s'•7�' ��ik ��,.-,: ,v..`a'1°�at�: - :�'�.,:..�.r ,... ;�.� t:: i; .acid •=�- ��.�_ 3 ,' _.. - o,_�-..'� x:',..,... `.> .•..,.� _ "-� ' _lam. - :.`,"'1" �,-i - ^"�-�-•- - -s- �� `ton; .Wel�«ll�t - - - r:s-. •�;��Sam le:;��_ - .:�: ;.- � .Material Descri' i ��.. _ �y� x--�.r 'vial I�Solible� �Insoltible O .max:;„- M A 2- ..��:` �.__.�:,:.•:,,>'�__.- - .s ^�,......,_...a,m+se.-..��,_�...... �,. ;;.:.._Z:.:e__.T� .._..:.r�3r..:::^-..u=^c.::a::a.t-_;`,-'w•��a...- a_ozr.Fmra:� _.,., .Cw= ,-•.r..��.'n 3:'�eS�v; -- N. - - _____-_, . ._.,.__--- ._�._..___.,.....__:'_..- -_..- -=_ -_____----_._,. ..._—_.....______ z"'`.'�'.---'-•-_.._, ....,.._,�._-ate>. _�s,,.�__ ..�.,� µ1;7r4( 009A-009-Vinyl Flooring First Floor Kitchen Vinyl Flooring/Blue/... None Detected C'48A 009B-009-Vinyl Flooring First Floor Kitchen Vinyl Flooring/Blue/... None Detected �.• :;fit 19 , 010A-010-Vinyl Adhesive First Floor Kitchen Adhesive/Yellow None Detected _r ; 20= 01013-010-Vinyl Adhesive First Floor Kitchen Adhesive/Yellow None Detected i.'.° i 011 A-010-Vinyl Adhesive First Floor Kitchen w Vinyl Flooring/Beige.. None Detected i 22 a1 011 B-010-Vinyl Adhesive First Floor Kitchen Vinyl Flooring/Beige... None Detected 012B-020-Ceiling Tile,Lay In First Floor Bedroom 2 Ceiling Tile/White/B... None Detected '24Tr 013B-013-Floor,Sheet Vinyl Paper Backing First Floor Bathroom Sheet Vinyl/White None Detected. Collected: Received:Jun 8,2021 Reported:Jun 16,2021 �^-�."2i`..K✓�a�r-XA'Y;".�:. .�X?� ?`a-3...h nl C. u.�u.�avJ`k3:5s`T:-7=: �e •ram'- __ -.3�...�.r'Cu .mr.a.t � - ':.Y.JY.;',t t."'.,f.C.--2'_ _ `��--,`:,�..fi,::t':=,r',�..c.=t`w.•f"'" - - ;{y::i _ __ �;�:' 1 -v."� n sib'. - "Date:"- - fieviewed=8' - - - +� )... Y >c, r rn xr q n�". �i.a"r..' cxtt:3':T ...F>=<'>r.-:;.l.4,•i.S tri,`_:� .;,s-*:i& +. n - - r.S=.�- ..t±:_ _'f,�=_�:ar __ �_1,: ..�r=, •r"`.*Yr4 n - -�Y L__r '"-S^.:`..'.�l_ v�_.-:YC-,.:,-.�,-,A4v__- rf,� .. � s-,-. o i-y.... TSY' _`C-.-_`. -..�'. _ -- r.y�.`.'�ii s..'�..� 9:Ym-•n - ..ati".:�--y':'.":�- .i l.. -- a.S ,...»,a-M.. sS'v_ 'F a,.�.bww - - �.—p,uJ3�..G r^i:��.. �'.^:iu - _ �r..:_kt.✓� y„.�:rM _:} .p .v.y.ry -- _ M.J ,t'SJa.Y.v i'a-: �.Ls. ...La: t�M'%:+cw" _�+�:r�• .'xi .;((";,•' t-Nr.'e ,A tw`` _L. - :iRenaldoDrakes��1�6� -� �.�Y ,t16?=��1�6%`-.�2021•� �MIC MICROBIAL CONSULTING 3005 East Boundary Terrace,Suite F.Midlothian,VA.23112 (804)562-3435 c_nt2Q a esmicrobial.com Page:3 of 6 Ryan wild 10027 #21019853 ClearVu Inspections 195 Sunnyside Road East 18 Blackberry Lane Queensbury,New York 12804 Queensbury,NY 12804 Asbestos 198.4 (518)83279213 Subcontracted 1:Amerisci-Lab ID#10984 >:—.- - - v .-�... , . • - --- - , .-. _<..,-<� --: - =�. -;. Kam., ,:,. ..� .._,w... - . 'c._aa..,ur... -.,_ ...:, .- .-•mot.»_ _ _ � v .. _. .._.._._ter.. - -"'��F.r''+:.T£:;r-ac.�-N?�v--:;—s„xc�•�'-;:•�• F7e�-_,�,-,,?:tea-3 ru;:-.;�.`:;,`;-,�r r„�rr�rr,;."Ti•`_;zr•-�-;-�_s•-_T;•-."e_'_ •,.52�^ a:2,.e.. _ :.,. „r�..w....-`-s-.. ..f.s...�-'* •-arz..usy,. a,s. :.�:-r;•a--a,� r;f ,z.:. 7•'r.i�:. - rsn�^^` ,.,,�. -r- ,.s•_A->,, „�:,,, .�-: .,0"aiii _•Acid =Ac d.;:.,, si' •:a�' - - - '3 na' e c tto - Ullet Ht`' ; -:',. _ F's #. .� «.:x. ._,r -.� ..-..>.. -._. Sawa le .� . , _ •., ..,.k .• . ,... _ Mate D s nP-. 4 :_. 9. - a '�v._ .. _ - :- .y, HIM erial':o= >Solu6le o ,. Irisolulle _,. ,�.._:c. •s,. ..:-,.4c.��,.r ..,.. $,t..:L..r.•�a�S�Sa'«r:•r�s�x•--3x':ix^,"c'$.� ,4: .i�r:r-..:}.._- - :,.E'e - .a`ixi-.'..:J;:,�:,ke*.s�' C°- ..!�3't^:.a'te_-�..�4'r''_', ;a.,__. i._... -.:-_.-^-•air°-'^i-::.. ."'-..._a...,...c:?_>._..c.,e;-. �..._._,.�.....-...sx._:.,".'u,.,z•",.,"i_-'x*' ...._,+�3r°;`�=e:-' _,ate...-. � _ - -- - ,.,fr e _»__""°?�....:>�_ux.*.n,.n. `F.�E9r-,��:r�s.xw-..'i?'.� x ':�+�'�c''vZ':.,.,�:-zJe.._. s_,_cr- �..:_w.,,-.._s• --i�e�.s�=:.n-:crx;.._`1':T,�',cvu:a,.,�'^�:scr. - 'c.:r�..��. F 25 014A-014-Vinyl Adhesive Bottom Layer First Floor Bathroom Adhesive/Yellow. None Detected r!:26-'-- 014B-014-Vinyl Adhesive Bottom Layer First Floor Bathroom Adhesive/Yellow None Detected ±34:_ ' 018A-018-White Wire First Floor Basement Bulk Material/White None Detected 35 0186-018-White Wire First Floor Basement Bulk Material/White None Detected 1,-96"'i 019A-018-White Wire First Floor Basement Bulk Material/Gray None Detected &^'37-• 019B-018-White Wire First Floor Basement Bulk Material/Gray None Detected L-�38;N: 012A-12A-Ceiling Tile � Ceiling Tile/White/B, ,._..�...�._..... None Detected L : 013A-13A-Sheet Vinyl Sheet Vinyl/White None Detected collected: Received:Jun 8,2021 Reported:Jun 16,2021 HAYESr= .. -..,.: r s s�. z�cz:z< t <-.•:- A�x:xtw ?�=-^ ,- s ,-.. �•.;:7y ro ect: nal st - - - t'�•:e A - `°.� e' E`• - _ _ .Kae +.....'evd.,.. 4i�S:�.1. rT:i.:7 w_.e%J'.-wry. ..:v.t.x_. '.�..w:. �,- .t �� '-.., .,' •"—a.f+i.—t:-'4r-w-a - '=.;parry,_ x--K"• - r�_ y Da ien Jill ems._. -.= ...�.�:.. r-,.��:'•.fi„ _.., ,. , �� „-: „0 -1. �.. -FTe aliio'Draties'• - .s., �,0 f t-°6:: 6. 2021•�. n ,ry`�"'`,._ 6 1 fif� 0 'c s.5�- .:_-::c,., Cwt _,1'�;.c'4., -�s? 7! w �• :.a:'^ >sEi' .;!.,tp=. - .I" MICROBIAL CONSULTING -.:_-.�...,>�-° 'a ��::��,�;:- '� �. -::�._ rr .�a;::-�'��- - �� -..: 3005 East Boundary Terrace,Suite F.Midlothian,VA.23112 (804)562-3435 contact(n)ha esrnicrobial.com Page:4 of 6 Ryan wild 10027 #21019853 ClearVu Inspections 195 Sunnyside Road East 18 Blackberry Lane Queensbury, New York 12804 Queensbury,NY 12804 Asbestos 1 98.1 (518)832-9213 Subcontracted 1:Amerisci-Lab ID#10984 �' - _,az,.. --s•-ir rz.:,..�-b— -�:c�:r ,r:-sr T;,.-. tea.. - ::c- {— - ' .,-, -x= z=r ��x �; _ -e'LLos Fib s��`=r:> on=Asties os. 6.e - x: - �'.,. a hDescrtion_ - .Sam lei- ..�. }, ..�- }{�`'+- ~Mat na i '-N '» 9'.as - �`.� ;-;ice - �:r5"'- - .c "'� _ _ •-•-u- - rr.t^'_.n.""^`•_"^„`r �-L� ,h — fL;3 002A-002-Parge First Floor Roof Parge/Gray None Detected 002B-002-Parge First Floor Roof Parge/Gray None Detected 1_;=5.14 003A-003-Siding First Floor Exterior Siding/Brown None Detected 6": 003E-003-Siding First Floor Exterior Siding/Brown None Detected "f f = 7. ;� 004A-004 Masonry Mortar First Floor Exterior Mortar/Gray None Detected r:w..u.�..,`,4....,._..._..._„_..,,... ...............«....,..•.r•,..,.,....,-,..........._._...,..-,_...»_..._.,........,_ -._ ...._.......,..w.,.-,..,...,...M.w..,,,,<.,-..,-.,,..m..-...�.,....�.-........,.,.. -- - .......,..,_.-,...._..w.�...........,.....,.._.....,_....�..r_..,,,,,.-.,».„w,,,....-rr...«»...,..-...-,,.-,w........u.,-._,>,,..,..-..-..». .,.8: 004E-004-Masonry Mortar First Floor Exterior Mortar/Gray- None Detected C �•9 :� 005A-005-Masonry Mortar First Floor Exterior � � Mortar/Gray None Detected 1.0<j 005B-005-Masonry Mortar First Floor Exterior Mortar/Gray None Detected ,,•27;L^»015A-015-Gypsum Wallboard first Floor Bathroom Drywall/White None Detected t' , 28` 01513-01 5-Gypsum Wallboard First Floor Kitchen Drywall/White None Detected 29 015C-015-Gypsum Wallboard First Floor Family Room Drywall/White None Detected 016A-016-Gypsum Wallboard Joint Tape(Paper)First Floor Bathroom Joint Compound-like/White None Detected 4.3.1-. 016E-016-Gypsum Wallboard Joint Tape(Paper)First Floor Kitchen Joint Compound-like/White None Detected -�32 017A-017-Gypsum Wallboard Joint Compound First Floor Bathroom Joint Compound/White None Detected 01713-017-Gypsum Wallboard Joint Compound First Floor Kitchen Joint Compound/White None Detected Collected: Received:Jun 8,2021 Reported:Jun 16,2021 ' ax:.-'_..x.•n..,.-.-.,..:$4w-4-.,x_.;.,Yz-,C„^.;':7f;'C.+� �.,..t+:.i=i:E.. - .-..r,..:..._..-:....,...z-._ ..--, ....;r C.c" - - 1 ,�..-r .,.-:c, �"ex.=.o-.'M< -,.-X':�5.-z-.�.,d.'S`:;.�.tr:.':;: «.''".,.-t.'•'.: '?-ui:w•i:_1%"_�. _ _- �?:%�•z'ti:>r` ,:z:.<_ .�'wr_,rr1r r:�� evfewed - "•�� -- -- -''�;� r.Date; - _-- ^mac•,-' _ _ a`r - '•-Daiien�V+lillia'ms'%", , :ra Fill Al MICROBIAL CONSULTING 3005 East Boundary Terrace,Suite F•Midlothian,VA.23112 (804)562-3435 contact'@ha esmicrobial.com Page: 5 of 6 Ryan wild 10027 #21019853 ClearVu Inspections 195 Sunnyside Road East 18 Blackberry Lane Queensbuty, New York 12804 Queensbury,NY 12804 Asbestos Analysis Information (518)832-9213 Subcontracted 1:Amerisci-Lab ID#10984 a Analysis Details All samples were received in acceptable condition unless otherwise noted on the report.This report must not be used by the client to claim product certification, approval,or endorsement by AIHA,NIST,NVLAP,NY ELAP,or any agency.The results relate only to the items tested.Hayes Microbial Consulting reserves the right to I dispose of all samples after a period of 60 days in compliance with state and federal guidelines. i i PLM Analysis All Polarized Light Microscopy(PLM)results include an inherent uncertainty of measurement associated with estimating percentages by PLM. Materials with interfering matrix,low asbestos content,or small fiber size may require additional analysis via TEM Analysis. ! TEM Analysis Analysis by TEM is capable of providing positive identification of asbestos type(s)and semi-quantitation of asbestos content. I Definitions 'None Detected'-Below the detected reporting limit of 1%unless point counting is performed,then the detected reporting limit is.25%. New York ELAP Per NY ELAP798.6(NOB),TEM is the only reliable.method to declare an NOB material as Non-Asbestos Containing. Any NY ELAP samples that are subcontracted to another laboratory will display the name and ELAP Lab Identification number in the report page heading of those i samples.The original report provided to Hayes Microbial Consulting is available upon request. t HA MICROBIAL CONSULTING 3005 East Boundary Terrace,Suite F.Midlothian,VA.23112 (804)562-3435 contact@hayesmicrobial.com Page:6 of 6 New York State T:Departrrieht of Division of Safet y...and Health " License and Certificate Unit: State Campus,'8uildirig 12 Many,NY.;12240 >-::ASBESTOS HANDLING LICENSE,:; -' Creative Spaces'11, LLC dba ClearVU Inspections FILE NUMBER: 21=282890 LICENSE NUMBER:'`282890 `t 18 Blackberry Lane LICENSE CLASS: RESTRICTED::.;;;:' DATE OF ISSUE: 01/26/2d21 Queensbury;-.NY 12804. EXPIRATION DATE: 01/31%2022 Duly Authorized Representative::`.Ryan Wild!`:. This license has been issued in accordance:withiapplicable provisiofis o4 Articl`e,A of the Labor Law of New�i'grk'Stafe'and of ! the New,York Stata,Codes,Rules and_Regulations C12 NYCRR Part S6): If is•sub ect to suspension or revocation`:for a(1) :.;. serous violation of state,federal or:local laws with iegard.to,the conduct of:an`.i sbestos project,or(2)demonstrated lack;of responsibility in theconduct of an ob mvolvin asbestos or asbestas.mater al: • This:license is valid only for the contractor named.'above and this license or'a.photocopy must-be." displayed�at tie asbestos project work'site. This license verifies thatall persons employed by the licensee on an'asbestosproject;in New York State have been issued an Asbestos Certificate,appropriate.for th'e.type of Work they.perform,by the New York State' Department of Labor. . .00 ileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor a 1 -New Yorx.State vepartment of neairn c.,ertincate of Asimstos 3alety !raining This form is the official record Of successful completion of a New York State accredited asbestos safety training coure. s 4 i s 1 3 Certificate No I J . . , ':.:::.• To�be C`ia `Iet ralnW: ?name of Trainee (print) 'NYS Depart.of Motor Vehicles ID(DIv1V ID)i Signature of Trainee Telephone Number Date of Birth'.. Street or PO 13OX}' ((�itv} (State} (Zi>Code} 1 _ - ,. .:. Provider's Nance Telephone Number Ambient Environmental,Inc. . Address Albanyi NewgYo�riAvenp3_ Course 1220 518-482-0704 Location: Zip Code wse Course'Title: ❑ Refresher DOTS Equi-valency Training Language: [] English❑Othor- Exam Grade/Date: Dates of Training: From: ` ? r ...' 9 To: . ;;::1 Expires: ` "..._`..... F 1.certify that the asbestos safety training course given on the above date cuntplied with both 10 NYC;RR Part 73 and TSCA Title 11, was consistent with the curriculum and instn►ctors approved by the atieu,'Ycnk State IDppantnent of Health,and the trainee receiving this ceraficate completed the training course and successf411y'passed thi-eixantination. 'Training Director natitie Si i (Print} (� g --SZ2iD9iiiT DOH-283={i tl.'0 3i 'Optional lntimnation DOD Equivalency signed by NYS DOH representative only STATE.Of N?TI YQ R =QEPt�iTINEiVTrOE C tuft; �AS6ESTQS-aKC(EC'ATE~a, ;-;; -y� its.•.s:•:^:;�;,`;,.�.�,,�' •s.,;,,;aA,:�, •�; -�-�fiYAAIF'P�^WaLD`�4'°)�" '`,,,e`:r;<.�{ ,•t: "�'�.„` '�i;F` ,GtASS.(E7EP,1(3E�)'s a,,, j.;.r �'�s:n:•• .-:.:;�. =-C'ATEM 22 sD.,INSR 05 e';° '• = �y �,t {1 •. MORASBESTOST' OJE�TS�.: ...k''�.•..d,,,.i..� •;?>-, '• 1.- •..• 't''u5' `='a{7tiv�;.a:,t1^Yt+�a`:"��r':''•-- 'i' i i1�y:�;9:�+Yr1;"r L;s .•u�".riiii: r=':u+..��:��:aak��u�i?'r-}a_,`;Ypiillillt9lIDleil'iln i �iiia-f •PF 5 � ,� 1� • } � *•�'7ryp 'a tie �:� �M1 �" i s L . • r w � , t � im • QL t s�y�y�� J tt �• � I ay, �� •.t F+ r�.. s n '� 'fir -, S: u �+� r�t +-�,; *�i��: - `d '�„r, ``"�• '� _.� .. # it ii� ,yam",,.++.� .: ; t r ..A y ti+ .. �'�LSr�•�'. r r µ^ r�1,,4+r,4 wal, •,lSa AL r n � �" ! .� vx'¢.it'd'.'��1•t �` _ f � r y. �i r • � � , r ^'�• a;,,a Y .: /'"� sti t- M`t fir. � t + • • Ir r �! S� � �e M It x �1ti ...�f -� • • {i' - .. I+�`'. r,-4.